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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 15 April 2013
Main ID:  NCT01028651
Date of registration: 08/12/2009
Primary sponsor: United Therapeutics
Public title: A Study to Assess the Safety and Efficacy of Treprostinil to Facilitate Liver Transplantation in Patients With Portopulmonary Hypertension
Scientific title: Phase 4 Open-Label Study to Assess the Safety and Efficacy of Treprostinil to Facilitate Liver Transplantation in Patients With Portopulmonary Hypertension
Date of first enrolment: November 2009
Target sample size: 20
Recruitment status: Active, not recruiting
URL:  http://clinicaltrials.gov/show/NCT01028651
Study type:  Observational
Study design:  Observational Model: Cohort, Time Perspective: Prospective  
Countries of recruitment
United States
Contacts
Name:   Aaron Waxman, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  Brigham and Women's Hospital
Name:   Michael Krowka, MD
Address: 
Telephone:
Email:
Affiliation:  Mayo Clinic
Name:   Rajan Saggar, MD
Address: 
Telephone:
Email:
Affiliation:  University of California, Los Angeles
Name:   James Runo, MD
Address: 
Telephone:
Email:
Affiliation:  University of Wisconsin, Madison
Key inclusion & exclusion criteria

Inclusion Criteria:

- Patients must:

1. Confirmed severe PoPH documented on standard of care right-heart catheterization
(RHC) with a plan to initiate treprostinil therapy, as recommended by the
treating physician state within 30 days.

2. Have portal hypertension.

3. Be otherwise suitable candidates for OLT.

4. Treprostinil therapy must be recommended by the treating physician per standard
of care.

5. Be NYHA Class II, III, or IV

6. Have Pulmonary Capillary Wedge Pressure (PCW) < 18 mmHg AND transpulmonary
gradient (TPG) = 15 mmHg Severe PAH is defined as a resting mean pulmonary
artery pressure (mPA) > 25 mmHg AND pulmonary vascular resistance (PVR) = 3
wood-units by right-heart catheterization (RHC) performed as part of standard of
care evaluation within 30 days of enrollment

Exclusion Criteria:

- Patients must not:

1. Be taking any investigational therapy as part of a clinical trial for any
indication within 30 days of enrollment.

2. Be receiving any vasodilator treatment for pulmonary hypertension (i.e.
bosentan, sitaxsentan, ambrisentan, sildenafil, tadalafil, epoprostenol,
beraprost, iloprost, inhaled treprostinil) at the time of enrollment.

3. Exhibit renal failure requiring hemodialysis.



Age minimum: N/A
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Portopulmonary Hypertension
Pulmonary Arterial Hypertension
Pulmonary Hypertension
Intervention(s)
Drug: Treprostinil sodium
Primary Outcome(s)
To estimate the probability of achieving a mPAP to less than 35 mmHg and a PVR less than 3 Wood-units in subjects with severe portopulmonary hypertension undergoing OLT treated for 24 weeks with treprostinil. [Time Frame: 24 weeks]
Secondary Outcome(s)
To assess the effect of treprostinil therapy on safety, secondary efficacy endpoints and chemokine profiles. [Time Frame: 24 weeks, and 30 day post-OLT and one year post-OLT]
Secondary ID(s)
RIV-PH-414
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Brigham and Women's Hospital
Emory University
University of California, Los Angeles
University of Kansas
University of Texas
University of Wisconsin, Madison
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