Phase 3
Completed N=20
Safety Study of the Switch From Oral Selexipag to Intravenous Selexipag in Subjects With Stable Pulmonary Arterial Hypertension
Source: ClinicalTrials.gov NCT03187678 ↗Enrolled (actual)
20
Serious AEs
10.0%
Results posted
May 2019
Primary outcomePrimary: Number of Participants With at Least One Adverse Event (AE) — 15 Participants
◆ Published Evidence
Emerging
7citations · ~1 / year
Temporarily switching from oral to intravenous selexipag in patients with pulmonary arterial hypertension: safety, tolerability, and pharmacokinetic results from an open-label, phase III study.
Summary
The development of selexipag for intravenous administration will be useful to avoid treatment interruptions in patients with pulmonary arterial hypertension (PAH) already treated with selexipag administered orally as tablets (Uptravi®). The target population for intravenous selexipag includes those PAH patients who are hospitalized and are unable to swallow tablets of Uptravi.
The primary objective of this study is to assess whether it is safe for patients with PAH to temporarily change from selexipag tablets (Uptravi®) to selexipag given directly into a vein (intravenous selexipag), and then switching back to the initial oral dose of selexipag.
Linked Publications
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Temporarily switching from oral to intravenous selexipag in patients with pulmonary arterial hypertension: safety, tolerability, and pharmacokinetic results from an open-label, phase III study.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With at Least One Adverse Event (AE) |
15 | — |
| PRIMARY Number of Participants With Prostacyclin-associated Adverse Events |
7 | — |
| PRIMARY Number of Participants With Adverse Event Related to Injection Site Reactions |
2 | — |
| PRIMARY Number of Participants With Prostacyclin-associated AEs Leading to Study Treatment Discontinuation |
— | — |
| PRIMARY Number of Participants With PAH-related Adverse Events |
3 | — |
Eligibility Criteria
Inclusion Criteria
- Signed informed consent form prior to any study-mandated procedure.
- Male and female subjects aged from 18 to 75 years (inclusive),
- Subjects with stable pulmonary arterial hypertension (PAH) defined as WHO Functional Class I-III at Visit 1 and Visit 2, and no change (i.e., introduction or dose change) in PAH-specific medication (i.e., ERA, PDE-5 inhibitor or sGC stimulator) and diuretics in the last 28 days prior to Visit 2.
- Subjects currently treated with Uptravi® at a stable dose (i.e. unchanged dose) for at least 28 days before Visit 2.
- Women of childbearing potential must have a negative pregnancy test at Visit 1 (screening) and Visit 2.
Exclusion Criteria
- Pregnant, planning to become pregnant or lactating.
- Known and documented moderate or severe hepatic impairment.
- Subjects having received gemfibrozil at any time since initiation of Uptravi®.
- Treatment with any prostacyclin and prostacyclin analogs within 28 days prior to Visit 1.
- SBP < 90 mmHg at Visit 1 or at Visit 2.
- Known or suspected uncontrolled hyperthyroidism.
- Severe renal failure and ongoing or planned dialysis.
- Any known factor or disease that might interfere with treatment compliance, study conduct, or interpretation of the results.
- Known concomitant life-threatening disease with a life expectancy < 12 months.
- Treatment with another investigational treatment within 3 months of Visit 1.
Data sourced from ClinicalTrials.gov (NCT03187678) 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.