Chronic Thromboembolic Pulmonary HypertensionPhase 3SELECTNCT03689244
A Study to Find Out if Selexipag is Effective and Safe in Patients With Chronic Thromboembolic Pulmonary Hypertension When the Disease is Inoperable or Persistent/Recurrent After Surgery and/or Interventional Treatment
A Phase 3 study testing Selexipag in people with Chronic Thromboembolic Pulmonary Hypertension, run by Actelion at 162 sites in 31 countries.
Trial summary
Selexipag is available in many countries for the treatment of pulmonary arterial hypertension (PAH). Due to the similarities between PAH and chronic thromboembolic pulmonary hypertension (CTEPH) and the observed efficacy of other PAH medicines in CTEPH, it is believed that selexipag could benefit to patients with… Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Chronic Thromboembolic Pulmonary Hypertension
- What is being tested?
- Selexipag
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 128 participants
- Where
- 162 sitesin 31 countries
- Study dates
- 23 Jan 2019to 7 Jun 2022
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Main Inclusion Criteria:
- Signed and dated informed consent form
- Male and female participants from greater than or equal to (>) 18 (or the legal age of consent in the jurisdiction in which the study is taking place) and less then or equal to (<=85) years old at Screening (Visit 1)
- With established diagnosis of inoperable CTEPH (i.e., technically non-operable) or persistent/recurrent CTEPH after pulmonary endarterectomy (PEA) and/or balloon pulmonary angioplasty (BPA), as confirmed by the corresponding adjudication committee
- With pulmonary hypertension (PH) in WHO FC I-IV.
- Participant able to perform the 6-minute walk test (6MWT) with a minimum distance of 100 m and a maximum distance of 450 m at screening visit.
- Women of childbearing potential must have a negative pregnancy test at screening and randomization and must agree to undertake monthly urine pregnancy tests, and to use a reliable method of birth control from screening visit up to at least 30 days after study treatment discontinuation. If a hormonal contraceptive is chosen it must be taken for at least 1 month prior to randomization.
Main Exclusion Criteria:
- Planned or current treatment with another investigational treatment up to 3 months prior to randomization.
- 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 concomitant life-threatening disease with a life expectancy < 12 months.
- Planned balloon pulmonary angioplasty within 26 weeks after randomization.
- Change in dose or initiation of new PH-specific therapy within 90 days prior to the baseline RHC (and LHC, if needed) qualifying for enrollment for the hemodynamic cohort and within 90 days prior to randomization (Visit 2) for the non-hemodynamic cohort
- Treatment with prostacyclin (epoprostenol), prostacyclin analogs (i.e., treprostinil, iloprost, beraprost) or prostacyclin receptor agonists (i.e., selexipag) within 90 days prior to randomization (visit 2) except those given at vasodilator testing during RHC
- Change in dose or initiation of new diuretics and/or calcium channel blockers within 1 week prior to baseline RHC (and LHC, if needed)
- Any co-morbid condition that may influence the ability to perform a reliable and reproducible 6MWT, including use of walking aids (cane, walker, etc).
- Any other criteria as per selexipag Summary of Product Characteristics (SmPC).
- Exclusion criteria related to comorbidities: severe coronary heart disease or unstable angina as assessed by the investigator; mocardial infarction within the last 6 months prior to or during Screening; decompensated cardiac failure if not under close supervision; severe arrhythmias as assessed by the investigator; cerebrovascular events (example transient ischemic attack, stroke) within the last 3 months prior to or during screening; congenital or acquired valvular defects with clinically relevant myocardial function disorders not related to pulmonary hypertension. (PH); known or suspicion of pulmonary veno-occlusive disease
Trial locations and contacts
162 sites in 31 countries.
