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10.1183/09031936.00087114

http://scihub22266oqcxt.onion/10.1183/09031936.00087114
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25395036!ä!25395036

suck abstract from ncbi


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pmid25395036      Eur+Respir+J 2015 ; 45 (5): 1293-302
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  • Riociguat for the treatment of chronic thromboembolic pulmonary hypertension: a long-term extension study (CHEST-2) #MMPMID25395036
  • Simonneau G; D'Armini AM; Ghofrani HA; Grimminger F; Hoeper MM; Jansa P; Kim NH; Wang C; Wilkins MR; Fritsch A; Davie N; Colorado P; Mayer E
  • Eur Respir J 2015[May]; 45 (5): 1293-302 PMID25395036show ga
  • Riociguat is a soluble guanylate cyclase stimulator approved for the treatment of inoperable and persistent/recurrent chronic thromboembolic pulmonary hypertension (CTEPH). In the 16-week CHEST-1 study, riociguat showed a favourable benefit-risk profile and improved several clinically relevant end-points in patients with CTEPH. The CHEST-2 open-label extension evaluated the long-term safety and efficacy of riociguat. Eligible patients from CHEST-1 received riociguat individually adjusted up to a maximum dose of 2.5 mg three times daily. The primary objective was the safety and tolerability of riociguat; exploratory efficacy end-points included 6-min walking distance (6MWD) and World Health Organization (WHO) functional class (FC). Overall, 237 patients entered CHEST-2 and 211 (89%) were ongoing at this interim analysis (March 2013). The safety profile of riociguat in CHEST-2 was similar to CHEST-1, with no new safety signals. Improvements in 6MWD and WHO FC observed in CHEST-1 persisted for up to 1 year in CHEST-2. In the observed population at 1 year, mean+/-sd 6MWD had changed by +51+/-62 m (n=172) versus CHEST-1 baseline (n=237), and WHO FC had improved/stabilised/worsened in 47/50/3% of patients (n=176) versus CHEST-1 baseline (n=236). Long-term riociguat had a favourable benefit-risk profile and apparently showed sustained benefits in exercise and functional capacity for up to 1 year.
  • |Aged[MESH]
  • |Antihypertensive Agents/therapeutic use[MESH]
  • |Dose-Response Relationship, Drug[MESH]
  • |Double-Blind Method[MESH]
  • |Drug Administration Schedule[MESH]
  • |Exercise Test[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Guanylate Cyclase/metabolism[MESH]
  • |Humans[MESH]
  • |Hypertension, Pulmonary/*drug therapy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pyrazoles/*therapeutic use[MESH]
  • |Pyrimidines/*therapeutic use[MESH]
  • |Respiratory Function Tests[MESH]
  • |Risk[MESH]
  • |Thromboembolism/*drug therapy[MESH]
  • |Time Factors[MESH]


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