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A Clinical Study of Sotatercept (MK-7962) in People With Pulmonary Arterial Hypertension (PAH) (MK-7962-024)

Phase 2
Recruiting
Conditions
Pulmonary Arterial Hypertension
Interventions
Registration Number
NCT06664801
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

Researchers are looking for other ways to treat people with PAH. In PAH, the blood vessels in the lungs become thick and narrow, which makes it harder for blood to flow to the lungs.

The goal of the study is to learn:

* What happens to different doses of sotatercept in a person's body over time when it is given using weight-banded doses compared to weight-based doses. There may be differences in how the medicine works with the new dosing method (weight-banded dosing) being studied in this trial.

* About the safety of sotatercept and if people tolerate it

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
160
Inclusion Criteria
  • Has documented diagnostic Right Heart Catheterization, with the diagnosis of World Health Organization (WHO) Pulmonary Atrial Hypertension (PAH) Group 1 in any of the following subtypes: Idiopathic PAH, Heritable PAH, Drug/toxin-induced PAH, PAH associated with connective tissue disease, PAH associated with simple, congenital systemic-to-pulmonary shunts at least 1 year following repair
  • Has symptomatic PAH classified as WHO Functional Class II or III
Exclusion Criteria
  • Has a weight of <35 kg
  • Has a diagnosis of PH WHO Groups 2, 3, 4, or 5
  • Has a diagnosis of the following PAH Group 1 subtypes: HIV-associated PAH, PAH associated with portal hypertension, Exclusion in PAH Group 1 should also include schistosomiasis-associated PAH, pulmonary veno occlusive disease and pulmonary capillary hemangiomatosis
  • Has uncontrolled systemic hypertension
  • Has a history of pneumonectomy
  • Has a history of known pericardial constriction
  • Has a history of restrictive cardiomyopathy
  • Has history of atrial septostomy (within 180 days prior to study start)
  • Has personal or family history of long QT syndrome
  • Has history of coronary artery disease (myocardial infarction, percutaneous coronary intervention, coronary artery bypass, graft surgery, or cardiac anginal chest pain) (within 6 months prior to study start)
  • Has a cerebrovascular accident (within 3 months prior to study start)
  • Has significant (>2+ regurgitation) mitral regurgitation or aortic regurgitation valvular disease
  • Has untreated more than mild obstructive sleep apnea
  • Has known malignancy that is progressing or has required active treatment within the past 5 years
  • Has recently started (within 12 months prior to study start) or has plans to start weight loss medication or enter a weight loss program during the study period
  • Has a previous (within 3 years) or planned (during the study) obesity treatment with surgery or a weight-loss device

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Weight-based sotatercept dosingSotaterceptParticipants will receive sotatercept via subcutaneous (SC) injection every 3 weeks at an initial dose of 0.3 mg/kg and then at a maintenance dose of 0.7 mg/kg using a weight-based method during a 24-week treatment period. Participants will continue to take their background PAH therapy during the study.
Weight-based sotatercept dosingBackground PAH TherapyParticipants will receive sotatercept via subcutaneous (SC) injection every 3 weeks at an initial dose of 0.3 mg/kg and then at a maintenance dose of 0.7 mg/kg using a weight-based method during a 24-week treatment period. Participants will continue to take their background PAH therapy during the study.
Weight-banded sotatercept dosingSotaterceptParticipants will receive sotatercept via SC injection every 3 weeks at an initial dose of up to 45 mg and then at a maintenance dose of up to 90 mg using a weight-banded method during a 24-week treatment period. Participants will continue to take their background PAH therapy during the study.
Weight-banded sotatercept dosingBackground PAH TherapyParticipants will receive sotatercept via SC injection every 3 weeks at an initial dose of up to 45 mg and then at a maintenance dose of up to 90 mg using a weight-banded method during a 24-week treatment period. Participants will continue to take their background PAH therapy during the study.
Primary Outcome Measures
NameTimeMethod
Steady-State Average Serum Concentrations of Sotatercept (Cavg)Predose and at designated time points post-dose (up to 24 weeks)

Steady-state Cavg of sotatercept will be reported.

