Clinical Trials

Numerous clinical trials evaluate bosentan across Phase 1 through Phase 4 interventions, investigating primary therapeutic efficacy and drug interactions for conditions including pulmonary arterial hypertension, resistant arterial hypertension, congenital heart defects, ischemic optic neuropathy, and advanced solid tumors. Sponsored by pharmaceutical companies such as PharmaMar and Bial alongside academic institutions like Shanghai Jiao Tong University School of Medicine and University Hospital Rouen, these registered studies encompass active, completed, and withdrawn or terminated recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06957002 NOT_YET_RECRUITING
Giant Cell Arteritis (GCA)
Assistance Publique - Hôpitaux de Paris
2026-06 PHASE2
NCT06887062 RECRUITING
Large Vessel Vasculitis; Giant Cell Arteritis (GCA); Takayasu Arteritis
University of Edinburgh
2025-03-21 PHASE2
NCT04158635 SUSPENDED
Stage III Pancreatic Cancer AJCC v8; Stage IV Pancreatic Cancer AJCC v8; Unresectable Pancreatic Carcinoma
City of Hope Medical Center
2021-09-01 PHASE1
NCT04388124 RECRUITING
Resistant Hypertension
University Hospital, Rouen
2021-10-20 PHASE2
NCT07649941 COMPLETED
Healthy
Boehringer Ingelheim
2026-06-22 PHASE1
NCT04039464 COMPLETED
Pediatric Pulmonary Hypertension
Johns Hopkins University
2022-08-01 PHASE3
NCT02116335 ACTIVE_NOT_RECRUITING
Hypertension
Augusta University
2015-06
NCT07081932 COMPLETED
Healthy
Boehringer Ingelheim
2025-08-26 PHASE1
NCT06484673 COMPLETED
Pulmonary Arterial Hypertension
Humanis Saglık Anonim Sirketi
2024-04-21 PHASE1
NCT02377271 UNKNOWN
Ischemic Optic Neuropathy
University Hospital, Grenoble
2015-08 PHASE3
NCT03841734 COMPLETED
Arteritis, Giant Cell; Blindness and Low Vision
Centre Hospitalier Universitaire de Nice
2020-02-04 PHASE3
NCT05657613 COMPLETED
Drug Interactions
CTI BioPharma
2023-01-03 PHASE1
NCT05723874 COMPLETED
Healthy
Boehringer Ingelheim
2023-03-06 PHASE1
NCT04068272 COMPLETED
Diabetes Mellitus
Retinset SL
2019-09-07 PHASE1
NCT05072106 COMPLETED
Advanced Solid Tumor
PharmaMar
2021-01-14 PHASE1
NCT04770155 TERMINATED
Vascular Function; Racial Disparity
University of Mississippi Medical Center
2021-05-27 EARLY_PHASE1
NCT05072106 Unknown status
Advanced Solid Tumor
PharmaMar
2021-01-14 Phase 1
NCT05146089 COMPLETED
Sleep Apnea; Healthy; Vasoconstriction; Vasodilation
University of Missouri-Columbia
2016-12-20 EARLY_PHASE1
NCT02480335 COMPLETED
Scleroderma, Systemic
University Medical Center Groningen
2015-06-26 PHASE4
NCT04101370 COMPLETED
Bioequivalence
Geropharm
2018-05-24 PHASE1
NCT04991207 COMPLETED
Pulmonary Arterial Hypertension
Bial - Portela C S.A.
2018-02-06 PHASE1
NCT04991207 Completed
Pulmonary Arterial Hypertension
Bial - Portela C S.A.
2018-02-06 Phase 1
NCT01827059 UNKNOWN
Pulmonary Arterial Hypertension; Congenital Heart Disease
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
2013-10 PHASE2
NCT03053739 UNKNOWN
Associated Pulmonary Arterial Hypertension
Post Graduate Institute of Medical Education and Research, Chandigarh
2016-12 PHASE4
NCT03236818 UNKNOWN
Pulmonary Arterial Hypertension
Amsterdam UMC, location VUmc
2013-05 PHASE4
NCT02885012 TERMINATED
Pulmonary Arterial Hypertension
Medical University of South Carolina
2016-06 PHASE4
NCT00223717 COMPLETED
Hypertension
Vanderbilt University
2001-01 PHASE1
NCT01184404 UNKNOWN
Congenital Heart Disease
Berto J Bouma
2011-09
NCT02667704 COMPLETED
Healthy
Boehringer Ingelheim
2016-02 PHASE1
NCT02093195 UNKNOWN
Chronic Obstructive Pulmonary Disease (COPD)
Air Force Military Medical University, China
2013-12 PHASE2
NCT01241383 COMPLETED
Scleroderma Renal Crisis
Assistance Publique - Hôpitaux de Paris
2010-12-06 PHASE2
NCT02389426 COMPLETED
Multiple Sclerosis
Universitair Ziekenhuis Brussel
2014-12
NCT02317679 COMPLETED
Port-wine Stains
Centre Hospitalier Universitaire de Nice
2014-04 PHASE2
NCT01712997 UNKNOWN
