CardioSource WorldNews October 2015 | Page 3

Patient dramatization SERAPHIN: The first long-term outcome trial in PAH (average treatment 2 years) to demonstrate the use of both monotherapy and combination therapy to delay disease progression1,2 Patients were treated with OPSUMIT monotherapy or in combination with PDE-5 inhibitors or inhaled prostanoids1 SERAPHIN included both incident (recently diagnosed) and prevalent (previously diagnosed) patients3 Overall, the median time from diagnosis was 15 months, ranging from 1 day to 36 years3 25% of patients were diagnosed less than 6 months prior to enrollment in the study3 SERAPHIN was a randomized, double-blind, placebo-controlled, event-driven outcome study to assess the effect of OPSUMIT on disease progression (time to first significant morbidity or mortality event), as defined by death, atrial septostomy, lung transplantation, initiation of IV or SC prostanoids, or clinical worsening of PAH (decreased 6MWD, worsened PAH symptoms, and need for additional PAH treatment).1,2 WARNINGS AND PRECAUTIONS (continued) Hepatotoxicity Other ERAs have caused elevations of aminotransferases, hepatotoxicity, and liver failure. The incidence of elevated aminotransferases in the SERAPHIN study >3 × ULN was 3.4% for OPSUMIT vs 4.5% for placebo, and >8 × ULN was 2.1% vs 0.4%, respectively. Discontinuations for hepatic adverse ev