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A Extension Study of Udenafil in Adolescents

A Phase III Extension Study of Udenafil in Adolescents With Single Ventricle Physiology After Fontan Palliation

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03013751
Acronym
FUELExten
Enrollment
301
Registered
2017-01-06
Start date
2017-02-06
Completion date
2022-12-20
Last updated
2025-12-09

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

Conditions

Functional Single Ventricle Heart Disease

Brief summary

This study is a 12-month (52 week) safety extension study to supplement the FUEL Phase III clinical trial to provide safety information regarding the long-term use of udenafil in adolescents with single ventricle congenital heart disease.

Detailed description

This will be an open-label extension study. All enrolled subjects will be provided with udenafil for the duration of the study. Subjects completing the Phase III FUEL study will be eligible for recruitment. Additional subjects will be recruited as needed to ensure a minimum of 300 total subjects enroll. Safety, pharmacodynamic and quality of life data will be collected and analyzed.

Interventions

DRUGUdenafil

Active drug

Sponsors

National Heart, Lung, and Blood Institute (NHLBI)
CollaboratorNIH
Mezzion Pharma Co. Ltd
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No

Inclusion criteria

1. Males and females with Fontan physiology who participated in the FUEL trial or, if they did not participate in FUEL, those who are 12 to less than 19 years of age at enrollment. 2. Participant consent or parental/guardian consent and participant assent. 3. Participant fluent in English, Spanish, or Korean. 4. Current anti-platelet or anticoagulant therapy.

Exclusion criteria

1. Height \< 132 cm. 2. Weight \< 40 kg. 3. Hospitalization for acute decompensated heart failure within the last 12 months. 4. Current intravenous inotropic drugs. 5. Undergoing evaluation for heart transplantation or listed for transplantation. 6. Diagnosis of active protein losing enteropathy or plastic bronchitis within the last three years, or a history of liver cirrhosis. 7. Known Fontan baffle obstruction, branch pulmonary artery stenosis, or pulmonary vein stenosis resulting in a mean gradient of \> 4 mm Hg between the regions proximal and distal to the obstruction as measured by either catheterization or echocardiography. 8. Single lung physiology. 9. Maximal VO2 less than 50% of predicted for age and gender at enrollment. 10. Severe ventricular dysfunction assessed qualitatively by clinical echocardiography within six months prior to enrollment. 11. Severe valvar regurgitation, ventricular outflow obstruction, or aortic arch obstruction assessed by clinical echocardiography within six months prior to enrollment. 12. Significant renal, hepatic, gastrointestinal or biliary disorders that could impair absorption, metabolism or excretion of orally administered medications. 13. Inability to complete exercise testing at baseline screening. 14. History of PDE-5 inhibitor use (with the exception of FUEL participation) within 3 months before study onset. 15. Use of any other drug to treat pulmonary hypertension within 3 months before study onset. 16. Known intolerance to oral udenafil. 17. Frequent use of medications or other substances that inhibit or induce CYP3A4. 18. Current use of alpha-blockers or nitrates. 19. Ongoing or planned participation in another research protocol that would either prevent successful completion of planned study testing or invalidate its results. 20. Noncardiac medical, psychiatric, and/or social disorder that would prevent successful completion of planned study testing or would invalidate its results. 21. Cardiac care, ongoing or planned, at a non-study center that would impede study completion. 22. For females: Pregnancy at the time of screening, pregnancy planned before study completion, or refusal to use an acceptable method of contraception for study duration. 23. Unable to abstain or limit intake of grapefruit juice during the duration of the trial. 24. Refusal to provide written informed consent/assent. 25. In the opinion of the primary care physician, the subject is likely to be non-compliant with the study protocol. 26. History of clinically significant thromboembolic event, as adjudicated by study Investigators.

