ZENITH

Sotatercept in High-Risk Pulmonary Arterial Hypertension

Patient / Population Intervention / Exposition Comparaison Critère de jugement

In 172 patients with high-risk pulmonary arterial hypertension, sotatercept reduced death, lung transplantation or heart-failure hospitalisation compared with placebo.

N
172
Schéma
Double-blind RCT, stopped early
Critère
Death, lung transplant or PAH hospitalisation
Pertinence
2
RésultatHR 0.24 (76 % reduction in the primary composite).
Humbert M, et al. N Engl J Med. 2025;392(20):1987-2000. 10.1056/NEJMoa2415160
Discussion et critique

Confirmed a hard-outcome benefit in the sickest PAH patients (functional class III–IV). Small and stopped early, which can inflate the effect estimate.