STRIDE-3: A Long-Term, Open-Label Study to Evaluate the Safety of Sitaxsentan Sodium Treatment in Patients With Pulmonary Arterial Hypertension

Sponsor
Pfizer (Industry)
Overall Status
Terminated
CT.gov ID
NCT00811018
Collaborator
(none)
1,192
91
1
100
13.1
0.1

Study Details

Study Description

Brief Summary

This is a multi-center, open-label study of sitaxsentan sodium 100 mg taken orally once daily by subjects with PAH until sitaxsentan, in a particular country or region, is commercially available for the treatment of PAH or the study is closed.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

Open-label extension

Study Design

Study Type:
Interventional
Actual Enrollment :
1192 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Official Title:
A Long-Term, Open-Label Study To Evaluate The Safety Of Sitaxsentan Sodium Treatment In Patients With Pulmonary Arterial Hypertension
Study Start Date :
Mar 1, 2003
Actual Primary Completion Date :
Jul 1, 2011
Actual Study Completion Date :
Jul 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: Sitaxsentan

Sitaxsentan

Drug: Sitaxsentan
Sitaxsentan 100 mg tablets once daily
Other Names:
  • Sitaxentan
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Day 1 up to 82 months]

      All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product were reported.

    2. The Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN) [Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months]

      ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    3. The Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN [Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months]

      ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    4. Percentage of Participants With Total Bilirubin > 1.5 x ULN [Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months]

      Total builirubin data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    5. Percentage of Participants With Laboratory Test Abnormalities (Hematology) [Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months]

      Hematology data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    6. Percentage of Participants With Laboratory Test Abnormalities (Chemistry) [Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months]

      Chemistry data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    7. Percentage of Participants With Laboratory Test Abnormalities (Urinalysis) [Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months]

      Urinalysis data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    8. Percentage of Participants With Anticoagulant Use [Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months]

      Participants with anticoagulant use before first dose or participants with anticoagulant use from first dose of sitaxsentan.

    9. Percentage of Participants With Elevated International Normalize Ratio (INR) [Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months]

      Elevated INR in participants who took warfarin, warfarin derivatives, other anticoagulant and no anticoagulants. Elevated INR defined as > 3.5. Percentage calculated using number of participants with INR data as the denominator.

    10. Percentage of Participants With Electrocardiography (ECG) Results of Potential Clinical Importance [Weeks 28,60,72,84,96,104, Transition Visit up to 82 months]

      Standard 12-lead ECG results determined to be of potential clinical importance according to investigator clinical judgement.

    11. Percentage of Participants With Vital Sign Results of Potential Clinical Importance [Day 1, Weeks 28,60,72,84,96,104, Transition visit, every 6 months Post Transition, up to 82 months]

      Vital signs include sitting blood pressure, respiration rate, heart rate and temperature. Potential clinical importance determined according to investigator clinical judgement.

    12. Percentage of Participants With Abnormal Prothrombin Time (PT) [Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months]

      PT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    13. Percentage of Participants With Abnormal Partial Thromboplastin Time (PTT) [Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months]

      PTT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Diagnosis of Pulmonary Arterial Hypertension (PAH) confirmed by cardiac catheterization.

    • Current diagnosis of WHO group 1 PAH with functional class 2, 3, or 4 symptoms.

    Exclusion Criteria:
    • Has portal hypertension or chronic liver disease.

