The aim of this open-label (OL) trial is to study the long-term use of macitentan for up to 2 years in Fontan-palliated adult and adolescent patients beyond the 52 weeks of treatment in the parent RUBATO double-blind (DB) study (AC-055H301, NCT03153137). This OL trial studies the long-term effect of macitentan in Fontan-palliated patients as it is not known if the effect of macitentan is sustained beyond 52 weeks (end of the parent RUBATO DB study). In addition, the trial also studies the long-term safety of macitentan as this is also unknown. Furthermore, the opportunity will be given to patients who were on placebo in the parent RUBATO DB study to receive macitentan 10 mg and benefit from a potentially active treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
112
macitentan 10 mg, film-coated tablet, oral use
Massachusetts General Hospital Heart Center
Boston, Massachusetts, United States
Providence Medical Research Providence Health Care
Spokane, Washington, United States
Royal Adelaide Hospital
Adelaide, Australia
Royal Prince Alfred Hospital
Camperdown, Australia
The Prince Charles Hospital, Adult Congenital Heart Disease Unit
Chermside, Australia
Royal Children's Hospital
Parkville, Australia
CHU de Québec Université Laval
Québec, Quebec, Canada
Beijing Anzhen Hospital
Beijing, China
Shanghai Children's Medical Center
Shanghai, China
Fakultni nemocnice v Motole
Prague, Czechia
...and 9 more locations
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Any AE occurring at or after the study treatment start up to 30 days after end of treatment (EOT) (limits included) within the analysis set was considered to be treatment-emergent.
Time frame: Up to 133 weeks
Number of Participants With Treatment-emergent Serious AEs (TESAEs)
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Any SAE occurring at or after the study treatment start up to 30 days after EOT (limits included) within the analysis set was considered to be TESAEs.
Time frame: Up to 133 weeks
Number of Participants With TEAEs Leading to Death
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Any AE occurring at or after the study treatment start up to 30 days after EOT (limits included) within the analysis set was considered to be treatment-emergent.
Time frame: Up to 133 weeks
Number of Participants With TEAEs Leading to Premature Discontinuation of Study Treatment
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Any AE occurring at or after the study treatment start up to 30 days after EOT (limits included) within the analysis set was considered to be treatment-emergent.
Time frame: Up to 133 weeks
Number of Participants With Treatment-emergent Marked Laboratory Abnormalities up to 30 Days After Study Treatment Discontinuation
Number of participants with treatment-emergent marked laboratory abnormalities (Hemoglobin \[gram/Liter {g/L}\], Platelets \[giga/L {10\^9 cells/L}\], Leukocytes \[10\^9 cells/L\], Lymphocytes \[10\^9 cells/L\], Neutrophils \[10\^9 cells/L\], Prothrombin International Normalized Ratio \[PINR;Ratio\], Aspartate Aminotransferase \[Units/L {U/L}\], Bilirubin \[micromoles/L {mcmol/L}\], Alkaline Phosphatase \[U/L\], Glomerular Filtration Rate \[milliliter/minute/1.73 meter square\], Glucose \[millimoles/L {mmol/L}\], Potassium \[mmol/L\], Sodium \[mmol/L\], Triglycerides \[mmol/L\] were reported. Abnormalities that occurred after study treatment start and up to 30 days after study treatment discontinuation, that were not present at baseline, were treatment-emergent. Marked laboratory abnormalities reported for at least 1 participant were reported in this outcome measure. \>=:greater than or equal to; \>:greater than; \<:less than; ULN: upper limit of normal; L:Low, H:High, LLL:lower/worse than LL, HHH:higher/worse than HH.
Time frame: Up to 133 weeks
Change From Baseline in Hemoglobin Over Time
Change from baseline in hemoglobin over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Hematocrit Over Time
Change from baseline in hematocrit over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Leukocytes, Neutrophils, Lymphocytes, and Platelets Over Time
Change from baseline in leukocytes, neutrophils, lymphocytes, and platelets over time were reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Systolic and Diastolic Arterial Blood Pressure (BP) Over Time
Change from baseline in systolic and diastolic arterial BP over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Pulse Rate Over Time
Change from baseline in pulse rate over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Peripheral Oxygen Saturation (SpO2) Over Time
Change from baseline in SpO2 over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Body Weight Over Time
Change from baseline in body weight over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (AP), and Gamma Glutamyl Transferase (GGT) Over Time
Change from baseline in ALT, AST, AP, and GGT over time were reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Bilirubin, Direct Bilirubin, and Creatinine Over Time
Change from baseline in bilirubin, direct bilirubin, and creatinine over time were reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Glomerular Filtration Rate (GFR) Over Time
Change from baseline in GFR over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Prothrombin Time Over Time
Change from baseline in prothrombin time over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Prothrombin International Normalized Ratio Over Time
Change from baseline in prothrombin international normalized ratio over time was reported in this outcome measure.
Time frame: Baseline up to Week 130
Change From Baseline in Peak Oxygen Uptake/Consumption (VO2)
Change from baseline in peak VO2 was reported in this outcome measure.
Time frame: Baseline, Week 52, and Week 104
Change From Baseline in Mean Count Per Minute of Daily Physical Activity Measured by Accelerometer (PA-Ac)
Change from baseline in mean count per minute of daily PA-Ac was reported in this outcome measure.
Time frame: Baseline, Week 26, Week 52, Week 78, and Week 104
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