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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00903331
Registration number
NCT00903331
Ethics application status
Date submitted
14/05/2009
Date registered
18/05/2009
Date last updated
17/02/2014
Titles & IDs
Public title
Macitentan Use in an Idiopathic Pulmonary Fibrosis Clinical Study
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Scientific title
A Double-blind, Randomized, Placebo-controlled, Multicenter, Parallel Group Study to Evaluate the Efficacy, Safety, and Tolerability of Macitentan in Patients With Idiopathic Pulmonary Fibrosis
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Secondary ID [1]
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AC-055B201
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Universal Trial Number (UTN)
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Trial acronym
MUSIC
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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 - ACT-064992 (macitentan)
Treatment: Drugs - Placebo
Experimental: ACT-064922 - ACT-064922 tablet (macitentan), 10 mg, once daily
Placebo comparator: Placebo - Matching placebo, once daily
Treatment: Drugs: ACT-064992 (macitentan)
ACT-064992 (macitentan) tablet, 10 mg, once daily
Treatment: Drugs: Placebo
matching placebo, once daily
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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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Forced Vital Capacity (FVC) at Baseline and End of Period 1
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Assessment method [1]
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FVC was measured at baseline and at the end of Period 1. The same equipment and tester were used during the course of the study. The equipment was calibrated and the calibration documented prior to each patient's measurement. The person responsible for conducting the pulmonary function tests was required to comply with the study guidelines and the American Thoracic Society/European Respiratory Society joint criteria on lung function testing.
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Number of Patients at Risk of Event of Disease Worsening or Death up to the End of Study
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Assessment method [1]
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Disease worsening was indicated by pulmonary function test/idiopathic pulmonary fibrosis worsening (PFT/IPF) or acute respiratory decompensation of IPF.
PFT/IPF worsening was indicated by the occurrence of both of the following: confirmed by two tests at least 4 weeks apart, as defined by the occurrence of both of the following: decrease from baseline = 10% in forced vital capacity and decrease from baseline = 15% in corrected diffusing capacity of the lung for carbon monoxide.
Acute respiratory decompensation of IPF was defined as an unexplained rapid deterioration (over a period of less than 4 weeks) of the patient's condition with increasing shortness of breath requiring oxygen supplementation = 5 L/min to maintain a resting oxygen saturation = 90% or arterial oxygen pressure = 55 mmHg (sea level) or 50 mmHg (high altitude).
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Timepoint [1]
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Up to end of study (Up to 24 months)
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Eligibility
Key inclusion criteria
1. Signed informed consent.
2. Male or female patients of at least 18 years of age (females of child-bearing potential must use a reliable method of contraception).
3. IPF diagnosis within 3 years prior to randomization, proven according to the American Thoracic Society/European Respiratory Society consensus conference criteria, with surgical lung biopsy.
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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
1. Interstitial lung disease due to conditions other than IPF.
2. Presence of extensive honeycombing on Baseline high-resolution computed tomography (HRCT) scan performed within 3 months prior to randomization.
3. Severe concomitant illness limiting life expectancy (< 1 year).
4. Severe restrictive lung disease: forced vital capacity (FVC) < 50% predicted, or FVC < 1.2 liter.
5. Diffusing capacity of the lung for carbon monoxide (DLCO) < 30% predicted.
6. Residual volume = 120% predicted.
7. Obstructive lung disease: forced expiratory volume in 1 second (FEV1)/FVC) < 0.70.
8. Documented sustained improvement of the patient's IPF condition up to 12 months prior to randomization with or without IPF-specific therapy.
9. Recent pulmonary or upper respiratory tract infection (up to 4 weeks prior to randomization).
10. Acute or chronic impairment (other than dyspnea) limiting the ability to comply with study requirements (e.g., pulmonary function tests).
11. Chronic heart failure with New York Heart Association class III/IV or known left ventricular ejection fraction < 25%.
12. Moderate to severe hepatic impairment, i.e., Child-Pugh Class B or C.
13. Estimated creatinine clearance < 30 mL/min.
14. Aspartate aminotransferase (AST) and/or alanine aminotransferase > 1.5 x upper limit of normal.
15. Hemoglobin < 75% of the lower limit of the normal range.
16. Systolic blood pressure < 100 mmHg.
17. Pregnant or breast-feeding.
18. Current drug or alcohol dependence.
19. Chronic treatment with the following drugs (within 4 weeks of randomization):
* Oral corticosteroids (> 20 mg/day of prednisone or equivalent),
* Immunosuppressive or cytotoxic drugs including cyclophosphamide and azathioprine,
* Antifibrotic drugs including pirfenidone, D penicillamine, colchicine, tumor necrosis factor a blockers, imatinib and interferon ?,
* Chronic use of N-acetylcysteine prescribed for IPF (> 600 mg/day).
* Oral anticoagulants prescribed for IPF.
20. Treatment with endothelin receptor antagonists within 4 weeks prior to randomization.
21. Systemic treatment within 4 weeks prior to randomization with cyclosporine A or tacrolimus, everolimus, sirolimus (calcineurin or mammalian target of rapamycin (mTOR) inhibitors).
22. Treatment with Cytochrome P450 3A inducers within 4 weeks prior to randomization.
23. Known hypersensitivity to drugs of the same class as the study drug, or any of their excipients.
24. Planned treatment, or treatment with another investigational drug within 4 weeks prior to randomization.
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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 2
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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
1/05/2009
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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
1/08/2011
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Sample size
Target
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Accrual to date
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Final
178
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Prince Charles Hospital Lung Transplant - Chermside
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Recruitment hospital [2]
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St. Vincent's Public Hospital - Darlinghurst
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The Alfred Hospital - Melbourne
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Royal Perth Hospital - Perth
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- Chermside
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Recruitment postcode(s) [2]
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- Darlinghurst
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Recruitment postcode(s) [3]
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- Melbourne
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Recruitment postcode(s) [4]
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- Perth
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Recruitment outside Australia
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United States of America
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Alabama
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Ontario
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Bobigny
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France
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Bron
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France
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Lille
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Berlin
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Germany
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Giessen
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Germany
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Germany
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Jerusalem
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Israel
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Petach Tikvah
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Israel
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Rehovot
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Israel
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Tel Aviv
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Israel
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Tel Hashomer
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Milan
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Italy
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Orbassano
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Italy
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Roma
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Italy
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Trieste
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Golnik
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Johannesburg
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Pretoria
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Ankara
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Turkey
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Izmir
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Actelion
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Ethics approval
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Summary
Brief summary
The AC-055B201/MUSIC study is a Phase II study, comparing one dose of ACT-064922 (macitentan) 10 mg with placebo in patients with idiopathic pulmonary fibrosis (IPF). The main study objective is to demonstrate that macitentan positively affects the forced vital capacity (FVC) in comparison with placebo in patients with idiopathic pulmonary fibrosis (IPF). The secondary objectives are to evaluate the effect of macitentan on the time to disease worsening or death in patients with IPF, and to evaluate the benefit/risk profile of macitentan in the treatment of patients with IPF.
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Trial website
https://clinicaltrials.gov/study/NCT00903331
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Trial related presentations / publications
Raghu G, Million-Rousseau R, Morganti A, Perchenet L, Behr J; MUSIC Study Group. Macitentan for the treatment of idiopathic pulmonary fibrosis: the randomised controlled MUSIC trial. Eur Respir J. 2013 Dec;42(6):1622-32. doi: 10.1183/09031936.00104612. Epub 2013 May 16.
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Public notes
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Contacts
Principal investigator
Name
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Loic Perchenet, Ph.D.
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Actelion
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00903331
Download to PDF