    • Has history of left sided heart disease or significant cardiac disease.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Pfizer Investigational Site Birmingham Alabama United States 35233
    2 Pfizer Investigational Site Birmingham Alabama United States 35294
    3 Pfizer Investigational Site Phoenix Arizona United States 85013
    4 Pfizer Investigational Site Los Angeles California United States 90073
    5 Pfizer Investigational Site San Francisco California United States 94143-0124
    6 Pfizer Investigational Site Torrence California United States 90502
    7 Pfizer Investigational Site Denver Colorado United States 80218
    8 Pfizer Investigational Site Denver Colorado United States 80262
    9 Pfizer Investigational Site Sarasota Florida United States 34233
    10 Pfizer Investigational Site Atlanta Georgia United States 30322
    11 Pfizer Investigational Site Augusta Georgia United States 30912
    12 Pfizer Investigational Site Decatur Georgia United States 30030
    13 Pfizer Investigational Site Decatur Georgia United States 30033
    14 Pfizer Investigational Site Chicago Illinois United States 60637
    15 Pfizer Investigational Site Kansas City Kansas United States 66160
    16 Pfizer Investigational Site Lexington Kentucky United States 40536
    17 Pfizer Investigational Site New Orleans Louisiana United States 70112-1393
    18 Pfizer Investigational Site New Orleans Louisiana United States 70112
    19 Pfizer Investigational Site Portland Maine United States 04102
    20 Pfizer Investigational Site Baltimore Maryland United States 21205
    21 Pfizer Investigational Site Boston Massachusetts United States 02111
    22 Pfizer Investigational Site Boston Massachusetts United States 02114
    23 Pfizer Investigational Site Boston Massachusetts United States 02118
    24 Pfizer Investigational Site Boston Massachusetts United States 02218
    25 Pfizer Investigational Site Ann Arbor Michigan United States 48109-0570
    26 Pfizer Investigational Site Detroit Michigan United States 48201
    27 Pfizer Investigational Site Rochester Minnesota United States 55905
    28 Pfizer Investigational Site New Brunswick New Jersey United States 08903-0019
    29 Pfizer Investigational Site New York New York United States 10032
    30 Pfizer Investigational Site Durham North Carolina United States 27710
    31 Pfizer Investigational Site Cleveland Ohio United States 44106
    32 Pfizer Investigational Site Cleveland Ohio United States 44195
    33 Pfizer Investigational Site Columbus Ohio United States 43210
    34 Pfizer Investigational Site Philadelphia Pennsylvania United States 19140
    35 Pfizer Investigational Site Pittsburgh Pennsylvania United States 15213
    36 Pfizer Investigational Site Charleston South Carolina United States 29425
    37 Pfizer Investigational Site Nashville Tennessee United States 37232-2650
    38 Pfizer Investigational Site Nashville Tennessee United States 37232-5735
    39 Pfizer Investigational Site Nashville Tennessee United States 37232
    40 Pfizer Investigational Site Galveston Texas United States 77555-0561
    41 Pfizer Investigational Site Houston Texas United States 77030
    42 Pfizer Investigational Site San Antonio Texas United States 78229
    43 Pfizer Investigational Site Salt Lake City Utah United States 84143
    44 Pfizer Investigational Site Milwaukee Wisconsin United States 53215
    45 Pfizer Investigational Site Milwaukee Wisconsin United States 53226
    46 Pfizer Investigational Site Capital Federal Buenos Aires Argentina C1416ASA
    47 Pfizer Investigational Site Capital Federal Argentina C1039AAO
    48 Pfizer Investigational Site Darlinghurst New South Wales Australia 2010
    49 Pfizer Investigational Site Chermside Q Queensland Australia 4032
    50 Pfizer Investigational Site Melbourne Victoria Australia 3004
    51 Pfizer Investigational Site Chermside Australia QLD 4032
    52 Pfizer Investigational Site Graz Austria 8036
    53 Pfizer Investigational Site Wien Austria 1090
    54 Pfizer Investigational Site Bruxelles Belgium 1070
    55 Pfizer Investigational Site Leuven Belgium B - 3000
    56 Pfizer Investigational Site Belo Horizonte MG Brazil 30380-090
    57 Pfizer Investigational Site Porto Alegre RS Brazil 90035-003
    58 Pfizer Investigational Site Sao Paulo Brazil 05403-000
    59 Pfizer Investigational Site Calgary Alberta Canada T1Y 6J4
    60 Pfizer Investigational Site Edmonton Alberta Canada T6G 2B7
    61 Pfizer Investigational Site Vancouver British Columbia Canada V5Z 1M9
    62 Pfizer Investigational Site London Ontario Canada N6A 4G5
    63 Pfizer Investigational Site Toronto Ontario Canada M5G 2C4
    64 Pfizer Investigational Site Montreal Quebec Canada H3T 1E2
    65 Pfizer Investigational Site Quebec Canada G1V 4G5
    66 Pfizer Investigational Site Clamart Cedex France 92141
    67 Pfizer Investigational Site GRENOBLE Cedex 09 France 38043
    68 Pfizer Investigational Site Strasbourg France 67098
    69 Pfizer Investigational Site Berlin Germany 14050
    70 Pfizer Investigational Site Dresden Germany 01307
    71 Pfizer Investigational Site Giessen Germany 35392
    72 Pfizer Investigational Site Greifswald Germany 17487
    73 Pfizer Investigational Site Hannover Germany 30625
    74 Pfizer Investigational Site Heidelberg Germany 69120
    75 Pfizer Investigational Site Leipzig Germany 04103
    76 Pfizer Investigational Site Regensburg Germany 93053
    77 Pfizer Investigational Site Petach Tikva Israel 49100
    78 Pfizer Investigational Site Tel-Hashomer, Ramat Gan Israel 52601
    79 Pfizer Investigational Site Bologna Italy 40138
    80 Pfizer Investigational Site Monterrey CP Mexico 64020
    81 Pfizer Investigational Site Tlalpan DF Mexico 14080
    82 Pfizer Investigational Site Monterrey N.l. Mexico 64360
    83 Pfizer Investigational Site Amsterdam Netherlands 1081 HV
    84 Pfizer Investigational Site Krakow Poland 31-202
    85 Pfizer Investigational Site Warszawa Poland 01-138
    86 Pfizer Investigational Site Zabrze Poland 41-800
    87 Pfizer Investigational Site Barcelona Spain 08036
    88 Pfizer Investigational Site Papworth Everard Cambridgeshire United Kingdom CB3 8RB
    89 Pfizer Investigational Site Glasgow United Kingdom G11 6NT
    90 Pfizer Investigational Site London United Kingdom NW3 2QG
    91 Pfizer Investigational Site Newcastle United Kingdom NE7 7DN

    Sponsors and Collaborators

    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT00811018
    Other Study ID Numbers:
    • B1321007
    • FPH03
    First Posted:
    Dec 18, 2008
    Last Update Posted:
    Apr 24, 2012
    Last Verified:
    Nov 1, 2011

    Study Results

    Participant Flow

    Recruitment Details Participants were enrolled from studies FPH02/FPH02-X (STRIDE 2/STRIDE 2 Extension [NCT00080457, NCT00593905]), FPH04 (STRIDE 4), FPH06 (STRIDE 6) or were naive to sitaxsentan sodium.
    Pre-assignment Detail
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Period Title: Overall Study
    STARTED 1192
    COMPLETED 224
    NOT COMPLETED 968

