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Congenital Heart Disease With Fontan CirculationPhase 3RUBATO OLNCT03775421

An Upcoming Clinical Study to Measure the Safety and Impact of a Drug Called Macitentan in Teenage and Adult Fontan Patients.

A Phase 3 study testing macitentan 10 mg in people with Congenital Heart Disease With Fontan Circulation, run by Actelion at 19 sites in 11 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The aim of this open-label (OL) trial is to study the long-term use of macitentan for up to 2 years in Fontan-palliated adult and adolescent patients beyond the 52 weeks of treatment in the parent RUBATO double-blind (DB) study (AC-055H301, NCT03153137). Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
macitentan 10 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
112 participants
Where
19 sitesin 11 countries
Study dates
11 Apr 2019to 18 Jan 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Written informed consent/assent from the subject and/or a legal representative prior to initiation of any study-mandated procedures.
  • Subjects who have completed Week 52 of the parent AC-055H301/RUBATO DB study (NCT03153137)
  • Women of childbearing potential must:
  • have a negative serum pregnancy test prior to first intake of OL study drug, and,
  • agree to perform monthly pregnancy tests up to the end of the safety follow up (S-FU) period, and,
  • use reliable methods of contraception from enrollment up to at least 30 days after study treatment discontinuation.

Who cannot join

  • Clinical worsening leading to medical interventions including reoperation of Fontan circulation (Fontan take-down) during the enrollment period
  • Systolic blood pressure < 90 mmHg (< 85 mmHg for subjects < 18 years old and < 150 cm of height) at rest
  • Criteria related to macitentan use
  • Any known factor or disease that may interfere with treatment compliance or full participation in the study

Trial locations and contacts

19 sites in 11 countries.

19 sites in 11 countries

Australia4 sites
  • Royal Adelaide Hospital

    Adelaide, 5000

  • Royal Prince Alfred Hospital

    Camperdown, 2050

  • The Prince Charles Hospital, Adult Congenital Heart Disease Unit

    Chermside, 4032

  • Royal Children's Hospital

    Parkville, 3052

Other trials in Australia

Poland3 sites
  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-952

  • Krakowski Szpital Specjalityczny im. Jana Pawla II, Oddzial Kliniczny Chorob Serca i Naczyn

    Krakow, 31-202

  • Wojewodzki Szpital Specjalistyczny We Wroclawiu

    Wroclaw, 51-124

Other trials in Poland

United States2 sites
  • Massachusetts General Hospital Heart Center

    Boston, Massachusetts, 02114

  • Providence Medical Research Providence Health Care

    Spokane, Washington, 99202

Other trials in United States

China2 sites
  • Beijing Anzhen Hospital

    Beijing, 100029

  • Shanghai Children's Medical Center

    Shanghai, 200127

Other trials in China

France2 sites
  • Hôpital Necker - Enfants Malades

    Paris, 75015

  • Hôpital Cardiologique Du Haut-Lévêque

    Pessac, 33604

Other trials in France

Canada1 site
  • CHU de Québec Université Laval

    Québec, Quebec, G1V 4G2

Other trials in Canada

Czechia1 site
  • Fakultni nemocnice v Motole

    Prague, 150 06

Other trials in Czechia

Denmark1 site
  • Rigshospitalet Kardiologisk Klinisk

    Copenhagen, 2100

Other trials in Denmark

New Zealand1 site
  • Auckland City Hospital

    Auckland, 1640

Other trials in New Zealand

Taiwan1 site
  • National Taiwan University Hospital

    Taipei, 10002

Other trials in Taiwan

United Kingdom1 site
  • Queen Elizabeth Hospital

    Birmingham, B15 2TH

Other trials in United Kingdom

About this study

Official title: Prospective, Multi-center, Single-arm, Open-label Long-term Study Assessing the Safety, Tolerability, and Effectiveness of Macitentan in Fontan-palliated Adult and Adolescent Subjects

The aim of this open-label (OL) trial is to study the long-term use of macitentan for up to 2 years in Fontan-palliated adult and adolescent patients beyond the 52 weeks of treatment in the parent RUBATO double-blind (DB) study (AC-055H301, NCT03153137). This OL trial studies the long-term effect of macitentan in Fontan-palliated patients as it is not known if the effect of macitentan is sustained beyond 52 weeks (end of the parent RUBATO DB study). In addition, the trial also studies the long-term safety of macitentan as this is also unknown. Furthermore, the opportunity will be given to patients who were on placebo in the parent RUBATO DB study to receive macitentan 10 mg and benefit from a potentially active treatment.

Being tested
macitentan 10 mg
Keywords
Congenital Heart Failure, macitentan, Univentricular Heart, Cavopulmonary Anastomosis, Fontan circulation
Medical subject headings
Univentricular Heart

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • macitentan 10 mgDrug

    macitentan 10 mg, film-coated tablet, oral use

Study groups in NCT03775421
Study groupRoleWhat they receive
Open-label treatment periodExperimentaloral administration of 10 mg macitentan once daily
Receives: Drug: macitentan 10 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Any AE occurring at or after the study treatment start up to 30 days after end of treatment (EOT) (limits included) within the analysis set was considered to be treatment-emergent.

    Measured: Up to 133 weeks

  2. Number of Participants With Treatment-emergent Serious AEs (TESAEs)

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Any SAE occurring at or after the study treatment start up to 30 days after EOT (limits included) within the analysis set was considered to be TESAEs.

