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CompletedNCT06409026Updated Apr 16, 2026

Sotatercept on Central Cardiopulmonary Performance and Peripheral Oxygen Transport During Exercise in Pulmonary Arterial Hypertension

A Phase 4 interventional study of Sotatercept in Pulmonary Arterial Hypertension, sponsored by Mayo Clinic. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Mayo Clinic · Phase 4, Interventional, and Other

Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to see if the drug sotatercept given for 36 weeks improves the functioning of the heart and improves quality of life.

02

Conditions studied

  • Pulmonary Arterial Hypertension
03

In context

Pulmonary Arterial Hypertension

761 studies on the registry are indexed under Pulmonary Arterial Hypertension; 142 are open to participants now.

This study's enrollment of 30 is below the median of 38 across 509 interventional studies indexed under Pulmonary Arterial Hypertension.

Browse Pulmonary Arterial Hypertension studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
  • NYHA Class II-IV.
  • LVEF ≥ 40 % within the preceding year.
  • No recent initiation of pulmonary vasodilator in the last 60 days.
  • Pulmonary arterial hypertension by right heart catheterization (Mean PA pressure ≥ 20 mmHg with PVR>2 Wood units) with no evidence of heart failure with preserved ejection fraction (exercise PCWP \<25 mm Hg).
  • Symptomatic PAH patients with plan to undergo exercise RHC for reassessment of exertional symptoms.

Exclusion criteria

Exclusion Criteria

  • Myocardial infarction, stroke, hospitalization for heart failure, unstable angina pectoris or transient ischemic attack within 30 days prior to the day of screening.
  • Planned coronary, carotid, or peripheral artery revascularization.
  • Any other condition judged by the investigator to be the primary cause of dyspnea (such as heart failure due to restrictive cardiomyopathy or infiltrative conditions (e.g., amyloidosis), hypertrophic obstructive cardiomyopathy, anemia, or more than moderate mitral or aortic heart valve disease).
  • Wheelchair bound or orthopedic inability to exercise.
  • Chronic hypoxemia with inability to exercise without oxygen supplementation.
  • Skeletal muscle myopathy.
  • History of rhabdomyolysis.
  • Participation in any clinical trial of an approved or non-approved device for the treatment of pulmonary hypertension within 30 days before screening.
  • Receipt of any investigational medicinal product within 30 days before screening.
  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using a highly effective contraceptive method.
  • Major surgery scheduled for the duration of the trial, affecting walking ability in the opinion of the investigator.
  • Any disorder, including severe psychiatric disorder, suicidal behavior within 90 days before screening, and suspected drug abuse, which in the investigator´s opinion might jeopardize subject´s safety or compliance with the protocol.
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Sotatercept Therapy

    All participants will receive 36 weeks of sotatercept therapy. Sotatercept is administered as a subcutaneous injection once every 3 weeks.

    Drug: Sotatercept

Interventions

  • DrugSotatercept

    As per FDA indications, sotatercept will be administered as 0.3 mg/kg injection for the first dose followed by 0.7 mg/kg injections for subsequent doses.

06

What researchers measure

Primary outcomes

  1. Pulmonary arterial mean pressure/Cardiac Output (PA/CO) at peak exercise

    Peak exercise pulmonary arterial mean pressure/ Cardiac output (mm Hg/L/min)

    Time frame: Baseline, Week 24

Secondary outcomes

  1. Oxygen Consumption (VO2)

    VO2 will be measured in mL/kg/min. It will be directly measured using expired gas analysis.

    Time frame: Baseline, 24 weeks

  2. Single leg blood flow at peak exercise

    Single leg blood flow will be obtained from venous access. Single leg blood flow will be measured in ml/min

    Time frame: Baseline, 24 weeks

  3. Pulmonary vascular resistance at rest

    Pulmonary vascular resistance will be measured in Wood units (mmHg/L/min)

    Time frame: Baseline, 24 weeks

  4. Pulmonary vascular resistance at peak exercise

    Pulmonary vascular resistance will be measured in Wood units (mmHg/L/min)

    Time frame: Baseline, 24 weeks

  5. Pulmonary arterial (PA) compliance at rest

    PA compliance measures pulmonary arterial distensibility and will be recorded at Baseline and 24 Weeks. PA compliance will be measured in ml/mm Hg.

