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ambrisentan

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindUNCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment826
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00777920Study of Ambrisentan in Participants With Pulmonary HypertensionPHASE3 COMPLETED 140Nov 17, 2008Sep 11, 2019Sep 30, 202046 United States, Argentina +7
NCT00380068Safety and Efficacy Study of Ambrisentan in Subjects With Pulmonary HypertensionPHASE3 COMPLETED 224Aug 1, 2006May 1, 2009Apr 5, 201239 United States, Australia +1
NCT00091598ARIES - Ambrisentan in Patients With Moderate to Severe Pulmonary Arterial Hypertension (PAH)PHASE3 COMPLETED 372Jan 1, 2004Feb 1, 2006Mar 8, 201046 United States, Australia +1
NCT00423592Phase 2 Study of Ambrisentan for Liver Function Test Rescue in Pulmonary Arterial HypertensionPHASE2 COMPLETED 36May 1, 2005Mar 1, 2009Jun 17, 2013 -
NCT00424021Phase 2 Extension Study of Ambrisentan in Pulmonary Arterial HypertensionPHASE2 COMPLETED 54Apr 1, 2003Dec 1, 2009Jan 27, 2012 -
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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
Change from baseline at Week 12 of six minute walk distance
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.

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.
Interventions
NameTypeDescription
AmbrisentanDRUGTablet administered orally once daily
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Eligibility Criteria
Age Range18 Years — 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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