    Baseline Characteristics

    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Overall Participants 1192
    Age, Customized (participants) [Number]
    less than (<) 18 years
    35
    2.9%
    18-44 years
    433
    36.3%
    45-64 years
    468
    39.3%
    greater than or equal to 65 years
    256
    21.5%
    Sex: Female, Male (Count of Participants)
    Female
    914
    76.7%
    Male
    278
    23.3%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
    Description All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product were reported.
    Time Frame Day 1 up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all enrolled participants who took at least one dose of sitaxsentan 100 mg during the study
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 1192
    AEs
    1150
    96.5%
    SAEs
    586
    49.2%
    2. Primary Outcome
    Title The Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)
    Description ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 1192
    > 3 x ULN and less than or equal to (<=) 5x ULN
    5.12
    0.4%
    > 5 x ULN and <= 8 x ULN
    4.45
    0.4%
    > 8 x ULN and <= 10 x ULN
    0.76
    0.1%
    > 10 x ULN
    2.60
    0.2%
    3. Primary Outcome
    Title The Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULN
    Description ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 1192
    > 3 x ULN and <= 5 x ULN
    3.94
    0.3%
    > 5 x ULN and <= 8 x ULN
    2.60
    0.2%
    > 8 x ULN and <= 10 x ULN
    0.67
    0.1%
    > 10 x ULN
    1.26
    0.1%
    4. Primary Outcome
    Title Percentage of Participants With Total Bilirubin > 1.5 x ULN
    Description Total builirubin data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 1192
    >= 1.5 x ULN and <2 x ULN
    10.23
    0.9%
    >= 2 x ULN and < 3x ULN
    6.80
    0.6%
    >= 3x ULN
    5.03
    0.4%
    5. Primary Outcome
    Title Percentage of Participants With Laboratory Test Abnormalities (Hematology)
    Description Hematology data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population; N=number of participants with normal observation at baseline; n=number of participants with normal baseline and an abnormality meeting specific criteria for the specific lab
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 814
    Basophiles (n=814)
    4.1
    0.3%
    Eosinophiles % (n=3)
    100
    8.4%
    Eosinophils (n=785)
    20.6
    1.7%
    Hematocrit (n=537)
    46.2
    3.9%
    Hemoglobin (n=573)
    48.7
    4.1%
    Lymphocytes (n=737)
    35.5
    3%
    Mean Corpuscular Hemoglobin (n=56)
    21.4
    1.8%
    Mean Corpuscular Hemoglobin Concentration (n=59)
    33.9
    2.8%
    Mean Corpuscular Volume (n=65)
    27.7
    2.3%
    Monocytes (n=766)
    28.3
    2.4%
    Neutrophiles (n=728)
    38
    3.2%
    Platelets Count (n=719)
    26.3
    2.2%
    Red Blood Cells (n=542)
    39.1
    3.3%
    White Blood Cells (n=730)
    35.3
    3%
    6. Primary Outcome
    Title Percentage of Participants With Laboratory Test Abnormalities (Chemistry)
    Description Chemistry data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population; N=number of participants with normal observation at baseline; n=number of participants with normal baseline and an abnormality meeting specific criteria for the specific lab
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 839
    Albumin (n=33)
    45.5
    3.8%
    Alkaline Phosphatase (n=593)
    45.5
    3.8%
    ALT (n=839)
    36.1
    3%
    Amylase (n=9)
    0
    0%
    AST (n=814)
    49.4
    4.1%
    Bicarbonate (n=540)
    56.7
    4.8%
    Blood urea nitrogen (BUN) (n=615)
    42.4
    3.6%
    Calcium (n=819)
    21.4
    1.8%
    Chloride (n=804)
    31
    2.6%
    Creatinine (n=808)
    25
    2.1%
    Direct Bilirubin (n=11)
    54.5
    4.6%
    Gamma glutamyltransferase (GGT) (n=22)
    45.5
    3.8%
    Glucose (n=674)
    61.6
    5.2%
    Glucose-fasting (n=2)
    50
    4.2%
    Indirect Bilirubin (n=11)
    45.5
    3.8%
    Phosphorus (n=740)
    50.8
    4.3%
    Potassium (n=749)
    51.8
    4.3%
    Sodium (n=811)
    29.1
    2.4%
    Total Bilirubin (n=726)
    27.7
    2.3%
    Total Protein (n=738)
    38.1
    3.2%
    Urea (n=35)
    48.6
    4.1%
    Uric Acid (n=415)
    46.5
    3.9%
    7. Primary Outcome
    Title Percentage of Participants With Laboratory Test Abnormalities (Urinalysis)
    Description Urinalysis data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population; N=number of participants with normal observation at baseline; n=number of participants with normal baseline and an abnormality meeting specific criteria for the specific lab
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 789
    PH (n=789)
    0
    0%
    Specific Gravity (n=787)
    1.8
    0.2%
    8. Primary Outcome
    Title Percentage of Participants With Anticoagulant Use
    Description Participants with anticoagulant use before first dose or participants with anticoagulant use from first dose of sitaxsentan.
    Time Frame Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 1192
    Warfarin before first dose
    39.77
    3.3%
    Warfarin Derivatives before first dose
    19.13
    1.6%
    Other Anticoagulants before first dose
    2.01
    0.2%
    Warfarin from first dose/data cut off
    58.22
    4.9%
    Warfarin Derivatives from first dose/data cut off
    20.55
    1.7%
    Other Anticoagulants from first dose/data cut off
    2.52
    0.2%
    9. Primary Outcome
    Title Percentage of Participants With Elevated International Normalize Ratio (INR)
    Description Elevated INR in participants who took warfarin, warfarin derivatives, other anticoagulant and no anticoagulants. Elevated INR defined as > 3.5. Percentage calculated using number of participants with INR data as the denominator.
    Time Frame Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 1192
    INR <= 3.5; warfarin
    20.97
    1.8%
    INR >3.5 and <=5; warfarin
    17.70
    1.5%
    INR >5 and <=9; warfarin
    12.75
    1.1%
    INR > 9; warfarin
    3.44
    0.3%
    INR <=3.5; warfarin derivatives
    4.95
    0.4%
    INR >3.5 and <=5; warfarin derivatives
    6.96
    0.6%
    INR >5 and <=9; warfarin derivatives
    5.96
    0.5%
    INR >9; warfarin derivatives
    1.85
    0.2%
    INR <=3.5; other anticoagulant
    1.34
    0.1%
    INR >3.5 and <=5; other anticoagulant
    0.59
    0%
    INR >5 and <= 9; other anticoagulant
    0.50
    0%
    INR <=3.5; no anticoagulant
    19.55
    1.6%
    INR >3.5 and <= 5; no anticoagulant
    0.17
    0%
    INR >5 and <=9; no anticoagulant
    0.42
    0%
    INR >9; no anticoagulant
    0.25
    0%
    10. Primary Outcome
    Title Percentage of Participants With Electrocardiography (ECG) Results of Potential Clinical Importance
    Description Standard 12-lead ECG results determined to be of potential clinical importance according to investigator clinical judgement.
    Time Frame Weeks 28,60,72,84,96,104, Transition Visit up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Data not summarized, study terminated early
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 0
    11. Primary Outcome
    Title Percentage of Participants With Vital Sign Results of Potential Clinical Importance
    Description Vital signs include sitting blood pressure, respiration rate, heart rate and temperature. Potential clinical importance determined according to investigator clinical judgement.
    Time Frame Day 1, Weeks 28,60,72,84,96,104, Transition visit, every 6 months Post Transition, up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Data not summarized, study terminated early
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 0
    12. Primary Outcome
    Title Percentage of Participants With Abnormal Prothrombin Time (PT)
    Description PT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Data not summarized, study terminated early
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 0
    13. Primary Outcome
    Title Percentage of Participants With Abnormal Partial Thromboplastin Time (PTT)
    Description PTT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.
    Time Frame Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

