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NCT01894022: AMBER II

A Open Label Study to Assess the Long-term Safety, Tolerability and Efficacy of Ambrisentan in Subjects With Inoperable Chronic Thromboembolic Pulmonary Hypertension (CTEPH)

Terminated Phase 3 Results posted Last updated 11 September 2017
What this trial tests

Phase 3 trial testing Ambrisentan 5 mg in Hypertension in 19 participants. Terminated before completion.

Timeline
23 January 2014
Primary endpoint
18 November 2015
18 November 2015

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment19
Start date23 January 2014
Primary completion18 November 2015
Estimated completion18 November 2015
Sites50 locations across Japan, Netherlands, Russia, Austria, Saudi Arabia, United Kingdom, Germany, Israel

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 80, any sex, with Hypertension. 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.

Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) Primary · From entry visit of the extension study up to approximately 16 months

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect. Refer to the general AE/SAE module for a list of AEs and SAEs. Participant's final visit in Study AMB115811 was used as the en

Any AE
GroupValue95% CI
Previous Placebo8
Previous Ambrisentan6
Any SAE
GroupValue95% CI
Previous Placebo3
Previous Ambrisentan0
Change From Study AMB115811 Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils (Absolute Neutrophil Count [ANC]), Platelet Count, and White Blood Cell (WBC) Count at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Hematology parameters were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in basophils, eosinophils, lymphocytes, monocytes, total neutrophils (ANC), platelet count, and WBC count are summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in Study AMB115811 was used as the entry visit of this op

Basophils, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-0.010-0.020 – 0.000
Previous Ambrisentan0.000-0.010 – 0.010
Basophils, Month 1, n=7, 10
GroupValue95% CI
Previous Placebo-0.010-0.010 – 0.000
Previous Ambrisentan0.000-0.020 – 0.000
Basophils, Month 3, n=7, 8
GroupValue95% CI
Previous Placebo-0.010-0.020 – 0.010
Previous Ambrisentan0.000-0.010 – 0.020
Basophils, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo0.000-0.020 – 0.000
Previous Ambrisentan0.000-0.010 – 0.030
Basophils, Month 9, n=2, 5
GroupValue95% CI
Previous Placebo-0.025-0.040 – -0.010
Previous Ambrisentan-0.010-0.020 – -0.010
Basophils, Month 12, n=1, 3
GroupValue95% CI
Previous Placebo-0.020-0.020 – -0.020
Previous Ambrisentan0.000-0.020 – 0.010
Basophils, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-0.010-0.010 – -0.010
Basophils, End of study, n=8, 9
GroupValue95% CI
Previous Placebo-0.005-0.025 – 0.015
Previous Ambrisentan0.0000.000 – 0.000
Change From Study AMB115811 Baseline in Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Hematology parameters were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in hemoglobin and MCHC is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in Study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at the specified time po

Hemoglobin, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-5.0-10 – 2
Previous Ambrisentan-5.5-9 – -3
Hemoglobin, Month 1, n=7, 10
GroupValue95% CI
Previous Placebo-3.0-7 – 1
Previous Ambrisentan-6.5-9 – -4
Hemoglobin, Month 3, n=7, 8
GroupValue95% CI
Previous Placebo-7.0-25.0 – 8.0
Previous Ambrisentan-10.5-14.5 – -1.0
Hemoglobin, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo-10.0-18.0 – 0.0
Previous Ambrisentan-6.5-12.0 – -3.0
Hemoglobin, Month 9, n=2, 5
GroupValue95% CI
Previous Placebo-25.0-31.0 – -19.0
Previous Ambrisentan-6.0-6.0 – -4.0
Hemoglobin, Month 12, n=1, 3
GroupValue95% CI
Previous Placebo21.021.0 – 21.0
Previous Ambrisentan-6.0-9.0 – -2.0
Hemoglobin, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-11.0-11.0 – -11.0
Hemoglobin, End of study, n=8, 9
GroupValue95% CI
Previous Placebo-10.0-15.5 – -2.0
Previous Ambrisentan-8.0-11.0 – -2.0
Change From Study AMB115811 Baseline in Hematocrit at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Hematology parameters were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in hematocrit is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at the specified time points were

