A Phase 3 interventional study of Ambrisentan and Placebo in Idiopathic Pulmonary Fibrosis, sponsored by Gilead Sciences. Terminated at 185 sites in 22 countries. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2014-04-08.
Sponsored by Gilead Sciences · Phase 3, Interventional, and Treatment
The ARTEMIS-IPF study was conducted to determine if ambrisentan was effective in delaying disease progression and death in participants with idiopathic pulmonary fibrosis (IPF), to evaluate its safety, and to evaluate its effect on development of pulmonary hypertension, quality of life, and dyspnea (shortness of breath) symptoms in this participant population. Participants were randomized in a 2:1 ratio to receive ambrisentan or placebo, respectively. Participation in the study was to be up to 4 years, depending on how long it would take to enroll participants and observe study events. After randomization, visits to the clinic took place every 3 months, and laboratory procedures were performed every month.
680 studies on the registry are indexed under Pulmonary Fibrosis; 119 are open to participants now.
This study's enrollment of 494 is above the median of 50 across 419 interventional studies indexed under Pulmonary Fibrosis.
Browse Pulmonary Fibrosis studies →Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.
Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Ambrisentan
Drug: Placebo
Ambrisentan (5mg or 10 mg tablet) was administered orally once daily.
Also known as: Letairis®
Placebo to match ambrisentan was administered orally once daily.
Time to Death or Disease (IPF) Progression.
The median time to death or disease progression was based on Kaplan-Meier (KM) estimates of pooling over strata, and was defined as the first occurrence of any of the following: * Either 1) a decrease of ≥ 10% in FVC (L) and a decrease of ≥ 5% in diffuse lung capacity for carbon monoxide (DLCO) (ml/min/mmHg), or 2) a decrease of ≥ 5% in FVC (L) and a decrease of ≥ 15% in DLCO (ml/min/mmHg); deterioration in FVC and DLCO must be confirmed at the subsequent visit within 28 (± 14) days * Respiratory hospitalization (hospitalization involving worsening of, or deterioration in respiratory symptoms, gas exchange/hypoxemia, or radiographic findings on chest x-ray or high-resolution computerised tomography (HRCT) scan * All-cause mortality
Time frame: Up to 48 months
Proportion of Participants With No Disease Progression or Death at 48 Weeks
The proportion of participants with no disease progression or death is presented as a percentage using a Kaplan-Meier (KM) estimate of survival or not experiencing disease progression.
Time frame: Baseline and Week 48
Change in FVC % Predicted at Week 48
FVC is defined as the volume of air (liters) that can forcibly be blown out after taking a full breath. FVC % predicted is defined as FVC % of the participant divided by the average FVC % in the population for any person of similar age, sex, and body composition.
Time frame: Baseline and Week 48
Change in DLCO % Predicted at Week 48
DLCO is the extent to which oxygen passes from the air sacs of the lungs into the blood. DLCO % predicted is defined as DLCO % of the participant divided by the average DLCO % in the population for any person of similar age, sex and body composition.
Time frame: Baseline and Week 48
Change in 6MWT at Week 48
The 6MWT is a measure of exercise tolerance, and measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface.
Time frame: Baseline and Week 48
Change in Quality of Life (QOL) Score at Week 48 as Assessed by the Short-Form 36® (SF-36)
The range of each health domain score is 0-100, with 0 indicating a poorer health state and 100 indicating a better health state. An increase in score indicates an improvement in health state.
Time frame: Baseline and Week 48
Change in Quality of Life (QOL) Score at Week 48 as Assessed by the St. George's Respiratory Questionnaire (SGRQ)
The SGRQ is designed to measure impact on overall health, daily life, and perceived well-being in participants with obstructive airways disease. The range of each score is 0-100, with 0 indicating fewer limitations and 100 indicating more limitations; an increase in score indicates an increase in limitations.
Time frame: Baseline and Week 48
Change in Dyspnea Score at Week 48 as Assessed by the Transitional Dyspnea Index (TDI)
The transitional focal score (-9 to 9) is the sum of relative change from baseline for the Functional Impairment, Magnitude of Task, and Magnitude of Effort scores (each -3 to 3 scale). A TDI score of -9 represents a maximum degradation of all three tests; a score of 9 represents a maximum improvement of all three tests.
Time frame: Baseline and Week 48
Percentage of Participants Who Developed PH on Study
The percentage of participants known to have developed pulmonary hypertension on study documented by right heart catheterization (RHC) was analyzed. RHC was done at baseline and 48 weeks, or at the early termination visit.
