Pulmonary Arterial HypertensionPhase 3SERAPHIN OLNCT00667823
Clinical Study to Assess the Long-term Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension
A Phase 3 study testing Macitentan in people with Pulmonary Arterial Hypertension, run by Actelion at 158 sites in 36 countries.
Trial summary
The main objective of the AC 055 303/SERAPHIN OL study, which will follow the AC 055 302/SERAPHIN study, will be to assess the long-term safety and tolerability of ACT 064992 in patients with symptomatic PAH. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Pulmonary Arterial Hypertension
- What is being tested?
- Macitentan
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 550 participants
- Where
- 158 sitesin 36 countries
- Study dates
- 17 Oct 2008to 7 Dec 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Signed informed consent prior to initiation of any study-mandated procedure.
- Patients with pulmonary arterial hypertension and having completed the event-driven study, AC 055 302/SERAPHIN, or Patients who have experienced a clinical worsening of PAH in AC 055 302/SERAPHIN and for whom a written approval to roll over into this study has been obtained from the Sponsor.
- Women of childbearing potential must have a negative pre-treatment serum pregnancy test and must use a reliable method of contraception during study treatment and for at least 28 days after study treatment termination.
Who cannot join
- Any major violation of protocol AC 055 302/SERAPHIN.
- Pregnancy or breast-feeding.
- AST and/or ALT > 3 times the upper limit of the normal range.
- Any known factor or disease that might interfere with treatment compliance, study conduct or interpretation of the results, such as drug or alcohol dependence or psychiatric disease.
- Known hypersensitivity to ACT 064992 or any of the excipients.
Trial locations and contacts
158 sites in 36 countries.
158 sites in 36 countries
United States39 sites
University of Michigan
Ann Arbor, Michigan, 48109
Emory University Hospital - McKelvey Center for Lung Transplantation & Pulmonary Vascular Disease
Atlanta, Georgia, 30322
Pulmonary & Critical Care of Atlanta
Atlanta, Georgia, 30342-1713
University of Colorado CARDIAC AND VASCULAR CENTER
Aurora, Colorado, 80045-2548
University of Maryland School of Medicine; Division of Cardiology
Baltimore, Maryland, 21201-1544
University of Alabama at Birmingham
Birmingham, Alabama, 35249-0001
Pulmonary/Critical Care Division/Tufts New England Medical Center
Boston, Massachusetts, 02111-1552
Massachusetts General Hospital
Boston, Massachusetts, 02114
Boston University School of Medicine
Boston, Massachusetts, 02118
University of Chicago
Chicago, Illinois, 60637-1432
University of Cincinnati Ohio Heart Health Center
Cincinnati, Ohio, 45219-2906
Ohio State University, Div. of Pul. & Critical Care
Columbus, Ohio, 43210
University of Texas Medical Center - St. Paul University
Dallas, Texas, 75390-8550
Atlanta Institute for Medical Research
Decatur, Georgia, 30030
Harper Univ. Hospital/ Wayne State University
Detroit, Michigan, 48201
Duke University Medical Center
Durham, North Carolina, 27710-0001
University of Florida - Division of Pulmonology
Gainesville, Florida, 32610
Baylor College of Medicine and the Methodist Hospital,
Houston, Texas, 77030
University of Texas Houston Health Center
Houston, Texas, 77030
University of Iowa, Pulmonary Hypertension Program
Iowa City, Iowa, 52242-1081
Mayo Clinic, Jacksonville
Jacksonville, Florida, 32259
University of Kansas Medical Center
Kansas City, Kansas, 66160
University of California, San Diego
La Jolla, California, 92037
GLVA Healthcare Center
Los Angeles, California, 90073
