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Pilot Chart Review Study Of Sitaxentan Sodium (Thelin) In Patients With Pulmonary Arterial Hypertension (PAH)

2020년 8월 18일 업데이트: Pfizer

NON-INTERVENTIONAL (NI) DRUG STUDY PROTOCOL: THREE-COUNTRY PILOT STUDY FOR RETROSPECTIVE CHART REVIEW OF EFFECTIVENESS OF THELIN® (SITAXSENTAN) IN PATIENTS WITH PULMONARY ARTERIAL HYPERTENSION (PAH)

The objectives of this study are to develop research methods and corresponding materials for a study of the effectiveness of sitaxentan sodium (Thelin) in "real-world" settings; to pilot test these methods at three study centers in Europe; and to refine and finalize research methods and corresponding materials for possible use in a follow-on, full-scale examination of the effectiveness of sitaxentan sodium (Thelin) in "real-world" settings.

연구 개요

상태

완전한

상세 설명

At each centre, approximately 12-15 Pulmonary Arterial Hypertension (PAH) consecutive patients who have received Thelin and who meet all other study entry criteria.

연구 유형

관찰

등록 (실제)

36

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

샘플링 방법

비확률 샘플

연구 인구

Patients with Pulmonary Arterial Hypertension (PAH) (Idiopathic or secondary to connective tissue disease), receiving sitaxentan sodium (Thelin) for treatment of their PAH for at least 6 months.

설명

Inclusion Criteria:

  • Idiopathic PAH, or PAH secondary to connective tissue disease
  • Receipt of Thelin for treatment of PAH
  • 6 months of follow-up (except in the event of death) subsequent to initial receipt of Thelin
  • Minimum of one clinic visit documented in the medical record during the 6-month period subsequent to initial receipt of Thelin

Exclusion Criteria:

  • Participation in any investigational study of Thelin or any other medication for the treatment of PAH during the period beginning 6 months prior to initial receipt of Thelin and ending 6 months subsequent to such receipt
  • Receipt of Thelin prior to January 11, 2005 (i.e., the date following the last day on which patients could be enrolled in double-blind treatment in STRIDE-1, STRIDE-2, and/or STRIDE-6); or
  • Known contraindications to Thelin therapy (i.e., known hypersensitivity to sitaxsentan or any of its excipients; mild-to-severe hepatic impairment [Child-Pugh Class A-C]; elevated aminotransferases prior to initiation of treatment, defined as aspartate aminotransferase [AST] and/or alanine aminotransferase [ALT] >3 times upper limit of normal [ULN]; concomitant use of cyclosporin A; lactation)

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

코호트 및 개입

그룹/코호트
개입 / 치료
PAH patients receiving Sitaxentan
Sitaxentan sodium 100 mg / day

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Patterns of Pharmacotherapy With Sitaxentan Sodium (Thelin): Mean Time to Therapy Augmentation
기간: Day 1 to Month 6
Participants still receiving Thelin with evidence of receipt of another PAH-related therapy (eg. bosentan, sildenafil) not previously received during the study period. Mean time in months to therapy augmentation.
Day 1 to Month 6
Patterns of Pharmacotherapy With Sitaxentan Sodium (Thelin): Therapy Switching
기간: Day 1 to Month 6
Participants with evidence of discontinuation of Thelin therapy and evidence of receipt of another PAH-related therapy not previously received during the study period.
Day 1 to Month 6
Patterns of Pharmacotherapy With Sitaxentan Sodium (Thelin): Therapy Discontinuation
기간: Day 1 to Month 6
Participants were designated as having discontinued Thelin therapy if there was evidence in the medical records that treatment had been terminated.
Day 1 to Month 6
Patterns of Pharmacotherapy With Sitaxentan Sodium (Thelin): Therapy Duration
기간: Day 1 to Month 6
Duration of Thelin therapy based on time from index date (Day 1 of treatment) until the date of discontinuation of Thelin therapy.
Day 1 to Month 6
Patterns of Pharmacotherapy With Sitaxentan Sodium (Thelin): Numbers of Therapy-days Dispensed
기간: Day 1 to Month 6
Duration of Thelin therapy from initial receipt until date of discontinuation of thelin therapy or the end of follow-up, whichever occurred first.
Day 1 to Month 6
Patterns of Pharmacotherapy With Sitaxentan Sodium (Thelin): Daily Dosage
기간: Day 1 to Month 6
Daily dosage of Thelin based on information in the medical record for the baseline visit and all follow-up clinic visits.
Day 1 to Month 6

