ClinicalTrials.gg
TerminatedNCT01319045Updated Jan 26, 2015Results posted

Iloprost for the Treatment of Pulmonary Hypertension in Adults With Congenital Heart Disease

An interventional study of Iloprost in Pulmonary Arterial Hypertension, Congenital Heart Disease and Eisenmenger's Syndrome, sponsored by University of California, Los Angeles. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-01-26.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Treatment

Why this study was terminated
enrollment was too slow
Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Pulmonary arterial hypertension (PAH), or high blood pressure in the lungs, is common in patients with congenital heart disease. Historically these patients suffered significant morbidity and mortality due to a lack of effective therapies. More recently, advanced therapies which target the mechanisms underlying the development and progression of PAH have been introduced into clinical care. Oral, intravenous, subcutaneous, and inhaled therapies are all available for the treatment of PAH. Patients with PAH are first treated with oral agents (including sildenafil and bosentan). However, if these agents fail to achieve the desired effect for the patient, intravenous or inhaled therapies may be initiated. Combination therapy with multiple agents is common in routine clinical care. However, the most efficacious therapeutic regimen has yet to be delineated. The present study seeks to evaluate the efficacy of one specific regimen: iloprost, an inhaled prostacyclin derivative, used in combination with oral therapy (sildenafil and/or bosentan). Iloprost has been approved by the FDA for use in this patient population. Adults with PAH already receiving oral therapy will be invited to participate in this study. Iloprost will be added to their current therapeutic regimen for a period of three months, with pre- and post-treatment assessments. These will include a cardiopulmonary exercise test, BNP (a blood test), six minute walking distance, and a quality of life questionnaire.

02

Conditions studied

  • Pulmonary Arterial Hypertension
  • Congenital Heart Disease
  • Eisenmenger's Syndrome

Keywords

  • Pulmonary Arterial Hypertension
  • Congenital Heart Disease
  • Eisenmenger's Syndrome
  • Prostacyclin
  • Iloprost
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In context

Pulmonary Arterial Hypertension

699 studies on the registry are indexed under Pulmonary Arterial Hypertension; 140 are open to participants now.

This study's enrollment of 5 is below the median of 40 across 477 interventional studies indexed under Pulmonary Arterial Hypertension.

Browse Pulmonary Arterial Hypertension studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,170 studies on the registry; 195 are open to participants now.

Of its 95 completed or terminated interventional studies of FDA-regulated products, 70 (74%) have results posted.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age greater than or equal to 18 years old
  • Congenital heart disease with pulmonary arterial hypertension and cyanosis (resting oxygen saturation \< 90% on room air)
  • Stable on oral therapy (PDE5 inhibitor and/or endothelin blockade) for at least three months

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years old
  • Current intravenous or subcutaneous prostacyclin therapy
  • Resting Systemic Hypotension (Systolic blood pressure \< 85 mmHg)
  • Women who are pregnant or may become pregnant (unwilling to utilize effective ), as well as nursing mothers
  • Inability to ambulate
  • Planned surgical procedure during the study period
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Iloprost

    Participants will be administered iloprost at 5 mcg/dose x 6 doses daily for 3 months.

    Drug: Iloprost

Interventions

  • Aerosolized iloprost, 5 mcg/dose x 6 doses daily for 3 months

    Also known as: Ventavis, prostacyclin analogue

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What researchers measure

Primary outcomes

  1. Safety and Tolerability

    Number of Participants with adverse events, specifically mortality and heart failure.

    Time frame: 3 months

Secondary outcomes

  1. Exercise Capacity

    Change in exercise duration (modified Bruce protocol), maximal oxygen consumption (VO2 max), and/or VE/VCO2 ratio.

    Time frame: 3 months

  2. Serum Brain Natriuretic Peptide (BNP)

    Change in serum BNP level

    Time frame: 3 months

  3. Quality of Life

    Change in quality of life as assessed by SF-36 QOL

    Time frame: 3 months

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Results

Posted Dec 29, 2014
Limitations and caveats
Enrollment was too slow. The trial was discontinued.

Participant flow

Participant flow — Overall Study
MilestoneIloprost
Started5
Completed3
Not completed2

Outcome measures

PrimarySafety and Tolerability

Number of Participants with adverse events, specifically mortality and heart failure.

Time frame:
3 months
Reported as:
Number · participants
Safety and Tolerability
participantsIloprost
Safety and Tolerability0
SecondaryExercise Capacity

Change in exercise duration (modified Bruce protocol), maximal oxygen consumption (VO2 max), and/or VE/VCO2 ratio.

Time frame:
3 months

No measurements were reported for this outcome.

SecondarySerum Brain Natriuretic Peptide (BNP)

Change in serum BNP level

Time frame:
3 months

No measurements were reported for this outcome.

SecondaryQuality of Life

Change in quality of life as assessed by SF-36 QOL

Time frame:
3 months

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Iloprost—0/3 (0%)0/3 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Iloprost
<=18 years0
Between 18 and 65 years3
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Iloprost
Female1
Male2
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Study locations

1 site
  • Ronald Reagan UCLA Medical Center
    Los Angeles, California 90095, United States
09

