Drugs / Macitentan
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Macitentan

Other / unclassified

Developed for
pulmonary arterial hypertension · pulmonary hypertension · chronic thromboembolic pulmonary hypertension · glioblastoma · idiopathic pulmonary fibrosis · congenital anomaly of cardiovascular system · congenital heart disease · coronary microvascular disorder
+9 more · interstitial lung disease · nonobstructive coronary artery disease · pulmonary embolism · scleroderma · sickle cell disease · diastolic heart failure · systemic sclerosis · transplant rejection · ulcer disease
Investigated by
Actelion · Almac Clinical Technologies · China-Japan Friendship Hospital · Covance · Janssen Pharmaceutical K.K. · Janssen Research & Development, LLC
+25 more · Janssen, LP · Medidata Solutions · AcitGraph · ActiGraph LLC · American Heart Association · Amsterdam UMC, location VUmc · Assistance Publique - Hôpitaux de Paris · Boston University · Chiltern International Inc. · EPS Corporation · Franz Rischard, DO · Frontier Science & Technology Research Foundation, Inc. · Gachon University Gil Medical Center · General Laboratory, BML, Inc. · Henry Ford Health System · Humanis · Imepro Inc. · Mitsubishi Logistics Corporation · National Jewish Health · Philipps University Marburg · University of California, Los Angeles · University of Giessen · University of Maryland, Baltimore · University of Pittsburgh · WorldCare Clinical, LLC

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed chronic thromboembolic pulmonary hypertension 1 milestone
Filed US (FDA) OPSUMIT chronic thromboembolic pulmonary hypertension 2018-04-30

“Actelion Submits Supplemental New Drug Application to US FDA Seeking Approval of OPSUMIT® (macitentan) for the Treatment of Chronic Thromboembolic Pulmonary Hypertension (CTEPH)” jnj.com ↗

“A supplemental New Drug Application was submitted to the FDA seeking to expand the indication of OPSUMIT (macitentan)” jnj.com ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) OPSUMIT — 2025-02-28 fda.gov ↗
Approved EU (EMA) Opsumit — 2013-12-20 europa.eu ↗
Approved US (FDA) OPSUMIT — 2013-10-18 fda.gov ↗

