Clinical Trials

Numerous clinical trials evaluate macitentan across Phase 1 through Phase 4 in healthy cohorts and patient populations, with recruitment statuses ranging from recruiting and active to completed, withdrawn, or terminated. Primary indications under investigation include pulmonary arterial hypertension, combined pre- and post-capillary pulmonary hypertension, heart failure with preserved ejection fraction, glioblastoma, cardiac allograft vasculopathy, and lung transplant rejection. Supported by commercial sponsors such as Actelion and Janssen alongside academic institutions like the University of California, Los Angeles and the University of Giessen, these studies assess the drug's pharmacokinetics, safety, and therapeutic efficacy.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05946811 WITHDRAWN
Pulmonary Embolism
University of Maryland, Baltimore
2024-05-01 PHASE3
NCT07147114 RECRUITING
Combined Pre- and Post-capillary Pulmonary Hypertension; CpcPH; HFmrEF; HFpEF; Group 2 Pulmonary Hypertension
Gachon University Gil Medical Center
2025-11-24 PHASE4
NCT07392281 RECRUITING
Non-Coronary Obstructive Angina
China-Japan Friendship Hospital
2025-09-01 EARLY_PHASE1
NCT05179876 RECRUITING
Hypertension, Pulmonary
Actelion
2022-05-04 PHASE3
NCT06811831 RECRUITING
Coronary Microvascular Angina; Macitentan
China-Japan Friendship Hospital
2024-11-01 EARLY_PHASE1
NCT05140525 TERMINATED
CTEPH
Dr Sudarshan Rajagopal
2025-01-27 PHASE3
NCT04273945 ACTIVE_NOT_RECRUITING
Pulmonary Arterial Hypertension
Actelion
2020-06-30 PHASE3
NCT04780932 COMPLETED
Thromboembolic Pulmonary Hypertension; Chronic Disease; Inoperable Disease
Assistance Publique - Hôpitaux de Paris
2021-06-14 PHASE2; PHASE3
NCT02932410 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2017-10-24 PHASE3
NCT05167825 COMPLETED
Pulmonary Arterial Hypertension
Janssen Pharmaceutical K.K.
2022-11-14 PHASE3
NCT03362047 COMPLETED
Pulmonary Arterial Hypertension (PAH)
University of Giessen
2018-03-01 PHASE2
NCT06553937 COMPLETED
PAH
Humanis Saglık Anonim Sirketi
2024-05-10 PHASE1
NCT06553924 COMPLETED
PAH
Humanis Saglık Anonim Sirketi
2024-05-14 PHASE1
NCT05731492 WITHDRAWN
Arterial Hypertension, Pulmonary
Actelion
2024-03-14 PHASE1
NCT05731492 Recruiting
Arterial Hypertension Pulmonary
Actelion
2024-03-14 Phase 1
NCT03422328 COMPLETED
Pulmonary Arterial Hypertension; Chronic Thromboembolic Pulmonary Hypertension
Actelion
2018-04-05 PHASE3
NCT04271475 TERMINATED
Chronic Thromboembolic Pulmonary Hypertension
Actelion
2020-07-07 PHASE3
NCT05373108 COMPLETED
Cardiac Allograft Vasculopathy
University of California, Los Angeles
2022-05-19 PHASE4
NCT05167825 Recruiting
Pulmonary Arterial Hypertension
Janssen Pharmaceutical K.K.
2022-11-14 Phase 3
NCT05433675 COMPLETED
Healthy
Actelion
2022-06-22 PHASE1
NCT05392530 COMPLETED
Healthy
Actelion
2022-05-25 PHASE1
NCT03904693 COMPLETED
Pulmonary Arterial Hypertension (PAH) (WHO Group 1 PH)
Actelion
2019-07-29 PHASE3
NCT05433675 Completed
Healthy
Actelion
2022-06-22 Phase 1
NCT05236231 COMPLETED
Healthy
Actelion
2022-02-04 PHASE1
NCT05392530 Completed
Healthy
Actelion
2022-05-25 Phase 1
NCT05373108 Completed
Cardiac Allograft Vasculopathy
University of California Los Angeles|American Heart Association|Janssen LP
2022-05-19 Phase 4
NCT02060721 COMPLETED
Chronic Thromboembolic Pulmonary Hypertension
Actelion
2015-02-03 PHASE2
NCT03775421 TERMINATED
Congenital Heart Disease With Fontan Circulation
Actelion
2019-04-11 PHASE3
NCT03714815 TERMINATED
Heart Failure With Preserved Ejection Fraction and Pulmonary Vascular Disease
Actelion
2018-12-07 PHASE2
NCT04963439 COMPLETED
Healthy
Actelion
2021-07-08 PHASE1
NCT04540744 COMPLETED
Healthy
Janssen Research & Development, LLC
2021-04-30 PHASE1
NCT03153137 COMPLETED
Congenital Heart Disease
Actelion
2017-08-14 PHASE3
NCT04211272 COMPLETED
Healthy
Actelion
2020-01-14 PHASE1
NCT03153111 COMPLETED
Heart Failure With Preserved Ejection Fraction
Actelion
2017-07-11 PHASE2
NCT04500808 COMPLETED
Healthy
Janssen Pharmaceutical K.K.
