A Study of Selexipag in Participants Who Participated in a Previous Selexipag Study (SOMBRERO)
Primary Purpose
Hypertension, Pulmonary
Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Selexipag
Sponsored by
About this trial
This is an interventional treatment trial for Hypertension, Pulmonary
Eligibility Criteria
Inclusion Criteria:
- Treated with selexipag at the end of a parent study and: a) the parent study has established efficacy with a favorable benefit/risk profile for the indication under investigation; b) participant may continue to benefit from treatment with selexipag; c) has completed the end of treatment (EOT) visit of the parent study; d) no alternative means of access to selexipag have been identified
- Women of childbearing potential must use an acceptable method of contraception throughout the study and until at least 1 month following the last dose of study intervention
- Women of childbearing potential must have a negative urine (or serum if applicable) pregnancy test at screening on Day 1 or at the last visit of the parent study
- Must sign an informed consent form (ICF) indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study
Exclusion Criteria:
- Suspected or known pulmonary veno-occlusive disease
- Known allergies, hypersensitivity, or intolerance to selexipag or its excipients
- Interruption of study intervention for more than 14 days since the last dose of study intervention taken in the parent study
- Female participant being pregnant, or breastfeeding, or planning to become pregnant at the time of screening and while enrolled in this study
- Uncontrolled thyroid disease
- Known and documented severe hepatic impairment, example, Child-Pugh Class C
- Taken any disallowed therapies, Concomitant Therapy before the planned first dose of study intervention: a) treatment with a strong CYP 2C8 inhibitor (example, gemfibrozil); b) treatment with oral prostacyclin analogs (example, beraprost, treprostinil) since the last dose of study intervention taken in the parent study; c) any investigational treatment other than selexipag
- 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 (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 PH
Sites / Locations
- The Republican Scientific-Practical Center ''Cardiology''
- Minsk Regional Clinical Hospital
- Sanjivani Hospitals
- Apollo Hospitals
- Gachon University Gil Medical Center
- Samsung Medical Center
- The Catholic University of Korea Seoul St. Mary's Hospital
- Institutul de pneumoftiziologie Marius Nasta
- Kaohsiung Veterans General Hospital
- National Taiwan University Hospital
- Municipal Inst. Of Dnipropetrovsk Region. Council
- Health Care Municipal Institution City Clinical Hospital #13
- State Institute Of Phthisiology And Pulmonology N.A. F.G. Yanovskiy Of Ams Ukraine
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Selexipag
Arm Description
Participants will receive selexipag tablets twice daily with the dose strength corresponding to their individual maximum tolerated dose (iMTD) from the parent study.
Outcomes
Primary Outcome Measures
Frequency of Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study intervention.
Frequency of AEs Leading to Premature Discontinuation of Selexipag
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study intervention.
Frequency of Serious Adverse Events (SAEs)
An SAE is any AE that results in: death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product or medically important.
Frequency of Death
Frequency of death will be reported.
Number of Pregnancies with Maternal Exposure to Selexipag
Number of pregnancies with maternal exposure to selexipag will be reported.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04565990
Brief Title
A Study of Selexipag in Participants Who Participated in a Previous Selexipag Study
Acronym
SOMBRERO
Official Title
A Multicenter, Single-arm, Open-label, Long-term Follow-up Safety Study of Selexipag in Participants Who Participated in a Previous Selexipag Study
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 3, 2021 (Actual)
Primary Completion Date
December 31, 2025 (Anticipated)
Study Completion Date
September 18, 2028 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Actelion
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to assess the long-term safety of selexipag while providing continued selexipag treatment for participants who were previously enrolled in an Actelion-sponsored study with selexipag and who derived benefit from selexipag in indications for which a positive benefit-risk has been established.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension, Pulmonary
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
43 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Selexipag
Arm Type
Experimental
Arm Description
Participants will receive selexipag tablets twice daily with the dose strength corresponding to their individual maximum tolerated dose (iMTD) from the parent study.
Intervention Type
Drug
Intervention Name(s)
Selexipag
Other Intervention Name(s)
JNJ-67896049, ACT-293987
Intervention Description
Selexipag tablets will be administered orally at all dose strengths (200, 400, 600, 800, 1000, 1200, 1400 and 1600 microgram) twice daily.
