Actively Recruiting

Phase 3
Age: 2Years +
All Genders
ID05179876

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

Led by Actelion · Updated on 2026-06-05

280

Participants Needed

45

Research Sites

191 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research focuses on participants with pulmonary hypertension (PH) who have completed previous clinical studies involving specific study drugs and currently have no other access to these treatments. The main goal is to evaluate the long-term safety of these study interventions, ensuring participants can continue treatment after their initial study ends. Participants who have finished a parent study and benefit from their study treatment will continue to receive one of three oral study drugs: macitentan, selexipag, or a fixed dose combination of macitentan and tadalafil. Adults and children receive doses tailored to their age and weight. Adult participants typically have study visits every six months, while pediatric participants visit every three months. These visits collect information on the safety and effectiveness of the treatments until the study ends or an approved alternative becomes available. During the study, participants undergo regular visits to monitor safety through assessments of adverse events and other health measures. Researchers track treatment-emergent adverse events, serious adverse events, and deaths from baseline until up to 84 months. The study continues until participants withdraw, the study intervention becomes commercially available, or the sponsor ends the study early. This long-term follow-up aims to gather important safety data while supporting ongoing treatment access.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 2Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participant must sign an informed consent form indicating understanding and willingness to participate
  • Participant treated with oral macitentan or selexipag or fixed dose combination of macitentan 10 mg and tadalafil 40 mg at the end of a parent study
  • Indication of the parent study must be pulmonary arterial hypertension (PAH)
  • Participant has completed the parent study
  • No alternative access to study intervention or equivalent approved therapy
  • Participant may continue to benefit from the study intervention
  • Participant is at least 18 years old for macitentan/tadalafil FDC, and at least 2 years old for macitentan or selexipag
  • Female participants of childbearing potential must have a negative pregnancy test before starting study intervention
  • Female participants must agree to monthly pregnancy tests until end of safety follow-up
  • If heterosexually active, female participants must agree to use contraception until 30 days after last study intervention intake
  • For pediatric females, investigator must ensure appropriate contraception counseling
Not Eligible

You will not qualify if you...

  • Participants who prematurely discontinued the study intervention in their parent study
  • Female participants who are pregnant, breastfeeding, or planning pregnancy during the study
  • Planned or current treatment with another investigational treatment
  • Known allergies or intolerance to macitentan, selexipag, tadalafil, or their excipients
  • Hemoglobin less than 80 g/L (macitentan and macitentan/tadalafil FDC)
  • Serum aspartate (AST) or alanine aminotransferases (ALT) greater than 3 times upper limit of normal
  • Severe hepatic impairment (Child-Pugh Class C)
  • Suspected or known pulmonary veno-occlusive disease (selexipag only)
  • Uncontrolled thyroid disease (selexipag only)
  • Severe coronary heart disease or unstable angina, recent myocardial infarction, decompensated cardiac failure, severe arrhythmia, recent cerebrovascular events, or significant valvular defects unrelated to pulmonary hypertension (selexipag only)
  • Children with current suspicion of intestinal obstruction or low hemoglobin/hematocrit (selexipag only)
  • Severe renal impairment (eGFR or creatinine clearance less than 30 mL/min) (macitentan/tadalafil FDC only)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

screening and enrollment visit

Treatment

Duration - Up to 84 months

Participants receive oral study drugs (macitentan, selexipag, or macitentan/tadalafil fixed dose combination) to maintain their pulmonary hypertension therapy as continued from the parent study. The treatment continues until participant discontinuation, study termination, or availability of an approved alternative therapy.