Trials 55

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT07392281 Sep 2025 → Aug 2027 expected nonobstructive coronary artery disease China-Japan Friendship Hospital Recruiting No outcome recorded
Phase 0 NCT06811831 Nov 2024 → Oct 2026 expected coronary microvascular disorder China-Japan Friendship Hospital Recruiting No outcome recorded
Phase 117 trials · 1 met primary
Phase 1 NCT06553924 May 2024 pulmonary arterial hypertension Humanis Completed No outcome recorded
Phase 1 NCT05731492 Mar → Apr 2024 pulmonary arterial hypertension Actelion Withdrawn No outcome recorded Stop: Business
Phase 1 NCT05433675 Jun → Aug 2022 — Actelion Completed No outcome recorded
Phase 1 NCT05392530 May → Aug 2022 — Actelion Completed No outcome recorded
Phase 1 NCT05236231 Feb → May 2022 — Actelion Completed No outcome recorded
Phase 1 NCT04963439 Jul → Sep 2021 — Actelion Completed No outcome recorded
Phase 1 NCT04540744 Apr → Aug 2021 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT04500808 Jul → Dec 2020 — Janssen Pharmaceutical K.K. Completed No outcome recorded
Phase 1 NCT04235270 Jan → Jul 2020 — Janssen Research & Development, LLC Completed Met primary
Phase 1 NCT04211272 Jan 2020 → Apr 2021 — Actelion Completed No outcome recorded
Phase 29 trials · 2 met primary · 1 missed
Phase 2 NCT03714815 Dec 2018 → Oct 2021 pulmonary hypertension Actelion Terminated No outcome recorded
Phase 2 NCT03362047 Mar 2018 → Jul 2024 pulmonary arterial hypertension University of Giessen Completed No outcome recorded
Phase 2 NCT02554903 Mar 2016 → Mar 2020 pulmonary hypertension Actelion Completed Met primary
Phase 2 NCT02651272 Jul 2015 → Dec 2019 pulmonary hypertension, sickle cell disease Boston University Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT02060721 Feb 2015 → Mar 2022 chronic thromboembolic pulmonary hypertension Actelion Completed No outcome recorded
Phase 2 NCT02021292 Aug 2014 → Sep 2016 chronic thromboembolic pulmonary hypertension Actelion Completed Met primary
Phase 2 NCT02070991 Jul 2014 → Nov 2015 pulmonary hypertension Actelion Completed No outcome recorded
Phase 2 NCT01346930 Jul 2011 → Aug 2016 idiopathic pulmonary fibrosis Actelion Withdrawn No outcome recorded
Phase 2 NCT00903331 May 2009 → Jun 2011 idiopathic pulmonary fibrosis Actelion Completed Missed primary
Phase 2/32 trials
Phase 2/3 NCT04780932 Jun 2021 → Jul 2025 chronic thromboembolic pulmonary hypertension Assistance Publique - Hôpitaux de Paris Completed No outcome recorded
Phase 2/3 NCT03726398 Sep 2018 → Aug 2020 interstitial lung disease, pulmonary hypertension, scleroderma Franz Rischard, DO Withdrawn No outcome recorded
Phase 319 trials · 2 met primary · 3 missed
Phase 3 NCT05946811 May 2024 → Jan 2028 pulmonary embolism University of Maryland, Baltimore Withdrawn No outcome recorded Stop: Enrollment
Phase 3 NCT05167825 Nov 2022 → Aug 2024 pulmonary arterial hypertension Janssen Pharmaceutical K.K. Completed No outcome recorded
Phase 3 NCT05179876 May 2022 → Jan 2027 expected pulmonary hypertension Actelion Recruiting No outcome recorded
Phase 3 NCT04271475 Jul 2020 → Dec 2023 chronic thromboembolic pulmonary hypertension Actelion Terminated Missed primary
Phase 3 NCT04273945 Jun 2020 → Oct 2025 overdue pulmonary arterial hypertension Actelion Active not recruiting No outcome recorded
Phase 3 NCT03904693 Jul 2019 → Aug 2022 pulmonary arterial hypertension Actelion Completed Met primary
Phase 3 NCT03775421 Apr 2019 → Jan 2022 congenital anomaly of cardiovascular system Actelion Terminated No outcome recorded
Phase 3 NCT03809650 Jan 2019 → Jun 2020 chronic thromboembolic pulmonary hypertension Actelion Terminated No outcome recorded Stop: Business
Phase 3 NCT03422328 Apr 2018 → Dec 2023 chronic thromboembolic pulmonary hypertension, pulmonary arterial hypertension Actelion Completed No outcome recorded
Phase 3 NCT02932410 Oct 2017 → Aug 2024 pulmonary arterial hypertension Actelion Completed No outcome recorded
Phase 46 trials · 2 met primary
Phase 4 NCT07147114 Nov 2025 → Sep 2027 expected mild heart failure, pulmonary hypertension Gachon University Gil Medical Center Recruiting No outcome recorded
Phase 4 NCT05373108 May 2022 → Feb 2023 — University of California, Los Angeles Completed No outcome recorded
Phase 4 NCT02968901 Sep 2015 → Sep 2018 pulmonary arterial hypertension Actelion Terminated No outcome recorded
Phase 4 NCT02382016 Jun 2015 → Oct 2017 pulmonary hypertension Actelion Completed Met primary
Phase 4 NCT02310672 Jun 2015 → Sep 2019 pulmonary arterial hypertension Actelion Completed Met primary
Phase 4 NCT03236818 May 2013 → Sep 2017 pulmonary arterial hypertension Amsterdam UMC, location VUmc Unknown No outcome recorded
Comparator or background therapy9 trials
Phase 2 NCT03153111 Comparator Jul 2017 → Mar 2021 diastolic heart failure Actelion Completed No outcome recorded
Phase 3 NCT05140525 Comparator Jan 2025 → Mar 2026 chronic thromboembolic pulmonary hypertension Dr Sudarshan Rajagopal Terminated No outcome recorded
Phase 3 NCT02558231 Background May 2016 → Aug 2019 pulmonary arterial hypertension Actelion Completed Missed primary
Phase 3 NCT01824290 Background Feb 2014 → Mar 2019 pulmonary arterial hypertension Eli Lilly and Company Completed No outcome recorded
Phase 3 NCT01474109 Comparator Dec 2011 → Nov 2013 systemic sclerosis, ulcer disease Actelion Completed No outcome recorded

