Study summary

Sotatercept cut death, transplant or hospitalization by three-quarters in high-risk PAH

ZENITH trial · 172 people, phase 3 · Published March 2025, New England Journal of Medicine; FDA approved March 2024

17.4%died, had a lung transplant or were hospitalized, vs 54.7% with placebo

What was tested

Sotatercept, an injection every 3 weeks that rebalances growth signals in the lung blood vessels, against placebo, added to maximal background therapy, for adults with high-risk pulmonary arterial hypertension.

What they found

What it means

Stopped early for benefit; the first PAH drug to show fewer deaths and transplants in high-risk people.

N Engl J Med, via PubMed ↗ ← Back to the outlook
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