Study visits every 6 months for adults; every 3 months for pediatric participants

Trial Site Locations

Total: 45 locations

1

The Republican Scientific-Practical Center ''Cardiology''

Minsk, Belarus, 220036

Actively Recruiting

2

Minsk Regional Clinical Hospital Of The Red Banner Of Labor

Minsk, Belarus

Actively Recruiting

3

UZ Leuven

Leuven, Belgium, 3000

Completed

4

University Multiprofile Hospital for Active Treatment- UMHAT Sveta Anna AD

Sofia, Bulgaria, 1750

Actively Recruiting

5

Beijing Anzhen Hospital 1

Beijing, China, 100029

Actively Recruiting

6

Beijing Anzhen Hospital

Beijing, China, 100029

Actively Recruiting

7

The Second Xiangya Hospital of Central South Hospital

Changsha, China, 410011

Actively Recruiting

8

Jiangsu Province Hospital

Nanjing, China

Actively Recruiting

9

Qingdao Women and Children's Hospital

Qingdao, China, 266035

Actively Recruiting

10

Childrens Hospital of Shanghai

Shanghai, China, 200062

Actively Recruiting

11

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, China, 710061

Actively Recruiting

12

Gottsegen György Országos Kardiológiai Intézet

Budapest, Hungary, 1096

Actively Recruiting

13

Klinika Kardiologii Z Oddzialem Intensywnego Nadzoru Kardiologicznego UM W Bialymstoku

Bialystok, Poland, 15 276

Actively Recruiting

14

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

Bydgoszcz, Poland, 85-168

Completed

15

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

Katowice, Poland, 40 635

Actively Recruiting

16

Oddzial Kardiologii Wojewodzki Szpital Specjalistyczny im W Bieganskiego

Lodz, Poland, 91 347

Actively Recruiting

17

Wojewodzki Szpital Specjalistyczny im Stefana Kardynala Wyszynskiego SPZOZ

Lublin, Poland, 20 718

Completed

18

SPSK2 PUM Klinika Kardiologii

Szczecin, Poland, 70 111

Actively Recruiting

19

Wojewodzki Szpital Specjalist Osrodek Badawczo Rozwojowy

Wroclaw, Poland, 51 124

Completed

20

Wojewodzki Szpital Specjalistyczny we Wroclawiu

Wroclaw, Poland, 51 124

Actively Recruiting

21

Scientific and Research Institution of Cardiovascular Diseases Complex Problems

Kemerovo, Russia, 650002

Completed

22

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

Novosibirsk, Russia, 630055

Actively Recruiting

23

Federal State Budgetary Institution

Saint Petersburg, Russia, 197341

Completed

24

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

Tomsk, Russia, 634012

Completed

25

Regional Clinical Hospital No1

Tyumen, Russia, 625000

Actively Recruiting

26

Abdullah, IA

Durban, South Africa, 4001

Completed

27

Dr Kalla

Lenasia, South Africa, 1820

Actively Recruiting

28

Chungnam National University Hospital

Daejeon, South Korea, 35015

Actively Recruiting

29

Gachon University Gil Medical Center

Incheon, South Korea, 21565

Actively Recruiting

30

Seoul National University Hospital 1

Seoul, South Korea, 03080

Actively Recruiting

31

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

32

Asan Medical Center

Seoul, South Korea, 05505

Actively Recruiting

33

Samsung Medical Center

Seoul, South Korea, 06351

Actively Recruiting

34

The Catholic University of Korea Seoul St Marys Hospital

Seoul, South Korea, 06591

Completed

35

Kaohsiung Veterans General Hospital

Kaohsiung City, Taiwan, 813

Actively Recruiting

36

National Cheng Kung University Hospital

Tainan, Taiwan, 704

Actively Recruiting

37

National Taiwan University Hospital

Taipei, Taiwan, 100

Actively Recruiting

38

Taipei Veterans General Hospital

Taipei, Taiwan, 112

Actively Recruiting

39

Chang-Gung Memorial Hospital, LinKou Branch

Taoyuan, Taiwan, 333

Actively Recruiting

40

Maharaj Nakorn Chiang Mai hospital Faculty of Medicine

Chiang Mai, Thailand, 50200

Actively Recruiting

41

Municipal Inst. Of Dnipropetrovsk Region. Council

Dnipro, Ukraine

Completed

42

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

Kyiv, Ukraine, 03680

Completed

43

Hanoi Heart Hospital

Hanoi, Vietnam

Actively Recruiting

44

Hanoi Medical University Hospital

Hanoi, Vietnam

Actively Recruiting

45

Children's Hospital 1

Ho Chi Minh City, Vietnam

Actively Recruiting

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Research Team

S

Study Contact

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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