Trial Outcomes & Findings for Clinical Study to Assess the Long-term Safety, Tolerability, and Efficacy of Macitentan in Subjects With Eisenmenger Syndrome (NCT NCT01739400)

NCT ID: NCT01739400

Last Updated: 2019-04-16

Results Overview

NOTE: The MAESTRO-OL study was exploratory in nature and no primary efficacy and safety endpoint were defined in the clinical protocol. This and the other exploratory efficacy outcome measures posted were selected to be reported as a primary endpoints. All efficacy analyses were considered exploratory. The analyses of the exploratory efficacy endpoints focused on the absolute values and on the change from DB baseline to Week 16 in the DB study and to Month 6 and Month 12 in the OL study. For missing 6MWD values in the OL study, the following imputation rules were applied: If the reason for missing data was death, a distance of zero (0) meters was imputed for all 6MWD visits from the date of death. For any other reasons, the last available value was carried forward.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

217 participants

Primary outcome timeframe

From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.

Results posted on

2019-04-16

Participant Flow

The study was conducted at 51 sites in 19 countries (geographical regions: Asia-Pacific, Eastern Europe, Latin America, North America and Western Europe).

217 of 221 subjects (111 macitentan, 110 placebo) that completed treatment in the AC-055-305/MAESTRO double-blind (DB) parent study (NCT01743001) were enrolled in the open-label (OL) study without knowledge of their study treatment allocation in the DB study (macitentan or placebo).

Participant milestones

Participant milestones
Measure
DB-macitentan
All subjects treated with macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
All subjects treated with placebo in the DB study (AC-055-305, NCT01743001).
Overall Study
STARTED
109
108
Overall Study
Treated With 10 mg Macitentan
109
108
Overall Study
COMPLETED
92
99
Overall Study
NOT COMPLETED
17
9

Reasons for withdrawal

Reasons for withdrawal
Measure
DB-macitentan
All subjects treated with macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
All subjects treated with placebo in the DB study (AC-055-305, NCT01743001).
Overall Study
Physician Decision
3
0
Overall Study
Lost to Follow-up
2
0
Overall Study
Death
5
2
Overall Study
Withdrawal by Subject
7
7