References and documents

Publications

  • Beghetti M, Tissot C. Pulmonary arterial hypertension in congenital heart diseases. Semin Respir Crit Care Med. 2009 Aug;30(4):421-8. doi: 10.1055/s-0029-1233311. Epub 2009 Jul 24. PubMed 19634081 ↗
  • Humbert M, Morrell NW, Archer SL, Stenmark KR, MacLean MR, Lang IM, Christman BW, Weir EK, Eickelberg O, Voelkel NF, Rabinovitch M. Cellular and molecular pathobiology of pulmonary arterial hypertension. J Am Coll Cardiol. 2004 Jun 16;43(12 Suppl S):13S-24S. doi: 10.1016/j.jacc.2004.02.029. PubMed 15194174 ↗
  • Niwa K, Perloff JK, Kaplan S, Child JS, Miner PD. Eisenmenger syndrome in adults: ventricular septal defect, truncus arteriosus, univentricular heart. J Am Coll Cardiol. 1999 Jul;34(1):223-32. doi: 10.1016/s0735-1097(99)00153-9. PubMed 10400015 ↗
  • Daliento L, Somerville J, Presbitero P, Menti L, Brach-Prever S, Rizzoli G, Stone S. Eisenmenger syndrome. Factors relating to deterioration and death. Eur Heart J. 1998 Dec;19(12):1845-55. doi: 10.1053/euhj.1998.1046. PubMed 9886728 ↗
  • Christman BW. Lipid mediator dysregulation in primary pulmonary hypertension. Chest. 1998 Sep;114(3 Suppl):205S-207S. doi: 10.1378/chest.114.3_supplement.205s. PubMed 9741570 ↗
  • Barst RJ, Rubin LJ, Long WA, McGoon MD, Rich S, Badesch DB, Groves BM, Tapson VF, Bourge RC, Brundage BH, Koerner SK, Langleben D, Keller CA, Murali S, Uretsky BF, Clayton LM, Jobsis MM, Blackburn SD, Shortino D, Crow JW; Primary Pulmonary Hypertension Study Group. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension. N Engl J Med. 1996 Feb 1;334(5):296-301. doi: 10.1056/NEJM199602013340504. PubMed 8532025 ↗
  • Badesch DB, Tapson VF, McGoon MD, Brundage BH, Rubin LJ, Wigley FM, Rich S, Barst RJ, Barrett PS, Kral KM, Jobsis MM, Loyd JE, Murali S, Frost A, Girgis R, Bourge RC, Ralph DD, Elliott CG, Hill NS, Langleben D, Schilz RJ, McLaughlin VV, Robbins IM, Groves BM, Shapiro S, Medsger TA Jr. Continuous intravenous epoprostenol for pulmonary hypertension due to the scleroderma spectrum of disease. A randomized, controlled trial. Ann Intern Med. 2000 Mar 21;132(6):425-34. doi: 10.7326/0003-4819-132-6-200003210-00002. PubMed 10733441 ↗
  • Simonneau G, Barst RJ, Galie N, Naeije R, Rich S, Bourge RC, Keogh A, Oudiz R, Frost A, Blackburn SD, Crow JW, Rubin LJ; Treprostinil Study Group. Continuous subcutaneous infusion of treprostinil, a prostacyclin analogue, in patients with pulmonary arterial hypertension: a double-blind, randomized, placebo-controlled trial. Am J Respir Crit Care Med. 2002 Mar 15;165(6):800-4. doi: 10.1164/ajrccm.165.6.2106079. PubMed 11897647 ↗
  • Olschewski H, Simonneau G, Galie N, Higenbottam T, Naeije R, Rubin LJ, Nikkho S, Speich R, Hoeper MM, Behr J, Winkler J, Sitbon O, Popov W, Ghofrani HA, Manes A, Kiely DG, Ewert R, Meyer A, Corris PA, Delcroix M, Gomez-Sanchez M, Siedentop H, Seeger W; Aerosolized Iloprost Randomized Study Group. Inhaled iloprost for severe pulmonary hypertension. N Engl J Med. 2002 Aug 1;347(5):322-9. doi: 10.1056/NEJMoa020204. PubMed 12151469 ↗
  • McLaughlin VV, Oudiz RJ, Frost A, Tapson VF, Murali S, Channick RN, Badesch DB, Barst RJ, Hsu HH, Rubin LJ. Randomized study of adding inhaled iloprost to existing bosentan in pulmonary arterial hypertension. Am J Respir Crit Care Med. 2006 Dec 1;174(11):1257-63. doi: 10.1164/rccm.200603-358OC. Epub 2006 Aug 31. PubMed 16946127 ↗
  • Krug S, Sablotzki A, Hammerschmidt S, Wirtz H, Seyfarth HJ. Inhaled iloprost for the control of pulmonary hypertension. Vasc Health Risk Manag. 2009;5(1):465-74. doi: 10.2147/vhrm.s3223. PubMed 19475782 ↗
  • Hallioglu O, Dilber E, Celiker A. Comparison of acute hemodynamic effects of aerosolized and intravenous iloprost in secondary pulmonary hypertension in children with congenital heart disease. Am J Cardiol. 2003 Oct 15;92(8):1007-9. doi: 10.1016/s0002-9149(03)00991-3. PubMed 14556887 ↗
  • Limsuwan A, Khosithseth A, Wanichkul S, Khowsathit P. Aerosolized iloprost for pulmonary vasoreactivity testing in children with long-standing pulmonary hypertension related to congenital heart disease. Catheter Cardiovasc Interv. 2009 Jan 1;73(1):98-104. doi: 10.1002/ccd.21793. PubMed 19089967 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01319045
Collaborators
Actelion
Responsible party
Jamil Aboulhosn (Assistant Professor of Medicine, University of California, Los Angeles) — Principal investigator
First posted
Mar 21, 2011
Start date
Jun 2011
Primary completion
May 2013
Completion
May 2013
Results posted
Dec 29, 2014
Last update
Jan 26, 2015

Study contacts

Jamil A Aboulhosn, MD
principal investigator · Ahmanson / UCLA Adult Congenital Heart Disease Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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