Design outcomes

Primary

MeasureTime frameDescription
Treatment-Emergent Adverse Events52 WeeksSummary of Treatment Emergent Adverse Events

Secondary

MeasureTime frameDescription
Change in Log-transformed Reactive Hyperemia Index (lnRHI)52 WeeksChange from baseline to 52 weeks in Log-transformed Reactive Hyperemia Index (lnRHI). The Reactive Hyperemia Index (RHI) is the ratio of the amount of blood flow after the release of a period of vessel occlusion relative to baseline amount of blood flow. Because the amount of blood does not decrease after release of vessel occlusion, the minimum value for the RHI is 1.0, which would indicate no change in blood flow. There is no upper limit for this ratio, and higher values are generally thought to represent a healthier endothelial response. In this study, as in other studies, we used the natural log of RHI (lnRHI) to normalize the data.
Change in Serum BNP52 WeeksChange in Serum BNP from baseline to 52 weeks
Change in Myocardial Performance Index (MPI)52 WeeksChange in Myocardial Performance Index from baseline to 52 weeks
Change in PedsQL Physical Functioning (Child Reported)52 WeeksChange in PedsQL Physical Functioning (Child Reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Physical Function Scale is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported physical function.
Change in Maximal VO252 WeeksChange in Maximal VO2 from baseline to 52 weeks
Change in PedsQL Psychosocial Health Summary Score (Child Reported)52 WeeksChange in PedsQL Psychosocial Health Summary Score (Child reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Psychosocial Health Summary Scale is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported psychosocial health.
Change in PedsQL Psychosocial Health Summary Score (Parent Reported)52 WeeksChange in PedsQL Psychosocial Health Summary Score (Parent reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Psychosocial Health Summary Scale is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported psychosocial health.
Change in PedsQL Functional Health Status Score (Child Reported)52 WeeksChange in PedsQL Functional Health Status Score (Child reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Functional Health Status Score is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better functional health status.
Change in PedsQL Functional Health Status Score (Parent Reported)52 WeeksChange in PedsQL Functional Health Status Score (Parent reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Functional Health Status Score is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better functional health status.
Change in PedsQL Physical Functioning (Parent Reported)52 WeeksChange in PedsQL Physical Functioning (Parent Reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Physical Function Scale is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported physical function.

Countries

Canada, South Korea, United States

Participant flow

Participants by arm

ArmCount
In PHN-Udenafil-02 (FUEL) Received Udenafil
Participants in this study arm had received Udenafil in PHN-Udenafil-02 study.
128
In PHN-Udenafil-02 (FUEL) Received Placebo
Participants in this study arm had received Placebo in PHN-Udenafil-02 study.
122
De Novo
Did not participate in PHN-Udenafil-02 study.
51
Total301

