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Hypertension, PulmonaryPhase 3PLATYPUSNCT05179876

A Study Providing Treatment Access in Participants With Pulmonary Hypertension Completing a Parent Study and Having no Other Option

A Phase 3 study testing Macitentan, Selexipag and Macitentan/Tadalafil FDC in people with Hypertension, Pulmonary, run by Actelion at 45 sites in 13 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of the study is to enable participants with pulmonary hypertension (PH) currently treated with study intervention(s) in a clinical study (parent studies [NCT03422328, NCT03904693,NCT04565990, NCT02932410, NCT03492177, and NCT04175600]), to continue to benefit from the intervention after closure of the… Read more about this study

Who is it for?
Ages 2 years and older
Conditions the study is for
Hypertension, Pulmonary
What is being tested?
Macitentan, Selexipag and Macitentan/Tadalafil FDC
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
280 participants
Where
45 sitesin 13 countries
Study dates
4 May 2022to 28 Sep 2033
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 2 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participant must sign an informed consent form (ICF) (or their legally designated representative must sign) indicating that participant understands the purpose of, and procedures required for, the study and is willing to participate in the study
  • Participant treated with oral macitentan or selexipag or fixed dose combination (FDC) of macitentan 10 milligrams (mg) and tadalafil 40 mg at the end of a sponsor parent study and: a) the indication of the parent study is included in the intervention-specific appendices (ISA) (pulmonary arterial hypertension [PAH]; b) participant has completed the parent study; c) no alternative means of access to study intervention (or equivalent approved therapy) have been identified; d) participant may continue to benefit from treatment with the study intervention; e) Participant is at least 18 years old for macitentan/tadalafil FDC, and at least 2 years old for macitentan or selexipag
  • A female participant of childbearing potential must: a) have a negative urine or serum pregnancy test prior to first intake of study intervention; b) agree to perform monthly urine pregnancy test up to the end of the safety follow-up period; c) If heterosexually active, agree to follow contraceptive methods until 30 days after the last intake of the study intervention. For pediatric female participants: It is the responsibility of the investigator to ensure appropriate counselling, including consultation with a specialist (if needed), to the participant and/or parent(s)/ legally designated representative (LDR)(s) on the acceptable method of contraception

Who cannot join

  • General:
  • Participants prematurely discontinued from the study intervention in their parent study
  • Female participant being pregnant, or breastfeeding, or planning to become pregnant while enrolled in this study
  • Planned or current treatment with another investigational treatment
  • Macitentan-specific:
  • Known allergies, hypersensitivity, or intolerance to macitentan or its excipients
Show all 22Show fewer
  • Hemoglobin less than (<) 80 grams per liter (g/L)
  • Serum aspartate (AST) and/or alanine aminotransferases (ALT) greater than (>) 3* upper limit of normal (ULN)
  • Known and documented severe hepatic impairment that is, Child-Pugh Class C. For participants with hepatic impairment, Child-Pugh Class (Child-Pugh score) should be fully assessed and documented in the source documents at screening
  • Selexipag-specific:
  • Known allergies, hypersensitivity, or intolerance to selexipag or its excipients
  • Suspected or known pulmonary veno-occlusive disease (PVOD)
  • Uncontrolled thyroid disease
  • Severe coronary heart disease or unstable angina, myocardial infarction within the last 6 months, decompensated cardiac failure (if not under close medical supervision), severe arrhythmia, cerebrovascular events (for example, transient ischemic attack, stroke) within the last 3 months, or congenital or acquired valvular defects with clinically relevant myocardial function disorders not related to pulmonary hypertension (PH)
  • Known and documented severe hepatic impairment that is, Child-Pugh Class C. For participants with hepatic impairment, Child-Pugh Class (Child-Pugh score) should be fully assessed and documented in the source documents at screening
  • Children only: (a) Current suspicion of intussusception or ileus or gastrointestinal obstruction, per the investigator's judgment; (b) hemoglobin or hematocrit <75 percent (%) of the lower limit of normal range
  • Macitentan/tadalafil FDC-specific:
  • Known allergies, hypersensitivity, or intolerance to macitentan or tadalafil or their excipients
  • Hemoglobin <80 g/L
  • Serum aspartate (AST) and/or alanine aminotransferases (ALT) >3* ULN range
  • Known and documented severe hepatic impairment that is, Child-Pugh Class C. For participants with hepatic impairment, Child-Pugh Class should be fully assessed and documented in the source documents at screening
  • Severe renal impairment (estimated glomerular filtration rate [eGF]/creatinine clearance <30 milliliter per minute [mL/min])

