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A Long-Term, Open-Label Study to Evaluate the Safety of Sitaxsentan Sodium Treatment in Patients With Pulmonary Arterial Hypertension

A Long-Term, Open-Label Study To Evaluate The Safety Of Sitaxsentan Sodium Treatment In Patients With Pulmonary Arterial Hypertension

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00811018
Acronym
STRIDE-3
Enrollment
1192
Registered
2008-12-18
Start date
2003-03-31
Completion date
2011-07-31
Last updated
2012-04-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pulmonary Arterial Hypertension

Keywords

Open-label study

Brief summary

This is a multi-center, open-label study of sitaxsentan sodium 100 mg taken orally once daily by subjects with PAH until sitaxsentan, in a particular country or region, is commercially available for the treatment of PAH or the study is closed.

Detailed description

Open-label extension

Interventions

Sitaxsentan 100 mg tablets once daily

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of Pulmonary Arterial Hypertension (PAH) confirmed by cardiac catheterization. * Current diagnosis of WHO group 1 PAH with functional class 2, 3, or 4 symptoms.

Exclusion criteria

* Has portal hypertension or chronic liver disease. * Has history of left sided heart disease or significant cardiac disease.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Day 1 up to 82 monthsAll observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product were reported.
The Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 monthsALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
The Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULNWeek 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 monthsALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
Percentage of Participants With Total Bilirubin > 1.5 x ULNWeek 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 monthsTotal builirubin data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
Percentage of Participants With Laboratory Test Abnormalities (Hematology)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 monthsHematology data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
Percentage of Participants With Laboratory Test Abnormalities (Chemistry)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 monthsChemistry data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
Percentage of Participants With Laboratory Test Abnormalities (Urinalysis)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 monthsUrinalysis data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
Percentage of Participants With Anticoagulant UseBaseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 monthsParticipants with anticoagulant use before first dose or participants with anticoagulant use from first dose of sitaxsentan.
Percentage of Participants With Elevated International Normalize Ratio (INR)Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 monthsElevated INR in participants who took warfarin, warfarin derivatives, other anticoagulant and no anticoagulants. Elevated INR defined as \> 3.5. Percentage calculated using number of participants with INR data as the denominator.
Percentage of Participants With Electrocardiography (ECG) Results of Potential Clinical ImportanceWeeks 28,60,72,84,96,104, Transition Visit up to 82 monthsStandard 12-lead ECG results determined to be of potential clinical importance according to investigator clinical judgement.
Percentage of Participants With Vital Sign Results of Potential Clinical ImportanceDay 1, Weeks 28,60,72,84,96,104, Transition visit, every 6 months Post Transition, up to 82 monthsVital signs include sitting blood pressure, respiration rate, heart rate and temperature. Potential clinical importance determined according to investigator clinical judgement.
Percentage of Participants With Abnormal Prothrombin Time (PT)Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 monthsPT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
Percentage of Participants With Abnormal Partial Thromboplastin Time (PTT)Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 monthsPTT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, France, Germany, Israel, Italy, Mexico, Netherlands, Poland, Spain, United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled from studies FPH02/FPH02-X (STRIDE 2/STRIDE 2 Extension \[NCT00080457, NCT00593905\]), FPH04 (STRIDE 4), FPH06 (STRIDE 6) or were naive to sitaxsentan sodium.

Participants by arm

ArmCount
Sitaxsentan
All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
1,192
Total1,192

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdditional Chronic Treatment31
Overall StudyAdverse Event79
Overall StudyALT/AST >3x UNL, Bilirubin >2xUNL4
Overall StudyALT/AST >5x Upper Limit of Normal (ULN)70
Overall StudyDeath147
Overall StudyInvestigator Decision57
Overall StudyLost to Follow-up19
Overall StudyOther26
Overall StudyPregnancy6
Overall StudySponsor Decision450
Overall StudyWHO FC deterioration and 6MWD decrease9
Overall StudyWithdrawal by Subject70

Baseline characteristics

CharacteristicSitaxsentan
Age, Customized
18-44 years
433 participants
Age, Customized
45-64 years
468 participants
Age, Customized
greater than or equal to 65 years
256 participants
Age, Customized
less than (<) 18 years
35 participants
Sex: Female, Male
Female
914 Participants
Sex: Female, Male
Male
278 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
1,069 / 1,192
serious
Total, serious adverse events
586 / 1,192

Outcome results

Primary

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product were reported.