162 sites in 31 countries
United States32 sites
University of New Mexico Clinical & Translational Science Center
Albuquerque, New Mexico, 87131
University of Michigan
Ann Arbor, Michigan, 48109
Piedmont Healthcare
Atlanta, Georgia, 30309
Emory University
Atlanta, Georgia, 30322
University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045
University of Maryland
Baltimore, Maryland, 21201
Northwestern University Feinberg School of Medicine
Chicago, Illinois, 60611
University of Chicago Hospitals - Chicago
Chicago, Illinois, 60637
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267
Cleveland Clinic
Cleveland, Ohio, 44195
Colorado Springs Pulmonary Consultants
Colorado Springs, Colorado, 80907
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Duke University Medical Center
Durham, North Carolina, 27710
Houston Methodist Hospital
Houston, Texas, 77030
Mayo Clinic in Florida
Jacksonville, Florida, 32259
University of California San Diego Medical Center
La Jolla, California, 92037
Sparrow Clinical Research Institute
Lansing, Michigan, 48912
South Denver Cardiology Associates PC
Littleton, Colorado, 80120
University of Southern California, Keck School of Medicine
Los Angeles, California, 90033
Medical College of Wisconsin Froedtert Hospital
Milwaukee, Wisconsin, 53211
Aurora Saint Lukes Medical Center
Milwaukee, Wisconsin, 53215
Intermountain Medical Center
Murray, Utah, 84175
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Temple University Hospital
Philadelphia, Pennsylvania, 19140-5103
Allegheny
Pittsburgh, Pennsylvania, 15212
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Baylor Scott & White Research Institute at The Heart Hospital Baylor Plano
Plano, Texas, 75093
St. Mary's Cardiology
Reno, Nevada, 89503
Mayo Clinic
Rochester, Minnesota, 55905
University of Utah Cardiovascular Center
Salt Lake City, Utah, 84132
Washington University in St. Louis
St Louis, Missouri, 63110
Brazil11 sites
Universidade Federal De Minas Gerais - Hospital das Clínicas
Belo Horizonte, 30130-100
Instituto das Pequenas Missionárias de Maria Imaculada - Hospital Madre Teresa
Belo Horizonte, 30441-070
Fundacao para o Desenvolvimento Medico Hospitalar (UNESP Botucatu)
Botucatu, 18618-686
Secretaria da Saude do Estado do Ceara - Hospital Doutor Carlos Alberto Studart Gomes
Fortaleza, 60840-285
Universidade Federal de Goias - Hospital das Clinicas da UFG
Goiânia, 74605-020
Irmandade Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90020-090
Hospital das Clinicas de Porto Alegre
Porto Alegre, 90035-003
Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
Porto Alegre, 90610-000
Fundacao do ABC - Centro Universitario FMABC
Santo André, 09060-870
SPDM - Associacao Paulista para o Desenvolvimento da Medicina - Hospital Sao Paulo
São Paulo, 04037-003
Hospital Das Clinicas Da Faculdade De Medicina Da USP
São Paulo, 05403-000
Germany9 sites
Universitätsklinikum Carl Gustav Carus Medizinische Klinik und Poliklinik 1-Pneumologie
Dresden, 01307
Universitätsklinikum Giessen Medizinische Klinik Und Poliklinik Ii, Pneumologie
Giessen, 35392
Universität Greifswald - Klinik Für Innere Medizin Bereich Pneumologie/Infektiologie
Greifswald, 17475
Universitätsklinikum Hamburg-Eppendorf - Pneumologie
Hamburg, 20246
Medizinische Hochschule Hannover Zentrum Innere Medizin Klinik für Pneumologie
Hanover, 30625
Thoraxklinik am Universitatsklinikum Heidelberg
Heidelberg, 69126
Universitätskliniken des Saarlandes / Medizinische Klinik und Poliklinik, Innere Medizin V
Homburg/Saar, 66421
Universitätsklinikum Leipzig Medizinischen Klinik und Poliklinik I, Abteilung für Pneumologie
Leipzig, 04103
Klinikum Würzburg Mitte gGmbH Standort Missioklinik
Würzburg, 97074
Poland8 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952
Krakowski Szpital Specjalistyczny im Jana Pawla II
Krakow, 31-202
Wojewodzki Szpital Specjalistyczny im. Stefana Kardynala Wyszynskiego SPZOZ
