Evidence map›Paper›PMID 36186721›Full record

ArticlePulmonary circulation2022

Riociguat in children with pulmonary arterial hypertension: The PATENT-CHILD study.

Humberto García Aguilar, Matthias Gorenflo, D Dunbar Ivy, Shahin Moledina, Biagio Castaldi, Hidekazu Ishida, Paweł Cześniewicz, Jacek Kusa, Oliver Miera, Joseph Pattathu and 17 more

Registry-linked trialAbstract read
In one paragraph

Article in Pulmonary circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02562235 (Open-label, Individual Dose Titration Study to Evaluate Safety, Tolerability and Pharmacokinetics of Riociguat in Children From 6 to Less Than 18 Years of Age With Pulmonary Arterial Hypertension), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02562235 phase3active not recruitingnot on this map

Open-label, Individual Dose Titration Study to Evaluate Safety, Tolerability and Pharmacokinetics of Riociguat in Children From 6 to Less Than 18 Years of Age With Pulmonary Arterial Hypertension (PAH)

TypeinterventionalSponsorBayerRan2015 to 2027Enrolled24ConditionsHypertension, PulmonaryArmsRiociguat (Adempas, BAY63-2521)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Humberto García AguilarCentro Médico Nacional 20 de Noviembre, ISSSTE Ciudad de México Mexico.ORCID 0000-0002-2519-0096
Matthias GorenfloDepartment of Pediatric Cardiology and Congenital Cardiology Heidelberg University Medical Centre Heidelberg Germany.
D Dunbar IvyDivision of Cardiology, Department of Pediatrics, University of Colorado School of Medicine Children's Hospital Colorado Aurora Colorado USA.
Shahin MoledinaCardiology Department Great Ormond Street Hospital for Children NHS Foundation Trust London UK.
Biagio CastaldiDipartimento di Pediatria Azienda Ospedaliera di Padova Padova Italy.
Hidekazu IshidaDepartment of Pediatrics Osaka University Graduate School of Medicine Osaka Japan.ORCID 0000-0001-7284-8914
Paweł CześniewiczDepartment of Pediatric Cardiology, Regional Specialist Hospital Research and Development Center Wroclaw Poland.
Jacek KusaDepartment of Pediatric Cardiology, Regional Specialist Hospital Research and Development Center Wroclaw Poland.
Oliver MieraDepartment of Congenital Heart Disease/Pediatric Cardiology German Heart Center Berlin Germany.
Joseph PattathuDepartment of Pediatric Cardiology and Congenital Cardiology Heidelberg University Medical Centre Heidelberg Germany.
Ken-Pen WengDepartment of Pediatrics, Congenital Structural Heart Disease Center Kaohsiung Veterans General Hospital Kaohsiung Taiwan.
Laszlo AblonczyPediatric Cardiac Center Hungarian Institute of Cardiology Budapest Hungary.
Christian ApitzDivision of Pediatric Cardiology University Children's Hospital Ulm Ulm Germany.
Marta KatonaDepartment of Pediatrics, Albert Szent-Györgyi Medical Center University of Szeged Szeged Hungary.
Kenichi KurosakiDepartment of Pediatric Cardiology National Cerebral and Cardiovascular Center Osaka Japan.
Tomas PulidoClinical Research Department Ignacio Chavez National Heart Institute Mexico City Mexico.
Hiroyuki YamagishiDepartment of Pediatrics Keio University Hospital Tokyo Japan.
Kazushi YasudaDepartment of Pediatric Cardiology Aichi Children's Health and Medical Center Aichi Japan.
Galia CisternasBayer AG, Pharmaceuticals Berlin Germany.
Melanie GothBayer AG, Pharmaceuticals Berlin Germany.
Susanne LippertBayer AG, Pharmaceuticals Berlin Germany.
Anna RadomskyjBayer AG, Pharmaceuticals Berlin Germany.
Soundos SalehBayer AG, Pharmaceuticals Berlin Germany.
Stefan WillmannBayer AG, Pharmaceuticals Berlin Germany.
Gabriela WirschingBayer AG, Pharmaceuticals Berlin Germany.
Damien BonnetM3C-Necker, Hôpital Necker Enfants malades APHP Université de Paris Paris France.
Maurice BeghettiPaediatric Cardiology Unit University Hospitals of Geneva Geneva Switzerland.ORCID 0000-0002-1841-0927

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Riociguat, a soluble guanylate cyclase stimulator, is approved for treatment of adults with pulmonary arterial hypertension (PAH). The safety, tolerability, and pharmacokinetics (PK) of oral riociguat in a pediatric population with PAH was assessed in PATENT-CHILD (NCT02562235), a multicenter, single-arm, 24-week, open-label, Phase 3 study. Patients aged 6-17 years in World Health Organization functional class (WHO-FC) I-III treated with stable endothelin receptor antagonists and/or prostacyclin analogs received riociguat equivalent to 0.5-2.5 mg three times daily in adults, as either oral pediatric suspension or tablets, based on bodyweight. Primary outcomes were safety, tolerability, and PK of riociguat. Twenty-four patients (mean age 12.8 years), 18 of whom were in WHO-FC II, were enrolled. Adverse events (AEs), mostly mild or moderate, were reported in 20 patients (83%). Four patients (17%) experienced a serious AE; all resolved by study end and two (8%) were considered study-drug related. Hypotension was reported in three patients and hemoptysis in one (all mild/moderate intensity). Riociguat plasma concentrations in pediatric patients were consistent with those published in adult patients. From baseline to Week 24, mean ± standard deviation increase in 6-minute walking distance was 23 ± 69 m (

Indexed as

pediatricspharmacokineticspulmonary arterial hypertensionriociguattreatment outcome

Identifiers

PMID36186721
PMCPMC9485817

What Socratic holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.