Page last updated: 2024-10-29

ketanserin and Sclerosis, Systemic

ketanserin has been researched along with Sclerosis, Systemic in 14 studies

Ketanserin: A selective serotonin receptor antagonist with weak adrenergic receptor blocking properties. The drug is effective in lowering blood pressure in essential hypertension. It also inhibits platelet aggregation. It is well tolerated and is particularly effective in older patients.
ketanserin : A member of the class of quinazolines that is quinazoline-2,4(1H,3H)-dione which is substituted at position 3 by a 2-[4-(p-fluorobenzoyl)piperidin-1-yl]ethyl group.

Research Excerpts

ExcerptRelevanceReference
"A selective antagonist of S2-serotonergic receptors, ketanserin, was administered intravenously during right heart catheterization to 14 patients with pulmonary hypertension complicating systemic sclerosis."7.67Acute hemodynamic effects of ketanserin in pulmonary hypertension secondary to systemic sclerosis. ( Kostis, JB; Molony, RR; Ruddy, MC; Seibold, JR; Turkevich, D, 1987)
"A selective antagonist of S2-serotonergic receptors, ketanserin, was administered intravenously during right heart catheterization to 14 patients with pulmonary hypertension complicating systemic sclerosis."3.67Acute hemodynamic effects of ketanserin in pulmonary hypertension secondary to systemic sclerosis. ( Kostis, JB; Molony, RR; Ruddy, MC; Seibold, JR; Turkevich, D, 1987)
"Ketanserin failed to produce a greater improvement than placebo in functional and objective clinical signs and symptoms as well as in most subjective assessments."2.66Ketanserin in the treatment of systemic sclerosis: a double-blind controlled trial. ( Dujardin, P; Fraitag, B; Ortonne, JP; Torzuoli, C, 1989)
"Ketanserin treatment was discontinued in one patient owing to dizziness and anxiety."2.66Effect of ketanserin on Raynaud's phenomenon in progressive systemic sclerosis: a double-blind trial. ( Lukác, J; Rovenský, J; Tauchmannová, H; Zitnan, D, 1985)
"Ketanserin was administered as a bolus of 10 mg intravenously, followed by an infusion over 72 h and then oral therapy."1.28Ketanserin: an effective treatment regimen for digital ischaemia in systemic sclerosis. ( Gould, S; Gush, R; Jayson, MI; Kay, EA; Klimiuk, PS; Mitchell, WS; Taylor, L, 1989)
"Now progressive systemic sclerosis (PSS) is considered a disease of small vessels with which many immunologic alterations are associated."1.27Ketanserin in the treatment of progressive systemic sclerosis. ( Altomare, GF; Pigatto, PD; Polenghi, MM, 1988)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-199010 (71.43)18.7374
1990's2 (14.29)18.2507
2000's1 (7.14)29.6817
2010's1 (7.14)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Coha, B1
Samardžić, P1
Dundjer, I1
Knežević-Praveček, M1
Seibold, JR3
Jageneau, AH1
Roald, OK1
Seem, E1
Cox, NH1
Dufton, PA1
Furst, DE1
Clements, PJ1
Steen, VD1
Medsger, TA1
Masi, AT1
D'Angelo, WA1
Lachenbruch, PA1
Grau, RG1
Pope, J1
Fenlon, D1
Thompson, A1
Shea, B1
Furst, D1
Wells, G1
Silman, A1
Marasini, B1
Bassani, C1
Ortonne, JP1
Torzuoli, C1
Dujardin, P1
Fraitag, B2
Klimiuk, PS1
Kay, EA1
Mitchell, WS1
Taylor, L1
Gush, R1
Gould, S1
Jayson, MI1
Engelhart, M1
Altomare, GF1
Pigatto, PD1
Polenghi, MM1
Cadranel, J1
Blétry, O1
Guillevin, L1
Lacombe, C1
Duloroy, J1
Mouthon, JM1
Godeau, P1
Molony, RR1
Turkevich, D1
Ruddy, MC1
Kostis, JB1
Lukác, J1
Rovenský, J1
Tauchmannová, H1
Zitnan, D1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Pilot Study to Evaluate the Safety and Efficacy of Oral Treprostinil in the Treatment of Calcinosis in Patients With Systemic Sclerosis[NCT02663895]Phase 212 participants (Actual)Interventional2016-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Baseline Cortical Area Measured by HR-pQCT in SSc Patients With Calcinosis.

Bone cortical area is a bone microarchitecture measurement assessed by High Resolution peripheral Quantitative Computed Tomography (HRpQCT) at the distal tibia. Lower levels of cortical area are associated with more bone fragility. (NCT02663895)
Timeframe: Baseline visit (average approximately 3 hours for the scan)

Interventionmm^2 (Median)
Oral Treprostinil104.8

Baseline Cortical Porosity Measured by HR-pQCT in SSc Patients With Calcinosis.

