- |||||||||| Adempas (riociguat) / Bayer
Safety of Riociguat in Patients Receiving Concomitant Prostanoids: Data from the EXPERT Registry (PENNSYLVANIA CONVENTION CENTER, Hall D-E (200 Level), Area B) - Mar 15, 2020 - Abstract #ATS2020ATS_10343; P=N/A However, this may be a chance observation and the small sample size, more impaired disease state (70% and 54% of FC III and IV, respectively), and more complex pharmacology (prostanoids usually being prescribed third line) should be considered. The types of AE and SAE were as expected from the underlying disease and the profile of PH-targeted medication.
- |||||||||| Adempas (riociguat) / Bayer, Tyvaso (treprostinil) / United Therapeutics
Pulmonary Hypertension Associated with T Cell Lymphoproliferative Disorders: An Insidious but Disastrous Complication (PENNSYLVANIA CONVENTION CENTER, Hall D-E (200 Level), Area B) - Mar 15, 2020 - Abstract #ATS2020ATS_9950; Its implications are profound for combined immunosuppressant and vasodilator therapy which are safe to use in conjunction. The time course of this patient’s systemic illness calls into question the true prevalence of Large Granular Lymphocytic Leukemia and its consequences for pulmonary pathology while highlighting the need for a large-scale investigation into an LGLL population with the appropriate invasive diagnostic tests for PH.
- |||||||||| meropenem / Generic mfg., Daewon Pharmaceutical
Acute Pulmonary Embolism Unmasking Chronic Thromboembolic Pulmonary Hypertension, Leading to Infraction, Lung Abscess and Empyema (PENNSYLVANIA CONVENTION CENTER, Hall D-E (200 Level), Area K) - Mar 15, 2020 - Abstract #ATS2020ATS_6742; Low molecular weight heparin, meropenem and linezolid were also administered...The diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH) was confirmed, and the patient was treated with riociguat.DiscussionWe presented a rare case of acute pulmonary embolism in the context of newly diagnosed CTEPH, leading to pulmonary infraction, cavitation, lung abscess and empyema...Our patient improved significantly after thoracotomy and surgical resection of lung abscess.ConclusionAcute pulmonary embolism might result in infraction formation and subsequent lung abscess and empyema in predisposed subjects. An unrecognised diagnosis of CTEPH might complicate the clinical course of these patients.
- |||||||||| Adempas (riociguat) / Bayer
Safety of Riociguat in Patients with Inoperable CTEPH and Persistent/Recurrent CTEPH: Data from the EXPERT Registry (PHILADELPHIA MARRIOTT DOWNTOWN, Grand Ballroom Salon B-D (Level 5)) - Mar 15, 2020 - Abstract #ATS2020ATS_4037; P=N/A Conclusions Baseline demographics, disease characteristics, and the safety profile of riociguat were similar in patients with inoperable CTEPH and those with persistent/recurrent CTEPH after PEA. The types of AE and SAE were as expected from the underlying disease and the known safety profile of riociguat and no new safety signals were observed.
- |||||||||| Adempas (riociguat) / Bayer
Safety of Riociguat in Patients with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension with Concomitant Novel Oral Anticoagulants or Vitamin K Antagonist Use: Data from the EXPERT Registry (PHILADELPHIA MARRIOTT DOWNTOWN, Grand Ballroom Salon B-D (Level 5)) - Mar 15, 2020 - Abstract #ATS2020ATS_4031; P=N/A Embolic/thrombotic SAEs were reported in 8 (4%) and 23 (4%), respectively, and fatal embolic/thrombotic AEs in 0 and 2 (0.3%) patients, respectively. Rates of serious hemorrhage or embolic/thrombotic SAEs were similar with baseline NOACs or VKA for PAH (NOAC, n=37; VKA, n=111) and CTEPH (NOAC, n=190; VKA, n=506) separately (not shown).ConclusionsSerious hemorrhages and embolic/thrombotic events were uncommon, and their frequency was similar in PAH/CTEPH patients receiving concomitant NOAC or VKA at baseline.
- |||||||||| Adempas (riociguat) / Bayer
Journal: A Focus on Riociguat in the Treatment of Pulmonary Arterial Hypertension. (Pubmed Central) - Feb 16, 2020 P3, P4 Further investigations are needed to determine if this applies also to humans. Taken together, riociguat induces vasodilation of the pulmonary arteries and leads to an improvement in the ability to carry out physical activity.
- |||||||||| Adempas (riociguat) / Bayer, Opsumit (macitentan) / Nippon Shinyaku, J&J, rosuvastatin / Generic mfg., AstraZeneca
Clinical, PK/PD data, Journal: Effect of Macitentan on the Pharmacokinetics of the Breast Cancer Resistance Protein Substrates, Rosuvastatin and Riociguat, in Healthy Male Subjects. (Pubmed Central) - Jan 28, 2020 Macitentan 10 mg did not affect the pharmacokinetics of BCRP substrates, rosuvastatin or riociguat in healthy male subjects. EudraCT numbers: 2017-003095-31 and 2017-003502-41.
- |||||||||| Adempas (riociguat) / Bayer
Journal: Soluble guanylate cyclase stimulators and activators: Where are we, where to go? (Pubmed Central) - Dec 19, 2019 Notably, through activating the pathway, sGC stimulators and activators are potential therapies for the treatment of diverse diseases, such as PAH, heart failure (HF), diabetic nephropathy (DN) and systemic sclerosis (SS) as well as other diseases including sickle cell disease (SCD) and central nervous system (CNS) disease. Here, we review the preclinical and clinical studies of sGC stimulators and activators covering different diseases in recent five years and prospect the development of sGC modulators in the near future.
- |||||||||| Adempas (riociguat) / Bayer, University of Pittsburgh, Uptravi (selexipag) / J&J, Nippon Shinyaku, Opsumit (macitentan) / Nippon Shinyaku, J&J
Journal: New drugs, therapeutic strategies, and future direction for the treatment of Pulmonary Arterial Hypertension. (Pubmed Central) - Oct 30, 2019 In this review, we discuss the use of newly-approved drugs for PAH treatment with already known mechanisms of action (macitentan), innovative targets (riociguat and selexipag), and novel therapeutic approaches with initial up-front combination therapy. Secondly, we describe new potential signalling pathways and investigational drugs with promising role in the treatment of PAH.
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Enrollment closed, Enrollment change: JPMS-CTEPH: Prospective, Non-interventional, Multi-center Post-authorization Safety Study of Riociguat for Chronic Thromboembolic Pulmonary Hypertension (CTEPH ) (clinicaltrials.gov) - Oct 27, 2019 P=N/A, N=1298, Active, not recruiting, Secondly, we describe new potential signalling pathways and investigational drugs with promising role in the treatment of PAH. Recruiting --> Active, not recruiting | N=420 --> 1298
- |||||||||| Review, Journal: Pharmacotherapy for pulmonary arterial hypertension. (Pubmed Central) - Oct 22, 2019
Earlier clinical trials involving PAH-specific therapies evaluated improvements in 6-minute walk time as a primary improvement whereas contemporary trials have been larger and focused on morbidity and mortality reductions. While there may be a role for monotherapy in disease management, most patients should be considered for dual or triple therapy.
- |||||||||| Adempas (riociguat) / Bayer, University of Pittsburgh
Journal: Analysis of Oxygenation in Chronic Thromboembolic Pulmonary Hypertension Using Dead Space Ratio and Intrapulmonary Shunt Ratio. (Pubmed Central) - Oct 12, 2019 For 11 of these 23 (10 were treated by balloon pulmonary angioplasty, one with riociguat), we also measured these parameters before and after CTEPH treatments...Although atrial oxygen saturation (SaO), DSR and ISR were improved (SaO: from 90.2 ± 3.2 to 93.7 ± 1.8%; DSR: from 0.64 ± 0.06 to 0.58 ± 0.04; ISR: from 0.20 ± 0.04 to 0.17 ± 0.02), these improvements were slight compared with that of mean pulmonary artery pressure.The DSR and ISR were abnormally elevated in patients with CTEPH and their improvement by treatment was limited. Only DSR can be a useful marker for normalization of hypoxia in CTEPH.
- |||||||||| Adempas (riociguat) / Bayer, University of Pittsburgh
Journal: Pulmonary Hypertension: Diagnostics, Classification and Therapy (Pubmed Central) - Oct 8, 2019 In case of chronic thromboembolic pulmonary hypertension, the possibility of an operative pulmonary endarterectomy should be evaluated. To date, the only approved drug is Riociguat, a stimulator of the soluble guanylate cyclase.
- |||||||||| Adempas (riociguat) / Bayer, University of Pittsburgh
Journal: Druggability of Coronary Artery Disease Risk Loci. (Pubmed Central) - Sep 28, 2019 Clinically, miR-199a/b is a novel target for the treatment of nitrate tolerance. Integration of genomic and pharmacological data may prove beneficial for drug repurposing and development, as evidence from our pipelines suggests.
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