Time frame: Day 1 up to 82 months

Population: Safety Population: all enrolled participants who took at least one dose of sitaxsentan 100 mg during the study

ArmMeasureGroupValue (NUMBER)
SitaxsentanNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs1150 participants
SitaxsentanNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs586 participants
Primary

Percentage of Participants With Abnormal Partial Thromboplastin Time (PTT)

PTT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

Population: Data not summarized, study terminated early

Primary

Percentage of Participants With Abnormal Prothrombin Time (PT)

PT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

Population: Data not summarized, study terminated early

Primary

Percentage of Participants With Anticoagulant Use

Participants with anticoagulant use before first dose or participants with anticoagulant use from first dose of sitaxsentan.

Time frame: Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
SitaxsentanPercentage of Participants With Anticoagulant UseWarfarin before first dose39.77 percentage of participants
SitaxsentanPercentage of Participants With Anticoagulant UseWarfarin Derivatives before first dose19.13 percentage of participants
SitaxsentanPercentage of Participants With Anticoagulant UseOther Anticoagulants before first dose2.01 percentage of participants
SitaxsentanPercentage of Participants With Anticoagulant UseWarfarin from first dose/data cut off58.22 percentage of participants
SitaxsentanPercentage of Participants With Anticoagulant UseWarfarin Derivatives from first dose/data cut off20.55 percentage of participants
SitaxsentanPercentage of Participants With Anticoagulant UseOther Anticoagulants from first dose/data cut off2.52 percentage of participants
Primary

Percentage of Participants With Electrocardiography (ECG) Results of Potential Clinical Importance

Standard 12-lead ECG results determined to be of potential clinical importance according to investigator clinical judgement.

Time frame: Weeks 28,60,72,84,96,104, Transition Visit up to 82 months

Population: Data not summarized, study terminated early

Primary

Percentage of Participants With Elevated International Normalize Ratio (INR)

Elevated INR in participants who took warfarin, warfarin derivatives, other anticoagulant and no anticoagulants. Elevated INR defined as \> 3.5. Percentage calculated using number of participants with INR data as the denominator.

Time frame: Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >9; no anticoagulant0.25 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR <= 3.5; warfarin20.97 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >3.5 and <=5; warfarin17.70 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >5 and <=9; warfarin12.75 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR > 9; warfarin3.44 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR <=3.5; warfarin derivatives4.95 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >3.5 and <=5; warfarin derivatives6.96 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >5 and <=9; warfarin derivatives5.96 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >9; warfarin derivatives1.85 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR <=3.5; other anticoagulant1.34 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >3.5 and <=5; other anticoagulant0.59 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >5 and <= 9; other anticoagulant0.50 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR <=3.5; no anticoagulant19.55 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >3.5 and <= 5; no anticoagulant0.17 percentage of participants
SitaxsentanPercentage of Participants With Elevated International Normalize Ratio (INR)INR >5 and <=9; no anticoagulant0.42 percentage of participants
Primary

Percentage of Participants With Laboratory Test Abnormalities (Chemistry)

Chemistry data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Population: Safety Population; N=number of participants with normal observation at baseline; n=number of participants with normal baseline and an abnormality meeting specific criteria for the specific lab