Hematocrit, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-0.007-0.031 – 0.004
Previous Ambrisentan-0.018-0.043 – -0.005
Hematocrit, Month 1, n=7, 10
GroupValue95% CI
Previous Placebo-0.018-0.028 – 0.011
Previous Ambrisentan-0.024-0.035 – -0.005
Hematocrit, Month 3, n=7, 8
GroupValue95% CI
Previous Placebo-0.027-0.084 – 0.023
Previous Ambrisentan-0.034-0.052 – -0.006
Hematocrit, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo-0.033-0.057 – 0.005
Previous Ambrisentan-0.019-0.030 – -0.012
Hematocrit, Month 9, n=2, 5
GroupValue95% CI
Previous Placebo-0.083-0.107 – -0.058
Previous Ambrisentan-0.016-0.021 – -0.011
Hematocrit, Month 12, n=1, 3
GroupValue95% CI
Previous Placebo0.0580.058 – 0.058
Previous Ambrisentan-0.009-0.036 – 0.001
Hematocrit, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-0.034-0.034 – -0.034
Hematocrit, End of study, n=8, 9
GroupValue95% CI
Previous Placebo-0.033-0.049 – 0.004
Previous Ambrisentan-0.015-0.024 – -0.001
Change From Study AMB115811 Baseline in Mean Corpuscle Volume at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Hematology parameters were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in mean corpuscle volume is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at the specified time

Mean corpuscle volume, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-2.0-4.0 – -1.0
Ambrisentan 5 mg-0.5-2.0 – 0.0
Mean corpuscle volume, Month 1, n=7, 10
GroupValue95% CI
Previous Placebo-2.0-4.0 – 1.0
Ambrisentan 5 mg-0.5-3.0 – 1.0
Mean corpuscle volume, Month 3, n=7, 8
GroupValue95% CI
Previous Placebo-2.0-6.0 – 1.0
Ambrisentan 5 mg-1.0-4.0 – -0.5
Mean corpuscle volume, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo-3.0-3.0 – 0.0
Ambrisentan 5 mg-0.5-2.0 – 0.0
Mean corpuscle volume, Month 9, n=2, 5
GroupValue95% CI
Previous Placebo-7.0-11.0 – -3.0
Ambrisentan 5 mg0.00.0 – 1.0
Mean corpuscle volume, Month 12, n=1, 3
GroupValue95% CI
Previous Placebo-2.0-2.0 – -2.0
Ambrisentan 5 mg2.0-1.0 – 2.0
Mean corpuscle volume, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Ambrisentan 5 mg1.01.0 – 1.0
Mean corpuscle volume, End of study, n=8, 9
GroupValue95% CI
Previous Placebo-2.5-3.5 – 0.5
Ambrisentan 5 mg0.00.0 – 2.0
Change From Study AMB115811 Baseline in Red Blood Cell Count and Reticulocytes at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Hematology parameters were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in red blood cell count and reticulocytes is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at th

Red blood cell count, Entry visit , n=9, 10
GroupValue95% CI
Previous Placebo-0.20-0.30 – 0.20
Previous Ambrisentan-0.15-0.40 – -0.10
Red blood cell count, Month 1, n=7, 10
GroupValue95% CI
Previous Placebo0.00-0.50 – 0.20
Previous Ambrisentan-0.25-0.30 – -0.10
Red blood cell count, Month 3, n=7, 8
GroupValue95% CI
Previous Placebo0.00-0.70 – 0.40
Previous Ambrisentan-0.25-0.45 – -0.05
Red blood cell count, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo-0.30-0.70 – 0.10
Previous Ambrisentan-0.15-0.30 – 0.00
Red blood cell count, Month 9, n=2, 5
GroupValue95% CI
Previous Placebo-0.55-0.60 – -0.50
Previous Ambrisentan-0.20-0.20 – -0.10
Red blood cell count, Month 12, n=1, 3
GroupValue95% CI
Previous Placebo0.700.70 – 0.70
Previous Ambrisentan-0.20-0.30 – -0.10
Red blood cell count, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-0.40-0.40 – -0.40
Red blood cell count, End of study, n=8, 9
GroupValue95% CI
Previous Placebo-0.15-0.40 – 0.00
Previous Ambrisentan-0.20-0.40 – 0.10
Number of Participants With Clinical Chemistry Parameters of Potential Clinical Concern at Any Time Post Entry Visit Primary · Post entry visit of the extension study and up to End of Study (assessed up to approximately 16 months)