Time frame: Up to 48 weeks
Participants were enrolled in a total of 136 study sites in North and South America, Europe, and Australia. The first participant was screened on 10 December 2008. The last participant observation was on 28 February 2011.
| Milestone | Ambrisentan | Placebo |
|---|---|---|
| Started | 330 | 164 |
| Randomized and treated | 329 | 163 |
| Completed | 1 | 1 |
| Not completed | 329 | 163 |
| Withdrew: Randomized but not treated | 1 | 1 |
| Withdrew: Adverse event | 10 | 2 |
| Withdrew: Protocol violation | 6 | 1 |
| Withdrew: Withdrawal by subject | 13 | 7 |
| Withdrew: Physician decision | 2 | 3 |
| Withdrew: Study discontinued by sponsor | 271 | 140 |
| Withdrew: Death | 21 | 5 |
| Withdrew: Subject moved to pursue lung transplant | 1 | 1 |
| Withdrew: Screen failure following randomization | 1 | 0 |
| Withdrew: Received lung transplant | 1 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 |
| Withdrew: Began prohibited concomitant medication | 0 | 1 |
| Withdrew: Treated but never dosed with study drug | 1 | 0 |
| Withdrew: Missing data | 1 | 0 |
The median time to death or disease progression was based on Kaplan-Meier (KM) estimates of pooling over strata, and was defined as the first occurrence of any of the following: * Either 1) a decrease of ≥ 10% in FVC (L) and a decrease of ≥ 5% in diffuse lung capacity for carbon monoxide (DLCO) (ml/min/mmHg), or 2) a decrease of ≥ 5% in FVC (L) and a decrease of ≥ 15% in DLCO (ml/min/mmHg); deterioration in FVC and DLCO must be confirmed at the subsequent visit within 28 (± 14) days * Respiratory hospitalization (hospitalization involving worsening of, or deterioration in respiratory symptoms, gas exchange/hypoxemia, or radiographic findings on chest x-ray or high-resolution computerised tomography (HRCT) scan * All-cause mortality
| weeks | Ambrisentan | Placebo |
|---|---|---|
| Time to Death or Disease (IPF) Progression. | 84.14 (36.00 to NA) | NA (60.00 to NA) |
The proportion of participants with no disease progression or death is presented as a percentage using a Kaplan-Meier (KM) estimate of survival or not experiencing disease progression.
| percentage of participants | Ambrisentan | Placebo |
|---|---|---|
| Proportion of Participants With No Disease Progression or Death at 48 Weeks | 65 | 80 |
FVC is defined as the volume of air (liters) that can forcibly be blown out after taking a full breath. FVC % predicted is defined as FVC % of the participant divided by the average FVC % in the population for any person of similar age, sex, and body composition.
| percent change in FVC % predicted | Ambrisentan | Placebo |
|---|---|---|
| Change in FVC % Predicted at Week 48 | -10.24 ± 25.95 | -5.28 ± 15.68 |
DLCO is the extent to which oxygen passes from the air sacs of the lungs into the blood. DLCO % predicted is defined as DLCO % of the participant divided by the average DLCO % in the population for any person of similar age, sex and body composition.
| percent change in DLCO % predicted | Ambrisentan | Placebo |
|---|---|---|
| Change in DLCO % Predicted at Week 48 | -2.68 ± 27.60 | -11.28 ± 32.06 |
The 6MWT is a measure of exercise tolerance, and measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface.
| meters | Ambrisentan | Placebo |
|---|---|---|
| Change in 6MWT at Week 48 | -52.5 ± 148.7 | -10.6 ± 89.8 |
The range of each health domain score is 0-100, with 0 indicating a poorer health state and 100 indicating a better health state. An increase in score indicates an improvement in health state.
| units on a scale | Ambrisentan | Placebo |
|---|---|---|
| Physical function | -1.65 ± 10.86 | -2.60 ± 7.25 |
| General Health | -2.81 ± 9.77 | -1.95 ± 8.63 |
| Vitality | -1.67 ± 12.67 | -0.12 ± 7.69 |
The SGRQ is designed to measure impact on overall health, daily life, and perceived well-being in participants with obstructive airways disease. The range of each score is 0-100, with 0 indicating fewer limitations and 100 indicating more limitations; an increase in score indicates an increase in limitations.
| units on a scale | Ambrisentan | Placebo |
|---|---|---|
| Symptoms Score | 3.30 ± 22.11 | 2.84 ± 20.43 |
| Activity Score | 5.54 ± 19.38 | 2.05 ± 16.47 |
| Impacts Score | 4.68 ± 24.07 | 3.09 ± 15.80 |
| Total Score | 4.70 ± 19.92 | 3.04 ± 13.80 |
The transitional focal score (-9 to 9) is the sum of relative change from baseline for the Functional Impairment, Magnitude of Task, and Magnitude of Effort scores (each -3 to 3 scale). A TDI score of -9 represents a maximum degradation of all three tests; a score of 9 represents a maximum improvement of all three tests.
