PMID- 31974533 OWN - NLM STAT- MEDLINE DCOM- 20220225 LR - 20220225 IS - 1804-7521 (Electronic) IS - 1213-8118 (Linking) VI - 165 IP - 2 DP - 2021 Jun TI - The impact of riociguat on clinical parameters and quality of life in patients with chronic thromboembolic pulmonary hypertension - results of a retrospective clinical registry. PG - 157-161 LID - 10.5507/bp.2019.061 [doi] AB - AIMS: The primary objective of the registry was to assess the impact of riociguat on clinical parameters and quality of life in patients with chronic thromboembolic pulmonary hypertension (CTEPH) that was inoperable or persistent/recurrent after pulmonary endarterectomy (PEA). In contrast to randomized pivotal trials, this non-interventional registry evaluated the effectiveness and safety of riociguat in a real-world setting. METHODS: Retrospective data were collected from patients' charts as recorded in routine clinical practice from the initiation of riociguat therapy up to approximately 5 months and 1 year after this initiation. RESULTS: In total, 51 patients from a single site were enrolled. After 5 months (mean duration) of riociguat treatment, the following improvements from baseline were observed: change of distance in the 6-minute walking distance (6MWD) (P=0.066); change of score from the quality of life questionnaire (EQ5D-5L) (P=0.020), and overall self-assessment of health status (P=0.001). New York Heart Association (NYHA) class improved in 24.3% of patients. After 11.2 months (mean duration) of riociguat treatment, the following improvements from baseline were observed: change of distance in the 6MWD test (P=0.006), and overall self-assessment of health status (P=0.009). NYHA class improved in 46.4% of patients. Riociguat was well tolerated. In total, 4 patients reported side effects, with hospitalization required in one case and 2 patients who had to discontinue the treatment. Annual survival rate was 89.1%. CONCLUSION: Riociguat improves functional NYHA class, distance in the 6MWD test and quality of life in a real-world patient population. FAU - Jansa, Pavel AU - Jansa P AD - 2nd Department of Medicine - Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. FAU - Ambroz, David AU - Ambroz D AD - 2nd Department of Medicine - Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. FAU - Kuchar, Jan AU - Kuchar J AD - Department of Cardiology, Tabor Hospital, Inc., Czech Republic. FAU - Dytrych, Vladimir AU - Dytrych V AD - 2nd Department of Medicine - Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. FAU - Lindner, Jaroslav AU - Lindner J AD - 2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. FAU - Linhart, Ales AU - Linhart A AD - 2nd Department of Medicine - Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. LA - eng PT - Journal Article DEP - 20200120 PL - Czech Republic TA - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub JT - Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia JID - 101140142 RN - 0 (Pyrazoles) RN - 0 (Pyrimidines) RN - RU3FE2Y4XI (riociguat) SB - IM MH - Chronic Disease MH - Humans MH - *Hypertension, Pulmonary/drug therapy/etiology MH - *Pulmonary Embolism/complications/drug therapy MH - Pyrazoles MH - Pyrimidines MH - Quality of Life MH - Registries MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - chronic thromboembolic pulmonary hypertension OT - clinical parameters OT - quality of life OT - real-world population OT - riociguat EDAT- 2020/01/25 06:00 MHDA- 2022/02/26 06:00 CRDT- 2020/01/25 06:00 PHST- 2019/11/18 00:00 [received] PHST- 2019/12/13 00:00 [accepted] PHST- 2020/01/25 06:00 [pubmed] PHST- 2022/02/26 06:00 [medline] PHST- 2020/01/25 06:00 [entrez] AID - 10.5507/bp.2019.061 [doi] PST - ppublish SO - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021 Jun;165(2):157-161. doi: 10.5507/bp.2019.061. Epub 2020 Jan 20.