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Safety Issue: The trial was prematurely terminated on Dec 9, 2010, due to safety concerns, specifically new emerging evidence of hepatic injury.
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This protocol is for subjects with pulmonary arterial hypertension and is the first of 3 studies forming the Sitaxsentan efficacy and safety trial with Randomized Prospective Assessment of Adding Sildenafil (SR-PAAS) program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sitaxsentan | Experimental | Monotherapy |
|
| Sitaxsentan Placebo | Placebo Comparator | Monotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sitaxsentan | Drug | Sitaxsentan = 100 mg tablet administered orally, once daily |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Total Distance Walked During 6 Minute Walk Distance (6MWD) at Week 12 | 6 MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Continuous pulse oximetry was conducted during the test for safety. Change is Week 12 results minus baseline results. | Baseline/Day 1 and Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Change From Baseline in World Health Organization (WHO) Functional Classification at Weeks 4, 8 and 12 | WHO functional classification for PAH ranges from Class I (no limitation in physical activity, no dyspnea with normal activity) to Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). Improvement = reduction in functional class, deterioration = increase in functional class, no change = no change in functional class. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pfizer Investigational Site | Fountain Valley | California | 92708 | United States | ||
| Pfizer Investigational Site |
Not provided
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Sitaxsentan | Sitaxsentan 100 milligrams (mg) tablet orally once a day |
| FG001 | Placebo | Matching placebo tablet once a day |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo |
| Drug |
Sitaxsentan Placebo = 1 tablet administered orally, once daily |
|
|
| Baseline, Weeks 4, 8 and 12 or Early Termination (ET) |
| Time to Clinical Worsening (TTCW) | TTCW defined as the number of days between first dose of study drug and the occurrence of a predefined clinical worsening event. Predefined clinical worsening events included: hospitalization for worsening PAH, on-study death, heart-lung or lung transplant, atrial septostomy or withdrawal due to the addition of any chronic medications for the treatment of worsening PAH. | Baseline, Weeks 4, 8 and 12 or ET |
| Mather |
| California |
| 95655 |
| United States |
| Pfizer Investigational Site | Sacramento | California | 95817 | United States |
| Pfizer Investigational Site | Englewood | Colorado | 80113 | United States |
| Pfizer Investigational Site | Littleton | Colorado | 80120 | United States |
| Pfizer Investigational Site | Gainesville | Florida | 32610 | United States |
| Pfizer Investigational Site | Sarasota | Florida | 34233 | United States |
| Pfizer Investigational Site | Weston | Florida | 33331 | United States |
| Pfizer Investigational Site | Chicago | Illinois | 60612 | United States |
| Pfizer Investigational Site | Olathe | Kansas | 66061 | United States |
| Pfizer Investigational Site | Towson | Maryland | 21204 | United States |
| Pfizer Investigational Site | Boston | Massachusetts | 02111 | United States |
| Pfizer Investigational Site | Omaha | Nebraska | 68131 | United States |
| Pfizer Investigational Site | New Brunswick | New Jersey | 08903 | United States |
| Pfizer Investigational Site | Islandia | New York | 11749 | United States |
| Pfizer Investigational Site | Stony Brook | New York | 11794 | United States |
| Pfizer Investigational Site | Chapel Hill | North Carolina | 27599 | United States |
| Pfizer Investigational Site | Cincinnati | Ohio | 45219 | United States |
| Pfizer Investigational Site | Cleveland | Ohio | 44106 | United States |
| Pfizer Investigational Site | Lancaster | Pennsylvania | 17602 | United States |
| Pfizer Investigational Site | Lancaster | Pennsylvania | 17603 | United States |
| Pfizer Investigational Site | Philadelphia | Pennsylvania | 19140 | United States |
| Pfizer Investigational Site | Pittsburgh | Pennsylvania | 15212 | United States |
| Pfizer Investigational Site | Providence | Rhode Island | 02903 | United States |
| Pfizer Investigational Site | Charleston | South Carolina | 29425 | United States |
| Pfizer Investigational Site | Dallas | Texas | 75390 | United States |
| Pfizer Investigational Site | Houston | Texas | 77030 | United States |
| Pfizer Investigational Site | San Antonio | Texas | 78229 | United States |
| Pfizer Investigational Site | Temple | Texas | 76508 | United States |