Pulmonary Arterial Hypertension
Air Force Military Medical University, China
2012-09 PHASE3
NCT01338415 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2011-03-08 PHASE3
NCT00820352 COMPLETED
Heart Failure, Diastolic; Hypertension, Pulmonary
University Teaching Hospital Hall in Tirol
2009-01 PHASE3
NCT01617746 UNKNOWN
Asthma
University of Glasgow
2012-11 PHASE2
NCT01518595 TERMINATED
Hepatopulmonary Syndrome; Liver Cirrhosis
Medical University of Vienna
2011-10 PHASE2
NCT01218607 COMPLETED
Heart Septal Defects, Atrial
Universitaire Ziekenhuizen KU Leuven
2010-10 PHASE3
NCT01508780 WITHDRAWN
Pulmonary Arterial Hypertension
Massachusetts General Hospital
2012-05 PHASE4
NCT01548950 COMPLETED
Congenital Heart Disease; Pulmonary Arterial Hypertension
University of Sao Paulo General Hospital
2011-09
NCT01779596 COMPLETED
Type 2 Diabetes Mellitus
Radboud University Medical Center
2011-05 PHASE4
NCT01389856 TERMINATED
Persistent Pulmonary Hypertension of the Newborn
Actelion
2011-12 PHASE3
NCT01779609 COMPLETED
Type 2 Diabetes Mellitus
Radboud University Medical Center
2010-04 PHASE4
NCT00303459 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2006-05 PHASE4
NCT01929213 UNKNOWN
Healthy Volunteers
Dong-A Pharmaceutical Co., Ltd.
2013-08 PHASE1
NCT01929213 Unknown status
Healthy Volunteers
Dong-A Pharmaceutical Co. Ltd.|Dong-A ST Co. Ltd.
2013-08 Phase 1
NCT00323297 COMPLETED
Pulmonary Arterial Hypertension
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
2006-09 PHASE4
NCT01449253 UNKNOWN
Pulmonary Hypertension Secondary to Lung Disease and/or Hypoxia
All India Institute of Medical Sciences
2011-08 PHASE4
NCT01223352 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2011-03-08 PHASE3
NCT01292551 COMPLETED
Hypoplastic Left Heart Syndrome; Tricuspid Atresia; Other Specified Congenital Anomalies of Heart
Rigshospitalet, Denmark
2011-02 PHASE2
NCT00989911 COMPLETED
Congenital Heart Disease
University of California, Los Angeles
2010-05
NCT01352065 COMPLETED
Pulmonary Hypertension
Center for Health Sciences, Serbia
2011-01 PHASE2; PHASE3
NCT00679068 TERMINATED
Pulmonary Hypertension
IRCCS Azienda Ospedaliero-Universitaria di Bologna
2008-05 PHASE4
NCT01395732 COMPLETED
Systemic Sclerosis; Digital Ulcers
Actelion
2011-03-31 PHASE4
NCT01392469 COMPLETED
Pulmonary Arterial Hypertension
Novartis Pharmaceuticals
2011-04-20 PHASE3
NCT00581607 COMPLETED
Sarcoidosis; Pulmonary Arterial Hypertension
University of Cincinnati
2008-04 PHASE2; PHASE3
NCT01330108 COMPLETED
Pulmonary Arterial Hypertension
University of Alabama at Birmingham
2011-05 PHASE4
NCT00777985 COMPLETED
Obstructive Sleep Apnea; Hypertension
University Hospital, Grenoble
2007-12 PHASE2
NCT00319020 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2005-08-23 PHASE3
NCT01662037 COMPLETED
Congenital Heart Defects; Functional Single Ventricle
Shanghai Jiao Tong University School of Medicine
2010-01 PHASE2
NCT01270750 UNKNOWN
SECONDARY PULMONARY HYPERTENSION; MITRAL STENOSIS; CHILDHOOD RHEUMATOID FEVER; CONGESTIVE HEART FAILURE
General Hospital of Chalkida
2010-12 PHASE1; PHASE2
NCT01738542 COMPLETED
Peripheral Arterial Disease
Hospital Universitario Getafe
2009-04
NCT00815347 TERMINATED
Asthma
UConn Health
2008-12 PHASE2
NCT00909337 COMPLETED
Pulmonary Hypertension; Systemic Sclerosis
Medical University of Graz
2008-01
NCT00825266 TERMINATED
Hypertension, Pulmonary
Stanford University
2008-09 PHASE2
NCT00433329 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2007-03 PHASE4
NCT00637065 UNKNOWN
Pulmonary Hypertension; Interstitial Lung Disease; Idiopathic Pulmonary Fibrosis; Nonspecific Interstitial Pneumonia
Royal Brompton & Harefield NHS Foundation Trust
2008-04 PHASE4
NCT01357109 COMPLETED
Type 2 Diabetes Mellitus
Karolinska Institutet
2007-11 PHASE2
NCT00864201 UNKNOWN
Hypertension, Pulmonary; Connective Tissue Disease
Hamilton Health Sciences Corporation
2009-04 PHASE3