Lublin, 20-718
NZOZ Europejskie Centrum Zdrowia Otwock
Otwock, 05-400
Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu
Poznan, 61-848
Samodzielny Publiczny Szpital Kliniczny nr 2 PUM
Szczecin, 70-111
Warszawski Uniwersytet Medyczny, Szpital Kliniczny Dzieciątka Jezus
Warsaw, 02-005
Wojewodzki Szpital Specjalist, Osrodek Badawczo-Rozwojowy
Wroclaw, 51-124
Argentina7 sites
Sanatorio de la Trinidad Mitre
Buenos Aires, C1039AAO
Centro Médico Dra. De Salvo
Buenos Aires, C1426ABP
Hospital Italiano de Buenos Aires
Caba, 1199ABB
Sanatorio Ramon Cereijo
Caba, C1048AAN
Instituto de Cardiología y Cirugía Cardiovascular - Fundación Favaloro
Caba, C1093AAS
Hospital General de Agudos Dr Cosme Argerich
CABA, C1155AHD
Hospital Britanico de Buenos Aires
CABA, C1280AEB
Russia7 sites
Irkutsk Regional Clinical Hospital
Irkutsk, 664049
Cardiovascular Pathology Research Institute of Siberian Branch of RAMS
Kemerovo, 650002
Moscow City Clinical Hospital #1 n.a. N.I.Pirogov
Moscow, 119049
Moscow City Clinical Hospital No.51
Moscow, 121309
National Medical Research Center of Cardiology of MoH of Russian Federation
Moscow, 121552
E.Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation
Novosibirsk, 630055
National medical Research Center n.a. V.A.Almazov of MoH of Russian Federation
Saint Petersburg, 197341
Turkey (Türkiye)7 sites
Hacettepe University Medical Faculty
Ankara, 6100
Ankara University Medical Faculty
Ankara, 6500
Istanbul University Istanbul Medical Faculty
Istanbul, 34093
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34096
Marmara University Medical Faculty
Istanbul, 34899
Ege University Medical Faculty
Izmir, 35100
Kartal Kosuyolu Yuksek Ihtisas Egitim Ve Arastirma Hastanesi
Kartal Istanbul, 34865
Australia6 sites
Royal Adelaide Hospital
Adelaide, 5000
Queensland Lung Transplant Service
Chermside, 4032
St Vincent's hospital
Darlinghurst, 2010
Pulmonary Arterial Hypertension Clinic
Hobart, 7000
The Alfred Hospital
Melbourne, 3004
Westmead Hospital
Westmead, 2145
China6 sites
Chinese Academy of Medical Sciences(CAMS) & Peking Union Medical College(PUMC)
Beijing, 100730
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, 510120
The General Hospital of Northern Theater Command
Shenyang, 110000
Shengjing Hospital Of China Medical University
Shenyang, 110022
Shanxi Cardiovascular Hospital
Taiyuan, 030001
Tianjin Medical University General Hospital
Tianjin, 300052
Spain6 sites
Hosp Clinic de Barcelona
Barcelona, 08036
Hosp. Univ. Vall D Hebron
Barcelona, 8035
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hosp. Univ. Marques de Valdecilla
Santander, 39011
Hosp. Virgen Del Rocio
Seville, 41013
Hosp. Univ. I Politecni La Fe
Valencia, 46026
United Kingdom6 sites
Papworth Hospital NHS Trust
Cambridge, CB2 0AY
National Waiting Times Centre Board Golden Jubilee National Hospital
Glasgow, G81 4DY
Royal Free Hospital
London, NW3 2QG
Royal Brompton Hospital
London, SW3 6NP
Hammersmith Hospital
London, W12 0HS
Sheffield Teaching Hospitals NHS Foundation Trust Royal Hallamshire Hospital
Sheffield, S10 2RX
Canada5 sites
University Of Calgary - Peter Lougheed Centre
Calgary, Alberta, T1Y 6J4
London Health Sciences Centre - Victoria Hospital
London, Ontario, N6A 5W9
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Institut Universitaire De Cardiologie Et De Pneumologie De Québec
Québec, Quebec, G1V 4G5
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
Hungary5 sites
Semmelweis Egyetem,Pulmonológiai Klinika
Budapest, 1083
Gottsegen György Országos Kardiológiai Intézet, Felnőtt kardiológiai osztály
Budapest, 1096
Debreceni Egyetem Orvos es Egeszsegtudomanyi Centrum
Debrecen, 4032
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7624
Szegedi Tudományegyetem, Általános Orvostudományi Kar, Családorvosi Intézet és rendelő
Szeged, 6720
South Korea5 sites
Pusan National University Hospital
Busan, 49241
