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Phase 4 Completed N=85 Randomized Quadruple-blind Treatment

PORtopulmonary Hypertension Treatment wIth maCitentan - a randOmized Clinical Trial

Portopulmonary Hypertension
Source: ClinicalTrials.gov NCT02382016 ↗
Enrolled (actual)
85
Serious AEs
22.2%
Results posted
Nov 2018
Primary outcomePrimary: Relative Change From Baseline to Week 12 in Pulmonary Vascular Resistance (PVR). — 0.63; 0.98 ratio — p=0.0001
◆ Published Evidence
Highly cited
182citations · ~26 / year
Macitentan for the treatment of portopulmonary hypertension (PORTICO): a multicentre, randomised, double-blind, placebo-controlled, phase 4 trial.
The Lancet. Respiratory medicine · 2019 · Open access · Likely link

Summary

24-week study to evaluate the efficacy and safety of macitentan for the treatment of portopulmonary hypertension.

Linked Publications (2)

  • Macitentan for the treatment of portopulmonary hypertension (PORTICO): a multicentre, randomised, double-blind, placebo-controlled, phase 4 trial.
    The Lancet. Respiratory medicine · 2019 · 182 citations · Open access · Likely link
  • PORTICO: First Randomized Controlled Trial of Vasomodulator Therapy in Portopulmonary Hypertension.
    Hepatology (Baltimore, Md.) · 2020 · 5 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Relative Change From Baseline to Week 12 in Pulmonary Vascular Resistance (PVR).
0.63; 0.98 0.0001 sig
SECONDARY
Change From Baseline to Week 12 in 6-minute Walk Distance (6MWD)
385.8; 383.2; 392.2; 380.8; 6.4; -2.4 0.4264
SECONDARY
Change From Baseline to Week 12 in WHO Functional Class (FC)
1; 1; 27; 23; 15; 18 0.1278
SECONDARY
Change From Baseline to Week 12 in the Biomarker N-terminal Pro B-type Natriuretic Peptide (NT-proBNP)
0.86; 1.04 0.3951
SECONDARY
Change From Baseline to Week 12 in Mean Right Atrial Pressure (mRAP)
7.3; 6.7; 9.0; 7.0; 1.6; 0.3 0.0637
SECONDARY
Change From Baseline to Week 12 in Mean Pulmonary Artery Pressure (mPAP)
46.4; 43.8; 40.0; 44.2; -6.4; 0.4 0.0001 sig
SECONDARY
Change From Baseline to Week 12 in Cardiac Index
3.1; 2.9; 3.7; 3.0; 0.6; 0.1 0.0009 sig
SECONDARY
Change From Baseline to Week 12 in Total Pulmonary Resistance (TPR)
689.3; 671.5; 489.4; 653.1; -199.8; -18.3 0.0001 sig
SECONDARY
Change From Baseline to Week 12 in Mixed Venous Oxygen Saturation (SVO2)
69.2; 69.9; 70.3; 70.7; 1.1; 0.8 0.9844

Eligibility Criteria

Main Inclusion Criteria:

  • Male or female of at least 18 years of age
  • Confirmed diagnosis of portopulmonary hypertension

Main Exclusion Criteria:

  • Severe hepatic impairment
  • Severe obstructive or restrictive lung disease
  • Pulmonary veno-occlusive disease
  • Systolic blood pressure (SBP) = 3 x ULN
  • Bilirubin >= 3 mg/dL at Screening
  • Any known factor or disease that might interfere with treatment compliance, study conduct, or interpretation of results
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02382016) and the linked publication. 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.

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