ClinicalTrials.gg
CompletedNCT00595049Updated Jun 3, 2026

Pulmonary Artery Remodelling With Bosentan

A Phase 4 interventional study of bosentan in Hypertension, Pulmonary, sponsored by Actelion. Completed at 1 site in Australia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-03.

Sponsored by Actelion (part of Johnson & Johnson) · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 7 months after the study started (first participant enrolled May 2006, registered Jan 2008).
Phase
Phase 4
Study type
Interventional
Enrollment
11
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to investigate whether bosentan (Tracleer®) affects the wall thickness of the pulmonary arteries in patients with idiopathic pulmonary arterial hypertension (iPAH) and PAH related to systemic sclerosis (PAH-SSc).

The second purpose is to investigate if bosentan affects the enlargement of small vessels in the lungs in response to natural chemicals in patients with iPAH and PAH-SSc.

02

Conditions studied

  • Hypertension, Pulmonary

Keywords

  • pulmonary
  • arterial
  • artery
  • hypertension
  • systemic
  • sclerosis
  • scleroderma
  • remodelling
  • bosentan
  • tracleer
  • intravascular
03

In context

Hypertension, Pulmonary

1,092 studies on the registry are indexed under Hypertension, Pulmonary; 244 are open to participants now.

This study's enrollment of 11 is below the median of 35 across 649 interventional studies indexed under Hypertension, Pulmonary.

Browse Hypertension, Pulmonary studies →

Lead sponsor

Actelion is the lead sponsor of 143 studies on the registry; 1 is open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 25 (89%) have results posted.

First submitted before Actelion became part of Johnson & Johnson.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria : · Men or women >18 years of age.·

  • Symptomatic (modified class III) iPAH or PAH-SSc·
  • PAH confirmed by right heart catheterization performed within 3 months before enrolment mPAP > 25 mmHg, PCWP \< 15 mmHg and PVR > 3 mmHg/l/min.
  • Women of must have a negative pre-treatment pregnancy test and use a reliable method of during study treatment and for 3 months after study treatment termination.
  • Bosentan naïve patients

Exclusion Criteria : · PAH other than iPAH or PAH-SSc

  • Significant vasoreactivity during right heart catheterization defined as a fall in mPAP to \< 40 mmHg with a decrease >= 10 mmHg and with a normal cardiac index (>= 2.5 l/min.m2)· Severe obstructive lung disease: /FVC \< 0.5
  • Severe restrictive lung disease: TLC \< 0.7 of normal predicted value
  • \<75% of the lower limit of the normal range· Systolic blood pressure \< 85 mmHg
  • Body weight \< 40 kg
  • Pregnancy or breast-feeding
  • Moderate to severe hepatic impairment, i.e., Class B or C.
  • Baseline aminotransferases, i.e., (AST) and/or alanine aminotransferases (ALT) > 3 times the (ULN) range.
  • Treatment for iPAH or PAH-SSc within 1 month before start of study treatment, excluding warfarin and acute administration of vasodilators for vascular reactivity testing during heart catheterization.
  • Treatment with epoprostenol or other prostacyclin analogs for iPAH or PAH-SSc within 1 month before start of study treatment
  • Treatment with glibenclamide (glyburide), fluconazole ketoconazole or ritonavir within 1 week before start of study treatment.
  • Current treatment with cyclosporine A or tacrolimus
  • to bosentan or any of the of its formulation.
  • Patient who received an drug (such as sildenafil) within 3 months before start of study treatment
  • Conditions that prevent compliance with the protocol or adherence to therapy.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
11 participants (actual)

Study arms

  • Experimental
    bosentan

    Drug: bosentan

Interventions

  • Bosentan 62.5 mg bid for 4 weeks, then 125 mg bid

    Also known as: Tracleer

06

What researchers measure

Primary outcomes

  1. Change from baseline (BL) to 6 mths in the IVUS-derived measurement of pulmonary artery wall thickness.

    Time frame: Baseline to 6 months

  2. Change from BL to 6 mths in pulmonary microvascular circulation dilator responses to actylcholine (Ach).

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Change from BL to 6 mths in each of the IVUS derived pulmonary artery parameters.

    Time frame: Baseline to 6 months

  2. Change from BL to 6 mths in pulmonary microvascular circulation dilator responses to sodium nitroprusside.

    Time frame: Baseline to 6 months

  3. Correlation between the change from BL to 6 mths of each of the IVUS-derived parameters and the pulmonary microvascular circulation (PMVC) dilator responses versus changes in PVR.

    Time frame: Baseline to 6 months

  4. Correlation between the change from BL to 6 mths of each of the IVUS-derived parameters and the PMVC dilator responses versus changes in 6MWD.

    Time frame: Baseline to 6 months

07

Study locations

1 site
  • Royal Prince Alfred Hospital
    Camperdown, Australia
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2006 to primary completion in Dec 2008, 31 months.

Of 23 phase 4 interventional studies under Hypertension, Pulmonary, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 54. This study's 31 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 7, 2008
First posted
Jan 16, 2008
StartActual
May 31, 2006
Primary completionActual
Dec 31, 2008
CompletionActual
Jun 30, 2010
Last update
Jun 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00595049
Lead sponsor
Actelion
Responsible party
Sponsor
First posted
Jan 16, 2008
Start date
May 31, 2006
Primary completion
Dec 31, 2008
Completion
Jun 30, 2010
Last update
Jun 3, 2026

Study contacts

David Celermajer, Professor
principal investigator · Royal Prince Alfred Hospital, Camperdown
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Bosentan

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