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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02279745
Registration number
NCT02279745
Ethics application status
Date submitted
25/10/2014
Date registered
31/10/2014
Date last updated
22/12/2021
Titles & IDs
Public title
Long-term Safety and Efficacy of Ralinepag in Pulmonary Arterial Hypertension
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Scientific title
An Open-label Extension Study of Ralinepag in Patients With Pulmonary Arterial Hypertension
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Secondary ID [1]
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APD811-007
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pulmonary Arterial Hypertension
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Cardiovascular
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Ralinepag
Experimental: Oral Ralinepag - Ralinepag immediate-release (IR) capsules of 10, 20, 30, 40, and 100 mcg or extended-release (XR) tablets of 50, 250, and 400 mcg for oral administration.
Treatment: Drugs: Ralinepag
Active
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in Pulmonary Vascular Resistance
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Assessment method [1]
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Pulmonary vascular resistance was collected by right heart catheterization (RHC).
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Timepoint [1]
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At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.
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Primary outcome [2]
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Change From Baseline in Cardiac Output
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Assessment method [2]
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Cardiac output was collected by right heart catheterization (RHC).
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Timepoint [2]
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At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.
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Primary outcome [3]
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Change From Baseline in Cardiac Index
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Assessment method [3]
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Cardiac index was collected by right heart catheterization (RHC).
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Timepoint [3]
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At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.
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Primary outcome [4]
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Change From Baseline in Mean Pulmonary Arterial Pressure
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Assessment method [4]
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Mean pulmonary arterial pressure was collected by right heart catheterization (RHC).
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Timepoint [4]
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At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.
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Secondary outcome [1]
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Time From Randomization to the First Protocol-defined Clinical Worsening Event
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Assessment method [1]
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Clinical worsening events were defined as death, or onset of a treatment-emergent adverse event (AE) with a fatal outcome occurring =14 days after treatment discontinuation; hospitalization for worsening PAH, heart-lung or lung transplant, or atrial septostomy; necessity of addition (or dose change) of any prostacyclin/prostacyclin analogue, phosphodiesterase type 5 inhibitor (PDE5-I) or soluble guanylate cyclase (sGC), or endothelin receptor antagonist (ERA); and the combined occurrence of a decrease in 6-Minute Walk Distance (6MWD) by at least 20% from Baseline, confirmed on two 6-Minute Walk Tests (6MWTs) on different days; worsening in WHO/New York Heart Association (NYHA) Functional Class (FC) from Baseline; and appearance of or worsening of signs/symptoms of right heart failure that did not respond to optimized oral diuretic therapy.
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Timepoint [1]
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From Baseline to 28 days following discontinuation of study drug, up to 235 weeks.
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Secondary outcome [2]
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Change From Baseline in 6MWD
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Assessment method [2]
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6MWD was measured at Baseline (prior to starting study drug) and every 3 months thereafter including the End of Study Visit.
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Timepoint [2]
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From Baseline to discontinuation of study drug, up to 235 weeks
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Secondary outcome [3]
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Change From Baseline in WHO/NYHA FC
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Assessment method [3]
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WHO/NYHA FC was measured at Baseline (prior to starting study drug) and every 3 months thereafter including at the End of Study and 28-Day Follow-up Visits. FC recorded as I, II, III, or IV based on the following:
I: PH but without limitation of physical activity; physical activity without undue dyspnea or fatigue, chest pain or near syncope.
II: PH with slight limitation of physical activity; physical activity causes undue dyspnea or fatigue, chest pain or near syncope.
III: PH with marked limitation of physical activity; less than ordinary activity causes undue dyspnea or fatigue, chest pain or near syncope.
IV: PH with inability to carry out any physical activity without symptoms. Signs of right heart failure. Dyspnea and/or fatigue at rest. Discomfort is increased by any physical activity.
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Timepoint [3]
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From Baseline to 28 days following discontinuation of study drug, up to 235 weeks
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Eligibility
Key inclusion criteria
* Evidence of a personally signed and dated informed consent document.
* Was willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures and was deemed an appropriate candidate for participation in a long-term extension study.
* Female subjects were nonpregnant, nonlactating, surgically sterile or postmenopausal, or agreed to use an accepted method of birth control for at least 3 months prior to the first dose, during, and for at least 30 days after the last dose of study drug.
* Male subjects were either surgically sterile or agreed to use a condom with spermicide when sexually active with a female partner who was not using an acceptable method of birth control during the study and for 30 days after the last dose of study drug.
* Male and female subjects agreed not to participate in a conception process during the study and for 30 days after the last dose of study drug.
* Fulfilled all eligibility criteria for Study APD811-003 and completed the study as planned.
Subjects who were assigned to placebo in Study APD811-003 and experienced clinical worsening in that study could enroll in Study APD811-007 after completing all end of study procedures per protocol, including RHC, for Study APD811-003 and had their data locked.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subjects who enrolled in Study APD811-003 and were withdrawn from study drug treatment due to any adverse event (AE), serious adverse event (SAE), or subjects who did not complete Study APD811003, with the exception made for placebo-treated subjects who experienced a clinical worsening event.
* Female •subjects who wished to become pregnant.
* Systolic blood pressure <90 mmHg at Baseline.
* Other severe acute or chronic medical or laboratory abnormalities that could have increased the risk associated with study participation or investigational product administration or interfered with the interpretation of study results and, in the judgment of the investigator, would have made the subject inappropriate for entry into this study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
8/07/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
29/03/2021
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Sample size
Target
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Accrual to date
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Final
45
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,TAS,VIC
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Recruitment hospital [1]
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St. Vincent's Hospital - Darlinghurst
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Recruitment hospital [2]
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The Prince Charles Hospital - Chermside
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Recruitment hospital [3]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [4]
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St Vincent's Hospital - Fitzroy
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Recruitment hospital [5]
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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4032 - Chermside
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Recruitment postcode(s) [3]
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7001 - Hobart
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Recruitment postcode(s) [4]
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3065 - Fitzroy
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Recruitment postcode(s) [5]
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6150 - Murdoch
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Recruitment outside Australia
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United States of America
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State/province [1]
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Alabama
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United States of America
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California
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United States of America
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Colorado
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Florida
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Iowa
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United States of America
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Maine
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United States of America
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Maryland
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United States of America
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Massachusetts
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Michigan
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Ohio
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United States of America
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Pennsylvania
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United States of America
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Texas
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Bulgaria
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Sofia
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Czechia
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Olomouc
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Czechia
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Prague
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Hungary
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Budapest
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Hungary
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Debrecen
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Poland
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Krakow
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Poland
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Kraków
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Poland
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Lodz
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Romania
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Bucharest
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Romania
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Timisoara
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Serbia
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Belgrade
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Serbia
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Sremska Kamenica
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Slovakia
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Bratislava
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Slovakia
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Košice
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Spain
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Barcelona
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Spain
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
United Therapeutics
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study was an open-label extension study to determine the long-term safety and tolerability of ralinepag in subjects with World Health Organization (WHO) Group 1 pulmonary arterial hypertension (PAH) who have completed Study APD811-003, or who were assigned to receive placebo and were discontinued due to clinical worsening.
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Trial website
https://clinicaltrials.gov/study/NCT02279745
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Fax
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Email
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Contact person for public queries
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Fax
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/45/NCT02279745/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/45/NCT02279745/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02279745
Download to PDF