Number of Participants Who Experience One or More Adverse Events (AEs)Up to 37 weeks

An AE is a health problem that happens or worsens during a study. Number of participants who experience an AE will be reported.

Number of Participants who Discontinue Study Treatment due to an Adverse EventUp to 21 weeks

An AE is a health problem that happens or worsens during a study. Number of participants who discontinue study treatment will be reported.

Secondary Outcome Measures
NameTimeMethod
Initial Dose Average Serum Concentrations of Sotatercept (Cavg)Predose and at designated time points post-dose (up to 3 weeks)

Initial dose Cavg of sotatercept will be reported.

Trial Locations

Locations (98)

Universitaetsklinikum Hamburg-Eppendorf ( Site 0610)

🇩🇪

Hamburg, Germany

National Hospital Organization Okayama Medical Center ( Site 2104)

🇯🇵

Okayama, Japan

Pulmonary Associates, PA ( Site 1903)

🇺🇸

Phoenix, Arizona, United States

University of Colorado Anschutz Medical Campus-University of Colorado Hospital Cardiac and Vascular

🇺🇸

Aurora, Colorado, United States

Indiana University Health Methodist Hospital ( Site 1905)

🇺🇸

Indianapolis, Indiana, United States

University of Kansas Medical Center ( Site 1928)

🇺🇸

Kansas City, Kansas, United States

Norton Pulmonary Specialists ( Site 1935)

🇺🇸

Louisville, Kentucky, United States

University of New Mexico Health Sciences Center - Department of Internal Medicine ( Site 1916)

🇺🇸

Albuquerque, New Mexico, United States

University of Cincinnati Medical Center ( Site 1927)

🇺🇸

Cincinnati, Ohio, United States

Ascension Seton Heart Specialty Care and Transplant Center ( Site 1918)

🇺🇸

Austin, Texas, United States

Froedtert Hospital & the Medical College of Wisconsin ( Site 1934)

🇺🇸

Milwaukee, Wisconsin, United States

Centro Medico Capital ( Site 0002)

🇦🇷

La Plata, Buenos Aires, Argentina

Instituto de Investigaciones Clinicas Mar del Plata ( Site 0006)

🇦🇷

Mar del plata, Buenos Aires, Argentina

Instituto Medico Rio Cuarto ( Site 0010)

🇦🇷

Rio Cuarto, Cordoba, Argentina

Hospital Britanico de Buenos Aires ( Site 0004)

🇦🇷

Caba, Argentina

Instituto de Cardiologia Juana F. Cabral ( Site 0008)

🇦🇷

Corrientes, Argentina

Hospital Provincial Jose Maria Cullen ( Site 0005)

🇦🇷

Santa Fe, Argentina

Royal Prince Alfred Hospital ( Site 0103)

🇦🇺

Camperdown, New South Wales, Australia

Westmead Hospital ( Site 0100)

🇦🇺

Westmead, New South Wales, Australia

Wesley Research Institute ( Site 0101)

🇦🇺

Auchenflower, Queensland, Australia

The Alfred Hospital ( Site 0102)

🇦🇺

Melbourne, Victoria, Australia

Peter Lougheed Centre ( Site 0203)

🇨🇦

Calgary, Alberta, Canada

IUCPQ ( Site 0208)

🇨🇦

Quebec, Canada

Guangdong Provincial People s Hospital ( Site 2000)

🇨🇳

Guangzhou, Guangdong, China

The Second Xiangya Hospital of Central South University ( Site 2002)

🇨🇳

Changsha, Hunan, China

Shanghai Pulmonary Hospital ( Site 2004)

🇨🇳

Shanghai, Shanghai, China

Yan an Hospital of Kunming City ( Site 2011)

🇨🇳

Kunming, Yunnan, China

Clinica Cardio VID ( Site 0307)

