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in healthy cohorts and patient populations, with recruitment statuses ranging from recruiting and active to completed, withdrawn, or terminated.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| NCT05946811 | WITHDRAWN | Pulmonary Embolism |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| NCT05731492 | WITHDRAWN | Arterial Hypertension, Pulmonary |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)
Mechanism and Biochemical Profile
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>).