Eine Studie zu Selexipag als Zusatzbehandlung zur Standardbehandlung bei Kindern mit pulmonaler arterieller Hypertonie (SALTO)
Eine randomisierte, multizentrische, doppelblinde, placebokontrollierte, ereignisgesteuerte, gruppensequentielle Parallelgruppenstudie mit offener Verlängerungsphase zur Bewertung der Wirksamkeit und Sicherheit von Selexipag als Zusatzbehandlung zur Standardbehandlung bei Kindern Alter >=2 bis
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Study Contact
- Telefonnummer: 844-434-4210
- E-Mail: Participate-In-This-Study@its.jnj.com
Studienorte
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South Brisbane, Australien, 4101
- Queensland Children's Hospital
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Brussels, Belgien, 1070
- ULB Hôpital Erasme
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Ghent, Belgien, 9000
- Universitair Ziekenhuis Gent
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Leuven, Belgien, 3000
- Universitaire Ziekenhuizen Leuven
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Blumenau, Brasilien, 89030-101
- Complexo de Prevencao,Diagnostico,Terapia e Reabilitacao Respiratoria LTDA Hospital Dia do Pulmao
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Brasília, Brasilien, 70310-500
- Fundacao Universitaria de Cardiologia - Instituto de Cardiologia e Transplantes do DF
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Curitiba, Brasilien, 80250-060
- Hospital Pequeno Principe
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Fortaleza, Brasilien, 60840-285
- Secretaria da Saude do Estado do Ceara - Hospital Doutor Carlos Alberto Studart Gomes
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Porto Alegre, Brasilien, 90020-090
- Irmandade Santa Casa de Misericordia de Porto Alegre
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Porto Alegre, Brasilien, 90620-001
- Fundação Universitaria de Cardiologia
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São Paulo, Brasilien, 01221-020
- Irmandade Santa Casa de Misericordia de Sao Paulo
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São Paulo, Brasilien, 04024 002
- SPDM - Associacao Paulista para o Desenvolvimento da Medicina - Hospital Sao Paulo
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Sofia, Bulgarien, 1309
- Multiprofile Hospital For Active Treatment National Cardiology Hospital, Ead
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Beijing, China, 100029
- Beijing Anzhen Hospital
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Guangzhou, China, 510623
- Guangzhou Women and Children's Medical Center
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Qingdao, China, 266000
- Qingdao Women and Children's Hospital
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Qingdao, China, 266000
- Qingdao Women and Children's Hospital 1
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Shanghai, China, 201102
- Children's Hospital of Fudan University
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Shanghai, China, 200127
- Shanghai Childrens Medical Center
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Shenyang, China, 110000
- The General Hospital of Northern Theater Command
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Freiburg im Breisgau, Deutschland, 70106
- Universitätsklinikum Freiburg Zentrum
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Heidelberg, Deutschland, D-69120
- Universitaetsklinikum Heidelberg
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Leipzig, Deutschland, 04289
- Herzzentrum Leipzig GmbH
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München, Deutschland, 81377
- Klinikum der Universitaet Muenchen
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Helsinki, Finnland, 29
- New Children's Hospital of the Helsinki University Hospital (HUS)
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Lille, Frankreich, 59037
- Hôpital Cardiologique - Chru Lille
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Marseille, Frankreich, 13385
- Hôpital de la Timone
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Montpellier, Frankreich, 34295
- CHU Arnaud de Villeneuve
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Paris, Frankreich, 75015
- Hopital Necker - Enfants Malades
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Pessac, Frankreich, 33604
- Hôpital Cardiologique Du Haut-Lévêque
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Toulouse, Frankreich, 31059
- Chu Hopital Des Enfants
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Dublin, Irland
- Our Lady's Children's Hospital
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Haifa, Israel, 3109601
- Rambam Medical Center
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Ramat Gan, Israel, 52621
- Sheba medical center
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Bologna, Italien, 40138
- Azienda Ospedaliera Policlinico S. Orsola-Malpighi
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Milan, Italien, 20162
- ASST Grande Ospedale Metropolitano Niguarda
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Padova, Italien
- Universta Degli Studi Di Padova
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Roma, Italien, 00193
- Ospedale Pediatrico Bambin Gesù
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S. Donato Milanese, Italien, 20097
- IRCCS Policlinico San Donato
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Torino, Italien, 10126
- AOU Città della Salute e della Scienza di Torino, Presidio Ospedale Infantile Regina Margherita
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Alberta
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Edmonton, Alberta, Kanada, T6G 2B7
- Stollery Children's Hospital
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Ontario
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Toronto, Ontario, Kanada, M5G 1X8
- Hospital for Sick Children
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Bogotá, Kolumbien
- Fundación Santa Fe de Bogotá
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Bogotá, Kolumbien, 0000000
- Clinica San Rafael
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Bogotá, Kolumbien, 0000000
- Fundacion Neumologica Colombiana
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Cali, Kolumbien, 760042
- Clínica Imbanaco S.A.S.