Kentuckiana Pulmonary Associate, PLLC
Louisville, Kentucky, 40202
Aurora St. Luke's Medical Center
Milwaukee, Wisconsin, 53125
Intermountain Med Ctr- Pulm Dept Heart and Lung Ctr
Murray, Utah, 84157-5701
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
University of NJ - Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08903-0010
Louisiana State University Health Sciences Center
New Orleans, Louisiana, 70112-1393
Columbia University Medical Center - Pediatric Cardiology
New York, New York, 10032
Sentara Hospitals T/A Sentara Cardiovascular Research Intitute
Norfolk, Virginia, 23507-1904
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Arizona Pulmonary Specialists
Phoenix, Arizona, 85012
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Maine Medical Center
Portland, Maine, 04102-3134
Santa Barbara Cottage Hospital
Santa Barbara, California, 93105
Washington University School of Medicine
St Louis, Missouri, 63110-1010
Liu Center for Pulmonary Hypertension
Torrance, California, 90502-2006
Germany13 sites
Unfallkrankenhaus Berlin, Klinik für Innere Medizin
Berlin, 12683
Universität zu Köln, Medizinische Klinik III, Abteilung Kardiologie
Cologne, 50924
Medizinische Klinik und Poliklinik I Universitätsklinikum Carl Gustav Carus
Dresden, 01307
Universitätsklinikum Essen, Klinik für Kardiologie , Zentrum für Innere Medizin
Essen, 45122
Universitätsklinikums Gießen und Marburg GmbH / Medizinische Klinik und Poliklinik II, Innere Med. / Pneumologie
Giessen, 35392
Universität Greifswald / Klinik für Innere Medizin B,
Greifswald, 17475
Universitätsklinikum Hamburg-Eppendorf / Onkologie, Hämatologie und Knochenmarktransplantation mit Sektion Pneumologie
Hamburg, 20246
Medizinische Hochschule Hannover / Klinik für Pneumologie
Hanover, 30625
Thoraxklinik am Universitätsklinikum Heidelberg
Heidelberg, 69126
Universitätskliniken des Saarlandes / Medizinische Klinik und Poliklinik, Innere Medizin V
Homburg/Saar, 66421
Universtätsklinik Leipzig
Leipzig, 04103
Medizinische Klinik und Poliklinik I der Ludwig-Maximilians-Universität München / Klinikum Großhadern, Schwerpunkt Pneumologie
Munich, 81377
Universitatsklinikum Regensburg/Innere Medizin II
Regensburg, 93053
Russia12 sites
Municipal Health Care Institution Kemerovo Cardiology Dispensary
Kemerovo, 650002
Federal State Institution "State Scientific Research Centre of Preventive Medicine" of Rosmedtechnology
Moscow, 101990
Federal State Institution "Scientific Research Institute of Pulmonology of Roszdrav"
Moscow, 105077
State Health Care Institution of Moscow "City Clinical Hospital #1 named after N. I. Pirogov"
Moscow, 117049
Federal State Institution "Russian Cardiology Scientific and Production Complex of Rosmedtechnology"
Moscow, 121552
State Educational Institution "St Petersburg Medical Academy of Postgraduate Education" of Federal Agency of Public Health and Social Development
Saint Petersburg, 193015
State Educational Institution of High Professional Education "St Petersburg State Medical
Saint Petersburg, 197 022
Federal State Institution "Federal Center of Heart, Blood and Endocrinology named after V.A. Almazov" of Rosmedtechnology
Saint Petersburg, 197341
State Institution "Scientific Research Institute of Cardiology" of Tomsk Scientific Center of RAMS, Siberian branch
Tomsk, 634012
Tomsk Regional Clinical Hospital / Pulmonology Unit
Tomsk, 634063
Municipal Health Care Institution "Clinical Hospital of Emergency Care named after N.V. Soloviov"
Yaroslavl, 150 003
Sverdlovsk Regional Clinical Hospital # 1/ Cardiology Department (2nd Therapy Department)
Yekaterinburg, 620102
Argentina8 sites
Sanatorio Otamendi y Miroli S.A.
