CClinicalTrials.gg
Active, not recruitingNCT06814145HARMONIZEUpdated Jul 22, 2026

Extension Study of Sotatercept in People With Pulmonary Hypertension (MK-7962-023)

A Phase 2 interventional study of Sotatercept in Hypertension, Pulmonary, sponsored by Merck Sharp & Dohme LLC. Active, not recruiting at 57 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Merck Sharp & Dohme LLC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
440
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Researchers are looking for new ways to treat people with a type of pulmonary hypertension called combined postcapillary and precapillary pulmonary hypertension (Cpc-PH). This study focuses on Cpc-PH that is caused by heart failure with preserved ejection fraction (HFpEF).

Researchers want to know if the study treatment, sotatercept, can treat people with Cpc-PH caused by HFpEF. This is an extension study, which means people who took part in a certain study on sotatercept for Cpc-PH (called a parent study) may be able to join this study. In this extension study, people will take sotatercept and researchers will follow their health for a longer time.

The main goal of this extension study is to learn about the long-term safety of sotatercept and if people tolerate it over a longer period of time.

Read the detailed description

This is an extension study for studies MK-7962-007 (NCT04945460) and MK-7962-041 (NCT number pending).

Following protocol amendment 3, all participants in the Sotatercept 0.7 mg/kg arm will switch to the Sotatercept 0.3 mg/kg arm, and new participants will only enroll in the Sotatercept 0.3 mg/kg arm.

02

Conditions studied

  • Hypertension, Pulmonary
03

In context

Hypertension, Pulmonary

1,105 studies on the registry are indexed under Hypertension, Pulmonary; 234 are open to participants now.

This study's planned enrollment of 440 is above the median of 35 across 649 interventional studies indexed under Hypertension, Pulmonary.

Browse Hypertension, Pulmonary studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) 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

The main inclusion criteria include but are not limited to the following:

- Completed sotatercept parent study (MK-7962-007[CADENCE] [Visit 9 and EOT visit] or MK-7962-041 [P041] [EOT Visit]) without discontinuing study intervention and is able to safely enroll into MK-7962-023 (HARMONIZE)

Exclusion criteria

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

  • Has a diagnosis of pulmonary hypertension (PH) in world health organization (WHO) Group 1, WHO Group 3, WHO Group 4, or WHO Group 5
  • Has had a study intervention interruption and has an ongoing SAE that occurred during parent study and is suspected to be related to study intervention
  • Is pregnant or breastfeeding
  • Has chronic liver disease with severe hepatic impairment and/or cirrhosis (eg, hepatic encephalopathy)
  • Anticipation of more than 1 valve replacement or repair (mechanical or biomechanical) and/or have undergone more than 1 valve replacement or repair
  • Has severe tricuspid regurgitation due to primary valvular disease (eg, from endocarditis, carcinoid, or mechanical destruction)
  • Anticipated or undergone heart transplant or ventricular assist device implantation
  • Has had prior exposure to luspatercept
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
440 participants (estimated)

Study arms

  • Experimental
    Sotatercept 0.3 mg/kg

    Participants receive sotatercept 0.3 mg/kg subcutaneous (SC) injection every 3 weeks (Q3W) for up to approximately 10 years or until discontinuation.

    Biological: Sotatercept

  • Experimental
    Sotatercept 0.7 mg/kg

    Participants receive sotatercept 0.7 mg/kg SC injection Q3W for up to approximately 10 years or until discontinuation.

    Biological: Sotatercept

Interventions

  • BiologicalSotatercept

    subcutaneous injection

    Also known as: ACE-011

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Experience an Adverse Event (AE)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who experience an AE will be reported.

    Time frame: Up to approximately 10 years

  2. Number of Participants Who Discontinue Study Treatment Due to an AE

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who discontinue study treatment due to an AE will be reported.

    Time frame: Up to approximately 10 years

Secondary outcomes

  1. Change From Parent Study Baseline in Pulmonary Vascular Resistance (PVR) at 6 Months Following Enrollment in the Extension

    PVR, a hemodynamic variable of pulmonary circulation, is measured by right heart catheterization (RHC). The change from baseline in PVR at Month 6 will be presented. Per protocol, baseline was defined as the baseline data collected for each participant at the time of their enrollment on one of the parent studies.

    Time frame: Baseline and Month 6

  2. Change From Baseline in the 6-Minute Walk Distance (6MWD) at 6 Months Following Enrollment in the Extension

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at Month 6 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 6

  3. Change From Baseline in the 6MWD at 12 Months Following Enrollment in the Extension

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at Month 12 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 12

  4. Change From Baseline in the 6MWD at 18 Months Following Enrollment in the Extension

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at Month 18 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 18

  5. Change From Baseline in the 6MWD at End of Treatment

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at the time of treatment discontinuation will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and up to approximately 43.5 months

  6. Change From Baseline in New York Heart Association Functional Class (NYHA FC) at 6 Months Following Enrollment in the Extension

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at Month 6 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 6

  7. Change From Baseline in NYHA FC at 12 Months Following Enrollment in the Extension

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at Month 12 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 12