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Piedecuesta, Kolumbien, 681017
- Fundacion cardiovascular de Colombia
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Soledad, Kolumbien, 0000000
- Hospital Universidad del Norte
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Vilnius, Litauen, LT08661
- Vilnius University Hospital Santariskiu Clinics
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Kuala Lumpur, Malaysia, 50400
- National Heart Institute
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Guadalajara, Mexiko, 44160
- CICUM San Miguel
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Monterrey, Mexiko, 64718
- Unidad de Investigacion Clinica en Medicina S.C. (UDICEM)
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México, Mexiko, 52787
- Operadora de Hospitales Angeles SA de CV Hospital Angeles Lomas
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Gdansk, Polen, 80 952
- Uniwersyteckie Centrum Kliniczne
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Krakow, Polen, 30-663
- Uniwersytecki Szpital Dzieciecy w Krakowie
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Poznan, Polen, 60 572
- Szpital Kliniczny im Karola Jonschera
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Warsaw, Polen, 04-730
- Instytut Pomnik Centrum Zdrowia Dziecka
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Wroclaw, Polen, 51 124
- Wojewodzki Szpital Specjalistyczny We Wroclawiu
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Zabrze, Polen, 41-800
- Slaskie Centrum Chorob Serca
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Lisbon, Portugal, 1169-024
- Uls Sao Jose - Hosp. Santa Marta
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Porto, Portugal, 4200 319
- Uls Sao Joao - Hosp. Sao Joao
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Kazan', Russland, 420012
- Kazan State Medical University
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Kazan', Russland, 420059
- Kazan State Medical University 1
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Kemerovo, Russland, 650002
- Scientific and Research Institution of Cardiovascular Diseases Complex Problems
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Moscow, Russland, 125373
- Childrens City Clinical Hospital n.a. Bashlyaeva
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Moscow, Russland, 125412
- Veltischev Research and Clinical Institute for Pediatrics of the Pirogov RNRMU
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Samara, Russland, 443070
- Samara Regional Clinical Cardiological Dispensary
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Gothenburg, Schweden, 416 50
- Drottning Silvias barn- och ungdomssjukhus
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Lund, Schweden, 222 42
- Skånes universitetssjukhus
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Lausanne, Schweiz, 1011
- Centre hospitalier universitaire vaudois CHUV
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Belgrade, Serbien, 11000
- Univerzitetska Dečja Klinika
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A Coruña, Spanien, 15006
- Hosp Univ A Coruna
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Barcelona, Spanien, 08035
- Hosp Univ Vall D Hebron
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Esplugues de Llobregat, Spanien, 08950
- Hosp. Sant Joan de Deu
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Madrid, Spanien, 28046
- Hosp. Univ. La Paz
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Madrid, Spanien, 28009
- Hosp. Gral. Univ. Gregorio Maranon
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Seville, Spanien, 41013
- Hosp. Virgen Del Rocio
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Seoul, Südkorea, 03080
- Seoul National University Hospital
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Seoul, Südkorea, 06351
- Samsung Medical Center
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Seoul, Südkorea, 120-752
- Severance Hospital Yonsei University Health System
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Yangsan, Südkorea, 50612
- Pusan National University Yangsan Hospital
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Kaohsiung City, Taiwan, 813414
- Kaohsiung Veterans General Hospital
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Tainan, Taiwan, 704
- National Cheng Kung University Hospital
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Taipei, Taiwan, 100
- National Taiwan University Hospital