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Seoul National University Hospital
Seoul, 3080
Italy4 sites
Azienda Ospedaliera Policlinico S. Orsola-Malpighi
Bologna, 40138
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
Policlinico Umberto I
Roma, 00161
Ospedale di Cattinara - Struttura complessa di Pneumologia
Trieste, 34149
Portugal4 sites
Hospital Garcia de Orta
Almada, 2801-951
Hospitais da universidade de Coimbra
Coimbra, 3000-075
Centro Hospitalar de Lisboa Norte
Lisbon, 1649-028
Hospital Geral de Santo Antonio
Porto, 4099-001
Taiwan4 sites
Kaohsiung Veterans General Hospital
Kaohsiung City, 813
China Medical University Hospital
Taichung, 40447
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Ukraine4 sites
CE 'Dnipropetrovsk Regional Clinical Center of Cardiology and Cardiosurgery'
Dnipro, 49059
SI National Scientific Center Institute of Cardiology of M.D. Strazhesko of NAMS of Ukraine
Kyiv, 02000
SI 'National Institute of Phtisiology and Pulmonology n.a. F.G. Yanovsky of NAMS of Ukraine'
Kyiv, 03038
Lviv Regional Clinical Hospital
Lviv, 79000
Bulgaria3 sites
UMHAT 'Heart and Brain Center for Excellence'
Pleven, 5800
National Cardiology Hospital
Sofia, 1392
University Multiprofile Hospital for Active Treatment- UMHAT Sveta Anna AD
Sofia, 1750
Malaysia3 sites
Hospital Pulau Pinang
George Town, 10990
Hospital Serdang
Kajang, 43000
Institut Jantung Negara (National Heart Institute)
Kuala Lumpur, 50400
Mexico3 sites
CICUM San Miguel
Guadalajara, 44160
Instituto Nacional de Cardiologia Dr. Ignacio Chavez
Mexico City, 14000
Unidad de Investigacion Clinica en Medicina S.C. (UDICEM)
Monterrey, 64718
Austria2 sites
Ordensklinikum Linz GmbH Elisabethinen
Linz, 4020
Medical University Vienna
Vienna, 1090
Denmark2 sites
Århus Universitetshospital, Skejby, Hjertemedicinsk Afdeling B
Aarhus, 8200
Rigshospitalet Kardiologisk Klinisk
Copenhagen, 2100
Israel2 sites
Rabin Medical Center Beilinson Campus
Petah Tikva, 4941492
The Chaim Sheba Medical Center
Tel HaShomer, 5265601
Netherlands2 sites
VUMC Amsterdam
Amsterdam, 1081 HV
St. Antonius Ziekenhuis Nieuwegein
Nieuwegein, 3435 CM
Sweden2 sites
Norrlands Universitetssjukhus
Umeå, 901 85
Uppsala Akademiska Sjukhuset, Kardiologkliniken
Uppsala, 751 85
Thailand2 sites
Ramathibodi Hospital Mahidol University
Bangkok, 10400
Srinagarind Hospital, Khon Kaen University
Khon Kaen, 40002
Czechia1 site
General University Hospital II.department of Internal Medicine-cardiology and angiology
Prague, 128 08
About this study
Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Group-sequential, Adaptive, Phase 3 Study With Open-label Extension Period to Assess the Efficacy and Safety of Selexipag as an add-on to Standard of Care Therapy in Subjects With Inoperable or Persistent/Recurrent After Surgical and/or Interventional Treatment Chronic Thromboembolic Pulmonary Hypertension
Selexipag is available in many countries for the treatment of pulmonary arterial hypertension (PAH). Due to the similarities between PAH and chronic thromboembolic pulmonary hypertension (CTEPH) and the observed efficacy of other PAH medicines in CTEPH, it is believed that selexipag could benefit to patients with CTEPH. This study aims to assess the efficacy and safety of selexipag in participants with inoperable or persistent/recurrent CTEPH.
Read the detailed description
Participants will be recruited in two sequential cohorts: approximately the first 90 randomized participants will undergo a right heart catheterization (RHC) (and left heart catheterization LHC, if needed) with measurement of pulmonary vascular resistance (PVR) at Week 20 and will constitute the hemodynamic cohort; the remaining participants will constitute the non-hemodynamic cohort; who do not require a post-baseline hemodynamic assessment. They will undergo the same overall study assessments as the hemodynamic cohort excepted for RHC at Week 20.