Baseline characteristics

CharacteristicTotalDe NovoIn PHN-Udenafil-02 (FUEL) Received PlaceboIn PHN-Udenafil-02 (FUEL) Received Udenafil
Age, Customized15.9 Years
STANDARD_DEVIATION 2
14.9 Years
STANDARD_DEVIATION 1.89
16.2 Years
STANDARD_DEVIATION 1.94
16.1 Years
STANDARD_DEVIATION 2
Ethnicity (NIH/OMB)
Hispanic or Latino
35 Participants4 Participants14 Participants17 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
264 Participants47 Participants107 Participants110 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants0 Participants1 Participants1 Participants
Height164.9 centimeter
STANDARD_DEVIATION 9.52
163.2 centimeter
STANDARD_DEVIATION 9.08
166.3 centimeter
STANDARD_DEVIATION 8.84
164.2 centimeter
STANDARD_DEVIATION 10.18
Log-transformed Reactive Hyperemia Index (lnRHI)1.745 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.5117
1.585 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.3987
1.757 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.5403
1.748 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.494
Maximal VO21610.4 mL/min
STANDARD_DEVIATION 449.13
1421.7 mL/min
STANDARD_DEVIATION 261.32
1637.6 mL/min
STANDARD_DEVIATION 444.26
1607.3 mL/min
STANDARD_DEVIATION 470.8
Myocardial Performance Index (MPI)0.45 Ratio
STANDARD_DEVIATION 0.146
0.59 Ratio
STANDARD_DEVIATION 0.326
0.46 Ratio
STANDARD_DEVIATION 0.152
0.43 Ratio
STANDARD_DEVIATION 0.118
Pediatric Quality of Life (PedsQL)-Functional Health Status Score-Child reported73.26 score on a scale
STANDARD_DEVIATION 13.795
71.53 score on a scale
STANDARD_DEVIATION 12.802
73.56 score on a scale
STANDARD_DEVIATION 14.755
73.50 score on a scale
STANDARD_DEVIATION 13.108
Pediatric Quality of Life (PedsQL)-Functional Health Status Score-Parent reported72.85 score on a scale
STANDARD_DEVIATION 15.122
68.20 score on a scale
STANDARD_DEVIATION 15.488
74.75 score on a scale
STANDARD_DEVIATION 14.248
72.49 score on a scale
STANDARD_DEVIATION 15.621
Pediatric Quality of Life (PedsQL)-Physical Functioning-Child reported74.04 score on a scale
STANDARD_DEVIATION 14.848
73.99 score on a scale
STANDARD_DEVIATION 13.722
74.40 score on a scale
STANDARD_DEVIATION 16.142
73.68 score on a scale
STANDARD_DEVIATION 13.845
Pediatric Quality of Life (PedsQL)-Physical Functioning-Parent reported76.18 score on a scale
STANDARD_DEVIATION 16.324
73.24 score on a scale
STANDARD_DEVIATION 18.112
76.90 score on a scale
STANDARD_DEVIATION 14.948
76.43 score on a scale
STANDARD_DEVIATION 17.064
Pediatric Quality of Life (PedsQL)-Psychosocial Health Summary Score-Child reported72.83 score on a scale
STANDARD_DEVIATION 15.327
70.23 score on a scale
STANDARD_DEVIATION 14.429
73.11 score on a scale
STANDARD_DEVIATION 16.306
73.40 score on a scale
STANDARD_DEVIATION 14.562
Pediatric Quality of Life (PedsQL)-Psychosocial Health Summary Score-Parent reported71.10 score on a scale
STANDARD_DEVIATION 17.139
65.50 score on a scale
STANDARD_DEVIATION 17.458
73.64 score on a scale
STANDARD_DEVIATION 16.558
70.40 score on a scale
STANDARD_DEVIATION 17.258
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants2 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
6 Participants2 Participants2 Participants2 Participants
Race (NIH/OMB)
Black or African American
14 Participants6 Participants5 Participants3 Participants
Race (NIH/OMB)
More than one race
5 Participants1 Participants2 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants2 Participants6 Participants2 Participants
Race (NIH/OMB)
White
264 Participants38 Participants107 Participants119 Participants
Serum BNP16.85 pg/mL
STANDARD_DEVIATION 16.891
15.58 pg/mL
STANDARD_DEVIATION 18.638
18.25 pg/mL
STANDARD_DEVIATION 14.796
Sex: Female, Male
Female
118 Participants19 Participants44 Participants55 Participants
Sex: Female, Male
Male
183 Participants32 Participants78 Participants73 Participants
Weight59.5 kilogram
STANDARD_DEVIATION 13.86
57.7 kilogram
STANDARD_DEVIATION 15.1
60.7 kilogram
STANDARD_DEVIATION 13.58
59.2 kilogram
STANDARD_DEVIATION 13.62

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 301
other
Total, other adverse events
257 / 301
serious
Total, serious adverse events
54 / 301

Outcome results

Primary

Treatment-Emergent Adverse Events

Summary of Treatment Emergent Adverse Events

Time frame: 52 Weeks

Population: Safety Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TotalTreatment-Emergent Adverse EventsSubjects with one or more TEAEs adverse event (TEAE)257 Participants
TotalTreatment-Emergent Adverse EventsSubjects with one or more drug-related TEAEs206 Participants
TotalTreatment-Emergent Adverse EventsSubjects with one or more TEAEs of Grade >=331 Participants
TotalTreatment-Emergent Adverse EventsSubjects with one or more SAEs54 Participants
TotalTreatment-Emergent Adverse EventsSubjects with one or more drug-related SAEs15 Participants
TotalTreatment-Emergent Adverse EventsSubjects who temporarily stopped study drug for one or more TEAEs35 Participants
TotalTreatment-Emergent Adverse EventsSubjects who permanently discontinued study drug for one or more TEAEs21 Participants
Secondary

