Trial of the Early Combination of Oral Treprostinil With a PDE-5 Inhibitor or ERA in Subjects With Pulmonary Arterial Hypertension (FREEDOM-Ev)
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Purpose
This study is an international, multicenter, randomized (1:1 oral treprostinil (UT-15C): placebo), double-blind, placebo-controlled study in subjects with Pulmonary Arterial Hypertension (PAH) who are currently receiving PDE-5 inhibitor or ERA for 31 to 90 days prior to randomization for their PAH. Study visits will occur in four week intervals for the first 12 weeks, then every 12 weeks thereafter with key measures of efficacy being time to first clinical worsening event and the 6-minute walk test at Week 24. Study procedures include routine blood tests, medical history, physical exams, disease evaluation, and exercise tests. Patients who complete all required assessments will also be eligible to enter a long-term, open-label, extension study (TDE-PH-311).
| Condition | Intervention | Phase |
|---|---|---|
|
Pulmonary Arterial Hypertension |
Drug: UT-15C (treprostinil diethanolamine) Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase III, International, Multi-Center, Randomized, Double- Blind, Placebo-Controlled, Event Driven Study to Compare the Time to First Clinical Worsening in Subjects With Pulmonary Arterial Hypertension Receiving UT-15C in Combination With a PDE5-I or ERA Compared With a PDE5-I or ERA Alone |
- Time to First Clinical Worsening event [ Time Frame: participants will be followed every 12 weeks, at minimum, to assess for signs of clinical worsening for up to 2.5 years ] [ Designated as safety issue: No ]
- Change in 6 minute walk distance [ Time Frame: From Baseline to Week 24 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 858 |
| Study Start Date: | July 2012 |
| Estimated Study Completion Date: | August 2016 |
| Estimated Primary Completion Date: | May 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Placebo
Matching placebo (sugar pill)
|
Drug: Placebo
Placebo (sugar pill) to be administered orally twice daily
|
|
Active Comparator: Active
Active UT-15C Sustained release tablet
|
Drug: UT-15C (treprostinil diethanolamine)
UT-15C sustained release oral tablets for twice daily administration
|
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Between 18 and 75 years of age, inclusive
- PAH that is idiopathic / heritable, PAH associated with connective tissue disease, HIV infection, repaired congenital systemic-to-pulmonary shunts (repaired > 1 year), or appetite suppressant / toxin use
- Receiving a PDE-5 inhibitor or ERA at an appropriate dose
- Previous testing (e.g. right heart catheterization, echocardiography) consistent with diagnosis of PAH
Exclusion Criteria:
- Nursing or pregnant
- PAH due to conditions other than noted in the above inclusion criteria
- History of uncontrolled sleep apnea, severe liver disease, left sided heart disease, uncontrolled systemic hypertension
- Use of an investigational drug within 30 days of Baseline
Contacts and Locations
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More Information
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| Responsible Party: | United Therapeutics |
| ClinicalTrials.gov Identifier: | NCT01560624 History of Changes |
| Other Study ID Numbers: | TDE-PH-310 |
| Study First Received: | March 9, 2012 |
| Last Updated: | June 11, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by United Therapeutics:
|
PAH PH Clinical Worsening Freedom |
Freedom-Ev Treprostinil UT-15C 6 Minute walk test |
Additional relevant MeSH terms:
|
Hypertension, Pulmonary Hypertension Lung Diseases Respiratory Tract Diseases Vascular Diseases Cardiovascular Diseases Treprostinil Phosphodiesterase 5 Inhibitors |
Antihypertensive Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013