NCT00631475 COMPLETED
Idiopathic Pulmonary Fibrosis
Actelion
2008-04 PHASE3
NCT00926627 TERMINATED
Sarcoidosis; Pulmonary Hypertension
Daniel Doberer
2009-04 PHASE2
NCT00638131 TERMINATED
Type 2 Diabetes
Centre hospitalier de l'Université de Montréal (CHUM)
2009-01 PHASE3
NCT00391443 COMPLETED
Idiopathic Pulmonary Fibrosis
Actelion
2007-02 PHASE3
NCT01100736 COMPLETED
Pulmonary Arterial Hypertension; Vasodilation; Vasoconstriction
University of Edinburgh
2009-01 EARLY_PHASE1
NCT00377455 TERMINATED
Systemic Scleroderma; Pulmonary Hypertension
Georgetown University
2006-09 PHASE2
NCT00625469 WITHDRAWN
Pulmonary Arterial Hypertension; Idiopathic Pulmonary Fibrosis
Rajan Saggar
2007-10 PHASE4
NCT01721564 COMPLETED
Pulmonary Arterial Hypertension
Prof David S Celermajer
2006-04
NCT00319111 COMPLETED
Pulmonary Hypertension
Actelion
2006-01 PHASE3
NCT00319696 COMPLETED
Digital Ulcers
Actelion
2004-07-08 PHASE3
NCT00226889 TERMINATED
Systemic Sclerosis (Scleroderma)
Rikshospitalet University Hospital
2005-01 PHASE1; PHASE2
NCT00595049 COMPLETED
Hypertension, Pulmonary
Actelion
2006-05-31 PHASE4
NCT00260819 COMPLETED
Hypoxia-Induced Pulmonary Artery Hypertension
Assistance Publique - Hôpitaux de Paris
2006-01 PHASE1
NCT01009177 COMPLETED
Melanoma
Actelion
2005-09-30 PHASE2
NCT00266162 COMPLETED
Eisenmenger Syndrome
Competence Network for Congenital Heart Defects
2004-08 PHASE4
NCT00303004 COMPLETED
Eisenmenger Syndrome
Rigshospitalet, Denmark
2006-03 PHASE3
NCT00302211 TERMINATED
Pulmonary Hypertension
Actelion
2006-02-01 PHASE3
NCT00701597 COMPLETED
Glaucoma; Blood Flow Velocity
Medical University of Vienna
2007-04 PHASE1
NCT00310830 TERMINATED
Pulmonary Hypertension
Actelion
2006-03 PHASE3
NCT00313196 TERMINATED
Pulmonary Hypertension
Actelion
2006-04 PHASE3
NCT00360087 TERMINATED
Pulmonary Hypertension; Sickle Cell Anemia
Actelion
2006-03 PHASE3
NCT00082186 COMPLETED
Hypertension, Pulmonary
Actelion
2003-07 PHASE4
NCT00313222 COMPLETED
Chronic Thromboembolic Pulmonary Hypertension
Actelion
2005-10 PHASE3
NCT00319267 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2005-05 PHASE3
NCT00091715 COMPLETED
Pulmonary Hypertension
Actelion
2004-04 PHASE3
NCT00120380 TERMINATED
Hypertension
Hannover Medical School
2004-09 PHASE4
NCT00319033 COMPLETED
Interstitial Lung Disease; Scleroderma
Actelion
2004-07 PHASE2; PHASE3
NCT00086463 COMPLETED
Pulmonary Arterial Hypertension; Ayerza Syndrome; Pulmonary Hypertension
Actelion
2004-06 PHASE2
NCT00367770 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2004-01 PHASE4
NCT00070590 COMPLETED
Pulmonary Fibrosis; Scleroderma, Systemic
Actelion
2003-07 PHASE2; PHASE3
NCT00071461 COMPLETED
Idiopathic Pulmonary Fibrosis
Actelion
2003-08 PHASE2; PHASE3
NCT00317486 COMPLETED
Pulmonary Arterial Hypertension Related to Eisenmenger Physiology
Actelion
2003-09 PHASE4
NCT00077584 COMPLETED
Digital Ulcers; Systemic Sclerosis
Actelion
2003-10 PHASE3
NCT00318175 COMPLETED
Systemic Scleroderma; Skin Fibrosis; Hand Functionality
Heinrich-Heine University, Duesseldorf
2006-06 PHASE2
NCT00432978 COMPLETED
Altitude; Pulmonary Hypertension
VA Loma Linda Health Care System
2006-07 PHASE1
NCT00780728 WITHDRAWN
Hypertension, Pulmonary
University Health Network, Toronto
PHASE3
NCT00080457 COMPLETED
Pulmonary Hypertension
Encysive Pharmaceuticals
2003-05 PHASE3

(data from https://clinicaltrials.gov, updated on 2026-05-06)

Check the Bosentan Hydrate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Bosentan competitively binds to endothelin receptors ET-A and ET-B, blocking endothelin-1-mediated intracellular calcium influx and downstream vasoconstrictive signaling cascades. This receptor blockade promotes vascular smooth muscle relaxation and inhibits pathological remodeling, thereby reducing pulmonary vascular resistance in conditions such as pulmonary arterial hypertension.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.