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Chiang Mai, Thailand, 50200
- Chiang Mai University Hospital
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Songkhla, Thailand, 90110
- Songklanagarind Hospital
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Adana, Türkei (türkiye), 01790
- Cukurova Balcali Hospital Application and Research Center
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Ankara, Türkei (türkiye), 06230
- Hacettepe University Medical Faculty
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Istanbul, Türkei (türkiye), 34093
- CAPA Istanbul University Medical Faculty
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Istanbul, Türkei (türkiye), 34303
- Mehmet Akif Ersoy Training and Research Hospital
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Izmir, Türkei (türkiye), 35020
- Izmir Tepecik Training and Research Hospital
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Izmir, Türkei (türkiye), 35210
- Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital
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Dnipro, Ukraine, 49006
- Dnipropetrovsk clinical medical center of Mother and Child after prof. Rudnev
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Dnipro, Ukraine, 49070
- MI 'Dnipropetrovsk Regional Clinical Center of Cardiology and Cardiac Surgery'
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Kyiv, Ukraine, 04050
- Scientific Practical Medical Center for Pediatric Cardiology and Cardio Surgery of the MOH
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Zaporizhzhya, Ukraine, 69063
- MI Zaporizhzhia Regional Clinical Childrens Hospital of Zaporizhzhia Regional Council
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Budapest, Ungarn, 1096
- Gottsegen György Országos Kardiológiai Intézet
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Arizona
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Phoenix, Arizona, Vereinigte Staaten, 85016
- Phoenix Children's Hospital
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California
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Los Angeles, California, Vereinigte Staaten, 90095
- UCLA Medical Center
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San Francisco, California, Vereinigte Staaten, 94158
- UCSF
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80045
- Childrens Hospital Colorado
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District of Columbia
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Washington D.C., District of Columbia, Vereinigte Staaten, 20010
- Children's National Medical Center
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Florida
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Gainesville, Florida, Vereinigte Staaten, 32610
- Congenital Heart Center of the University of Florida
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Indiana
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Indianapolis, Indiana, Vereinigte Staaten, 46202
- Riley Hospital for Children
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Michigan
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Detroit, Michigan, Vereinigte Staaten, 48201
- Detroit Medical Center
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten, 45229
- Cincinnati Children's Hospital Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- Childrens Hospital of Philadelphia
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Texas
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Houston, Texas, Vereinigte Staaten, 77030
- Texas Children's Hospital
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Utah
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Salt Lake City, Utah, Vereinigte Staaten, 84113
- Primary Children's Hospital
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Virginia
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Charlottesville, Virginia, Vereinigte Staaten, 22908
- University of Virginia Division of Pediatric Cardiology
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Hanoi, Vietnam
- Hanoi Medical University Hospital
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Ho Chi Minh City, Vietnam, 700000
- University Medical Center Ho Chi Minh City
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Ho Chi Minh City, Vietnam
- Children's Hospital 1
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Ho Chi Minh City, Vietnam, 700000
- Tam Anh Hospital
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Minsk, Weißrussland, 220013
