Status:

TERMINATED

Macitentan for the Treatment of Digital Ulcers in Systemic Sclerosis Patients

Lead Sponsor:

Actelion

Conditions:

Digital Ulcers

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The DUAL-2 study is designed as a multicenter, double-blind two-period study with an initial fixed 16-week Period 1, followed by a Period 2 of variable duration. All patients completing Period 1 conti...

Detailed Description

Recurrent digital ulcers (DU) are a manifestation of vascular disease in patients with systemic sclerosis (SSc), are an important source of morbidity and lead to impaired function in these patients. I...

Eligibility Criteria

Inclusion

  • Inclusion Criteria :
  • Patients ≥ 18 years of age
  • Women of childbearing potential must use two reliable methods of contraception
  • Diagnosis of SSc according to the classification criteria of the American College of Rheumatology (ACR)
  • At least one visible, active ischemic DU at baseline
  • History of at least one additional recent active ischemic digital ulcer
  • Exclusion Criteria :
  • DUs due to condition other than SSc
  • Symptomatic pulmonary arterial hypertension (PAH)
  • Body mass index (BMI) \< 18 kg/m\^2
  • Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) \> 1.5 x upper limit of normal (ULN)
  • Hemoglobin \< 75% of the lower limit of the normal range
  • Systolic blood pressure \< 95 mmHg or diastolic blood pressure \< 50 mmHg
  • Severe malabsorption; any severe organ failure (e.g., lung, kidney), or any life-threatening condition
  • Females who are pregnant or breastfeeding or plan to do so during the course of this study
  • Substance or alcohol abuse or dependence, or tobacco use at any level
  • Treatment with phosphodiesterase-5 (PDE5) inhibitors
  • Patients on statins, who have received treatment for less than 3 months prior to Screening or whose treatment has not been stable during this period
  • Patients on vasodilators, who have received treatment for less than 2 weeks prior to Screening or whose treatment has not been stable during this period
  • Treatment with prostanoids within 3 months
  • Treatment with disease modifying agents if present for less than 3 months prior to Screening or whose treatment has not been stable for at least 1 month prior to Screening
  • Treatment with oral corticosteroids (\> 10 mg/day of prednisone or equivalent).
  • Treatment with endothelin receptor antagonists (ERAs) within 3 months
  • Systemic antibiotics to treat infected DU(s) within 4 weeks

Exclusion

    Key Trial Info

    Start Date :

    December 1 2011

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 1 2014

    Estimated Enrollment :

    265 Patients enrolled

    Trial Details

    Trial ID

    NCT01474122

    Start Date

    December 1 2011

    End Date

    February 1 2014

    Last Update

    February 4 2025

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