    Outcome Measure Data

    Analysis Population Description
    Data not summarized, study terminated early
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    Measure Participants 0

    Adverse Events

    Time Frame
    Adverse Event Reporting Description The same event may appear as both an adverse event (AE) and a serious adverse event (SAE). However, what is presented are distinct events. An event may be categorized as serious in one participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
    Arm/Group Title Sitaxsentan
    Arm/Group Description All participants received sitaxsentan 100 milligrams (mg) orally once daily beginning on Study Day 1 to termination from study.
    All Cause Mortality
    Sitaxsentan
    Affected / at Risk (%) # Events
    Total / (NaN)
    Serious Adverse Events
    Sitaxsentan
    Affected / at Risk (%) # Events
    Total 586/1192 (49.2%)
    Blood and lymphatic system disorders
    Anaemia 16/1192 (1.3%)
    Haemorrhagic anaemia 1/1192 (0.1%)
    Hypochromic anaemia 1/1192 (0.1%)
    Iron deficiency anaemia 1/1192 (0.1%)
    Microcytic anaemia 2/1192 (0.2%)
    Splenomegaly 1/1192 (0.1%)
    Thrombocytopenia 2/1192 (0.2%)
    Cardiac disorders
    Acute myocardial infarction 3/1192 (0.3%)
    Angina pectoris 2/1192 (0.2%)
    Angina unstable 2/1192 (0.2%)
    Arrhythmia 3/1192 (0.3%)
    Atrial fibrillation 16/1192 (1.3%)
    Atrial flutter 15/1192 (1.3%)
    Atrial tachycardia 1/1192 (0.1%)
    Bradycardia 5/1192 (0.4%)
    Cardiac aneurysm 1/1192 (0.1%)
    Cardiac arrest 8/1192 (0.7%)
    Cardiac disorder 1/1192 (0.1%)
    Cardiac failure 26/1192 (2.2%)
    Cardiac failure congestive 14/1192 (1.2%)
    Cardiac pseudoaneurysm 1/1192 (0.1%)
    Cardiac tamponade 2/1192 (0.2%)
    Cardio-respiratory arrest 2/1192 (0.2%)
    Cardiogenic shock 5/1192 (0.4%)
    Cor pulmonale 7/1192 (0.6%)
    Cor pulmonale acute 1/1192 (0.1%)
    Coronary artery disease 1/1192 (0.1%)
    Coronary artery occlusion 1/1192 (0.1%)
    Intracardiac thrombus 1/1192 (0.1%)
    Low cardiac output syndrome 1/1192 (0.1%)
    Myocardial infarction 9/1192 (0.8%)
    Myocardial ischaemia 2/1192 (0.2%)
    Palpitations 1/1192 (0.1%)
    Pericardial effusion 6/1192 (0.5%)
    Right atrial dilatation 1/1192 (0.1%)
    Right ventricular failure 68/1192 (5.7%)
    Sick sinus syndrome 1/1192 (0.1%)
    Sinus tachycardia 1/1192 (0.1%)
    Supraventricular tachyarrhythmia 1/1192 (0.1%)
    Supraventricular tachycardia 7/1192 (0.6%)
    Tachyarrhythmia 1/1192 (0.1%)
    Tachycardia 1/1192 (0.1%)
    Ventricular arrhythmia 2/1192 (0.2%)
    Ventricular dysfunction 3/1192 (0.3%)
    Ventricular failure 1/1192 (0.1%)
    Ventricular fibrillation 3/1192 (0.3%)
    Ventricular tachycardia 3/1192 (0.3%)
    Congenital, familial and genetic disorders
    Sickle cell anaemia with crisis 2/1192 (0.2%)
    Ear and labyrinth disorders
    Deafness 1/1192 (0.1%)
    Endocrine disorders
    Goitre 1/1192 (0.1%)
    Eye disorders
    Blindness 1/1192 (0.1%)
    Glaucoma 1/1192 (0.1%)
    Vitreous haemorrhage 1/1192 (0.1%)
    Gastrointestinal disorders
    Abdominal haematoma 1/1192 (0.1%)
    Abdominal pain 6/1192 (0.5%)
    Abdominal pain upper 1/1192 (0.1%)
    Appendix disorder 1/1192 (0.1%)
    Ascites 1/1192 (0.1%)
    Dental caries 1/1192 (0.1%)
    Diarrhoea 1/1192 (0.1%)
    Duodenal ulcer haemorrhage 1/1192 (0.1%)
    Dyspepsia 1/1192 (0.1%)
    Epigastric discomfort 1/1192 (0.1%)
    Gastric haemorrhage 1/1192 (0.1%)
    Gastric ulcer haemorrhage 1/1192 (0.1%)
    Gastritis 3/1192 (0.3%)
    Gastritis erosive 1/1192 (0.1%)
    Gastrointestinal haemorrhage 8/1192 (0.7%)
    Gastrooesophageal reflux disease 1/1192 (0.1%)
    Haematemesis 1/1192 (0.1%)
    Haematochezia 2/1192 (0.2%)
    Ileus 1/1192 (0.1%)
    Inguinal hernia 1/1192 (0.1%)
    Intestinal ischaemia 1/1192 (0.1%)