- State Institution Republican Scientific And Practical Center For Pediatric Surgery
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Minsk, Weißrussland, 220118
- Health Institution 4Th City Children'S Clinical Hospital
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien:
- Teilnehmer zwischen größer oder gleich (>=) 2 und weniger als (<) 18 Jahren mit einem Gewicht von >=9 Kilogramm (kg) bei Randomisierung
- Diagnose der pulmonalen arteriellen Hypertonie (PAH), bestätigt durch dokumentierte historische Rechtsherzkatheterisierung (RHC), die zu einem beliebigen Zeitpunkt vor dem Screening des Teilnehmers durchgeführt wurde
- PAH (Weltgesundheitsorganisation [WHO] Gruppe 1), einschließlich Teilnehmer mit Down-Syndrom, der folgenden Ätiologien: Idiopathische PAH (IPAH); Erbliche PAH (HPAH); PAH im Zusammenhang mit angeborenen Herzfehlern (PAH im Zusammenhang mit angeborenen Herzfehlern [aCHD]) (PAH mit gleichzeitiger KHK [d. h. einem kleinen Vorhofseptumdefekt, einem Ventrikelseptumdefekt oder einem persistierenden Ductus arteriosus, der selbst nicht für die Entwicklung von erhöhter PVR] und sofern vom BCAC genehmigt) und postoperative PAH (anhaltend/wiederkehrend/sich entwickelnd >=6 Monate nach der KHK-Reparatur); Drogen- oder Toxin-induziert; PAH im Zusammenhang mit dem Humanen Immunschwächevirus (HIV)
- WHO-Funktionsklasse (FC) II und III
- Teilnehmer, die mit mindestens 1 PAH-spezifischen Behandlung behandelt wurden, z. B. einem Endothelin-Rezeptor-Antagonisten (ERA) und/oder einem Phosphodiesterase Typ-5 (PDE-5)-Inhibitor/löslichen Guanylatcyclase-Stimulator, vorausgesetzt, dass die Behandlungsdosis(en) stabil für mindestens 3 Monate vor der ersten Dosis der Studienintervention
Ausschlusskriterien:
- PAH aufgrund von portaler Hypertonie, Schistosomiasis, pulmonaler venöser Verschlusskrankheit und/oder pulmonaler kapillärer Hämangiomatose
- PAH im Zusammenhang mit dem Eisenmenger-Syndrom
- Frühere Exposition gegenüber Uptravi (Selexipag)
- Bekannte lebensbedrohliche Begleiterkrankung mit einer Lebenserwartung < 12 Monate
- Schwanger, planen schwanger zu werden oder stillen
- Bekannte Allergien, Überempfindlichkeit oder Unverträglichkeit gegenüber Selexipag oder seinen sonstigen Bestandteilen
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Selexipag
Die Teilnehmer erhalten Selexipag basierend auf dem Körpergewicht am Tag 1 und setzen dies danach mit zweimal täglicher Dosierung fort.
Selexipag wird während der ersten 12 Wochen bis zur individuellen maximal verträglichen Dosis (iMTD) oder bis zu einer maximalen Dosis entsprechend ihrer Ausgangs-Körpergewichtskategorie aufdosiert.
Der Aufdosierung folgt eine Erhaltungsphase nach Woche 12 bis zum Ende der Behandlung (EOT) mit der maximal verträglichen Dosis.
Die Teilnehmer erhalten weiterhin pulmonal-arterielle Hypertonie (PAH)-spezifische Begleittherapien wie ERAs, PDE-5-Hemmer und lösliche Guanylatzyklase-Stimulatoren gemäß lokaler Standardversorgung.
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Selexipag-Tabletten werden oral verabreicht.
Andere Namen:
ERAs werden als SOC-Therapie verabreicht.
Der PDE-5-Hemmer wird als Standardtherapie verabreicht.
Der lösliche Guanylatcyclase-Stimulator wird als SOC-Therapie verabreicht.
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Placebo-Komparator: Placebo
Die Teilnehmer erhalten am Tag 1 ein passendes Placebo basierend auf dem Körpergewicht und setzen dies danach mit zweimal täglicher Dosierung fort.
Die Teilnehmer erhalten weiterhin PAH-spezifische Begleittherapien wie ERAs, PDE-5-Hemmer und lösliche Guanylatzyklase-Stimulatoren gemäß dem lokalen Behandlungsstandard.
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Passende Placebo-Tabletten werden oral verabreicht.
ERAs werden als SOC-Therapie verabreicht.
Der PDE-5-Hemmer wird als Standardtherapie verabreicht.
Der lösliche Guanylatcyclase-Stimulator wird als SOC-Therapie verabreicht.
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Experimental: Open-Label Extension Period: Selexipag
Teilnehmer mit einem positiven Nutzen-Risiko-Verhältnis von Selexipag für PAH wird Selexipag in der Open-Label-Verlängerungsphase angeboten.
Teilnehmer, die während der doppelblinden Behandlungsphase Selexipag erhielten, setzen die Behandlung mit ihrer iMTD während der OLEP fort. Bei Teilnehmern, die zuvor Placebo erhielten, wird die iMTD während der ersten 12 Wochen aufdosiert, bis der Teilnehmer die iMTD erreicht.
