- |||||||||| Thelin (oral sitaxsentan) / Pfizer, Tracleer (bosentan) / J&J, Roche
Biomarker, Enrollment change, Trial withdrawal: Pharmacogenomics in Pulmonary Arterial Hypertension (clinicaltrials.gov) - Dec 9, 2021 P=N/A, N=0, Withdrawn, N=1300 --> 0 | Recruiting --> Withdrawn
- |||||||||| ambrisentan / Generic mfg., sildenafil / Generic mfg.
Clinical, Journal, Combination therapy: A randomized, double-blind, placebo-controlled study to evaluate sildenafil, ambrisentan combination therapy in pulmonary hypertension, particularly of Eisenmenger syndrome. (Pubmed Central) - Nov 29, 2021 There was a significant improvement in NYHA functional class and mean pulmonary artery pressure, while an insignificant improving trend was observed for 6-min walk distance and oxygen saturation, following the 12 weeks of combination therapy. An upfront combination therapy was found to be safe and effective in the management of PAH patients.
- |||||||||| sildenafil / Generic mfg., enoxaparin sodium / Generic mfg.
Pulmonary arterial hypertension (PAH) during pregnancy – an anaesthetic challenge ([VIRTUAL]) - Oct 21, 2021 - Abstract #Euroanaesthesia2021Euroanaesthesia_487; The disease was controlled with ambrisentan, sildenafil, immunosuppressive drugs and warfarin...Regional technique was not performed because of recent administration of therapeutic dose of enoxaparin...Remifentanil infusion was used to limit the cardiovascular response during intubation and anaesthetic emergence...General anaesthesia with focus on haemodynamic stability was offered and safely performed.Learning points:This case highlights the importance of monitoring highrisk pregnancies in a central hospital to minimize morbidity and mortality associated with this disease. Epoprostenol proved to be a useful therapy in the peripartum period, in accordance to medical literature2 .
- |||||||||| tilarginine (L-NMMA) / Arginox Pharma, Houston Methodist Research Institute, NN1213 / Novo Nordisk
Trial completion: Mechanisms of Cerebrovascular Control (clinicaltrials.gov) - Oct 18, 2021 P1, N=59, Completed, Epoprostenol proved to be a useful therapy in the peripartum period, in accordance to medical literature2 . Active, not recruiting --> Completed
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] PROSTACYCLIN'S, PULMONARY HYPERTENSION, AND END OF LIFE CARE () - Oct 13, 2021 - Abstract #CHEST2021CHEST_2287; There is minimal evidence regarding the use of PC therapy during palliation for patients with advanced PAH. Following the implementation of a Prostacyclin End of Life Titration Protocol, we hope to provide optimal comfort and pain control for end of life PAH patients.
- |||||||||| cetirizine oral / Generic mfg., spironolactone / Generic mfg., epoprostenol intravenous / Generic mfg.
[VIRTUAL] SEVERE THROMBOCYTOPENIA DUE TO IV EPOPROSTENOL: DON'T MUCK WITH THE PLATELETS () - Oct 13, 2021 - Abstract #CHEST2021CHEST_2256; It appears to have a dose-dependent relationship and may improve with changing to an alternative prostacyclin. It is critical to recognize this phenomenon as profound thrombocytopenia can not only be dangerous, but also preclude lung transplant candidacy, should it become necessary
- |||||||||| ambrisentan / Generic mfg.
Trial completion date, Trial primary completion date: Long-term Ambrisentan Extension Study for Pediatric Patients Who Participated in AMB112529 (clinicaltrials.gov) - Aug 18, 2021 P2, N=66, Active, not recruiting, Trial completion date: Oct 2021 --> Oct 2022 | Trial primary completion date: Jul 2021 --> Jul 2022 Trial completion date: Jun 2024 --> Jan 2022 | Trial primary completion date: Jun 2022 --> Jan 2022
- |||||||||| tilarginine (L-NMMA) / Arginox Pharma, Houston Methodist Research Institute, NN1213 / Novo Nordisk
Enrollment closed: Mechanisms of Cerebrovascular Control (clinicaltrials.gov) - Aug 4, 2021 P1, N=59, Active, not recruiting, Trial completion date: Jun 2024 --> Jan 2022 | Trial primary completion date: Jun 2022 --> Jan 2022 Recruiting --> Active, not recruiting
- |||||||||| Opsumit (macitentan) / Nippon Shinyaku, J&J, Tracleer (bosentan) / J&J, Roche
Clinical, Journal: Simultaneous LC-MS analysis of plasma concentrations of sildenafil, tadalafil, bosentan, ambrisentan, and macitentan in patients with pulmonary arterial hypertension. (Pubmed Central) - May 21, 2021 The accuracy and precision values suggested that the assay had high accuracy and reliability. To prove the utility of this method, the plasma concentrations of the five PAH drugs were determined after their oral administration to nine PAH patients.
- |||||||||| amphetamine / Generic mfg.
[VIRTUAL] Pulmonary Arterial Hypertension and Arrhythmogenic Right Ventricular Cardiomyopathy () - Mar 14, 2021 - Abstract #ATS2021ATS_3475; Case Presentation:A 40-year-old woman with a prior history of Amphetamine and Marijuana use presented with worsening exertional dyspnea, weight gain and pedal edema...She was diagnosed with WHO group 1 Pulmonary Arterial Hypertension (PAH), NYHA class III and started on Ambrisentan, and Tadalafil...The presence of PAH with ARVC makes it difficult for patients to become candidates for a heart transplant due to challenges in the appropriate reduction of mPAP for better post-transplant outcomes. Therefore, these patients should be triaged early to become candidates for a Heart and Lung Transplant as opposed to isolated Heart or Double Lung Transplants to treat both the PAH and ARVC.
- |||||||||| ambrisentan / Generic mfg., tadalafil / Generic mfg.
[VIRTUAL] Resolution of Portopulmonary Hypertension After Liver Transplantation () - Mar 14, 2021 - Abstract #ATS2021ATS_2319; Possible mechanism for recovery of pulmonary hypertension post liver transplantation include 1) decreased pulmonary vascular wall shear stress, 2) decreased portosystemic shunting with bacterial endotoxin, 3) decreased splanchnic vasoactive substances, 4) decreased endothelin-1, and 5) increased nitric oxide/prostaglandin I2 production. Additional research is needed to determine which patients are most likely to benefit from improvement in their portopulmonary hypertension post transplant and to guide monitoring and tapering of pulmonary arterial hypertension directed therapies post transplant.
- |||||||||| Opsumit (macitentan) / Nippon Shinyaku, J&J
Journal: Transfer and Vascular Effect of Endothelin Receptor Antagonists in the Human Placenta. (Pubmed Central) - Feb 25, 2021 Given its limited transfer, macitentan could be considered as potential preeclampsia therapy. Extending knowledge on placental transfer to placentas of preeclamptic pregnancies is required to determine whether ERAs might be applied safely in preeclampsia.
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