UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035389
Receipt number R000039915
Scientific Title Effects of dual initial combination therapy with macitentan plus riociguat or macitentan plus selexipag on hemodynamics in patients with pulmonary arterial hypertension
Date of disclosure of the study information 2019/04/01
Last modified on 2024/01/04 10:00:34

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Basic information

Public title

Effects of dual initial combination therapy with macitentan plus riociguat
or macitentan plus selexipag on hemodynamics in patients with pulmonary arterial hypertension

Acronym

SETOUCHI PH study

Scientific Title

Effects of dual initial combination therapy with macitentan plus riociguat
or macitentan plus selexipag on hemodynamics in patients with pulmonary arterial hypertension

Scientific Title:Acronym

SETOUCHI PH study

Region

Japan


Condition

Condition

Pulmonary arterial hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the effects of dual initial combination therapy with macitentan plus riociguat
or macitentan plus selexipag on hemodynamics in patients with pulmonary arterial hypertension in a prospective randomized study

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of change ratio of pulmonary vascular resistance eight month after the administration between two groups

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Dose: macitentan 10 mg/day+riociguat 3 mg/day. Max dose of riociguat is 7.5 mg/day.Intervention period: 8 month

Interventions/Control_2

Dose: macitentan 10 mg/day+selexipag 0.4 mg/day. Max dose of selexipag is 3.2 mg/day. Intervention period: 8 month

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Mean pulmonary artery pressure greater than 25 mmHg and pulmonary artery wedge pressure less than 15 mmHg and pulmonary vascular resistance greater than 3 wood units within one month after giving consent
2) WHO-FC II or III
3) Age greater than 20 years at the time of giving consent
4) Patients who agree to be enrolled in the study with signed written informed consent

Key exclusion criteria

1) Patients without PAH
2) Patients treated with PAH-specific drugs
3) Patients treated with incompatible drug combination
4) Patients with bleeding or risk of bleeding
5) Patients with pregnancy or suspected pregnancy or patients with breast-feeding
6) Patients with atrial fibrillation
7) Patients with moderate renal dysfunction (serum creatinine 1.5 mg/dl)
8) Patients with moderate liver dysfunction (serum AST or ALT 2-fold of standard value)9) Patients with hypotension (systolic blood pressure less than 90 mmHg)
10) Patients with low cardiac output (cardiac index less than 2.0 l/min/m2
11) Patients included other clinical study
12) Patients recognized as inappropriate by attending physician

Target sample size

76


Research contact person

Name of lead principal investigator

1st name Kazufumi
Middle name
Last name Nakamura

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science

Division name

Department of Cardiovascular Medicine

Zip code

700-8558

Address

2-5-1, kita-ku, shikata-cho, okayama

TEL

086-235-7351

Email

ichibun@cc.okayama-u.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Akagi

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science

Division name

Department of Cardiovascular Medicine

Zip code

700-8558

Address

2-5-1, kita-ku, shikata-cho, okayama

TEL

086-235-7351

Homepage URL


Email

akagi-s@cc.okayama-u.ac.jp


Sponsor or person

Institute

Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and Okayama University Hospital, Ethics Committee

Address

2-5-1, kita-ku, shikata-cho, okayama

Tel

086-235-6938

Email

mae6605@adm.okayama-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

呉共済病院(広島県)、香川大学病院(香川県)、徳島大学病院(徳島県)、鹿児島大学病院(鹿児島県)、松山赤十字病院(愛媛県)、熊本大学病院(熊本県)、長崎大学病院(長崎県)、京都大学病院(京都府)、福岡大学病院(福岡県)、名古屋大学病院(愛知県)


Other administrative information

Date of disclosure of the study information

2019 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD

There is a plan to make individual participant data (IPD) and related data dictionaries available.

IPD sharing Plan description

We will share IPD that underlie the results reported in the article after deidentification. The study protocol will be available. Data sharing will begin from 6 months and end 2 years following article publication. Data will be shared with researchers who provide a methodologically sound proposal to achieve aims in the approved proposal. Data are available at UMIN-ICDR https://www.umin.ac.jp/icdr/index-j.html.


Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2018 Year 12 Month 28 Day

Date of IRB

2019 Year 01 Month 15 Day

Anticipated trial start date

2019 Year 04 Month 01 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 12 Month 28 Day

Last modified on

2024 Year 01 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039915


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name