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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 Understand the Treatment Patterns in Patients With Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension During a Switch of Treatment to Adempas in Real-life Clinical Practice

Completed
Conditions
Hypertension, Pulmonary
Interventions
First Posted Date
2015-09-10
Last Posted Date
2017-05-24
Lead Sponsor
Bayer
Target Recruit Count
125
Registration Number
NCT02545465

Prospective, Non-interventional, Multi-center, Post-authorization Safety Study of Riociguat for Pulmonary Arterial Hypertension (PAH)

Completed
Conditions
Hypertension, Pulmonary
Interventions
First Posted Date
2015-04-29
Last Posted Date
2024-01-29
Lead Sponsor
Bayer
Target Recruit Count
882
Registration Number
NCT02428985
Locations
🇯🇵

Many Locations, Multiple Locations, Japan

Efficacy and Safety of Riociguat in Patients With Systemic Sclerosis

Phase 2
Completed
Conditions
Scleroderma, Systemic
Interventions
First Posted Date
2014-11-05
Last Posted Date
2020-02-05
Lead Sponsor
Bayer
Target Recruit Count
121
Registration Number
NCT02283762
Locations
🇨🇦

Mount Sinai Hospital, Toronto, Ontario, Canada

🇦🇺

Royal Perth Hospital, Perth, Western Australia, Australia

🇬🇧

Hope Hospital, Salford, Manchester, United Kingdom

and more 56 locations

Measuring Outcomes In Patients With Pulmonary Arterial Hypertension Not on Active Treatment (MOTION)

Phase 4
Completed
Conditions
Hypertension, Pulmonary
Interventions
First Posted Date
2014-07-16
Last Posted Date
2017-10-13
Lead Sponsor
Bayer
Target Recruit Count
75
Registration Number
NCT02191137

Early Signs of Efficacy Study With Riociguat in Adult Homozygous Delta F508 Cystic Fibrosis Patients

Phase 2
Terminated
Conditions
Cystic Fibrosis
Interventions
First Posted Date
2014-06-23
Last Posted Date
2023-11-07
Lead Sponsor
Bayer
Target Recruit Count
21
Registration Number
NCT02170025

Microgynon Riociguat Drug Interaction Study in Healthy Postmenopausal Women

Phase 1
Completed
Conditions
Drug Interactions
Interventions
First Posted Date
2014-06-09
Last Posted Date
2015-08-14
Lead Sponsor
Bayer
Target Recruit Count
31
Registration Number
NCT02159326

Efficacy and Safety of Riociguat in Patients With Symptomatic Pulmonary Hypertension (PH) Associated With Idiopathic Interstitial Pneumonias (IIP)

Phase 2
Terminated
Conditions
Idiopathic Interstitial Pneumonias / Hypertension,Pulmonary
Interventions
First Posted Date
2014-05-15
Last Posted Date
2017-12-04
Lead Sponsor
Bayer
Target Recruit Count
147
Registration Number
NCT02138825
Locations
🇺🇸

University of California, Los Angeles, Los Angeles, California, United States

🇺🇸

Columbia University Medical Center, New York, New York, United States

🇺🇸

Via Christi Clinic, Wichita, Kansas, United States

Prospective, Non-interventional, Multi-center Post-authorization Safety Study of Riociguat for Chronic Thromboembolic Pulmonary Hypertension (CTEPH )

Completed
Conditions
Hypertension, Pulmonary
Interventions
First Posted Date
2014-04-21
Last Posted Date
2024-04-11
Lead Sponsor
Bayer
Target Recruit Count
1298
Registration Number
NCT02117791

EXPERT, EXPosurE Registry RiociguaT in Patients With Pulmonary Hypertension

Completed
Conditions
Hypertension, Pulmonary
Interventions
First Posted Date
2014-03-20
Last Posted Date
2019-06-19
Lead Sponsor
Bayer
Target Recruit Count
1316
Registration Number
NCT02092818

Efficacy Study of Riociguat and Its Effects on Exercise Performance and Pulmonary Artery Pressure at High Altitude

Phase 4
Completed
Conditions
Hypertension, Pulmonary
Altitude Sickness
Interventions
First Posted Date
2013-12-31
Last Posted Date
2017-04-12
Lead Sponsor
Richard Moon
Target Recruit Count
28
Registration Number
NCT02024386
Locations
🇺🇸

Duke Center for Hyperbaric Medicine and Environmental Physiology, Trent Drive, Building CR2, Room 0584, Box 3823,, Durham, North Carolina, United States

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