    Measured: Up to 133 weeks

  3. Number of Participants With TEAEs Leading to Death

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Any AE occurring at or after the study treatment start up to 30 days after EOT (limits included) within the analysis set was considered to be treatment-emergent.

    Measured: Up to 133 weeks

  4. Number of Participants With TEAEs Leading to Premature Discontinuation of Study Treatment

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Any AE occurring at or after the study treatment start up to 30 days after EOT (limits included) within the analysis set was considered to be treatment-emergent.

    Measured: Up to 133 weeks

  5. Number of Participants With Treatment-emergent Marked Laboratory Abnormalities up to 30 Days After Study Treatment Discontinuation

    Number of participants with treatment-emergent marked laboratory abnormalities (Hemoglobin [gram/Liter {g/L}], Platelets [giga/L {10^9 cells/L}], Leukocytes [10^9 cells/L], Lymphocytes [10^9 cells/L], Neutrophils [10^9 cells/L], Prothrombin International Normalized Ratio [PINR;Ratio], Aspartate Aminotransferase [Units/L {U/L}], Bilirubin [micromoles/L {mcmol/L}], Alkaline Phosphatase [U/L], Glomerular Filtration Rate [milliliter/minute/1.73 meter square], Glucose [millimoles/L {mmol/L}], Potassium [mmol/L], Sodium [mmol/L], Triglycerides [mmol/L] were reported. Abnormalities that occurred after study treatment start and up to 30 days after study treatment discontinuation, that were not present at baseline, were treatment-emergent. Marked laboratory abnormalities reported for at least 1 participant were reported in this outcome measure. >=:greater than or equal to; >:greater than; <:less than; ULN: upper limit of normal; L:Low, H:High, LLL:lower/worse than LL, HHH:higher/worse than HH.

    Measured: Up to 133 weeks

  6. Change From Baseline in Hemoglobin Over Time

    Change from baseline in hemoglobin over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  7. Change From Baseline in Hematocrit Over Time

    Change from baseline in hematocrit over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  8. Change From Baseline in Leukocytes, Neutrophils, Lymphocytes, and Platelets Over Time

    Change from baseline in leukocytes, neutrophils, lymphocytes, and platelets over time were reported in this outcome measure.

    Measured: Baseline up to Week 130

  9. Change From Baseline in Systolic and Diastolic Arterial Blood Pressure (BP) Over Time

    Change from baseline in systolic and diastolic arterial BP over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  10. Change From Baseline in Pulse Rate Over Time

    Change from baseline in pulse rate over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  11. Change From Baseline in Peripheral Oxygen Saturation (SpO2) Over Time

    Change from baseline in SpO2 over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  12. Change From Baseline in Body Weight Over Time

    Change from baseline in body weight over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  13. Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (AP), and Gamma Glutamyl Transferase (GGT) Over Time

    Change from baseline in ALT, AST, AP, and GGT over time were reported in this outcome measure.

    Measured: Baseline up to Week 130

  14. Change From Baseline in Bilirubin, Direct Bilirubin, and Creatinine Over Time

    Change from baseline in bilirubin, direct bilirubin, and creatinine over time were reported in this outcome measure.

    Measured: Baseline up to Week 130

  15. Change From Baseline in Glomerular Filtration Rate (GFR) Over Time

    Change from baseline in GFR over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  16. Change From Baseline in Prothrombin Time Over Time

    Change from baseline in prothrombin time over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

  17. Change From Baseline in Prothrombin International Normalized Ratio Over Time

    Change from baseline in prothrombin international normalized ratio over time was reported in this outcome measure.

    Measured: Baseline up to Week 130

Secondary outcomes (2)
  1. Change From Baseline in Peak Oxygen Uptake/Consumption (VO2)

    Change from baseline in peak VO2 was reported in this outcome measure.

    Measured: Baseline, Week 52, and Week 104

  2. Change From Baseline in Mean Count Per Minute of Daily Physical Activity Measured by Accelerometer (PA-Ac)

    Change from baseline in mean count per minute of daily PA-Ac was reported in this outcome measure.

    Measured: Baseline, Week 26, Week 52, Week 78, and Week 104

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Dec 2018
  2. Study start11 Apr 2019
  3. Primary completion18 Jan 2022
  4. Study completion18 Jan 2022

Why it stopped: As The RUBATO DB study (NCT03153137) did not show any benefit of treatment with macitentan in Fontan-palliated participants, the sponsor has decided to terminate the RUBATO OL study (NCT03775421). No new safety observations were made.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
The study is designed as an open-label (OL), single-arm, multicenter long-term trial in which all adolescent (≥ 12 years) and adult male and female subjects who had previously completed in the parent RUBATO DB study (AC-055H301, NCT03153137) will enroll. The primary objective of the study is to assess the long-term safety and tolerability of macitentan. All efficacy endpoints including the ones listed below are considered as exploratory in nature.
Masking
None (open label)
Enrolment
112 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03775421
Sponsor's protocol ID
AC-055H302
Other IDs
2018-002821-45, 2018
Acronym
RUBATO OL
Status last verified
Mar 2023
First submitted
21 Nov 2018
Last updated
7 Mar 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials\\transparency. As noted on this site, requests for access to the study data can be submitted through Yale open Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing macitentan 10 mg in people with Congenital Heart Disease With Fontan Circulation, run by Actelion at 19 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 7 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in Australia, Poland, United States, China, France and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Mar 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) (time frame: Up to 133 weeks). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Mar 2023.

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