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PAH-related hospitalization

OPSUMIT® (macitentan) reduced the risk of PAH-related hospitalization1,2

A key secondary endpoint in SERAPHIN was death due to PAH or PAH-related hospitalization.

There was a 50% reduction in the risk of PAH-related hospitalization vs placebo in the overall population.*

Kaplan-Meier estimates of risk of first key secondary endpoint event1,2

Key secondary SERAPHIN endpoint: risk of PAH-related hospitalization graph

Summary of death due to PAH and hospitalization due to PAH1,2

  OPSUMIT®
 10 mg
(n=242), 
n (%)
Placebo
(n=250), n (%)
Death due to PAH or hospitalization for PAH 50 (20.7) 84 (33.6)
Component as first event
Death due to PAH 5 (2.1) 5 (2.0)
Hospitalization for PAH 45 (18.6) 79 (31.6)

Exploratory subgroup analysis: Combination therapy results

The combination therapy data below represent an exploratory analysis. Results should be interpreted with caution.

Kaplan-Meier estimates of risk of first key secondary endpoint event when OPSUMIT® was added to stable PAH-specific background therapy3

  • At baseline, 64% of enrolled patients were treated with a stable dose of PAH-specific background therapy (61% PDE-5is; 6% inhaled or oral prostanoids). OPSUMIT® is approved in combination with PDE-5is or inhaled prostanoids, but not oral prostanoids1

Kaplan-Meier estimates of risk of first key secondary endpoint event3

Combination therapy exploratory analysis:  combination therapy results graph

Summary of death due to PAH and hospitalization due to PAH3

  OPSUMIT®
 10 mg
(n=154), 
n (%)
Placebo
(n=154), n (%)
Death due to PAH or hospitalization for PAH 37 (24.0) 49 (31.8)
Component as first event
Death due to PAH 2 (1.3) 2 (1.3)
Hospitalization for PAH 35 (22.7) 47 (30.5)

Common adverse reactions in the combination therapy exploratory subgroup4‡

  OPSUMIT®
10 mg
n=154
Placebo
n=153
Anemia 16.2% 4.6%
Nasopharyngitis 11.0% 10.5%
Bronchitis 11.0% 5.9%
Headache 13.6% 10.5%
Diarrhea 13.0% 9.8%

More frequent than placebo by ≥3%.

Combination therapy exploratory subgroup safety2-4

  • The safety profile of OPSUMIT® as part of a combination therapy regimen was consistent with that of OPSUMIT® in the overall SERAPHIN population
  • The incidence of peripheral edema, a known ERA-related adverse event, was similar in patients receiving background therapy who were treated with OPSUMIT® and placebo (19.5% and 23.5%, respectively)
  • Treatment discontinuations due to adverse events in patients receiving background therapy were similar in those receiving OPSUMIT® and those receiving placebo (9.1% and 11.8%, respectively)

*All randomized patients.

Not adjusted for multiplicity.

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CI=confidence interval; ERA=endothelin receptor antagonist; HR=hazard ratio; PAH=pulmonary arterial hypertension; PDE-5i=phosphodiesterase type 5 inhibitor; SERAPHIN=Study with an Endothelin Receptor Antagonist in Pulmonary Arterial Hypertension to Improve CliNical Outcome.
References: 1. OPSUMIT® [prescribing information]. Actelion Pharmaceuticals US, Inc. 2. Pulido T, Adzerikho I, Channick RN, et al; SERAPHIN Investigators. Macitentan and morbidity and mortality in pulmonary arterial hypertension. N Engl J Med. 2013;369(9):809-818 and suppl 1-21. doi:10.1056/NEJMoa1213917 3. Data on file. Actelion Pharmaceuticals US, Inc. 4. Jansa P, Pulido T. Macitentan in pulmonary arterial hypertension: a focus on combination therapy in the SERAPHIN trial. Am J Cardiovasc Drugs. 2018;18:1-11.

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