Teilnehmer erhalten weiterhin PAH-spezifische Begleittherapien wie ERAs, PDE-5-Hemmer und lösliche Guanylatcyclase-Stimulatoren gemäß den lokalen Standardbehandlungsrichtlinien.
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Selexipag-Tabletten werden oral verabreicht.
Andere Namen:
ERAs werden als SOC-Therapie verabreicht.
Der PDE-5-Hemmer wird als Standardtherapie verabreicht.
Der lösliche Guanylatcyclase-Stimulator wird als SOC-Therapie verabreicht.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Double-blind Period: Time to Disease Progression
Zeitfenster: Placebo arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 199 weeks); Selexipag arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 213 weeks)
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Time to disease progression: time from randomization to first Clinical Event Committee (CEC)-confirmed disease progression event occurring between date of randomization until double-blind end date (DBED) + 7 days.
Disease progression event as adjudicated by CEC, defined as any of the following: death (all causes); atrial septostomy or Potts' anastomosis, or registration on lung transplant list; hospitalization due to worsening pulmonary arterial hypertension (PAH); clinical worsening of PAH.
Clinical worsening of PAH was defined as initiation of new PAH-specific therapy or intravenous diuretics or continuous oxygen use and at least 1 of the following: worsening in World Health Organization (WHO) functional class (FC); new occurrence or worsening: of syncope, of at least 2 PAH symptoms (shortness of breath/dyspnea, chest pain, cyanosis, dizziness/near syncope, or fatigue), of signs of right heart failure not responding to oral diuretics.
Kaplan-Meier method was used for estimation.
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Placebo arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 199 weeks); Selexipag arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 213 weeks)
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Double-blind Period: Change in log2 N-terminal Pro-brain Natriuretic Peptide (NT-proBNP) From Baseline to Week 24
Zeitfenster: Baseline (Day 1), Week 24
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Change in log2 NT-proBNP from baseline to Week 24 was reported.
Change from baseline to Week 24 in the central laboratory NT-proBNP (nanograms per liter [ng/L]) value, expressed as the log2-transformed ratio of the Week 24 NT-proBNP value over the baseline value: log2 (Week 24 NT-proBNP divided by Baseline NT-proBNP).
Clinically, a reduction from baseline in NT-proBNP (ratio < 1) was considered an improvement.
The baseline value was the last non-missing assessment obtained before or on the DB start date (DBSD).
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Baseline (Day 1), Week 24
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Double-blind Period: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious AEs (TESAEs)
Zeitfenster: Placebo arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Number of participants with TEAEs (included serious and non-serious events) and TESAEs during DB period was reported.
An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
A serious AE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, or was medically important.
TEAEs were defined as any AE occurring on or after the initial administration of study intervention through the day of last dose in the DB treatment period plus 3 days and/or prior to start of OL study administration.
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Placebo arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Double-blind Period: Number of Participants With AEs Leading to Premature Discontinuation of Study Treatment
Zeitfenster: Placebo arm: Start of treatment (Day 1) up to last dose in the DB treatment (maximum up to 198 weeks); Selexipag arm: Start of treatment (Day 1) up to last dose in the DB treatment (maximum up to 212 weeks)
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Number of participants with AEs leading to premature discontinuation of study treatment during DB period was reported.
An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
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Placebo arm: Start of treatment (Day 1) up to last dose in the DB treatment (maximum up to 198 weeks); Selexipag arm: Start of treatment (Day 1) up to last dose in the DB treatment (maximum up to 212 weeks)
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Double-blind Period: Change From Baseline in Vital Signs: Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
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Change from baseline in vital signs parameters: systolic and diastolic blood pressure during DB period was reported.
Vital signs were measured after the participant has rested at least 5 minutes in sitting position.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Change From Baseline in Vital Signs: Pulse Rate
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
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Change from baseline in vital signs parameter: pulse rate during DB period was reported.