🇨🇴

Medellín, Antioquia, Colombia

IMAT S.A.S ( Site 0301)

🇨🇴

Monteria, Cordoba, Colombia

Fundacion Santa Fe de Bogota ( Site 0302)

🇨🇴

Bogota, Cundinamarca, Colombia

Clinica Colsanitas - Sede Reina Sofia ( Site 0303)

🇨🇴

Bogota, Distrito Capital De Bogota, Colombia

Centro de Investigaciones Clinicas SAS ( Site 0306)

🇨🇴

Cali, Valle Del Cauca, Colombia

Clínica Imbanaco S.A.S ( Site 0304)

🇨🇴

Cali, Valle Del Cauca, Colombia

Centrum pro plicní hypertenzi VFN II. interni klinika VFN a 1. LF UK ( Site 0400)

🇨🇿

Prague, Praha 2, Czechia

CHU Bordeaux Haut-Leveque ( Site 0501)

🇫🇷

Pessac, Aquitaine, France

Assistance Publique Hôpitaux de Marseille - Hôpital Nord ( Site 0500)

🇫🇷

Marseille, Bouches-du-Rhone, France

CHU Dijon Bourgogne ( Site 0502)

🇫🇷

Dijon, Cote-d Or, France

CHU de Rouen ( Site 0503)

🇫🇷

Rouen, Haute-Normandie, France

CHU GABRIEL MONTPIED ( Site 0504)

🇫🇷

Clermont-Ferrand, Puy-de-Dome, France

Thoraxklinik-Heidelberg gGmbH-Zentrum für Pulmonale Hypertonie ( Site 0600)

🇩🇪

Heidelberg, Baden-Wurttemberg, Germany

Klinikum der Universität München Großhadern ( Site 0611)

🇩🇪

Munchen, Bayern, Germany

Medizinische Hochschule Hannover ( Site 0604)

🇩🇪

Hannover, Niedersachsen, Germany

Universitätsklinikum Bonn ( Site 0608)

🇩🇪

Bonn, Nordrhein-Westfalen, Germany

Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0609)

🇩🇪

Berlin, Germany

Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ ( Site 0704)

🇭🇺

Szeged, Csongrad, Hungary

Pécsi Tudományegyetem Klinikai Központ ( Site 0703)

🇭🇺

Pécs, Pecs, Hungary

Semmelweis Egyetem ( Site 0701)

🇭🇺

Budapest, Pest, Hungary

Gottsegen Gyorgy Orszagos Kardiologiai Intezet ( Site 0702)

🇭🇺

Budapest, Hungary

Rambam Health Care Campus ( Site 0802)

🇮🇱

Haifa, Israel

Carmel Hospital ( Site 0803)

🇮🇱

Haifa, Israel

Rabin Medical Center ( Site 0805)

🇮🇱

Petah-Tikva, Israel

Sheba Medical Center ( Site 0801)

🇮🇱

Ramat Gan, Israel

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola ( Site 0905)

🇮🇹

Bologna, Emilia-Romagna, Italy

AOU Policlinico Umberto I ( Site 0910)

🇮🇹

Roma, Lazio, Italy

Ospedale San Martino ( Site 0901)

🇮🇹

Genova, Liguria, Italy

ASST Grande Ospedale Metropolitano Niguarda ( Site 0900)

🇮🇹

Milan, Lombardia, Italy

Fondazione IRCCS San Gerardo dei Tintori ( Site 0911)

🇮🇹

Monza, Lombardia, Italy

A.O.U. Citta della Salute e della Scienza di Torino ( Site 0904)

🇮🇹

Torino, Piemonte, Italy

Azienda Ospedaliera Universitaria Integrata ( Site 0908)

🇮🇹

Verona, Veneto, Italy

Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico ( Site 0902)

🇮🇹

Milano, Italy

Fondazione IRCCS Policlinico San Matteo ( Site 0909)

🇮🇹

Pavia, Italy

Fondazione G. Monasterio ( Site 0907)

