Status:

RECRUITING

Repurposing Valsartan May Protect Against Pulmonary Hypertension

Lead Sponsor:

University of Washington

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Pulmonary Arterial Hypertension

Right Heart Failure

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

This is a Phase 2, single-center, randomized placebo controlled trial of valsartan (an angiotensin receptor blocker) in adults with pulmonary arterial hypertension. The study will evaluate the safety ...

Detailed Description

Pulmonary arterial hypertension (PAH) is one of many conditions that put stress and strain on the right side of the heart. This stress and strain can cause right heart failure. Although there are medi...

Eligibility Criteria

Inclusion

  • Male or female, age 18 to 80
  • WHO Group 1 Pulmonary Arterial Hypertension
  • NYHA Functional Class II, III, or IV at screening (Appendix 2 for Functional Class Decision Aid)
  • Right heart catheterization within five years demonstrating a mean pulmonary arterial pressure of ≥25 mmHg, occlusion pressure of ≤15 mmHg, and resistance ≥ 3 wood units
  • Participants with a right heart catheterization within five years demonstrating a mean pulmonary arterial pressure of ≥ 25 mmHg and occlusion pressure of 15 - 20 mmHg will be considered for inclusion if the pulmonary vascular resistance ≥ 9 wood units and they are being treated with pulmonary arterial hypertension specific therapy
  • Able to walk with/without a walking aid for a distance of at least 50 meters

Exclusion

  • Pregnant or lactating
  • Non-group 1 pulmonary hypertension or veno-occlusive disease
  • History of interstitial lung disease, unless subject has collagen vascular disease and has pulmonary function testing conducted within 12 months demonstrating a total lung capacity or vital capacity of ≥ 60 %
  • Has received or will receive an investigational drug, device, or study within 30 days or during the course of study
  • ACE-inhibitor, ARB or ARNI use within 30 days of randomization.
  • Left sided myocardial disease as evidenced by left ventricular ejection fraction \< 40%
  • Any other clinically significant illness or abnormal laboratory values (measured during the Screening period) that, in the opinion of the Investigator, might put the subject at risk of harm during the study or might adversely affect the interpretation of the study data
  • Anticipated survival less than 1 year due to concomitant disease
  • Allergy or angioedema with ACE-inhibitor use
  • Potassium \>5mEq/L or sCr \>2mg/dL at screening
  • SBP \<90mmHg at screening

Key Trial Info

Start Date :

February 28 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2027

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06053580

Start Date

February 28 2024

End Date

July 1 2027

Last Update

March 25 2025

Active Locations (1)

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1

University of Washington Medical Center

Seattle, Washington, United States, 98195