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Bosentan

Phase 3

Pulmonary Arterial Hypertension | Small molecule | Cardiovascular |Novartis AG|Last Updated: Jun 21, 2021

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment21

FDA Designations

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Clinical trial landscape

Bosentan · 1 trial · 1 indication

Phase 3 1
NCT01392469Pharmacokinetic Effects of QTI571 on Sildenafil and Bosentan in Pulmonary Arterial Hypertension ParticipantsPulmonary Arterial Hypertension
COMPLETED21 Analytics
PHASE3COMPLETED
Pharmacokinetic Effects of QTI571 on Sildenafil and Bosentan in Pulmonary Arterial Hypertension Participants
Pulmonary Arterial HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Geometric Mean Ratio of Dose Normalized Area Under the Curve From Time Zero to Tau (AUCtau) for Bosentan Before and After Imatinib Administrations
Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

AUCtau was the area under the curve calculated to the end of the dosing interval, tau. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of bosentan was performed on dose normalized AUCtau of bosentan. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals were then "back-transformed" to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference).

Geometric Mean Ratio of Dose Normalized AUCtau for Sildenafil Before and After Imatinib Administrations
Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

AUCtau was the area under the curve calculated to the end of the dosing interval, tau. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of sildenafil was performed on dose normalized AUCtau of sildenafil. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals were then "back-transformed" to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference).

Geometric Mean Ratio of Dose Normalized Maximum Plasma Concentration (Cmax) for Bosentan Before and After Imatinib Administrations
Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Cmax was the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after dose administration. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of bosentan was performed on dose normalized Cmax of bosentan. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals were then "back-transformed" to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference).

Geometric Mean Ratio of Dose Normalized Cmax for Sildenafil Before and After Imatinib Administrations
Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Cmax was the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after dose administration. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of sildenafil was performed on dose normalized Cmax of sildenafil. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals was then "back-transformed" to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference).

Secondary Endpoints

Number of Participants With At Least One or More Adverse Events (AEs)
From time of first administration of study drug until end of study (up to approximately 18 months)
Dose Normalized Cmax of Imatinib and CGP74588 (Active Metabolite of Imatinib)
Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose
Dose Normalized AUCtau of Imatinib and CGP74588 (Active Metabolite of Imatinib)
Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Imatinib + Bosentan + SildenafilEXPERIMENTALParticipants received treatment with bosentan 125 milligrams (mg) twice daily and sildenafil thrice daily for 8 days in treatment period 1. Participants were on the same sildenafil dose level (20, 40, 50 or 60 mg) they had been at study entry which was well tolerated in conjunction with bosentan. Following treatment period 1, the participants received concomitant treatment of oral imatinib 200 mg daily, bosentan 125 mg twice daily and sildenafil thrice daily for 14 days in treatment period 2. Following treatment period 2, the participants received concomitant treatment of oral imatinib 400 mg daily, bosentan 125 mg twice daily and sildenafil thrice daily for 14 days in treatment period 3.

Interventions

NameTypeDescription
ImatinibDRUGFilm coated tablets, oral administration
SildenafilDRUGOral Administration
BosentanDRUGOral Administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Participants with Pulmonary arterial hypertension (PAH) in World Health Organization (WHO) Diagnostic Group 1, with pulmonary vascular resistance \> 800 dyne\*sec\*cm\^-5, * On stable doses of bosentan and sildenafil Exclusion Criteria: * Other diagnosis of PAH in World Heal...

Countries:United StatesAustraliaBelgiumGermanyItalyLithuaniaUnited Kingdom
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Frequently asked questions about Bosentan

What is Bosentan used for?

Bosentan is a small molecule used for Pulmonary Arterial Hypertension (PAH). It is being developed by Novartis AG (NVS) and is currently in Phase 3 clinical development. Bosentan is an investigational drug, meaning it has not yet been approved by regulatory authorities.

What does Bosentan target?

Bosentan is a small molecule that targets the endothelin receptor. It is being studied for its role in treating Pulmonary Arterial Hypertension (PAH). The drug is currently in Phase 3 clinical development by Novartis AG (NVS).

Who makes Bosentan?

Bosentan is being developed by Novartis AG, which trades under the ticker NVS. The drug is a small molecule intended for the treatment of Pulmonary Arterial Hypertension (PAH). It is currently in Phase 3 clinical development.

What phase is Bosentan in?

Bosentan is in Phase 3 clinical development. It is an investigational drug for Pulmonary Arterial Hypertension (PAH) and has not been approved by regulatory authorities. The drug is being developed by Novartis AG (NVS).

What clinical trials is Bosentan in?

Bosentan has one completed clinical trial, NCT01392469, titled "Pharmacokinetic Effects of QTI571 on Sildenafil and Bosentan in Pulmonary Arterial Hypertension Participants." This Phase 3 study enrolled 21 participants across the United States, Australia, Belgium, Germany, Italy, Lithuania, and the United Kingdom.

Is Bosentan the same as QTI571?

Bosentan is not the same as QTI571. In the clinical trial NCT01392469, QTI571 is a separate drug being studied for its pharmacokinetic effects on both sildenafil and bosentan in participants with Pulmonary Arterial Hypertension. Bosentan is the investigational drug developed by Novartis AG.