Vital signs were measured after the participant has rested for at least 5 minutes in sitting position.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Change From Baseline in Growth Parameter: Body Weight
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
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Change from baseline in growth parameter: body weight during DB period was reported.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Change From Baseline in Growth Parameter: Height
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
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Change from baseline in growth parameter: height during DB period was reported.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Number of Participants With Shift From Baseline in Sexual Maturation (Tanner Stage)
Zeitfenster: Placebo arm: Baseline (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Baseline (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Tanner staging were assessed for pubic hair growth and genitalia development (GD) in males (M) and for pubic hair growth and breast development (BD) in females (F) in stages(S) 1 to 5 and missing data.
If a participant had reached Tanner stage 5, no further tanner pubertal stage assessment were to be completed.
Tanner stage was assessed in F >=8 years; M >=9 years.
Pubic hair growth (M and F) stages: S1: No hair, S2: Downy hair, S3: More coarse and curly hair, S4: Adult-like hair quality; S5: Hair extends to medial surface of thighs.
BD in females: S1: Nipple raised a little, rest of breast still flat, S2: Breast bud forms, S3: More elevated, outside areola, S4: Increased breast size, S5: Final adult-size breasts.
GD in males: S1: Testes, scrotum, and penis about same size, S2: Enlargement of scrotum, testes, and penis, S3: Enlargement of penis, S4: Penis and glands became larger, S5: Genitalia size and shape same an adult male.
Categories with at least 1 non-zero data are reported.
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Placebo arm: Baseline (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Baseline (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Double-blind Period: Number of Participants With Treatment-emergent Electrocardiogram (ECG) Abnormalities
Zeitfenster: Placebo arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Number of participants with treatment-emergent ECG abnormalities were reported.
Any abnormality occurring on or after the initial administration of study intervention through the day of last dose in the DB treatment period plus 3 days was considered to be treatment-emergent.
Abnormalities that were not present at baseline were reported.
Abnormalities were assessed as per investigator's discretion.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
|
Placebo arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Double-blind Period: Number of Participants With Treatment-emergent (TE) Marked Laboratory Abnormalities
Zeitfenster: Placebo arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
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Number of participants with TE marked laboratory abnormalities during DB period was reported.
TE marked laboratory abnormalities included hemoglobin, platelet count, leukocyte count, potassium, calcium, thyrotropin, thyroxine free and triiodothyronine free.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
If the abnormality was present at baseline, then any post-baseline abnormality was considered treatment-emergent only if the post-baseline abnormality was in a category worse than at baseline.
HH, HHH, HHHH = marked abnormally high values; LL, LLL = marked abnormally low values.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Placebo arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 198.42 weeks); Selexipag arm: Start of treatment (Day 1) up to 3 days after last dose in the DB treatment (maximum up to 212.42 weeks)
|
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Double-blind Period: Change From Baseline in Treatment-emergent Laboratory Parameter: Thyroid Stimulating Hormone
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
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Change from baseline in treatment-emergent laboratory parameter: thyroid stimulating hormone during DB period was reported.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Change From Baseline in Treatment-emergent Laboratory Parameter: Hemoglobin
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
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Change from baseline in treatment-emergent laboratory parameter: hemoglobin during DB period was reported.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Change From Baseline in Treatment-emergent Laboratory Parameter: Platelets, Leukocytes
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
|
Change from baseline in treatment-emergent laboratory parameter: platelets, leukocytes during DB period was reported.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
|
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Double-blind Period: Change From Baseline in Treatment-emergent Laboratory Parameter: Electrolytes (Sodium, Potassium, Calcium, Bicarbonate and Chloride)
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
|
Change from baseline in treatment-emergent laboratory parameter: electrolytes (sodium, potassium, calcium, bicarbonate and chloride) during DB period was reported.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
|
Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Change From Baseline in Treatment-emergent Laboratory Parameter: Transaminases (Alanine Aminotransferase [ALT] and Aspartate Aminotransferase [AST])
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
|
Change from baseline in treatment-emergent laboratory parameter: transaminases (ALT and AST) during DB period was reported.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
|
Baseline (Day 1), Weeks 24, 48, 72, and 96
|
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Double-blind Period: Change From Baseline in Treatment-emergent Laboratory Parameter: Bilirubin
Zeitfenster: Baseline (Day 1), Weeks 24, 48, 72, and 96
|
Change from baseline in treatment-emergent laboratory parameter: bilirubin during DB period was reported.
