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Trial · NCT00667823

Clinical Study to Assess the Long-term Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension

NCT00667823, Phase 3, Completed, Actelion; results first posted 2022-02-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Clinical Study to Assess the Long-term Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension. Trials, record NCT00667823. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00667823

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Clinical Study to Assess the Long-term Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension
NCT number
NCT00667823
Status
Completed
Phases
Phase 3
Enrollment
550 participants, actual
Lead sponsor
Actelion
Conditions
Pulmonary Arterial Hypertension
Interventions
Macitentan
First posted
2008-04-28
Last updated
2025-03-30
Results first posted
2022-02-10
Limitations and caveats
The limitation of the open-label study design was the open label nature of the trial due to which the number of participants decreased over time to the extent that 10 percent (%) and 2.4% of participants (N=550) remained in the study at Years 7 and 9, respectively.

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs) up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to 12 years)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE are defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline.
PrimaryNumber of Participants With Death up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to 12 years)Number of participants with deaths up to 28 days after study treatment discontinuation were reported.
PrimaryNumber of Participants With Treatment Emergent Serious Adverse Events (TESAEs) up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to 12 years)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAE are defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically significant, or requires intervention to prevent at least one of the outcomes listed above.
PrimaryNumber of Participants With AEs Leading to Permanent Discontinuation of Study TreatmentUp to 28 days after study treatment discontinuation (Up to12 years)
Number of participants with AEs leading to permanent discontinuation of study treatment were reported. An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
PrimaryNumber of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to12 years)
Number of participants with treatment-emergent abnormal liver tests: Alanine aminotransferase (ALT) greater than (\>) 3\*upper limit of normal (ULN) or aspartate aminotransferase (AST) \>3\* ULN, ALT \>5\* ULN or AST \>5\*ULN, ALT \>8\*ULN or AST \>8\*ULN, total bilirubin (TBIL) \>2\*ULN, ALT \>3\*ULN or AST \>3\*ULN and TBIL \>2\*ULN at any time were reported.
PrimaryNumber of Participants With Treatment Emergent Hemoglobin Abnormality up to 28 Days After Study Treatment DiscontinuationUp to 28 days after treatment discontinuation (Up to 12 years)
Number of participants with treatment-emergent hemoglobin (HGB) abnormality up to 28 days after study treatment discontinuation were reported. Participants assessed for different categories of HGB were \<=80 grams/Liter (g/L), \<=100g/L, decrease from baseline \>=20 g/L, and decrease from baseline \>=50 g/L.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment Emergent Adverse Events (TEAEs) up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to 12 years)The safety analysis set (SAF) included all participants who received at least 1 dose of macitentan 10 milligrams (mg).ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Death up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to 12 years)The SAF included all participants who received at least 1 dose of macitentan 10 mg.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Treatment Emergent Serious Adverse Events (TESAEs) up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to 12 years)The SAF included all participants who received at least 1 dose of macitentan 10 mg.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With AEs Leading to Permanent Discontinuation of Study TreatmentUp to 28 days after study treatment discontinuation (Up to12 years)The safety analysis set (SAF) included all participants who received at least 1 dose of macitentan 10 mg.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationUp to 28 days after study treatment discontinuation (Up to12 years)The SAF included all participants who received at least 1 dose of macitentan 10 mg.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Treatment Emergent Hemoglobin Abnormality up to 28 Days After Study Treatment DiscontinuationUp to 28 days after treatment discontinuation (Up to 12 years)The SAF included all participants who received at least 1 dose of macitentan 10 mg.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group13

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment Emergent Adverse Events (TEAEs) up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mg527Participants
Number of Participants With Death up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mg175Participants
Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs) up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mg354Participants
Number of Participants With AEs Leading to Permanent Discontinuation of Study TreatmentMacitentan 10 mg62Participants
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mgALT or AST >3*ULN45Participants
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mgALT or AST >5*ULN20Participants
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mgALT or AST >8*ULN11Participants
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mgTBIL >2*ULN75Participants
Number of Participants With Treatment Emergent Abnormal Liver Tests up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mgALT or AST >3*ULN and (TBIL>2*ULN at any time)8Participants
Number of Participants With Treatment Emergent Hemoglobin Abnormality up to 28 Days After Study Treatment DiscontinuationMacitentan 10 mgHGB <= 80 gram/Liter (g/L)33Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMacitentan 10 mg550
Overall StudyCOMPLETEDMacitentan 10 mg334
Overall StudyNOT COMPLETEDMacitentan 10 mg216

Adverse events392

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersMacitentan 10 mg80550
otherIron Deficiency AnaemiaBlood and lymphatic system disordersMacitentan 10 mg14550
otherLeukopeniaBlood and lymphatic system disordersMacitentan 10 mg22550
otherThrombocytopeniaBlood and lymphatic system disordersMacitentan 10 mg36550
otherAtrial FibrillationCardiac disordersMacitentan 10 mg24550
otherPalpitationsCardiac disordersMacitentan 10 mg34550
otherRight Ventricular FailureCardiac disordersMacitentan 10 mg24550
otherTachycardiaCardiac disordersMacitentan 10 mg22550
otherHypothyroidismEndocrine disordersMacitentan 10 mg21550
otherAbdominal DistensionGastrointestinal disordersMacitentan 10 mg14550

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMacitentan 10 mg182550
Total, other adverse eventsMacitentan 10 mg476550
Total, serious adverse eventsMacitentan 10 mg354550

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29501590DERIVEDPubMed
35819570DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00667823

GET https://conductscience.org/api/trials/v1/NCT00667823/events?page=2