Clinical Trial Results:
A randomized, open label study comparing safety and efficacy parameters for a high and a low dose of ambrisentan (adjusted for body weight) for the treatment of pulmonary arterial hypertension in paediatric patients aged 8 years up to 18 years
Summary
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EudraCT number |
2010-019547-19 |
Trial protocol |
GR NL HU DE ES FR IT Outside EU/EEA |
Global end of trial date |
12 Nov 2013
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Results information
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Results version number |
v1 |
This version publication date |
24 Aug 2019
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First version publication date |
24 Aug 2019
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Other versions |
v2 |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
AMB112529
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
GlaxoSmithKline
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Sponsor organisation address |
980 Great West Road, Brentford, Middlesex, United Kingdom, TW8 9GS
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Public contact |
GSK Response Center, GlaxoSmithKline, 1 8664357343, GSKClinicalSupportHD@gsk.com
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Scientific contact |
GSK Response Center, GlaxoSmithKline, 1 8664357343, GSKClinicalSupportHD@gsk.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
Yes
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EMA paediatric investigation plan number(s) |
EMEA-000434-PIP01-08 | ||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
12 Nov 2013
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
12 Nov 2013
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
To evaluate the safety, tolerability, pharmacokinetics and efficacy of ambrisentan in the paediatric PAH population
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Protection of trial subjects |
The independent data monitoring committee (IDMC) were involved in this study to ensure objectives such as medical and/or statistical review of safety and/or efficacy concerns in order to protect the ethical and safety interests of participants and to protect scientific validity of the study.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
04 Jan 2011
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Long term follow-up planned |
Yes
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Long term follow-up rationale |
Safety, Efficacy | ||
Long term follow-up duration |
10 Years | ||
Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
France: 3
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Country: Number of subjects enrolled |
Germany: 3
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Country: Number of subjects enrolled |
Hungary: 5
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Country: Number of subjects enrolled |
Italy: 2
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Country: Number of subjects enrolled |
Japan: 5
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Country: Number of subjects enrolled |
Russian Federation: 8
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Country: Number of subjects enrolled |
Spain: 2
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Country: Number of subjects enrolled |
United States: 7
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Country: Number of subjects enrolled |
Argentina: 6
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Worldwide total number of subjects |
41
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EEA total number of subjects |
15
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
14
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Adolescents (12-17 years) |
27
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
This study investigated the safety and efficacy of a high and low dose ambrisentan (adjusted as per participants body weight) administered orally in participants aged 8 to 18 years with pulmonary arterial hypertension (PAH). | |||||||||||||||||||||
Pre-assignment
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Screening details |
A total of 41 participants were enrolled and randomized. | |||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | |||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Low dose ambrisentan | |||||||||||||||||||||
Arm description |
Participants received ambrisentan low dose tablet either 2.5 milligram (mg) or 5 mg orally once daily for 24 weeks. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Ambrisentan
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Participants received ambrisentan low dose tablet either 2.5 mg or 5 mg orally once daily for 24 weeks.
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Arm title
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High dose ambrisentan | |||||||||||||||||||||
Arm description |
Participants received ambrisentan high dose tablet either 5 mg, 7.5 mg or 10 mg orally once daily for 24 weeks. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Ambrisentan
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Participants received ambrisentan high dose tablet either 5 mg, 7.5 mg or 10 mg orally once daily for 24 weeks.