  8. Change From Baseline in NYHA FC at 18 Months Following Enrollment in the Extension

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at Month 18 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 18

  9. Change From Baseline in NYHA FC at End of Treatment

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at the time of treatment discontinuation will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and up to approximately 10 years

  10. Change From Baseline in N-terminal Pro-hormone Brain Natriuretic Peptide (NT-proBNP) at 6 Months Following Enrollment in the Extension

    NT-proBNP is an established marker of ventricular dysfunction in participants with PAH. The change from baseline in NT-proBNP at Month 6 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 6

  11. Change From Baseline in NT-proBNP at 12 Months Following Enrollment in the Extension

    NT-proBNP is an established marker of ventricular dysfunction in participants with PAH. The change from baseline in NT-proBNP at Month 12 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 12

  12. Change From Baseline in NT-proBNP at 18 Months Following Enrollment in the Extension

    NT-proBNP is an established marker of ventricular dysfunction in participants with PAH. The change from baseline in NT-proBNP at Month 18 will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and Month 18

  13. Change From Baseline in NT-proBNP at End of Treatment

    NT-proBNP is an established marker of ventricular dysfunction in participants with PAH. The change from baseline in NT-proBNP at the time of treatment discontinuation will be presented. Per protocol, baseline may be either parent study baseline or the time of enrollment on this extension.

    Time frame: Baseline and up to approximately 10 years

  14. Change From Parent Study Week 24 in PVR at 6 Months Following Enrollment in the Extension for Placebo Participants

    PVR, a hemodynamic variable of pulmonary circulation, is measured by right heart catheterization (RHC). The change from parent study Week 24 in PVR at Month 6 will be presented. Per protocol, baseline was defined as the value collected at Week 24 of the parent study.

    Time frame: Baseline and Month 6

  15. Change From Baseline in 6MWD at 6 Months Following Enrollment in the Extension for Placebo Participants

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at Month 6 will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and Month 6

  16. Change From Baseline in 6MWD at 12 Months Following Enrollment in the Extension for Placebo Participants

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at Month 12 will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and Month 12

  17. Change From Baseline in 6MWD at 18 Months Following Enrollment in the Extension for Placebo Participants

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at Month 18 will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and Month 18

  18. Change From Baseline in 6MWD at End of Treatment for Placebo Participants

    The 6MWD tests the distance walked in 6 minutes as a measure of functional capacity. The change from baseline in 6MWD at the time of treatment discontinuation will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and up to approximately 43.5 months

  19. Change From Baseline in NYHA FC at 6 Months Following Enrollment in the Extension for Placebo Participants

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at Month 6 will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and Month 6

  20. Change From Baseline in NYHA FC at 12 Months Following Enrollment in the Extension for Placebo Participants

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at Month 12 will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and Month 12

  21. Change From Baseline in NYHA FC at 18 Months Following Enrollment in the Extension for Placebo Participants

    NYHA FC classifies the extent of heart failure. The change from baseline in NYHA FC at Month 18 will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and Month 18

  22. Change From Baseline in NYHA FC at End of Treatment for Placebo Participants

    NYHA FC classifies the extent of heart failure. The change from extension baseline in NYHA FC at the time of treatment discontinuation will be presented. Per protocol, extension baseline was defined as the time of enrollment in the extension.