Blood samples were collected post Entry visit of the extension study and up to end of study for evaluation of the clinical chemistry parameters of alanine amino transferase (ALT), aspartate amino transferase (AST), gamma glutamyl transferase (GGT), and total bilirubin. The clinical chemistry parameters of potential clinical concern high were defined as follows: ALT, AST, GGT \>=3 times upper limit of normal (ULN); total bilirubin \>=2 times ULN. Participants with both normal and high values were counted once under their worst case (high). Participant's final visit in study AMB115811 was used a

ALT, >clinical concern high
GroupValue95% CI
Previous Placebo0
Previous Ambrisentan0
AST, >clinical concern high
GroupValue95% CI
Previous Placebo0
Previous Ambrisentan0
GGT, >clinical concern high
GroupValue95% CI
Previous Placebo1
Previous Ambrisentan0
Total bilirubin, >clinical concern high
GroupValue95% CI
Previous Placebo0
Previous Ambrisentan0
Number of Participants With Creatinine Values of Potential Clinical Concern at Any Time Post Entry Visit Primary · Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study plus any unscheduled lab tests (assessed up to approximately 16 months)

Blood samples were collected at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study plus any unscheduled lab tests for creatinine. A creatinine value of potential clinical concern high was defined as \>=176.8 micromoles per Liter. Participants with both normal and high values were counted once under their worst case (high). Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study.

GroupValue95% CI
Previous Placebo1
Previous Ambrisentan0
Change From Study AMB115811 Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Assessed at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Vital signs including SBP and DBP were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in SBP and DBP is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at the specified tim

Systolic blood pressure, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-6.0-11.0 – 3.0
Previous Ambrisentan-3.0-8.0 – 11.0
Systolic blood pressure, Month 1, n=8, 10
GroupValue95% CI
Previous Placebo-0.5-21.0 – 4.5
Previous Ambrisentan-5.5-7.0 – 3.0
Systolic blood pressure, Month 3, n=8, 8
GroupValue95% CI
Previous Placebo-4.0-13.5 – 14.5
Previous Ambrisentan-4.0-8.0 – 0.0
Systolic blood pressure, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo-10.0-30.0 – -9.0
Previous Ambrisentan-5.0-14.0 – 0.0
Systolic blood pressure, Month 9, n=3, 5
GroupValue95% CI
Previous Placebo-1.0-14.0 – 14.0
Previous Ambrisentan-2.0-6.0 – 4.0
Systolic blood pressure, Month 12, n=1, 4
GroupValue95% CI
Previous Placebo15.015.0 – 15.0
Previous Ambrisentan-8.5-15.5 – 6.5
Systolic blood pressure, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-2.0-2.0 – -2.0
Systolic blood pressure, End of study, n=8, 10
GroupValue95% CI
Previous Placebo2.5-14.0 – 12.5
Previous Ambrisentan1.0-5.0 – 5.0
Change From Study AMB115811 Baseline in Heart Rate at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Vital signs including heart rate were assessed at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and end of study. Change from study AMB115811 Baseline in heart rate is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at the specified time