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Baseline characteristics reporting groups
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Reporting group title |
Low dose ambrisentan
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Reporting group description |
Participants received ambrisentan low dose tablet either 2.5 milligram (mg) or 5 mg orally once daily for 24 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
High dose ambrisentan
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Reporting group description |
Participants received ambrisentan high dose tablet either 5 mg, 7.5 mg or 10 mg orally once daily for 24 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Low dose ambrisentan
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Reporting group description |
Participants received ambrisentan low dose tablet either 2.5 milligram (mg) or 5 mg orally once daily for 24 weeks. | ||
Reporting group title |
High dose ambrisentan
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Reporting group description |
Participants received ambrisentan high dose tablet either 5 mg, 7.5 mg or 10 mg orally once daily for 24 weeks. |
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End point title |
Number of participants with treatment-emergent adverse events (AEs) and serious treatment-emergent adverse events (SAEs) [1] | |||||||||||||||
End point description |
AEs defined as any untoward medical occurrence in a patient or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAEs defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability or incapacity, or is a congenital anomaly or birth defect, medical events that may not immediately life threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention as per medical or scientific judgement and events of drug-induced liver injury with hyperbilirubinaemia. Safety population comprised of all randomized participants who received at least 1 dose of study drug.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [2] - Safety Population [3] - Safety Population |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline Potential Clinical importance (PCI) value for clinical chemistry parameters: alanine amino transferase (ALT), aspartate aminotransferase (AST), gamma glutamyl transferase (GGT), total bilirubin and creatinine [4] | ||||||||||||||||||||||||
End point description |
Blood samples were collected from participants for analysis of following clinical chemistry parameters: ALT, AST, GGT, total bilirubin and creatinine. PCI ranges were <3 times the upper limit of normal (ULN), <34.2 Micromoles per liter (UMOL/L) for total bilirubin and <176.8 (UMOL/L) for creatinine. Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [5] - Safety Population [6] - Safety Population |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline PCI value for hematology parameter: hemoglobin [7] | |||||||||||||||
End point description |
Blood samples were collected from participants for analysis of following hematology parameters: hemoglobin. PCI ranges were Males: 98 to180 grams per liter (G/L), Females: 91 to 161 (G/L) for hemoglobin. Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [8] - Safety Population [9] - Safety Population |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline PCI value for hematology parameter: hematocrit [10] | |||||||||||||||
End point description |
Blood samples were collected from participants for analysis of following hematology parameter: hematocrit. PCI ranges were males: <0.32 to >0.54, females: <0.29 to >0.506 proportion of red blood cells in blood for hematocrit. Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [11] - Safety Population [12] - Safety Population |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline PCI value for hematology parameter: platelet count [13] | |||||||||||||||
End point description |
Blood samples were collected from participants for analysis of following hematology parameter: platelet count. PCI ranges were 100 to 400 for Giga cells per liter platelet count. Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [14] - Safety Population [15] - Safety Population |
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No statistical analyses for this end point |
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End point title |
Number of participants with abnormal value for physical examination parameter: liver size [16] | |||||||||||||||||||||||||||
End point description |
Physical examination included measurement of liver size. Any abnormal enlargement or reduction in the size of the liver is reported.
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End point type |
Primary
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End point timeframe |
Week 12 and 24
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Notes [16] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [17] - Safety population. Participants with available data at the specified time points were analyzed. [18] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Number of participants with abnormal value for physical examination parameter: jugular venous pressure [19] | |||||||||||||||||||||||||||
End point description |
Physical examination of participants jugular venous pressure is measured.
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End point type |
Primary
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End point timeframe |
Week 12 and 24
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Notes [19] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [20] - Safety population. Participants with available data at the specified time points were analyzed. [21] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Number of participants with abnormal value for physical examination parameter: peripheral edema [22] | |||||||||||||||||||||||||||
End point description |
Physical examination of paricipants peripheral edema is measured. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Week 12 and 24
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Notes [22] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [23] - Safety population. Participants with available data at the specified time points were analyzed. [24] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Number of participants with abnormal value for physical examination parameter: ascites [25] | |||||||||||||||||||||||||||
End point description |
Physcial examination of paricipants ascites was measured. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Week 12 and 24
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Notes [25] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [26] - Safety population. Participants with available data at the specified time points were analyzed. [27] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Percentage of physical examination parameter: saturated oxygen level [28] | ||||||||||||||||||
End point description |
Physical examination of participants saturated oxygen level was measured. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Week 12 and 24
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Notes [28] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [29] - Safety population. Participants with available data at the specified time points were analyzed. [30] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline PCI value for vital signs parameter: systolic blood pressure (SBP) and diastolic blood pressure (DBP) [31] | |||||||||||||||||||||
End point description |
SBP and DBP were measured in semi-supine position after 5 minutes rest for the participants at indicated time points. PCI ranges were <80 to >160 millimeters of mercury (mmHg) for SDP and <40 to >110 mmHg for DBP. Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [31] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [32] - Safety population [33] - Safety population |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline PCI value for vital signs parameter: heart rate [34] | |||||||||||||||
End point description |
Heart rate was measured in semi-supine position after 5 minutes rest for the participants at indicated time points. PCI ranges were <50 to >120 beats per minute (beats/min). Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [34] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [35] - Safety population [36] - Safety population |
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No statistical analyses for this end point |
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End point title |
Number of participants with post Baseline PCI value for vital signs parameter: weight [37] | |||||||||||||||
End point description |
Weight of the participants was measured. PCI ranges were <20 kilograms (kg) for weight. Only those parameters having any time post-Baseline PCI values were presented. Day 1 was considered as Baseline.