    Time frame: Baseline and up to approximately 10 years

07

Study locations

57 sites
  • Pulmonary Associates, PA ( Site 1008)
    Phoenix, Arizona 85032, United States
  • Scripps Clinic John R Anderson V Medical Pavillion ( Site 1004)
    La Jolla, California 92037, United States
  • Jeffrey S. Sager, MD Medical Corporation ( Site 1060)
    Santa Barbara, California 93105, United States
  • Stanford University Medical Center ( Site 1024)
    Stanford, California 94305, United States
  • South Denver Cardiology Associates ( Site 1091)
    Littleton, Colorado 80120, United States
  • Yale New Haven Hospital ( Site 1093)
    New Haven, Connecticut 06520, United States
  • AdventHealth Orlando ( Site 1058)
    Orlando, Florida 32803, United States
  • The Emory Clinic ( Site 1030)
    Atlanta, Georgia 30322, United States
  • Norton Pulmonary Specialists ( Site 1066)
    Louisville, Kentucky 40202, United States
  • University Of Nebraska Medical Center ( Site 1053)
    Omaha, Nebraska 68198, United States
  • Weill Cornell Medical Center ( Site 1046)
    New York, New York 10065, United States
  • Duke University Medical Center ( Site 1026)
    Durham, North Carolina 27710-4000, United States
  • The Carl and Edyth Lindner Center for Research and Education at the Christ Hospital ( Site 1001)
    Cincinnati, Ohio 45219, United States
  • The Cleveland Clinic Foundation. ( Site 1065)
    Cleveland, Ohio 44195, United States
  • The Ohio State University Wexner Medical Center ( Site 1032)
    Columbus, Ohio 43210, United States
  • Allegheny General Hospital ( Site 1088)
    Pittsburgh, Pennsylvania 15212-4737, United States
  • Lankenau Medical Center ( Site 1089)
    Wynnewood, Pennsylvania 19096, United States
  • Rhode Island Hospital ( Site 1039)
    Providence, Rhode Island 02903, United States
  • Medical University of South Carolina ( Site 1003)
    Charleston, South Carolina 29425, United States
  • Statcare Pulmonary Consultants ( Site 1031)
    Knoxville, Tennessee 37919, United States
  • Intermountain Medical Center ( Site 1079)
    Murray, Utah 84107, United States
  • Inova Fairfax Medical Campus ( Site 1078)
    Falls Church, Virginia 22042, United States
  • Pulmonary Associates of Richmond - West Broad Street ( Site 1069)
    Richmond, Virginia 23230, United States
  • Université Libre de Bruxelles - Hôpital Erasme ( Site 0100)
    Brussels, Bruxelles-Capitale, Region de 1070, Belgium
  • Hamilton Health Sciences Hamilton General Hospital ( Site 0004)
    Hamilton, Ontario L8L 2X2, Canada
  • Centre Hospitalier Universitaire de Nice - Hopital Pasteur ( Site 0206)
    Nice, Alpes-Maritimes 06000, France
  • Hopital Arnaud de Villeneuve ( Site 0200)
    Montpellier, Herault 34295, France
  • Hôpital Nord Guillaume-et-René-Laennec / CHU de Nantes ( Site 0205)
    Saint-Herblain, Loire-Atlantique 44800, France
  • Centre Hopitalier Universitaire d'Angers ( Site 0204)
    Angers, Maine-et-Loire 49100, France
  • CHU de Rouen ( Site 0203)
    Rouen, Seine-Maritime 76031, France
  • Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre ( Site 0202)
    Le Kremlin-Bicêtre, Val-de-Marne 94270, France
  • Thoraxklinik-Heidelberg gGmbH ( Site 0309)
    Heidelberg, Baden-Wurttemberg 69126, Germany
  • Krankenhaus Neuwittelsbach ( Site 0310)
    München, Bavaria 80639, Germany
  • UKGM Gießen/Marburg ( Site 0312)
    Giessen, Hesse 35392, Germany
  • Universitaetsklinikum Koeln ( Site 0311)
    Cologne, North Rhine-Westphalia 50937, Germany
  • Universitätsmedizin Johannes Gutenberg Universität Mainz ( Site 0315)
    Mainz, Rhineland-Palatinate 55131, Germany
  • Universitaetsklinikum Carl Gustav Carus Dresden ( Site 0301)
    Dresden, Saxony 01307, Germany
  • DRK Kliniken Berlin Westend ( Site 0307)
    Berlin, 14050, Germany
  • Rambam Health Care Campus ( Site 0403)
    Haifa, 3109601, Israel
  • Edith Wolfson Medical Center ( Site 0404)
    Holon, 5810001, Israel
  • Hadassah Medical Center ( Site 0402)
    Jerusalem, 9112001, Israel
  • Meir Medical Center ( Site 0401)
    Kfar Saba, 4428164, Israel
  • ZIV Medical Center ( Site 0400)
    Safed, 1311001, Israel
  • Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII ( Site 0502)
    Bergamo, Lombardy 24127, Italy
  • Fondazione IRCCS Policlinico San Matteo ( Site 0501)
    Pavia, 27100, Italy
  • AOU Policlinico Umberto I ( Site 0500)
    Roma, 00161, Italy
  • Unidad de Investigacion Clinica en Medicina, S.C. ( Site 2505)
    Monterrey, Nuevo León 64718, Mexico
  • Krakowski Szpital Specjalistyczny im. Jana Pawła II-Oddzial Kliniczny Chorob Serca i Naczyn z Podod ( Site 0600)
    Krakow, Lesser Poland Voivodeship 31-202, Poland
  • Wojewodzki Szpital Specjalistyczny im Stefana Kardynala Wyszynskiego ( Site 0601)
    Lublin, Lublin Voivodeship 20-718, Poland
  • Uniwersytecki Szpital Kliniczny w Bialymstoku ( Site 0603)
    Bialystok, Podlaskie Voivodeship 15-276, Poland
  • Hospital Costa del Sol ( Site 0704)
    Marbella, Malaga 29603, Spain
  • Hospital Clinic I Provincial de Barcelona ( Site 0701)
    Barcelona, 08036, Spain
  • Hospital Universitario 12 de Octubre ( Site 0702)
    Madrid, 28041, Spain
  • Hospital Universitario Virgen Macarena ( Site 0705)
    Seville, 41009, Spain
  • HOSPITAL GENERAL UNIVERSITARIO DE TOLEDO ( Site 0703)
    Toledo, 45007, Spain
  • Sahlgrenska Universitetssjukhuset-Cardiology Research Unit ( Site 0800)
    Gothenburg, Västra Götaland County 413 46, Sweden
  • Hammersmith Hospital-Department of Cardiology ( Site 0900)
    London, London, City of W12 OHS, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06814145
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Feb 7, 2025
Start date
Apr 16, 2025
Primary completion
Aug 10, 2035 (estimated)
Completion
Aug 10, 2035 (estimated)
Last update
Jul 22, 2026

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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