2020-07-21 PHASE1
NCT00667823 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2008-10-17 PHASE3
NCT04235270 COMPLETED
Healthy
Janssen Research & Development, LLC
2020-01-17 PHASE1
NCT03809650 TERMINATED
Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
Actelion
2019-01-08 PHASE3
NCT02554903 COMPLETED
Pulmonary Hypertension
Actelion
2016-03-28 PHASE2
NCT02651272 TERMINATED
Pulmonary Hypertension; Sickle Cell Disease
Boston University
2015-07 PHASE2
NCT02893176 WITHDRAWN
Lung Transplant Rejection
University of California, Los Angeles
2016-09 PHASE4
NCT02310672 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2015-06-01 PHASE4
NCT02558231 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2016-05-01 PHASE3
NCT02112487 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2014-06-23 PHASE3
NCT02968901 TERMINATED
Pulmonary Arterial Hypertension
Actelion
2015-09-01 PHASE4
NCT03045666 UNKNOWN
Pulmonary Arterial Hypertension
Soroka University Medical Center
2017-04-15
NCT03389321 COMPLETED
Healthy Subjects
Actelion
2018-01-09 PHASE1
NCT01739400 TERMINATED
Pulmonary Arterial Hypertension
Actelion
2013-09-10 PHASE3
NCT03359291 COMPLETED
Healthy Subjects
Actelion
2017-11-03 PHASE1
NCT02382016 COMPLETED
Portopulmonary Hypertension
Actelion
2015-06-23 PHASE4
NCT03215966 COMPLETED
Healthy Subjects
Actelion
2017-08-07 PHASE1
NCT03236818 UNKNOWN
Pulmonary Arterial Hypertension
Amsterdam UMC, location VUmc
2013-05 PHASE4
NCT01743001 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2013-05-21 PHASE3
NCT02254954 TERMINATED
Glioblastoma
Actelion
2015-01-08 PHASE1
NCT02021292 COMPLETED
Chronic Thromboembolic Pulmonary Hypertension
Actelion
2014-08-20 PHASE2
NCT01346930 WITHDRAWN
Idiopathic Pulmonary Fibrosis
Actelion
2011-07-31 PHASE2
NCT01499251 TERMINATED
Glioblastoma
Actelion
2012-01 PHASE1
NCT02476864 COMPLETED
Healthy Subjects
Actelion
2015-08 PHASE1
NCT01841762 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2013-04-01 PHASE3
NCT02070991 COMPLETED
Pulmonary Hypertension
Actelion
2014-07-01 PHASE2
NCT01847014 TERMINATED
Pulmonary Arterial Hypertension
Actelion
2013-09-01 PHASE3
NCT02081690 TERMINATED
Pulmonary Arterial Hypertension
Actelion
2014-03-01 PHASE3
NCT01474122 TERMINATED
Digital Ulcers
Actelion
2011-12 PHASE3
NCT01474109 COMPLETED
Systemic Sclerosis; Ulcers
Actelion
2011-12 PHASE3
NCT00660179 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2008-05 PHASE3
NCT02050802 COMPLETED
Healthy
Actelion
2011-08 PHASE1
NCT00903331 COMPLETED
Idiopathic Pulmonary Fibrosis
Actelion
2009-05 PHASE2

(data from https://clinicaltrials.gov, updated on 2024-03-08)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Macitentan is an orally active, non-peptide dual endothelin receptor antagonist that selectively binds endothelin A and endothelin B receptors with IC50 values of 0.5 nM and 391 nM, respectively, thereby preventing endothelin-1-induced intracellular calcium mobilization and vascular smooth muscle contraction. This competitive receptor blockade inhibits sustained vasoconstriction and cellular proliferation in the pulmonary vasculature, providing the therapeutic rationale for mitigating elevated 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.