Heart rate, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-2.0-17.0 – 5.0
Previous Ambrisentan-7.0-17.0 – 1.0
Heart rate, Month 1, n=8, 10
GroupValue95% CI
Previous Placebo-12.0-19.5 – 4.0
Previous Ambrisentan-2.0-7.0 – 3.0
Heart rate, Month 3, n=8, 8
GroupValue95% CI
Previous Placebo-8.5-19.0 – 1.5
Previous Ambrisentan-1.0-11.0 – 4.5
Heart rate, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo-19.0-24.0 – -14.0
Previous Ambrisentan-3.5-6.0 – -1.0
Heart rate, Month 9, n=3, 5
GroupValue95% CI
Previous Placebo-12.0-12.0 – -11.0
Previous Ambrisentan-6.0-7.0 – -2.0
Heart rate, Month 12, n=1, 4
GroupValue95% CI
Previous Placebo-12.0-12.0 – -12.0
Previous Ambrisentan-12.5-16.5 – -4.5
Heart rate, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-11.0-11.0 – -11.0
Heart rate, End of study, n=8, 10
GroupValue95% CI
Previous Placebo-10.5-15.0 – 1.0
Previous Ambrisentan0.5-5.0 – 4.0
Change From Study AMB115811 Baseline in Weight at the Indicated Time Points Primary · Baseline from study AMB115811; Entry visit of the extension study; Months 1, 3, 6, 9, 12, 15; and End of Study (assessed up to approximately 16 months)

Weight was measured at Entry visit of the extension study, Month 1, Month 3, Month 6, Month 9, Month 12, Month 15, and at end of study. Change from study AMB115811 Baseline in weight is summarized. AMB115811 Baseline is the last value recorded on or prior to start of study treatment in that study. Change from AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Participant's final visit in study AMB115811 was used as the entry visit of this open-label extension study. Only those participants available at the specified time points were analyzed (repres

Weight, Entry visit, n=9, 10
GroupValue95% CI
Previous Placebo-1.00-1.50 – 1.40
Previous Ambrisentan-1.00-2.80 – 0.50
Weight, Month 1, n=8, 10
GroupValue95% CI
Previous Placebo0.00-1.50 – 0.60
Previous Ambrisentan-0.50-2.20 – 0.50
Weight, Month 3, n=8, 8
GroupValue95% CI
Previous Placebo-0.50-2.00 – 0.55
Previous Ambrisentan-2.00-4.45 – 0.50
Weight, Month 6, n=5, 6
GroupValue95% CI
Previous Placebo0.00-10.00 – 1.10
Previous Ambrisentan-3.10-5.00 – -0.50
Weight, Month 9, n=3, 5
GroupValue95% CI
Previous Placebo0.00-19.70 – 1.60
Previous Ambrisentan-3.50-5.50 – 1.00
Weight, Month 12, n=1, 4
GroupValue95% CI
Previous Placebo0.000.00 – 0.00
Previous Ambrisentan-1.15-3.25 – 1.00
Weight, Month 15, n=0, 1
GroupValue95% CI
Previous PlaceboNANA – NA
Previous Ambrisentan-2.50-2.50 – -2.50
Weight, End of study, n=8, 10
GroupValue95% CI
Previous Placebo0.00-1.00 – 0.85
Previous Ambrisentan-0.05-2.00 – 1.80
Change From Study AMB115811 Baseline in the 6 Minutes Walking Distance (6MWD) at the Indicated Time Points Secondary · During Study AMB115811: Months 0 (Baseline), 1, 2, 3, 4, Early Withdrawal (EW); During Extension Study: Months 1, 3, 6, 9, 12, 15 and at End of Study (assessed up to approximately 20 months)

The 6-minute walk test was conducted according to the American Thoracic Society guidelines in accordance with local standard operating procedures. 6MWD was measured by a 6-minute walk test. This test measures the distance that a par. can walk in a period of 6 minutes. AMB115811 Baseline was the Week 0 value in that study. Change from study AMB115811 Baseline was calculated as the value at the indicated visit minus the Baseline value. Par.'s final visit in study AMB115811 was used as the entry visit of this extension study. For the Extension study, the visit schedule (Months 1, 3, 6, 9, 12 and