Trial locations and contacts

45 sites in 13 countries. Contact the study team or a site near you to ask about taking part.

45 sites in 13 countries

Poland8 sites, 3 recruiting
  • Klinika Kardiologii Z Oddzialem Intensywnego Nadzoru Kardiologicznego UM W Bialymstoku

    Bialystok, 15 276

    Recruiting
  • Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy, Klinika Kardiologii

    Bydgoszcz, 85-168

    Completed
  • SPSK nr 7 SUM w Katowicach Gornoslaskie Centrum Medyczne im Prof Leszka Gieca

    Katowice, 40 635

    Recruiting
  • Oddzial Kardiologii Wojewodzki Szpital Specjalistyczny im W Bieganskiego

    Lodz, 91 347

    Completed
  • Wojewodzki Szpital Specjalistyczny im Stefana Kardynala Wyszynskiego SPZOZ

    Lublin, 20 718

    Completed
  • SPSK2 PUM Klinika Kardiologii

    Szczecin, 70 111

    Completed
  • Wojewodzki Szpital Specjalist Osrodek Badawczo Rozwojowy

    Wroclaw, 51 124

    Completed
  • Wojewodzki Szpital Specjalistyczny we Wroclawiu

    Wroclaw, 51 124

    Recruiting

Other trials in Poland

China7 sites, 7 recruiting
  • Beijing Anzhen Hospital 1

    Beijing, 100029

    Recruiting
  • Beijing Anzhen Hospital

    Beijing, 100029

    Recruiting
  • The Second Xiangya Hospital of Central South Hospital

    Changsha, 410011

    Recruiting
  • Jiangsu Province Hospital

    Nanjing

    Recruiting
  • Qingdao Women and Children's Hospital

    Qingdao, 266035

    Recruiting
  • Childrens Hospital of Shanghai

    Shanghai, 200062

    Recruiting
  • The First Affiliated Hospital of Xian Jiaotong University

    Xi'an, 710061

    Recruiting

Other trials in China

South Korea7 sites, 6 recruiting
  • Chungnam National University Hospital

    Daejeon, 35015

    Recruiting
  • Gachon University Gil Medical Center

    Incheon, 21565

    Recruiting
  • Seoul National University Hospital 1

    Seoul, 03080

    Recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Recruiting
  • Asan Medical Center

    Seoul, 05505

    Recruiting
  • Samsung Medical Center

    Seoul, 06351

    Recruiting
  • The Catholic University of Korea Seoul St Marys Hospital

    Seoul, 06591

    Completed

Other trials in South Korea

Russia5 sites, 2 recruiting
  • Scientific and Research Institution of Cardiovascular Diseases Complex Problems

    Kemerovo, 650002

    Completed
  • E.Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation

    Novosibirsk, 630055

    Recruiting
  • Federal State Budgetary Institution

    Saint Petersburg, 197341

    Completed
  • Institute of Cardiology of Tomsk National Research Medical Center of Rus Academy of Sciences