    Intestinal obstruction 4/1192 (0.3%)
    Large intestine perforation 3/1192 (0.3%)
    Lower gastrointestinal haemorrhage 1/1192 (0.1%)
    Melaena 4/1192 (0.3%)
    Nausea 3/1192 (0.3%)
    Oesophageal disorder 1/1192 (0.1%)
    Oesophagitis 2/1192 (0.2%)
    Pancreatic mass 1/1192 (0.1%)
    Peritoneal haemorrhage 2/1192 (0.2%)
    Peritonitis 2/1192 (0.2%)
    Rectal haemorrhage 2/1192 (0.2%)
    Small intestinal obstruction 2/1192 (0.2%)
    Volvulus 1/1192 (0.1%)
    Vomiting 4/1192 (0.3%)
    General disorders
    Asthenia 5/1192 (0.4%)
    Cardiac death 1/1192 (0.1%)
    Catheter related complication 2/1192 (0.2%)
    Chest discomfort 2/1192 (0.2%)
    Chest pain 25/1192 (2.1%)
    Condition aggravated 1/1192 (0.1%)
    Death 3/1192 (0.3%)
    Device dislocation 2/1192 (0.2%)
    Fatigue 3/1192 (0.3%)
    Generalised oedema 2/1192 (0.2%)
    Hyperpyrexia 1/1192 (0.1%)
    Ill-defined disorder 1/1192 (0.1%)
    Mass 1/1192 (0.1%)
    Medical device complication 1/1192 (0.1%)
    Multi-organ failure 4/1192 (0.3%)
    Non-cardiac chest pain 2/1192 (0.2%)
    Oedema 3/1192 (0.3%)
    Oedema peripheral 3/1192 (0.3%)
    Pain 2/1192 (0.2%)
    Pyrexia 6/1192 (0.5%)
    Sudden cardiac death 1/1192 (0.1%)
    Sudden death 17/1192 (1.4%)
    Systemic inflammatory response syndrome 2/1192 (0.2%)
    Therapeutic response unexpected 1/1192 (0.1%)
    Hepatobiliary disorders
    Cholecystitis 8/1192 (0.7%)
    Cholecystitis acute 3/1192 (0.3%)
    Cholelithiasis 1/1192 (0.1%)
    Gallbladder obstruction 1/1192 (0.1%)
    Hepatic failure 1/1192 (0.1%)
    Immune system disorders
    Drug hypersensitivity 2/1192 (0.2%)
    Infections and infestations
    Abdominal infection 1/1192 (0.1%)
    Abdominal sepsis 1/1192 (0.1%)
    Acarodermatitis 1/1192 (0.1%)
    Acute sinusitis 2/1192 (0.2%)
    Appendicitis 5/1192 (0.4%)
    Arthritis infective 1/1192 (0.1%)
    Bacteraemia 1/1192 (0.1%)
    Bacterial infection 1/1192 (0.1%)
    Bacterial sepsis 1/1192 (0.1%)
    Bronchitis 12/1192 (1%)
    Bronchitis acute 3/1192 (0.3%)
    Bronchopneumonia 5/1192 (0.4%)
    Campylobacter infection 1/1192 (0.1%)
    Catheter related infection 5/1192 (0.4%)
    Catheter sepsis 4/1192 (0.3%)
    Catheter site infection 6/1192 (0.5%)
    Cellulitis 5/1192 (0.4%)
    Central line infection 4/1192 (0.3%)
    Chronic sinusitis 1/1192 (0.1%)
    Cytomegalovirus infection 1/1192 (0.1%)
    Dermo-hypodermitis 1/1192 (0.1%)
    Device related infection 4/1192 (0.3%)
    Diarrhoea infectious 2/1192 (0.2%)
    Diverticulitis 3/1192 (0.3%)
    Escherichia bacteraemia 1/1192 (0.1%)
    Gastroenteritis 5/1192 (0.4%)
    Gastroenteritis viral 1/1192 (0.1%)
    Hepatitis B 1/1192 (0.1%)
    Infected skin ulcer 1/1192 (0.1%)
    Infection 1/1192 (0.1%)
    Infectious mononucleosis 1/1192 (0.1%)
    Klebsiella sepsis 1/1192 (0.1%)
    Lobar pneumonia 2/1192 (0.2%)
    Lower respiratory tract infection 2/1192 (0.2%)
    Lung abscess 1/1192 (0.1%)
    Lung infection 2/1192 (0.2%)
    Mycobacterial infection 1/1192 (0.1%)
    Osteomyelitis 1/1192 (0.1%)
    Peritoneal abscess 1/1192 (0.1%)
    Peritonsillitis 1/1192 (0.1%)
    Pneumonia 65/1192 (5.5%)
    Pneumonia klebsiella 1/1192 (0.1%)
    Pseudomonal sepsis 2/1192 (0.2%)
    Pseudomonas infection 1/1192 (0.1%)
    Pyometra 1/1192 (0.1%)
    Respiratory tract infection 4/1192 (0.3%)
    Sepsis 7/1192 (0.6%)
    Septic shock 4/1192 (0.3%)
    Sinusitis 1/1192 (0.1%)
    Subcutaneous abscess 1/1192 (0.1%)
    Upper respiratory tract infection 4/1192 (0.3%)
    Urinary tract infection 4/1192 (0.3%)
    Urosepsis 2/1192 (0.2%)
    Viral pericarditis 1/1192 (0.1%)
    Wound infection 1/1192 (0.1%)
    Injury, poisoning and procedural complications
    Ankle fracture 2/1192 (0.2%)
    Chest injury 1/1192 (0.1%)
    Collapse of lung 1/1192 (0.1%)
    Drug toxicity 2/1192 (0.2%)