- Being tested
- Selexipag, Placebo
- Keywords
- CTEPH, selexipag
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SelexipagDrug
Also called ACT-293987, JNJ-67896049
oral tablets containing 200 µg of selexipag. Depending on the iMTD, participants will receive 1 to 8 tablets at each administration
PlaceboDrug
Oral tablets without active compound
| Study group | Role | What they receive |
|---|---|---|
| Selexipag DB | Experimental | During the double blind treatment period, participants in this group will receive selexipag. Each participant will start with one oral tablet of selexipag 200 µg in the evening of Day 1 and will continue with 200 µg twice daily (b.i.d.) on Day 2. If this dose is well-tolerated, selexipag is up-titrated with weekly increments of 200 µg until reaching the individual maximal tolerated dose (iMTD) in the range of 200 to 1600 µg b.i.d. The up-titration period up to Week 12 is followed by a stable maintenance treatment period from Week 12 to Week 26, at the iMTD. After Week 26, further up-titration can be allowed (but not above 1600 µg b.i.d.). Receives: Drug: Selexipag |
| Placebo DB | Placebo comparator | During the double-blind treatment period, participants in this group will receive the oral matching placebo, twice daily. A (mock) up-titration scheme will be followed. Receives: Drug: Placebo |
| Selexipag OL | Experimental | All participants who completed the double-blind treatment period, whether they received placebo or selexipag during the double-blind period, will receive selexipag during the open-label extension period, using the same up-titration schedule as in the double-blind period. Receives: Drug: Selexipag |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Pulmonary Vascular Resistance (PVR) at Week 20
Change from baseline in PVR at Week 20 was reported. PVR was measured by accessing the vessel either from right heart catheterization or left heart catheterization, if required. Change from baseline in PVR was measured as percent ratio of post treatment value (Week 20) to pre-treatment value (baseline).
Measured: Baseline (Day 1, pre-dose), within 2 to 5 hours post-dose on Week 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2018
- Study start23 Jan 2019
- Primary completion7 Jun 2022
- Study completion7 Jun 2022
Why it stopped: The study did not demonstrate efficacy on the primary endpoint, PVR vs. placebo at wk 20 at a planned interim analysis.
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 Chronic Thromboembolic Pulmonary 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
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 128 participants (actual)
Sponsor and investigators
- Lead sponsor
- Actelion
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Julian Borissoff, MD, PhD, Study director, Actelion
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03689244
- Sponsor's protocol ID
- AC-065B302
- Other IDs
- 2018-002823-41, 2018
- Acronym
- SELECT
- Status last verified
- Jun 2024
- First submitted
- 27 Sep 2018
- Last updated
- 21 Jun 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Actelion is a Janssen pharmaceutical company of Johnson \& Johnson. The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials\\transparency. As noted on this site, requests for access to the study data can be submitted through Yale open Access (YODA) Project site at yoda.yale.edu
Publications
Kim NH, Channick R, Delcroix M, Madani M, Pepke-Zaba J, Borissoff JI, Easton V, Gesang S, Richard D, Ghofrani HA. Efficacy and safety of selexipag in patients with inoperable or persistent/recurrent CTEPH (SELECT randomised trial). Eur Respir J. 2024 Oct 3;64(4):2400193. doi: 10.1183/13993003.00193-2024. Print 2024 Oct.
PubMed 39326918
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Group-sequential, Adaptive, Phase 3 Study With Open-label Extension Period to Assess the Efficacy and Safety of Selexipag as an add-on to Standard of Care Therapy in Subjects With Inoperable or Persistent/Recurrent After Surgical and/or Interventional Treatment Chronic Thromboembolic Pulmonary Hypertension
- ClinicalTrials.gov ID
- NCT03689244
- Acronym / sponsor ID
- SELECT / AC-065B302
- Keywords
- CTEPH, selexipag
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study did not demonstrate efficacy on the primary endpoint, PVR vs. placebo at wk 20 at a planned interim analysis.
- Enrolment
- 128 participants (actual)
- Lead sponsor
- ActelionIndustry (pharma, biotech, devices)
- Study start
- 23 Jan 2019 (actual)
- Primary completion
- 7 Jun 2022 (actual)
- Study completion
- 7 Jun 2022 (actual)
- First posted
- 28 Sep 2018 (actual)
- Results
- Posted 9 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Selexipag is available in many countries for the treatment of pulmonary arterial hypertension (PAH). Due to the similarities between PAH and chronic thromboembolic pulmonary hypertension (CTEPH) and the observed efficacy of other PAH medicines in CTEPH, it is believed that selexipag could benefit to patients with CTEPH. This study aims to assess the efficacy and safety of selexipag in participants with inoperable or persistent/recurrent CTEPH.
