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Trial · NCT01739400

Clinical Study to Assess the Long-term Safety, Tolerability, and Efficacy of Macitentan in Subjects With Eisenmenger Syndrome

NCT01739400, Phase 3, Terminated, Actelion; results first posted 2019-04-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Clinical Study to Assess the Long-term Safety, Tolerability, and Efficacy of Macitentan in Subjects With Eisenmenger Syndrome. Trials, record NCT01739400. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01739400

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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, Tolerability, and Efficacy of Macitentan in Subjects With Eisenmenger Syndrome
NCT number
NCT01739400
Status
Terminated
Phases
Phase 3
Enrollment
217 participants, actual
Lead sponsor
Actelion
Conditions
Pulmonary Arterial Hypertension
Interventions
Macitentan 10 mg tablet, once daily.
First posted
2012-12-03
Last updated
2019-04-16
Results first posted
2019-04-16
Limitations and caveats
The MAESTRO parent study AC-055-305 (NCT01743001) did not meet its primary endpoint. The sponsor decided to prematurely terminate this OL study on January 12th 2018.

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryChange in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.
NOTE: The MAESTRO-OL study was exploratory in nature and no primary efficacy and safety endpoint were defined in the clinical protocol. This and the other exploratory efficacy outcome measures posted were selected to be reported as a primary endpoints. All efficacy analyses were considered exploratory. The analyses of the exploratory efficacy endpoints focused on the absolute values and on the change from DB baseline to Week 16 in the DB study and to Month 6 and Month 12 in the OL study. For missing 6MWD values in the OL study, the following imputation rules were applied: If the reason for missing data was death, a distance of zero (0) meters was imputed for all 6MWD visits from the date of death. For any other reasons, the last available value was carried forward.
PrimaryChange in WHO Functional Class (FC) at Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.
Class I: no symptoms with exercise or at rest. No limitation of activity. Class II: No symptoms at rest but slight limitation with ordinary activities causing symptoms (e.g. short of breath with climbing stairs). Class III: may not have symptoms at rest but activities greatly limited by shortness of breath, fatigue, or near fainting. Class IV: symptoms at rest and inability to carry out any physical activity without symptoms. Patients in class IV manifest signs of right heart failure. For missing WHO FC values in the OL study, the following imputation rules were applied: If the reason for missing data was death, class IV was imputed for all WHO visits from the date of death. For any other reasons, the last available value was carried forward.
PrimaryChange in Borg Dyspnea Score at Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.
The Borg dyspnea score rates the severity of dyspnea (difficult or labored breathing) on a scale from 0 ('Nothing at all') to 10 ('Very, very severe - maximal'). For missing Borg dyspnea index values in the OL study, the following imputation rules were applied: If the reason for missing data was death, a value of 10 was imputed for all Borg visits from the date of death. For any other reasons, the last available value was carried forward.
PrimaryChange in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.No imputation of missing data for SpO2 was applied. Oxygen saturation assessed by pulse oximetry: peripheral oxygen saturation (SpO2) at rest before the 6-minute walk test (6MWT)

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.meter (m)MEAN
PRIMARYChange in WHO Functional Class (FC) at Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYChange in Borg Dyspnea Score at Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.score on a scaleMEAN
PRIMARYChange in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.
No imputation of missing data for oxygen saturation as assessed by SpO2 was applied. Therefore out of 109 subjects 104 subjects were analyzed at month 6 and 92 subjects at month 12 in the DB-macitentan group. In the DB-placebo group out of 108 subjects 103 subjects were analyzed at month 6 and 84 subjects at month 12.
% of oxygen saturation at restMEAN

Results by group86

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

OutcomeGroupCategoryValueSpreadUnits
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-macitentan6MWD at DB study baseline370.6Standard Deviation 74.1meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-placebo6MWD at DB study baseline381.6Standard Deviation 76.7meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-macitentan6MWD at Week 16 in DB study395.1Standard Deviation 88.4meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-placebo6MWD at Week 16 in DB study399.9Standard Deviation 80.6meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-macitentanChange in 6MWD from DB study baseline to Week 1624.4Standard Deviation 71.0meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-placeboChange in 6MWD from DB study baseline to Week 1618.2Standard Deviation 53.0meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-macitentan6MWD at Month 6 in OL study396.8Standard Deviation 96.5meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-placebo6MWD at Month 6 in OL study425.0Standard Deviation 72.1meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-macitentanChange in 6MWD from DB study baseline to Month 626.2Standard Deviation 77.9meter (m)
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12DB-placeboChange in 6MWD from DB study baseline to Month 643.4Standard Deviation 51.5meter (m)

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDDB-macitentan109
Overall StudySTARTEDDB-placebo108
Overall StudyTreated With 10 mg MacitentanDB-macitentan109
Overall StudyTreated With 10 mg MacitentanDB-placebo108
Overall StudyCOMPLETEDDB-macitentan92
Overall StudyCOMPLETEDDB-placebo99
Overall StudyNOT COMPLETEDDB-macitentan17
Overall StudyNOT COMPLETEDDB-placebo9

Adverse events79

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBronchitisInfections and infestationsAll-enrolled Analysis Set2021727
otherChest painGeneral disordersAll-enrolled Analysis Set1321713
otherCoughRespiratory, thoracic and mediastinal disordersAll-enrolled Analysis Set2321728
otherDiarrhoeaGastrointestinal disordersAll-enrolled Analysis Set1821720
otherDizzinessNervous system disordersAll-enrolled Analysis Set1821720
otherFatigueGeneral disordersAll-enrolled Analysis Set1121711
otherHaemoglobin decreasedInvestigationsAll-enrolled Analysis Set2021729
otherHaemoptysisRespiratory, thoracic and mediastinal disordersAll-enrolled Analysis Set2421742
otherHeadacheNervous system disordersAll-enrolled Analysis Set2921734
otherOedema peripheralGeneral disordersAll-enrolled Analysis Set1421715

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAll-enrolled Analysis Set7217
Total, other adverse eventsAll-enrolled Analysis Set152217
Total, serious adverse eventsAll-enrolled Analysis Set62217

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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/NCT01739400

GET https://conductscience.org/api/trials/v1/NCT01739400/results?page=2