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January 8, 2024CureusOpen Access

Treating Pulmonary Arterial Hypertension With Sotatercept: A Meta-Analysis

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Why the study?

Sotatercept has shown improvements in patients with PAH, prompting a meta-analysis of RCTs to evaluate its overall efficacy.

Does sotatercept improve six-minute walk distance, WHO functional class, and pulmonary vascular resistance in patients with pulmonary arterial hypertension on background therapy?

Population

429 patients with PAH on background therapy across 2 RCTs

Comparison

Sotatercept vs placebo

Design

Meta-analysis of RCTs

Key result

Sotatercept significantly improved the six-minute walk distance by a mean difference of 34.99 meters compared to placebo in patients with pulmonary arterial hypertension.

Authors

NUNaseer UddinMAMuhammad Talal AshrafSSStafford Jude Sam

Discussion

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Overview

Supports adding sotatercept to background PAH therapy; extends prior trial data on exercise capacity and hemodynamics.

Study Design

Type

Meta-Analysis (n=429)

Structured PICO

Does sotatercept improve six-minute walk distance, WHO functional class, and pulmonary vascular resistance in patients with pulmonary arterial hypertension on background therapy?

P
Population
429 patients with pulmonary arterial hypertension (PAH) on background therapy, pooled from 2 RCTs
I
Intervention
Sotatercept added to background therapy
C
Comparator
Placebo added to background therapy
O
Outcome
Six-minute walk distancesurrogate

Main Result

Effect estimate: MD 34.99 (95% CI 19.02-50.95)

p-value: p=< 0.0001

Sotatercept added to background therapy significantly improves exercise capacity, functional class, and pulmonary hemodynamics in patients with pulmonary arterial hypertension.

Limitations

  • Short treatment duration of 24 weeks for both trials
  • Enrollment of only specific WHO functional classes of PAH patients
  • Lower numbers of patients with PAH associated with connective-tissue disease, congenital heart disease, drugs, and toxins
  • Underrepresentation of minority groups, non-American, and non-European patients

Cite This Study

Uddin et al. (2024) conducted a meta-analysis in Pulmonary arterial hypertension (n=429). Sotatercept vs. Placebo was evaluated on Six-minute walk distance (MD 34.99, 95% CI 19.02-50.95, p=< 0.0001). Sotatercept significantly improved the six-minute walk distance by a mean difference of 34.99 meters compared to placebo in patients with pulmonary arterial hypertension.

synapsesocial.com/papers/6a0d430388250cfcc2a4d795https://doi.org/10.7759/cureus.51867
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