- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Trial completion, Enrollment change, Trial completion date: JPMS-PAH: Prospective, Non-interventional, Multi-center, Post-authorization Safety Study of Riociguat for Pulmonary Arterial Hypertension (PAH) (clinicaltrials.gov) - Jan 28, 2024 P=N/A, N=882, Completed, Active, not recruiting --> Completed | Trial completion date: Jan 2024 --> Aug 2023 Recruiting --> Completed | N=600 --> 882 | Trial completion date: Jan 2024 --> Sep 2023
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Review, Journal: Modulating NO-GC Pathway in Pulmonary Arterial Hypertension. (Pubmed Central) - Jan 15, 2024 PD5i are the recommended drugs for first-line PAH treatment, whereas sGCs are also the only drug approved for the treatment of resistant or inoperable chronic thromboembolic pulmonary hypertension. In this review, we will focus on the current information regarding the nitric oxide pathway and its modulation in PAH.
- |||||||||| Uptravi (selexipag) / J&J, Nippon Shinyaku
Uptitration of Pulmonary Arterial Hypertension Therapies: Transition From Oral Selexipag to Parenteral Treprostinil (Poster Hall) - Jan 9, 2024 - Abstract #ISHLT2024ISHLT_1719; Notably, both these transitions occurred without invasive hemodynamic monitoring and were well tolerated with no hemodynamic compromise and only mild joint pain. Upon discharge, treprostinil was transitioned to subcutaneous administration per patient preference, with planned outpatient uptitration to goal dose based on hemodynamics and side effect profiles.Summary This approach outlines a safe 4-day transition from selexipag to IV treprostinil and challenges the need for concurrent invasive hemodynamic monitoring.
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Trial completion, Trial completion date, Trial primary completion date: Effect of Riocigaut on Cerebral Vasodilation and Headache Induction in Healthy Volunteers (clinicaltrials.gov) - Jan 5, 2024 P=N/A, N=15, Completed, This highlights the importance of adopting the new ACC/AHA definition of Exercise PH (mPAP/CO >3 mmHg) to clinical practice. Recruiting --> Completed | Trial completion date: Jan 2024 --> Jun 2023 | Trial primary completion date: Jan 2024 --> Jun 2023
- |||||||||| Review, Journal: Pyrazole: an emerging privileged scaffold in drug discovery. (Pubmed Central) - Nov 15, 2023
Trial completion date: Oct 2024 --> Oct 2025 | Trial primary completion date: Oct 2024 --> Oct 2025 Some of the best-selling drugs in this class are ibrutinib, ruxolitinib, axitinib, niraparib
- |||||||||| Treatment of Pulmonary Arterial Hypertension in Patients with Connective Tissue Diseases: A Meta-analysis (Poster Hall; in person) - Sep 23, 2023 - Abstract #ACRConvergence2023ACR_Convergence_3585;
This is the first meta-analysis on CTD-PAH that reported the pooled analysis of change in functional class, hemodynamic measurements (RAP, PVR, CI), and NT-proBNP, some of which have important prognostic value for PAH. Improvement in exercise capacity and reduction in risk of CW in CTD-PAH patients were less pronounced compared to idiopathic PAH (IPAH).
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD), Ventavis (iloprost) / Bayer, J&J, University of Copenhagen
Preclinical, Journal: The small-molecule formyl peptide receptor biased agonist, Compound 17b, is a vasodilator and anti-inflammatory in mouse precision-cut lung slices. (Pubmed Central) - Sep 2, 2023 Vasodilation to Cmpd17b, but not standard-of-care vasodilators, is maintained under inflammatory conditions, with additional inhibition of PAH-relevant cytokine release. Our study provides the first evidence that targeting FPR, using a biased agonist, simultaneously targets vascular function and inflammation, supporting the development of FPR-based pharmacotherapy to treat PAH.
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Review, Journal: Emerging Role of Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Disease-Insights from the 2022 ESC Guidelines. (Pubmed Central) - Aug 26, 2023 Patients who received pre-treatment with riociguat prior to BPA exhibited a notable reduction in the occurrence of less severe complications...The 2022 ESC/ERS guidelines highlight the significant role of BPA in the multimodal treatment of CTEPH, emphasizing its effectiveness and recommending its consideration as a therapeutic option for patients with CTEPD, both with and without pulmonary hypertension. This review summarizes the available evidence for BPA, patient selection, procedural details, and prognosis and discusses the potential future role of BPA in the management of CTEPH.
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD), Uptravi (selexipag) / J&J, Nippon Shinyaku
Enrollment open: PHoenix: Pulmonary Hypertension: Intensification and Personalisation of Combination Rx (clinicaltrials.gov) - Aug 22, 2023 P4, N=40, Recruiting, This review summarizes the available evidence for BPA, patient selection, procedural details, and prognosis and discusses the potential future role of BPA in the management of CTEPH. Not yet recruiting --> Recruiting
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD), praliciguat (IW-1973) / Cyclerion
Review, Journal: Recent developments in targets for ischemic foot disease. (Pubmed Central) - Aug 11, 2023 In conclusion, an ever-expanding list of potential targets for medical revascularisation is being identified. It is hoped that through ongoing research and further larger clinical trials, these will translate into new broadly applicable therapies to improve outcomes.
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Enrollment change: A Multi-Center Study of Riociguat in Patients With Sickle Cell Diseases (clinicaltrials.gov) - Jul 20, 2023 P2, N=130, Completed, This single center study from the US showed that BPA with refined techniques in patients with CTEPH was safe and was associated with significant improvements in pulmonary hemodynamics and functional capacity. N=97 --> 130
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD)
Trial completion date, Trial primary completion date, Real-world evidence, Real-world: ROAR: A Study to Learn About How Well Riociguat Works, How Safe it is and How it is Used Under Real World Conditions in Patients in the United States Who Are Receiving Riociguat for High Blood Pressure in the Arteries That Carry Blood From the Heart to the Lungs (Pulmonary Arterial Hypertension, PAH) (clinicaltrials.gov) - Jun 2, 2023 P=N/A, N=500, Recruiting, These data suggest that RIO and other sGC stimulators should be evaluated for clinical utility in both prophylaxis and treatment of CAS. Trial completion date: Jul 2025 --> Dec 2025 | Trial primary completion date: Jul 2025 --> Dec 2025
- |||||||||| Adempas (riociguat) / Bayer, Merck (MSD), Opsumit (macitentan) / Nippon Shinyaku, J&J
PAH-specific treatment for patients with combined pre- and post-capillary pulmonary hypertension (Science Box 3) - May 13, 2023 - Abstract #ESC2023ESC_3646; Conclusions In patients suffering from Cpc-PH, PAH-specific therapy leads to improvement of symptoms. Further studies are required to extend this finding to a larger patient group to assess whether PAH-specific drugs may also improve hemodynamics, right ventricular function and mortality.
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