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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00391443
Registration number
NCT00391443
Ethics application status
Date submitted
20/10/2006
Date registered
24/10/2006
Date last updated
28/09/2015
Titles & IDs
Public title
BUILD 3: Bosentan Use in Interstitial Lung Disease
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Scientific title
Effects of Bosentan on Morbidity and Mortality in Patients With Idiopathic Pulmonary Fibrosis - a Multicenter, Double-blind, Randomized, Placebo-controlled, Parallel Group, Event-driven, Group Sequential, Phase III Study.
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Secondary ID [1]
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AC-052-321
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Universal Trial Number (UTN)
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Trial acronym
BUILD 3
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Idiopathic Pulmonary Fibrosis
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Bosentan
Treatment: Drugs - Placebo
Experimental: Bosentan - Subjects receive bosentan 62.5 mg twice daily (b.i.d.) for 4 weeks followed by bosentan 125 mg b.i.d (if body weight > 40 kg) or bosentan 62.5 mg b.i.d. (if body weight < 40 kg)
Placebo Comparator: Placebo - Subjects receive placebo matching the bosentan treatment regimen
Treatment: Drugs: Bosentan
Bosentan 62.5 mg tablets twice daily (b.i.d.) for 4 weeks followed by bosentan 125 mg tablets b.i.d (if body weight > 40 kg) or bosentan 62.5 mg tablets b.i.d. (if body weight < 40 kg)
Treatment: Drugs: Placebo
Placebo matching bosentan 62.5 mg tablets and 125 mg tablets
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to Occurrence of Disease Worsening or Death up to End of Study.
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Assessment method [1]
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Disease worsening was defined as an event of worsening of pulmonary function tests (PFT) or acute exacerbation of idiopathic pulmonary fibrosis (IPF).
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Timepoint [1]
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36 months
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Secondary outcome [1]
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Percentage of Patients Who Experienced Either Disease Worsening or Death at 1 Year.
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Assessment method [1]
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Disease worsening was defined as an event of worsening of pulmonary function tests (PFT) or acute exacerbation of idiopathic pulmonary fibrosis (IPF).
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Timepoint [1]
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12 months
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Eligibility
Key inclusion criteria
- Signed informed consent
- Male or female aged 18 years or older (females of child-bearing potential must have
been surgically sterilized or use a reliable method of contraception.)
- Proven diagnosis of IPF according to American Thoracic Society / European Respiratory
Society (ATS-ERS) statement, of <3 years, with surgical lung biopsy (SLB)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Interstitial lung disease due to conditions other than IPF.
- Presence of extensive honeycombing (HC) on baseline high-resolution computed
tomography (HRCT) scan.
- Severe concomitant illness limiting life expectancy (<1 year).
- Severe restrictive lung disease.
- Obstructive lung disease.
- Diffusing capacity of the lung for carbon monoxide <30% predicted.
- Residual volume > or = 120% predicted.
- Documented sustained improvement of patient's IPF condition up to 12 months prior to
randomization with or without IPF-specific therapy.
- Recent pulmonary or upper respiratory tract infection (up to 4 weeks prior to
randomization).
- Acute or chronic impairment (other than dyspnea) limiting the ability to comply with
study requirements.
- Chronic heart failure with New York Heart Association (NYHA) class III/IV or known
left ventricular ejection fraction <25%.
- Alanine aminotransferase (ALT/SGPT) and/or aspartate aminotransferase (AST/SGOT) > 1.5
times the upper limit of the normal ranges.
- Moderate to severe hepatic impairment.
- Serum creatinine > or = 2.5 mg/dl or chronic dialysis.
- Hemoglobin concentration <75% the lower limit of the normal ranges.
- Systolic blood pressure <85 mmHg.
- Pregnancy or breast-feeding.
- Current drug or alcohol dependence.
- Chronic treatment with the following drugs prescribed for IPF (within 4 weeks of
randomization):oral corticosteroids (>20 mg/day of prednisone or equivalent),
immunosuppressive or cytotoxic drugs, antifibrotic drugs, chronic use of
N-acetylcysteine (prescribed for IPF).
- Oral anticoagulants other than those indicated for a venous or arterial thrombotic
disease.
- Treatment with glibenclamide (glyburide) and calcineurin inhibitors (cyclosporine A,
tacrolimus) up to 1 week prior to randomization.
- Treatment with an endothelin receptor antagonist up to 3 months prior to
randomization.
- Participation in the BUILD 1 trial.
- Treatment with another investigational drug up to 3 months prior to randomization or
planned treatment.
- Known hypersensitivity to bosentan or any of the excipients.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/07/2010
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Sample size
Target
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Accrual to date
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Final
616
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA
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Recruitment hospital [1]
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St. Vincent's Public Hospital, Lung Transplantation & Respiratory Medicine - Darlinghurst
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Prince Charles Hospital - Lung Transplant, Thoraic Dept. - Chermside
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Royal Adelaide Hospital-Respiratory Clinical Trials Unit - Adelaide
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Royal Perth Hospital; Advanced Lung Disease Unit - Perth
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2010 - Darlinghurst
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4032 - Chermside
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Recruitment postcode(s) [3]
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5000 - Adelaide
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Recruitment postcode(s) [4]
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6000 - Perth
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Name
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Ethics approval
Ethics application status
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Summary
Brief summary
BUILD 3 is a prospective, multicenter, randomized, double-blind, parallel group,
placebo-controlled, event-driven, group sequential, phase III superiority study. The primary
objective is to demonstrate that bosentan delays disease worsening or death in patients with
Idiopathic Pulmonary Fibrosis.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00391443
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Isabelle Leconte
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Address
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Actelion
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00391443
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