Baseline Characteristics

Clinical Study to Assess the Long-term Safety, Tolerability, and Efficacy of Macitentan in Subjects With Eisenmenger Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DB-macitentan
n=109 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
n=108 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received placebo in the DB study (AC-055-305, NCT01743001).
Total
n=217 Participants
Total of all reporting groups
Age, Continuous
34.6 years
n=99 Participants
34.6 years
n=107 Participants
34.6 years
n=206 Participants
Sex: Female, Male
Female
77 Participants
n=99 Participants
66 Participants
n=107 Participants
143 Participants
n=206 Participants
Sex: Female, Male
Male
32 Participants
n=99 Participants
42 Participants
n=107 Participants
74 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
89 Participants
n=99 Participants
88 Participants
n=107 Participants
177 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=99 Participants
20 Participants
n=107 Participants
40 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
White
52 Participants
n=99 Participants
51 Participants
n=107 Participants
103 Participants
n=206 Participants
Race/Ethnicity, Customized
Chinese
35 Participants
n=99 Participants
35 Participants
n=107 Participants
70 Participants
n=206 Participants
Race/Ethnicity, Customized
Other Asian
11 Participants
n=99 Participants
11 Participants
n=107 Participants
22 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
11 Participants
n=99 Participants
11 Participants
n=107 Participants
22 Participants
n=206 Participants
Region of Enrollment
Asia-Pacific · Asia-Pacific
45 Participants
n=99 Participants
44 Participants
n=107 Participants
89 Participants
n=206 Participants
Region of Enrollment
Asia-Pacific · Eastern Europe
24 Participants
n=99 Participants
26 Participants
n=107 Participants
50 Participants
n=206 Participants
Region of Enrollment
Asia-Pacific · Latin America
18 Participants
n=99 Participants
18 Participants
n=107 Participants
36 Participants
n=206 Participants
Region of Enrollment
Asia-Pacific · North America
1 Participants
n=99 Participants
4 Participants
n=107 Participants
5 Participants
n=206 Participants
Region of Enrollment
Asia-Pacific · Western Europe-Israel
21 Participants
n=99 Participants
16 Participants
n=107 Participants
37 Participants
n=206 Participants
Age categorical
12 - 17 years
12 Participants
n=99 Participants
2 Participants
n=107 Participants
14 Participants
n=206 Participants
Age categorical
18 - 55 years
89 Participants
n=99 Participants
99 Participants
n=107 Participants
188 Participants
n=206 Participants
Age categorical
≥ 56 years
8 Participants
n=99 Participants
7 Participants
n=107 Participants
15 Participants
n=206 Participants
WHO Functional Class (FC)
Class I
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
WHO Functional Class (FC)
Class II
66 Participants
n=99 Participants
65 Participants
n=107 Participants
131 Participants
n=206 Participants
WHO Functional Class (FC)
Class III
43 Participants
n=99 Participants
43 Participants
n=107 Participants
86 Participants
n=206 Participants
WHO Functional Class (FC)
Class IV
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Downs syndrome status
Yes
10 Participants
n=99 Participants
10 Participants
n=107 Participants
20 Participants
n=206 Participants
Downs syndrome status
No
99 Participants
n=99 Participants
98 Participants
n=107 Participants
197 Participants
n=206 Participants
Body Mass Index (BMI)
22.09 kg/m^2
n=99 Participants
22.06 kg/m^2
n=107 Participants
22.08 kg/m^2
n=206 Participants

PRIMARY outcome

Timeframe: From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.

NOTE: The MAESTRO-OL study was exploratory in nature and no primary efficacy and safety endpoint were defined in the clinical protocol. This and the other exploratory efficacy outcome measures posted were selected to be reported as a primary endpoints. All efficacy analyses were considered exploratory. The analyses of the exploratory efficacy endpoints focused on the absolute values and on the change from DB baseline to Week 16 in the DB study and to Month 6 and Month 12 in the OL study. For missing 6MWD values in the OL study, the following imputation rules were applied: If the reason for missing data was death, a distance of zero (0) meters was imputed for all 6MWD visits from the date of death. For any other reasons, the last available value was carried forward.

Outcome measures

Outcome measures
Measure
DB-macitentan
n=109 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
n=108 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received placebo in the DB study (AC-055-305, NCT01743001).
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
6MWD at DB study baseline
370.6 meter (m)
Standard Deviation 74.1
381.6 meter (m)
Standard Deviation 76.7
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
6MWD at Week 16 in DB study
395.1 meter (m)
Standard Deviation 88.4
399.9 meter (m)
Standard Deviation 80.6
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
Change in 6MWD from DB study baseline to Week 16
24.4 meter (m)
Standard Deviation 71.0
18.2 meter (m)
Standard Deviation 53.0
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
6MWD at Month 6 in OL study
396.8 meter (m)
Standard Deviation 96.5
425.0 meter (m)
Standard Deviation 72.1
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
Change in 6MWD from DB study baseline to Month 6
26.2 meter (m)
Standard Deviation 77.9
43.4 meter (m)
Standard Deviation 51.5
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
6MWD at Month 12 in OL study
397.1 meter (m)
Standard Deviation 103.9
421.5 meter (m)
Standard Deviation 76.5
Change in Exercise Capacity as Measured by 6-minute Walking Distance (6MWD) Month 6 and 12
Change in 6MWD from DB study baseline to Month 12
26.5 meter (m)
Standard Deviation 79.8
39.9 meter (m)
Standard Deviation 55.1

PRIMARY outcome

Timeframe: From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.

