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Pulmonary Artery HypertensionPhase 4NCT07140484

Sotatercept in Pulmonary Arterial Hypertension

A Phase 4 study testing Sotatercept in people with Pulmonary Artery Hypertension, run by University of Alberta at 1 site in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to determine whether sotatercept is effective in improving diffusing capacity in patients with pulmonary arterial hypertension. Participants will be asked to: Take Sotatercept every 21 days (±3 days) Each participant will be enrolled in the study for 29 Weeks Visit the clinic 18… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pulmonary Artery Hypertension
What is being tested?
Sotatercept
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
1 siteCanada
Study dates
6 Oct 2025to 1 Jan 2030
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • 1. Diagnosis of pulmonary hypertension WHO Groups 2, 3, 4, or 5
  • Musculoskeletal limitation that precludes participation in cycle ergometry
  • Resting oxygen saturation < 88%. (Note: patients on oxygen can be included in the study if they can maintain a resting saturation of ≥ 88 % after 3 minutes off oxygen).
  • Diagnosis of the following PAH Group 1 subtypes: human immunodeficiency virus (HIV)-associated PAH and PAH associated with portal hypertension, schistosomiasis-associated PAH and pulmonary veno-occlusive disease.
  • Hemoglobin (Hgb) at screening above the gender-specific upper limit of normal (ULN), per local laboratory test.
  • Baseline platelet count < 50,000/mm3 (< 50.0 × 109/L) in the enrollment period.
Show all 29Show fewer
  • Uncontrolled systemic hypertension as evidenced by sitting systolic blood pressure > 160 mmHg or sitting diastolic blood pressure > 100 mmHg during a screening visit after a period of rest.
  • Baseline systolic blood pressure < 90 mmHg at screening.
  • Pregnant or breastfeeding women.
  • Any of the following clinical laboratory values at the screening visit:
  • Estimated glomerular filtration rate (eGFR) < 30 mL/min/m2 (as defined by the Modification of Diet in Renal Disease [MDRD] equation)
  • Serum alanine aminotransferase, aspartate aminotransferase, or total bilirubin levels > 3 × ULN (bilirubin criterion waived if there is a documented history of Gilbert's syndrome).
  • Currently enrolled in or have completed any other investigational product study within 30 days for small-molecule drugs or within 5 half-lives for biologics prior to the date of signed informed consent.
  • History of full pneumonectomy.
  • Pulmonary function test (PFT) values of forced vital capacity (FVC) < 60% predicted and/or FEV1/FVC < lower limit of normal at the screening visit or within 6 months prior to the screening visit.
  • Smoking history of ≥ 20 pack-years or any tobacco smoking or vaping within the previous 3 months.
  • Body mass index ≥ 40 kg/m2.
  • Planned initiation of an exercise program for cardiopulmonary rehabilitation during the study (participants who are stable in the maintenance phase of a program and who will continue for the duration of the study are eligible).
  • Known history of portal hypertension or chronic liver disease, including hepatitis B and/or hepatitis C (with evidence of recent infection and/or active virus replication), defined as mild to severe hepatic impairment (Child-Pugh Class A-C).
  • History of restrictive, constrictive, or congestive cardiomyopathy.
  • History of atrial septostomy within 180 days prior to the screening visit.
  • Electrocardiogram (ECG) with Fridericia's corrected QT interval (QTcF) > 500 ms during the Screening Period
  • Personal or family history of long QT syndrome (LQTS) or sudden cardiac death.
  • Left ventricular ejection fraction < 45% on historical echocardiogram within 6 months prior to the screening visit.
  • Any symptomatic coronary disease events (prior myocardial infarction, percutaneous coronary intervention, coronary artery bypass graft surgery, or cardiac anginal chest pain) within 6 months prior to the screening visit. Note: Anginal pain can be ignored as an exclusion criterion if coronary angiography shows no obstructions.
  • Cerebrovascular accident within 3 months prior to the Screening Visit.
  • Significant mitral or aortic valve dysfunction (greater than moderate mitral regurgitation or aortic regurgitation, or greater than mild mitral stenosis or aortic stenosis).
  • Received intravenous inotropes (e.g., dobutamine, dopamine, norepinephrine, vasopressin) within 30 days prior to the screening visit.
  • Known hypersensitivity to sotatercept or to any ingredient in the formulation or component of the container.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Desi Fuhr, MSc contact

7804921121

fuhr@ualberta.ca

Kostia Dmytriiev, MD contact

7804928027

kdmytrii@ualberta.ca

Canada1 site, 1 recruiting
  • Clinical Physiology Laboratory

    Edmonton, Alberta, T6G2R3

    Desi Fuhr, 7804921121, fuhr@ualberta.ca

    Michael Stickland, 7804923995, michael.stickland@ualberta.ca

    Recruiting

Other trials in Canada

About this study

Official title: A Single-arm, Open-label Phase IV Study to Evaluate the Effectiveness of Sotatercept in Improving Pulmonary Vascular Recruitment in Patients With Pulmonary Arterial Hypertension (PAH)

The goal of this clinical trial is to determine whether sotatercept is effective in improving diffusing capacity in patients with pulmonary arterial hypertension.