Any abnormality occurring or worsening at or after the DB study treatment start date through the DB study treatment end date plus 3 days was considered to be treatment-emergent.
The baseline value was the last non-missing assessment obtained before or on the DBSD.
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Baseline (Day 1), Weeks 24, 48, 72, and 96
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Double-blind Period: Time to First Clinical Event Committee (CEC)-Confirmed Hospitalization or Death for Pulmonary Arterial Hypertension (PAH)
Zeitfenster: Placebo arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 199 weeks); Selexipag arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 213 weeks)
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Time to first CEC-confirmed hospitalization or death for PAH was calculated as the onset date of the first CEC-confirmed death or hospitalization due to PAH minus date of randomization+1 day.
Kaplan-Meier method was used for estimation.
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Placebo arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 199 weeks); Selexipag arm: Randomization (Day 1) up to 7 days after last dose in the DB treatment (maximum up to 213 weeks)
|
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Double-blind Period: Dose-normalized Steady-state Trough Concentrations (Ctrough,ss,dn) of Selexipag and Its Metabolite ACT-333679 by Age Cohort
Zeitfenster: Cohort (C) 1: Predose between Week (W) 16 to end of DB treatment period (maximum up to W212); C 2: Predose between Week 16 to end of DB treatment period (maximum up to W198); C 3: Predose between Week 16 to end of DB treatment period (maximum up to W96)
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Dose-normalized trough plasma concentration at steady-state (Ctrough,ss,dn) was defined as the plasma concentration just prior to the morning dose, with the last study intervention administration one day prior to the PK sampling.
Steady-state was considered achieved if the participant has received a stable dose for at least 3 days prior to collection of the plasma sample.
PK samples were collected at two protocol-specified visits per participant occurring between Week 16 and end of DB treatment period.
Exact visit timing varied by participant.
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Cohort (C) 1: Predose between Week (W) 16 to end of DB treatment period (maximum up to W212); C 2: Predose between Week 16 to end of DB treatment period (maximum up to W198); C 3: Predose between Week 16 to end of DB treatment period (maximum up to W96)
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Double-blind Period: Dose-normalized Steady-state Trough Concentrations (Ctrough,ss,dn) of Selexipag and Its Metabolite ACT-333679 by Body Weight (BW)
Zeitfenster: BW >=50kg: Predose between W16 to end of DB treatment period (maximum up to W212); BW >=25-<50kg: Predose between W16 to end of DB treatment period (maximum up to W198); BW >=9- <25kg: Predose between W16 to end of DB treatment period (maximum up to W175)
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Dose-normalized steady-state trough concentration (Ctrough,ss,dn) was defined as the plasma concentration just prior to the morning dose, with the last study intervention administration one day prior to the PK sampling.
Steady-state was considered achieved if the participant has received a stable dose for at least 3 days prior to collection of the plasma sample.
PK samples were collected at two protocol-specified visits per participant occurring between Week 16 and end of DB treatment period.
Exact visit timing varied by participant.
|
BW >=50kg: Predose between W16 to end of DB treatment period (maximum up to W212); BW >=25-<50kg: Predose between W16 to end of DB treatment period (maximum up to W198); BW >=9- <25kg: Predose between W16 to end of DB treatment period (maximum up to W175)
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Actelion Clinical Trial, Actelion
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Gefäßerkrankungen
- Herz-Kreislauf-Erkrankungen
- Erkrankungen der Atemwege
- Lungenkrankheit
- Hypertonie
- Bluthochdruck, Lungen
- Verwaltung des Gesundheitswesens
- Qualität, Zugang und Bewertung im Gesundheitswesen
- Qualität der Gesundheitsversorgung
- Qualitätsindikatoren, Gesundheitsversorgung
- Sorgfalt
- selexipag
- PDE5A-Protein, human
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CR108716
- 2019 (US NIH Stipendium/Vertrag: Chief Medical Office (CMO) Alberta Health Services)
- 2019-002817-21 (EudraCT-Nummer)
- AC-065A310 (Andere Kennung: Janssen Research & Development, LLC)
- 2022-501012-34-00 (Registrierungskennung: EUCT number)
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Beschreibung des IPD-Plans
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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