Change in Log-transformed Reactive Hyperemia Index (lnRHI)

Change from baseline to 52 weeks in Log-transformed Reactive Hyperemia Index (lnRHI). The Reactive Hyperemia Index (RHI) is the ratio of the amount of blood flow after the release of a period of vessel occlusion relative to baseline amount of blood flow. Because the amount of blood does not decrease after release of vessel occlusion, the minimum value for the RHI is 1.0, which would indicate no change in blood flow. There is no upper limit for this ratio, and higher values are generally thought to represent a healthier endothelial response. In this study, as in other studies, we used the natural log of RHI (lnRHI) to normalize the data.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in Log-transformed Reactive Hyperemia Index (lnRHI)Baseline1.748 Natural log-transformed RHI (lnRHI)Standard Deviation 0.494
TotalChange in Log-transformed Reactive Hyperemia Index (lnRHI)52 weeks1.759 Natural log-transformed RHI (lnRHI)Standard Deviation 0.5171
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Log-transformed Reactive Hyperemia Index (lnRHI)52 weeks2.037 Natural log-transformed RHI (lnRHI)Standard Deviation 0.6405
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Log-transformed Reactive Hyperemia Index (lnRHI)Baseline1.757 Natural log-transformed RHI (lnRHI)Standard Deviation 0.5403
De NovoChange in Log-transformed Reactive Hyperemia Index (lnRHI)Baseline1.585 Natural log-transformed RHI (lnRHI)Standard Deviation 0.3987
De NovoChange in Log-transformed Reactive Hyperemia Index (lnRHI)52 weeks1.960 Natural log-transformed RHI (lnRHI)Standard Deviation 0.5315
TotalChange in Log-transformed Reactive Hyperemia Index (lnRHI)Baseline1.745 Natural log-transformed RHI (lnRHI)Standard Deviation 0.5117
TotalChange in Log-transformed Reactive Hyperemia Index (lnRHI)52 weeks1.902 Natural log-transformed RHI (lnRHI)Standard Deviation 0.5931
Secondary

Change in Maximal VO2

Change in Maximal VO2 from baseline to 52 weeks

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in Maximal VO2Baseline1607.3 mL/minStandard Deviation 470.8
TotalChange in Maximal VO252 weeks1646.1 mL/minStandard Deviation 433.94
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Maximal VO252 weeks1703.0 mL/minStandard Deviation 434.31
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Maximal VO2Baseline1637.6 mL/minStandard Deviation 444.26
De NovoChange in Maximal VO2Baseline1421.7 mL/minStandard Deviation 261.32
De NovoChange in Maximal VO252 weeks1425.0 mL/minStandard Deviation 269.12
TotalChange in Maximal VO2Baseline1610.4 mL/minStandard Deviation 449.13
TotalChange in Maximal VO252 weeks1659.6 mL/minStandard Deviation 429.34
Secondary

Change in Myocardial Performance Index (MPI)

Change in Myocardial Performance Index from baseline to 52 weeks

Time frame: 52 Weeks

Population: Efficacy population

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in Myocardial Performance Index (MPI)Baseline0.43 mL/minStandard Deviation 0.118
TotalChange in Myocardial Performance Index (MPI)52 weeks0.43 mL/minStandard Deviation 0.14
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Myocardial Performance Index (MPI)52 weeks0.41 mL/minStandard Deviation 0.14
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Myocardial Performance Index (MPI)Baseline0.46 mL/minStandard Deviation 0.152
De NovoChange in Myocardial Performance Index (MPI)Baseline0.59 mL/minStandard Deviation 0.326
De NovoChange in Myocardial Performance Index (MPI)52 weeks0.53 mL/minStandard Deviation 0.148
TotalChange in Myocardial Performance Index (MPI)Baseline0.45 mL/minStandard Deviation 0.146
TotalChange in Myocardial Performance Index (MPI)52 weeks0.42 mL/minStandard Deviation 0.141
Secondary

Change in PedsQL Functional Health Status Score (Child Reported)

