Phase 3 Pulmonary Hypertension Trial, Completed NCT04576988 Sponsor: Acceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc., Rahway, NJ USA Condition: Pulmonary Hypertension
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Trial results

AI generated results summary. Written by an AI model from the official source data and checked on a sample basis. It can contain mistakes, so confirm anything important against the original source. How we use AI

According to the results reported on ClinicalTrials.gov, this trial (NCT04576988) enrolled 323 adults with pulmonary arterial hypertension (PAH) — a condition involving high blood pressure in the arteries of the lungs. Participants were split into two groups: 163 people received sotatercept on top of their usual PAH medicines, and 160 received a placebo (a dummy injection) on top of their usual PAH medicines. Neither participants nor their doctors knew which group they were in. The trial measured several things, including how far participants could walk in six minutes, certain markers of heart strain measured in the blood and through a heart procedure, and how many people experienced unwanted medical events during the study. The reported data shows that, after 24 weeks, the sotatercept group's average six-minute walking distance increased by about 34 metres from where it started, while the placebo group's average distance increased by about 1 metre. For a combined measure looking at walking distance, a blood marker of heart strain (called NT-proBNP), and physical functioning together, about 39% of the sotatercept group showed improvement across all three areas, compared with about 10% of the placebo group. The reported data also shows changes in a measure of blood flow resistance in the lungs (pulmonary vascular resistance): the sotatercept group's average reading fell by roughly 165 units, while the placebo group's average rose by about 33 units. The NT-proBNP blood marker fell on average by around 230 units in the sotatercept group and rose by about 59 units in the placebo group. Regarding unwanted medical events, 138 of 163 people in the sotatercept group and 140 of 160 in the placebo group reported at least one such event during the study period; 3 people in the sotatercept group and 10 in the placebo group stopped treatment because of one. These are the results as reported to ClinicalTrials.gov. They are not medical advice — always discuss what they mean for you with your doctor.

These are the results as reported to ClinicalTrials.gov, not medical advice. Verify independently with the trial site and discuss what they mean for you with your doctor.

Phase 3 Pulmonary Hypertension Trial, Completed

NCT04576988
Completed Phase 3 🇦🇺 Australian site

Who may be able to join

AI generated eligibility summary. Written by an AI model from the official source data and checked on a sample basis. It can contain mistakes, so confirm anything important against the original source. How we use AI

Who might be able to join this trial:

  • Adults aged 18 or older
  • People who have had a right heart catheterization (a procedure to measure blood pressure in the lungs) at any point before the screening period, confirming a diagnosis of pulmonary arterial hypertension (PAH) — a condition where blood pressure in the lung arteries is abnormally high — in one of these specific forms: idiopathic PAH (no known cause), heritable PAH (genetic), PAH caused by a drug or toxin, PAH linked to a connective tissue disease, or PAH linked to a simple congenital heart defect that was surgically repaired at least one year ago
  • People whose PAH symptoms fall into World Health Organization Functional Class II or III — meaning the condition causes some to significant limitation during physical activity
  • People whose screening heart catheterization shows specific measurements of blood flow resistance and pressure in the lungs that meet the trial's thresholds (confirm exact values with trial site)
  • People who have been on a stable dose of approved PAH medications and water tablets (diuretics) for at least 90 days before screening, with only minor adjustments allowed for certain infusion medications
  • People who can walk between 150 and 500 metres in a 6-minute walk test, with two consistent results recorded at least 4 hours apart during the screening period
  • Women who could become pregnant must have two negative pregnancy tests before starting the study drug, use highly effective contraception for at least 28 days before starting and for 16 weeks after finishing, and must not breastfeed or donate blood, eggs, or ovum during the study and for at least 16 weeks after the last dose
  • Male participants must use a condom (latex or non-latex synthetic, not natural membrane) during sexual contact with a pregnant woman or a woman who could become pregnant, throughout the study and for at least 16 weeks after the last dose, and must not donate blood or sperm during the study or for 16 weeks after the last dose
  • People who are able to attend all required study visits and follow the study instructions
  • People who are able to understand the study and provide written consent to participate

Who may not be able to join:

