Phase 3
Completed N=383
A Long Term Study of Ambrisentan in Pulmonary Arterial Hypertension Subjects Having Completed AMB-320 (NCT00423748) or AMB-321 (NCT00423202)
Source: ClinicalTrials.gov NCT00578786 ↗Enrolled (actual)
383
Serious AEs
53.5%
Results posted
Jan 2013
Primary outcomePrimary: Frequently Reported (15% or More Overall) Adverse Events by Severity — 1; 20; 36; 0 participants
Summary
AMB-320/321-E was designed to provide long-term, controlled monitoring of pulmonary arterial hypertension (PAH) patients treated with ambrisentan (AMB) in order to properly define the adverse event profile associated with this endothelin receptor antagonist (ERA), including the incidence and severity of elevated serum liver function tests (LFTs). In addition, this study continued the efficacy assessments of the previous studies, examined long-term AMB treatment success, and compared long-term survival of subjects treated with AMB to the NIH registry of patients with PAH.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Frequently Reported (15% or More Overall) Adverse Events by Severity |
1; 20; 36; 0; 14; 17 | — |
| PRIMARY Serum Aminotransferases Relative to the Upper Limit of the Normal Range (ULN) |
0; 2; 4; 0; 1; 0 | — |
| SECONDARY Baseline Exercise Capacity as Measured by the 6-Minute Walk Distance Test |
350.3; 347.7; 342.3; 347.0 | — |
| SECONDARY Change From Baseline to Week 24 in Exercise Capacity as Measured by the 6-Minute Walk Distance Test |
38.0; 32.5; 40.9; 36.0 | — |
| SECONDARY Change From Baseline to Week 48 (Year 1) in Exercise Capacity as Measured by the 6-Minute Walk Distance Test |
24.9; 27.9; 37.2; 29.5 | — |
| SECONDARY Change From Baseline to Year 2 in Exercise Capacity as Measured by the 6-Minute Walk Distance Test |
6.7; 23.2; 28.0; 20.3 | — |
| SECONDARY Change From Baseline to Year 3 in Exercise Capacity as Measured by the 6-Minute Walk Distance Test |
0.7; 18.8; 27.8; 16.6 | — |
| SECONDARY Baseline Borg Dyspnea Index |
4.14; 3.80; 3.78; 3.88 | — |
| SECONDARY Change From Baseline to Year 1 in Borg Dyspnea Index |
-0.08; -0.59; -0.51; -0.44 | — |
| SECONDARY Change From Baseline to Year 2 in Borg Dyspnea Index |
0.23; -0.33; -0.65; -0.27 | — |
| SECONDARY Change From Baseline to Year 3 in Borg Dyspnea Index |
0.20; -0.14; -0.48; -0.14 | — |
| SECONDARY Baseline World Health Organization (WHO) Functional Class |
1; 7; 4; 12; 51; 77 | — |
| SECONDARY Change From Baseline to Year 1 in World Health Organization (WHO) Functional Class |
16; 56; 36; 108; 68; 122 | — |
| SECONDARY Change From Baseline to Year 2 in World Health Organization (WHO) Functional Class |
16; 58; 39; 113; 58; 109 | — |
| SECONDARY Change From Baseline to Year 3 in World Health Organization (WHO) Functional Class |
17; 61; 32; 110; 57; 109 | — |
| SECONDARY Baseline SF-36 Health Survey Scales for the Combined Ambrisentan Group |
30.0; 35.2; 46.3; 36.0; 42.1; 39.6 | — |
| SECONDARY Change From Baseline to Week 12 in SF-36 Health Survey Scales for the Combined Ambrisentan Group |
3.9; 5.6; 1.8; 3.1; 4.6; 3.9 | — |
| SECONDARY Change From Baseline to Week 24 in SF-36 Health Survey Scales for the Combined Ambrisentan Group |
4.7; 5.7; 1.0; 3.2; 4.5; 3.5 | — |
| SECONDARY Change From Baseline to Week 36 in SF-36 Health Survey Scales for the Combined Ambrisentan Group |
4.9; 4.5; 1.9; 4.5; 4.6; 3.7 | — |
| SECONDARY Percentage of Participants With No Clinical Worsening of PAH |
80.4; 83.9; 82.8; 82.7; 67.8; 72.4 | — |
| SECONDARY Percentage of Participants With Failure-Free Treatment Status |
86.8; 89.0; 90.1; 88.7; 77.6; 79.8 | — |
| SECONDARY Long-term Survival |
96.8; 93.1; 94.5; 94.4; 84.7; 87.3 | — |
Eligibility Criteria
Inclusion Criteria
- Subject must have completed Week 12 of AMB-320 (NCT00423748) or AMB-321 (NCT00423202) or must have received placebo during AMB-320 (NCT00423748) or AMB-321 (NCT00423202) and met two or more early escape criteria;
- Subject must be competent to understand the information given in the Institutional Review Board (IRB) or Independent Ethics Committee (IEC) approved informed consent form and must sign the form prior to the initiation of any study procedures.
- Female subject of childbearing potential must agree to use two reliable methods of contraception until study completion and for at least four weeks following their final study visit. Reliable methods include: birth control pills/implants/injections, intrauterine devices (IUDs), spermicide, diaphragms, or condoms.
Exclusion Criteria
- Subjects must have met the exclusion criteria of the AMB-320 (NCT00423748) and AMB-321 (NCT00423202)studies. In addition, a subject who meets any one of the following criteria is ineligible for participation in the study:
- Subject receiving bosentan, sildenafil, or iv inotropes at any time within four weeks prior to the AMB-320/321-E Screening/Randomization Visit;
- Subject receiving chronic prostanoid therapy (epoprostenol, treprostinil, iloprost, beraprost, or any other investigational prostacyclin derivative) within four weeks prior to the AMB-320/321-E Screening/RandomizationVisit;
- Female subject who is pregnant or breastfeeding;
- Subject with cardiovascular, liver, renal, hematologic, gastrointestinal, immunologic, endocrine, metabolic, or central nervous system disease that, in the opinion of the Investigator, may adversely affect the safety of the subject and/or efficacy of the study drug or severely limit the lifespan of the subject;
- Subject who has demonstrated noncompliance with previous medical regimens;
- Subject who has a recent history of abusing alcohol or illicit drugs;
- Subject who has participated in a clinical study involving another investigational drug or device at any time within four weeks prior to the AMB-320/321-E Screening/Randomization Visit.
Data sourced from ClinicalTrials.gov (NCT00578786). 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.