Raynaud Disease
Conditions
Keywords
Digital ischemia, Raynaud's phenomenon
Brief summary
Patients with Raynaud's phenomenon suffer from painful attacks triggered by stress or cold causing acute lowering of blood flow through the digits. In this trial the safety and efficacy as well as the effect of one dose of the sGC stimulator Riociguat on digital blood flow will be measured during a cold exposure test in patients suffering from Raynaud's phenomenon. Measurements of two periods will be compared: in one period the patient will be given active drug and in the other period a placebo.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients suffering from Raynaud's phenomenon diagnosed at least ≥1 year before beginning of the study of the following origin: * idiopathic (primary) * limited cutaneous Scleroderma associated * diffuse cutaneous Scleroderma associated * mixed connective tissue disease associated
Exclusion criteria
* Patients taking medication interfering with the digital flow measurement such as calcium channel blockers (CCB), phosphodiesterase 5 (PDE5) inhibitors, endothelin receptor antagonists (ERA), Nitrates * Smokers * Systolic blood pressure (SBP) below 105mmHg at rest
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with adverse events as a measure of safety and tolerability | 5 weeks |
| Blood pressure | 5 weeks |
| Pulse rate | 5 weeks |
| Incidence of participants showing changes during clinical laboratory and hematology assessment | From baseline to 5 weeks |
| Plasma concentration at 2 h after riociguat administration | After 2 hours |
| Placebo corrected change in digital blood flow at room temperature, measured by Laser Doppler Perfusion Imaging | At baseline and after 2h |
| Placebo corrected change in digital blood flow during cold exposure, measured by Laser Doppler Perfusion Imaging | At baseline and after 2h |
Countries
Germany