Participants will be asked to:

Read more
  • Take Sotatercept every 21 days (±3 days)
  • Each participant will be enrolled in the study for 29 Weeks
  • Visit the clinic 18 times
  • Have a physical exam
  • Perform assessments of lung function and exercise tests
  • Have an ultrasound of their heart
  • Have blood draws done at regular intervals

The main objectives of the study are:

Primary objective: To assess whether sotatercept will improve recruitment of diffusing membrane capacity (DM) with exercise.

Secondary objective: To identify components of the diffusing capacity that respond to treatment with sotatercept in pulmonary arterial hypertension.

Read the detailed description

Potential participants must provide their written informed consent before any study-specific procedures.

All screening procedures will be completed over two weeks during three separate visits. For participants from the Calgary site (site 2), all Visit 1 procedures except for PFT and CPET may be performed on a separate day in Calgary. Visits 2 and 3 will be performed in Edmonton (site 1). According to patient preference, visits 2 and 3 can be performed on the same day, with a minimum 3-hour break between visits. For participants from Calgary (site 2), the first drug administration will occur in Calgary within seven days of completion of Visit 3 procedures.

Screening will include reviewing the participant's medical, surgical, and family history, collecting demographics, race, and ethnicity, and requesting medical records for relevant external procedures.

Screening procedures include:

Visit 1:

  • Informed consent
  • Inclusion/exclusion criteria
  • Medical history review
  • Physical examination
  • 12-lead ECG
  • Vital signs
  • Weight
  • WHO FC assessment
  • 6MWT
  • Pregnancy test
  • Hematology (complete blood count)
  • Urinalysis
  • Hemoglobin
  • Serum chemistry
  • NT-proBNP
  • PFT
  • CPET
  • QoL assessments
  • AE/SAE Review
  • Concomitant medication review

Visit 2:

  • Hemoglobin
  • Rest/exercise DLCO, VC, DM
  • Rest/exercise CW-NIRS
  • AE/SAE Review
  • Concomitant medication review

Visit 3:

  • Pregnancy test
  • Rest/exercise Echocardiography
  • AE/SAE Review
  • Concomitant Medication review
  • Study drug administration

Measurements/assessments taken during the Screening Period will be recorded as the baseline values for the study assessment of endpoints.

Treatment Period (Visit 4-14) All study procedures should be performed prior to the study drug administration. For participants at the Calgary site, Visits 4,8-14 occur at their home site. For participants from the Calgary site (site 2), Visit 5-7 will be performed in Edmonton (site 1). Visits 5-7 are to be performed before the administration of the 3rd dose of the study drug. According to the patient's preference, visits 6 and 7 may be combined.

Visit 4 (Week 3)

  • Focused cardiopulmonary physical examination
  • Vital signs
  • Weight
  • WHO FC assessment
  • 6MWT
  • Pregnancy test
  • Hematology
  • Urinalysis
  • Clinical worsening assessment
  • AE/SAE Review
  • Concomitant medication review

Visit 5 (Week 5-6):

  • PFT
  • CPET
  • QoL assessments
  • AE/SAE Review
  • Concomitant medication review

Visit 6 (Week 5-6):

  • Hemoglobin
  • Rest/exercise DLCO, VC, DM
  • Rest/exercise CW-NIRS
  • AE/SAE Review
  • Concomitant medication review

Visit 7 (Week 5-6):

  • Pregnancy test
  • Rest/exercise Echocardiography
  • AE/SAE Review
  • Concomitant Medication review

Visit 8 (Week 6):

  • Focused cardiopulmonary physical examination
  • 6MWT
  • Vital signs
  • Weight
  • WHO FC assessment
  • Pregnancy test
  • Hematology
  • Urinalysis
  • Clinical worsening assessment
  • AE/SAE Review
  • Concomitant medication review

Visit 9 (Week 9):

  • Focused cardiopulmonary physical examination
  • 6MWT
  • 12-lead ECG
  • Vital signs
  • Weight
  • WHO FC assessment
  • Pregnancy test
  • Hematology
  • Serum chemistry
  • NT-proBNP
  • Clinical worsening assessment
  • AE/SAE Review
  • Concomitant medication review

Visit 10-14 (Week 12 - 24):

  • Focused cardiopulmonary physical examination
  • 6MWT
  • Vital signs
  • Weight
  • WHO FC assessment
  • Pregnancy test
  • Hematology
  • Urinalysis
  • Clinical worsening assessment
  • AE/SAE Review
  • Concomitant medication review

End-of-Study Period (Visits 13-14) End-of-Study period visits will start 1 week after the last dose of the study medication and will be completed over 2 weeks. Visits 15-17 will be performed in Edmonton (site 1). Visit 16 and 17 can be performed on the same day according to patient preference.