Class I: no symptoms with exercise or at rest. No limitation of activity. Class II: No symptoms at rest but slight limitation with ordinary activities causing symptoms (e.g. short of breath with climbing stairs). Class III: may not have symptoms at rest but activities greatly limited by shortness of breath, fatigue, or near fainting. Class IV: symptoms at rest and inability to carry out any physical activity without symptoms. Patients in class IV manifest signs of right heart failure. For missing WHO FC values in the OL study, the following imputation rules were applied: If the reason for missing data was death, class IV was imputed for all WHO visits from the date of death. For any other reasons, the last available value was carried forward.

Outcome measures

Outcome measures
Measure
DB-macitentan
n=109 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
n=108 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received placebo in the DB study (AC-055-305, NCT01743001).
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class I at DB study baseline
0 Participants
0 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class II at DB study baseline
66 Participants
65 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class III at DB study baseline
43 Participants
43 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class IV at DB study baseline
0 Participants
0 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class I at Week 16 in DB study
3 Participants
1 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class II at Week 16 in DB study
70 Participants
77 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class III at Week 16 in DB study
36 Participants
30 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class IV at Week 16 in DB study
0 Participants
0 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
Improvement from DB study baseline to Week 16
10 Participants
15 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
Worsening from DB study baseline to Week 16
0 Participants
1 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class I at Month 6 in OL study
5 Participants
7 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class II at Month 6 in OL study
74 Participants
79 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class III at Month 6 in OL study
28 Participants
22 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class IV at Month 6 in OL study
2 Participants
0 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
Improvement from DB study baseline to Month 6
19 Participants
27 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
Worsening from DB study baseline to Month 6
3 Participants
1 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class I at Month 12 in OL study
5 Participants
7 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class II at Month 12 in OL study
74 Participants
79 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class III at Month 12 in OL study
28 Participants
22 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
WHO functional class IV at Month 12 in OL study
2 Participants
0 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
Improvement from DB study baseline to Month 12
20 Participants
31 Participants
Change in WHO Functional Class (FC) at Month 6 and 12
Worsening from DB study baseline to Month 12
4 Participants
3 Participants

PRIMARY outcome

Timeframe: From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.

The Borg dyspnea score rates the severity of dyspnea (difficult or labored breathing) on a scale from 0 ('Nothing at all') to 10 ('Very, very severe - maximal'). For missing Borg dyspnea index values in the OL study, the following imputation rules were applied: If the reason for missing data was death, a value of 10 was imputed for all Borg visits from the date of death. For any other reasons, the last available value was carried forward.

Outcome measures

Outcome measures
Measure
DB-macitentan
n=109 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
n=108 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received placebo in the DB study (AC-055-305, NCT01743001).
Change in Borg Dyspnea Score at Month 6 and 12
Borg dyspnea score at DB study baseline
3.0 score on a scale
Standard Deviation 1.9
2.9 score on a scale
Standard Deviation 1.8
Change in Borg Dyspnea Score at Month 6 and 12
Borg dyspnea score at Week 16 in DB study
2.7 score on a scale
Standard Deviation 1.9
1.9 score on a scale
Standard Deviation 1.6
Change in Borg Dyspnea Score at Month 6 and 12
Change from DB study baseline to Week 16
-0.3 score on a scale
Standard Deviation 1.4
-0.2 score on a scale
Standard Deviation 1.5
Change in Borg Dyspnea Score at Month 6 and 12
Borg dyspnea score at Month 6 in OL study
2.8 score on a scale
Standard Deviation 2.0
2.5 score on a scale
Standard Deviation 1.8
Change in Borg Dyspnea Score at Month 6 and 12
Change from DB study baseline to Month 6
-0.1 score on a scale
Standard Deviation 2.0
-0.4 score on a scale
Standard Deviation 1.5
Change in Borg Dyspnea Score at Month 6 and 12
Borg dyspnea score at Month 12 in OL study
2.9 score on a scale
Standard Deviation 2.0
2.6 score on a scale
Standard Deviation 1.9
Change in Borg Dyspnea Score at Month 6 and 12
Change from DB study baseline to Month 12
-0.1 score on a scale
Standard Deviation 2.1
-0.3 score on a scale
Standard Deviation 1.6

PRIMARY outcome

Timeframe: From baseline in DB parent study (AC-055-305, NCT01743001) up to month 12 in this OL study.

