Eligibility Module
The Eligibility Module contains detailed information about who can participate in the clinical trial. This includes eligibility criteria, age restrictions, gender requirements, healthy volunteer status, and study population descriptions, helping researchers understand who is eligible to participate in the study.
Eligibility Module path is as follows:
Study -> Protocol Section -> Eligibility Module
Eligibility Module
Ignite Creation Date:
2025-12-25 @ 3:57 AM
Ignite Modification Date:
2025-12-25 @ 3:57 AM
NCT ID:
NCT02482402
Eligibility Criteria:
Inclusion Criteria:
* Female and male patients of any ethnic origin with left heart insufficiency and secondary PH
* Having fulfilled his/her 18th birthday on Visit 1 (Day -7 to -1) of the study
* Written informed consent (must be available before enrollment in the trial)
* Modified WHO functional class III-IV
* PH diagnosed by right heart catheter showing:
* Baseline mean pulmonary arterial pressure (mPAP) ≥ 25 mmHg
* Baseline pulmonary vascular resistance (PVR) \> 230 dyn x s x cm-5
* Baseline transpulmonary gradient (TPG) \> 15 mm Hg
* Echocardiogram on Visit 1/Day -7 to -1 consistent with secondary PH, specifically evidence of right ventricular hypertrophy or dilation, and absence of mitral valve stenosis
* Patients receiving maximal conventional left heart failure therapy according to current guidelines (ISHLT Guidelines 2006) including intensified treatment with diuretics and have been stable for at least 2 months before entering the study (i.e. no acute decompensations requiring i.v. diuretic treatment).
* Except for diuretics, vasodilators and antihypertensives, medical treatment should not be expected to change during the entire 12-week study period.
* Negative pregnancy test (β-HCG or urine dipstick) at the start of the trial and appropriate contraception throughout the study for women with child-bearing potential.
* Able to understand and sign the Informed Consent Form
* Ability of subject to understand character and individual consequences of the clinical trial
Exclusion Criteria:
* PH of any cause other than permitted in the entry criteria, e.g. concomitantly to portal hypertension, complex congenital heart disease, reversed shunt, anamestic HIV infection, suspected pulmonary veno-occlusive disease based on pulmonary oedema during a previous vasoreactivity test or on abnormal findings compatible with that diagnosis (septal lines or pulmonary edema detected previously at high resolution computer tomography), congenital or acquired valvular defects with clinically relevant myocardial function disorders not related to pulmonary hypertension
* Contraindication for right heart catheterization
* Severe lung disease: FEV1/FVC \<0.5 and total lung capacity \< 70% of the normal value
* Any subject who had received any investigational medication within 4 weeks prior to the start of this study or who is scheduled to receive another investigational drug during the course of this study
* Any PAH-specific medication (ERAs, PDE-5-I, Prostacyclins) during the last 30 days prior to inclusion (randomization).
* Known intolerance to inhalation treatment
* Conditions where the effects of inhaled Iloprost on platelets might increase the risk of haemorrhage (e.g. active peptic ulcers, trauma, and intracranial haemorrhage).
* Severe coronary heart disease or unstable angina, myocardial infarction within the last six months
* Cerebrovascular events (e.g. stroke) within the last 3 months
* Active liver disease, porphyria or elevations of serum transaminases \>3 x ULN (upper limit of normal) or bilirubin \> 1.5 x ULN
* Hemoglobin concentration of less than 75 % of the lower limit of normal
* Systolic blood pressure \< 85 mmHg
* History or suspicion of inability to cooperate adequately
* Pregnancy and lactation
* History of hypersensitivity to the investigational medicinal product or to any drug with similar chemical structure or to any excipient present in the pharmaceutical form of the investigational medicinal product
Healthy Volunteers:
False
Sex:
ALL
Minimum Age:
18 Years
Study:
NCT02482402
Study Brief:
Protocol Section:
NCT02482402