Riociguat is a soluble guanylate cyclase (sGC) agonist approved in the USA, Europe and several other regions for patients with group I PAH (pulmonary arterial hypertension) in WHO FC II or III; and for the treatment of patients with inoperable CTEPH (chronic thromboembolic pulmonary hypertension), or persistent/recurrent PH (pulmonary hypertension) after pulmonary endarterectomy in WHO FC II or III. Riociguat is marketed under the brand Adempas® by Bayer HealthCare Pharmaceuticals. Treatment with riociguat costs USD $7,500 for 30 days of treatment.
Riociguat is indicated for the treatment of adults with persistent/recurrent chronic thromboembolic pulmonary hypertension (CTEPH), (WHO Group 4) after surgical treatment, or inoperable CTEPH, to improve exercise capacity and WHO functional class.
Riociguat is indicated for the treatment of adults with pulmonary arterial hypertension (PAH), (WHO Group 1), to improve exercise capacity, WHO functional class and to delay clinical worsening. Efficacy was shown in patients on Riociguat monotherapy or in combination with endothelin receptor antagonists or prostanoids. Studies establishing effectiveness included predominately patients with WHO functional class II–III and etiologies of idiopathic or heritable PAH (61%) or PAH associated with connective tissue diseases (25%).
Cedar Sinai, Los Angeles, California, United States
Northwestern, Chicago, Illinois, United States
UCSF, Fresno, California, United States
National Hospital Org anization Okayama Medical Center, Okayama, Japan
Clinical Pharmacology Unit, Merksem, Belgium
University of Arizona, Tucson, Arizona, United States
Vancouver General Hospital, The Lung Centre, Vancouver, British Columbia, Canada
Peter Lougheed Center, Calgary, Alberta, Canada
University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States
CRS Clinical Research Services Mannheim, Mannheim, Germany
UC San Diego, La Jolla, California, United States
Papworth Hospital, Cambridge, United Kingdom
Hopital de Bicêtre, Paris, France
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