Buenos Aires, Ciudad Autonoma, C1121ABL
Hospital Britanico
Buenos Aires, Ciudad Autonoma, C1280AEB
Sanatorio MITRE
Buenos Aires, C1039AAO
Fundacion Favaloro
Buenos Aires, C1093AAS
Htal Italiano Cordoba
Córdoba, X5004BAL
Htla privado de Cordoba
Córdoba, x5016keh
Instituto Cardiologia Corrientes
Corrientes, W3400AMZ
Hospital Italiano - Garibaldi de Rosario
Santa Fe, S2001ODA
China8 sites
Beijing Anzhen Hospital of the Capital University of Medical Sciences, Cardiology Department
Beijing, 100029
Peking Union Medical College Hospital, Rheumatology Department
Beijing, 100032
Guangdong General Hospital, Cardiology Department
Guangzhou, 510080
Jiangsu Province Hospital - Pneumology Department
Nanjing, 210029
Renji Hospital, Rheumatology Department
Shanghai, 200001
Zhongshan Hospital Fudan University, Cardiology Department
Shanghai, 200032
Renji Hospital, Cardiology Department
Shanghai, 200127
Shanghai Pulmonary Hospital Department of Pulmonary Circulation
Shanghai, 200433
India6 sites
Life Care Institute of Medical Science & Research, Ahmedabad
Ahmedabad, 382428
Care Hospital
Hyderabad, 500001
Seth GS Medical College & King Edward VII Memorial (KEM) Hospital / Department Of Cardiology
Mumbai, 400012
P D Hinduja National Hospital and Medical Research Centre/ Pulmunory Medicine
Mumbai, 400016
G B Pant Hospital & Maulana Azad Medical College
New Delhi, 110 002
Deenanath Mangeshkar Hospital and Research Centre
Pune, 411 004
Israel6 sites
Rambam Health Care Campus / Division of Medicine, Institute of Pulmonology
Haifa, 31096
Lady Davis Carmel Medical Center / Department of Cardiovascular Medicine, Pulmonary Division
Haifa, 34362
Rabin Medical Center - Belinson campus - Pulmonary Institute
Petach - Tikvah, 49100
Pulmonary Institute, Kaplan Medical Center
Rehovot, 76100
Sourasky Medical Center - Division of Pulmonary Medicine and Allergy
Tel Aviv, 64239
The pulmonary institute Sheba Medical centre
Tel HaShomer, 52621
Canada4 sites
Peter Lougheed Centre
Calgary, Alberta, T1Y 6J4
London Health Sciences Centre
London, Ontario, N6C 2R5
L'Hopital Laval
Sainte-Foy, Quebec, G1V 4G5
Toronto General Hospital
Toronto, Ontario, M5G 2N2
Hungary4 sites
Gottsegen György Országos Kardiológiai Intézet (Hungarian Institute of Cardiology)
Budapest, 1096
"Semmelweis Egyetem, Pulmonológiai Klinika"
Budapest, 1125
University of Pecs, Medical School/Heart Institute and 1st Department of Internal Medicine
Pécs, 7624
University of Szeged Albert Szent-Gyorgyi Medical & Pharmaceutical Center
Szeged, 6720
South Africa4 sites
Tread Research
Cape Town, 7505
Chris Hani Baragwanath Hospital, Department of Cardiology
Johannesburg, 2013
Netcare Milpark Hospital,Center for Chest Disease
Johannesburg, 2193
Block 4, Vergelegen Medi-Clinic
Somerset West, 7130
Thailand4 sites
Ramathibodi Hospital, Mahidol University, Cardiology Unit, Department of Medicine,
Bangkok, 10400
Siriraj Hospital, Mahidol University
Bangkok, 10700
Maharaj Nakorn Chiang Mai Hospital, Division of Rheumatology
Chiang Mai, 50200
Srinagarind Hospital/Division of Rheumatology, Department of Medicine, Faculty of Medicine, Khon Kaen University
Khon Kaen, 40002
Australia3 sites
St. Vincent's Hospital
Darlinghurst, 2010
The Alfred Hospital
Melbourne, 3004
Royal Brisbane Hospital
Sunshine Coast, 4558
Belarus3 sites
Republican reserach - Pratical Centre of Cardiology
Minsk, 220036
Minsk Regional Clinical Hospital
Minsk, 223041
Vitebsk Regional Clinical Hospital
Vitebsk, 210037
Chile3 sites
Hospital del Torax
Santiago, 7500691
Pontificia Universidad Catolica de Chile
Santiago, 833034
Hospital San Juan de Dios
Santiago, 8350488
France3 sites
Hosp Bicetre - Dept Pulmo & Resp Intensive Care
Le Kremlin-Bicêtre, 94275
Hopital Arnaud de Villeneuve Service des Maladies Respiratoires
Montpellier, 34295
Hopital Haut-Leveque-Maison du Haut-Leveque
Pessac, 33604
Peru3 sites
Hospital Alberto Sabogal Sologuren - EsSALUD
Callao, Callao 02
Clinica Medica Cayetano Heredia
Lima, 31
Instituto de Enfermedades Respiratorias
Lima, 32
Poland3 sites
Klinika Chorob Serca i Naczyn Instytut Kardiologii Collegium Medicum UJ
Krakow, 31-202
Cardiology Otwock Priv
Otwock, 05-400
III Katedra i Oddział Kliniczny Kardiologii Slaskiego Uniwersytetu Medycznego
