Pulmonary Hypertension
Conditions
Keywords
Pulmonary Arterial Hypertension
Brief summary
The primary objective is to determine the effect of ambrisentan on exercise capacity in subjects with PAH.
Detailed description
ARIES-1 in North America and Australia ARIES-2 in Western and Eastern Europe, South America and Israel Subjects in these randomized studies will receive one of two doses of ambrisentan or placebo. Inclusion is not based on a specified WHO functional classification. Rather, subjects with WHO Class I-IV symptoms are eligible if their 6-minute walk distance is 150-450 meters and they meet the study-specified hemodynamic criteria. Subjects with anorexigen or HIV infection related PAH are eligible but subjects with congenital heart disease and pediatric subjects are excluded. The study requires a historical cardiac catheterization and other diagnostic procedures.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of idiopathic PAH (formally known as PPH), or PAH associated with collagen vascular disease, anorexigen use, or HIV infection; * Historical cardiac catheterization with the following hemodynamic criteria: Mean pulmonary artery pressure greater than or equal to 25 mmHg; Pulmonary vascular resistance greater than 3 mmHg/L/min; Pulmonary capillary wedge pressure or left ventricular end diastolic pressure less than 15 mmHg; * 6-minute walk distance of at least 150 meters, but no more than 450 meters; * Total lung capacity greater than or equal to 70% and FEV1 greater than or equal to 65% of predicted normal;
Exclusion criteria
* Portopulmonary hypertension; * Subjects with PAH due to or associated with coronary artery disease, left heart disease, interstitial lung disease, chronic obstructive pulmonary disease, veno-occlusive disease, chronic thromboembolic disease, or sleep apnea; * Bosentan (Tracleer®), sildenafil (Viagra®), or chronic prostanoid therapy within 4 weeks of screening; * Serum ALT or AST lab value that is greater than 1.5 times the upper limit of normal; * Contraindication to treatment with an endothelin receptor antagonist; * Subject with cardiovascular, hepatic, renal, hematologic, gastrointestinal, immunologic, endocrine, metabolic, or central nervous system disease that may adversely affect the safety of the subject; * Participation in a clinical study involving another investigational drug within 4 weeks of screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline at Week 12 of six minute walk distance | — |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline at Week 12 of: | — |
| Borg Dsypnea Index | — |
| WHO Functional Classification | — |
| SF-36 | — |
| Time to Clinical Worsening | — |
Countries
Australia, Canada, United States