title: Riociguat for the management of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension.
abstract: Pulmonary hypertension (PH) is a progressive disease that is accompanied by a poor prognosis. Pulmonary vasoconstriction is facilitated through multiple pathways and results in increased pulmonary vascular pressure leading to cell proliferation, vascular remodeling, right ventricular hypertrophy/failure, and ultimately death. Until recently, just six medications were approved -all for one subclass of PH. On October 8, 2013, riociguat (Adempas®) became the first medication approved for multiple etiologies of PH. Preclinical studies have demonstrated safety and efficacy with significant clinical trials supporting its advancement into phase IV trials. Although long-term safety and efficacy and place in therapy remain to be established, riociguat presents as an exciting new option for the treatment of PH and potentially has additional indications in the near future.
authors: The Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences, Rensselaer, New York, USA.
authors: N E
authors: NE
authors: Larche
authors: The Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences, Rensselaer, New York, USA. shaker.mousa@acphs.edu.
authors: S A
authors: SA
authors: Mousa
mesh_terms: D000818:Animals; D002908:Chronic Disease; D017277:Drug Approval; D065627:Familial Primary Pulmonary Hypertension; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D058990:Molecular Targeted Therapy; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000473:pathology; D011720:Pyrazoles / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D011743:Pyrimidines / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*
chemical_list: D011720:Pyrazoles; D011743:Pyrimidines; C542595:riociguat
keywords: Chronic thromboembolic arterial hypertension; Pulmonary arterial hypertension; Riociguat; Targeted pathways