Study of Sotatercept in Newly Diagnosed Intermediate- and High-risk PAH Patients

Pulmonology
Bassam Yaghmour
A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate Sotatercept When Added to Background Pulmonary Arterial Hypertension (PAH) Therapy in Newly Diagnosed Intermediate- and High-risk PAH Patients
Lung - Pulmonary
Pulmonary Arterial Hypertension PAH

Study Description

Study A011-13 is Phase 3, randomized, double-blind, placebo-controlled study to evaluate sotatercept when added to background PAH therapy in newly diagnosed intermediate- or high risk PAH patients.

Participants enrolled in the study will have a diagnosis within 6 months of study screening of symptomatic PAH (WHO Group 1, classified as FC II or III) and presentation of idiopathic or heritable PAH, PAH associated with connective tissue diseases (CTD), drug- or toxin- induced PAH, post shunt correction PAH, or PAH presenting at least 1 year following the correction of congenital heart defects.

Eligibility

Inclusion Criteria:

Eligible participants must meet all of the following criteria to be enrolled in the study:

  1. Age greater than or equal to 18 years
  2. Documented diagnostic right heart catheterization (RHC) within 6 months of screening documenting a minimum PVR of greater than or equal to 4 Wood units and pulmonary capillary wedge pressure (PCWP) or left ventricular end-diastolic pressure (LVEDP) of less than or equal to 15 mmHg, with the diagnosis of WHO PAH Group 1 .
  3. Symptomatic PAH classified as WHO FC II or III
  4. REVEAL Lite 2 Risk Score ≥ 6
  5. Diagnosis of PAH within 6 months of screening and on stable doses of a double combination of background PAH therapies for at least 90 days prior to screening. A triple combination of therapies, with stable doses for 90 days, may be allowed per local standard-of-care guidelines, but is restricted to 10% of the study population.
  6. Six-minute walk distance ≥ 150 m repeated twice at screening at least 4 hours apart, but no longer than 1 week apart, and both values are within 15% of each other (calculated from the highest value)
  7. Females of childbearing potential must meet the following criteria: Have 2 negative urine or serum pregnancy tests as verified by the investigator prior to starting study drug administration; she must agree to ongoing urine or serum pregnancy testing during the course of the study and until 8 weeks after the last dose of the study drug; If sexually active, have used, and agree to use, highly effective contraception without interruption, for at least 28 days prior to starting the investigational product, during the study (including dose interruptions), and for 16 weeks (112 days) after discontinuation of study treatment

Refrain from breastfeeding a child or donating blood, eggs, or ovum for the duration of the study and for at least 16 weeks (112 days) after the last dose of study treatment

  1. Male participants must meet the following criteria: Agree to use a condom, defined as a male latex condom or nonlatex condom NOT made out of natural (animal) membrane (e.g., polyurethane), during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions, and for at least 16 weeks (112 days) following investigational product discontinuation, even if he has undergone a successful vasectomy

Refrain from donating blood or sperm for the duration of the study and for 16 weeks (112 days) after the last dose of study treatment

  1. Ability to adhere to study visit schedule and understand and comply with all protocol requirements
  2. Ability to understand and provide written informed consent.

Consult the investigator or research personnel for additional information on exclusion criteria.

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