MK-5475-013 INSIGNIA-PH-COPD: A Study of the Efficacy and Safety of MK-5475 (an Inhaled sGC Stimulator) in Adults With PH-COPD
Pulmonary Hypertension, Chronic Obstructive Pulmonary Disease
About this trial
This is an interventional treatment trial for Pulmonary Hypertension
Eligibility Criteria
The key inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: Has Group 3.1 pulmonary hypertension chronic obstructive pulmonary disease (PH-COPD) as defined by the Clinical Classification of Pulmonary Hypertension. Has a right heart catheterization (RHC) at screening or historical RHC within 12 months before screening that meets hemodynamic criteria. Has evidence of obstructive lung disease on pulmonary function testing (PFT) performed at screening. Has a WHO Functional Class assessment of Class II to IV. If on supplemental oxygen, the regimen must be stable. Has stable and optimized chronic, baseline COPD-specific therapy. If on antihypertensives and/or a diuretic regimen has stable concomitant use. If on anticoagulants has stable concomitant use. Is of any sex/gender from 40 to 80 years of age inclusive. Female is not pregnant or breastfeeding, and is not of childbearing potential or uses acceptable contraceptive method or abstains from sexual intercourse, or has a negative highly sensitive pregnancy test within 24 hours before the first dose of study intervention, or whose history and sexual activity has been reviewed by the investigator. Exclusion criteria: Has history of Group 1 pulmonary arterial hypertension (PAH), Groups 2, 4 or 5 pulmonary hypertension (PH). Has history of non-COPD related Group 3 PH. Has evidence of untreated more than mild obstructive sleep apnea. Has evidence or history of left heart disease. Expects to receive a lung and/or heart transplant from screening through the end of the 24 week Base Period. Has evidence of a resting oxygen saturation (SpO2) < 90%. Has experienced a moderate or severe COPD exacerbation within 2 months before randomization. Has experienced right heart failure within 2 months before randomization. Has uncontrolled tachyarrhythmia. Has acute coronary syndrome, undergone coronary artery bypass graft, or percutaneous coronary intervention within 2 months before randomization. Has evidence of significant chronic renal insufficiency. Has evidence of chronic liver disease, portal hypertension, cirrhosis, or hepatic abnormalities. Initiated a pulmonary rehabilitation program within 2 months before randomization. Has impairments that limit the ability to perform 6MWT. Has history of cancer. Is a user of illicit drugs or has a recent history of drug/alcohol abuse or dependence. Has used PAH-specific therapies within 2 months of randomization.
Sites / Locations
- University of Colorado Anschutz Medical Campus-University of Colorado Hospital Cardiac and VascularRecruiting
- Clinovation Intl. Corp. ( Site 0108)Recruiting
- Alexian Brothers Medical Center-Pulmonary ( Site 0109)Recruiting
- University of Iowa ( Site 0103)Recruiting
- University of Kansas Medical Center-IM-Pulmonary and Critical Care Medicine ( Site 0102)Recruiting
- Lexington VA Medical Center - Cooper Division ( Site 0137)Recruiting
- Mayo Clinic in Rochester, Minnesota ( Site 0131)Recruiting
- Creighton University Clinical Research Office ( Site 0123)Recruiting
- Temple University Hospital ( Site 0104)Recruiting
- The University of Texas Health Science Center at Houston ( Site 0105)Recruiting
- University of Virginia Health System-Division of Pulmonary and Critical Care Medicine ( Site 0111)Recruiting
- Centro Medico Capital ( Site 0301)Recruiting
- Instituto de Cardiologia de Tucuman-Area de Investigacion Clinica ( Site 0303)Recruiting
- Fundación Respirar ( Site 0305)Recruiting
- Hospital Privado Universitario de Córdoba-Clinical Cardiology Department ( Site 0302)Recruiting
- Westmead Hospital-Department of Respiratory and Sleep Medicine ( Site 0902)Recruiting
- The Prince Charles Hospital ( Site 0904)Recruiting
- Mater Misericordiae Limited ( Site 0905)Recruiting
- Medizinische Universität Graz-Klinische Abteilung für Pulmonologie ( Site 1201)Recruiting
- Medizinische Universitaet Innsbruck ( Site 1202)Recruiting
- Centro Cardiovascular Colombiano Clínica Santa María ( Site 0504)Recruiting
- Ciensalud Ips S A S ( Site 0508)Recruiting
- Fundacion Valle del Lili- CIC ( Site 0509)Recruiting
- Centro de Investigaciones Clinicas SAS ( Site 0505)Recruiting
- C.H.U Hôpital Nord ( Site 1503)Recruiting
- Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre-Pneumologie ( Site 1501)Recruiting
- Centre Hospitalier Universitaire de Poitiers ( Site 1505)Recruiting
- Thoraxklinik-Heidelberg gGmbH-Zentrum für Pulmonale Hypertonie ( Site 1603)Recruiting
- Medizinische Hochschule Hannover ( Site 1602)Recruiting
- Universitaetsklinikum Carl Gustav Carus Dresden ( Site 1601)Recruiting
- Universitätsklinikum Schleswig-Holstein-Pneumologie ( Site 1605)Recruiting
- Rambam Health Care Campus ( Site 1701)Recruiting
- Cattinara Hospital ( Site 1801)Recruiting
- Ospedale San Gerardo-ASST Monza-Cardio Vasolare- Clinica pneumologica ( Site 1802)Recruiting
- ISMETT Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione ( Site 1804)Recruiting
- Gachon University Gil Medical Center ( Site 1101)Recruiting
- Seoul National University Hospital ( Site 1103)Recruiting
- Asan Medical Center ( Site 1102)Recruiting
- Instituto Nacional de Cardiologia Ignacio Chavez ( Site 0701)Recruiting
- Hospital Universitario Marqués de Valdecilla-Pneumology ( Site 2003)Recruiting
- HOSPITAL CLÍNIC DE BARCELONA ( Site 2001)Recruiting
- Hospital Universitari Vall d'Hebron ( Site 2002)Recruiting
- HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO ( Site 2005)Recruiting
- UniversitätsSpital Zürich ( Site 2201)Recruiting
- Cantonal Hospital St.Gallen ( Site 2203)Recruiting
- Hammersmith Hospital-Department of Cardiology ( Site 2401)Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
MK-5475
Placebo
Participants with PH-COPD will receive 380 µg of MK-5475 as an oral inhalation once daily for 24 weeks (base period) and thereafter for 18 months (optional extension period).
Participants with PH-COPD will receive matching placebo as an oral inhalation once daily for 24 weeks (base period) and then 380 µg of MK-5475 as an oral inhalation once daily for 18 months (optional extension period).