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Trial · NCT03496207

A Study of Sotatercept for the Treatment of Pulmonary Arterial Hypertension (PAH)

NCT03496207, Phase 2, Completed, Acceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc., Rahway, NJ USA; results first posted 2023-04-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Sotatercept for the Treatment of Pulmonary Arterial Hypertension (PAH). Trials, record NCT03496207. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03496207

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Sotatercept for the Treatment of Pulmonary Arterial Hypertension (PAH)
NCT number
NCT03496207
Status
Completed
Phases
Phase 2
Enrollment
106 participants, actual
Lead sponsor
Acceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc., Rahway, NJ USA
Conditions
Pulmonary Arterial Hypertension
Interventions
Placebo, Sotatercept, SOC
First posted
2018-04-12
Last updated
2023-04-19
Other registries' IDs
eudract:2017-004738-27
Results first posted
2023-04-19

Source ClinicalTrials.gov

Registered outcomes23

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryBase Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksBaseline and 24 weeksEach participant's PVR, at resting supine, was measured by right heart catheterization at baseline and at 24 weeks.
PrimaryExtension Period: Change From Baseline in PVR (Delayed-Start Analysis)Baseline and timepoint at which third right heart catheterization was performed, which occurred between Month 18 and Month 24
Each participant's PVR, at resting supine, was measured by right heart catheterization at baseline and the timepoint at which the third right heart catheterization was performed, which occurred between Month 18 and Month 24.
PrimaryExtension Period: Change From Baseline in PVR (Placebo-Crossed Analysis)Baseline and the timepoint at which the third right heart catheterization was performed, which occurred between Month 18 and Month 24.
Each participant's PVR, at resting supine, was measured by right heart catheterization at baseline and the timepoint at which the third right heart catheterization was performed, which occurred between Month 18 and Month 24.
PrimaryExtension Period: Number of Participants Who Experienced One or More Adverse Events (AEs)Up to approximately 32 months
An AE is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product.
PrimaryExtension Period: Number of Participants Who Discontinued Study Treatment Due to an AEUp to 30 months
An AE is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product.
SecondaryBase Study: Change From Baseline in 6-Minute Walk Distance (6MWD) at 24 WeeksBaseline and 24 weeks
6MWD is measured by an exercise test known as 6-Minute Walk Test (6MWT) that assesses aerobic capacity and endurance. It measures the distance covered over a time of 6 minutes and is used as an outcome measure by which to compare changes in performance capacity. Each participant's 6MWD was measured at baseline and at 24 weeks. An increase in the distance walked during the 6MWT indicates improvement in basic mobility.
SecondaryBase Study: Change From Baseline in Concentration of Amino-Terminal Brain Natriuretic Propeptide (NT-proBNP) at 24 WeeksBaseline and 24 WeeksEach participant's laboratory biomarkers N-terminal prohormone brain-type natriuretic peptide (NT-proBNP) or brain-type natriuretic peptide (BNP) were measured at baseline and at 24 weeks.
SecondaryBase Study: Change From Baseline in Tricuspid Annular Plane Systolic Excursion (TAPSE) at 24 WeeksBaseline and 24 weeksEach participant's TAPSE, which is commonly used to evaluate tricuspid valve annulus movement as an indicator of right heart function, was measured by echocardiography at baseline and 24 weeks.
SecondaryBase Study: Change From Baseline in Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) Score at Cycle 9Baseline and Day 1 of Cycle 9, up to 24 weeks (Each cycle was 21 days.)
The CAMPHOR is participant-reported questionnaire that contains 65 items in total, 25 relating to symptoms, 25 relating to quality of life (QoL), and 15 relating to activities. Symptom items are scored from 0-25, with a higher score indicating worse symptoms. QoL items are also scored from 0-25, with a higher score indicating a worse QoL and greater functional limitation. Activity items are scored from 0-30, with a higher score indicating poorer functioning. The combined score is obtained by summing up the symptoms score, QoL score and activity score. The lowest combined score possible is 0, while the highest combined score possible is 80. Each participant's CAMPHOR score was recorded at baseline and on Day 1 of Cycle 9.
SecondaryBase Study: Change From Baseline in 36-Item Short Form Health Survey (SF-36) ScoreBaseline and Day 1 of Cycle 9, up to 24 weeks (Each cycle was 21 days.)
The SF-36 questionnaire is a participant-reported survey of a participant's health. The survey evaluates 8 aspects of functional health and well-being that relate to either physical health or mental health. The physical component summary is based primarily on physical functioning, bodily pain, and general health. The mental component summary encompasses vitality, social functioning, and emotional and mental health. Total scores for the physical component range from 0-100, with 100 representing the highest level of physical functioning. The total scores for the mental component also range from 0-100, with 100 representing the highest level of mental functioning. Each participant's SF-36 was recorded at baseline and on Day 1 of Cycle 9. Each cycle was 21 days.

