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FDC macitentan/tadalafil

Actelion · Phase 3 active Small molecule

FDC macitentan/tadalafil is a Endothelin receptor antagonist / Phosphodiesterase-5 inhibitor combination Small molecule drug developed by Actelion. It is currently in Phase 3 development for Pulmonary arterial hypertension (PAH). Also known as: ACT-064992D.

This fixed-dose combination blocks endothelin-1 receptors (via macitentan) and phosphodiesterase-5 (via tadalafil) to reduce pulmonary vascular resistance and improve exercise capacity in pulmonary arterial hypertension.

This fixed-dose combination blocks endothelin-1 receptors (via macitentan) and phosphodiesterase-5 (via tadalafil) to reduce pulmonary vascular resistance and improve exercise capacity in pulmonary arterial hypertension. Used for Pulmonary arterial hypertension (PAH).

Likelihood of approval
56.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
  • Cardiovascular Phase 3 risk -2.0pp
    Modern cardiovascular outcome trials are large + long; many fail to beat aggressive standard-of-care.
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameFDC macitentan/tadalafil
Also known asACT-064992D
SponsorActelion
Drug classEndothelin receptor antagonist / Phosphodiesterase-5 inhibitor combination
TargetEndothelin receptor A and B / Phosphodiesterase-5
ModalitySmall molecule
Therapeutic areaCardiovascular
PhasePhase 3

Mechanism of action

Macitentan is an endothelin receptor antagonist that blocks the vasoconstrictive and proliferative effects of endothelin-1 in pulmonary vessels. Tadalafil is a phosphodiesterase-5 inhibitor that increases cyclic GMP, promoting vasodilation and reducing right ventricular afterload. The combination targets complementary pathways in pulmonary hypertension pathophysiology.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about FDC macitentan/tadalafil

What is FDC macitentan/tadalafil?

FDC macitentan/tadalafil is a Endothelin receptor antagonist / Phosphodiesterase-5 inhibitor combination drug developed by Actelion, indicated for Pulmonary arterial hypertension (PAH).

How does FDC macitentan/tadalafil work?

This fixed-dose combination blocks endothelin-1 receptors (via macitentan) and phosphodiesterase-5 (via tadalafil) to reduce pulmonary vascular resistance and improve exercise capacity in pulmonary arterial hypertension.

What is FDC macitentan/tadalafil used for?

FDC macitentan/tadalafil is indicated for Pulmonary arterial hypertension (PAH).

Who makes FDC macitentan/tadalafil?

FDC macitentan/tadalafil is developed by Actelion (see full Actelion pipeline at /company/actelion).

Is FDC macitentan/tadalafil also known as anything else?

FDC macitentan/tadalafil is also known as ACT-064992D.

What drug class is FDC macitentan/tadalafil in?

FDC macitentan/tadalafil belongs to the Endothelin receptor antagonist / Phosphodiesterase-5 inhibitor combination class. See all Endothelin receptor antagonist / Phosphodiesterase-5 inhibitor combination drugs at /class/endothelin-receptor-antagonist-phosphodiesterase-5-inhibitor-combination.

What development phase is FDC macitentan/tadalafil in?

FDC macitentan/tadalafil is in Phase 3.

What are the side effects of FDC macitentan/tadalafil?

Common side effects of FDC macitentan/tadalafil include Headache, Nasal congestion, Flushing, Peripheral edema, Anemia.

What does FDC macitentan/tadalafil target?

FDC macitentan/tadalafil targets Endothelin receptor A and B / Phosphodiesterase-5 and is a Endothelin receptor antagonist / Phosphodiesterase-5 inhibitor combination.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing