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Trial ยท NCT01720524

A Study To Evaluate Safety And Efficacy Of IV Sildenafil In The Treatment Of Neonates With Persistent Pulmonary Hypertension Of The Newborn

NCT01720524, Phase 3, Completed, Pfizer's Upjohn has merged with Mylan to form Viatris Inc.; results first posted 2020-03-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study To Evaluate Safety And Efficacy Of IV Sildenafil In The Treatment Of Neonates With Persistent Pulmonary Hypertension Of The Newborn. Trials, record NCT01720524. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01720524

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Trial

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

Title
A Study To Evaluate Safety And Efficacy Of IV Sildenafil In The Treatment Of Neonates With Persistent Pulmonary Hypertension Of The Newborn
NCT number
NCT01720524
Status
Completed
Phases
Phase 3
Enrollment
59 participants, actual
Lead sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Conditions
Pulmonary Hypertension, Familial Persistent, of the Newborn
Interventions
placebo, iv sildenafil
First posted
2012-11-02
Last updated
2021-08-16
Other registries' IDs
eudract:2012-002619-24
Results first posted
2020-03-25

Source ClinicalTrials.gov

Registered outcomes32

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

ListOutcomeTime frameDescription
PrimaryTime on Inhaled Nitric Oxide (iNO) Treatment After Initiation of Intravenous (IV) Study Drug For Participants Without Treatment Failure14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)
Time in days, on iNO treatment, for participants without iNO treatment failure, was calculated 14 days from the initiation of IV study drug or hospital discharge, whichever occurred first. iNO treatment failure was defined as need for additional treatment targeting PPHN, need for extra corporeal membrane oxygenation (ECMO), or death during the study.
PrimaryTreatment Failure Rate14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)Treatment failure rate was defined as percentage of participants who needed additional treatment targeting PPHN, needed ECMO, or died during the study.
SecondaryTime From Initiation of Intravenous (IV) Study Drug to Final Weaning of Mechanical Ventilation14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)
Time in days, from initiation of IV study drug to final weaning of mechanical ventilation among participants achieving final weaning of mechanical ventilation for PPHN was evaluated. Kaplan-Meier method was used for estimation. For participants with mechanical ventilation beyond 336 hours (14 days) from initiation of IV study drug, data was censored at 14 days.
SecondaryTime From Initiation of Intravenous (IV) Study Drug to First Treatment Failure14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)
Time in days, from initiation of IV study drug to first treatment failure (defined as need for additional treatment targeting PPHN, need for ECMO, or death) for participants with treatment failure was evaluated. Kaplan-Meier method was used for estimation. For participants without treatment failure by the endpoint assessment date, data was censored at the endpoint assessment date.
SecondaryPercentage of Participants With Individual Components of Treatment Failure14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)
Percentage of participants with individual components of treatment failure (need to start additional treatment targeting PPHN, need to start ECMO, or death) were evaluated. Some participants could have had multiple qualifying events for treatment failure.
SecondaryChange From Baseline in Oxygenation Index (OI) at Hours 6, 12 and 24 Post-InfusionBaseline, Hours 6, 12 and 24 after start of infusion
Oxygenation index was calculated as the product of fraction of inspired oxygen (FiO2) and mean airway pressure divided by partial pressure of oxygen dissolved in arterial blood (PaO2) \[(FiO2\*mean airway pressure)/PaO2\] measured in centimeter of water per millimeter of mercury (cmH2O/mmHg). FiO2 is the measure of oxygen concentration that is breathed. Mean airway pressure is defined as an average of the airway pressure throughout the respiratory cycle. PaO2 is the measure of oxygen level dissolved in the arterial blood.
SecondaryChange From Baseline in Differential Saturation at Hours 6, 12 and 24 Post-InfusionBaseline, Hours 6, 12 and 24 after start of infusion
Differential oxygenation saturation is a simple way to detect the right-to left shunting at ductus arteriosus using 2 pulse oximeters. It is the difference between pre-ductal and post-ductal sites pulse oxygen saturation (SpO2). Where, pre-duct refers to right upper extremity and post-duct refers to lower limb. Oxygenation saturation is measured as percentage of hemoglobin binding sites occupied by oxygen in the blood.
SecondaryChange From Baseline in Ratio of Partial Pressure of Oxygen in Arterial Blood to Fraction of Inspired Oxygen (P/F) at Hours 6, 12 and 24Baseline, Hours 6, 12 and 24 after start of infusion
The ratio of partial pressure of arterial oxygen to fraction of inspired oxygen is a ratio between the oxygen level in the arterial blood and the oxygen concentration that is breathed. It helps to determine the degree of any problems with how the lungs transfer oxygen to the blood.
SecondaryMaximum Plasma Concentration (Cmax) of Sildenafil and Its Metabolite
Loading dose, Day 1: prior to the start of infusion, 5, 30 minutes after end of loading infusion; Maintenance dose: 48 to 72, 96 to 120 hours during infusion and immediately prior to end of maintenance infusion (up to maximum on Day 14)
Cmax was obtained for Sildenafil and its major metabolite UK-103,320.
SecondaryTotal Plasma Clearance (CL) of Sildenafil and Its Metabolite
Loading dose: prior to the start of infusion, 5, 30 minutes after end of loading infusion on Day 1; Maintenance dose: between 48 to 72, 96 to 120 hours during infusion and immediately prior to end of infusion on Day 1
CL is volume of the body fluid/ plasma from which the drug or the metabolite is completely removed per unit time. CL was obtained for Sildenafil and its major metabolite UK-103,320.