ArmMeasureGroupValue (NUMBER)
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Albumin (n=33)45.5 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Alkaline Phosphatase (n=593)45.5 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)ALT (n=839)36.1 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Amylase (n=9)0 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)AST (n=814)49.4 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Bicarbonate (n=540)56.7 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Blood urea nitrogen (BUN) (n=615)42.4 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Calcium (n=819)21.4 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Chloride (n=804)31 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Creatinine (n=808)25 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Direct Bilirubin (n=11)54.5 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Gamma glutamyltransferase (GGT) (n=22)45.5 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Glucose (n=674)61.6 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Glucose-fasting (n=2)50 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Indirect Bilirubin (n=11)45.5 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Phosphorus (n=740)50.8 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Potassium (n=749)51.8 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Sodium (n=811)29.1 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Total Bilirubin (n=726)27.7 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Total Protein (n=738)38.1 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Urea (n=35)48.6 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Chemistry)Uric Acid (n=415)46.5 percentage of participants
Primary

Percentage of Participants With Laboratory Test Abnormalities (Hematology)

Hematology data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Population: Safety Population; N=number of participants with normal observation at baseline; n=number of participants with normal baseline and an abnormality meeting specific criteria for the specific lab

ArmMeasureGroupValue (NUMBER)
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Basophiles (n=814)4.1 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Eosinophiles % (n=3)100 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Eosinophils (n=785)20.6 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Hematocrit (n=537)46.2 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Hemoglobin (n=573)48.7 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Lymphocytes (n=737)35.5 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Mean Corpuscular Hemoglobin (n=56)21.4 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Mean Corpuscular Hemoglobin Concentration (n=59)33.9 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Mean Corpuscular Volume (n=65)27.7 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Monocytes (n=766)28.3 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Neutrophiles (n=728)38 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Platelets Count (n=719)26.3 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)Red Blood Cells (n=542)39.1 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Hematology)White Blood Cells (n=730)35.3 percentage of participants
Primary

Percentage of Participants With Laboratory Test Abnormalities (Urinalysis)

Urinalysis data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Population: Safety Population; N=number of participants with normal observation at baseline; n=number of participants with normal baseline and an abnormality meeting specific criteria for the specific lab

ArmMeasureGroupValue (NUMBER)
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Urinalysis)PH (n=789)0 percentage of participants
SitaxsentanPercentage of Participants With Laboratory Test Abnormalities (Urinalysis)Specific Gravity (n=787)1.8 percentage of participants
Primary

Percentage of Participants With Total Bilirubin > 1.5 x ULN

Total builirubin data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
SitaxsentanPercentage of Participants With Total Bilirubin > 1.5 x ULN>= 1.5 x ULN and <2 x ULN10.23 percentage of participants
SitaxsentanPercentage of Participants With Total Bilirubin > 1.5 x ULN>= 2 x ULN and < 3x ULN6.80 percentage of participants
SitaxsentanPercentage of Participants With Total Bilirubin > 1.5 x ULN>= 3x ULN5.03 percentage of participants
Primary

Percentage of Participants With Vital Sign Results of Potential Clinical Importance

Vital signs include sitting blood pressure, respiration rate, heart rate and temperature. Potential clinical importance determined according to investigator clinical judgement.

Time frame: Day 1, Weeks 28,60,72,84,96,104, Transition visit, every 6 months Post Transition, up to 82 months

Population: Data not summarized, study terminated early

Primary

The Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)

ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
SitaxsentanThe Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)> 3 x ULN and less than or equal to (<=) 5x ULN5.12 percentage of participants
SitaxsentanThe Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)> 5 x ULN and <= 8 x ULN4.45 percentage of participants
SitaxsentanThe Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)> 8 x ULN and <= 10 x ULN0.76 percentage of participants
SitaxsentanThe Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)> 10 x ULN2.60 percentage of participants
Primary

The Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN

ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Time frame: Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
SitaxsentanThe Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN> 3 x ULN and <= 5 x ULN3.94 percentage of participants
SitaxsentanThe Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN> 5 x ULN and <= 8 x ULN2.60 percentage of participants
SitaxsentanThe Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN> 8 x ULN and <= 10 x ULN0.67 percentage of participants
SitaxsentanThe Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN> 10 x ULN1.26 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026