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December 31, 2020Expert Review of Respiratory Medicine

Selexipag is recommended as triple oral combination therapy for PAH with insufficient response to dual therapy, but should not replace parenteral prostacyclin in high-risk patients.

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Why the study?

Does selexipag improve outcomes in patients with pulmonary arterial hypertension?

Population

Patients with pulmonary arterial hypertension

Design

Review

Key result

Selexipag is recommended as triple oral combination therapy for PAH with insufficient response to dual therapy, but should not replace parenteral prostacyclin in high-risk patients.

Authors

LGLéon GenecandJWJulie WackerMBMaurice Beghetti

Discussion

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Overview

Supports selexipag addition after dual PAH failure; leaves open need for head-to-head trials versus parenteral prostacyclin.

Structured PICO

Does selexipag improve outcomes in patients with pulmonary arterial hypertension?

P
Population
Patients with pulmonary arterial hypertension (PAH)
I
Intervention
Selexipag (prostacyclin receptor agonist)

Selexipag is a validated oral prostacyclin receptor agonist that should be considered as part of triple oral combination therapy for PAH when response to dual oral therapy is insufficient.

Cite This Study

Genecand et al. (2020) conducted a review in Pulmonary arterial hypertension (PAH). Selexipag was evaluated. Selexipag is recommended as triple oral combination therapy for PAH with insufficient response to dual therapy, but should not replace parenteral prostacyclin in high-risk patients.

synapsesocial.com/papers/6a21cdcd033871db2707ca63https://doi.org/10.1080/17476348.2021.1866990
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