Population: No imputation of missing data for oxygen saturation as assessed by SpO2 was applied. Therefore out of 109 subjects 104 subjects were analyzed at month 6 and 92 subjects at month 12 in the DB-macitentan group. In the DB-placebo group out of 108 subjects 103 subjects were analyzed at month 6 and 84 subjects at month 12.

No imputation of missing data for SpO2 was applied. Oxygen saturation assessed by pulse oximetry: peripheral oxygen saturation (SpO2) at rest before the 6-minute walk test (6MWT)

Outcome measures

Outcome measures
Measure
DB-macitentan
n=109 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received macitentan in the DB study (AC-055-305, NCT01743001).
DB-placebo
n=108 Participants
All enrolled subjects treated with macitentan in the AC-055-308 / OL study who received placebo in the DB study (AC-055-305, NCT01743001).
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
SpO2 at Month 6 in OL study
85.9 % of oxygen saturation at rest
Standard Deviation 5.9
87.4 % of oxygen saturation at rest
Standard Deviation 5.4
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
SpO2 at DB study baseline
84.2 % of oxygen saturation at rest
Standard Deviation 5.6
85.4 % of oxygen saturation at rest
Standard Deviation 5.0
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
SpO2 at Week 16 in DB study
85.3 % of oxygen saturation at rest
Standard Deviation 5.8
85.6 % of oxygen saturation at rest
Standard Deviation 5.4
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
Change in SpO2 from DB study baseline to Week 16
1.1 % of oxygen saturation at rest
Standard Deviation 4.0
0.2 % of oxygen saturation at rest
Standard Deviation 4.5
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
Change in SpO2 from DB study baseline to Month 6
1.5 % of oxygen saturation at rest
Standard Deviation 4.9
2.0 % of oxygen saturation at rest
Standard Deviation 4.3
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
SpO2 at Month 12 in OL study
86.4 % of oxygen saturation at rest
Standard Deviation 6.3
87.1 % of oxygen saturation at rest
Standard Deviation 5.0
Change in Peripheral Oxygen Saturation (SpO2) at Rest at Month 6 and 12
Change in SpO2 from DB study baseline to Month 12
2.0 % of oxygen saturation at rest
Standard Deviation 4.4
1.6 % of oxygen saturation at rest
Standard Deviation 4.9

