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Selexipag for the Treatment of Pulmonary Arterial Hypertension
Ist Teil von
The New England journal of medicine, 2015-12, Vol.373 (26), p.2522-2533
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Among over 1100 patients with pulmonary arterial hypertension who received selexipag, an oral selective IP prostacyclin-receptor agonist, or placebo, the risk of the composite end point of death or complication was lower with selexipag than with placebo at 1.3 years of follow-up.
Pulmonary arterial hypertension is a severe disease with a poor prognosis despite available treatment options.
1
Current recommendations support the use of a combination of therapies that target the endothelin, nitric-oxide, and prostacyclin pathways.
2
,
3
Despite the benefits of intravenous prostacyclin therapy,
2
,
4
many patients with pulmonary arterial hypertension die without ever receiving this treatment.
5
,
6
The burden and risks related to the administration of prostacyclin therapy are probably contributing factors.
7
Selexipag is an oral selective IP prostacyclin-receptor agonist that is structurally distinct from prostacyclin.
8
–
11
In a placebo-controlled, phase 2 trial involving patients who were already receiving treatment for pulmonary . . .