Bone cortical porosity is a bone microarchitecture measurement assessed by High Resolution peripheral Quantitative Computed Tomography (HRpQCT) at the distal tibia. Higher levels of cortical porosity are associated with more bone fragility. (NCT02663895)
Timeframe: Baseline visit (average approximately 3 hours for the scan)

Interventionpercentage of void space (Median)
Oral Treprostinil0.034

Change in Cochin Hand Functional Scale

Cochin Hand Functional Scale is a 18-question scale, each question ranges from 0 to 5, with a total score range of 0-90. Higher scores indicates higher disability. (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
Oral Treprostinil-0.17

Change in Mawdsley Calcinosis Questionnaire

Mawdsley Calcinosis Questionnaire is an 18-question survey with an overall score of 0-10; each individual question ranges from 0-10, scores are totaled and averaged to and divided by 18 to create the overall score. Higher scores indicate higher disability from calcinosis. (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
Oral Treprostinil2

Change in Patient Global Assessment of Calcinosis Severity

Patient global assessment of calcinosis severity at 1 year versus baseline. Score range: 0 to 10 (higher scores indicate more severe calcinosis). (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
Oral Treprostinil0

Change in Physician Global Assessment of Calcinosis Severity

Physician global assessment of calcinosis severity at 1 year versus baseline. Score range: 0 to 10 (higher scores indicate more severe calcinosis). (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
Oral Treprostinil-0.08

Change in Raynaud Condition Score

The Raynaud Condition Score is a single question questionnaire, ranges from 0-10, where 10 indicates more active Raynaud phenomenon. Raynaud is an exaggerated vascular response to cold exposure or emotion with at least a 2-phase color change in finger(s) and often toe(s) consisting of pallor, cyanosis, and/or reactive hyperemia: usually one phase is pallor. (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
Oral Treprostinil0

Median Rate of Change of Calcinosis in Radiograph Following Treatment With Oral Treprostinil as Assessed by a Novel Radiographic Scoring System

"Median rate of change of calcinosis in radiograph following treatment with oral treprostinil as assessed by the Scleroderma Clinical Trial Consortium (SCTC) radiographic scoring system. Historical average SCTC scores in this patient population have ranged from 4.08 to 472.88, with higher scores indicating more severe symptoms.~The SCTC radiographic score for calcinosis is a validated radiographic scoring system to assess the severity of calcinosis affecting the hands of patients with SSc that accounts for area coverage, density, and anatomic location, higher scores mean worse calcinosis. Physician rates density and percentage of area for 22 regions of each hand, each deferentially weighted in the overall score; individual region values are multiplied my their weight then summed to create an overall score." (NCT02663895)
Timeframe: Baseline, month 12

Interventionpercent change (Median)
Oral Treprostinil22.2

Number of Participants With Treatment-related Adverse Events Following Treatment With Oral Treprostinil

Number of participants with treatment-related adverse events following treatment with oral treprostinil at 12 months. We defined adverse event as any untoward medical experience occurring to a subject during a clinical trial whether or not it is related to the study drug. (NCT02663895)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Oral Treprostinil11

Change in Scleroderma Health Assessment Questionnaire (SHAQ)

"The Scleroderma Health Assessment Questionnaire (SHAQ) has two parts.~The first part is a disability index (DI) that consists of the mean of 8 scores from 8 sections (dressing, arising, eating, walking, hygiene, reach, grip, and activities) ranging from 0 (without any difficulty) to 3 (unable to do), with scores summed and divided by 8. The result is the Health Assessment Questionnaire (HAQ)-DI score, which ranges between 0 and 3.~The second part consists of 6 visual analogue scales (VAS) each ranging from 0 (better outcome) to 10 (worse outcome).~Pain (SHAQ-VAS-Pain)~Intestinal (SHAQ-VAS-GI)~Breathing (SHAQ-VAS-Breathing)~Raynaud (SHAQ-VAS-Raynaud)~Digital ulcers (SHAQ-VAS-DU)~Disease Severity (SHAQ-VAS-Disease Severity)" (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
HAQ-DISHAQ-VAS-PainSHAQ-VAS-GISHAQ-VAS-BreathingSHAQ-VAS-RaynaudSHAQ-VAS-DUSHAQ-VAS-Disease Severity
Oral Treprostinil0-0.030.030000

Change in Short Form (SF)-36

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale. The higher the score the less disability. (NCT02663895)
Timeframe: Baseline, 12 months

Interventionscore on a scale (Median)
Physical FunctioningPhysical Role FunctioningEMotional Role FunctioningEnergy and fatigueMental HealthSocial FunctioningPainGeneral HealthHealth Change
Oral Treprostinil00001000.422.08