| Pfizer Investigational Site | Lynchburg | Virginia | 24501 | United States |
| Pfizer Investigational Site | Richmond | Virginia | 23225 | United States |
| Pfizer Investigational Site | Milwaukee | Wisconsin | 53215 | United States |
| Pfizer Investigational Site | Buenos Aires | C1039AAO | Argentina |
| Pfizer Investigational Site | Buenos Aires | C1428DCO | Argentina |
| Pfizer Investigational Site | Buenos Aires | C1428DUS | Argentina |
| Pfizer Investigational Site | Buenos Aires | C1431FWO | Argentina |
| Pfizer Investigational Site | Sofia | 1202 | Bulgaria |
| Pfizer Investigational Site | Sofia | 1233 | Bulgaria |
| Pfizer Investigational Site | Veliko Tarnovo | 5000 | Bulgaria |
| Pfizer Investigational Site | Temuco | 4781173 | Chile |
| Pfizer Investigational Site | Changsha | Hunan | 410008 | China |
| Pfizer Investigational Site | Xi’an | Shanxi | 710032 | China |
| Pfizer Investigational Site | Beijing | 100032 | China |
| Pfizer Investigational Site | Shanghai | 200001 | China |
| Pfizer Investigational Site | Shanghai | 200433 | China |
| Pfizer Investigational Site | Bogotá | Cundinamarca | Colombia |
| Pfizer Investigational Site | Escazú | Provincia de San José | 00000 | Costa Rica |
| Pfizer Investigational Site | Prague | 128 08 | Czechia |
| Pfizer Investigational Site | Santo Domingo | República Dominicana | 00000 | Dominican Republic |
| Pfizer Investigational Site | Santo Domingo | Santo Domingo Province | 4966 | Dominican Republic |
| Pfizer Investigational Site | Guatemala City | Departamento de Guatemala | Guatemala |
| Pfizer Investigational Site | Hyderabad | Andhera Pradesh | 500 063 | India |
| Pfizer Investigational Site | Hyderabad | Andhra Pradesh | 500 001 | India |
| Pfizer Investigational Site | Ahmedabad | Gujarat | 380 060 | India |
| Pfizer Investigational Site | Surat | Gujarat | 395 007 | India |
| Pfizer Investigational Site | Vadodara | Gujarat | 390 015 | India |
| Pfizer Investigational Site | Pune | Maharashtra | 411 030 | India |
| Pfizer Investigational Site | Coimbatore | Tamil Nadu | 641 014 | India |
| Pfizer Investigational Site | Madurai | Tamil Nadu | 625 107 | India |
| Pfizer Investigational Site | George Town | Pulau Pinang | 10990 | Malaysia |
| Pfizer Investigational Site | Mexico City | Mexico City | 14000 | Mexico |
| Pfizer Investigational Site | Mexico City | Mexico City | 14080 | Mexico |
| Pfizer Investigational Site | Monterrey | Nuevo León | 64718 | Mexico |
| Pfizer Investigational Site | Lima | 13 | Peru |
| Pfizer Investigational Site | Lima | 32 | Peru |
| Pfizer Investigational Site | Quezon City | 1100 | Philippines |
| Pfizer Investigational Site | Cluj-Napoca | Romania | 400 001 | Romania |
| Pfizer Investigational Site | Iași | 700 503 | Romania |
| Pfizer Investigational Site | Moscow | 105077 | Russia |
| Pfizer Investigational Site | Moscow | 121552 | Russia |
| Pfizer Investigational Site | Saint Petersburg | 194156 | Russia |
| Pfizer Investigational Site | Saint Petersburg | 197022 | Russia |
| Pfizer Investigational Site | Saint Petersburg | 197341 | Russia |
| Pfizer Investigational Site | Riyadh | 11159 | Saudi Arabia |
| Pfizer Investigational Site | Belgrade | 11000 | Serbia |
| Pfizer Investigational Site | Bratislava | 83348 | Slovakia |
| Pfizer Investigational Site | Cape Town | Western Cape | 7531 | South Africa |
| Pfizer Investigational Site | Cape Town | 7500 | South Africa |
| Pfizer Investigational Site | Johannesburg | 2193 | South Africa |
| Pfizer Investigational Site | Stellenbosch | 7600 | South Africa |
| Pfizer Investigational Site | Bangkoknoi | Bangkok | 10700 | Thailand |
| Pfizer Investigational Site | Bangkok | 10330 | Thailand |
| Pfizer Investigational Site | Istanbul, Fatih | 34080 | Turkey (Türkiye) |
| Pfizer Investigational Site | Kyiv | 03680 | Ukraine |
| Pfizer Investigational Site | Kyiv | Ukraine |
| Randomized and Not Treated |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Sitaxsentan | Sitaxsentan 100 milligrams (mg) tablet orally once a day |
| BG001 | Placebo | Matching placebo tablet once a day |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number | participants |
| |||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||
