New PET scans reveal how experimental drug reshapes lung vessels in PAH
NCT ID NCT07357974
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study will use special PET/CT scans to see how the experimental drug sotatercept affects blood vessel remodeling in the lungs and heart of people with pulmonary arterial hypertension (PAH). About 15 adults with PAH will receive sotatercept and have imaging at the start and after 24 weeks. The goal is to measure changes in fibroblast activity and lung blood flow, not to treat symptoms directly.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 15 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Documented diagnostic right heart catheterization (RHC) within 12 months of screening documenting a minimum PVR of ≥ 4 Wood units and pulmonary capillary wedge pressure (PCWP) or left ventricular end-diastolic pressure (LVEDP) of ≤ 15 mmHg, with the diagnosis of WHO PAH Group 1 in any of the following subtypes: * Idiopathic PAH * Heritable PAH * Drug/toxine-induced PAH * PAH associated with connective tissue disease * PAH associated with simple, congenital systemic-to- pulmonary shunts at least 1year following repair * Patients under bi or tri-background-therapy * Symptomatic PAH classified WHO FC II or III * Patients will be started on Sotatercept * Ability to adhere to study visit schedule and understand and comply with all the protocol requirement. * Ability to understand and provide written informed consent Exclusion Criteria: * Diagnosis of PH WHO Groups 2, 3, 4, or 5 * Diagnosis of the following PAH Group 1 subtypes: human immunodeficiency virus (HIV)-associated PAH, PAH associated with portal hypertension, schistosomiasis associated PAH, pulmonary veno occlusive disease and pulmonary capillary hemangiomatosis. * Hemoglobin at screening above gender-specific ULN, per local laboratory test * Pregnant or breastfeeding women * Any of the following clinical laboratory values at the Screening visit: * eGFR \< 30 mL/min/1.73 m2 (as defined by MDRD equation) * Serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin levels \> 3 × ULN * Platelet count \< 50,000/mm3 (\< 50.0 × 109/L) * Known allergic reaction to sotatercept (ACE-011), its excipients, or luspatercept
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chu Brest
Brest, Finistere, 29200, France
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