Zabrze, 41-800
Serbia3 sites
University Children's Hospital (UNIVERZITETSKA DECJA KLINKIKA)
Belgrade, 11000
University Clinical Center of Serbia/ Institute for Lung Diseases and Tuberculosis
Belgrade, 11000
Zemun Clinical Hospital (Klinicko-bolnicki centar Zemun) / Department of Cardiology
Belgrade, 11080
Ukraine3 sites
Dnipropetrovsk State Medical Academy / Regional Diagnostic Center, Department of electrophysiologic researches and anaesthesiologic aid
Dnipro, 49060
Danylo Galytskyi Lviv State Medical University
Lviv, 79010
Odessa State Medical University, Military-medical Clinical Center of the South region
Odesa, 65044
Colombia2 sites
Fundacion Clinica Shaio
Bogotá
Fundacion Cardiovascular de Colombia
Floridablanca, Santander Department
Italy2 sites
IRCCS Policlinico San Matteo Policlinico / Dipartimento di Cardiologia
Pavia, 207100
Policlinico Umberto I, Cardiologia
Roma, 00161
Mexico2 sites
Instituto Nacional de Cardiología (INC) Ignacio Chávez
Mexico City, 14080
Unidad de Investigación Clinica en Medicina
Monterrey, 64718
Netherlands2 sites
VU Medisch Centrum, Dept. Pulmonology 4A 48
Amsterdam, 1081 HV
St. Antonius ziekenhuis
Nieuwegein, 3435 CM
Romania2 sites
Institutul de boli cardiovasculare / Clinica de Cardiologie
Bucharest, 022328
Institutul de Pneumologie "Marius Nasta" / I. Clinica de Pneumoftiziologie
Bucharest, 050159
Singapore2 sites
National University Hospital/ The Heart Institute
Singapore, 119228
National Heart Centre (Nhc) Singapore
Singapore, 169609
Slovakia2 sites
National Institute of Cardiovascular Diseases (Slovenska zdravotnicka univerzita) / Faculty of Medical Specialty Studies (Fakulta zdravotnickych speci
Bratislava, 833 48
Slovak Medical University (Slovenská zdravotnícka univerzita) / Faculty of Medical Speciality Studies (Fakulta zdravotníckych špecializačných štúdií)
Bratislava, 833 48
Sweden2 sites
University Hospital of Lund, Dept. of Cardiology
Lund, 221 85
Uppsala University Hospital, Cardiology
Uppsala, 751 85
Taiwan2 sites
Taichung Veterans General Hospital
Taichung, 40705
National Taiwan University Hospital/ Thoracic Surgical Division, Surgical Department
Taipei, 100
Austria1 site
Medical University of Vienna/ Department of Internal Medicine II, Division of Cardiology
Vienna, 1090
Hong Kong1 site
Prince of Wales Hospital/ Division of Rheumatology, Department of Medicine & Therapeutics
Hong Kong
Malaysia1 site
Institut Jantung Negara (National Heart Institute)
Kuala Lumpur, 50400
About this study
Official title: Long-term Single-arm Open-label Extension Study of the SERAPHIN Study, to Assess the Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension
The main objective of the AC 055 303/SERAPHIN OL study, which will follow the AC 055 302/SERAPHIN study, will be to assess the long-term safety and tolerability of ACT 064992 in patients with symptomatic PAH.
- Conditions
- Pulmonary Arterial Hypertension
- Being tested
- Macitentan
- Keywords
- SERAPHIN, Pulmonary Arterial Hypertension, ACT-064992
- Medical subject headings
- Pulmonary Arterial Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MacitentanDrug
Also called ACT-064992
Tablet, oral administration, 10 mg dose once daily
| Study group | Role | What they receive |
|---|---|---|
| ACT-064992 | Experimental | ACT-064992 Receives: Drug: Macitentan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) up to 28 Days After Study Treatment Discontinuation
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE are defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline.
Measured: Up to 28 days after study treatment discontinuation (Up to 12 years)
Number of Participants With Death up to 28 Days After Study Treatment Discontinuation
Number of participants with deaths up to 28 days after study treatment discontinuation were reported.
Measured: Up to 28 days after study treatment discontinuation (Up to 12 years)
Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) up to 28 Days After Study Treatment Discontinuation
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE are defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically significant, or requires intervention to prevent at least one of the outcomes listed above.
