Pulmonary Arterial HypertensionPhase 3NCT01112306
ACT-293987 in Pulmonary Arterial Hypertension
A Phase 3 study testing ACT-293987 in people with Pulmonary Arterial Hypertension, run by Actelion at 157 sites in 38 countries.
Trial summary
Long-term, single-arm, multicenter, open-label extension, Phase 3 study, to evaluate the safety and tolerability of ACT-293987 in patients with PAH who participated in the double-blind study AC-065A302 (GRIPHON) Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pulmonary Arterial Hypertension
- What is being tested?
- ACT-293987
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 709 participants
- Where
- 157 sitesin 38 countries
- Study dates
- 7 Jul 2010to 26 Aug 2021
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who participated to the double-blind study AC-065A302 and either had a morbidity event or had completed the study as scheduled per protocol.
- Signed informed consent.
Who cannot join
- Patients who have started receiving prostacyclin (epoprostenol) or prostacyclin analogs (i.e., treprostinil, iloprost, beraprost) since the last study drug intake in AC-065A302/GRIPHON.
- Severe hepatic impairment (Child-Pugh C).
- Females who are pregnant or who plan to become pregnant during the study, or are breastfeeding.
- 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.
Trial locations and contacts
157 sites in 38 countries.
157 sites in 38 countries
United States45 sites
Study site
Ann Arbor, Michigan
Study site
Atlanta, Georgia
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Augusta, Georgia
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Austell, Georgia
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Baltimore, Maryland
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Bend, Oregon
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Boston, Massachusetts
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Carmel, Indiana
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Chesterfield, Missouri
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Cincinnati, Ohio
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Cleveland, Ohio
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Columbus, Ohio
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Dallas, Texas
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Detroit, Michigan
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Doylestown, Pennsylvania
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Durham, North Carolina
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Houston, Texas
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Iowa City, Iowa
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Islandia, New York
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Kansas City, Kansas
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La Jolla, California
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Los Angeles, California
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Louisville, Kentucky
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Madison, Wisconsin
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Milwaukee, Wisconsin
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Mobile, Alabama
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Nashville, Tennessee
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New Orleans, Louisiana
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New York, New York
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Newark, Delaware
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Newark, New Jersey
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Norfolk, Virginia
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Philadelphia, Pennsylvania
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Phoenix, Arizona
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Portland, Oregon
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Richmond, Virginia
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Rochester, Minnesota
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Sacramento, California
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St Louis, Missouri
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The Bronx, New York
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Torrance, California
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Troy, Michigan
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Tucson, Arizona
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Winston-Salem, North Carolina
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York, Pennsylvania
Australia10 sites
Study site
Adelaide
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Bedford Park
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Chermside
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Concord
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Darlinghurst
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Fitzroy
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Hobart
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Murdoch
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New Lambton
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Parkville
Germany10 sites
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Berlin
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Cologne
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Dresden
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Giessen
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Greifswald
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Hanover
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Heidelberg
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Leipzig
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Löwenstein
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Regensburg
Canada8 sites
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Edmonton, Alberta
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Montreal, Quebec
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Ottawa, Ontario
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Québec, Quebec
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Saskatoon, Saskatchewan
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Toronto, Ontario
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Vancouver, British Columbia
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Winnipeg, Manitoba
Russia7 sites
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Barnaul
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Kemerovo
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Moscow
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Novosibirsk
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Saint Petersburg
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Tomsk
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Yekaterinburg
Israel6 sites
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Haifa
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Jerusalem
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Petah Tikva
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Rehovot
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Tel Aviv
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Tel HaShomer
France4 sites
Study site
Bron
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Le Kremlin-Bicêtre
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Lille
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Toulouse
Hungary4 sites
Study site
Budapest
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Debrecen
Study site
Pécs
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Szeged
Poland4 sites
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Gdansk
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Krakow
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Lodz
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Otwock
Sweden4 sites
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Gothenburg
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Linköping
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Umeå
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Uppsala
Switzerland4 sites
Study site
Basel
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Bern
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Geneva
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Lausanne
Ukraine4 sites
Study site
Dnipro
Study site
Kharkiv
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Kyiv
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Lviv
Argentina3 sites
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Buenos Aires
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Córdoba
Study site
Corrientes
Greece3 sites
Study site
Alexandroupoli
Study site
Athens
Study site
Thessaloniki
Netherlands3 sites
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Amsterdam
Study site
Maastricht
Study site
Rotterdam
Turkey (Türkiye)3 sites
Study site
Adana
Study site
Istanbul
Study site
Izmir
About this study
Official title: Long-term Single-arm Open-label Study, to Assess the Safety and Tolerability of ACT-293987 in Patients With Pulmonary Arterial Hypertension
Long-term, single-arm, multicenter, open-label extension, Phase 3 study, to evaluate the safety and tolerability of ACT-293987 in patients with PAH who participated in the double-blind study AC-065A302 (GRIPHON)
- Conditions
- Pulmonary Arterial Hypertension
- Being tested
- ACT-293987
- Keywords
- Open-label, PAH, Pulmonary Arterial Hypertension
- 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.
ACT-293987Drug
Tablets, twice daily
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | ACT-293987, twice daily Receives: Drug: ACT-293987 |
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 3 Days After Study Intervention Discontinuation
An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. A TEAE is any AE temporally associated with the use of study drug (from study drug initiation until 3 days after study drug discontinuation), whether or not considered related to the study drug.
Measured: Up to 3 days after study drug discontinuation (Up to 10.5 years)
Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) up to 3 Days After Study Intervention Discontinuation
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Those SAEs occurring during study drug administration, that is, between study drug initiation and three days after study drug discontinuation, are defined as treatment-emergent SAEs.
