Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is an open-label study for patients who participated in the BPS-MR-PAH-203 study and have volunteered to continue treatment for PAH with Beraprost Sodium Modified Release (BPS-MR) tablets.
Eligible patients who participated in BPS-MR-PAH-203 and who elect to continue receiving study drug in an open-label extension.Each patient will return to the clinic following enrollment in the study at 3, 6, and 12 months, and annually thereafter for assessment. Patients will be called by study personnel to assess adverse events and concomitant medications at Month 9, and at 3 month intervals following the annual visit.
At the End of Study visit, patients discontinuing study drug will be down-titrated off of BPS-MR at the discretion of the Investigator, at a maximum decrement of one tablet (60µg) b.i.d. per day and a minimum decrement of one tablet (60µg) b.i.d. per week. Likewise, patients who withdraw early from the study will be down-titrated off of BPS-MR in the same manner. Upon completion of down-titration, patients will return to the clinic for a final Closeout visit.
Currently enrolled patients may be invited to participate in an optional four times daily (QID) dosing substudy of BPS-MR with total daily dose of BPS-MR achieved previously in the main study. Patients will return to the clinic for baseline visit, week 12, and then will follow the visit schedule provided to them in BPS-MR-PAH-204 main study.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| B.I.D | Experimental | Beraprost Sodium Modified Release Tablet, 60mcg, B.I.D (twice a day dosing) |
|
| Q.I.D | Experimental | Beraprost Sodium Modified Release Tablet, 60mcg, q.i.d (four times a day dosing) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beraprost Sodium Modified Release | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Reporting at Least One Treatment-Emergent Adverse Event (TEAE) | A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-204 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted | Up to 42 months |
| Number of Reported Treatment-Emergent Adverse Events | A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-204 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted. | Up to 42 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Six-Minute-Walk Distance (6MWD) | Area used for the Six Minute Walk Test (6MWT) was pre-measured at 30 meters in length. Rest periods were allowed if patient could no longer continue. If patient needed to rest, he/she could stand or sit and then begin again when rested but the clock continued to run. At the end of 6 minutes, the tester called "stop" while stopping the watch and then measured the distance walked. For purposes of the 6MWT, if patient was assessed at Baseline using oxygen therapy, all future 6MWT were conducted in the same manner. All efficacy results are descriptive; no statistical analysis was conducted. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Aimee Smart | Study Sponsor | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harbor-UCLA Medical Center | Torrance | California | 90502 | United States | ||
| Midwest Heart Foundation - Advocate Medical Group |
A Protocol Amendment was to include an optional arm investigating Beraprost Sodium Modified Release Tablets administered four times daily (QID), however, no participants were enrolled into this arm.
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Beraprost Sodium | Beraprost Sodium Modified Release Tablet, 60 micrograms(mcg), twice a day dosing |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Baseline and 42 months |
| Change in Borg Dyspnea Score | The modified 0-10 category-ratio Borg scale consists of an 11-point scale rating the maximum level of dyspnea experienced during the 6MWT. Scores range from 0 (for the best condition) and 10 (for the worst condition) with nonlinear spacing of verbal descriptors of severity corresponding to specific numbers. The participant chose the number or the verbal descriptor to reflect presumed ratio properties of sensation or symptom intensity. Baseline was defined as the last non-missing evaluation preceding the first dose of study drug in study BPS-MR-PAH-203. Only participants with both a measurement at baseline and at the given visit are presented. All efficacy results are descriptive; no statistical analysis was conducted. | Baseline and 42 months |
| Number of Participants That Experienced Clinical Worsening | Number of Participants that experienced Clinical Worsening in the opinion of the Investigator. Clinical Worsening was defined as any of these events following the Baseline visit: Death, Transplantation or atrial septostomy, Clinical deterioration as defined by: Hospitalization as a result of PAH symptoms or Initiation of any new PAH specific therapy (e.g. ERA, PDE-5 inhibitor, prostanoid). All efficacy results are descriptive; no statistical analysis was conducted. | Up to 42 months |