Measured: Up to 28 days after study treatment discontinuation (Up to 12 years)
Number of Participants With AEs Leading to Permanent Discontinuation of Study Treatment
Number of participants with AEs leading to permanent discontinuation of study treatment were reported. An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Measured: Up to 28 days after study treatment discontinuation (Up to12 years)
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment Discontinuation
Number of participants with treatment-emergent abnormal liver tests: Alanine aminotransferase (ALT) greater than (>) 3*upper limit of normal (ULN) or aspartate aminotransferase (AST) >3* ULN, ALT >5* ULN or AST >5*ULN, ALT >8*ULN or AST >8*ULN, total bilirubin (TBIL) >2*ULN, ALT >3*ULN or AST >3*ULN and TBIL >2*ULN at any time were reported.
Measured: Up to 28 days after study treatment discontinuation (Up to12 years)
Number of Participants With Treatment Emergent Hemoglobin Abnormality up to 28 Days After Study Treatment Discontinuation
Number of participants with treatment-emergent hemoglobin (HGB) abnormality up to 28 days after study treatment discontinuation were reported. Participants assessed for different categories of HGB were <=80 grams/Liter (g/L), <=100g/L, decrease from baseline >=20 g/L, and decrease from baseline >=50 g/L.
Measured: Up to 28 days after treatment discontinuation (Up to 12 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Apr 2008 (estimated)
- Study start17 Oct 2008
- Primary completion7 Dec 2020
- Study completion7 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Arterial HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 550 participants (actual)
Sponsor and investigators
- Lead sponsor
- Actelion
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00667823
- Sponsor's protocol ID
- AC-055-303
- Acronym
- SERAPHIN OL
- Status last verified
- Mar 2025
- First submitted
- 24 Apr 2008
- Last updated
- 30 Mar 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Souza R, Delcroix M, Galie N, Jansa P, Mehta S, Pulido T, Rubin L, Sastry BKS, Simonneau G, Sitbon O, Torbicki A, Boyanova N, Chamitava L, Stein C, Channick RN. Long-Term Safety, Tolerability and Survival in Patients with Pulmonary Arterial Hypertension Treated with Macitentan: Results from the SERAPHIN Open-Label Extension. Adv Ther. 2022 Sep;39(9):4374-4390. doi: 10.1007/s12325-022-02199-x. Epub 2022 Jul 12.
PubMed 35819570Krause A, Zisowsky J, Dingemanse J. Modeling of pharmacokinetics, efficacy, and hemodynamic effects of macitentan in patients with pulmonary arterial hypertension. Pulm Pharmacol Ther. 2018 Apr;49:140-146. doi: 10.1016/j.pupt.2018.02.005. Epub 2018 Feb 28.
PubMed 29501590
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long-term Single-arm Open-label Extension Study of the SERAPHIN Study, to Assess the Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension
- ClinicalTrials.gov ID
- NCT00667823
- Acronym / sponsor ID
- SERAPHIN OL / AC-055-303
- Conditions
- Pulmonary Arterial Hypertension
- Keywords
- SERAPHIN, Pulmonary Arterial Hypertension, ACT-064992
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 550 participants (actual)
- Lead sponsor
- ActelionIndustry (pharma, biotech, devices)
- Study start
- 17 Oct 2008 (actual)
- Primary completion
- 7 Dec 2020 (actual)
- Study completion
- 7 Dec 2020 (actual)
- First posted
- 28 Apr 2008 (estimated)
- Results
- Posted 10 Feb 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of the AC 055 303/SERAPHIN OL study, which will follow the AC 055 302/SERAPHIN study, will be to assess the long-term safety and tolerability of ACT 064992 in patients with symptomatic PAH.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ACT-064992 | Experimental | Drug: MacitentanACT-064992 |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- Signed informed consent prior to initiation of any study-mandated procedure.
- Patients with pulmonary arterial hypertension and having completed the event-driven study, AC 055 302/SERAPHIN, or Patients who have experienced a clinical worsening of PAH in AC 055 302/SERAPHIN and for whom a written approval to roll over into this study has been obtained from the Sponsor.
- Women of childbearing potential must have a negative pre-treatment serum pregnancy test and must use a reliable method of contraception during study treatment and for at least 28 days after study treatment termination.
Key exclusion criteria (5 listed)
- Any major violation of protocol AC 055 302/SERAPHIN.
- Pregnancy or breast-feeding.
- AST and/or ALT > 3 times the upper limit of the normal range.
- Any known factor or disease that might interfere with treatment compliance, study conduct or interpretation of the results, such as drug or alcohol dependence or psychiatric disease.
