MedPath

Riociguat

Generic Name
Riociguat
Brand Names
Adempas
Drug Type
Small Molecule
Chemical Formula
C20H19FN8O2
CAS Number
625115-55-1
Unique Ingredient Identifier
RU3FE2Y4XI
Background

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.

Indication

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%).

Associated Conditions
Chronic Thromboembolic Pulmonary Hypertension (CTEPH), Pulmonary Arterial Hypertension (PAH)

A Study to Learn About How Well Riociguat Works, How Safe it is and How it is Used Under Real World Conditions in Patients in the United States Who Are Receiving Riociguat for High Blood Pressure in the Arteries That Carry Blood From the Heart to the Lungs (Pulmonary Arterial Hypertension, PAH)

Completed
Conditions
Pulmonary Arterial Hypertension
Interventions
First Posted Date
2021-03-24
Last Posted Date
2025-02-10
Lead Sponsor
Bayer
Target Recruit Count
500
Registration Number
NCT04813926
Locations
🇺🇸

Cedar Sinai, Los Angeles, California, United States

🇺🇸

Northwestern, Chicago, Illinois, United States

🇺🇸

UCSF, Fresno, California, United States

and more 47 locations

THERAPY-HYBRID-BPA Trial

Phase 2
Recruiting
Conditions
Hypertension, Pulmonary
Interventions
First Posted Date
2020-10-23
Last Posted Date
2020-10-23
Lead Sponsor
National Hospital Organization Okayama Medical Center
Target Recruit Count
72
Registration Number
NCT04600492
Locations
🇯🇵

National Hospital Org anization Okayama Medical Center, Okayama, Japan

A 2-part Study to Investigate the Effect of Macitentan in Healthy Male Participants

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2019-12-26
Last Posted Date
2025-03-30
Lead Sponsor
Actelion
Target Recruit Count
47
Registration Number
NCT04211272
Locations
🇧🇪

Clinical Pharmacology Unit, Merksem, Belgium

Trial to Evaluate Parenteral Treprostinil and Riociguat on Right Ventriculo-vascular Coupling and Morphology in Those With Advanced PAH

Phase 3
Recruiting
Conditions
Pulmonary Arterial Hypertension
Interventions
First Posted Date
2019-08-20
Last Posted Date
2025-02-20
Lead Sponsor
University of Arizona
Target Recruit Count
20
Registration Number
NCT04062565
Locations
🇺🇸

University of Arizona, Tucson, Arizona, United States

Upfront Combination Pulmonary Arterial Hypertension Therapy

Phase 4
Conditions
Pulmonary Hypertension
Interventions
First Posted Date
2019-01-18
Last Posted Date
2020-03-26
Lead Sponsor
University of Calgary
Target Recruit Count
20
Registration Number
NCT03809156
Locations
🇨🇦

Vancouver General Hospital, The Lung Centre, Vancouver, British Columbia, Canada

🇨🇦

Peter Lougheed Center, Calgary, Alberta, Canada

Treatment of Exercise-Induced Pulmonary Vascular Dysfunction After Pulmonary Thromboendarterectomy or Balloon Pulmonary Angioplasty

Phase 2
Recruiting
Conditions
Chronic Thromboembolic Disease (CTED)
Exercise Intolerance Post PEA Surgery
Interventions
First Posted Date
2018-01-24
Last Posted Date
2024-05-23
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
20
Registration Number
NCT03409588
Locations
🇺🇸

University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States

Clinical Study to Investigate Effect of Macitentan on Riociguat Pharmacokinetics

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
First Posted Date
2018-01-03
Last Posted Date
2018-02-08
Lead Sponsor
Actelion
Target Recruit Count
20
Registration Number
NCT03389321
Locations
🇩🇪

CRS Clinical Research Services Mannheim, Mannheim, Germany

Riociguat in Patients With Operable CTEPH Prior to Pulmonary Endarterectomy (PEA Bridging Study)

Phase 2
Terminated
Conditions
Chronic Thromboembolic Pulmonary Hypertension
CTEPH
Interventions
Drug: Placebo
Procedure: Pulmonary endarterectomy
First Posted Date
2017-09-06
Last Posted Date
2021-06-22
Lead Sponsor
International CTEPH Association
Target Recruit Count
14
Registration Number
NCT03273257
Locations
🇺🇸

UC San Diego, La Jolla, California, United States

🇬🇧

Papworth Hospital, Cambridge, United Kingdom

🇫🇷

Hopital de Bicêtre, Paris, France

and more 1 locations
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