Studies Flashcards
Freedom EV intervention
Orenitram TID on patients on background monotherapy
Freedom EV primary endpoint
Adjudicated time to first clinical worsening event
Freedom EV inclusion
WHO 1, stable monotherapy> 10d, no LH disease, PFTs <6mos, 6MW> 150m, TLC>60% FEV1>50%
Freedom EV secondary endpoint
Change in 6MW at 24wks NT-proBNP Borg score Combined Borg/6MW WHO FC Hemodynamics
Griphon intervention
Selexipag vs placebo in patients on zero, one or two background PAH meds
Griphon intervention primary endpoint
Composite of death or a complication related to PAH
Griphon inclusion
WHO 1, PVR >5, stable background therapy
Griphon secondary endpoint
Change in 6MW at 26wks
Absence of worsening WHO FC
Death any cause and PAH
NT-proBNP
Griphon results
Risk of composite endpoint (death or complication related to PAH) lower with selexipag. Primary endpoint driven by reduction in hospitalizations. No mortality difference.
Ambition intervention
Ambrisentan + tadalafil
Ambrisentan + placebo
Tadalafil + placebo
Ambition intervention
Initial combination therapy vs initial monotherapy, previously untreated
Ambition primary endpoint
Time to clinical failure (composite death, hospitalization for worsening PAH, disease progression, unsatisfactory clinical response
Ambition outcome
Risk of clinical failure was significantly lower in those receiving initial combination therapy with ambrisentan/tadalafil vs monotherapy with either
ADAPT
Real-world use and tolerability of orenitram, patient registry
ADVANCE Outcomes
Time to clinical worsening study of patients on ralinepag in subjects with PAH on background therapy ERA and/or PDE5-i.
BREEZE study
Phase 1b study of 45pts transitioning from stable doses of Tyvaso to DPI
ADAPT inclusion
Prescribed orenitram and taking for fewer than 182 days, can answer surveys. Any background therapy
EXPEDITE Objective
Evaluate dose of orenitram extended release tablets 16 weeks after induction with remodulin
EXPEDITE primary endpoint
Percentage of pts achieving 4mg TID of orenitram or higher at week 16
EXPEDITE inclusion
WHO II/III 6MW > 250m WHO Group 1 On 0/1/2 background PAH therapies, stable doses CI > 2.0
EXPEDITE exclusion
EF < 50% TLC<60 or FEV1<55 Renal insufficiency Sleep apnea Life expectancy <12 mos On PCY class drug within 28 days
EVOLVE study objective
Prospective study of pts on remodulin with remunity pump
What’s a DaQuery
Investigator studies of questions that can be answered by our Phase 4 info
ADVANCE Capacity primary endpoint
Change in PVR on RHC