- Known hypersensitivity to ACT 064992 or any of the excipients.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MacitentanAlso: ACT-064992Tablet, oral administration, 10 mg dose once daily | Drug | ACT-064992 |
Primary outcome
Number of Participants With Treatment Emergent Adverse Events (TEAEs) up to 28 Days After Study Treatment Discontinuation
Time frame: Up to 28 days after study treatment discontinuation (Up to 12 years)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE are defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline.
Number of Participants With Death up to 28 Days After Study Treatment Discontinuation
Time frame: Up to 28 days after study treatment discontinuation (Up to 12 years)
Number of participants with deaths up to 28 days after study treatment discontinuation were reported.
Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) up to 28 Days After Study Treatment Discontinuation
Time frame: Up to 28 days after study treatment discontinuation (Up to 12 years)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE are defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically significant, or requires intervention to prevent at least one of the outcomes listed above.
Number of Participants With AEs Leading to Permanent Discontinuation of Study Treatment
Time frame: Up to 28 days after study treatment discontinuation (Up to12 years)
Number of participants with AEs leading to permanent discontinuation of study treatment were reported. An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment Discontinuation
Time frame: Up to 28 days after study treatment discontinuation (Up to12 years)
Number of participants with treatment-emergent abnormal liver tests: Alanine aminotransferase (ALT) greater than (>) 3*upper limit of normal (ULN) or aspartate aminotransferase (AST) >3* ULN, ALT >5* ULN or AST >5*ULN, ALT >8*ULN or AST >8*ULN, total bilirubin (TBIL) >2*ULN, ALT >3*ULN or AST >3*ULN and TBIL >2*ULN at any time were reported.
Number of Participants With Treatment Emergent Hemoglobin Abnormality up to 28 Days After Study Treatment Discontinuation
Time frame: Up to 28 days after treatment discontinuation (Up to 12 years)
Number of participants with treatment-emergent hemoglobin (HGB) abnormality up to 28 days after study treatment discontinuation were reported. Participants assessed for different categories of HGB were <=80 grams/Liter (g/L), <=100g/L, decrease from baseline >=20 g/L, and decrease from baseline >=50 g/L.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35819570Souza R, Delcroix M, Galie N, Jansa P, Mehta S, Pulido T, Rubin L, Sastry BKS, Simonneau G, Sitbon O, Torbicki A, Boyanova N, Chamitava L, Stein C, Channick RN. Long-Term Safety, Tolerability and Survival in Patients with Pulmonary Arterial Hypertension Treated with Macitentan: Results from the SERAPHIN Open-Label Extension. Adv Ther. 2022 Sep;39(9):4374-4390. doi: 10.1007/s12325-022-02199-x. Epub 2022 Jul 12.
- Derived from this study: PubMed 29501590Krause A, Zisowsky J, Dingemanse J. Modeling of pharmacokinetics, efficacy, and hemodynamic effects of macitentan in patients with pulmonary arterial hypertension. Pulm Pharmacol Ther. 2018 Apr;49:140-146. doi: 10.1016/j.pupt.2018.02.005. Epub 2018 Feb 28.
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Not yet recruitingPhase 2/3
An Open-Label Extension Study to Evaluate Inhaled Treprostinil SMI in Participants With Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease (PH-COPD)
Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease
Not yet recruitingPhase 2
Study of Treprostinil Administered Via Soft Mist Inhaler (SMI) in Participants With Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease (PH-COPD)
Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease
Active, not recruitingPhase 1
A Pilot Study of Microbiota Transplant With Antibiotic Preconditioning and Fiber Supplementation in Pulmonary Arterial Hypertension (GUT RESTORE-PAH)
Pulmonary Arterial Hypertension
RecruitingObservational study
Natural History Study of Biomarkers in Pulmonary Arterial Hypertension
Pulmonary Disease, Pulmonary Hypertension
Active, not recruitingPhase 1
Study of Intravenous ZMA001 in Healthy Subjects
Pulmonary Arterial Hypertension PAH
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
158 sites in 36 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Macitentan in people with Pulmonary Arterial Hypertension, run by Actelion at 158 sites in 36 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 158 sites in United States, Germany, Russia, Argentina, China and 31 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Feb 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Treatment Emergent Adverse Events (TEAEs) up to 28 Days After Study Treatment Discontinuation (time frame: Up to 28 days after study treatment discontinuation (Up to 12 years)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00667823, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Mar 2025.