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End point type |
Primary
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End point timeframe |
Up to 24 Weeks
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Notes [37] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [38] - Safety population [39] - Safety population |
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No statistical analyses for this end point |
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End point title |
Change from Baseline of pubertal development: Men- testicular volume (TV) at Weeks 12 and 24 [40] | ||||||||||||||||||||||||
End point description |
Testicular volume was assessed by Prader's orchiodometer and the assessment was performed by a pediatric endocrinologist using the Tanner's criteria. Only those parameters having status - overall were presented. Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
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End point type |
Primary
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End point timeframe |
Baseline, Week 12 and 24
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Notes [40] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [41] - Safety population. Participants with available data at the specified time points were analyzed. [42] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Change from Baseline in plasma endocrine parameter - Female : Follicle stimulating hormone (FSH) and Luteinizing hormone (LH) at Weeks 12 and 24 [43] | ||||||||||||||||||||||||
End point description |
FSH and LH level of participants were measured. Only those parameters having status - overall were presented. Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
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End point type |
Primary
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End point timeframe |
Baseline, Week 12 and 24
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Notes [43] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [44] - Safety population. Participants with available data at the specified time points were analyzed. [45] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Change from Baseline in plasma endocrine parameter - Female : Inhibin B at Weeks 12 and 24 [46] | ||||||||||||||||||
End point description |
Inhibin B level of participants were measured. Only those parameters having status - overall were presented. Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
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End point type |
Primary
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End point timeframe |
Baseline, Week 12 and 24
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Notes [46] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [47] - Safety population. Participants with available data at the specified time points were analyzed. [48] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Change from Baseline in plasma endocrine parameter - Female : Sex hormone binding globulin at Weeks 12 and 24 [49] | ||||||||||||||||||
End point description |
Sex hormone binding globulin level of participants were measured. Only those parameters having status - overall were presented. Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
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End point type |
Primary
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End point timeframe |
Baseline, Week 12 and 24
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Notes [49] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses have been performed for this outcome measure. |
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Notes [50] - Safety population. Participants with available data at the specified time points were analyzed. [51] - Safety population. Participants with available data at the specified time points were analyzed. |
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No statistical analyses for this end point |
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End point title |
Change from Baseline in the 6 minutes walking distance (6MWD) test | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Participant's 6MWD data has been presented into three categories as overall, with oxygen use and without oxygen use. Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. 99999 indicates that standard deviation could not be calculated for single participant. Intent-to-Treat (ITT) population consist of all randomized participants who received at least one dose of study drug.
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End point type |
Secondary
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End point timeframe |
Baseline, Weeks 4, 8, 12, 16, 20 and 24
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Notes [52] - Intent-to-treat population. Participants with available data at specified time points were analyzed. [53] - Intent-to-treat population. Participants with available data at specified time points were analyzed. |
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No statistical analyses for this end point |
|
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End point title |
Time to the first clinical worsening of pulmonary arterial hypertension (PAH) | ||||||||||||
End point description |
Time to clinical worsening of PAH is defined as the time from randomization to the first occurrence of death or placed for lung transplant, hospitalization due to PAH deterioration, addition or increased dose of other targeted PAH therapeutic agents like prostanoids and PDE-5 inhibitors) and/or atrial septostomy, other PAH related deterioration identified by increase in WHO functional class, deterioration in exercise testing and clinical signs or symptoms of right sided heart failure.