Primary Outcome Measure Information:
Title
Frequency of Adverse Events (AEs)
Description
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study intervention.
Time Frame
From Day 1 up to 7 years (end of study)
Title
Frequency of AEs Leading to Premature Discontinuation of Selexipag
Description
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study intervention.
Time Frame
From Day 1 up to 7 years (end of study)
Title
Frequency of Serious Adverse Events (SAEs)
Description
An SAE is any AE that results in: death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product or medically important.
Time Frame
From Day 1 up to 7 years (end of study)
Title
Frequency of Death
Description
Frequency of death will be reported.
Time Frame
From Day 1 up to 7 years (end of study)
Title
Number of Pregnancies with Maternal Exposure to Selexipag
Description
Number of pregnancies with maternal exposure to selexipag will be reported.
Time Frame
From Day 1 up to 7 years (end of study)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Treated with selexipag at the end of a parent study and: a) the parent study has established efficacy with a favorable benefit/risk profile for the indication under investigation; b) participant may continue to benefit from treatment with selexipag; c) has completed the end of treatment (EOT) visit of the parent study; d) no alternative means of access to selexipag have been identified
Women of childbearing potential must use an acceptable method of contraception throughout the study and until at least 1 month following the last dose of study intervention
Women of childbearing potential must have a negative urine (or serum if applicable) pregnancy test at screening on Day 1 or at the last visit of the parent study
Must sign an informed consent form (ICF) indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study
Exclusion Criteria:
Suspected or known pulmonary veno-occlusive disease
Known allergies, hypersensitivity, or intolerance to selexipag or its excipients
Interruption of study intervention for more than 14 days since the last dose of study intervention taken in the parent study
Female participant being pregnant, or breastfeeding, or planning to become pregnant at the time of screening and while enrolled in this study
Uncontrolled thyroid disease
Known and documented severe hepatic impairment, example, Child-Pugh Class C
Taken any disallowed therapies, Concomitant Therapy before the planned first dose of study intervention: a) treatment with a strong CYP 2C8 inhibitor (example, gemfibrozil); b) treatment with oral prostacyclin analogs (example, beraprost, treprostinil) since the last dose of study intervention taken in the parent study; c) any investigational treatment other than selexipag
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 (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 PH
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Actelion Clinical Trial
Organizational Affiliation
Actelion
Official's Role
Study Director
Facility Information:
Facility Name
The Republican Scientific-Practical Center ''Cardiology''
City
Minsk
ZIP/Postal Code
220036
Country
Belarus
Facility Name
Minsk Regional Clinical Hospital
City
Minsk
ZIP/Postal Code
220143
Country
Belarus
Facility Name
Sanjivani Hospitals
City
Ahmedabad
ZIP/Postal Code
380015
Country
India
Facility Name
Apollo Hospitals
City
Chennai
ZIP/Postal Code
600006
Country
India
Facility Name
Gachon University Gil Medical Center
City
Incheon
ZIP/Postal Code
21565
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
ZIP/Postal Code
06351
Country
Korea, Republic of
Facility Name
The Catholic University of Korea Seoul St. Mary's Hospital
City
Seoul
ZIP/Postal Code
06591
Country
Korea, Republic of
Facility Name
Institutul de pneumoftiziologie Marius Nasta
City
Bucuresti
ZIP/Postal Code
050152
Country
Romania
Facility Name
Kaohsiung Veterans General Hospital
City
Kaohsiung
ZIP/Postal Code
813
Country
Taiwan
Facility Name
National Taiwan University Hospital
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan
Facility Name
Municipal Inst. Of Dnipropetrovsk Region. Council
City
Dnipro
Country
Ukraine
Facility Name
Health Care Municipal Institution City Clinical Hospital #13
City
Kharkiv
Country
Ukraine
Facility Name
State Institute Of Phthisiology And Pulmonology N.A. F.G. Yanovskiy Of Ams Ukraine
City
Kyiv
ZIP/Postal Code
03680
Country
Ukraine
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
IPD Sharing URL
https://www.janssen.com/clinical-trials/transparency
Learn more about this trial
A Study of Selexipag in Participants Who Participated in a Previous Selexipag Study
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