  • People whose pulmonary hypertension belongs to WHO Groups 2, 3, 4, or 5 — forms caused by other conditions such as left heart disease, lung disease, or blood clots
  • People with PAH associated with HIV, portal hypertension, schistosomiasis (a parasitic infection), or a condition called pulmonary veno-occlusive disease
  • People whose haemoglobin (a measure of red blood cells) is above the normal upper range for their gender at screening
  • People with a very low platelet count (below 50,000/mm³) at screening
  • People with uncontrolled high blood pressure — specifically a sitting systolic reading above 160 mmHg or diastolic above 100 mmHg during screening
  • People with low blood pressure — specifically a sitting systolic reading below 90 mmHg at screening
  • Women who are pregnant or breastfeeding
  • People with severely reduced kidney function at screening (confirm specific threshold with trial site)
  • People with significantly elevated liver enzyme or bilirubin levels at screening, unless they have a documented history of a condition called Gilbert's syndrome (which can naturally raise bilirubin)
  • People currently enrolled in, or who have recently completed, another clinical trial involving an investigational drug — within 30 days for most drugs or within 5 half-lives for biological medicines
  • People who have previously been treated with sotatercept or luspatercept, or who are known to have had an allergic reaction to either
  • People who have had a full surgical removal of one lung
  • People whose lung function test shows a forced vital capacity (a measure of how much air the lungs can hold) below 60% of the expected value, or — if no lung function test is available — whose chest CT scan shows more than mild scarring or inflammation of the lungs
  • People who have started a cardiac or pulmonary rehabilitation exercise program within 90 days before screening, or who plan to start one during the study (people already in a stable, ongoing maintenance program who will continue throughout the study may still be considered eligible — confirm with trial site)
  • People with moderate to severe obstructive sleep apnoea that is not being treated
  • People with a known history of high blood pressure in the liver's portal vein, or chronic liver disease including active hepatitis B or C, with mild to severe liver impairment
  • People with a history of restrictive, constrictive, or congestive cardiomyopathy (conditions where the heart muscle does not function properly)
  • People who have had a procedure called atrial septostomy (a procedure to create an opening between the heart's upper chambers) within 180 days before screening
  • People whose heart's electrical activity test (ECG) shows a specific measurement called QTcF above 500 milliseconds during screening
  • People with a personal or family history of long QT syndrome or sudden cardiac death
  • People whose heart pumping function (left ventricular ejection fraction) was below 45% on an echocardiogram (heart ultrasound) within the 6 months before screening
  • People who have had a significant heart event — such as a heart attack, coronary artery procedure, bypass surgery, or cardiac chest pain — within 6 months before screening (note: chest pain alone may not be an exclusion if a coronary angiogram shows no blockages — confirm with trial site)
  • People who have had a stroke within 3 months before screening
  • People who have had an episode of acutely worsening heart failure within 30 days before screening, as assessed by the treating doctor
  • People with significant leakage (rated 2+ or higher) of the mitral or aortic heart valves
  • People who have received intravenous medications to support heart function (such as dobutamine, dopamine, norepinephrine, or vasopressin) within 30 days before screening

Important: Always verify eligibility with the trial site directly before applying.

Based on publicly available eligibility criteria from ClinicalTrials.gov. Verify directly with the trial site before acting. This is not medical advice.

This is a simplified plain English summary of the eligibility criteria. Full criteria are set by the trial investigators and may include additional requirements not shown here. Never self-exclude from a trial based on this summary. Contact the trial site directly to confirm your eligibility.
Last synced 21 July 2026
Phase 3: approximately ~65% of drugs entering this phase reach regulatory approval, based on published industry-wide historical data. This is not specific to this trial.
Phase success rates shown are historical industry-wide averages based on published data. They are not a prediction for this specific trial or your individual situation.

Contact this trial

Principal Investigator: Medical Director, Merck Sharp & Dohme LLC

Australian sites

Royal Prince Alfred Hospital ( Site 1106), Camperdown, New South Wales
Saint Vincents Hospital Sydney ( Site 1102), Darlinghurst, New South Wales
John Hunter Hospital ( Site 1101), New Lambton, New South Wales
Westmead Hospital ( Site 1105), Westmead, New South Wales
Prince Charles Hospital ( Site 1104), Chermside, Queensland
The Alfred Hospital ( Site 1110), Melbourne, Victoria

Contact details sourced from ClinicalTrials.gov. Verify directly with the trial site before attending.

GP referral letter

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Trial details

Status
Completed
Phase
Phase 3
Sponsor
Acceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc., Rahway, NJ USA
Registry
ClinicalTrials.gov
Start date
25 January 2021
Est. completion
26 August 2022

Where this trial is recruiting

🇦🇷 Argentina 🇦🇺 Australia 🇧🇪 Belgium 🇧🇷 Brazil 🇨🇦 Canada 🇨🇿 Czechia 🇫🇷 France 🇩🇪 Germany 🇮🇱 Israel 🇮🇹 Italy 🇲🇽 Mexico 🇳🇱 Netherlands 🇳🇿 New Zealand 🇵🇱 Poland 🇷🇸 Serbia 🇰🇷 South Korea 🇪🇸 Spain 🇸🇪 Sweden 🇨🇭 Switzerland 🇬🇧 United Kingdom 🇺🇸 United States

6 site(s) in Australia. Confirm current status and contact details directly with the trial site.

Primary endpoints

Change From Baseline in 6-Minute Walk Distance (6MWD) at Week 24; Number of Participants Who Experienced an Adverse Event (AE); Number of Participants Who Discontinued Study Treatment Due to an AE

Can't join this trial?

Expanded access pathways

If this trial is not available to you, other access pathways may exist. In Australia, the TGA Special Access Scheme allows access to unapproved therapeutic goods for individual patients.

TGA Special Access Scheme information

Find other recruiting trials on ClinicalTrials.gov

Data last synced from ClinicalTrials.gov: 21 July 2026. Trial status can change. Always verify current status directly with the trial site before making any decision.

Trial recruitment status can change without notice between our nightly data updates. Always contact the trial site directly to confirm current recruitment status before making any decisions or travel arrangements.

View original record on ClinicalTrials.gov