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ambrisentan

Phase 3

Pulmonary Arterial Hypertension | Small molecule | Cardiovascular |Gilead Sciences, Inc.|Last Updated: Sep 30, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindUNCONTROLLEDDMC
Total Trials3
Total Enrollment755

FDA Designations

No designations recorded

Clinical trial landscape

ambrisentan · 10 trials · 4 indications

Phase 3 6Phase 2 3Phase 1 1
NCT00777920Study of Ambrisentan in Participants With Pulmonary HypertensionPulmonary Hypertension
COMPLETED140 Analytics
NCT00380068Safety and Efficacy Study of Ambrisentan in Subjects With Pulmonary HypertensionPulmonary Hypertension
COMPLETED224 Analytics
NCT00578786A Long Term Study of Ambrisentan in Pulmonary Arterial Hypertension Subjects Having Completed AMB-320 (NCT00423748) or AMB-321 (NCT00423202)Pulmonary Arterial Hypertension
COMPLETED383 Analytics
NCT00091598ARIES - Ambrisentan in Patients With Moderate to Severe Pulmonary Arterial Hypertension (PAH)Pulmonary Hypertension
COMPLETED372 Analytics
NCT00423202A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Assess Safety and Efficacy of Ambrisentan in Subjects With Pulmonary Arterial Hypertension.Pulmonary Arterial Hypertension
COMPLETED186 Analytics
NCT00423748Study to Assess Safety and Efficacy of Ambrisentan in Subjects With Pulmonary Arterial Hypertension.Pulmonary Arterial Hypertension
COMPLETED186 Analytics
PHASE3COMPLETED
Study of Ambrisentan in Participants With Pulmonary Hypertension
Pulmonary HypertensionUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy Study of Ambrisentan in Subjects With Pulmonary Hypertension
Pulmonary HypertensionUnlock trial analytics
PHASE3COMPLETED
A Long Term Study of Ambrisentan in Pulmonary Arterial Hypertension Subjects Having Completed AMB-320 (NCT00423748) or AMB-321 (NCT00423202)
Pulmonary Arterial HypertensionUnlock trial analytics
PHASE3COMPLETED
ARIES - Ambrisentan in Patients With Moderate to Severe Pulmonary Arterial Hypertension (PAH)
Pulmonary HypertensionUnlock trial analytics
PHASE3COMPLETED
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Assess Safety and Efficacy of Ambrisentan in Subjects With Pulmonary Arterial Hypertension.
Pulmonary Arterial HypertensionUnlock trial analytics
PHASE3COMPLETED
Study to Assess Safety and Efficacy of Ambrisentan in Subjects With Pulmonary Arterial Hypertension.
Pulmonary Arterial HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Adverse Events (AEs) Associated With Long-Term Exposure to Ambrisentan
First dose date of study drug up to the date of last dose plus 30 days (Maximum: approximately 550 weeks)
Change From Baseline to Week 24 in 6 Minute Walk Distance (6MWD)
Baseline to Week 24
Frequently Reported (15% or More Overall) Adverse Events by Severity
Baseline to Week 295

The primary endpoint of this study is the incidence and severity of adverse events associated with long-term exposure to AMB in participants with PAH. The most frequently occurring adverse events (occurring in 15% or more of the participants in the combined group) are presented, by severity, that began after entering this extension study. Adverse events that were serious are included. Adverse events are coded according to the Medical Dictionary for Regulatory Activities (MedDRA) Version 6.1 and are presented by MedDRA preferred term. Severity was graded as follows: mild (AE did not interfere with routine activities; subject may have experienced slight discomfort), moderate (AE interfered with routine activities; subject may have experienced significant discomfort), and severe (AE made it impossible to perform routine activities; subject may have experienced intolerable discomfort or pain).

Serum Aminotransferases Relative to the Upper Limit of the Normal Range (ULN)
Baseline to Week 295

The number of participants with serum alanine aminotransferase (ALT) and serum aspartate aminotransferase (AST) falling into the following categories: \>3.0 and \</= 5.0 x ULN, \>5.0 and \</= 8.0 x ULN, and \>8.0 x ULN. Includes the highest value per participant across all visits as well as values from early termination visits.

Change from baseline at Week 12 of six minute walk distance
Change from baseline in the six-minute walk distance evaluated after 12 weeks of therapy compared to placebo.
Change in 6 minute walk distance.
4 months of therapy
The Incidence of Confirmed Serum Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Concentrations > 3 x the Upper Limit of Normal (ULN) Considered to be Related to Ambrisentan and Resulted in Discontinuation of Study Drug.
Week 12

The number of participants in the safety analysis set with confirmed serum ALT or AST concentrations \> 3 x ULN during 12 weeks of ambrisentan therapy that were related to ambrisentan and resulted in discontinuation of study drug. Safety analysis set included all participants who received at least 1 dose of study drug.