(AMB115811) Month 1, n=15, 17
GroupValue95% CI
Previous Placebo5.00-1.50 – 16.50
Previous Ambrisentan14.001.00 – 42.50
Month 2, n=14, 16
GroupValue95% CI
Previous Placebo7.50-14.50 – 22.50
Previous Ambrisentan26.253.25 – 61.25
Month 3, n=13, 15
GroupValue95% CI
Previous Placebo5.50-23.00 – 39.50
Previous Ambrisentan20.504.00 – 68.00
Month 4, n=13, 15
GroupValue95% CI
Previous Placebo-10.00-32.50 – 20.00
Previous Ambrisentan25.0012.00 – 49.00
EW (AMB115811) visit, n=3, 2
GroupValue95% CI
Previous Placebo7.50-46.50 – 43.50
Previous Ambrisentan41.250.00 – 82.50
(Extension study) Month 5, n=7, 9
GroupValue95% CI
Previous Placebo0.00-15.50 – 40.00
Previous Ambrisentan51.5019.00 – 80.50
Month 7, n=7, 8
GroupValue95% CI
Previous Placebo-8.00-22.50 – 55.00
Previous Ambrisentan57.5023.50 – 88.75
Month 10, n=5, 6
GroupValue95% CI
Previous Placebo55.00-10.50 – 65.00
Previous Ambrisentan52.2521.00 – 100.00

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events (TEAEs) will include AEs up to 30 days after their last dose, assessed up to approximately 16 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Previous Placebo
Serious: 3/9 (33%)
Deaths:
Previous Ambrisentan
Serious: 0/10 (0%)
Deaths:

Serious adverse events (12 terms)

ReactionSystemPrevious PlaceboPrevious Ambrisentan
Cardiac failureCardiac disorders
Atrial fibrillationCardiac disorders
BradyarrhythmiaCardiac disorders
Right ventricular failureCardiac disorders
Ventricular tachycardiaCardiac disorders
VomitingGastrointestinal disorders
Implant site extravasationGeneral disorders
Oedema peripheralGeneral disorders
GastroenteritisInfections and infestations
Electrocardiogram repolarisation abnormalityInvestigations
Oxygen saturation decreasedInvestigations
Aortic stenosisVascular disorders
Other adverse events (39 terms — click to expand)

ReactionSystemPrevious PlaceboPrevious Ambrisentan
Oedema peripheralGeneral disorders
DiarrhoeaGastrointestinal disorders
NasopharyngitisInfections and infestations
AnaemiaBlood and lymphatic system disorders
CyanosisCardiac disorders
TachycardiaCardiac disorders
Hiatus herniaGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
FatigueGeneral disorders
HyperthermiaGeneral disorders
Influenza like illnessGeneral disorders
Non-cardiac chest painGeneral disorders
OedemaGeneral disorders
BacteriuriaInfections and infestations
Bronchitis bacterialInfections and infestations
ErysipelasInfections and infestations
Respiratory tract infectionInfections and infestations
TonsillitisInfections and infestations
TracheitisInfections and infestations
Foot fractureInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Blood potassium decreasedInvestigations
Iron deficiencyMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
TendonitisMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
MigraineNervous system disorders
Renal failureRenal and urinary disorders
Renal impairmentRenal and urinary disorders
AsthmaRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Cardiac failure, Atrial fibrillation, Bradyarrhythmia, Right ventricular failure, Ventricular tachycardia, Vomiting, Implant site extravasation, Oedema peripheral.

Data from ClinicalTrials.gov NCT01894022 adverse events section.

Sponsor's own description

This is an open label, long term extension to Study AMB115811. All subjects may remain in the extension study for a minimum of 18 months. Beyond the 18-month period, subjects may continue in the extension study until one of the following: the product is approved locally for use in inoperable CTEPH patients; development for use in the CTEPH population is discontinued or product is not approved by the local regulatory authorities; or the investigator decides to discontinue the subject or subject decides to discontinue from the study. The primary purpose of this study is to provide clinically relevant information on the long term safety of ambrisentan in subjects with inoperable CTEPH.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Medical management of chronic thromboembolic pulmonary hypertension.
    Pepke-Zaba J, Ghofrani HA, Hoeper MM. · · 2017 · cited 45× · PMID 28356404 · DOI 10.1183/16000617.0107-2016
  2. Ambrisentan for treatment of inoperable chronic thromboembolic pulmonary hypertension (CTEPH).
    Escribano-Subias P, Bendjenana H, Curtis PS, Lang I, et al · · 2019 · cited 19× · PMID 30957635 · DOI 10.1177/2045894019846433

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