Reviews

1 review available for ketanserin and Sclerosis, Systemic

ArticleYear
Ketanserin for Raynaud's phenomenon in progressive systemic sclerosis.
    The Cochrane database of systematic reviews, 2000, Issue:2

    Topics: Humans; Ketanserin; Raynaud Disease; Scleroderma, Systemic; Serotonin Antagonists

2000

Trials

7 trials available for ketanserin and Sclerosis, Systemic

ArticleYear
Treatment of Raynaud's phenomenon with ketanserin, a selective antagonist of the serotonin2 (5-HT2) receptor.
    Arthritis and rheumatism, 1984, Volume: 27, Issue:2

    Topics: Adult; Aged; Clinical Trials as Topic; Female; Fingers; Humans; Ketanserin; Male; Middle Aged; Pilot

1984
Treatment of Raynaud's phenomenon with ketanserin in patients with connective tissue disorders.
    British medical journal (Clinical research ed.), 1984, Sep-08, Volume: 289, Issue:6445

    Topics: Adult; Clinical Trials as Topic; Connective Tissue Diseases; Double-Blind Method; Female; Fingers; H

1984
The modified Rodnan skin score is an accurate reflection of skin biopsy thickness in systemic sclerosis.
    The Journal of rheumatology, 1998, Volume: 25, Issue:1

    Topics: Adolescent; Adult; Aged; Analysis of Variance; Biopsy; Dermatologic Agents; Double-Blind Method; Fem

1998
Ketanserin in the treatment of systemic sclerosis: a double-blind controlled trial.
    The British journal of dermatology, 1989, Volume: 120, Issue:2

    Topics: Adult; Aged; Clinical Trials as Topic; Double-Blind Method; Humans; Ketanserin; Middle Aged; Random

1989
Ketanserin in the treatment of Raynaud's phenomenon associated with generalized scleroderma.
    The British journal of dermatology, 1988, Volume: 119, Issue:6

    Topics: Adult; Aged; Clinical Trials as Topic; Double-Blind Method; Female; Humans; Ketanserin; Male; Middle

1988
[Treatment of systemic scleroderma with ketanserin. Randomized, double-blind 6-months study of 27 cases].
    Annales de medecine interne, 1986, Volume: 137, Issue:3

    Topics: Clinical Trials as Topic; Double-Blind Method; Female; Humans; Ketanserin; Male; Random Allocation;

1986
Effect of ketanserin on Raynaud's phenomenon in progressive systemic sclerosis: a double-blind trial.
    Drugs under experimental and clinical research, 1985, Volume: 11, Issue:9

    Topics: Adult; Clinical Trials as Topic; Double-Blind Method; Female; Fingers; Humans; Ketanserin; Male; Mid

1985

Other Studies

6 other studies available for ketanserin and Sclerosis, Systemic

ArticleYear
Cardiac arrhythmia as a side effect of ketanserin therapy in a patient with systemic scleroderma.
    Acta dermatovenerologica Croatica : ADC, 2012, Volume: 20, Issue:1

    Topics: Arrhythmias, Cardiac; Electrocardiography, Ambulatory; Female; Humans; Ketanserin; Middle Aged; Scle

2012
Treatment of Raynaud's phenomenon with ketanserin.
    British medical journal (Clinical research ed.), 1984, Oct-20, Volume: 289, Issue:6451

    Topics: Adolescent; Humans; Ketanserin; Leg Ulcer; Male; Piperidines; Scleroderma, Systemic

1984
Digital blood flow and 5-hydroxytryptamine receptor blockade after ketanserin in patients with Raynaud's phenomenon.
    British journal of clinical pharmacology, 1990, Volume: 30, Issue:6

    Topics: Adult; Blood Flow Velocity; Female; Fingers; Humans; Ketanserin; Male; Middle Aged; Platelet Aggrega

1990
Ketanserin: an effective treatment regimen for digital ischaemia in systemic sclerosis.
    Scandinavian journal of rheumatology, 1989, Volume: 18, Issue:2

    Topics: Administration, Oral; Adult; Aged; Female; Fingers; Humans; Infusions, Intravenous; Ischemia; Ketans

1989
Ketanserin in the treatment of progressive systemic sclerosis.
    Angiology, 1988, Volume: 39, Issue:7 Pt 1

    Topics: Adult; Female; Fingers; Humans; Ketanserin; Middle Aged; Raynaud Disease; Regional Blood Flow; Scler

1988
Acute hemodynamic effects of ketanserin in pulmonary hypertension secondary to systemic sclerosis.
    The Journal of rheumatology, 1987, Volume: 14, Issue:3

    Topics: Adult; Aged; Blood Pressure; Cardiac Output; Female; Humans; Hypertension, Pulmonary; Ketanserin; Ma

1987