Outcomes32

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime on Inhaled Nitric Oxide (iNO) Treatment After Initiation of Intravenous (IV) Study Drug For Participants Without Treatment Failure14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)
The intent-to-treat population (ITT) included all randomized participants treated with study treatment. Here Overall number of participants analyzed signifies number of participants without iNO treatment failure.
daysLEAST_SQUARES_MEAN
PRIMARYTreatment Failure Rate14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)The ITT population included all randomized participants treated with study treatment.percentage of participantsNUMBER
SECONDARYTime From Initiation of Intravenous (IV) Study Drug to Final Weaning of Mechanical Ventilation14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)The ITT population included all randomized participants treated with study treatment.daysMEDIAN
SECONDARYTime From Initiation of Intravenous (IV) Study Drug to First Treatment Failure14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)The ITT population included all randomized participants treated with study treatment.daysMEDIAN
SECONDARYPercentage of Participants With Individual Components of Treatment Failure14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)The ITT population included all randomized participants treated with study treatment.percentage of participantsNUMBER
SECONDARYChange From Baseline in Oxygenation Index (OI) at Hours 6, 12 and 24 Post-InfusionBaseline, Hours 6, 12 and 24 after start of infusionThe ITT population included all randomized participants treated with study treatment. Here, 'Number analyzed' = Participants evaluable for this outcome measure at specified rows.cmH2O/mmHgLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Differential Saturation at Hours 6, 12 and 24 Post-InfusionBaseline, Hours 6, 12 and 24 after start of infusionThe ITT population included all randomized participants treated with study treatment. Here, 'Number analyzed' = Participants evaluable for this outcome measure at specified rows.percentage of hemoglobinLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Ratio of Partial Pressure of Oxygen in Arterial Blood to Fraction of Inspired Oxygen (P/F) at Hours 6, 12 and 24Baseline, Hours 6, 12 and 24 after start of infusionThe ITT population included all randomized participants treated with study treatment. Here, 'Number analyzed' = Participants evaluable for this outcome measure at specified rows.ratioLEAST_SQUARES_MEAN
SECONDARYMaximum Plasma Concentration (Cmax) of Sildenafil and Its Metabolite
Loading dose, Day 1: prior to the start of infusion, 5, 30 minutes after end of loading infusion; Maintenance dose: 48 to 72, 96 to 120 hours during infusion and immediately prior to end of maintenance infusion (up to maximum on Day 14)
Pharmacokinetic (PK) analysis set included all participants randomized and treated who had at least 1 concentration during whole treatment period.nanogram per milliliterMEAN
SECONDARYTotal Plasma Clearance (CL) of Sildenafil and Its Metabolite
Loading dose: prior to the start of infusion, 5, 30 minutes after end of loading infusion on Day 1; Maintenance dose: between 48 to 72, 96 to 120 hours during infusion and immediately prior to end of infusion on Day 1
PK analysis set included all participants randomized and treated who had at least 1 concentration during whole treatment period.Liters/hourMEAN