    Time frame: Baseline, 24 weeks

  6. Pulmonary arterial (PA) compliance at peak exercise

    PA compliance measures pulmonary arterial distensibility and will be recorded at Baseline and 24 Weeks. PA compliance will be measured in ml/mm Hg.

    Time frame: Baseline, 24 weeks

  7. Pulmonary arterial elastance at rest

    PA elastance measures pulmonary artery stiffness and will be recorded at baseline and 24 weeks as PA systolic pressure/stroke volume (units mm Hg/ml)

    Time frame: Baseline, 24 weeks

  8. Pulmonary arterial elastance at peak exercise

    PA elastance measures pulmonary artery stiffness and will be recorded at baseline and 24 weeks as PA systolic pressure/stroke volume (units mm Hg/ml)

    Time frame: Baseline, 24 weeks

  9. Left ventricular (LV) transmural pressure at rest

    LV transmural pressure will measured by catheterization at Baseline and 24 Weeks as the difference between pulmonary capillary wedge pressure and right atrial pressure

    Time frame: Baseline, 24 weeks

  10. Left ventricular (LV) transmural pressure at peak exercise

    LV transmural pressure will measured by catheterization at Baseline and 24 Weeks as the difference between pulmonary capillary wedge pressure and right atrial pressure

    Time frame: Baseline, 24 weeks

  11. Right Ventricular Pulmonary Artery Coupling at rest

    Calculated as the ratio of RV function by echocardiography indexed to PA systolic pressure (unit mmHg-1)

    Time frame: Baseline, 24 weeks

  12. Right Ventricular Pulmonary Artery Coupling at peak exercise

    Calculated as the ratio of RV function by echocardiography indexed to PA systolic pressure (unit mmHg-1)

    Time frame: Baseline, 24 weeks

  13. Eccentricity index at rest

    Eccentricity index will be calculated as the ratio of antero posterior and septolateral dimension of the left ventricle by echocardiogram

    Time frame: Baseline, 24 weeks

  14. Eccentricity index at peak exercise

    Eccentricity index will be calculated as the ratio of antero posterior and septolateral dimension of the left ventricle by echocardiogram

    Time frame: Baseline, 24 weeks

  15. Right atrial pressure (RA) at rest

    RA pressure (mm Hg) will be measured by catheterization conducted at Baseline and 24 weeks

    Time frame: Baseline, 24 weeks

  16. Right atrial pressure (RA) at peak exercise

    RA pressure (mm Hg) will be measured by catheterization conducted at Baseline and 24 weeks

    Time frame: Baseline, 24 weeks

  17. Change in skeletal muscle O2 diffusive conductance (Dm) during peak exercise

    Dm is measured in ml/mm Hg/min during peak exercise

    Time frame: Baseline, 24 weeks

  18. Change in skeletal muscle O2 diffusive conductance (Dm) during single leg exercise

    Dm is measured in ml/mm Hg/min during single leg exercise

    Time frame: Baseline, 24 weeks

07

Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
08

References and documents

Publications

  • Reddy YNV, Frantz RP, Miranda WR, Harada T, Kazui S, Borlaug BA. Sotatercept in Pulmonary Arterial Hypertension: Central, Hematologic, and Peripheral Mechanisms of Benefit. J Am Coll Cardiol. 2026 Mar 2:S0735-1097(26)05633-0. doi: 10.1016/j.jacc.2026.02.5103. Online ahead of print. PubMed 41885673 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06409026
Lead sponsor
Mayo Clinic
Responsible party
Yogesh Reddy (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
May 10, 2024
Start date
Jul 5, 2024
Primary completion
Jan 14, 2026
Completion
Jan 14, 2026
Last update
Apr 16, 2026

Study contacts

Yogesh Reddy, MBBS
principal investigator · Mayo Clinic

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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