Change in PedsQL Functional Health Status Score (Child reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Functional Health Status Score is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better functional health status.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in PedsQL Functional Health Status Score (Child Reported)Baseline73.50 score on a scaleStandard Deviation 13.108
TotalChange in PedsQL Functional Health Status Score (Child Reported)52 weeks73.64 score on a scaleStandard Deviation 15.794
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Functional Health Status Score (Child Reported)52 weeks72.98 score on a scaleStandard Deviation 15.735
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Functional Health Status Score (Child Reported)Baseline73.56 score on a scaleStandard Deviation 14.755
De NovoChange in PedsQL Functional Health Status Score (Child Reported)Baseline71.53 score on a scaleStandard Deviation 12.802
De NovoChange in PedsQL Functional Health Status Score (Child Reported)52 weeks72.09 score on a scaleStandard Deviation 14.762
TotalChange in PedsQL Functional Health Status Score (Child Reported)Baseline73.26 score on a scaleStandard Deviation 13.795
TotalChange in PedsQL Functional Health Status Score (Child Reported)52 weeks73.13 score on a scaleStandard Deviation 15.58
Secondary

Change in PedsQL Functional Health Status Score (Parent Reported)

Change in PedsQL Functional Health Status Score (Parent reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Functional Health Status Score is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better functional health status.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in PedsQL Functional Health Status Score (Parent Reported)Baseline72.49 score on a scaleStandard Deviation 15.621
TotalChange in PedsQL Functional Health Status Score (Parent Reported)52 weeks72.85 score on a scaleStandard Deviation 16.638
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Functional Health Status Score (Parent Reported)52 weeks73.63 score on a scaleStandard Deviation 15.044
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Functional Health Status Score (Parent Reported)Baseline74.75 score on a scaleStandard Deviation 14.248
De NovoChange in PedsQL Functional Health Status Score (Parent Reported)Baseline68.20 score on a scaleStandard Deviation 15.488
De NovoChange in PedsQL Functional Health Status Score (Parent Reported)52 weeks70.28 score on a scaleStandard Deviation 13.181
TotalChange in PedsQL Functional Health Status Score (Parent Reported)Baseline72.85 score on a scaleStandard Deviation 15.122
TotalChange in PedsQL Functional Health Status Score (Parent Reported)52 weeks72.82 score on a scaleStandard Deviation 15.491
Secondary

Change in PedsQL Physical Functioning (Child Reported)

Change in PedsQL Physical Functioning (Child Reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Physical Function Scale is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported physical function.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in PedsQL Physical Functioning (Child Reported)Baseline73.68 score on a scaleStandard Deviation 13.845
TotalChange in PedsQL Physical Functioning (Child Reported)52 weeks74.75 score on a scaleStandard Deviation 15.823
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Physical Functioning (Child Reported)52 weeks74.10 score on a scaleStandard Deviation 17.691
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Physical Functioning (Child Reported)Baseline74.40 score on a scaleStandard Deviation 16.142
De NovoChange in PedsQL Physical Functioning (Child Reported)Baseline73.99 score on a scaleStandard Deviation 13.722
De NovoChange in PedsQL Physical Functioning (Child Reported)52 weeks73.56 score on a scaleStandard Deviation 14.669
TotalChange in PedsQL Physical Functioning (Child Reported)Baseline74.04 score on a scaleStandard Deviation 14.848
TotalChange in PedsQL Physical Functioning (Child Reported)52 weeks74.30 score on a scaleStandard Deviation 16.482
Secondary

Change in PedsQL Physical Functioning (Parent Reported)

