Hemodynamic Response After Six Months of Sildenafil
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Purpose
The purpose of this study is to determine the clinical, functional and hemodynamic response after six months of sildenafil 50 mg TID in patients with pulmonary arterial hypertension.
| Condition | Intervention | Phase |
|---|---|---|
|
Pulmonary Arterial Hypertension |
Drug: oral sildenafil |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Hemodynamic Evaluation of Patients With Pulmonary Arterial Hypertension. Response to Sildenafil Treatment |
- Arterial pulmonary resistance index [ Time Frame: 6 months ]
- Mean pulmonary arterial pressure, Cardiac index, pulmonary saturation, walked distance, functional class. [ Time Frame: 6 months ]
| Estimated Enrollment: | 27 |
| Study Start Date: | August 2003 |
| Estimated Study Completion Date: | June 2007 |
Pulmonary arterial hypertension is a chronic devastating disease. There are few approval oral treatments. Sildenafil, a phosphodiesterase 5 inhibitors, has been recently approved for patients on functional class II and III showing hemodynamic benefits after 12 weeks of treatment. Long term hemodynamic evaluation after sildenafil treatment has not been evaluating in pulmonary arterial patients on functional class II to IV.
The protocol has been designed to evaluate patients on functional class II to IV from baseline conditions and after 6 months of sildenafil treatment (50 mg po TID). Clinical (functional class), functional (walked distance-6 minute walking test) and Hemodynamic evaluation is planned to be performed at baseline and after 6 months of treatment.
Eligibility| Ages Eligible for Study: | 16 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients older than 15 years old with Pulmonary arterial hypertension according with WHO hemodynamic definition,
- Who signed informed consent,
- Able to swallow tablets and follow instructions.
Exclusion Criteria:
- Patients with pulmonary hypertension with other categories than pulmonary arterial hypertension (associated to COPD, lund diseases, sleep apnea, thromboembolic disease, hight altitude), patients asymptomatic, patients who were responders to adenosine during hemodynamic test, patients treated with specific treatments for pulmonary arterial hypertension before started the study such as sildenafil, prostanoids, endothelin receptors blockers.
Contacts and Locations| Contact: Monica M Zagolin, MD | 056-2-3403505 ext 504 | monizagolin@hotmail.com |
| Contact: Polentzi Uriarte, MD | 056-2-3403505 ext 504 | puriarte@alemana.cl |
| Chile | |
| National Instiute of Thorax | Recruiting |
| Santiago, Metropolitanta, Chile, 7500691 | |
| Sub-Investigator: Polentzi Uriarte, MD | |
| Principal Investigator: Monica M Zagolin, MD | |
| Sub-Investigator: Eduardo Wainsteiin, MD | |
| Sub-Investigator: Claudio Parra, MD | |
| Principal Investigator: | Monica M Zagolin, MD | National Institute of Thorax |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00483626 History of Changes |
| Other Study ID Numbers: | Thorax-001-2003 |
| Study First Received: | June 6, 2007 |
| Last Updated: | June 6, 2007 |
| Health Authority: | Chile: Instituto de Salud Publica de Chile |
Keywords provided by University of Chile:
|
hemodynamic pulmonary hypertension sildenafil |
Additional relevant MeSH terms:
|
Hypertension, Pulmonary Hypertension Lung Diseases Respiratory Tract Diseases Vascular Diseases Cardiovascular Diseases Sildenafil Vasodilator Agents |
Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Phosphodiesterase 5 Inhibitors Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013