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Riociguat Oral Product

University of Calgary · FDA-approved active Small molecule

Riociguat is a soluble guanylate cyclase stimulator that increases cyclic GMP levels to promote vasodilation and reduce pulmonary vascular resistance.

Riociguat is a soluble guanylate cyclase stimulator that increases cyclic GMP levels to promote vasodilation and reduce pulmonary vascular resistance. Used for Pulmonary arterial hypertension (PAH), Chronic thromboembolic pulmonary hypertension (CTEPH).

At a glance

Generic nameRiociguat Oral Product
Also known asAmbrisentan Oral Product
SponsorUniversity of Calgary
Drug classSoluble guanylate cyclase stimulator
TargetSoluble guanylate cyclase (sGC)
ModalitySmall molecule
Therapeutic areaCardiovascular
PhaseFDA-approved

Mechanism of action

Riociguat directly activates soluble guanylate cyclase (sGC) in vascular smooth muscle cells, leading to increased production of cyclic GMP (cGMP). This elevation in cGMP causes smooth muscle relaxation and vasodilation, reducing pulmonary vascular resistance and improving hemodynamics in pulmonary hypertension. The drug works independently of nitric oxide availability, making it effective even in patients with impaired endothelial function.

Approved indications

Common side effects

Key clinical trials

Primary sources

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

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