Detailed description
Participants will be recruited in two sequential cohorts: approximately the first 90 randomized participants will undergo a right heart catheterization (RHC) (and left heart catheterization LHC, if needed) with measurement of pulmonary vascular resistance (PVR) at Week 20 and will constitute the hemodynamic cohort; the remaining participants will constitute the non-hemodynamic cohort; who do not require a post-baseline hemodynamic assessment. They will undergo the same overall study assessments as the hemodynamic cohort excepted for RHC at Week 20.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Selexipag DB | Experimental | Drug: SelexipagDuring the double blind treatment period, participants in this group will receive selexipag. Each participant will start with one oral tablet of selexipag 200 µg in the evening of Day 1 and will continue with 200 µg twice daily (b.i.d.) on Day 2. If this dose is well-tolerated, selexipag is up-titrated with weekly increments of 200 µg until reaching the individual maximal tolerated dose (iMTD) in the range of 200 to 1600 µg b.i.d. The up-titration period up to Week 12 is followed by a stable maintenance treatment period from Week 12 to Week 26, at the iMTD. After Week 26, further up-titration can be allowed (but not above 1600 µg b.i.d.). |
| Placebo DB | Placebo comparator | Drug: PlaceboDuring the double-blind treatment period, participants in this group will receive the oral matching placebo, twice daily. A (mock) up-titration scheme will be followed. |
| Selexipag OL | Experimental | Drug: SelexipagAll participants who completed the double-blind treatment period, whether they received placebo or selexipag during the double-blind period, will receive selexipag during the open-label extension period, using the same up-titration schedule as in the double-blind period. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| SelexipagAlso: ACT-293987, JNJ-67896049oral tablets containing 200 µg of selexipag. Depending on the iMTD, participants will receive 1 to 8 tablets at each administration | Drug | Selexipag DB, Selexipag OL |
| PlaceboOral tablets without active compound | Drug | Placebo DB |
Primary outcome
Change From Baseline in Pulmonary Vascular Resistance (PVR) at Week 20
Time frame: Baseline (Day 1, pre-dose), within 2 to 5 hours post-dose on Week 20
Change from baseline in PVR at Week 20 was reported. PVR was measured by accessing the vessel either from right heart catheterization or left heart catheterization, if required. Change from baseline in PVR was measured as percent ratio of post treatment value (Week 20) to pre-treatment value (baseline).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39326918Kim NH, Channick R, Delcroix M, Madani M, Pepke-Zaba J, Borissoff JI, Easton V, Gesang S, Richard D, Ghofrani HA. Efficacy and safety of selexipag in patients with inoperable or persistent/recurrent CTEPH (SELECT randomised trial). Eur Respir J. 2024 Oct 3;64(4):2400193. doi: 10.1183/13993003.00193-2024. Print 2024 Oct.
- Individual participant dataSharing planned: Yes. Actelion is a Janssen pharmaceutical company of Johnson \& Johnson. The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials\transparency. As noted on this site, requests for access to the study data can be submitted through Yale open Access (YODA) Project site at yoda.yale.edu
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Recruiting
The Effect of Levosimendan on Pulmonary Artery Pressure and Right Ventricular Function in the Perioperative Period in Patients With CTEPH After Pulmonary Thromboendarterectomy
LEVOSIMENDAN, PULMONARY THROMBOENDARTERECTOMY
Not yet recruiting
Home-based Inspiratory Muscle Training in Pulmonary Hypertension
Pulmonary Arterial Hypertension, Chronic Thromboembolic Pulmonary Hypertension
RecruitingObservational study
Early Detection of CTEPH in Patients After APE
Chronic Pulmonary Thromboembolism
RecruitingPhase 3
A Study Providing Treatment Access in Participants With Pulmonary Hypertension Completing a Parent Study and Having no Other Option
Hypertension, Pulmonary
Recruiting
Vasopressor Agents in Pulmonary Hypertension Crisis
Pulmonary Arterial Hypertension (PAH), Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
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.
Julian Borissoff, MD, PhD study director
Actelion
162 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Selexipag in people with Chronic Thromboembolic Pulmonary Hypertension, run by Actelion at 162 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: stopped early, as of the sponsor's last update on 21 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 162 sites in United States, Brazil, Germany, Poland, Argentina and 26 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. Some participants in this study may receive a placebo. 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 9 Aug 2023). 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?
Change From Baseline in Pulmonary Vascular Resistance (PVR) at Week 20 (time frame: Baseline (Day 1, pre-dose), within 2 to 5 hours post-dose on Week 20). 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 NCT03689244, 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 21 Jun 2024; AzTrials last refreshed its copy on 6 Nov 2026.