| World Health Organization (WHO) Functional Class | WHO Pulmonary Arterial Hypertension (PAH) Functional Classification: I (no limitation on physical activity), II (slight limitation on ordinary physical activity), III (marked limitations on physical activity comfortable at rest) and IV (unable to carry out any physical activity without symptoms, dyspnea and fatigue present at rest). | Number | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Total Distance Walked During 6 Minute Walk Distance (6MWD) at Week 12 | 6 MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Continuous pulse oximetry was conducted during the test for safety. Change is Week 12 results minus baseline results. | Intent to treat population (ITT): all participants who were randomized; missing value at Week 12 imputed with last non-missing value, including the non-missing value obtained at early termination based on last observation carried forward (LOCF) | Posted | Median | Full Range | Meters (m) | Baseline/Day 1 and Week 12 |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Change From Baseline in World Health Organization (WHO) Functional Classification at Weeks 4, 8 and 12 | WHO functional classification for PAH ranges from Class I (no limitation in physical activity, no dyspnea with normal activity) to Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). Improvement = reduction in functional class, deterioration = increase in functional class, no change = no change in functional class. | ITT; N=number of participants with analyzable data; n=number of participants with analyzable data at the specific time point | Posted | Number | participants | Baseline, Weeks 4, 8 and 12 or Early Termination (ET) |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time to Clinical Worsening (TTCW) | TTCW defined as the number of days between first dose of study drug and the occurrence of a predefined clinical worsening event. Predefined clinical worsening events included: hospitalization for worsening PAH, on-study death, heart-lung or lung transplant, atrial septostomy or withdrawal due to the addition of any chronic medications for the treatment of worsening PAH. | ITT; N=number of participants with analyzable data | Posted | Median | Full Range | days | Baseline, Weeks 4, 8 and 12 or ET |
|
|
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The same event may appear as both an adverse event (AE) and a serious adverse event (SAE). However, what is presented are distinct events. An event may be categorized as serious in one participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Sitaxsentan | Sitaxsentan 100 milligrams (mg) tablet orally once a day | 9 | 91 | 23 | 91 | ||
| EG001 | Placebo | Matching placebo tablet once a day | 12 | 91 | 24 | 91 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Acute right ventricular failure | Cardiac disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Arrhythmia | Cardiac disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Right ventricular failure | Cardiac disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Chest discomfort | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Sudden cardiac death | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Hepatic failure | Hepatobiliary disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Hepatitis | Hepatobiliary disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Respiratory tract infection | Infections and infestations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA v14.0 | Non-systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| International normalised ratio increased | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Liver function test abnormal | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Decreased activity | Psychiatric disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Nephritis | Renal and urinary disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Cervix haemorrhage uterine | Reproductive system and breast disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA v14.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vomiting | Gastrointestinal disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Chest pain | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Oedema | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA v14.0 | Non-systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA v14.0 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA v14.0 | Non-systematic Assessment |
|
Study terminated early.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
| ID | Term |
|---|---|
| D000081029 | Pulmonary Arterial Hypertension |
| D006976 | Hypertension, Pulmonary |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006973 | Hypertension |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Not provided
| ID | Term |
|---|---|
| C106276 | sitaxsentan |
Not provided
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| Title | Measurements |
|---|---|
|
| 45 to 64 years |
|
| greater than or equal to 65 years |
|
| Male |
|
| Functional Class II |
|
| Functional Class III |
|
| Functional Class IV |
|
| Functional Class Unknown |
|
|
|
|