Study to evaluate if macitentan is safe and tolerable enough to be used for treatment of subjects with combined pre- and post-capillary pulmonary hypertension (CpcPH) due to left ventricular dysfunction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
63
oral tablet, 10 mg once daily
matching placebo
Number of Participants Experiencing Significant Fluid Retention or Worsening in NYHA Functional Class (FC) up to End-of-treatment
The main endpoint is the number of participants who had at least one of the following: A) significant fluid retention, defined as increase in body weight at any time by ≥ 5% or ≥ 5 kg from baseline due to fluid overload and/or parenteral administration of diuretics. B) Worsening of NYHA functional class from baseline.
Time frame: From randomization up to End-of-Study (Week 12 + 30 days follow-up) plus 1 calendar day
NT-proBNP at Week 12 Expressed as Percent of Baseline NT-proBNP at Rest
Time frame: From randomization up to end of treatment period (Week 12)
PVR at Rest at Week 12 Expressed as Percent of Baseline PVR at Rest
Pulmonary vascular resistance (PVR) was assessed at rest by right heart catheterization (RHC).
Time frame: From randomization up to end of treatment period (Week 12)
Change From Baseline to Week 12 in Mean Pulmonary Arterial Pressure (mPAP)
Time frame: From randomization up to end of treatment period (Week 12)
Change From Baseline to Week 12 in Mean Right Atrial Pressure (mRAP)
Time frame: From randomization up to end of treatment period (Week 12)
Change From Baseline to Week 12 in Pulmonary Artery Wedge Pressure (PAWP)
Time frame: From randomization up to end of treatment period (Week 12)
Change From Baseline to Week 12 in Cardiac Index (CI)
Time frame: From randomization up to end of treatment period (Week 12)
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Kentuckiana Pulmonary Associates
Louisville, Kentucky, United States
Boston University School of Medicine
Boston, Massachusetts, United States
University of Michigan Internal Medicine Cardiology, Pulmonary Hypertension Program
Ann Arbor, Michigan, United States
Washington University School of Medicine - Center for Advanced Med
St Louis, Missouri, United States
The Lindner Clinical Trial Center
Cincinnati, Ohio, United States
Houston Methodist Hospital - Heart Failure/Pulm Hypertension
Houston, Texas, United States
Krankenhaus der Elisabethinen Linz, 2. Interne Abteilung
Linz, Austria
Medical University of Vienna and AKH Cardiology
Vienna, Austria
Hôpital Erasme, Cliniques Universitaires de Bruxelles, Cardiologie
Brussels, Belgium
University Hospital Gasthuisberg / Interne Geneeskunde - I.G. Pneumologie
Leuven, Belgium
...and 22 more locations
Change From Baseline to Week 12 in Diastolic Pulmonary Vascular Pressure Gradient (DPG)
Time frame: From randomization up to end of treatment period (Week 12)