Pulmonary Hypertension
Conditions
Keywords
Primary or secondary pulmonary arterial hypertension, Scleroderma, Connective tissue disease, Congenital heart defects, Lupus, Pulmonary Arterial Hypertension
Brief summary
The purpose of this study is to evaluate the safety and efficacy of Thelin™ (sitaxsentan sodium) compared to placebo (sugar pill) in the treatment of patients with pulmonary arterial hypertension (PAH).
Detailed description
The purpose of this study is to evaluate the safety and efficacy of Thelin™ (sitaxsentan sodium) as compared to placebo in the treatment of patients with PAH. A cohort of patients will be randomized to usual treatment with Tracleer® (bosentan) for observational comparisons of safety and efficacy.
Interventions
Sponsors
Encysive Pharmaceuticals
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE
Eligibility
Sex/Gender
ALL
Age
12 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Have a current diagnosis of symptomatic PAH classified by one of the following: 1. primary pulmonary hypertension (PPH) - also known as idiopathic pulmonary arterial hypertension (IPAH); 2. PAH associated with connective tissue diseases; 3. PAH associated with one of the following congenital heart defects: 1. repaired ASD, VSD or PDA greater than one year post-operative 2. un-repaired secundum ASD (with resting oxygen saturation greater than 88 percent in room air measured by oximeter) * World Health Organization (WHO) functional class II, III, IV * Greater than 12 and less than 75 years of age * Women of childbearing potential must be using two forms of medically acceptable contraception (at least one barrier method) * Have a cardiac catheterization within 6 months before study entry that shows the following values: 1. mean pulmonary artery pressure (PAPm) greater than 25 mmHg (at rest), 2. pulmonary capillary wedge pressure (PCWP) or left ventricular-end diastolic pressure less than 15 mmHg, and 3. pulmonary vascular resistance (PVR) greater than 3 mmHg/L/min.
Exclusion criteria
* Portal hypertension or chronic liver disease * ALT or AST levels greater than 1.5 times the upper limit of normal at the Screening Visit * Contraindication to treatment with an endothelin receptor antagonist * Recent history of abusing alcohol or illicit drugs * Chronic renal insufficiency * Pregnant or breastfeeding * Atrial septostomy within 30 days before study entry * Previous failure on bosentan because of safety concerns of the lack of clinical response
Countries
United States
Outcome results
None listed