Visit 15:

  • Weight
  • Hemoglobin
  • PFT
  • CPET
  • QoL Assessment
  • AE/SAE Review
  • Concomitant medication review

Visit 16:

  • Hemoglobin
  • Rest/exercise DLCO, VC, DM
  • Rest/exercise CW-NIRS
  • AE/SAE Review
  • Concomitant medication review

Visit 17:

  • Rest/exercise echocardiography
  • AE/SAE Review
  • Concomitant medication review

Follow-up period (Visit 18) A follow-up visit will occur 3 weeks after the last dose of the study medication. For Edmonton participants (site 1), Visit 18 may happen on the same day after Visit 17 is completed.

Visit 18:

  • 6MWT
  • 12-lead ECG
  • Vital signs
  • WHO FC assessment
  • Pregnancy test
  • Hematology
  • Urinalysis
  • NT-proBNP sample collection
  • Clinical worsening assessment
  • AE/SAE Review
  • Concomitant medication review

Following the last dose of study drug administration, participants have the option to continue with open label sotatercept supplied directly from the manufacturer until either the participant discontinues sotatercept or reimbursement through public or private insurance is in place. The treating physician will be responsible for ongoing monitoring and administration of sotatercept beyond the last dose.

Being tested
Sotatercept
Keywords
diffusing capacity, membrane diffusing capacity, pulmonary capillary blood volume
Medical subject headings
Familial Primary Pulmonary Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SotaterceptDrug

    Also called Winrevair

    0.7mg/kg

Study groups in NCT07140484
Study groupRoleWhat they receive
Sotatercept GroupExperimentalSotatercept 0.7mg/kg
Receives: Drug: Sotatercept

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Lung diffusing capacity

    Lung diffusing capacity (DLCO) will be measured using six-second, advanced DLCO techniques

    Measured: 6 weeks post starting treatment

  2. Lung diffusing capacity

    Lung diffusing capacity (DLCO) will be measured using six-second, advanced DLCO techniques

    Measured: 23 weeks post starting treatment

  3. Diffusing membrane capacity (Dm)

    Diffusing membrane capacity will be measured using six-second, advanced DLCO

    Measured: 6 weeks post starting treatment

  4. Diffusing membrane capacity (Dm)

    Diffusing membrane capacity will be measured using six-second, advanced DLCO

    Measured: 23 weeks post starting treatment

  5. Pulmonary capillary blood volume (Vc)

    Pulmonary capillary blood volume (Vc) will be measured using six-second, advanced DLCO techniques

    Measured: 6 weeks post starting treatment

  6. Pulmonary capillary blood volume (Vc)

    Pulmonary capillary blood volume (Vc) will be measured using six-second, advanced DLCO techniques

    Measured: 23 weeks post starting treatment

Secondary outcomes (6)
  1. Cardiac structure and function

    Cardiac structure will be measured using standard cardiac ultrasound

    Measured: 6 weeks post starting treatment

  2. Cardiac structure and function

    Cardiac structure will be measured using standard cardiac ultrasound

    Measured: 23 weeks post starting treatment

  3. Cardiac function

    Cardiac function will be measured using standard cardiac ultrasound

    Measured: 6 weeks post starting treatment

  4. Cardiac function

    Cardiac function will be measured using standard cardiac ultrasound

    Measured: 23 weeks post starting treatment

  5. Peripheral muscle microcirculation

    Peripheral muscle microcirculation will be measured using continuous-wave near-infrared spectroscopy

    Measured: 6 weeks post starting treatment

  6. Peripheral muscle microcirculation

    Peripheral muscle microcirculation will be measured using continuous-wave near-infrared spectroscopy

    Measured: 23 weeks post starting treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Aug 2025
  2. Study start6 Oct 2025
  3. Primary completion1 Jan 2029 (estimated)
  4. Study completion1 Jan 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
27 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07140484
Sponsor's protocol ID
Pro00148970
Status last verified
Nov 2026
First submitted
8 Aug 2025
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Sotatercept in people with Pulmonary Artery Hypertension, run by University of Alberta at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Desi Fuhr, MSc (7804921121, fuhr@ualberta.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Lung diffusing capacity (time frame: 6 weeks post starting treatment). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2026.

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