New study tracks Long-Term safety of two common PH drugs
NCT ID NCT05179876
First seen Jun 24, 2026 · Last updated Aug 28, 2026 · Updated 5 times
Summary
This study follows 280 adults and children with pulmonary hypertension who are already taking macitentan or selexipag in a previous trial. The goal is to monitor long-term safety, including side effects and serious events, while allowing continued access to the medication. Participants receive their usual dose, with children getting a weight-adjusted version of macitentan.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- macitentan and selexipag
- What this could lead to
- If successful, this study could confirm that long-term use of these drugs is safe for managing pulmonary hypertension.
- What could go wrong
- This is an open-label extension study focused on safety, not on proving new benefits. Results may not apply to all patients, and side effects are still possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 280 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Sep 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant must sign an informed consent form (ICF) (or their legally designated representative must sign) indicating that participant understands the purpose of, and procedures required for, the study and is willing to participate in the study * Participant treated with oral macitentan or selexipag or fixed dose combination (FDC) of macitentan 10 milligrams (mg) and tadalafil 40 mg at the end of a sponsor parent study and: a) the indication of the parent study is included in the intervention-specific appendices (ISA) (pulmonary arterial hypertension \[PAH\]; b) participant has completed the parent study; c) no alternative means of access to study intervention (or equivalent approved therapy) have been identified; d) participant may continue to benefit from treatment with the study intervention; e) Participant is at least 18 years old for macitentan/tadalafil FDC, and at least 2 years old for macitentan or selexipag * A female participant of childbearing potential must: a) have a negative urine or serum pregnancy test prior to first intake of study intervention; b) agree to perform monthly urine pregnancy test up to the end of the safety follow-up period; c) If heterosexually active, agree to follow contraceptive methods until 30 days after the last intake of the study intervention. For pediatric female participants: It is the responsibility of the investigator to ensure appropriate counselling, including consultation with a specialist (if needed), to the participant and/or parent(s)/ legally designated representative (LDR)(s) on the acceptable method of contraception Exclusion Criteria: General: * Participants prematurely discontinued from the study intervention in their parent study * Female participant being pregnant, or breastfeeding, or planning to become pregnant while enrolled in this study * Planned or current treatment with another investigational treatment Macitentan-specific: * Known allergies, hypersensitivity, or intolerance to macitentan or its excipients * Hemoglobin less than (\<) 80 grams per liter (g/L) * Serum aspartate (AST) and/or alanine aminotransferases (ALT) greater than (\>) 3\* upper limit of normal (ULN) * Known and documented severe hepatic impairment that is, Child-Pugh Class C. For participants with hepatic impairment, Child-Pugh Class (Child-Pugh score) should be fully assessed and documented in the source documents at screening Selexipag-specific: * Known allergies, hypersensitivity, or intolerance to selexipag or its excipients * Suspected or known pulmonary veno-occlusive disease (PVOD) * Uncontrolled thyroid disease * Severe coronary heart disease or unstable angina, myocardial infarction within the last 6 months, decompensated cardiac failure (if not under close medical supervision), severe arrhythmia, cerebrovascular events (for example, transient ischemic attack, stroke) within the last 3 months, or congenital or acquired valvular defects with clinically relevant myocardial function disorders not related to pulmonary hypertension (PH) * Known and documented severe hepatic impairment that is, Child-Pugh Class C. For participants with hepatic impairment, Child-Pugh Class (Child-Pugh score) should be fully assessed and documented in the source documents at screening * Children only: (a) Current suspicion of intussusception or ileus or gastrointestinal obstruction, per the investigator's judgment; (b) hemoglobin or hematocrit \<75 percent (%) of the lower limit of normal range Macitentan/tadalafil FDC-specific: * Known allergies, hypersensitivity, or intolerance to macitentan or tadalafil or their excipients * Hemoglobin \<80 g/L * Serum aspartate (AST) and/or alanine aminotransferases (ALT) \>3\* ULN range * Known and documented severe hepatic impairment that is, Child-Pugh Class C. For participants with hepatic impairment, Child-Pugh Class should be fully assessed and documented in the source documents at screening * Severe renal impairment (estimated glomerular filtration rate \[eGF\]/creatinine clearance \<30 milliliter per minute \[mL/min\])
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
31 sites in 11 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Abdullah, IA
COMPLETEDDurban, 4001, South Africa
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Asan Medical Center
RECRUITINGSeoul, 05505, South Korea
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Beijing Anzhen Hospital
RECRUITINGBeijing, 100029, China
