Effects of Selexipag in Adults With Raynaud's Phenomenon Secondary to Systemic Sclerosis
A Multi-center, Double-blind, Randomized, Placebo-controlled, Parallel Group, Exploratory Phase 2 Study to Assess Efficacy and Safety of Selexipag in Adult Subjects With Raynaud's Phenomenon Secondary to Systemic Sclerosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Grenoble, France, 38043
- Investigator Site
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Lille, France, 59037
- Investigator Site
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Nantes, France, 44093
- Investigator Site
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Paris, France, 75679
- Investigator Site
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Strasbourg, France, 67200
- Investigator Site
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Bad Nauheim, Germany, 61231
- Investigator Site
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Berlin, Germany, 10117
- Investigator Site
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Cologne, Germany, 50937
- Investigator Site
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Erlangen, Germany, 91054
- Investigator Site
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Magdeburg, Germany, 39120
- Investigator Site
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Mainz, Germany, 55131
- Investigator Site
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Bath, United Kingdom, BA11RL
- Investigator Site
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Leeds, United Kingdom, LS74SA
- Investigator Site
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Liverpool, United Kingdom, L97AL
- Investigator Site
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London, United Kingdom, NW32QG
- Investigator Site
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Salford, United Kingdom, M55AP
- Investigator Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key inclusion criteria:
- Signed informed consent prior to any study-mandated procedure.
- Male and female subjects aged 18 years and above with a history of recurrent multiple weekly RP attacks secondary to SSc.
- Women of childbearing potential must agree to use a reliable method of birth control.
Key exclusion criteria:
- Known moderate or severe hepatic impairment (i.e. Child-Pugh C).
- Known hypersensitivity to selexipag or drugs of the same class, or any of their excipients.
- Subjects who have received prostacyclin (epoprostenol) or prostacyclin analogs (i.e., treprostenol, iloprost, beraprost) within 3 months prior to the screening visit.
- Subjects who have received a Phosphodiesterase type 5 (PDE-5) inhibitor within 1 week prior to the screening visit.
- Any dose change or initiation of any of the following drugs within 1 month prior to the screening visit: Calcium channel blockers, Nitrates or nitric oxide donors, ERA's, Alpha-blockers, Antithrombotic agents, NSAIDs (occasional use allowed), Angiotensin Converting Enzyme (ACE) inhibitors, Beta-blockers, Clonidine, Systemic corticosteroids, Fluoxetine.
- Severe renal insufficiency (at randomization).
- Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Selexipag
Selexipag is initiated at 200 µg twice daily (b.i.d.) and up-titrated every 3 days in 200 μg b.i.d.
increments up to the maximum tolerated dose (MTD) for each individual patient but not above 1600 µg during the 3-week titration phase.
This is followed by a 5-week maintenance phase, during which patients continue the treatment at their individual MTD.
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Film-coated tablets containing 200 μg of selexipag to be administered orally twice daily
Other Names:
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Experimental: Placebo
Placebo matching selexipag tablets is administered according to the same schedule as selexipag
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Placebo matching selexipag 200 μg tablets to be administered orally twice daily
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Average number of Raynaud's phenomenon (RP) attacks per week during the maintenance treatment period
Time Frame: From Day 26 to Day 56 ( +/- 7 days)
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The number of RP attacks is determined from daily entries in electronic Diaries (eDiary).
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From Day 26 to Day 56 ( +/- 7 days)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of patients with treatment-emergent adverse events
Time Frame: Up to end of study (Day 86 +/- 7 days)
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A treatment-emergent adverse event is any adverse event (AE) temporally associated with the use of a study treatment, whether or not considered related to the study treatment, including any abnormalities in ECG parameters, vital signs or laboratory tests
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Up to end of study (Day 86 +/- 7 days)
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Number of patients with treatment-emergent serious adverse events
Time Frame: Up to end of study (Day 86 +/- 7 days)
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Up to end of study (Day 86 +/- 7 days)
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from baseline in quality of life (QOL)
Time Frame: At baseline (Day 1) and end of treatment (Day 56 +/- 7 days)
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QOL is assessed by the Scleroderma Health Assessment Questionnaire (SHAQ)
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At baseline (Day 1) and end of treatment (Day 56 +/- 7 days)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Ralph Preiss, MD, Actelion
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Livedoid Vasculopathy
- Vascular Diseases
- Cardiovascular Diseases
- Connective Tissue Diseases
- Embolism and Thrombosis
- Skin Diseases
- Skin Diseases, Vascular
- Peripheral Vascular Diseases
- Thrombosis
- Skin and Connective Tissue Diseases
- Scleroderma, Systemic
- Raynaud Disease
- Antihypertensive Agents
- selexipag
Other Study ID Numbers
Other Study ID Numbers
- AC-065C202
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