| Number of Participants With a Change in WHO Functional Class | Change from Baseline in participant clinical status was recorded according to the World Health Organization (WHO) Functional Class. A change from lower to higher functional class (i.e. 'III to IV' or 'II to III') was considered as a deterioration. A change from higher to lower functional class (i.e. 'III to II' or 'II to I') was considered as an improvement. All efficacy results are descriptive; no statistical analysis was conducted. | Baseline and 42 months |
| Oakbrook Terrace |
| Illinois |
| 60181 |
| United States |
| Beth Israel Medical Center | New York | New York | 10003 | United States |
| Albert Einstein College of Medicine | The Bronx | New York | 10461 | United States |
| Allegheny General Hospital | Pittsburgh | Pennsylvania | 15212 | United States |
| UT Southwestern Medical Center | Dallas | Texas | 75390 | United States |
| Universite Libre de Bruxelles | Brussels | 1070 | Belgium |
| Catholic University of Leuven | Leuven | 3000 | Belgium |
| General Teaching Hospital | Prague | 2, 128 08 | Czechia |
| Klinikum der Universitat zu Koln | Cologne | 50937 | Germany |
| Medizinische Klinik und Poliklinik | Dresden | 01307 | Germany |
| Abt Innere Medizin III, Medizinische Universitatsklinik | Heidelberg | 69120 | Germany |
| Universitatsklinik Leipzig Abteilung Pulmologie | Leipzig | 04103 | Germany |
| Mater Misericordiae University Hospital Ltd. | Dublin | 7 | Ireland |
| Institutul de Urgenta pentru Boli | Bucharest | 022322 | Romania |
| Institutul National de Pneumologie | Bucharest | 050159 | Romania |
| Institutul de Boli Cardiovasculare | Lasi | 700503 | Romania |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Beraprost Sodium | Beraprost Sodium Modified Release Tablet, 60 micrograms(mcg), twice a day dosing |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Six-Minute Walk Distance | Area used for the Six Minute Walk Test (6MWT) was pre-measured at 30 meters in length. Rest periods were allowed if patient could no longer continue. If patient needed to rest, he/she could stand or sit and then begin again when rested but the clock continued to run. At the end of 6 minutes, the tester called "stop" while stopping the watch and then measured the distance walked. For purposes of the 6MWT, if patient was assessed at Baseline using oxygen therapy, all future 6MWT were conducted in the same manner. All efficacy results are descriptive; no statistical analysis was conducted. | Baseline characteristics were defined as those recorded at the baseline visit of the lead-in study, BPS-MR-PAH-203. | Mean | Standard Deviation | meters |
| |||||||||||||||
| Borg Dyspnea Score | Modified 0-10 category-ratio Borg scale consists of 11-point scale rating the max level of dyspnea experienced during the 6MWT. Scores range from 0 (best condition) and 10 (worst condition) with nonlinear spacing of verbal descriptors of severity corresponding to specific numbers. Participant chose number or verbal descriptor to reflect presumed ratio properties of sensation or symptom intensity. Only participants with both a measurement at baseline and at the given visit are presented. All efficacy results are descriptive; no statistical analysis was conducted. | Baseline characteristics were defined as those recorded at the baseline visit of the lead-in study, BPS-MR-PAH-203. | Mean | Standard Deviation | score |
|
| 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 | Number of Subjects Reporting at Least One Treatment-Emergent Adverse Event (TEAE) | A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-204 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted | Posted | Count of Participants | Participants | Up to 42 months |
|
|
| |||||||||||||||||||||||||||
| Secondary | Change in Six-Minute-Walk Distance (6MWD) | Area used for the Six Minute Walk Test (6MWT) was pre-measured at 30 meters in length. Rest periods were allowed if patient could no longer continue. If patient needed to rest, he/she could stand or sit and then begin again when rested but the clock continued to run. At the end of 6 minutes, the tester called "stop" while stopping the watch and then measured the distance walked. For purposes of the 6MWT, if patient was assessed at Baseline using oxygen therapy, all future 6MWT were conducted in the same manner. All efficacy results are descriptive; no statistical analysis was conducted. | Only participants with both a measurement at Baseline and at the End of Study visit are presented. | Posted | Mean | Standard Deviation | meters | Baseline and 42 months |
|
| ||||||||||||||||||||||||||
| Primary | Number of Reported Treatment-Emergent Adverse Events | A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-204 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted. | Posted | Number | TEAEs | Up to 42 months |
