CardioSource WorldNews August 2015 | Page 5

INDICATION (continued) Effectiveness was established in a long-term study in PAH patients with predominantly WHO Functional Class II-III symptoms treated for an average of 2 years. Patients were treated with OPSUMIT monotherapy or in combination with phosphodiesterase-5 inhibitors or inhaled prostanoids. Patients had idiopathic and heritable PAH (57%), PAH caused by connective tissue disorders (31%), and PAH caused by congenital heart disease with repaired shunts (8%). OPSUMIT provided consistent efficacy on the primary endpoint as monotherapy or in combination with PDE-5 inhibitors or inhaled prostanoids1 Subgroup analysis of the primary endpoint in the SERAPHIN study OPSUMIT Placebo No. of events/ No. of events/ No. of patients No. of patients Hazard ratio Characteristic Hazard ratio (95% CI) Overall treatment effect 76/242 116/250 0.55 (0.41, 0.73) Combination with PDE-5 inhibitors and/or inhaled or oral prostanoids‡ 50/154 68/154 0.62 (0.43, 0.89) Monotherapy 26/88 48/96 0.45 (0.28, 0.72) Primary endpoint 45% Risk Reduction p<0.0001 Concomitant PAH therapy at baseline 0.1 1 38% Risk Reduction 55% Risk Reduction 10 Favors OPSUMIT Favors Placebo ‡The OPSUMIT indication includes combination with phosphodiesterase-5 inhibitors or inhaled prostanoids, but not oral prostanoids. In the treatment of pulmonary arterial hypertension (PAH, WHO Group I)... Don’t delay, treat today—keep disease progression in mind from the start of therapy in FC II and III patients. OPSUMIT is approved for use as monotherapy or in combination with PDE-5 inhibitors or inhaled prostanoids1 ADVERSE REACTIONS Most common adverse reactions (more frequent than placebo by ≥3%) were anemia (13% vs 3%), nasopharyngitis/pharyngitis (20% vs 13%), bronchitis (12% vs 6%), headache (14% vs 9%), influenza (6% vs 2%), and urinary tract infection (9% vs 6%). DRUG INTERACTIONS Strong inducers of CYP3A4 such a