Winrevair (sotatercept-csrk) is an FDA-approved biologic for adults with pulmonary arterial hypertension (WHO Group 1 pulmonary hypertension). It is the first approved activin signaling inhibitor therapy for PAH and is used to improve exercise capacity and WHO functional class while reducing clinical worsening risk. Its U.S. label indication was updated in October 2025.
Drug Class
Activin signaling inhibitor
Approval Status
FDA approved (initial March 2024; updated indication approved October 27, 2025)
Mechanism of Action
Improves the balance between pro-proliferative and anti-proliferative signaling to modulate vascular proliferation
Brand Names
WINREVAIR
Indications
\Adults with pulmonary arterial hypertension (PAH, WHO Group 1 pulmonary hypertension)\
Merck reported Phase 2 CADENCE results showing WINREVAIR met the primary endpoint in adults with CpcPH-HFpEF. The company said the data support advancement into a registrational Phase 3 study.
Phase 3 trial results show seralutinib missed its primary endpoint in PAH but showed benefit in advanced disease subgroups. Meanwhile, Winrevair demonstrated significant reductions in pulmonary vascular resistance in heart failure-related pulmonary hypertension in a Phase 2 study.
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