    Facial bones fracture 1/1192 (0.1%)
    Fall 3/1192 (0.3%)
    Femur fracture 1/1192 (0.1%)
    Fracture 1/1192 (0.1%)
    Gastroenteritis radiation 1/1192 (0.1%)
    Head injury 2/1192 (0.2%)
    Hip fracture 4/1192 (0.3%)
    Humerus fracture 1/1192 (0.1%)
    Intentional overdose 1/1192 (0.1%)
    Joint dislocation 1/1192 (0.1%)
    Joint injury 1/1192 (0.1%)
    Lower limb fracture 1/1192 (0.1%)
    Multiple fractures 1/1192 (0.1%)
    Multiple injuries 1/1192 (0.1%)
    Overdose 2/1192 (0.2%)
    Pelvic fracture 1/1192 (0.1%)
    Post procedural haemorrhage 2/1192 (0.2%)
    Rib fracture 1/1192 (0.1%)
    Road traffic accident 2/1192 (0.2%)
    Spinal compression fracture 1/1192 (0.1%)
    Subdural haematoma 5/1192 (0.4%)
    Tibia fracture 1/1192 (0.1%)
    Upper limb fracture 2/1192 (0.2%)
    Investigations
    Alanine aminotransferase increased 2/1192 (0.2%)
    Angiogram 1/1192 (0.1%)
    Apnoea test 1/1192 (0.1%)
    Aspartate aminotransferase increased 2/1192 (0.2%)
    Aspiration bronchial 1/1192 (0.1%)
    Biopsy 1/1192 (0.1%)
    Biopsy lung 1/1192 (0.1%)
    Bleeding time prolonged 1/1192 (0.1%)
    Blood sodium decreased 1/1192 (0.1%)
    Bronchoscopy 1/1192 (0.1%)
    Catheterisation cardiac 14/1192 (1.2%)
    Catheterisation cardiac normal 1/1192 (0.1%)
    Diagnostic procedure 1/1192 (0.1%)
    ECG signs of myocardial ischaemia 1/1192 (0.1%)
    Echocardiogram abnormal 1/1192 (0.1%)
    General physical condition abnormal 1/1192 (0.1%)
    Heart rate increased 1/1192 (0.1%)
    Hepatic enzyme abnormal 1/1192 (0.1%)
    Hepatic enzyme increased 3/1192 (0.3%)
    International normalised ratio increased 6/1192 (0.5%)
    Intraocular pressure increased 1/1192 (0.1%)
    Investigation 2/1192 (0.2%)
    Liver function test abnormal 5/1192 (0.4%)
    Oxygen consumption increased 1/1192 (0.1%)
    Physical examination 5/1192 (0.4%)
    Pregnancy test positive 1/1192 (0.1%)
    Troponin increased 1/1192 (0.1%)
    Volume blood increased 1/1192 (0.1%)
    White blood cell count decreased 1/1192 (0.1%)
    Metabolism and nutrition disorders
    Dehydration 7/1192 (0.6%)
    Diabetes mellitus 1/1192 (0.1%)
    Diabetes mellitus inadequate control 1/1192 (0.1%)
    Electrolyte depletion 1/1192 (0.1%)
    Fluid overload 10/1192 (0.8%)
    Fluid retention 2/1192 (0.2%)
    Gout 1/1192 (0.1%)
    Hyperglycaemia 2/1192 (0.2%)
    Hyperkalaemia 3/1192 (0.3%)
    Hyperosmolar state 1/1192 (0.1%)
    Hypokalaemia 3/1192 (0.3%)
    Hyponatraemia 7/1192 (0.6%)
    Hypovolaemia 1/1192 (0.1%)
    Musculoskeletal and connective tissue disorders
    Articular calcification 1/1192 (0.1%)
    Back pain 2/1192 (0.2%)
    CREST syndrome 1/1192 (0.1%)
    Flank pain 1/1192 (0.1%)
    Inguinal mass 1/1192 (0.1%)
    Muscular weakness 1/1192 (0.1%)
    Musculoskeletal chest pain 1/1192 (0.1%)
    Osteitis 1/1192 (0.1%)
    Osteoarthritis 1/1192 (0.1%)
    Pain in extremity 1/1192 (0.1%)
    Polyarthritis 1/1192 (0.1%)
    Rheumatoid arthritis 1/1192 (0.1%)
    Scleroderma 2/1192 (0.2%)
    Systemic lupus erythematosus 2/1192 (0.2%)
    Systemic sclerosis 1/1192 (0.1%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma 1/1192 (0.1%)
    Brain neoplasm 1/1192 (0.1%)
    Breast cancer 2/1192 (0.2%)
    Breast cancer in situ 1/1192 (0.1%)
    Breast cancer metastatic 2/1192 (0.2%)
    Bronchial carcinoma 1/1192 (0.1%)
    Chronic lymphocytic leukaemia 1/1192 (0.1%)
    Colon cancer 1/1192 (0.1%)
    Lipoma 1/1192 (0.1%)
    Lung neoplasm malignant 4/1192 (0.3%)
    Lymphoma 2/1192 (0.2%)
    Metastatic neoplasm 1/1192 (0.1%)
    Ovarian cancer 1/1192 (0.1%)
    T-cell lymphoma recurrent 1/1192 (0.1%)
    Ureteral neoplasm 1/1192 (0.1%)
    Uterine cancer 2/1192 (0.2%)
    Nervous system disorders
    Amyotrophic lateral sclerosis 1/1192 (0.1%)
    Aphasia 1/1192 (0.1%)
    Cerebral haemorrhage 1/1192 (0.1%)