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Beijing Anzhen Hospital 1
RECRUITINGBeijing, 100029, China
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Chang-Gung Memorial Hospital, LinKou Branch
RECRUITINGTaoyuan, 333, Taiwan
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Children's Hospital 1
RECRUITINGHo Chi Minh City, Vietnam
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Childrens Hospital of Shanghai
RECRUITINGShanghai, 200062, China
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Chungnam National University Hospital
RECRUITINGDaejeon, 35015, South Korea
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Dr Kalla
RECRUITINGLenasia, 1820, South Africa
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E.Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation
RECRUITINGNovosibirsk, 630055, Russia
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Federal State Budgetary Institution
COMPLETEDSaint Petersburg, 197341, Russia
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Gachon University Gil Medical Center
RECRUITINGIncheon, 21565, South Korea
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Gottsegen György Országos Kardiológiai Intézet
RECRUITINGBudapest, 1096, Hungary
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Hanoi Heart Hospital
RECRUITINGHanoi, Vietnam
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Hanoi Medical University Hospital
RECRUITINGHanoi, Vietnam
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Institute of Cardiology of Tomsk National Research Medical Center of Rus Academy of Sciences
COMPLETEDTomsk, 634012, Russia
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Jiangsu Province Hospital
RECRUITINGNanjing, China
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Kaohsiung Veterans General Hospital
RECRUITINGKaohsiung City, 813, Taiwan
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Klinika Kardiologii Z Oddzialem Intensywnego Nadzoru Kardiologicznego UM W Bialymstoku
RECRUITINGBialystok, 15 276, Poland
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Maharaj Nakorn Chiang Mai hospital Faculty of Medicine
RECRUITINGChiang Mai, 50200, Thailand
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Minsk Regional Clinical Hospital Of The Red Banner Of Labor
COMPLETEDMinsk, Belarus
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Municipal Inst. Of Dnipropetrovsk Region. Council
COMPLETEDDnipro, Ukraine
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National Cheng Kung University Hospital
RECRUITINGTainan, 704, Taiwan
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National Taiwan University Hospital
RECRUITINGTaipei, 100, Taiwan
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Oddzial Kardiologii Wojewodzki Szpital Specjalistyczny im W Bieganskiego
COMPLETEDLodz, 91 347, Poland
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Qingdao Women and Children's Hospital
RECRUITINGQingdao, 266035, China
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Regional Clinical Hospital No1
RECRUITINGTyumen, 625000, Russia
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SPSK nr 7 SUM w Katowicach Gornoslaskie Centrum Medyczne im Prof Leszka Gieca
RECRUITINGKatowice, 40 635, Poland
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SPSK2 PUM Klinika Kardiologii
COMPLETEDSzczecin, 70 111, Poland
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Scientific and Research Institution of Cardiovascular Diseases Complex Problems
COMPLETEDKemerovo, 650002, Russia
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Seoul National University Hospital 1
RECRUITINGSeoul, 03080, South Korea
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State Institute Of Phthisiology And Pulmonology N.A. F.G. Yanovskiy Of Ams Ukraine
COMPLETEDKyiv, 03680, Ukraine
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Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy, Klinika Kardiologii
COMPLETEDBydgoszcz, 85-168, Poland
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Taipei Veterans General Hospital
RECRUITINGTaipei, 112, Taiwan
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The Catholic University of Korea Seoul St Marys Hospital
COMPLETEDSeoul, 06591, South Korea
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The First Affiliated Hospital of Xian Jiaotong University
RECRUITINGXi'an, 710061, China
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The Republican Scientific-Practical Center ''Cardiology''
RECRUITINGMinsk, 220036, Belarus
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The Second Xiangya Hospital of Central South Hospital
RECRUITINGChangsha, 410011, China
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UZ Leuven
COMPLETEDLeuven, 3000, Belgium
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University Multiprofile Hospital for Active Treatment- UMHAT Sveta Anna AD
RECRUITINGSofia, 1750, Bulgaria
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Wojewodzki Szpital Specjalist Osrodek Badawczo Rozwojowy
COMPLETEDWroclaw, 51 124, Poland
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Wojewodzki Szpital Specjalistyczny im Stefana Kardynala Wyszynskiego SPZOZ
COMPLETEDLublin, 20 718, Poland
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Wojewodzki Szpital Specjalistyczny we Wroclawiu
RECRUITINGWroclaw, 51 124, Poland
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Other studies related to the condition(s) this trial covers.
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