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Trial · NCT01106014

Selexipag (ACT-293987) in Pulmonary Arterial Hypertension

NCT01106014, Phase 3, Completed, Actelion; results first posted 2016-03-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Selexipag (ACT-293987) in Pulmonary Arterial Hypertension. Trials, record NCT01106014. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01106014

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Trial

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

Title
Selexipag (ACT-293987) in Pulmonary Arterial Hypertension
NCT number
NCT01106014
Status
Completed
Phases
Phase 3
Enrollment
1,156 participants, actual
Lead sponsor
Actelion
Conditions
Pulmonary Arterial Hypertension
Interventions
Selexipag, Placebo
First posted
2010-04-19
Last updated
2025-10-27
Results first posted
2016-03-01

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryTime From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeUp to 7 days after end of double-blind treatment (maximum: 4.3 years)
Time from randomization to the first occurrence of a morbidity event or death (all causes) was analyzed with the Kaplan-Meier method (event-free KM estimates at different time points). Morbidity event was defined as any of the following events confirmed by the Critical Event committee: * Hospitalization for worsening of pulmonary arterial hypertension (PAH), * Worsening of PAH resulting in need for lung transplantation or balloon atrial septostomy, * Initiation of parenteral prostanoid therapy or chronic oxygen therapy due to worsening of PAH, * Disease progression which was defined by a decrease in 6-minute walk distance from baseline (\>=15%, confirmed by a 2nd test on a different day) combined with worsening of WHO FC for patients belonging to WHO FC II/III at baseline, or combined with the need for additional PAH-specific therapy for patients belonging to WHO FC III/IV at baseline. Note: The number of patients at risk decreased over time but this cannot be captured below
SecondaryChange From Baseline to Week 26 in 6-minute Walk Distance (6MWD) at TroughWeek 26
The 6-minute walk distance test (6MWD) is a non-encouraged test performed in a 30 m long flat corridor, where the patient is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. If the patient was used to taking bronchodilators before a walk, he/she was given them 5 to 30 min before the test. Also if the patient was on chronic oxygen therapy, oxygen was given at their standard rate during the test. Absolute change from baseline to Week 26 in 6MWD was measured at trough, i.e., either on the next day after the last study drug administration or at least 12 hours after study drug administration if on the same day.
SecondaryAbsence of Worsening From Baseline to Week 26 in Modified NYHA/WHO Functional Class (WHO FC)Week 26

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeUp to 7 days after end of double-blind treatment (maximum: 4.3 years)
The primary endpoint was analyzed using the full analysis set, which includes all randomized patients evaluated according to the study drug to which they have been randomized (intention-to treat analysis set).
Percentage of patients free of eventsNUMBER
SECONDARYChange From Baseline to Week 26 in 6-minute Walk Distance (6MWD) at TroughWeek 26Full analysis setMetersMEDIAN
SECONDARYAbsence of Worsening From Baseline to Week 26 in Modified NYHA/WHO Functional Class (WHO FC)Week 26Full analysis set. Patients with WHO FC IV at baseline were excluded from this analysis as they could not shift to a worse categoryPercentage of patientsNUMBER

Results by group20

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

OutcomeGroupCategoryValueSpreadUnits
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeSelexipagKM estimate at Month 691.295% Confidence Interval 88.5 to 93.4Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakePlaceboKM estimate at Month 681.795% Confidence Interval 78.2 to 84.7Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeSelexipagKM estimate at Month 1283.195% Confidence Interval 79.5 to 86.1Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakePlaceboKM estimate at Month 1270.695% Confidence Interval 66.6 to 74.3Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeSelexipagKM estimate at Month 1875.595% Confidence Interval 71.2 to 79.2Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakePlaceboKM estimate at Month 1861.395% Confidence Interval 56.8 to 65.5Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeSelexipagKM estimate at Month 2467.995% Confidence Interval 63.0 to 72.4Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakePlaceboKM estimate at Month 2453.995% Confidence Interval 49.0 to 58.5Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakeSelexipagKM estimate at Month 3061.995% Confidence Interval 56.3 to 66.9Percentage of patients free of events
Time From Randomization to the First Morbidity Event or Death (All Causes) up to 7 Days After the Last Study Drug IntakePlaceboKM estimate at Month 3049.395% Confidence Interval 44.2 to 54.3Percentage of patients free of events

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSELEXIPAG574
Overall StudySTARTEDPLACEBO582
Overall StudyCOMPLETEDSELEXIPAG289
Overall StudyCOMPLETEDPLACEBO252
Overall StudyNOT COMPLETEDSELEXIPAG285
Overall StudyNOT COMPLETEDPLACEBO330

Adverse events758

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherABDOMINAL PAINGastrointestinal disordersSelexipag4457554
otherABDOMINAL PAINGastrointestinal disordersPlacebo2957737
otherABDOMINAL PAIN UPPERGastrointestinal disordersSelexipag3457539
otherABDOMINAL PAIN UPPERGastrointestinal disordersPlacebo3257738
otherANAEMIABlood and lymphatic system disordersSelexipag4357553
otherANAEMIABlood and lymphatic system disordersPlacebo2857737
otherARTHRALGIAMusculoskeletal and connective tissue disordersSelexipag6257582
otherARTHRALGIAMusculoskeletal and connective tissue disordersPlacebo4457757
otherASTHENIAGeneral disordersSelexipag2957533
otherASTHENIAGeneral disordersPlacebo2457727

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySelexipag
Total, all-cause mortalityPlacebo
Total, other adverse eventsSelexipag544575
Total, other adverse eventsPlacebo486577
Total, serious adverse eventsSelexipag252575
Total, serious adverse eventsPlacebo272577

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
24392948DERIVEDPubMed
26699168RESULTPubMed
28556581DERIVEDPubMed
28818881DERIVEDPubMed
29307087DERIVEDPubMed
29447737DERIVEDPubMed
30982349DERIVEDPubMed
33545163DERIVEDPubMed
34727317DERIVEDPubMed
39222737DERIVEDPubMed

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 comparisons1

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

Comparison
Selexipag vs Placebo: serious adverse events

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/NCT01106014

GET https://conductscience.org/api/trials/v1/NCT01106014/events?page=2