FDA Approves Winrevair for Pulmonary Arterial Hypertension (PAH) in Adults
The FDA has approved Winrevair (sotatercept-csrk) for the treatment of adults with pulmonary arterial hypertension (PAH, WHO Group 1). The approval provides a new therapeutic option for a progressive and life-limiting condition. The drug is indicated to improve exercise capacity and WHO functional class, and to reduce the risk of clinical worsening events, including hospitalization for PAH, lung transplantation, and death. Winrevair is administered as a subcutaneous injection every three weeks, with dosing based on patient weight. The label includes specific monitoring requirements for hemoglobin and platelet counts before and during treatment, with dosage modifications required for significant increases in hemoglobin or decreases in platelets. This approval introduces a new class of therapy, an activin signaling inhibitor, into the PAH treatment landscape.
+ Clinical Details (Mechanism · Dosing · Trial Data · Warnings)
Winrevair is an activin signaling inhibitor.
WINREVAIR is indicated for the treatment of adults with pulmonary arterial hypertension (PAH, Group 1 pulmonary hypertension) to improve exercise capacity and World Health Organization (WHO) functional class (FC), and reduce the risk of clinical worsening events including hospitalization for PAH, lung transplantation and death.
The recommended starting dose is 0.3 mg/kg by subcutaneous injection. The recommended target dose is 0.7 mg/kg every 3 weeks by subcutaneous injection. Dosage modifications due to increased hemoglobin (Hgb) and decreased platelets may be necessary. Check Hgb and platelets before each dose for the first 5 doses, or longer if values are unstable, and monitor periodically thereafter. Do not initiate treatment if platelet count is <50,000/mm3 (<50 x 10^9/L). Injection volume is calculated based on patient weight and the concentration of 50 mg/mL. The volume should be rounded to the nearest 0.1 mL. Specific kits (45 mg, 60 mg, 90 mg, 120 mg) are selected based on the calculated injection volume for the target dose. If a dose is missed, administer as soon as possible. If missed by more than 3 days, adjust the schedule to maintain 3-week intervals. For treatment delays lasting >9 weeks, restart at 0.3 mg/kg. Delay treatment for at least 3 weeks if: Hgb increases >2.0 g/dL from the previous dose and is above ULN; Hgb increases >4.0 g/dL from baseline; Hgb increases >2.0 g/dL above ULN; or platelet count decreases to <50,000/mm3.
Trial data not available in label.
Not reported in label.
Not reported in label.