2차 결과 측정

결과 측정
측정값 설명
기간
Use of Other Pulmonary Arterial Hypertension (PAH)-Related Medications
기간: Day 1 to Month 6
Use of PAH-related medications other than Thelin described by class of agent received.
Day 1 to Month 6
Change From Baseline in World Health Organization (WHO) Functional Class of Pulmonary Hypertension
기간: Baseline to Month 6
Class I: no limitation of usual (usl) physical activity (PA); PA does not increase(d) (incr) dyspnea (dys), fatigue (ftg), chest pain (CP), or syncope (syn); Class II: mild limitation of usl PA; no discomfort at rest, but normal PA causes incr dys, ftg, CP, or presyncope (presyn); Class III: marked limitation of PA; no discomfort at rest but < ordinary activity causes incr dys, ftg, CP, or presyn; Class IV: unable to perform any PA at rest; may have signs of right ventricular failure; sys and/or ftg at rest and symptoms are incr by almost any PA.
Baseline to Month 6
Change From Baseline in Mean Right Atrial Pressure
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Mean Pulmonary Artery Pressure
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Pulmonary Capillary Wedge Pressure
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Left Ventricular End Diastolic Pressure
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Pulmonary Vascular Resistance
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Cardiac Output
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Tei Index
기간: Baseline to Month 6
Difference between pre-index and follow-up value. Combined myocardial performance index calculated by adding isovolumic contraction time and isovolumic relaxation time and dividing the resulting sum by ejection time.
Baseline to Month 6
Change From Baseline in Tricuspid Regurgitant Velocity
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in the Total Distance Walked During 6 Minute Walk Test (6MWT)
기간: Baseline to Month 6
6MWT was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Continuous pulse oximetry was conducted during the test for safety. Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Borg Dyspnoea Score
기간: Baseline to Month 6
Borg dyspnoea scale is a 10-point scale where following scores stands for severity of dyspnoea: 0 (no breathlessness at all); 0.5 (very very slight [just noticeable]); 1 (very slight); 2 (slight breathlessness); 3 (moderate); 4 (some what severe); 5 (severe breathlessness); 7 (very severe breathlessness); 9 (very very severe [almost maximum] and 10 (maximum). Difference between pre-index and follow-up value.
Baseline to Month 6
Change From Baseline in Percent of Predicted Peak VO2
기간: Baseline to Month 6
Difference between pre-index and follow-up value.
Baseline to Month 6
Pulmonary Arterial Hypertension (PAH) Severity and Functional Status: Time to Clinical Worsening
기간: Day 1 to Month 6
Occurrence of any of the following: death, unplanned PAH-related hospitalization, initiation of epoprostenol, arterial septostomy, lung or heart/lung transplantation, ≥15% decrease from baseline in 6 minute walk test, signs/symptoms of right sided heart failure, and/or worsening WHO functional class.
Day 1 to Month 6
Other Pulmonary Arterial Hypertension (PAH)-Related Outcomes: Mortality
기간: Day 1 to Month 6
Number of participants who died during the follow-up period.
Day 1 to Month 6
Number of Hospitalizations
기간: Day 1 to Month 6
All hospitalizations during the follow-up period recorded in medical records.
Day 1 to Month 6
Other Pulmonary Arterial Hypertension (PAH)-Related Outcomes: Lung Transplantation
기간: Day 1 to Month 6
Number of participants who received an lung transplant during hospitalization.
Day 1 to Month 6
Other Pulmonary Arterial Hypertension (PAH)-Related Outcomes: Heart/Lung Transplantation
기간: Day 1 to Month 6
Number of participants who received an heart/lung transplant during hospitalization.
Day 1 to Month 6
Other Pulmonary Arterial Hypertension (PAH)-Related Outcomes: Atrial Septostomy
기간: Day 1 to Month 6
Number of participants who received an atrial septostomy (balloon or blade) during hospitalization.
Day 1 to Month 6

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

간행물 및 유용한 링크

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연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2009년 12월 1일

기본 완료 (실제)

2011년 3월 28일

연구 완료 (실제)

2011년 3월 28일

연구 등록 날짜

최초 제출

2011년 9월 30일

QC 기준을 충족하는 최초 제출

2011년 9월 30일

처음 게시됨 (추정)

2011년 10월 4일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2020년 9월 1일

QC 기준을 충족하는 마지막 업데이트 제출

2020년 8월 18일

마지막으로 확인됨

2020년 8월 1일

추가 정보

이 연구와 관련된 용어

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

아니요

IPD 계획 설명

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

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폐동맥 고혈압에 대한 임상 시험

Sitaxentan sodium에 대한 임상 시험

구독하다