A long-term follow-up study of sotatercept for treatment of pulmonary arterial hypertension: interim results of SOTERIA.
Ioana R Preston, David Badesch, Hossein-Ardeschir Ghofrani...
https://pubmed.ncbi.nlm.nih.gov/39978862/Actively Recruiting
Led by Merck Sharp & Dohme LLC · Updated on 2026-08-10
815
Participants Needed
132
Research Sites
N/A
Total Duration
Researchers are studying pulmonary arterial hypertension PAH, a condition where lung blood vessels become thick and narrow, causing high blood pressure in the lungs and making it hard for the heart to work. PAH can cause difficulty breathing and limit activity. While standard treatments help symptoms, they do not stop the disease from worsening. This research focuses on sotatercept, a targeted therapy aimed at specific proteins involved in PAH, to learn about its long-term safety and tolerability when added to usual PAH treatments. Participants in this long-term follow-up study, who previously took part in certain sotatercept trials, may continue receiving sotatercept by subcutaneous injection every three weeks. Those coming from blinded studies start at 0.3 mgkg with possible increases up to 0.7 mgkg, while those from unblinded studies continue their current dose with possible titration to 0.7 mgkg. The study monitors participants over an extended period to assess continued effects alongside their usual PAH therapy. During the study, participants will have regular assessments including monitoring for adverse events, blood tests for blood components and chemistry, body weight, blood pressure, and ECG readings. Researchers will also evaluate exercise capacity, heart function markers, and risk scores related to PAH. The study aims to follow participants for up to approximately 7 to 8 years to understand long-term safety, treatment tolerability, and health changes while using sotatercept with standard PAH care.
CONDITIONS
A Clinical Study of Sotatercept (MK-7962) in People With Pulmonary Arterial Hypertension (MK-7962-038)
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Merck Sharp & Dohme LLC
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Sotatercept (trial) | Current guideline add‑on care |
|---|---|---|
| What it is | Long‑term open‑label follow‑up of sotatercept administered subcutaneously every three weeks in participants with PAH who completed a prior sotatercept study | Add‑on activin signaling inhibitor therapy (sotatercept) at centers in patients with PAH at intermediate‑low to high risk already on PAH drugs |
| Role in the trial | All participants received sotatercept as study treatment in an extension setting | Not applicable; this comparator is external standard care |
| Primary use | Evaluated long‑term safety, tolerability, and durability of clinical benefit of sotatercept in PAH | Used as additional therapy in PAH patients not at goal on existing medications |
| How it is given or performed | Subcutaneous injection every three weeks in a long‑term extension | Guided by risk assessment; administered per clinical protocol at specialized centers |
| Evidence status | Long‑term observational data support durability of clinical benefit and safety from interim SOTERIA results | High‑certainty recommendation based on randomized trial evidence supporting clinical benefit of add‑on sotatercept |
| Important risks | Bleeding events (including serious bleeding), telangiectasia, epistaxis and other adverse events reported over long‑term exposure | Need for lab monitoring due to risks of elevated hemoglobin, platelet changes and bleeding events |
| Important limitations | Open‑label design without control group limits causal inference regarding long‑term outcomes | Guideline recommendation based on RCTs but real‑world application requires specialized center follow‑up and may not extend to low‑risk patients |
| Patient impact | Sustained clinical improvements and tolerability observed in participants over extended follow‑up | Improved exercise capacity, functional class and reduced clinical worsening demonstrated in RCTs |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to approximately 90 months
Participants receive sotatercept injections every three weeks, starting at 0.3 mg/kg with possible increases to 0.7 mg/kg or continuing their current dose from prior studies with possible titration. This treatment is given alongside their usual PAH therapy.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Ioana R Preston, David Badesch, Hossein-Ardeschir Ghofrani...
https://pubmed.ncbi.nlm.nih.gov/39978862/Merck Sharp & Dohme LLC
Lead Sponsor