    Tomsk, 634012

    Completed
  • Regional Clinical Hospital No1

    Tyumen, 625000

    Recruiting

Other trials in Russia

Taiwan5 sites, 5 recruiting
  • Kaohsiung Veterans General Hospital

    Kaohsiung City, 813

    Recruiting
  • National Cheng Kung University Hospital

    Tainan, 704

    Recruiting
  • National Taiwan University Hospital

    Taipei, 100

    Recruiting
  • Taipei Veterans General Hospital

    Taipei, 112

    Recruiting
  • Chang-Gung Memorial Hospital, LinKou Branch

    Taoyuan, 333

    Recruiting

Other trials in Taiwan

Vietnam3 sites, 3 recruiting
  • Hanoi Heart Hospital

    Hanoi

    Recruiting
  • Hanoi Medical University Hospital

    Hanoi

    Recruiting
  • Children's Hospital 1

    Ho Chi Minh City

    Recruiting

Other trials in Vietnam

Belarus2 sites, 1 recruiting
  • The Republican Scientific-Practical Center ''Cardiology''

    Minsk, 220036

    Recruiting
  • Minsk Regional Clinical Hospital Of The Red Banner Of Labor

    Minsk

    Completed

Other trials in Belarus

South Africa2 sites, 1 recruiting
  • Abdullah, IA

    Durban, 4001

    Completed
  • Dr Kalla

    Lenasia, 1820

    Recruiting

Other trials in South Africa

Ukraine2 sites
  • Municipal Inst. Of Dnipropetrovsk Region. Council

    Dnipro

    Completed
  • State Institute Of Phthisiology And Pulmonology N.A. F.G. Yanovskiy Of Ams Ukraine

    Kyiv, 03680

    Completed

Other trials in Ukraine

Belgium1 site
  • UZ Leuven

    Leuven, 3000

    Completed

Other trials in Belgium

Bulgaria1 site, 1 recruiting
  • University Multiprofile Hospital for Active Treatment- UMHAT Sveta Anna AD

    Sofia, 1750

    Recruiting

Other trials in Bulgaria

Hungary1 site, 1 recruiting
  • Gottsegen György Országos Kardiológiai Intézet

    Budapest, 1096

    Recruiting

Other trials in Hungary

Thailand1 site, 1 recruiting
  • Maharaj Nakorn Chiang Mai hospital Faculty of Medicine

    Chiang Mai, 50200

    Recruiting

Other trials in Thailand

About this study

Official title: A Prospective, Open-label, Platform Study for Long-term Follow-up of Participants Using Study Intervention in Pulmonary Hypertension Parent Studies

The purpose of the study is to enable participants with pulmonary hypertension (PH) currently treated with study intervention(s) in a clinical study (parent studies [NCT03422328, NCT03904693,NCT04565990, NCT02932410, NCT03492177, and NCT04175600]), to continue to benefit from the intervention after closure of the parent study in case they have no alternative means of access to the study intervention. This study will allow assessment of the long-term safety of each study intervention.

Being tested
Macitentan, Selexipag, Macitentan/Tadalafil FDC
Keywords
Chronic thromboembolic pulmonary hypertension (CTEPH), pulmonary arterial hypertension (PAH)
Medical subject headings
Hypertension, Pulmonary, 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 JNJ-67896062

    Adult participants will receive oral dose of macitentan 10 milligrams (mg) tablet once daily. Children greater than or equal to (>=) 2 year to less than (<) 18 years will be given an oral macitentan dose tailored to their body weight, ensuring an equivalent level of systemic exposure as in adults.

  • SelexipagDrug

    Also called JNJ-67896049

    Adult Participant will receive oral dose of selexipag tablet twice daily at the dose strength corresponding to their maintenance dose at the end of their parent study. Available strengths: 200, 400, 600, 800, 1000, 1200, 1400 and 1600 micrograms (µg). Children with body weight category of >=50 kg will use the tablets at the required dose strength as described for adults. Children with a body weight < 50 kg will receive tablets for pediatric use (dose strengths: 100 and 150 mcg), twice daily to enable continuation of individually maximum tolerated dose of selexipag according to their body weight category.

  • Macitentan/Tadalafil FDCDrug

    Also called JNJ-68150420

    Participants will receive oral FDC of macitentan 10 mg and tadalafil 40 mg once daily during the course of the study as already received in the parent studies.

Study groups in NCT05179876
Study groupRoleWhat they receive
MacitentanExperimentalParticipants who have completed a parent study, benefit from their study intervention maintenance and have no adequate alternative local treatment option will be enrolled in this study and will continue to receive study drug macitentan orally during the course of the study. For adult participants study visits will be scheduled every 6 months and for pediatric participants study visits will be scheduled every 3 months. The study includes on-site visits to collect efficacy and safety information until participant discontinuation/withdrawal, or the respective study intervention is made commercially available in the country/territory or an equivalent approved therapy becomes available, or the sponsor decides to terminate the study prematurely.
Receives: Drug: Macitentan
SelexipagExperimentalParticipants who have completed a parent study, benefit from their study intervention maintenance and have no adequate alternative local treatment option will be enrolled in this study and will continue to receive study drug selexipag orally during the course of the study. Study visits are scheduled every 6 months to collect efficacy and safety information until participant discontinuation/withdrawal, or the respective study intervention is made commercially available in the country/territory or an equivalent approved therapy becomes available, or the sponsor decides to terminate the study prematurely.
Receives: Drug: Selexipag
Macitentan/Tadalafil FDCExperimentalParticipants who have completed a parent study, benefit from their study intervention maintenance and have no adequate alternative local treatment option will be enrolled in this study and will continue to receive drug Macitentan and Tadalafil fixed dose combination (FDC) orally during the course of the study. Study visits are scheduled every 6 months to collect efficacy and safety information until participant discontinuation/withdrawal, or the respective study intervention is made commercially available in the country/territory or an equivalent approved therapy becomes available, or the sponsor decides to terminate the study prematurely.
Receives: Drug: Macitentan/Tadalafil FDC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of Treatment Emergent Adverse Events (TEAEs)

    An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAEs are defined as a treatment-emergent AE is any AE temporally associated with the use of study treatment (from start of treatment in the PLATYPUS protocol until 30 days after study treatment discontinuation) whether or not considered by the investigator as related to study treatment.

    Measured: Baseline until End of Study (EOS) (up to 84 months)

  2. Frequency of TEAEs Leading to Discontinuation

    Frequency of TEAEs leading to discontinuation of study intervention will be reported. An AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAEs are defined as a treatment-emergent AE is any AE temporally associated with the use of study treatment (from start of treatment in the PLATYPUS protocol until 30 days after study treatment discontinuation) whether or not considered by the investigator as related to study treatment.

    Measured: Baseline until EOS (up to 84 months)

  3. Frequency of Serious Adverse Events (SAEs)

    SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product and is medically important.

    Measured: Baseline until EOS (up to 84 months)

  4. Frequency of Deaths

    Frequency of deaths will be reported.

    Measured: Baseline until EOS (up to 84 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jan 2022
  2. Study start4 May 2022
  3. Primary completion31 Jan 2027 (estimated)
  4. Study completion28 Sep 2033 (estimated)

Resources

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
Non-randomised
Intervention model
Parallel groups
Model description
This is a prospective, open-label, extension study, with a platform-study design for long-term safety follow-up of participants using study intervention as in their respective pulmonary hypertension (PH) parent study (that is, pulmonary arterial hypertension \[PAH\] or chronic thromboembolic pulmonary hypertension \[CTEPH\]). Participants who have completed a parent study, that benefit from their study intervention maintenance and have no adequate alternative local treatment option (access to the study intervention or an equivalent approved therapy) will be enrolled in this study.
Masking
None (open label)
Enrolment
280 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05179876
Sponsor's protocol ID
CR109121
Other IDs
NOPRODPAPUH3001, 2021-002297-11, 2023-506791-27-00, 2023
Acronym
PLATYPUS
Status last verified
Nov 2026
First submitted
17 Dec 2021
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Macitentan, Selexipag and Macitentan/Tadalafil FDC in people with Hypertension, Pulmonary, run by Actelion at 45 sites in 13 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 22 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: looking for participants now, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in Poland, China, South Korea, Russia, Taiwan and 8 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Study Contact (844-434-4210, Participate-In-This-Study1@its.jnj.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of Treatment Emergent Adverse Events (TEAEs) (time frame: Baseline until End of Study (EOS) (up to 84 months)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Nov 2026.

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