Outcomes23

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYBase Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksBaseline and 24 weeks
All randomized participants administered their assigned treatment who received at least 6 of the same doses during Base Study, had baseline and post-Base Study PVR assessment and End of Treatment (EOT) assessment. Note: Data from participants whose dose was down-titrated were analyzed according to dose received at least 6 times rather than dose originally assigned. Per protocol, only participants who consistently received in 0.3 mg/kg or 0.7 mg/kg of sotatercept were planned to be analyzed.
dynes*sec/cm^5MEAN
PRIMARYExtension Period: Change From Baseline in PVR (Delayed-Start Analysis)Baseline and timepoint at which third right heart catheterization was performed, which occurred between Month 18 and Month 24All randomized participants who received their assigned treatment, transitioned to the extension period, and had data for the respective timepointsdynes*sec/cm^5MEAN
PRIMARYExtension Period: Change From Baseline in PVR (Placebo-Crossed Analysis)Baseline and the timepoint at which the third right heart catheterization was performed, which occurred between Month 18 and Month 24.All randomized participants who received their assigned treatment, transitioned to the extension period, and had data for the respective timepointsdynes*sec/cm^5MEAN
PRIMARYExtension Period: Number of Participants Who Experienced One or More Adverse Events (AEs)Up to approximately 32 monthsAll randomized participants who transitioned to the extension period and received at least 1 dose of study treatmentParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYExtension Period: Number of Participants Who Discontinued Study Treatment Due to an AEUp to 30 monthsAll randomized participants who transitioned to the extension period and received at least 1 dose of study treatmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYBase Study: Change From Baseline in 6-Minute Walk Distance (6MWD) at 24 WeeksBaseline and 24 weeks
All randomized participants administered their assigned treatment who received at least 6 of the same doses during Base Study, had baseline and post-Base Study PVR assessment and EOT assessment. Note: Data from participants whose dose was down-titrated were analyzed according to dose received at least 6 times rather than dose originally assigned. Per protocol, only participants who consistently received in 0.3 mg/kg or 0.7 mg/kg of sotatercept were planned to be analyzed.
metersLEAST_SQUARES_MEAN
SECONDARYBase Study: Change From Baseline in Concentration of Amino-Terminal Brain Natriuretic Propeptide (NT-proBNP) at 24 WeeksBaseline and 24 Weeks
All randomized participants administered their assigned treatment who received ≥6 of the same doses during Base Study, had baseline and post-Base Study PVR assessment and EOT assessment, and had data for the outcome measure. Note: Data from participants whose dose was down-titrated were analyzed according to dose received ≥6 times rather than dose originally assigned. Per protocol, only participants who consistently received in 0.3 mg/kg or 0.7 mg/kg of sotatercept were planned to be analyzed.
pg/mLMEAN
SECONDARYBase Study: Change From Baseline in Tricuspid Annular Plane Systolic Excursion (TAPSE) at 24 WeeksBaseline and 24 weeks
All randomized participants administered their assigned treatment who received ≥6 of the same doses during Base Study, had baseline and post-Base Study PVR assessment and EOT assessment, and had data for the outcome measure. Note: Data from participants whose dose was down-titrated were analyzed according to dose received ≥6 times rather than dose originally assigned. Per protocol, only participants who consistently received in 0.3 mg/kg or 0.7 mg/kg of sotatercept were planned to be analyzed.
cmMEAN
SECONDARYBase Study: Change From Baseline in Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) Score at Cycle 9Baseline and Day 1 of Cycle 9, up to 24 weeks (Each cycle was 21 days.)
All randomized participants administered their assigned treatment who received ≥6 of the same doses during Base Study, had baseline and post-Base Study PVR assessment and EOT assessment, and had data for the outcome measure. Note: Data from participants whose dose was down-titrated were analyzed according to dose received ≥6 times rather than dose originally assigned. Per protocol, only participants who consistently received in 0.3 mg/kg or 0.7 mg/kg of sotatercept were planned to be analyzed.
Score on a scaleMEAN
SECONDARYBase Study: Change From Baseline in 36-Item Short Form Health Survey (SF-36) ScoreBaseline and Day 1 of Cycle 9, up to 24 weeks (Each cycle was 21 days.)
All randomized participants administered their assigned treatment who received ≥6 of the same doses during Base Study, had baseline and post-Base Study PVR assessment and EOT assessment, and had data for the outcome measure. Note: Data from participants whose dose was down-titrated were analyzed according to dose received ≥6 times rather than dose originally assigned. Per protocol, only participants who consistently received in 0.3 mg/kg or 0.7 mg/kg of sotatercept were planned to be analyzed.
Score on a scaleLEAST_SQUARES_MEAN