    Cerebral hypoperfusion 1/1192 (0.1%)
    Cerebrovascular accident 4/1192 (0.3%)
    Convulsion 4/1192 (0.3%)
    Disturbance in attention 1/1192 (0.1%)
    Dizziness 3/1192 (0.3%)
    Embolic stroke 1/1192 (0.1%)
    Headache 4/1192 (0.3%)
    Ischaemic stroke 2/1192 (0.2%)
    Lethargy 1/1192 (0.1%)
    Neuralgia 1/1192 (0.1%)
    Neuropathy peripheral 2/1192 (0.2%)
    Paraesthesia 1/1192 (0.1%)
    Presyncope 4/1192 (0.3%)
    Syncope 23/1192 (1.9%)
    Transient ischaemic attack 5/1192 (0.4%)
    Vocal cord paralysis 1/1192 (0.1%)
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous 1/1192 (0.1%)
    Missed labour 2/1192 (0.2%)
    Pregnancy 1/1192 (0.1%)
    Psychiatric disorders
    Acute stress disorder 1/1192 (0.1%)
    Alcoholism 1/1192 (0.1%)
    Bipolar disorder 1/1192 (0.1%)
    Completed suicide 1/1192 (0.1%)
    Confusional state 1/1192 (0.1%)
    Mania 1/1192 (0.1%)
    Mental status changes 1/1192 (0.1%)
    Panic attack 1/1192 (0.1%)
    Schizoaffective disorder 1/1192 (0.1%)
    Renal and urinary disorders
    Haematuria 1/1192 (0.1%)
    Hydronephrosis 1/1192 (0.1%)
    Nephrolithiasis 1/1192 (0.1%)
    Oliguria 1/1192 (0.1%)
    Proteinuria 1/1192 (0.1%)
    Renal artery stenosis 1/1192 (0.1%)
    Renal failure 3/1192 (0.3%)
    Renal failure acute 10/1192 (0.8%)
    Renal failure chronic 2/1192 (0.2%)
    Ureteric haemorrhage 1/1192 (0.1%)
    Reproductive system and breast disorders
    Breast enlargement 1/1192 (0.1%)
    Endometriosis 1/1192 (0.1%)
    Menorrhagia 2/1192 (0.2%)
    Ovarian cyst 1/1192 (0.1%)
    Ovarian cyst ruptured 1/1192 (0.1%)
    Ovarian mass 1/1192 (0.1%)
    Reproductive tract disorder 1/1192 (0.1%)
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome 2/1192 (0.2%)
    Acute respiratory failure 3/1192 (0.3%)
    Asphyxia 1/1192 (0.1%)
    Asthma 1/1192 (0.1%)
    Atelectasis 1/1192 (0.1%)
    Bronchial haemorrhage 1/1192 (0.1%)
    Chronic obstructive pulmonary disease 5/1192 (0.4%)
    Cough 1/1192 (0.1%)
    Dyspnoea 40/1192 (3.4%)
    Dyspnoea exertional 1/1192 (0.1%)
    Epistaxis 1/1192 (0.1%)
    Haemoptysis 18/1192 (1.5%)
    Hypoxia 9/1192 (0.8%)
    Lung disorder 1/1192 (0.1%)
    Obstructive airways disorder 1/1192 (0.1%)
    Pleural effusion 3/1192 (0.3%)
    Pneumonia aspiration 1/1192 (0.1%)
    Pneumonitis 1/1192 (0.1%)
    Pulmonary alveolar haemorrhage 1/1192 (0.1%)
    Pulmonary arterial hypertension 71/1192 (6%)
    Pulmonary embolism 6/1192 (0.5%)
    Pulmonary haemorrhage 2/1192 (0.2%)
    Pulmonary hypertension 62/1192 (5.2%)
    Pulmonary oedema 2/1192 (0.2%)
    Pulmonary veno-occlusive disease 1/1192 (0.1%)
    Respiratory distress 2/1192 (0.2%)
    Respiratory failure 6/1192 (0.5%)
    Respiratory tract haemorrhage 1/1192 (0.1%)
    Skin and subcutaneous tissue disorders
    Dermatosis 1/1192 (0.1%)
    Surgical and medical procedures
    Anticoagulant therapy 1/1192 (0.1%)
    Appendicectomy 1/1192 (0.1%)
    Arterial stent insertion 1/1192 (0.1%)
    Atrial septal defect repair 3/1192 (0.3%)
    Balloon atrial septostomy 1/1192 (0.1%)
    Cardiac ablation 2/1192 (0.2%)
    Cardiac operation 1/1192 (0.1%)
    Cardiac pacemaker insertion 1/1192 (0.1%)
    Cardioversion 2/1192 (0.2%)
    Catheter placement 2/1192 (0.2%)
    Central venous catheter removal 1/1192 (0.1%)
    Cholecystectomy 1/1192 (0.1%)
    Cholelithotomy 1/1192 (0.1%)
    Colostomy closure 1/1192 (0.1%)
    Coronary arterial stent insertion 1/1192 (0.1%)
    Drug therapy 13/1192 (1.1%)
    Endarterectomy 1/1192 (0.1%)
    Endotracheal intubation 1/1192 (0.1%)
    Eye operation 1/1192 (0.1%)
    Foot amputation 1/1192 (0.1%)
    Heart and lung transplant 3/1192 (0.3%)
    Hernia diaphragmatic repair 1/1192 (0.1%)
    Hospitalisation 3/1192 (0.3%)
    Hysterectomy 1/1192 (0.1%)
    Infusion 1/1192 (0.1%)
    Inguinal hernia repair 1/1192 (0.1%)
