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Clinical, Clinical Trial,Phase II, Journal: Pharmacological characteristics and clinical study results of Selexipag (Uptravi tablets), a selective prostacyclin receptor agonist (Pubmed Central) - May 13, 2021 In the GRIPHON (Prostacyclin (PGI) Receptor agonist In Pulmonary arterial HypertensiON) study in 1156 patients with PAH, the largest outcome study ever conducted in PAH, the selexipag treatment group showed a significant reduction in the risk of the primary composite endpoint of death or a complication related to PAH compared with placebo. Selexipag has been shown in clinical trials to prevent the progression of PAH, and is expected to contribute to the treatment of patients with PAH.
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Journal: Risk assessment in pulmonary arterial hypertension: Insights from the GRIPHON study. (Pubmed Central) - May 7, 2021 Selexipag has been shown in clinical trials to prevent the progression of PAH, and is expected to contribute to the treatment of patients with PAH. These results support the association between risk profile and long-term outcome and suggest that selexipag treatment may improve risk profile.
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Review, Journal: Selexipag for pulmonary arterial hypertension. (Pubmed Central) - Apr 30, 2021 In this case the patient was rapidly transitioned from oral selexipag to i.v. and then subcutaneous treprostinil therapy over a 30-hour period, with minimal adverse effects. No abstract available
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Trial completion date, Trial primary completion date: SPHERE: A Registry for Patients Taking Uptravi (clinicaltrials.gov) - Mar 16, 2021 P=N/A, N=800, Active, not recruiting, While our study compared two different PAH therapy classes, a multidisciplinary patient support approach contributed to improved patient outcomes. Trial completion date: Jun 2022 --> Sep 2021 | Trial primary completion date: Jun 2022 --> Sep 2021
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[VIRTUAL] Pulmonary Vasodilator Activity of Inhaled Treprostinil Palmitil, Inhaled Treprostinil, Intravenous Treprostinil and Oral Selexipag in Hypoxia-Challenged Rats () - Mar 14, 2021 - Abstract #ATS2021ATS_5132; Based upon the pulmonary vasodilator activity generated with these compounds, the following doses were targeted in the companion abstract involving Su/Hx challenge (Corboz et al.; 2021): TPIP (57 and 138 µg/kg, QD), inhaled TRE (46 µg/kg, QID), oral selexipag (30 mg/kg, BID) and IV TRE (810 ng/kg/min) which is identical to the dose of IV TRE used previously in Su/Hx challenged rats (Chaudhary et al., Br. J.
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[VIRTUAL] Severe Pulmonary Arterial Hypertension in a Patient with a History of Phenylpropanolamine Use () - Mar 14, 2021 - Abstract #ATS2021ATS_3152; Phenylpropanolamine is a drug with a similar structure to amphetamine that was withdrawn from the US market in 2000...Also, there is a report of a fatal case of PAH in a child who was treated with high doses of phenylpropanolamine that was contained in cold medicine. While our case does not serve to establish causality, it highlights a possible association for clinicians to consider.
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[VIRTUAL] Real-World Experience of Selexipag in Patients with Pulmonary Arterial Hypertension in an Irish Center () - Mar 14, 2021 - Abstract #ATS2021ATS_66; Conclusion This is the first study of real-world experience of selexipag in Ireland and demonstrates that selexipag can be safely initiated, titrated and transitioned in an outpatient setting to achieve an individualised dosing regimen. Close observation and consideration of clinical, biochemical and hemodynamic parameters are recommended following any changes in baseline drug therapy.
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[VIRTUAL] CHALLENGES IN THE MANAGEMENT OF MIXED CONNECTIVE TISSUE DISEASE-ASSOCIATED PULMONARY HYPERTENSION AND CARDIOGENIC SHOCK (eAbstract site) - Feb 17, 2021 - Abstract #ACC2021ACC_4273; A CTA of the abdomen and pelvis demonstrated lymphadenopathy and moderate splenomegaly with associated thrombocytopenia at baseline.Decision‐making: In addition to hydroxychloroquine and standard heart failure therapies (including diuretics, spironolactone, digoxin, and milrinone), combination PAH therapy with sildenafil and IV epoprostenol was initiated. This case highlights the importance of appropriate diagnosis and a multidisciplinary approach to comprehensive management of a patient with clinical manifestations of MCTD complicating the optimization of PAH therapy.
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Trial primary completion date: ACT-293987 in Pulmonary Arterial Hypertension (clinicaltrials.gov) - Jan 22, 2021 P3, N=1187, Active, not recruiting, Please refer to page A240 for declarations of interest related to this abstract. Trial primary completion date: Dec 2020 --> Apr 2021
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Journal: An evaluation of selexipag for the treatment of pulmonary hypertension. (Pubmed Central) - Jan 21, 2021 Current guidelines do not provide definitive recommendations regarding the place of selexipag in the treatment algorithm of PAH. Finally, the possibility of transition between the several drugs acting in the prostacyclin pathway, and the potential role of selexipag in chronic thromboembolic pulmonary hypertension and pediatric PAH is currently being examined, possibly expanding its future use.
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Retrospective data, Journal, HEOR: Comparative effectiveness of oral prostacyclin pathway drugs on hospitalization in patients with pulmonary hypertension in the United States: a retrospective database analysis. (Pubmed Central) - Nov 28, 2020 Compared with oral treprostinil, selexipag was associated with a 46% lower risk of all-cause hospitalization (hazard ratio 0.54, 95% confidence interval 0.31, 0.92; P = 0.02), a 47% lower risk of pulmonary hypertension-related hospitalization (hazard ratio 0.53, 95% confidence interval 0.31, 0.93; P = 0.03), a 42% lower all-cause hospitalization rate (rate ratio 0.58, 95% confidence interval 0.39, 0.87; P = 0.01), and a 46% lower pulmonary hypertension-related hospitalization rate (rate ratio 0.54, 95% confidence interval 0.35, 0.82; P = 0.004). This study suggests that selexipag is associated with lower hospitalization risk and rate than oral treprostinil.
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[VIRTUAL] ASSESSING DAILY LIFE PHYSICAL ACTIVITY BY ACTIGRAPHY IN PULMONARY ARTERIAL HYPERTENSION: INSIGHTS FROM THE RANDOMIZED CONTROLLED STUDY WITH SELEXIPAG (TRACE) () - Oct 12, 2020 - Abstract #CHEST2020CHEST_2662; P4 TRACE is the first randomized trial to successfully collect high quality actigraphy data in PAH and allows for better understanding of DLPA.The population was prevalent, predominantly low risk, established on double background therapy and not actively encouraged to increase activity, potentially limiting the ability to detect short-term improvements.We report no statistically significant differences in DLPA parameters between sel and plc.Changes were small, highly variable, and their clinical relevance is yet to be established. CLINICAL IMPLICATIONS: Actigraphy complements current approaches to understand DLPA in PAH and may be considered a novel endpoint in future trials.
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[VIRTUAL] OVERLAP SYNDROME AND MYELOPEROXIDASE-POSITIVE VASCULITIS: NEW PULMONARY FINDINGS () - Oct 12, 2020 - Abstract #CHEST2020CHEST_2366; There are 3 hallmark radiologic signs that were recently observed in patients with CTD-ILD in a retrospective analysis from University of Chicago... We report this case to add patients with overlap syndrome and MPO positive vasculitis related ILD to the panel of previously described patients with scleroderma, rheumatoid arthritis, myositis and Sjogren’s disease.
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