|
| ||||||||||||||||||||||||||||
| Secondary | Change in Borg Dyspnea Score | The modified 0-10 category-ratio Borg scale consists of an 11-point scale rating the maximum level of dyspnea experienced during the 6MWT. Scores range from 0 (for the best condition) and 10 (for the worst condition) with nonlinear spacing of verbal descriptors of severity corresponding to specific numbers. The participant chose the number or the verbal descriptor to reflect presumed ratio properties of sensation or symptom intensity. Baseline was defined as the last non-missing evaluation preceding the first dose of study drug in study BPS-MR-PAH-203. Only participants with both a measurement at baseline and at the given visit are presented. All efficacy results are descriptive; no statistical analysis was conducted. | Only participants with both a measurement at Baseline and at the End of Study visit are presented. | Posted | Mean | Standard Deviation | scores on a scale | Baseline and 42 months |
|
| ||||||||||||||||||||||||||
| Secondary | Number of Participants That Experienced Clinical Worsening | Number of Participants that experienced Clinical Worsening in the opinion of the Investigator. Clinical Worsening was defined as any of these events following the Baseline visit: Death, Transplantation or atrial septostomy, Clinical deterioration as defined by: Hospitalization as a result of PAH symptoms or Initiation of any new PAH specific therapy (e.g. ERA, PDE-5 inhibitor, prostanoid). All efficacy results are descriptive; no statistical analysis was conducted. | Posted | Count of Participants | Participants | Up to 42 months |
|
| ||||||||||||||||||||||||||||
| Secondary | Number of Participants With a Change in WHO Functional Class | Change from Baseline in participant clinical status was recorded according to the World Health Organization (WHO) Functional Class. A change from lower to higher functional class (i.e. 'III to IV' or 'II to III') was considered as a deterioration. A change from higher to lower functional class (i.e. 'III to II' or 'II to I') was considered as an improvement. All efficacy results are descriptive; no statistical analysis was conducted. | Only participants with both a measurement at Baseline and at the End of Study visit are presented. | Posted | Count of Participants | Participants | Baseline and 42 months |
|
|
From baseline to 30 days after study treatment discontinuation, up to 42 months.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Beraprost Sodium | Beraprost Sodium Modified Release Tablet, 60 micrograms(mcg), twice a day dosing | 2 | 31 | 11 | 31 | 26 | 31 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Worsening pulmonary arterial hypertension | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Right ventricular failure | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Edema peripheral | General disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA, version 16.0 | Systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Inguinal hernia | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Enterocolitis | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Varicella | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Extremity necrosis | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Flushing | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Palpitations | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Upper Respiratory Tract Infection | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Hypercholesterolaemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Blood creatine phosphokinase increased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Carbon dioxide decreased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Chest Pain | General disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Fluid overload | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Hot flush | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Neutrophil count increased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Oedema | General disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| Tooth abscess | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Urine analysis abnormal | Investigations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
| |
| White blood cell count increased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
| |
| Brain natriuretic peptide increased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lung Biotechnology PBC Study Director | Lung Biotechnology PBC | 301-608-9292 |
| ID | Term |
|---|---|
| D000081029 | Pulmonary Arterial Hypertension |
| ID | Term |
|---|---|
| D006976 | Hypertension, Pulmonary |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
Not provided
Not provided
| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
|
|
|
|
|