Riociguat in Triple Therapy for Pulmonary Arterial Hypertension in Real-World Practice
NCT07374302 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 15
Last updated 2026-01-28
Summary
Pulmonary arterial hypertension is a rare and serious disease that can lead to heart failure and early death despite modern treatments. Many patients are treated with a combination of medications targeting different disease pathways, but some continue to have an inadequate response.
Riociguat is a medication that acts on the nitric oxide pathway and may be beneficial in patients who do not respond well to phosphodiesterase-5 inhibitors. In routine clinical practice, some patients receiving triple therapy switch from a phosphodiesterase-5 inhibitor to riociguat.
The REAPPRAISED study evaluates outcomes in patients with pulmonary arterial hypertension who switched to riociguat while receiving triple therapy. This observational study uses data from routine clinical care and does not involve any experimental treatment. The results may help improve understanding of the effectiveness and safety of this treatment strategy in real-world practice.
Conditions
Sponsors & Collaborators
-
Caio Júlio César dos Santos Fernandes
lead OTHER
Principal Investigators
-
Caio Fernandes, MD · UNIVERSIDADE SAO PAULO
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-01
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
More Related Trials
-
A Study to Test the Effects of Riociguat in Patients With Pulmonary Hypertension Associated With Left Ventricular Systolic Dysfunction
NCT01065454 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of the Pharmacodynamic Effect of the Combination of Sildenafil and Riociguat on Blood Pressure and Other Safety Parameters.
NCT01179334 ·Status: COMPLETED ·Phase: PHASE2
-
Riociguat rEplacing PDE-5i Therapy evaLuated Against Continued PDE-5i thErapy
NCT02891850 ·Status: COMPLETED ·Phase: PHASE4
-
A Study to Test the Effects of Riociguat in Patients With Pulmonary Hypertension Associated With Left Ventricular Diastolic Dysfunction
NCT01172756 ·Status: TERMINATED ·Phase: PHASE2
-
(RIGHT HEART III Study - Right Ventricular Hemodynamic Evaluation and Response to Treatment)
NCT03362047 ·Status: COMPLETED ·Phase: PHASE2
-
Riociguat in Patients With Operable CTEPH Prior to Pulmonary Endarterectomy (PEA Bridging Study)
NCT03273257 ·Status: TERMINATED ·Phase: PHASE2
-
Efficacy and Safety of Riociguat in Incipient Pulmonary Vascular Disease as an Indicator for Early PAH
NCT05339087 ·Status: TERMINATED ·Phase: PHASE2
-
THERAPY-HYBRID-BPA Trial
NCT04600492 ·Status: UNKNOWN ·Phase: PHASE2
-
Prospective, Non-interventional, Multi-center Post-authorization Safety Study of Riociguat for Chronic Thromboembolic Pulmonary Hypertension (CTEPH )
NCT02117791 ·Status: COMPLETED
-
Prospective, Non-interventional, Multi-center, Post-authorization Safety Study of Riociguat for Pulmonary Arterial Hypertension (PAH)
NCT02428985 ·Status: COMPLETED
-
Efficacy and Safety of Riociguat in Patients With Symptomatic Pulmonary Hypertension (PH) Associated With Idiopathic Interstitial Pneumonias (IIP)
NCT02138825 ·Status: TERMINATED ·Phase: PHASE2
-
Pilot Study to Evaluate Right Ventricular Function With Riociguat in CTEPH
NCT02094001 ·Status: COMPLETED ·Phase: PHASE2
-
Upfront Combination Pulmonary Arterial Hypertension Therapy
NCT03809156 ·Status: UNKNOWN ·Phase: PHASE4
-
A Long-term Extension Study of Riociguat in Patients With Symptomatic Pulmonary Arterial Hypertension.
NCT02759419 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Triple-targeted Drug Therapy in Treatment-naive Patients With Non-low-risk PAH: A Real-world, Multicenter Study
NCT06753981 ·Status: RECRUITING
-
A Therapeutic Open Label Study of Tocilizumab in the Treatment of Pulmonary Arterial Hypertension
NCT02676947 ·Status: COMPLETED ·Phase: PHASE2
-
Riociguat in Patients With Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
NCT01784562 ·Status: NO_LONGER_AVAILABLE
-
Study Of Right Ventricular Performance In PAH Patients Treated With Rapid Dose Treprostinil (Remodulin)
NCT02074449 ·Status: COMPLETED
-
Efficacy Study of Riociguat and Its Effects on Exercise Performance and Pulmonary Artery Pressure at High Altitude
NCT02024386 ·Status: COMPLETED ·Phase: PHASE4
-
FK506 (Tacrolimus) in Pulmonary Arterial Hypertension
NCT01647945 ·Status: COMPLETED ·Phase: PHASE2
-
Riociguat in Children With Pulmonary Arterial Hypertension (PAH)
NCT02562235 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Effects of Combination Medical Therapy Followed by BPA on Right Ventricular-PA Coupling and Hemodynamics in CTEPH
NCT05140525 ·Status: RECRUITING ·Phase: PHASE3
-
A Phase 3 Study to Evaluate the Safety and Tolerability of L606 in Subjects With PAH or PH-ILD
NCT04691154 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
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
NCT02545465 ·Status: COMPLETED
-
Treatment of Exercise-Induced Pulmonary Vascular Dysfunction After Pulmonary Thromboendarterectomy or Balloon Pulmonary Angioplasty
NCT03409588 ·Status: COMPLETED ·Phase: PHASE2