Status:

WITHDRAWN

Efficacy and Safety of Combination Ambrisentan and Tadalafil in Patients With Portopulmonary Hypertension

Lead Sponsor:

Ochsner Health System

Collaborating Sponsors:

Gilead Sciences

Conditions:

Portopulmonary Hypertension

Pulmonary Hypertension

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of the combination of ambrisentan and tadalafil in reducing mPAP to below 35mmHg in patients with moderate to severe Portopulmonary Hyp...

Detailed Description

The outcome of liver transplantation (LT) in the presence of moderate to severe POPH is significantly poor with a 50% reported mortality rate in LT recipients having a mean pulmonary artery pressure (...

Eligibility Criteria

Inclusion

  • Child-Pugh Class Class A \& B Cirrhosis
  • mPAP ≥35mmHg
  • Pulmonary Capillary Wedge Pressure (PWCP) \<15mmHg on Right Heart Catheterization's (RHCs)
  • mPAP \> 50mmHg will be considered eligible unless they are World Health Organization (WHO) Functional Class IV

Exclusion

  • End stage renal disease on hemodialysis (ESRD on HD)
  • Renal dysfunction and GFR \< 30
  • AST, ALT \> 5 times the upper limit of normal
  • Total bilirubin ≥ 6.0
  • INR \> 2
  • Initially, Child-Pugh Class C patients will be excluded; however, after the first 5 patients are included, if there is no signal of worsening liver function, the protocol may be amended to include patients with Class C cirrhosis.

Key Trial Info

Start Date :

October 12 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2018

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT03309592

Start Date

October 12 2017

End Date

November 1 2018

Last Update

December 7 2018

Active Locations (1)

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1

Ochsner Clinic Foundation

New Orleans, Louisiana, United States, 70121