Results by group73

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Base Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksPlaceboBase Study: Change from Baseline in PVR at 24 Weeks-27.6Standard Deviation 251.08dynes*sec/cm^5
Base Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksSotatercept 0.3 mg/kgBase Study: Change from Baseline in PVR at 24 Weeks-168.4Standard Deviation 262.93dynes*sec/cm^5
Base Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksSotatercept 0.7 mg/kgBase Study: Change from Baseline in PVR at 24 Weeks-258.9Standard Deviation 169.42dynes*sec/cm^5
Base Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksPlaceboBaseline802.0Standard Deviation 331.05dynes*sec/cm^5
Base Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksSotatercept 0.3 mg/kgBaseline772.0Standard Deviation 285.62dynes*sec/cm^5
Base Study: Change From Baseline in Pulmonary Vascular Resistance (PVR) at 24 WeeksSotatercept 0.7 mg/kgBaseline715.5Standard Deviation 267.11dynes*sec/cm^5
Extension Period: Change From Baseline in PVR (Delayed-Start Analysis)Placebo-Crossed Treatment GroupExtension Period: Change from Baseline in PVR (Delayed-Start Analysis)-246.9Standard Deviation 300.01dynes*sec/cm^5
Extension Period: Change From Baseline in PVR (Delayed-Start Analysis)Continued Sotatercept Treatment GroupExtension Period: Change from Baseline in PVR (Delayed-Start Analysis)-212.6Standard Deviation 254.24dynes*sec/cm^5
Extension Period: Change From Baseline in PVR (Delayed-Start Analysis)Placebo-Crossed Treatment GroupBaseline802.0Standard Deviation 331.05dynes*sec/cm^5
Extension Period: Change From Baseline in PVR (Delayed-Start Analysis)Continued Sotatercept Treatment GroupBaseline783.7Standard Deviation 371.59dynes*sec/cm^5

Participant flow30

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Base StudySTARTEDExtension Period: Placebo→Sotatercept 0.3 mg/kg0
Base StudySTARTEDExtension Period: Placebo→Sotatercept 0.7 mg/kg0
Base StudySTARTEDPlacebo32
Base StudySTARTEDSotatercept 0.3 mg/kg32
Base StudySTARTEDSotatercept 0.7 mg/kg42
Base StudyCOMPLETEDExtension Period: Placebo→Sotatercept 0.3 mg/kg0
Base StudyCOMPLETEDExtension Period: Placebo→Sotatercept 0.7 mg/kg0
Base StudyCOMPLETEDPlacebo30
Base StudyCOMPLETEDSotatercept 0.3 mg/kg31
Base StudyCOMPLETEDSotatercept 0.7 mg/kg36

Adverse events2,023

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersBase Study: Placebo2323
otherAnaemiaBlood and lymphatic system disordersBase Study: Sotatercept 0.3 mg/kg1322
otherAnaemiaBlood and lymphatic system disordersBase Study: Sotatercept 0.7 mg/kg2422
otherAnaemiaBlood and lymphatic system disordersExtension Period: Placebo→Sotatercept 0.3 mg/kg0150
otherAnaemiaBlood and lymphatic system disordersExtension Period: Placebo→Sotatercept 0.7 mg/kg2152
otherAnaemiaBlood and lymphatic system disordersExtension Period: Sotatercept 0.3 mg/kg83113
otherAnaemiaBlood and lymphatic system disordersExtension Period: Sotatercept 0.7 mg/kg1362
otherBlood loss anaemiaBlood and lymphatic system disordersBase Study: Placebo0320
otherBlood loss anaemiaBlood and lymphatic system disordersBase Study: Sotatercept 0.3 mg/kg0320
otherBlood loss anaemiaBlood and lymphatic system disordersBase Study: Sotatercept 0.7 mg/kg0420

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBase Study: Placebo032
Total, all-cause mortalityBase Study: Sotatercept 0.3 mg/kg032
Total, all-cause mortalityBase Study: Sotatercept 0.7 mg/kg142
Total, all-cause mortalityExtension Period: Placebo→Sotatercept 0.3 mg/kg115
Total, all-cause mortalityExtension Period: Placebo→Sotatercept 0.7 mg/kg015
Total, all-cause mortalityExtension Period: Sotatercept 0.3 mg/kg132
Total, all-cause mortalityExtension Period: Sotatercept 0.7 mg/kg242
Total, other adverse eventsBase Study: Placebo2532
Total, other adverse eventsBase Study: Sotatercept 0.3 mg/kg2932
Total, other adverse eventsBase Study: Sotatercept 0.7 mg/kg3342

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33789009DERIVEDPubMed
36041750RESULTPubMed
40035659DERIVEDPubMed
42246435DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Continued Sotatercept Treatment Group vs Placebo-Crossed Treatment Group: Extension Period: Number of Participants Who Experienced an Improvement From Baseline in WHO Functional Class (Delayed-Start Analysis)

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03496207

GET https://conductscience.org/api/trials/v1/NCT03496207/registered?page=2