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The main purpose of this study is to investigate whether bosentan (Tracleer®) affects the wall thickness of the pulmonary arteries in patients with idiopathic pulmonary arterial hypertension (iPAH) and PAH related to systemic sclerosis (PAH-SSc).
The second purpose is to investigate if bosentan affects the enlargement of small vessels in the lungs in response to natural chemicals in patients with iPAH and PAH-SSc.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bosentan | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bosentan | Drug | Bosentan 62.5 mg bid for 4 weeks, then 125 mg bid |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline (BL) to 6 mths in the IVUS-derived measurement of pulmonary artery wall thickness. | Baseline to 6 months | |
| Change from BL to 6 mths in pulmonary microvascular circulation dilator responses to actylcholine (Ach). | Baseline to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from BL to 6 mths in each of the IVUS derived pulmonary artery parameters. | Baseline to 6 months | |
| Change from BL to 6 mths in pulmonary microvascular circulation dilator responses to sodium nitroprusside. | Baseline to 6 months |
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Inclusion Criteria : · Men or women >18 years of age.·
Exclusion Criteria : · PAH other than iPAH or PAH-SSc
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| Name | Affiliation | Role |
|---|---|---|
| David Celermajer, Professor | Royal Prince Alfred Hospital, Camperdown | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Prince Alfred Hospital | Camperdown | Australia |
| ID | Term |
|---|---|
| D006976 | Hypertension, Pulmonary |
| D006973 | Hypertension |
| D012598 | Sclerosis |
| D045743 | Scleroderma, Diffuse |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000077300 | Bosentan |
| ID | Term |
|---|---|
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
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| Correlation between the change from BL to 6 mths of each of the IVUS-derived parameters and the pulmonary microvascular circulation (PMVC) dilator responses versus changes in PVR. | Baseline to 6 months |
| Correlation between the change from BL to 6 mths of each of the IVUS-derived parameters and the PMVC dilator responses versus changes in 6MWD. | Baseline to 6 months |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012595 | Scleroderma, Systemic |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
| D001555 |
| Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |