Status:

COMPLETED

Effect of Bosentan on Skin Fibrosis in Patients With Systemic Sclerosis

Lead Sponsor:

Heinrich-Heine University, Duesseldorf

Conditions:

Systemic Scleroderma

Skin Fibrosis

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Endothelin-1 is a potent vasoconstrictor and binds to two receptors, ET-A and ET-B, which are variable expressed on endothelial cells, smooth muscle cells, and fibroblasts. Furthermore, endothelin-1 h...

Detailed Description

Systemic sclerosis (SSc) is a polymorphic disorder with an unknown cause characterized by fibrosis of the skin, blood vessels, and visceral organs. The degree of skin involvement is a very important o...

Eligibility Criteria

Inclusion

  • Patients with systemic sclerosis (diffuse SSc, limited SSc)
  • ACR criteria fulfilled
  • Current areas of skin fibrosis due to SSc
  • Women postmenopausal or negative pre-treatment pregnancy test as well as a reliable method of contraception during study treatment and for at least 3 months after study treatment termination
  • Signed informed consent

Exclusion

  • Severe PAH or interstitial lung disease (WHO class III and IV)
  • Skin fibrosis and digital ulcers (DUs) due to conditions other than SSc
  • Systolic BP \< 85 mmHg
  • Hemoglobin concentration \< 75% of the lower limit of the normal range
  • AST and/or ALT values greater than 3 times the upper limit of normal
  • Moderate to severe hepatic impairment
  • Severe malabsorption, severe organ failure or any life threatening condition
  • Breast feeding
  • Treatment with any of the following drugs: glibenclamide (glyburide), cyclosporine A, and tacrolimus 1 week prior to study participation
  • Treatment with parenteral prostanoids 3 months prior to study participation
  • Treatment with inhaled, subcutaneous or oral prostanoids 1 month prior to registration
  • Systemic antibiotics to treat infection of DUs 2 weeks prior to study participation
  • Current treatment with phosphodiesterase inhibitors such as sildenafil, except for intermittent treatment of male erectile dysfunction
  • Patient with conditions that prevent compliance with the protocol or adhering to therapy
  • Patient who received an investigational product within 1 month preceding screening
  • Known hypersensitivity to bosentan or any of the excipients

Key Trial Info

Start Date :

June 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2007

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT00318175

Start Date

June 1 2006

End Date

May 1 2007

Last Update

September 10 2007

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Heinrich-Heine-University of Duesseldorf, Department of Dermatology

Düsseldorf, North Rhine-Westphalia, Germany, 40225