News releases announcing trial results or a regulatory action · 18

DateIssuerRelease
2024-03-22 Janssen Research & Development, LLC Regulatory U.S. FDA Approves OPSYNVI® (macitentan and tadalafil) as the First and Only Once-Daily Single-Tablet Combination Therapy for Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2024-03-22 Janssen Research & Development, LLC Regulatory U.S. FDA Approves OPSYNVI® (macitentan and tadalafil) as the First and Only Once-Daily Single-Tablet Combination Therapy for Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2023-09-06 Janssen Research & Development, LLC Results Janssen Announces Update to Phase 3 MACiTEPH Study Evaluating Macitentan 75mg in Patients with Chronic Thromboembolic Pulmonary Hypertension (CTEPH) jnj.com ↗
The Janssen Pharmaceutical Companies of Johnson & Johnson today announced its decision to stop the Phase 3 MACiTEPH study evaluating macitentan 75 mg in patients with Chronic Thromboembolic Pulmonary Hypertension (CTEPH) due to futility.
2023-06-26 Janssen Research & Development, LLC Regulatory Janssen Submits Marketing Authorisation Application to the European Medicines Agency (EMA) Seeking Approval of Single Tablet Combination Therapy (STCT) of Macitentan and Tadalafil for Treatment of Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2023-05-30 Janssen Research & Development, LLC Regulatory Janssen Submits New Drug Application to U.S. FDA Seeking Approval of Investigational Single Tablet Combination Therapy of Macitentan and Tadalafil for Treatment of Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2023-05-30 Janssen Research & Development, LLC Regulatory Janssen Submits New Drug Application to U.S. FDA Seeking Approval of Investigational Single Tablet Combination Therapy of Macitentan and Tadalafil for Treatment of Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
The Janssen Pharmaceutical Companies of Johnson & Johnson announced today the submission of a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) seeking approval of an investigational single tablet combination therapy of macitentan 10mg and tadalafil 40mg (M/T STCT) for the long-term treatment of pulmonary arterial hypertension (PAH, World Health Organization [WHO] Group 1) in adult patients with WHO functional class (FC) II-III.1
2023-03-06 Janssen Research & Development, LLC Results Late-Breaking Phase 3 A DUE Data Show Investigational Single Tablet Combination Therapy of Macitentan and Tadalafil Significantly Improves Pulmonary Hemodynamics versus Monotherapy in Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2023-03-06 Janssen Research & Development, LLC Results Late-Breaking Phase 3 A DUE Data Show Investigational Single Tablet Combination Therapy of Macitentan and Tadalafil Significantly Improves Pulmonary Hemodynamics versus Monotherapy in Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
Late-Breaking Phase 3 A DUE Data Show Investigational Single Tablet Combination Therapy of Macitentan and Tadalafil Significantly Improves Pulmonary Hemodynamics versus Monotherapy in Patients with Pulmonary Arterial Hypertension (PAH)
2022-03-01 Alembic Pharmaceuticals Ltd. Regulatory 14th March, 2022, Vadodara, India alembicpharmaceuticals.com ↗
Alembic Pharmaceuticals Limited (Alembic) today announced that it has received tentative approval from the US Food & Drug Administration (USFDA) for its Abbreviated New Drug Application (ANDA) for Macitentan Tablets, 10 mg.
2021-10-15 Janssen Research & Development, LLC Regulatory OPSYNVI® (macitentan and tadalafil) Becomes the First and Only Health Canada-Approved Once Daily Fixed Dose Combination Treatment for Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2021-10-15 Janssen Research & Development, LLC Regulatory OPSYNVI® (macitentan and tadalafil) Becomes the First and Only Health CanadaApproved Once Daily Fixed Dose Combination Treatment for Patients with Pulmonary Arterial Hypertension (PAH) jnj.com ↗
2021-04-08 Zydus Lifesciences Limited Regulatory Zydus Cadila announces final USFDA approval for Macitentan Tablets, 10 mg and gets eligibility for 180-day shared exclusivity zyduslife.com ↗
Zydus Cadila has received final approval from the USFDA to market Macitentan Tablets, 10 mg (US RLD: Opsumit Tablets ).

All press releases naming this drug 18 releases

DateIssuerRelease

Evidence & citations 8 cited values

Every value below carries the sentence it was read from. 67 sources stand behind the page.

FieldValueCited text
Known as Macitentan “All patients will receive standard of care double oral background treatment consisting of one Phosphodiesterase type 5 inhibitor (i.e., tadalafil or sildenafil) and one...” NCT06317805 ↗
62

“This clinical trial will evaluate whether combination therapy with Dapagliflozin + Macitentan improves outcomes compared to Dapagliflozin + placebo in patients with combined...” NCT07147114 ↗

“Macitentan 30, 60, 90 mg or higher in 30 mg dose increments, given orally, up to 150 mg, then 225 mg, 300 mg and 375 mg, unless otherwise decided by the Safety Monitoring Committee.” NCT01499251 ↗

“All participants were taking endothelin receptor antagonist (ERA) (such as bosentan, ambrisentan and macitentan).” NCT01824290 ↗

“one film-coated tablet containing 10 mg of macitentan as active substance” NCT02476864 ↗

“Macitentan” NCT01739400 ↗

NCT06553924 ↗

NCT03422328 ↗

NCT04500808 ↗

NCT03714815 ↗

NCT05140525 ↗

Show 52 more sources

Known as ACT-064992 “macitentan (ACT-064992)” NCT00660179 ↗
1

NCT00903331 ↗

Known as Macitentan / ACT-064992 “Macitentan / ACT-064992” NCT01841762 ↗
Known as Macitentan component of opsynvi ChEMBL registry synonym — accepted as the source's own label CHEMBL2103873 ↗
Known as Opsumit “Treatment B consists of a loading oral dose of 30 mg macitentan (Opsumit) (3 tablets of 10 mg) on Day 5, then 10 mg of macitentan once daily from Day 6 to Day 15” NCT03389321 ↗
2

“Macitentan (Opsumit®)” NCT03215966 ↗

NCT03726398 ↗

Action Inhibit “macitentan, a new dual endothelin-receptor antagonist” PMID 23984728 ↗ Aug 2013
Modality Other / unclassified “endothelin receptor antagonist” NCT01474122 ↗
Route Oral “macitentan, an oral endothelin receptor antagonist” PMID 29280064 ↗ Feb 2018