Phase 2
Completed N=64
Phase 2 Extension Study of Ambrisentan in Pulmonary Arterial Hypertension
Source: ClinicalTrials.gov NCT00424021 ↗Enrolled (actual)
64
Serious AEs
59.3%
Results posted
Jan 2012
Primary outcomePrimary: Number of Participants With Pulmonary Arterial Hypertension (PAH) Who Completed the Phase II NCT00046319 Study and Who Experienced Severe Adverse Events (AEs) During Long-term Ambrisentan Exposure — 0; 1; 1; 0 Participants
Summary
AMB-220-E is an international, multicenter, open-label study examining the long-term safety of ambrisentan (BSF 208075) in subjects who have previously completed Myogen study NCT00046319, "A Phase II, Randomized, Double-Blind, Dose-Controlled, Dose-Ranging, Multicenter Study of BSF 208075 Evaluating Exercise Capacity in Subjects with Moderate to Severe Pulmonary Arterial Hypertension".
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Pulmonary Arterial Hypertension (PAH) Who Completed the Phase II NCT00046319 Study and Who Experienced Severe Adverse Events (AEs) During Long-term Ambrisentan Exposure |
0; 1; 1; 0; 0; 0 | — |
| PRIMARY Number of Participants With PAH Who Completed the Phase II NCT00046319 Study and Who Experienced AEs of Moderate Severity During Long-term Ambrisentan Exposure |
0; 1; 0; 1; 0; 0 | — |
| PRIMARY Number of Participants With PAH Who Completed the Phase II NCT00046319 Study and Who Experienced AEs of Mild Severity During Long-term Ambrisentan Exposure |
0; 0; 1; 3; 0; 0 | — |
| SECONDARY Baseline Measurement in Exercise Capacity as Measured by the 6-minute Walk Test (6MWT) Distance (Baseline [Week 24]) |
406.1 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the 6-minute Walk Test (6MWT) Distance (Last Observation Carried Forward [LOCF]) (Week 48) |
4.5 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the 6-minute Walk Test (6MWT) Distance (LOCF) (Week 108) |
-10.3 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the 6-minute Walk Test (6MWT) Distance (LOCF) (Week 156) |
-4.7 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the 6-minute Walk Test (6MWT) Distance (LOCF) (Week 204) |
-13.9 | — |
| SECONDARY Baseline Measurement in Exercise Capacity as Measured by the Borg Dyspnea Index (BDI) (Baseline [Week 24]) |
2.69 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the BDI (LOCF) (Week 48) |
0.21 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the BDI (LOCF) (Week 108) |
0.46 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the BDI (LOCF) (Week 156) |
0.50 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the BDI (LOCF) (Week 204) |
0.46 | — |
| SECONDARY Baseline Measurement in Exercise Capacity as Measured by the World Health Organization (WHO) Functional Classification (Baseline [Week 24]) |
8; 27; 19; 0 | — |
| SECONDARY Exercise Capacity as Measured by the WHO Functional Classification (LOCF) After 24 Weeks of Treatment in AMB-220-E |
7; 29; 18; 0 | — |
| SECONDARY Exercise Capacity as Measured by the WHO Functional Classification (LOCF) After 84 Weeks of Treatment in AMB-220-E |
5; 25; 21; 3 | — |
| SECONDARY Exercise Capacity as Measured by the WHO Functional Classification (LOCF) After 132 Weeks of Treatment in AMB-220-E |
10; 18; 24; 2 | — |
| SECONDARY Exercise Capacity as Measured by the WHO Functional Classification (LOCF) After 180 Weeks of Treatment in AMB-220-E |
10; 19; 23; 2 | — |
| SECONDARY Baseline Measurement in Exercise Capacity as Measured by the Subject Global Assessment (SGA) (Baseline [Week 24]) |
69.5 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the SGA (LOCF) (Week 48) |
-0.6 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the SGA (LOCF) (Week 108) |
-7.4 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the SGA (LOCF) (Week 156) |
-5.1 | — |
| SECONDARY Change From Baseline (Week 24 of NCT00046319) in Exercise Capacity as Measured by the SGA (LOCF) (Week 204) |
-1.9 | — |
| SECONDARY Time to Clinical Worsening of PAH |
78; 69; 60; 55 | — |
| SECONDARY Failure-free Treatment Status |
89; 77; 74; 70 | — |
| SECONDARY Long-term Survival |
94; 87; 87; 87 | — |
Eligibility Criteria
Inclusion Criteria
- Must have completed Visit 14/Week 24 of the NCT00046319 study.
- Women of childbearing potential must have a negative urine pregnancy test at the Screening/Enrollment Visit and agree to use a reliable double barrier method of contraception until study completion and for >=4 weeks following their final study visit.
- Must have completed the Down-titration Period of NCT00046319 prior to enrollment in AMB-220-E and will meet the following additional criteria:
- Subjects with a diagnosis of HIV must have stable disease status at the time of Screening/Enrollment.
- Must be stable on conventional therapy for PAH for >=4 weeks prior to the Screening Visit.
Exclusion Criteria
- Chronic prostanoid therapy, or other investigational prostacyclin derivative within 4 weeks prior to the Screening Visit.
- Intravenous inotrope use within 2 weeks prior to the Screening Visit.
- Females who are pregnant or breastfeeding.
- Contraindication to treatment with an endothelin receptor antagonist (ERA).
Data sourced from ClinicalTrials.gov (NCT00424021). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.