Number of Participants With Pulmonary Arterial Hypertension (PAH) Who Completed the Phase II NCT00046319 Study and Who Experienced Severe Adverse Events (AEs) During Long-term Ambrisentan Exposure
Week 24 (AMB-220-E baseline) to Week 334

The number of participants in the AMB-220-E analysis set who experienced AEs (including serious AEs) of severe severity (ie, made it impossible to perform routine activities and the subject may have experienced intolerable discomfort or pain) that began after entering AMB-220-E (treatment-emergent AEs) and that occurred in more than 1 participant are summarized by dose group. The AMB-220-E analysis set consisted of all participants who received at least 1 dose of study drug during the AMB-220-E study.

Number of Participants With PAH Who Completed the Phase II NCT00046319 Study and Who Experienced AEs of Moderate Severity During Long-term Ambrisentan Exposure
Week 24 (AMB-220-E baseline) to Week 329.3

The number of participants in the AMB-220-E analysis set who experienced AEs (including serious AEs) of moderate severity (ie, interfered with routine activities and subject may have experienced significant discomfort) that began after entering AMB-220-E (treatment-emergent AEs) and that occurred in more than 1 participant are summarized by dose group. The AMB-220-E analysis set consisted of all participants who received at least 1 dose of study drug during the AMB-220-E study.

Number of Participants With PAH Who Completed the Phase II NCT00046319 Study and Who Experienced AEs of Mild Severity During Long-term Ambrisentan Exposure
Week 24 (AMB-220-E baseline) to Week 329.3

The number of participants in the AMB-220-E analysis set who experienced AEs (including serious AEs) of mild severity (ie, did not interfere with routine activities and the subject may have experienced slight discomfort) that began after entering AMB-220-E (treatment-emergent AEs) and that occurred in more than 1 participant are summarized by dose group. The AMB-220-E analysis set consisted of all participants who received at least 1 dose of study drug during the AMB-220-E study.

Safety and Tolerability of ambrisentan in patients with sickle cell disease measured by physical exam, vital signs, blood and urine testing, ECG (specified visits), concomitant medication review, adverse events review
Day 1 (Baseline) through Day 113

Secondary Endpoints

Change From Baseline to Week 24 in Borg Dyspnea Index
Baseline to Week 24
Change From Baseline to Week 48 in Borg Dyspnea Index
Baseline to Week 48
Percent Change From Baseline to Week 24 in B-type Natriuretic Peptide (BNP)
Baseline to Week 24
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AmbrisentanEXPERIMENTALParticipants will receive ambrisentan 2.5 mg, 5 mg or 10 mg tablet orally once daily until such time as the investigator or participant chooses to stop ambrisentan treatment, ambrisentan becomes commercially available, or the sponsor stops the study.
sarcoidosis associated pulmonary hypertensionEXPERIMENTALsarcoidosis associated pulmonary hypertension
TreatmentEXPERIMENTALAmbrisentan 5 mg PO daily
PlaceboPLACEBO_COMPARATOROne inactive pill PO daily

Interventions

NameTypeDescription
AmbrisentanDRUGTablet administered orally once daily
PlaceboDRUGOne inactive pill daily for twelve weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites46

Key Inclusion Criteria: * Men and women with pulmonary hypertension who are discontinuing a clinical study of ambrisentan due to study closure by the sponsor. Eligible participants are those participating in countries where ambrisentan is not yet commercially available. Participants participating i...

Countries:United StatesArgentinaAustraliaBrazilCanadaChileMexicoRussiaUkraine
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Frequently asked questions about ambrisentan

What is Ambrisentan used for?

Ambrisentan is used for pulmonary hypertension, sarcoidosis, pulmonary arterial hypertension, and sickle cell anemia. It is a small molecule being developed by Gilead Sciences, Inc. (GILD). The drug is currently in Phase 2 clinical development for these indications.

What does Ambrisentan target?

Ambrisentan is an endothelin receptor antagonist, as indicated by its role in conditions like pulmonary arterial hypertension. It works by blocking the effects of endothelin-1, a peptide that causes blood vessel constriction. This mechanism is relevant to its use in pulmonary hypertension and related disorders.

Who makes Ambrisentan?

Ambrisentan is developed by Gilead Sciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol GILD. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various conditions.

What phase is Ambrisentan in?

Ambrisentan is in Phase 2 clinical development. It has completed five clinical trials, including Phase 1, Phase 2, and Phase 3 studies, with a total enrollment of 826 participants. The drug is not yet approved and remains investigational.

What clinical trials is Ambrisentan in?

Ambrisentan has been studied in several completed clinical trials, including NCT00423202 and NCT00423748 for pulmonary arterial hypertension, NCT00851929 for sarcoidosis-associated pulmonary hypertension, and NCT02712346 for sickle cell anemia. These trials have all been completed.

Is Ambrisentan the same as Letairis?

Yes, Ambrisentan is also known as Letairis. In clinical trials, it is referred to as Ambrisentan (Letairis), such as in the study NCT00851929 for sarcoidosis-associated pulmonary hypertension. This alternative name is used in medical and research contexts.