    Intraocular lens implant 1/1192 (0.1%)
    Joint arthroplasty 1/1192 (0.1%)
    Knee arthroplasty 1/1192 (0.1%)
    Lens implant 1/1192 (0.1%)
    Lung transplant 1/1192 (0.1%)
    Lymphadenectomy 1/1192 (0.1%)
    Office visit 3/1192 (0.3%)
    Packed red blood cell transfusion 1/1192 (0.1%)
    Pain management 1/1192 (0.1%)
    Phlebectomy 1/1192 (0.1%)
    Prophylaxis against gastrointestinal ulcer 1/1192 (0.1%)
    Rehabilitation therapy 1/1192 (0.1%)
    Routine health maintenance 2/1192 (0.2%)
    Spinal cord operation 1/1192 (0.1%)
    Spinal decompression 1/1192 (0.1%)
    Surgery 3/1192 (0.3%)
    Therapy cessation 1/1192 (0.1%)
    Therapy regimen changed 1/1192 (0.1%)
    Toe amputation 1/1192 (0.1%)
    Tooth extraction 1/1192 (0.1%)
    Transplant 1/1192 (0.1%)
    Transurethral bladder resection 1/1192 (0.1%)
    Uterine dilation and curettage 1/1192 (0.1%)
    Varicose vein operation 1/1192 (0.1%)
    Vascular bypass graft 1/1192 (0.1%)
    Wound treatment 1/1192 (0.1%)
    Vascular disorders
    Circulatory collapse 1/1192 (0.1%)
    Deep vein thrombosis 1/1192 (0.1%)
    Haematoma 1/1192 (0.1%)
    Haemorrhage 4/1192 (0.3%)
    Hyperaemia 2/1192 (0.2%)
    Hypertension 2/1192 (0.2%)
    Hypotension 10/1192 (0.8%)
    Hypovolaemic shock 1/1192 (0.1%)
    Ischaemia 1/1192 (0.1%)
    Peripheral ischaemia 1/1192 (0.1%)
    Raynaud's phenomenon 1/1192 (0.1%)
    Thrombophlebitis 2/1192 (0.2%)
    Thrombosis 2/1192 (0.2%)
    Other (Not Including Serious) Adverse Events
    Sitaxsentan
    Affected / at Risk (%) # Events
    Total 1069/1192 (89.7%)
    Blood and lymphatic system disorders
    Anaemia 77/1192 (6.5%)
    Cardiac disorders
    Palpitations 137/1192 (11.5%)
    Gastrointestinal disorders
    Abdominal pain 93/1192 (7.8%)
    Abdominal pain upper 80/1192 (6.7%)
    Constipation 82/1192 (6.9%)
    Diarrhoea 211/1192 (17.7%)
    Nausea 228/1192 (19.1%)
    Vomiting 104/1192 (8.7%)
    General disorders
    Chest pain 201/1192 (16.9%)
    Fatigue 224/1192 (18.8%)
    Oedema 83/1192 (7%)
    Oedema peripheral 287/1192 (24.1%)
    Infections and infestations
    Bronchitis 100/1192 (8.4%)
    Influenza 67/1192 (5.6%)
    Nasopharyngitis 219/1192 (18.4%)
    Sinusitis 115/1192 (9.6%)
    Upper respiratory tract infection 306/1192 (25.7%)
    Urinary tract infection 115/1192 (9.6%)
    Investigations
    Aspartate aminotransferase increased 68/1192 (5.7%)
    International normalised ratio increased 157/1192 (13.2%)
    Liver function test abnormal 79/1192 (6.6%)
    Metabolism and nutrition disorders
    Hypokalaemia 75/1192 (6.3%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 134/1192 (11.2%)
    Back pain 137/1192 (11.5%)
    Muscle spasms 74/1192 (6.2%)
    Pain in extremity 163/1192 (13.7%)
    Nervous system disorders
    Dizziness 243/1192 (20.4%)
    Headache 294/1192 (24.7%)
    Syncope 76/1192 (6.4%)
    Psychiatric disorders
    Anxiety 77/1192 (6.5%)
    Depression 95/1192 (8%)
    Insomnia 135/1192 (11.3%)
    Respiratory, thoracic and mediastinal disorders
    Cough 218/1192 (18.3%)
    Dyspnoea 275/1192 (23.1%)
    Epistaxis 136/1192 (11.4%)
    Nasal congestion 105/1192 (8.8%)
    Pharyngolaryngeal pain 70/1192 (5.9%)
    Pulmonary arterial hypertension 88/1192 (7.4%)
    Pulmonary hypertension 75/1192 (6.3%)
    Skin and subcutaneous tissue disorders
    Rash 77/1192 (6.5%)

    Limitations/Caveats

    Mean and dispersion for clinical abnormalities were intended to be reported but due to early termination of study (09-Dec-2010) only number and percent of participants are available.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer, Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT00811018
    Other Study ID Numbers:
    • B1321007
    • FPH03
    First Posted:
    Dec 18, 2008
    Last Update Posted:
    Apr 24, 2012
    Last Verified:
    Nov 1, 2011