Key result
Oral treprostinil exposure linked to increased Peak Steps in patients with PAH.
Why the study?
PAH patients have low activity time, but summary actigraphy measures have not been shown to increase after adding therapies.
Does oral treprostinil improve Peak Steps in patients with pulmonary arterial hypertension?
Observational
Does oral treprostinil improve Peak Steps in patients with pulmonary arterial hypertension?
Peak Steps is proposed as a more sensitive marker of treatment response than traditional actigraphy parameters in patients with PAH.
Answers are grounded in this paper and cite their sources.
Supports Peak Steps as responsive actigraphy metric in PAH; leaves open randomized confirmation of oral treprostinil benefit.
Pulmonary arterial hypertension (PAH) patients have low activity time. Actigraphy provides an objective quantification of movement outside of clinic visits (home, work, social activities). Summary actigraphy measures (total daily steps or activity time) have not been shown to increase after adding therapies in patients with PAH. We developed a novel treatment responsive metric, Peak Steps, to measure the 'capacity for movement' in patients with PAH. Using data from the ADAPT registry (NCT03045029), we calculated Peak Steps and used summary actigraphy measurements and correlated it with six-minute walk distance (6MWD) and emPHasis-10 quality of life scores. After exposure to oral treprostinil, we observed a significant increase in Peak Steps, but no change in total daily steps or activity time. Peak Steps correlated strongly with 6MWD and emPHasis-10 scores. We propose that Peak Steps is a more sensitive marker of treatment response than traditional actigraphy parameters, which can have large behavioral influences.
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Lachant et al. (2025) conducted an observational in Pulmonary arterial hypertension (PAH). Oral treprostinil was evaluated on Peak Steps. Oral treprostinil exposure increased Peak Steps, a novel actigraphy metric that correlated strongly with walking distance and quality of life scores in patients with PAH.
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