Could a new dose of selexipag help kids with rare lung disease?
NCT ID NCT03492177
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 3 times
Summary
This study is testing the safety and right dose of a drug called selexipag in children aged 2 to 17 with pulmonary arterial hypertension (PAH), a serious condition where blood pressure in the lungs is too high. The goal is to find a dose that works like the adult version. The study involves 63 children and is currently active but not recruiting new participants.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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63 people
The number who actually took part.
- Started
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Jul 2018
- Expected to finish
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Dec 2026
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 to 17 years
- 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: * Signed and dated informed consent by the parent(s) or Legally authorized representative(s) AND assent from developmentally capable children * Males or females between greater than or equal to (\>=) 2 and less than (\<) 18 years of age with weight \>= 9 kilograms (kg) * Pulmonary arterial hypertension (PAH) diagnosis confirmed by documented historical right heart catheterization (RHC) performed at any time before participant's enrollment * PAH with one of the following etiologies: * idiopathic (iPAH), * heritable (hPAH), * associated with congenital heart disease (CHD): PAH with co-incidental CHD; post-operative PAH (persisting/ recurring/ developing \>= 6 months after repair of CHD) * Drug or toxin-induced * PAH associated with HIV * PAH associated with connective tissue disease * Word Health Organization functional class (WHO FC) II to III * Participants treated with an endothelin receptor antagonist (ERA) and/or a phosphodiesterase type 5 (PDE-5) inhibitor provided that the treatment dose(s) has been stable for at least 3 months prior to enrollment, or participants who are not candidates for these therapies * Females of childbearing potential must have a negative pregnancy test at Screening and at Enrollment, and must agree to undertake monthly pregnancy tests, and to use a reliable method of contraception (if sexually active) from screening up to study drug discontinuation plus 30 days (EOS) Key Exclusion Criteria: * Participants with PAH due to portal hypertension, schistosomiasis, pulmonary veno-occlusive disease (PVOD) and/or pulmonary capillary hemangiomatosis * Participants with PAH associated with Eisenmenger syndrome * Participants with moderate to large left-to-right shunts * Participants with cyanotic congenital cardiac lesions such as transposition of the great arteries, truncus arteriosus, univentricular heart or pulmonary atresia with ventricular septal defect, as well as Participants with Fontan-palliation * Participants with pulmonary hypertension due to lung disease * Previous treatment with Uptravi (selexipag) within 2 weeks prior to enrollment * Participants having received prostacyclin (epoprostenol) or prostacyclin analogs (that is, treprostinil, iloprost, beraprost) within 2 months prior to enrollment or are scheduled to receive any of these compounds during the trial * Treatment with another investigational drug within 4 weeks prior to enrollment * History, or current suspicion of intussusception or ileus or gastrointestinal obstruction as per investigator's judgment * Uncontrolled thyroid disease as per investigator judgment * Hemoglobin or hematocrit \< 75 percentage (%) of the lower limit of normal range * Known severe or moderate hepatic impairment * Clinical signs of hypotension that in the investigator's judgment would preclude initiation of a PAH-specific therapy * Participants with severe renal insufficiency * Known hypersensitivity to the investigational treatment or to any of the excipients of the drug formulations
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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.
Contacts and locations
Locations
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Almazov National Medical Research Center Of The Ministry Of Health Of The Russian Federation
Saint Petersburg, 197341, Russia
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Beijing Anzhen Hospital
Beijing, 100029, China
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CHU Arnaud de Villeneuve
Montpellier, 34295, France
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Centre Hospitalier Sainte Justine
Montreal, Quebec, H3T 1C4, Canada
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Children'S Hospital Cardiac Care Center University Of Colorado
Aurora, Colorado, 80045, United States
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Chu Hopital Des Enfants
Toulouse, 31059, France
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Gottsegen Gyorgy Orszagos Kardiologiai Intezet, Felnott kardiologiai osztaly
Budapest, 1096, Hungary
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Great Ormond Street Hospital
London, WC1N 3JH, United Kingdom
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Health Institution 4Th City Children'S Clinical Hospital
Minsk, 220118, Belarus
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Hôpital Necker - Enfants Malades
Paris, 75015, France
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Institut Jantung Negara (National Heart Institute)
Kuala Lumpur, 50400, Malaysia
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Institut Za Zdravstvenu Zastitu Majke I Deteta Srbije Dr Vukan Cupic
Belgrade, 11070, Serbia
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Kazan State Medical University
Kazan', 420059, Russia
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Lviv Regional Clinical Hospital
Lviv, 79010, Ukraine
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Moscow Scientific Research Institute For Pediatrics And Childrens Surgery Of Rosmedtechnologies
Moscow, 125412, Russia
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Municipal Enterprise Of The Dnipropetrovsk Regional Council
Dnipro, 49070, Ukraine
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Municipal Institution Of The Zaporizhzhya Regional Council
Zaporizhzhya, 69063, Ukraine
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Taiwan University Hospital
Taipei, 100, Taiwan
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Saint Petersburg State Pediatric Medical University
Saint Petersburg, 194100, Russia
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Samara Regional Clinical Cardiological Dispensary
Samara, 443070, Russia
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Sarawak Heart Center
Kota Samarahan, 94300, Malaysia
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Schneider Children's Medical Center
Petach Tikvah, Israel
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Scientific and Research Institution of Cardiovascular Diseases Complex Problems
Kemerovo, 650002, Russia
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Seattle Children's Hospital
Seattle, Washington, 98105, United States
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Shanghai Childrens Medical Center
Shanghai, 200127, China
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Sheba Medical Center
Ramat Gan, 52621, Israel
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State Institution Of The Ministry Of Health Of Ukraine
Kiev, 04050, Ukraine
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State Institution Republican Scientific And Practical Center For Pediatric Surgery
Minsk, 220013, Belarus
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UZ Gent
Ghent, 9000, Belgium
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University of Iowa Hospital
Iowa City, Iowa, 52242, United States
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Universitätsklinikum Freiburg Zentrum
Freiburg im Breisgau, 70106, Germany
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Univerzitetska Dečja Klinika
Belgrade, 11000, Serbia
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Wojewodzki Szpital Specjalistyczny We Wroclawiu
Wroclaw, 51 124, Poland
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Other studies related to the condition(s) this trial covers.
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