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NCT02007629: RESPITE

Riociguat Clinical Effects Studied in Patients With Insufficient Treatment Response to Phosphodiesterase-5 Inhibitor

Completed Phase 3 Last updated 21 February 2019
What this trial tests

Phase 3 trial testing Riociguat (Adempas, BAY63-2521) in Hypertension, Pulmonary in 61 participants. Completed in 29 December 2016.

Timeline
18 February 2014
Primary endpoint
29 December 2016
29 December 2016

Quick facts

Lead sponsorBayer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment61
Start date18 February 2014
Primary completion29 December 2016
Estimated completion29 December 2016
Sites27 locations across France, Italy, Belgium, United Kingdom, Germany, Canada, Switzerland, United States

Drugs / interventions tested

Conditions studied

Sponsor

Bayer — full company profile →

Who can join

Adults 18 to 75, any sex, with Hypertension, Pulmonary. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

BAY63-2521 Riociguat leads to the relaxation of smooth muscle cells in pulmonary arteria and may also inhibit abnormal remodeling of lung blood vessels. In patients with pulmonary arterial hypertension Riociguat showed to reduce the pulmonary blood pressure and improved the right heart function without unacceptable side effects. Here dose of Riociguat will be adjusted over 8 weeks then a Maintenance Phase of 16 weeks follows. Patients with Pulmonary Arterial Hypertension treated with stable doses of Phosphodiesterase Type-5 Inhibitors (Eg Sildenafil, Tadalafil) not appropriately responding to therapy will be included. Based on previous evidence and on the different modes of action an improvement of exercise capacity, heart function and quality of life may be expected if PDE5i treatment is transitioned to riociguat. Where Riociguat is pending market approval or reimbursement once the treatment phase is completed drug can be made available for another 18 months (Extended Drug Supply Phase - EDSP) under study conditions. Patients may also transition at the end of the maintenance period or any time during the EDSP to any program that is intended to provide riociguat until drug approval/reimbursement, e.g. a long-term extension study, compassionate use or named patient program. Study termination is also possible at any time.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pulmonary Hypertension.
    Hoeper MM, Ghofrani HA, Grünig E, Klose H, et al · · 2017 · cited 123× · PMID 28241922 · DOI 10.3238/arztebl.2017.0073
  2. cGMP: a unique 2nd messenger molecule - recent developments in cGMP research and development.
    Friebe A, Sandner P, Schmidtko A. · · 2020 · cited 102× · PMID 31853617 · DOI 10.1007/s00210-019-01779-z
  3. RESPITE: switching to riociguat in pulmonary arterial hypertension patients with inadequate response to phosphodiesterase-5 inhibitors.
    Hoeper MM, Simonneau G, Corris PA, Ghofrani HA, et al · · 2017 · cited 97× · PMID 28889107 · DOI 10.1183/13993003.02425-2016
  4. Riociguat: Clinical research and evolving role in therapy.
    Klinger JR, Chakinala MM, Langleben D, Rosenkranz S, et al · · 2021 · cited 27× · PMID 33242341 · DOI 10.1111/bcp.14676
  5. First-in-child use of the oral soluble guanylate cyclase stimulator riociguat in pulmonary arterial hypertension.
    Spreemann T, Bertram H, Happel CM, Kozlik-Feldmann R, et al · · 2018 · cited 22× · PMID 29099661 · DOI 10.1177/2045893217743123
  6. A focus on riociguat in the treatment of pulmonary arterial hypertension.
    Toxvig AK, Wehland M, Grimm D, Infanger M, et al · · 2019 · cited 15× · PMID 31206240 · DOI 10.1111/bcpt.13272
  7. Guanylate cyclase stimulators for pulmonary hypertension.
    Wardle AJ, Seager MJ, Wardle R, Tulloh RM, et al · · 2016 · cited 15× · PMID 27482837 · DOI 10.1002/14651858.cd011205.pub2
  8. Rationale and study design of RESPITE: An open-label, phase 3b study of riociguat in patients with pulmonary arterial hypertension who demonstrate an insufficient response to treatment with phosphodiesterase-5 inhibitors.
    Hoeper MM, Klinger JR, Benza RL, Simonneau G, et al · · 2017 · cited 13× · PMID 27887774 · DOI 10.1016/j.rmed.2016.11.001

Verify or expand the search:

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Other Bayer trials

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