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Not yet recruiting NCT07487441

Reverse Remodeling of the Pulmonary Vasculature: a Longitudinal, Investigational Study of the Effects of Sotatercept.

Observational Pulmonary Arterial Hypertension (PAH) Pulmonary Hypertension

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
This is an observational study: the protocol does not assign a study treatment.
Who it may be relevant to
Registry conditions: Pulmonary Arterial Hypertension (PAH), Pulmonary Hypertension. Basic parameters: 18 years — 65 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Overview

The goal of this study is to learn more about how sotatercept works and if it helps the lung arteries become healthier. Sotatercept will be associated with the following: 1. Improvement in capillary blush, reduce the tapering and tortuosity of affected vessels on pulmonary wedge angiography and decreased wall thickness on intravascular ultrasound in previously affected areas. 2. Improvement in previously poorly or non-perfused areas rather than increased perfusion to previously perfused areas. 3. No changes in baseline ventilation and improvement and ventilation/perfusion matching.

Primary outcome measures

  • To assess the reverse remodeling of previously affected vascular structures by using intravascular ultrasound at Baseline, 3 month, 6 month or 9 month. [Time frame: At Baseline and 6 month Evaluation for phase 1 feasibility group and Phase 2 prevalent group. At Baseline, 3 month evaluation and 9 month Evaluation for phase 2 treatment-naive group.]
  • To assess the reverse remodeling of previously affected vascular structures by using pulmonary wedge angiography at Baseline, 3 month, 6 month or 9 month. [Time frame: At Baseline and 6 month Evaluation for phase 1 feasibility group and Phase 2 prevalent group. At Baseline, 3 month evaluation and 9 month Evaluation for phase 2 treatment-naive group.]
  • To examine the longitudinal effects of sotatercept on ventilation perfusion matching with Ventilation/perfusion single photon emission computed tomography (V/Q SPECT) [Time frame: At Baseline and 6 month Evaluation for phase 1 feasibility group and Phase 2 prevalent group. At Baseline, 3 month evaluation and 9 month Evaluation for phase 2 treatment-naive group.]

Eligibility criteria

Inclusion Criteria - Feasibility Group:

  • Group 1 Pulmonary Hypertension (G1PH)-must be idiopathic, drug induced, or hereditary (D/H/I)
  • Age < 65 years at time of diagnosis
  • Must be 18 years of age or older

Inclusion Criteria - "Real-world" treatment naïve cohort:

  • Group 1 Pulmonary Hypertension (G1PH)-all types
  • Must be treatment naïve
  • Must be 18 years of age or older

Inclusion Criteria - "Real-world" prevalent cohort:

  • Group 1 Pulmonary Hypertension (G1PH)-all types
  • Must be 18 years of age or older

Exclusion criteria

  • Contraindication to right heart catheterization (per PI)
  • Prior exposure to sotatercept
  • Hemoglobin > 18 g/dL at screening
  • Estimated GFR < 30 mL/min at screening
  • Platelet count <30 at screening
  • Positive pregnancy test

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

United States · 1 center
  • The Clinical and Translational Sciences Research Center — Tucson

Identifiers

NCT: NCT07487441 · 00006475

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