| units on a scale | Ambrisentan | Placebo |
|---|---|---|
| Change in Dyspnea Score at Week 48 as Assessed by the Transitional Dyspnea Index (TDI) | -1.23 ± 3.74 | -0.84 ± 2.99 |
The percentage of participants known to have developed pulmonary hypertension on study documented by right heart catheterization (RHC) was analyzed. RHC was done at baseline and 48 weeks, or at the early termination visit.
| percentage of participants | Ambrisentan | Placebo |
|---|---|---|
| Percentage of Participants Who Developed PH on Study | 0.7 | 2.1 |
Collected over Up to 48 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Ambrisentan | — | 73/329 (22.2%) | 227/329 (69%) |
| Placebo | — | 25/163 (15.3%) | 104/163 (63.8%) |
| Event | Ambrisentan | Placebo |
|---|---|---|
| Idiopathic pulmonary fibrosisRespiratory, thoracic and mediastinal disorders | 20/329 | 4/163 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 17/329 | 2/163 |
| PneumoniaInfections and infestations | 9/329 | 2/163 |
| HeadacheNervous system disorders | 5/329 | 1/163 |
| Acute respiratory failureRespiratory, thoracic and mediastinal disorders | 5/329 | 1/163 |
| Gastrooesophageal reflux diseaseGastrointestinal disorders | 2/329 | 2/163 |
| NasopharyngitisInfections and infestations | 2/329 | 2/163 |
| Alanine aminotransferase increasedInvestigations | 0/329 | 2/163 |
| Cardiac failure congestiveCardiac disorders | 4/329 | 0/163 |
| ConstipationGastrointestinal disorders | 4/329 | 0/163 |
| Event | Ambrisentan | Placebo |
|---|---|---|
| Oedema peripheralGeneral disorders | 73/329 | 14/163 |
| Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders | 47/329 | 18/163 |
| HeadacheNervous system disorders | 47/329 | 17/163 |
| CoughRespiratory, thoracic and mediastinal disorders | 34/329 | 20/163 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 40/329 | 11/163 |
| NasopharyngitisInfections and infestations | 37/329 | 18/163 |
| BronchitisInfections and infestations | 23/329 | 15/163 |
| FatigueGeneral disorders | 22/329 | 14/163 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 27/329 | 6/163 |
| Respiratory tract infectionInfections and infestations | 9/329 | 12/163 |
Full Analysis Set: participants who were randomized and treated
| Age, Continuous(years) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| Mean | 65.8 ± 7.4 | 66.1 ± 7.1 | 65.9 ± 7.3 |
| Sex: Female, Male(Participants) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| Female | 85 | 52 | 137 |
| Male | 244 | 111 | 355 |
| Race/Ethnicity, Customized(participants) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| Black or African Heritage | 1 | 0 | 1 |
| White | 293 | 145 | 438 |
| Asian | 4 | 1 | 5 |
| American Indian or Alaskan Native | 1 | 1 | 2 |
| Other | 27 | 16 | 43 |
| Not Permitted | 3 | 0 | 3 |
| Region of Enrollment(participants) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| United States | 141 | 62 | 203 |
| Canada | 25 | 14 | 39 |
| Australia | 22 | 12 | 34 |
| France | 21 | 10 | 31 |
| Germany | 17 | 9 | 26 |
| Brazil | 18 | 6 | 24 |
| Peru | 12 | 6 | 18 |
| Czech Republic | 10 | 6 | 16 |
| Israel | 8 | 7 | 15 |
| Italy | 11 | 3 | 14 |
| Belgium | 7 | 6 | 13 |
| Colombia | 8 | 3 | 11 |
| Mexico | 5 | 4 | 9 |
| United Kingdom | 3 | 6 | 9 |
| Spain | 7 | 1 | 8 |
| Poland | 3 | 3 | 6 |
| Switzerland | 5 | 1 | 6 |
| Austria | 2 | 2 | 4 |
| Chile | 3 | 1 | 4 |
| Argentina | 1 | 2 | 3 |
| Ireland | 1 | 0 | 1 |
| Baseline Pulmonary Hypertension (PH) per interactive voice response system (IVRS)(participants) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| No | 293 | 145 | 438 |
| Yes | 36 | 18 | 54 |
| Smoking status(participants) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| Never | 105 | 53 | 158 |
| Current | 7 | 5 | 12 |
| Former | 217 | 104 | 321 |
| Surgical lung biopsy (SLB) to Confirm Diagnosis of IPF (per IVRS)(participants) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| No | 175 | 87 | 262 |
| Yes | 154 | 76 | 230 |
| Disease duration(years) | Ambrisentan | Placebo | Total |
|---|---|---|---|
| Mean | 1.13 ± 1.39 | 0.91 ± 1.19 | 1.06 ± 1.33 |
5 further baseline measures are reported on the registry.
Showing the first 100 of 185 sites across 22 countries.
This study is terminated, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.
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