Evaluate the long-term safety, tolerability and efficacy of the pediatric formulation of bosentan two versus three times a day in children with pulmonary arterial hypertension (PAH).
ID
Bron
Verkorte titel
Aandoening
Pulmonary arterial hypertension in children
Ondersteuning
Gewerbestrasse 16
CH-4123 Allschwil
Switzerland
Gewerbestrasse 16
CH-4123 Allschwil
Switzerland
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
No primary endpoint was defined in this study.
Achtergrond van het onderzoek
This is a prospective, multicenter, multinational, open-label, double-arm exploratory Phase 3 extension study enrolling those patients who completed the FUTURE 3 core study (AC 052-373). It is designed to evaluate the long-term tolerability and safety of bosentan using the pediatric formulation in children with idiopathic or heritable PAH or PAH persisting after complete repair of a congenital heart defect.
Patients will receive the bosentan pediatric formulation. The bosentan dosage will be adjusted to the patient’s body weight during the study to achieve a maintenance dose of 2 mg/kg either b.i.d. or t.i.d.
The maximum number of participants corresponds to the number of patients treated in the FUTURE 3 core study (AC-052-373).
The study will be conducted at expert pediatric PAH centers in Europe, US, Latin America, Australia and Asia.
The study will consist of a treatment period and a post-treatment follow-up period of 60 days. Patients will receive the maintenance dose (2 mg/kg either b.i.d. or t.i.d.) of bosentan using the pediatric formulation for the entire duration of the study.
The treatment period in FUTURE 3 Study Extension will last for 12 months or until:
1. The investigator or the patient decides to discontinue the study treatment permanently;
2. The sponsor decides not to pursue the development of the pediatric formulation of bosentan.
Doel van het onderzoek
Evaluate the long-term safety, tolerability and efficacy of the pediatric formulation of bosentan two versus three times a day in children with pulmonary arterial hypertension (PAH).
Onderzoeksopzet
The study will consist of a treatment period and a post-treatment follow-up period of 60 days. Patients will receive the maintenance dose (2 mg/kg either b.i.d. or t.i.d.) of bosentan using the pediatric formulation for the entire duration of the study. The treatment period in FUTURE 3 Study Extension will last for 12 months or until:
1. The investigator or the patient decides to discontinue the study treatment permanently;
2. The sponsor decides not to pursue the development of the pediatric formulation of bosentan.
Onderzoeksproduct en/of interventie
Bosentan dispersible tablet (32 mg) in the dosage of 2 mg/kg b.i.d. or 2 mg/kg t.i.d.
Publiek
Peter Westerveld
Woerden 3446 GR
The Netherlands
+31 (0)348 489181
peter.westerveld@actelion.com
Wetenschappelijk
Peter Westerveld
Woerden 3446 GR
The Netherlands
+31 (0)348 489181
peter.westerveld@actelion.com
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Patients who completed the FUTURE 3 core study (AC-052-373) or prematurely discontinued due to PAH progression, if bosentan was not permanently discontinued;
2. Patients who tolerated bosentan pediatric formulation and for whom bosentan is considered beneficial by the investigator at the end of FUTURE 3 core study (AC-052-373);
3. Signed informed consent by the parents or the legal representatives prior to any study-mandated procedure.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Known intolerance or hypersensitivity to bosentan or any of the excipients of the dispersible bosentan tablet;
2. Any clinically significant laboratory abnormality that precludes continuation of bosentan therapy;
3. Pregnancy;
4. AST and/or ALT values > 3 times the upper limit of normal range (ULN);
5. Moderate to severe hepatic impairment, i.e., Child-Pugh Class B or C;
6. Premature and permanent study drug discontinuation during the FUTURE 3 core study (AC-052-373);
7. Any major violation of the FUTURE 3 core study (AC 052 373) protocol.
Opzet
Deelname
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