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NCT01462565

Study of a New Thermo Stable Formulation of Epoprostenol Sodium to Treat Pulmonary Arterial Hypertension (PAH)

Completed Phase 4 Results posted Last updated 16 October 2017
What this trial tests

Phase 4 trial testing current marketed FLOLAN (epoprostenol sodium) in Hypertension, Pulmonary in 16 participants. Completed in 8 November 2012.

Timeline
1 November 2011
Primary endpoint
16 May 2012
8 November 2012

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment16
Start date1 November 2011
Primary completion16 May 2012
Estimated completion8 November 2012
Sites8 locations across Netherlands, Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 75, any sex, with Hypertension, Pulmonary. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Medical Outcomes Study Short Form 36 (SF-36) Primary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) and Week 4 (Visit 3)

Subject-rated measure of health status comprised of 36 items: 8 subscale scores (physical functioning, role limitations due to physical health problems, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, and mental health), 2 summary scores (physical component and mental component), and a self-evaluated change in health status. Subscale and summary scores range: 0-100. Higher subscale and summary scores was considered as better health status. Change from Baseline was calculated as score at observation minus score at baseline. Baseline was def

Physical Functioning
GroupValue95% CI
Epoprostenol Sodium for Injection-1.156± 3.6593
Role-Physical
GroupValue95% CI
Epoprostenol Sodium for Injection-0.765± 6.3050
Role-Emotional
GroupValue95% CI
Epoprostenol Sodium for Injection0.002± 11.1773
Vitality
GroupValue95% CI
Epoprostenol Sodium for Injection0.781± 7.1636
Mental Health
GroupValue95% CI
Epoprostenol Sodium for Injection0.883± 7.6063
Social Functioning
GroupValue95% CI
Epoprostenol Sodium for Injection1.706± 7.1043
Bodily Pain
GroupValue95% CI
Epoprostenol Sodium for Injection3.065± 5.8291
General Health
GroupValue95% CI
Epoprostenol Sodium for Injection-0.606± 5.6068
Change From Baseline in Study Specific Participant Acceptance Survey Primary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) and Week 4 (Visit 3).

Study-specific questionnaire comprised the pre-defined15 questions which included activities of daily living assessment. Participants rated the question on a scale of 1 to 10, where 1 was do not agree and 10 was strongly agree. Change from Baseline was calculated as score at observation minus score at Baseline. Changes from Baseline was assessed for Questions 2 to 12. Baseline was defined as Visit 2 i.e. Day-14 (+ or - 7 days).

Q2- ability to perform physical activities
GroupValue95% CI
Epoprostenol Sodium for Injection-0.9± 2.29
Q3- ability to perform your basic daily activies
GroupValue95% CI
Epoprostenol Sodium for Injection-1.5± 1.86
Q4- ability to perform activities with your family
GroupValue95% CI
Epoprostenol Sodium for Injection-0.8± 2.37
Q5- ability to participate in social activities
GroupValue95% CI
Epoprostenol Sodium for Injection-0.9± 1.88
Q6- ability to comply with your Flolan treatment
GroupValue95% CI
Epoprostenol Sodium for Injection0.3± 3.34
Q7- ability to perform new activity(Jogging, walk)
GroupValue95% CI
Epoprostenol Sodium for Injection0.4± 2.00
Q8- overall satisfaction
GroupValue95% CI
Epoprostenol Sodium for Injection0.4± 1.09
Q9- interested physical activity
GroupValue95% CI
Epoprostenol Sodium for Injection-0.1± 2.53
Change From Baseline in Dose of Thermo Stable Epoprostenol Sodium at Week 4 Primary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) and Week 4

Dose titration requirement was assessed at the time of discharge. Change from Baseline was calculated as score at observation minus score at Baseline. Units- nanogram per kilogram per minute (ng/kg/min). Baseline was Visit 2 i.e . Day-14 (+ or - 7 days).

GroupValue95% CI
Epoprostenol Sodium for Injection0.22± 1.169
Number of Participants With Any Treatment Emergent Adverse Events (AEs) and Treatment Emergent Serious Adverse Events(SAEs) Secondary · Up to visit 3 (Week 4)

An AE was defined as any untoward medical occurrence that occurred during the course of the trial after study treatment had started. An adverse event was therefore any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. An SAE is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, congenital anomaly/birth defect and medically significant and all events of pos

Any AEs
GroupValue95% CI
Epoprostenol Sodium for Injection9
Any SAEs
GroupValue95% CI
Epoprostenol Sodium for Injection1
Number of Participants With Infusion Site Reactions During Treatment Period Secondary · Baseline visit (Visit 2) to Week 4 (Visit 3)

Infusion site reactions were reported during the treatment period. Infusion site was inspected for erythema, excoriation, induration, skin necrosis or signs of local sepsis.

Erythema
GroupValue95% CI
Epoprostenol Sodium for Injection1
Signs of local sepsis
GroupValue95% CI
Epoprostenol Sodium for Injection1
Other
GroupValue95% CI
Epoprostenol Sodium for Injection1
Change From Baseline in Vital Signs at Week 4 : Systolic and Diastolic Blood Pressure Secondary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) and Week 4(Visit 3)

Systolic blood pressure is a measure of blood pressure while the heart is beating. Diastolic blood pressure is a measure of blood pressure while the heart is relaxed. Change from Baseline was calculated as the value at the indicated time points minus the value at Baseline. Baseline was Visit 2 i.e. Day-14 (+ or - 7 days).