Change in PedsQL Physical Functioning (Parent Reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Physical Function Scale is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported physical function.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in PedsQL Physical Functioning (Parent Reported)Baseline76.43 score on a scaleStandard Deviation 17.064
TotalChange in PedsQL Physical Functioning (Parent Reported)52 weeks75.99 score on a scaleStandard Deviation 18.205
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Physical Functioning (Parent Reported)52 weeks76.10 score on a scaleStandard Deviation 15.772
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Physical Functioning (Parent Reported)Baseline76.90 score on a scaleStandard Deviation 14.948
De NovoChange in PedsQL Physical Functioning (Parent Reported)Baseline73.24 score on a scaleStandard Deviation 18.112
De NovoChange in PedsQL Physical Functioning (Parent Reported)52 weeks74.11 score on a scaleStandard Deviation 13.946
TotalChange in PedsQL Physical Functioning (Parent Reported)Baseline76.18 score on a scaleStandard Deviation 16.324
TotalChange in PedsQL Physical Functioning (Parent Reported)52 weeks75.77 score on a scaleStandard Deviation 16.582
Secondary

Change in PedsQL Psychosocial Health Summary Score (Child Reported)

Change in PedsQL Psychosocial Health Summary Score (Child reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Psychosocial Health Summary Scale is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported psychosocial health.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in PedsQL Psychosocial Health Summary Score (Child Reported)Baseline73.40 score on a scaleStandard Deviation 14.562
TotalChange in PedsQL Psychosocial Health Summary Score (Child Reported)52 weeks73.01 score on a scaleStandard Deviation 17.451
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Psychosocial Health Summary Score (Child Reported)52 weeks72.37 score on a scaleStandard Deviation 17.174
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Psychosocial Health Summary Score (Child Reported)Baseline73.11 score on a scaleStandard Deviation 16.306
De NovoChange in PedsQL Psychosocial Health Summary Score (Child Reported)Baseline70.23 score on a scaleStandard Deviation 14.429
De NovoChange in PedsQL Psychosocial Health Summary Score (Child Reported)52 weeks71.31 score on a scaleStandard Deviation 17.015
TotalChange in PedsQL Psychosocial Health Summary Score (Child Reported)Baseline72.83 score on a scaleStandard Deviation 15.327
TotalChange in PedsQL Psychosocial Health Summary Score (Child Reported)52 weeks72.49 score on a scaleStandard Deviation 17.212
Secondary

Change in PedsQL Psychosocial Health Summary Score (Parent Reported)

Change in PedsQL Psychosocial Health Summary Score (Parent reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Psychosocial Health Summary Scale is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported psychosocial health.

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in PedsQL Psychosocial Health Summary Score (Parent Reported)Baseline70.40 score on a scaleStandard Deviation 17.258
TotalChange in PedsQL Psychosocial Health Summary Score (Parent Reported)52 weeks71.18 score on a scaleStandard Deviation 18.027
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Psychosocial Health Summary Score (Parent Reported)52 weeks72.32 score on a scaleStandard Deviation 17.099
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in PedsQL Psychosocial Health Summary Score (Parent Reported)Baseline73.64 score on a scaleStandard Deviation 16.558
De NovoChange in PedsQL Psychosocial Health Summary Score (Parent Reported)Baseline65.50 score on a scaleStandard Deviation 17.458
De NovoChange in PedsQL Psychosocial Health Summary Score (Parent Reported)52 weeks68.24 score on a scaleStandard Deviation 14.73
TotalChange in PedsQL Psychosocial Health Summary Score (Parent Reported)Baseline71.10 score on a scaleStandard Deviation 17.139
TotalChange in PedsQL Psychosocial Health Summary Score (Parent Reported)52 weeks71.25 score on a scaleStandard Deviation 17.184
Secondary

Change in Serum BNP

Change in Serum BNP from baseline to 52 weeks

Time frame: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points). The de novo population did not have any paired-data.

ArmMeasureGroupValue (MEAN)Dispersion
TotalChange in Serum BNPBaseline18.25 pg/mLStandard Deviation 14.796
TotalChange in Serum BNP52 weeks26.18 pg/mLStandard Deviation 24.241
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Serum BNPBaseline15.58 pg/mLStandard Deviation 18.638
In PHN-Udenafil-02 (FUEL) Received PlaceboChange in Serum BNP52 weeks23.13 pg/mLStandard Deviation 24.584
TotalChange in Serum BNPBaseline16.85 pg/mLStandard Deviation 16.891
TotalChange in Serum BNP52 weeks24.58 pg/mLStandard Deviation 24.347

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