Results by group415

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

OutcomeGroupCategoryValueSpreadUnits
Time on Inhaled Nitric Oxide (iNO) Treatment After Initiation of Intravenous (IV) Study Drug For Participants Without Treatment FailureIV Sildenafil4.195% Confidence Interval 2.58 to 5.58days
Time on Inhaled Nitric Oxide (iNO) Treatment After Initiation of Intravenous (IV) Study Drug For Participants Without Treatment FailurePlacebo4.195% Confidence Interval 2.70 to 5.50days
Treatment Failure RateIV Sildenafil27.695% Confidence Interval 11.3 to 43.9percentage of participants
Treatment Failure RatePlacebo20.095% Confidence Interval 5.7 to 34.3percentage of participants
Time From Initiation of Intravenous (IV) Study Drug to Final Weaning of Mechanical VentilationIV Sildenafil8.395% Confidence Interval 5.46 to 11.75days
Time From Initiation of Intravenous (IV) Study Drug to Final Weaning of Mechanical VentilationPlacebo7.395% Confidence Interval 5.46 to 10.78days
Time From Initiation of Intravenous (IV) Study Drug to First Treatment FailureIV SildenafilNA95% Confidence Interval NA to NAdays
Time From Initiation of Intravenous (IV) Study Drug to First Treatment FailurePlaceboNA95% Confidence Interval NA to NAdays
Percentage of Participants With Individual Components of Treatment FailureIV SildenafilAdditional Treatment Targeting PPHN13.895% Confidence Interval 3.9 to 31.7percentage of participants
Percentage of Participants With Individual Components of Treatment FailurePlaceboAdditional Treatment Targeting PPHN10.095% Confidence Interval 2.1 to 26.5percentage of participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Part ASTARTEDIV Sildenafil29
Part ASTARTEDPlacebo30
Part ACOMPLETEDIV Sildenafil22
Part ACOMPLETEDPlacebo18
Part ANOT COMPLETEDIV Sildenafil7
Part ANOT COMPLETEDPlacebo12
Part BSTARTEDIV Sildenafil27
Part BSTARTEDPlacebo26
Part BCOMPLETEDIV Sildenafil22
Part BCOMPLETEDPlacebo17

Adverse events724

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPart A: IV Sildenafil429
otherAnaemiaBlood and lymphatic system disordersPart A: Placebo330
otherAnaemiaBlood and lymphatic system disordersPart B: IV Sildenafil127
otherAnaemiaBlood and lymphatic system disordersPart B: Placebo226
otherLeukocytosisBlood and lymphatic system disordersPart A: IV Sildenafil229
otherLeukocytosisBlood and lymphatic system disordersPart A: Placebo130
otherLeukocytosisBlood and lymphatic system disordersPart B: IV Sildenafil027
otherLeukocytosisBlood and lymphatic system disordersPart B: Placebo026
otherThrombocytopeniaBlood and lymphatic system disordersPart A: IV Sildenafil029
otherThrombocytopeniaBlood and lymphatic system disordersPart A: Placebo130

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPart A: IV Sildenafil229
Total, all-cause mortalityPart A: Placebo130
Total, all-cause mortalityPart B: IV Sildenafil027
Total, all-cause mortalityPart B: Placebo226
Total, other adverse eventsPart A: IV Sildenafil2029
Total, other adverse eventsPart A: Placebo1930
Total, other adverse eventsPart B: IV Sildenafil1427
Total, other adverse eventsPart B: Placebo1526
Total, serious adverse eventsPart A: IV Sildenafil729
Total, serious adverse eventsPart A: Placebo230

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
34052232DERIVED

Source PubMed

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
IV Sildenafil vs Placebo: Number of Participants With Laboratory Abnormalities

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/NCT01720524

GET https://conductscience.org/api/trials/v1/NCT01720524/registered?page=2