Pulmonary vascular disease & thromboembolism

SPECTRA Phase 2b Study: Impact of Sotatercept on Exercise Tolerance and Right Ventricular Function in Pulmonary Arterial Hypertension

Circ Heart FailPublished Single-arm, open-label, multicentre exploratory phase 2a study

Main finding · Change in peak oxygen uptake from baselineResult — go to the resultMean change 102.74 mL/min 95% CI 27.72–177.76

Authors' conclusion

Improvements in right ventricular structure and function underscore the potential for sotatercept as a disease-modifying agent with reverse-remodeling capabilities.

Study context

Population
Pulmonary arterial hypertension, WHO functional class III, on combination background therapy21 completed 24 weeks
Comparison
Sotatercept, change from baseline
Outcome
Change in peak oxygen uptake from baseline
Follow-up
Week 24

Main finding

As reported in the abstract

Mean change

102.74 mL/min

95% CI 27.72–177.76

P = 0.0097

Week 24vs Baseline
mean change 102.74 mL/min (95% CI 27.72–177.76); P = 0.0097

Secondary outcomes

Resting and peak exercise hemodynamics, 6-minute walk distance

Improvements vs baseline

RV function (CMR) · week 24

Improvements from baseline in RV function

Original publication

SPECTRA Phase 2b Study: Impact of Sotatercept on Exercise Tolerance and Right Ventricular Function in Pulmonary Arterial Hypertension. Circ Heart Fail. Published 4 April 2024. doi:10.1161/circheartfailure.123.011227

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