Adverse Events

All-enrolled Analysis Set

Serious events: 62 serious events
Other events: 152 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
All-enrolled Analysis Set
n=217 participants at risk
The all-enrolled analysis set includes all subjects enrolled in AC-055-308 / MAESTRO-OL (217 subjects total). All subjects received a film-coated tablet with 10mg mactientan to be taken orally on a daily basis.
Gastrointestinal disorders
Abdominal distension
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Immune system disorders
Allergy to arthropod sting
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Investigations
Antineutrophil cytoplasmic antibody positive
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Psychiatric disorders
Anxiety
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Appendicitis perforated
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Arrhythmia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Vascular disorders
Arterial perforation
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Atrial fibrillation
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Brain abscess
0.92%
2/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Bronchiectasis
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Bronchitis viral
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Cardiac arrest
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Cardiac failure
1.4%
3/217 • Number of events 4 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Cardiogenic shock
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
General disorders
Chest discomfort
0.92%
2/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
General disorders
Chest pain
1.4%
3/217 • Number of events 3 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Hepatobiliary disorders
Cholecystitis
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Psychiatric disorders
Depression
0.46%
1/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Nervous system disorders
Dizziness
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Surgical and medical procedures
Drug therapy
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Gastrointestinal disorders
Dyschezia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial adenocarcinoma
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
General disorders
General physical health deterioration
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Haemoptysis
4.1%
9/217 • Number of events 11 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Nervous system disorders
Haemorrhagic transformation stroke
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Herpes zoster
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Injury, poisoning and procedural complications
Hip fracture
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Gastrointestinal disorders
Intestinal obstruction
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Blood and lymphatic system disorders
Iron deficiency anaemia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Nervous system disorders
Ischaemic stroke
0.92%
2/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Reproductive system and breast disorders
Ovarian cyst ruptured
0.92%
2/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Investigations
Oxygen saturation decreased
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Blood and lymphatic system disorders
Pancytopenia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Vascular disorders
Peripheral ischaemia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Peritonitis
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Pneumonia
2.3%
5/217 • Number of events 5 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Postoperative wound infection
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Pregnancy, puerperium and perinatal conditions
Pregnancy
1.4%
3/217 • Number of events 3 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Pulmonary alveolar haemorrhage
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Pulmonary arterial hypertension
1.8%
4/217 • Number of events 4 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
1.4%
3/217 • Number of events 3 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Pulmonary infarction
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Pyelonephritis acute
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Respiratory tract infection
0.46%
1/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Eye disorders
Retinal artery embolism
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Right ventricular failure
2.8%
6/217 • Number of events 7 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Sepsis
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Musculoskeletal and connective tissue disorders
Spinal disorder
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Supraventricular tachycardia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Surgical and medical procedures
Surgery
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Nervous system disorders
Syncope
0.92%
2/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Blood and lymphatic system disorders
Thrombocytopenia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Tuberculous pleurisy
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Upper respiratory tract infection
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Renal and urinary disorders
Urinary retention
0.46%
1/217 • Number of events 2 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Ventricular arrhythmia
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Ventricular extrasystoles
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Cardiac disorders
Ventricular fibrillation
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Viral pharyngitis
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Wound infection
0.46%
1/217 • Number of events 1 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).

Other adverse events

Other adverse events
Measure
All-enrolled Analysis Set
n=217 participants at risk
The all-enrolled analysis set includes all subjects enrolled in AC-055-308 / MAESTRO-OL (217 subjects total). All subjects received a film-coated tablet with 10mg mactientan to be taken orally on a daily basis.
Infections and infestations
Bronchitis
9.2%
20/217 • Number of events 27 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
General disorders
Chest pain
6.0%
13/217 • Number of events 13 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Cough
10.6%
23/217 • Number of events 28 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Gastrointestinal disorders
Diarrhoea
8.3%
18/217 • Number of events 20 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Nervous system disorders
Dizziness
8.3%
18/217 • Number of events 20 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
General disorders
Fatigue
5.1%
11/217 • Number of events 11 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Investigations
Haemoglobin decreased
9.2%
20/217 • Number of events 29 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Respiratory, thoracic and mediastinal disorders
Haemoptysis
11.1%
24/217 • Number of events 42 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Nervous system disorders
Headache
13.4%
29/217 • Number of events 34 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
General disorders
Oedema peripheral
6.5%
14/217 • Number of events 15 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Upper respiratory tract infection
28.1%
61/217 • Number of events 119 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).
Infections and infestations
Viral upper respiratory tract infection
9.7%
21/217 • Number of events 35 • From open label study treatment initiation up to 30 days after study treatment discontinuation (max. 24 months + 30 days).
All 217 subjects enrolled in this single-arm open-label (OL) study received 10 mg macitentan to be taken daily and are therefore presented as one group (= all-enrolled analysis set) to report the adverse events in this OL study. From these 217 total subjects 109 received macitentan and 108 placebo in the parent double-blind (DB) study (AC-055-305/MAESTRO, NCT01743001).

Additional Information

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Results disclosure agreements

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