🇮🇹

Pisa, Italy

Ospedale Civile SS Annunziata ( Site 0903)

🇮🇹

Sassari, Italy

Nagoya University Hospital ( Site 2102)

🇯🇵

Nagoya, Aichi, Japan

National Cerebral and Cardiovascular Center ( Site 2103)

🇯🇵

Suita, Osaka, Japan

The University of Tokyo Hospital ( Site 2101)

🇯🇵

Bunkyo, Tokyo, Japan

Kyorin University Hospital ( Site 2100)

🇯🇵

Mitaka, Tokyo, Japan

Kyushu University Hospital ( Site 2105)

🇯🇵

Fukuoka, Japan

Chonnam National University Hospital (CNUH) ( Site 1304)

🇰🇷

Gwangju, Kwangju-Kwangyokshi, Korea, Republic of

Pusan National University Hospital ( Site 1305)

🇰🇷

Busan, Pusan-Kwangyokshi, Korea, Republic of

Seoul National University Hospital ( Site 1302)

🇰🇷

Seoul, Korea, Republic of

Severance Hospital Yonsei University Health System ( Site 1300)

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center ( Site 1303)

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center ( Site 1301)

🇰🇷

Seoul, Korea, Republic of

Radboud University Medical Center ( Site 1001)

🇳🇱

Nijmegen, Gelderland, Netherlands

Sint Antonius Ziekenhuis ( Site 1000)

🇳🇱

Nieuwegein, Utrecht, Netherlands

Krakowski Szpital Specjalistyczny im. św. Jana Pawła II ( Site 1100)

🇵🇱

Krakow, Malopolskie, Poland

National University Heart Centre, Singapore ( Site 1200)

🇸🇬

Singapore, Central Singapore, Singapore

National Heart Centre Singapore ( Site 1201)

🇸🇬

Singapore, Central Singapore, Singapore

Hospital Universitari Son Espases ( Site 1412)

🇪🇸

Palma, Baleares, Spain

Hospital Marques de Valdecilla ( Site 1405)

🇪🇸

Santander, Cantabria, Spain

Hospital Clinic de Barcelona ( Site 1406)

🇪🇸

Barcelona, Cataluna, Spain

Hospital Vall D Hebron ( Site 1404)

🇪🇸

Barcelona, Spain

Hospital Ramon y Cajal ( Site 1401)

🇪🇸

Madrid, Spain

Hospital General Universitario 12 de Octubre ( Site 1403)

🇪🇸

Madrid, Spain

Hospital Universitario La Paz ( Site 1410)

🇪🇸

Madrid, Spain

Hospital Virgen del Rocio ( Site 1407)

🇪🇸

Sevilla, Spain

Hospital Universitario de Toledo ( Site 1408)

🇪🇸

Toledo, Spain

Kaohsiung Veterans General Hospital ( Site 1503)

🇨🇳

Kaohsiung, Taiwan

National Cheng Kung University Hospital ( Site 1501)

🇨🇳

Tainan, Taiwan

Taipei Veterans General Hospital ( Site 1502)

🇨🇳

Taipei, Taiwan

Faculty of Medicine Siriraj Hospital ( Site 1600)

🇹🇭

Bangkok, Krung Thep Maha Nakhon, Thailand

Maharaj Nakorn Chiang Mai Hospital ( Site 1601)

🇹🇭

Chiang Mai, Thailand

Royal Papworth Hospital ( Site 1802)

🇬🇧

Cambridge, Cambridgeshire, United Kingdom

Royal Free London NHS Foundation Trust ( Site 1803)

🇬🇧

London, London, City Of, United Kingdom

Royal Brompton Hospital ( Site 1804)

🇬🇧

London, London, City Of, United Kingdom

Hammersmith Hospital ( Site 1801)

🇬🇧

London, London, City Of, United Kingdom

Golden Jubilee National Hospital ( Site 1800)

🇬🇧

Glasgow, West Dunbartonshire, United Kingdom

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