Systolic blood pressure
GroupValue95% CI
Epoprostenol Sodium for Injection-0.4± 11.47
Diastolic blood pressure
GroupValue95% CI
Epoprostenol Sodium for Injection0.4± 10.99
Change From Baseline in Vital Signs at Week 4: Heart Rate Secondary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) to Week 4

Summary mean change in heart rate measured in beats per minute (beats/min or BPM). Change from Baseline was calculated as the value at the indicated time points minus the value at Baseline. Baseline was Visit 2 i.e. Day-14 (+ or - 7 days).

GroupValue95% CI
Epoprostenol Sodium for Injection-1.7± 8.52
Number of Participants With Abnormal Clinical Chemistry Secondary · Up to 1 week after Week 4 (Follow-up)

Abnormal clinical chemistry was analyzed as follows: serum alanine aminotransferase (ALT/SGPT) \>= 3 x upper limit of normal (ULN) , aspartate aminotransferase (AST/SGOT) \>= 3 x ULN , total bilirubin \>= 34.2, creatinine \>= 176.8.

GroupValue95% CI
Epoprostenol Sodium for Injection0
Number of Participants With Abnormal Hematology Secondary · Up to 1 week after Week 4 (Follow-up)

Values for hemoglobin, hematocrit, and platelet count were analyzed. Participants with abnormal values have been reported. The low and high value concern were as follows: hemoglobin (Males \< 98, \>180.0) (females \<91, \>161.0)grams per litre (g/L); hematocrit (Males \< 32.0, \>54.0) (females \<29.0, \>50.6) fraction (1); platelet count (\< 100, \> 500) gram international units per litre (gI/L).

Hemoglobin (G/L) : Week 4: high
GroupValue95% CI
Epoprostenol Sodium for Injection1
Hematocrit (1): Screening: Low
GroupValue95% CI
Epoprostenol Sodium for Injection14
Hematocrit (1): Baseline: Low
GroupValue95% CI
Epoprostenol Sodium for Injection15
Hematocrit (1): Week 4: Low
GroupValue95% CI
Epoprostenol Sodium for Injection15
Hematocrit (1): Follow-up: Low
GroupValue95% CI
Epoprostenol Sodium for Injection1
Platelet count (GI/L): Screening: Low
GroupValue95% CI
Epoprostenol Sodium for Injection5
Platelet count (GI/L): Baseline: Low
GroupValue95% CI
Epoprostenol Sodium for Injection2
Platelet count (GI/L): Week 4: Low
GroupValue95% CI
Epoprostenol Sodium for Injection1
Number of Participants With Abnormal Urinalysis Secondary · Up to 1 week after Week 4 (Follow-up)

Dipstick method was used to measure blood, glucose and protein. Data was analyzed up to 1 week after Week 4 (Follow-up visit).

GroupValue95% CI
Epoprostenol Sodium for Injection0
Change From Baseline in Six Minute Walk Distance Test (6MWD) After 4-weeks of Treatment Secondary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) and Week 4

This assessment was a non-encouraged test that measures the distance walked for a duration of 6 minutes. Change from Baseline was calculated as value at observation minus value at Baseline. Baseline visit was Visit 2 i.e. Day-14 (+ or - 7 days).

GroupValue95% CI
Epoprostenol Sodium for Injection-3.55± 45.321
Breathlessness After 6MWD - Borg Dyspnoea Index (BDI) Secondary · Baseline (Visit 2 i.e. Day-14 [+ or - 7 days]) to Week 4

The BDI was calculated by using a 10-point scale (0 = None, 10 = Maximum) and indicates the degree of breathlessness after completion of the 6-minute walk test. The BDI scale was assessed by each participant. Change from Baseline = score at observation minus score at Baseline. Baseline visit was Visit 2 i.e. Day-14 (+ or - 7 days).

GroupValue95% CI
Epoprostenol Sodium for Injection0.36± 0.535

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 1 week after Week 4 (Follow-up) for SAEs and Up to Visit 3 (Week 4) for non-serious adverse events.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Epoprostenol Sodium for Injection
Serious: 2/16 (13%)
Deaths: 0/16

Serious adverse events (2 terms)

ReactionSystemEpoprostenol Sodium for In…
Device related infectionInfections and infestations
Catheter site haemorrhageGeneral disorders
Other adverse events (17 terms — click to expand)

ReactionSystemEpoprostenol Sodium for In…
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
HeadacheNervous system disorders
AscitesGastrointestinal disorders
Paraesthesia oralGastrointestinal disorders
Oedema peripheralGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Muscle tightnessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
Catheter site infectionInfections and infestations
Ear infectionInfections and infestations
NasopharyngitisInfections and infestations
Staphylococcal infectionInfections and infestations
ThyroiditisEndocrine disorders
HaematomaVascular disorders

Most-reported serious reactions: Device related infection, Catheter site haemorrhage.

Data from ClinicalTrials.gov NCT01462565 adverse events section.

Sponsor's own description

The purpose of this multicentre, open label, single-arm study in approximately 20 adult patients is to evaluate the Impact on lifestyle of a new thermo stable formulation of epoprostenol sodium in subjects with Pulmonary Arterial Hypertension (PAH).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Quality of life, safety and efficacy profile of thermostable flolan in pulmonary arterial hypertension.
    Provencher S, Paruchuru P, Spezzi A, Waterhouse B, et al · · 2015 · cited 6× · PMID 25793960 · DOI 10.1371/journal.pone.0120657

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Other recruiting trials for Hypertension, Pulmonary

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01462565.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing