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Impact of Multiple Doses of BAY63-2521 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Patients With Interstitial Lung Disease (ILD) Associated Pulmonary Hypertension (PH)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Bayer
ClinicalTrials.gov Identifier:
NCT00694850
First received: June 9, 2008
Last updated: August 8, 2017
Last verified: August 2017
June 9, 2008
August 8, 2017
August 2, 2008
October 1, 2018   (Final data collection date for primary outcome measure)
Safety and tolerability [ Time Frame: 12 weeks treatment ]
Same as current
Complete list of historical versions of study NCT00694850 on ClinicalTrials.gov Archive Site
  • Pharmacokinetics [ Time Frame: at every study visit except at run-in and Follow-up ]
    The assessment will be stopped after protocol amendment 4, which was effective since Jan 06, 2014
  • 6-Minute Walk Test [ Time Frame: at every study visit except at Follow-up ]
  • Modified borg scale [ Time Frame: at every study visit except at Follow-up ]
    The assessment will be stopped after protocol amendment 4, which was effective since Jan 06, 2014
  • Quality of life assessments [ Time Frame: at baseline, after 6 weeks, after 12 weeks, Follow-up and at each visit during long term extension phase ]
    The assessment will be stopped after protocol amendment 4, which was effective since Jan 06, 2014
  • Hemodynamic parameters [ Time Frame: optional after 12weeks ]
  • Laboratory Parameters [ Time Frame: at each study visit during run-in and treatment phase and long term extension ]
    The assessment will be stopped after protocol amendment 4, which was effective since Jan 06, 2014
  • Electrocardiogram (ECG) [ Time Frame: at each study visit during run-in and treatment phase and long term extension ]
    The assessment will be stopped after protocol amendment 4, which was effective since Jan 06, 2014
  • Blood pressure and heart rate [ Time Frame: at each study visit during run-in and treatment phase and long term extension ]
  • Pharmacokinetic [ Time Frame: at every study visit except at run-in and FUP ]
  • 6MWT [ Time Frame: at every study visit except at FUP ]
  • Modified borg scale [ Time Frame: at every study visit except at FUP ]
  • Quality of life assessments [ Time Frame: at baseline,after 6 weeks, after 12 weeks, FUP and at each visit during long term extension phase ]
  • Hemodynamic parameters [ Time Frame: optional after 12weeks ]
  • Laboratory Parameters [ Time Frame: at each study visit during run-in and treatment phase and long term extension ]
  • ECG [ Time Frame: at each study visit during run-in and treatment phase and long term extension ]
  • Blood pressure and heart rate [ Time Frame: at each study visit during run-in and treatment phase and long term extension ]
Not Provided
Not Provided
 