Measured: Up to 3 days after study drug discontinuation (Up to 10.5 years)
Number of Participants With TEAEs Leading to Permanent Discontinuation of Study Intervention
An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. A TEAE is any AE temporally associated with the use of study drug (from study drug initiation until 3 days after study drug discontinuation), whether or not considered related to the study drug.
Measured: Up to 10.5 years
Secondary outcomes (1)
Percentage of Alive Participants
Percentage of alive participants were analyzed using Kaplan-Meier (KM) estimates.
Measured: Baseline (Day 1), Months 3, 6, 9, 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Apr 2010 (estimated)
- Study start7 Jul 2010
- Primary completion26 Aug 2021
- Study completion26 Aug 2021
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 (1)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
- 709 participants (actual)
Sponsor and investigators
- Lead sponsor
- Actelion
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Aline Frey, Study director, Actelion
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01112306
- Sponsor's protocol ID
- AC-065A303
- Other IDs
- 2009-014992-31, 2009
- Status last verified
- Mar 2025
- First submitted
- 8 Apr 2010
- Last updated
- 30 Mar 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Galie N, Gaine S, Channick R, Coghlan JG, Hoeper MM, Lang IM, McLaughlin VV, Lassen C, Rubin LJ, Hsu Schmitz SF, Sitbon O, Tapson VF, Chin KM. Long-Term Survival, Safety and Tolerability with Selexipag in Patients with Pulmonary Arterial Hypertension: Results from GRIPHON and its Open-Label Extension. Adv Ther. 2022 Jan;39(1):796-810. doi: 10.1007/s12325-021-01898-1. Epub 2021 Oct 30.
PubMed 34727317
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 Study, to Assess the Safety and Tolerability of ACT-293987 in Patients With Pulmonary Arterial Hypertension
- ClinicalTrials.gov ID
- NCT01112306
- Acronym / sponsor ID
- AC-065A303
- Conditions
- Pulmonary Arterial Hypertension
- Keywords
- Open-label, PAH, Pulmonary Arterial Hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 709 participants (actual)
- Lead sponsor
- ActelionIndustry (pharma, biotech, devices)
- Study start
- 7 Jul 2010 (actual)
- Primary completion
- 26 Aug 2021 (actual)
- Study completion
- 26 Aug 2021 (actual)
- First posted
- 28 Apr 2010 (estimated)
- Results
- Posted 19 Sep 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Long-term, single-arm, multicenter, open-label extension, Phase 3 study, to evaluate the safety and tolerability of ACT-293987 in patients with PAH who participated in the double-blind study AC-065A302 (GRIPHON)
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: ACT-293987ACT-293987, twice daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patients who participated to the double-blind study AC-065A302 and either had a morbidity event or had completed the study as scheduled per protocol.
- Signed informed consent.
Key exclusion criteria (4 listed)
- Patients who have started receiving prostacyclin (epoprostenol) or prostacyclin analogs (i.e., treprostinil, iloprost, beraprost) since the last study drug intake in AC-065A302/GRIPHON.
- Severe hepatic impairment (Child-Pugh C).
- Females who are pregnant or who plan to become pregnant during the study, or are breastfeeding.
- 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.
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 |
|---|---|---|
| ACT-293987Tablets, twice daily | Drug | 1 |
Primary outcome
Number of Participants With Treatment-emergent Adverse Events (TEAEs) up to 3 Days After Study Intervention Discontinuation
Time frame: Up to 3 days after study drug discontinuation (Up to 10.5 years)
An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. A TEAE is any AE temporally associated with the use of study drug (from study drug initiation until 3 days after study drug discontinuation), whether or not considered related to the study drug.
Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) up to 3 Days After Study Intervention Discontinuation
Time frame: Up to 3 days after study drug discontinuation (Up to 10.5 years)
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Those SAEs occurring during study drug administration, that is, between study drug initiation and three days after study drug discontinuation, are defined as treatment-emergent SAEs.
Number of Participants With TEAEs Leading to Permanent Discontinuation of Study Intervention
Time frame: Up to 10.5 years
An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. A TEAE is any AE temporally associated with the use of study drug (from study drug initiation until 3 days after study drug discontinuation), whether or not considered related to the study drug.
1 secondary outcome
Percentage of Alive Participants
Time frame: Baseline (Day 1), Months 3, 6, 9, 12, 24, 36, 48, 60, 72, 84, 96, 108, and 120
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 34727317Galie N, Gaine S, Channick R, Coghlan JG, Hoeper MM, Lang IM, McLaughlin VV, Lassen C, Rubin LJ, Hsu Schmitz SF, Sitbon O, Tapson VF, Chin KM. Long-Term Survival, Safety and Tolerability with Selexipag in Patients with Pulmonary Arterial Hypertension: Results from GRIPHON and its Open-Label Extension. Adv Ther. 2022 Jan;39(1):796-810. doi: 10.1007/s12325-021-01898-1. Epub 2021 Oct 30.
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Study of Treprostinil Administered Via Soft Mist Inhaler (SMI) in Participants With Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease (PH-COPD)
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Active, not recruitingPhase 1
A Pilot Study of Microbiota Transplant With Antibiotic Preconditioning and Fiber Supplementation in Pulmonary Arterial Hypertension (GUT RESTORE-PAH)
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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.
Aline Frey study director
Actelion
157 sites in 38 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ACT-293987 in people with Pulmonary Arterial Hypertension, run by Actelion at 157 sites in 38 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 2 inclusion and 4 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 157 sites in United States, Australia, Germany, Canada, Russia and 33 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 19 Sep 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 3 Days After Study Intervention Discontinuation (time frame: Up to 3 days after study drug discontinuation (Up to 10.5 years)). The study lists 3 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 NCT01112306, which also lists 1 linked publication.
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.