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End point type |
Secondary
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End point timeframe |
Up to Week 24
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Notes [54] - Intent-to-treat population. Participants with available data at specified time points were analyzed. [55] - Intent-to-treat population. Participants with available data at specified time points were analyzed. |
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No statistical analyses for this end point |
|
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End point title |
Change from Baseline in Subject Global Assessment to Week 24 using the SF-10 health survey for children | ||||||||||||||||||
End point description |
Short-form 10 (SF-10) Health Survey for Children is a 10-item parent-completed health assessment that measures physical (Items 1, 2a, 2b, 3, and 5) and psychosocial (Items 4, 6, 7, 8, and 9) functioning for children ages five and over. Each item has either 4, 5 or 6 response choices with associated point systems. An aggregated point score was generated across the 5 items within each summary score (range of 5 to 30 points for each 5-item score). This aggregated point score was then standardised and transformed to a norm-based scoring metric in accordance with the developer’s guidelines. A higher value on each summary score indicates better functioning. Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
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End point type |
Secondary
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End point timeframe |
Baseline and Week 24
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Notes [56] - Intent-to-treat population. Participants with available data at specified time points were analyzed. [57] - Intent-to-treat population. Participants with available data at specified time points were analyzed. |
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No statistical analyses for this end point |
|
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End point title |
Change from baseline in world health organization (WHO) functional class to Week 24 | ||||||||||||||||||||||||||||||
End point description |
PAH was classified by WHO functional class (FC) at specific time points. There were four WHO FC grades based on severity of PAH symptoms (Class I=none, Class IV=most severe). Grades were then mapped to numeric scale, for which scores ranged from 1 to 4 (Class I=1 and Class IV=4). Score at Day 1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
|
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End point type |
Secondary
|
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End point timeframe |
Baseline, Week 4, 8, 12, 16, 20 and 24
|
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Notes [58] - Intent-to-treat population. Participants with available data at specified time points were analyzed. [59] - Intent-to-treat population. Participants with available data at specified time points were analyzed. |
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No statistical analyses for this end point |
|
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End point title |
Ratio to Baseline in plasma N-terminal pro-B type natriuretic peptide (NT-Pro BNP) concentration at Week 24 | ||||||||||||||||||
End point description |
NT-Pro BNP plasma concentrations were determined at specific time points. Geometric mean and SD logs has been presented. Day 1 was considered as Baseline. Ratio to Baseline is expressed as percentage change from Baseline. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
|
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End point type |
Secondary
|
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End point timeframe |
Baseline, Week 12 and 24
|
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Notes [60] - Intent-to-treat population. Participants with available data at specified time points were analyzed. [61] - Intent-to-treat population. Participants with available data at specified time points were analyzed. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
On-treatment serious adverse events (SAEs) and non serious AEs were collected from the start of study treatment up to 24 weeks
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Adverse event reporting additional description |
Safety Population was used. Safety Population comprised of all randomized participants who received at least one dose of a study drug
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
21.0
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Reporting groups
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Reporting group title |
High dose ambrisentan
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Reporting group description |
Participants received ambrisentan high dose tablet either 5 mg, 7.5 mg or 10 mg orally once daily for 24 weeks. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Low dose ambrisentan
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Reporting group description |
Participants received ambrisentan low dose tablet either 2.5 mg or 5 mg orally once daily for 24 weeks. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||||||
Date |
Amendment |
||||||
09 Jun 2010 |
Amendment No. 1
• Clarify the inclusion criteria that existing drug treatment for pulmonary arterial hypertension (PAH) would continue unchanged throughout the study.
• Clarify that two forms of contraception is required only for female participants of child bearing potential who are sexually active.
• Expand the eligibility for the continuation study to all participants who participate in this study and in whom continued treatment with ambrisentan is desired.
• Specify that participants will be given a diary card to collect information about dosing and days missed from school.
• Remove references to “brain natriuretic peptide” and clarify that it is N-terminal pro-B-type Natriuretic Peptide that is being assessed.
• Add more specific references for the Tanner development criteria.
• Change the wording of the questions regarding days missed from school to make it clear that the total number of days missed includes the days missed because of PAH and that the days missed because of PAH are due to symptoms of PAH and do not include clinic visits.
• Remove the requirement for an unblinded person to enter compliance data into InForm.
• Allow the investigator to be unblinded to treatment for an individual patient once that participant has completed the study. |
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26 Oct 2010 |
Amendment No. 2
• To clarify that it is hepatitis B surface antigen, and not hepatitis B surface antibody, that is being assessed as part of the exclusion criteria.
• Add the United States (US) Investigational New Drug (IND) number to the Sponsor Information Page and clarify that the medical monitor and Serious Adverse Events contact are the same person. |
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02 Feb 2011 |
Amendment No. 3
• Add oestrogen to the laboratory tests being performed on female participants at all times that pubertal development assessments are performed.
• Remove testosterone from the laboratory tests being performed on female participants at all times that the pubertal development assessments are performed.
• Change the storage requirements for the study medication to store below 30°C. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? Yes | |||||||
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Limitations and caveats |
|||||||
Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||||||
None reported |