Impact of Multiple Doses of BAY63-2521 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Patients With Interstitial Lung Disease (ILD) Associated Pulmonary Hypertension (PH)
A Multi-center, Non-randomized, Non Blinded, Non-controlled Study to Investigate the Impact of Multiple Doses of BAY63-2521 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Patients With Interstitial Lung Disease Associated Pulmonary Hypertension.
The purpose of this study is to assess multiple ascending doses of a new drug (BAY63-2521) given orally, to evaluate if it is safe and can help to improve the well-being, symptoms (e.g. disturbed breathing) and outcome of pulmonary hypertension associated with lung fibrosis. Patients living with pulmonary hypertension associated with interstitial lung disease have a risk of increased number of hospitalisations because of worsening of their condition. Until now there is no approved medication for this disease. The current treatment of pulmonary hypertension associated with interstitial lung disease consists: of oxygen and medical treatment with vasodilators, e.g. so-called Calcium-antagonists. Therefore, there is a need for new drugs in the treatment of pulmonary hypertension associated with interstitial lung disease.
Not Provided
Interventional
Phase 2
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Hypertension, Pulmonary
Drug: Riociguat (Adempas, BAY63-2521)
BAY63-2521 will be up-titrated from 1,0 mg TID to 2,5 mg TID
Experimental: Arm 1
Intervention: Drug: Riociguat (Adempas, BAY63-2521)
Hoeper MM, Halank M, Wilkens H, Günther A, Weimann G, Gebert I, Leuchte HH, Behr J. Riociguat for interstitial lung disease and pulmonary hypertension: a pilot trial. Eur Respir J. 2013 Apr;41(4):853-60. doi: 10.1183/09031936.00213911. Epub 2012 Aug 30.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
22
October 1, 2018
October 1, 2018   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Diagnosis of an interstitial lung disease (usual interstitial pneumonia [UIP], nonspecific interstitial pneumonia [NSIP] or sarcoidosis) with high resolution CT and a total lung capacity (TLC) ≤ 90% or scleroderma associated pulmonary arterial hypertension (PAH) with total lung capacity (TLC) ≤ 80%.
  • Interstitial lung disease (ILD) must have been stable for at least 3 months (decrease in forced vital capacity (FVC)< 10% and diffusing capacity of lung for carbon monoxide (DLco) < 15 % in 3 months), i.e. no significant changes in pulmonary function testing and stable medication in terms of ILD (e.g., corticosteroids, immunosuppressants)
  • Mean pulmonary vascular resistance (PVR) > 400 dyne sec cm-5 or mean pulmonary arterial pressure (PAP mean) > 30 mmHg
  • Pulmonary capillary wedge pressure (PCWP) < 15 mmHg
  • Hemodynamic parameters at baseline (PAP, PCWP, cardiac output [CO], systemic mean arterial pressure [SAP])
  • High resolution computer tomography (HRCT) (should not be older than 12 months prior start of the study)
  • Heart rate > 55 beats per minute (BPM) and < 105 BPM at rest
  • Systolic blood pressure (SBP) > 90 mmHg
  • World Health Organisation (WHO) functional class II, III and IV
  • 6 Minute Walking Test (6MWT) > 100m and < 450 m
  • Stable controlled arterial hypertension according to current guidelines
  • Women of childbearing potential will be included in the study if the pregnancy test is negative and combination of condoms with a safe and highly effective contraception method (hormonal contraception with implants or combined oral contraceptives, certain intra-uterine devices [IUDs]) is granted.

Exclusion Criteria:

  • Co-medication:

    • Patients pretreated with specific medication for pulmonary arterial hypertension (PAH) like endothelin receptor antagonists, prostaglandins or phosphodiesterase type 5 (PDE 5) blockers are excluded from the trial.
    • Requirement for concomitant use of nitrates are contraindicated.
  • Pre-existing clinically relevant lung disease other than ILD including

    • Bronchial asthma and Chronic Obstructive Pulmonary Disease (COPD) with a forced expiratory volume in one second (FEV1)/FVC <60% pred., active tuberculosis
    • Pulmonary hypertension of another WHO group (I, II, IV and V)
    • Severe congenital abnormalities of the lungs, thorax and diaphragm
    • Clinical or radiological evidence of a pulmovenoocclusive disease (PVOD)
  • Systemic hemodynamics

    • Acute or severe chronic left heart failure (ejection fraction (EF) < 50%)
    • Severe coronary artery disease (CAD; EF < 50%); CAD patients must be asymptomatic and stable
    • Congenital or acquired valvular or myocardial disease if clinically significant apart from tricuspid valvular insufficiency due to pulmonary hypertension
  • Pulmonary function

    • TLC predicted < 30%
    • FEV1 (related to FVC) < 60% predicted
  • Blood gases at room air

    • Arterial partial carbon dioxide pressure (Pa CO2) > 45 mmHg
    • Arterial partial oxygen pressure (Pa O2) < 50 mmHg at O2 supply >/= 4 L/min
  • Peripheral organ function

    • Moderate or severe hepatic insufficiency (Child-Pugh Class Band C and/or total bilirubin > 2.5 mg/dl (0.043 mmol/L); and/or hepatic transaminases >3 upper limit normal [ULN])
    • Moderate or severe renal insufficiency (creatinine > 2 mg/dl) or creatinine clearance according to Cockroft-Gault formula < 35 mL/ min
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
No
Contact information is only displayed when the study is recruiting subjects
Germany
 
 
NCT00694850
12916
2007-003928-37 ( EudraCT Number )
Yes
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Not Provided
Bayer
Bayer
Not Provided
Study Director: Bayer Study Director Bayer
Bayer
August 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP