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BAY63-2521 - Long-term Extension Study in Patients With Chronic Thromboembolic Pulmonary Hypertension

Long-term Extension, Multicentre, Multi-international Study to Evaluate the Safety and Tolerability of Oral BAY63-2521 (1mg, 1.5 mg, 2.0 mg, 2.5 mg Tid) in Patients With Chronic Thromboembolic Pulmonary Hypertension (CTEPH).

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00910429
Acronym
CHEST-2
Enrollment
237
Registered
2009-05-29
Start date
2009-07-01
Completion date
2019-08-19
Last updated
2023-11-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pulmonary Hypertension

Keywords

Chronic thromboembolic Hypertension, PH, soluble Guanylate Cyclase Stimulator, sGC

Brief summary

Patients who have completed the 16 weeks treatment of the CHEST-1 trial (study number 11348) will be asked to participate in this long term extension study with BAY63-2521. The aim of the long term study is to collect additional information to evaluate the safety and tolerability of BAY63-2521. Patients will be treated with open label medication on their individual optimal dose between 0,5 mg - 2,5 mg tid.

Interventions

DRUGRiociguat (Adempas, BAY63-2521)

BAY63-2521 - 1 mg tid - 2,5 mg tid orally until end of study

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Patients who have completed 16 weeks of treatment in the double blind trial CHEST 1

Exclusion criteria

* Patients who have an ongoing serious adverse event from CHEST 1 that is assessed as related to BAY63-2521 are not allowed to participate in the extension trial

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-emergent Adverse Events (TEAE)From administration of first dose of study medication up to 2 days after end of treatment with study medication, up to 10 yearsAnalyses of drug-related TEAEs were based on the assessment of causal relationship to study medication.
Number of Participants With DeathFrom baseline to end of safety follow-up visit, up to 10 years (1 month more than End of study visit)Analyses of deaths were based on the assessment of causal relationship to study medication. The safety follow-up visit was to be performed 30 days after the last dose of riociguat.

Secondary

MeasureTime frameDescription
Percentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationFrom baseline to Termination visit, up to 10 yearsFrequency of participants only with a treatment-emergent shift in hematology and coagulation parameters from normal or low at baseline to a high value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Percentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationFrom baseline to Termination visit, up to 10 yearsFrequency of participants only with a treatment-emergent shift in hematology and coagulation parameters from normal or high at baseline to a low value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change From Baseline of Hemoglobin in Hematology and CoagulationFrom baseline to Termination visit, up to 10 yearsHemoglobin is standard Hematology and coagulation parameter. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Percentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryFrom baseline to Termination visit, up to 10 yearsFrequency of participants per treatment group only with a treatment-emergent shift in clinical chemistry parameters from normal or low at baseline to a high value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Percentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryFrom baseline to Termination visit, up to 10 yearsFrequency of participants per treatment group only with a treatment-emergent shift in clinical chemistry parameters from normal or high at baseline to a low value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change From Baseline of Urate in Clinical ChemistryFrom baseline to Termination visit, up to 10 yearsUrate is standard clinical chemistry parameter. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Other

MeasureTime frameDescription
Change of Heart RateFrom baseline to Termination visit, up to 10 yearsHeart rate was measured after the participant had been at rest for 10 minutes in a supine position. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change of WeightFrom baseline to Termination visit, up to 10 yearsWeight was evaluated for safety. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change of Oxygen Saturation (SaO2)From baseline to Termination visit, up to 10 yearsSaO2 is one parameters of blood gas. The sample was obtained with the participant resting in a sitting or supine position for at least 10 minutes. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change of Arterial Partial Oxygen Pressure (PaO2)From baseline to Termination visit, up to 10 yearsPaO2 is one parameter of blood gas. The sample was obtained with the participant resting in a sitting or supine position for at least 10 minutes. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change of Arterial Partial Pressure of Carbon Dioxide (PaCO2)From baseline to Termination visit, up to 10 yearsPaCO2 is one parameter of blood gas. The sample was obtained with the participant resting in a sitting or supine position for at least 10 minutes. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change of RR Duration From Electrocardiogram (ECG)From baseline to Month 48Heart rate from ECG is derived from the RR duration, unless arrhythmias such as atrial fibrillation or ventricular extra beats require additional calculations. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.
Change in World Health Organization (WHO) Functional ClassFrom baseline to End of study visit, up to 10 yearsWHO classification: I: Participants with PH. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain, or near syncope. II: Participants with PH are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope. III: Participants with PH are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain, or near syncope. IV: Participants with PH with inability to carry out any physical activity. They manifest signs of right-heart failure. Dyspnea and/or fatigue may even be present at rest. For class change from baseline, minus indicates a participant's functional class decreased compared with baseline (e.g. -1 indicates a participant changed from class IV to class III, or from class II to class I), plus indicates a participant's functional class increased compared with baseline (e.g. +1 indicates a participant changed from class I to class II, or from class III to class IV).
Change of QRS Duration From ECGFrom baseline to Month 48QRS duration was evaluated as part of ECG. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.
Change of QT Duration in ECGFrom baseline to Month 48QT duration was evaluated as part of ECG. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.
Change in Six-minute Walking Distance (6MWD) TestFrom baseline to End of study visit, up to 10 years6MWD is exercise testing and is one of efficacy evaluation
Change in Pulmonary Vascular Resistance (PVR)From baseline to Month 45 and Month 48Pulmonary vascular resistance (PVR) was measured only if right-heart catheterization was performed as part of a regular diagnostic work-up. Analyses up to Month 48 due to limited data.
Change in N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)From baseline to End of study visit, up to 10 yearsNT-proBNP levels in the blood are used for diagnosis of acute congestive heart failure (CHF) and may be useful to establish prognosis in heart failure
Change of PR Duration From ECGFrom baseline to Month 48PR duration was evaluated as part of ECG. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.
Number of Participants With Clinical WorseningFrom baseline to End of study visit, up to 10 yearsTime to clinical worsening was a parameter that combined death and events reflective of persistent clinical worsening of the participant's underlying diagnosis of pulmonary hypertension (PH).
Incidence of Clinical Worsening Events Per 100 Person YearsFrom baseline to End of study visit, up to 10 yearsTime to clinical worsening was a parameter that combined death and events reflective of persistent clinical worsening of the participant's underlying diagnosis of pulmonary hypertension (PH).
Change From Baseline in Borg CR 10 ScaleFrom baseline to Week 12The Borg CR10 Scale was measured in conjunction with the 6MWD test. The test was explained to the participant before starting the 6MWD test. Participants were asked to rank their exertion at the end of the 6MWD test. Low values indicate low levels of exertion; high values indicate more intense exertion reported by the participant. The score ranges from 0 (Nothing at all) to 10 (Extremely strong - Maximal).
Change in Score of EQ-5D QuestionnaireFrom baseline to End of study visit, up to 10 yearsThe EQ-5D is a standardized instrument for use as a measure of health outcome. The EQ-5D is a self report questionnaire. The utility score is calculated based on five questions concerning problems with mobility, self-care, usual activities, pain/discomfort and anxiety/depression. An increase in the utility score represents an improvement in quality of life. The score ranges from -0.594 (worst answer in all five questions) to 1 (best answer in all five questions).
Change in Score of Living With Pulmonary Hypertension (LPH) QuestionnaireFrom baseline to End of study visit, up to 10 yearsThe LPH questionnaire is designed to measure the effects of PH and PH-specific treatments on an individual's quality of life. The LPH is a self-report questionnaire and was completed by the participant. The LPH total score can range from 0 (best) to 105 (worst).
Change of Systolic Blood Pressure (SBP)From baseline to Termination visit, up to 10 yearsSBP was measured after the participant had been at rest for 10 minutes in a supine position. Low SBP was defined as SBP \<95 mmHg, normal SBP as SBP 95-140mmHg, and high SBP as SBP \>140 mmHg. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.
Change of Diastolic Blood Pressure (DBP)From baseline to Termination visit, up to 10 yearsDBP was measured after the participants had been at rest for 10 minutes in a supine position. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Czechia, Denmark, France, Germany, Israel, Italy, Japan, Mexico, Poland, Portugal, Russia, Slovakia, South Korea, Spain, Switzerland, Taiwan, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

Study was conducted at 71 centers in 25 countries or regions, between 01-JUL-2009 (first participant first visit) and 19-AUG-2019 (last participant last visit)

Pre-assignment details

Of the 243 participants who completed CHEST-1 (NCT00855465), 237 entered CHEST-2. 155 participants were from the former riociguat treatment group, and 82 were from the former placebo group.

Participants by arm

ArmCount
Riociguat-Former Riociguat 1.0-2.5 mg
Participants were from the former riociguat (BAY 63-2521) treatment group of CHEST-1 on the same dose as they received on the last day of CHEST-1.
155
Riociguat-Former Placebo
Participants were from the former placebo group of CHEST-1. The starting dose in CHEST-2 was 1.0 mg riociguat three times one day.
82
Total237

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event105
Overall StudyDeath1812
Overall StudyDrug non-compliance10
Overall StudyLack of Efficacy41
Overall StudyLost to Follow-up21
Overall StudyProtocol Violation10
Overall StudyWithdrawal by Subject32

Baseline characteristics

CharacteristicRiociguat-Former Riociguat 1.0-2.5 mgRiociguat-Former PlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
64 Participants32 Participants96 Participants
Age, Categorical
Between 18 and 65 years
91 Participants50 Participants141 Participants
Age, Continuous59 years
STANDARD_DEVIATION 13.8
59.2 years
STANDARD_DEVIATION 12.4
59.1 years
STANDARD_DEVIATION 13.3
Race/Ethnicity, Customized
Asian
34 Participants19 Participants53 Participants
Race/Ethnicity, Customized
Black or African American
7 Participants1 Participants8 Participants
Race/Ethnicity, Customized
Hispanic or Latino
8 Participants2 Participants10 Participants
Race/Ethnicity, Customized
Multiple races
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
105 Participants60 Participants165 Participants
Sex: Female, Male
Female
104 Participants49 Participants153 Participants
Sex: Female, Male
Male
51 Participants33 Participants84 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
22 / 15513 / 82
other
Total, other adverse events
148 / 15579 / 82
serious
Total, serious adverse events
96 / 15556 / 82

Outcome results

Primary

Number of Participants With Death

Analyses of deaths were based on the assessment of causal relationship to study medication. The safety follow-up visit was to be performed 30 days after the last dose of riociguat.

Time frame: From baseline to end of safety follow-up visit, up to 10 years (1 month more than End of study visit)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Death22 Participants
Riociguat-Former PlaceboNumber of Participants With Death13 Participants
Primary

Number of Participants With Treatment-emergent Adverse Events (TEAE)

Analyses of drug-related TEAEs were based on the assessment of causal relationship to study medication.

Time frame: From administration of first dose of study medication up to 2 days after end of treatment with study medication, up to 10 years

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any serious TEAE96 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any drug-related serious TEAE14 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any drug-related TEAE77 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any TEAT leading to death22 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any TEAE153 Participants
Riociguat-Former PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any TEAT leading to death13 Participants
Riociguat-Former PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any TEAE82 Participants
Riociguat-Former PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any drug-related TEAE44 Participants
Riociguat-Former PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any drug-related serious TEAE7 Participants
Riociguat-Former PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAE)Any serious TEAE56 Participants
Secondary

Change From Baseline of Hemoglobin in Hematology and Coagulation

Hemoglobin is standard Hematology and coagulation parameter. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange From Baseline of Hemoglobin in Hematology and CoagulationBaseline (Week 0)14.49 gram/deciliter (g/dL)Standard Deviation 1.82
Riociguat-Former Riociguat 1.0-2.5 mgChange From Baseline of Hemoglobin in Hematology and CoagulationChange from baseline to Termination visit1.04 gram/deciliter (g/dL)Standard Deviation 1.58
Riociguat-Former PlaceboChange From Baseline of Hemoglobin in Hematology and CoagulationBaseline (Week 0)14.36 gram/deciliter (g/dL)Standard Deviation 1.7
Riociguat-Former PlaceboChange From Baseline of Hemoglobin in Hematology and CoagulationChange from baseline to Termination visit-1.37 gram/deciliter (g/dL)Standard Deviation 1.71
Secondary

Change From Baseline of Urate in Clinical Chemistry

Urate is standard clinical chemistry parameter. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange From Baseline of Urate in Clinical ChemistryBaseline (Week 0)6.767 milligram/deciliter (mg/dL)Standard Deviation 1.859
Riociguat-Former Riociguat 1.0-2.5 mgChange From Baseline of Urate in Clinical ChemistryChange from baseline to Termination visit0.310 milligram/deciliter (mg/dL)Standard Deviation 2.916
Riociguat-Former PlaceboChange From Baseline of Urate in Clinical ChemistryBaseline (Week 0)6.999 milligram/deciliter (mg/dL)Standard Deviation 2.193
Riociguat-Former PlaceboChange From Baseline of Urate in Clinical ChemistryChange from baseline to Termination visit-1.290 milligram/deciliter (mg/dL)Standard Deviation 1.12
Secondary

Percentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical Chemistry

Frequency of participants per treatment group only with a treatment-emergent shift in clinical chemistry parameters from normal or low at baseline to a high value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit, and for each parameter.

ArmMeasureGroupValue (NUMBER)
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAlanine aminotransferase (U/L)11.5 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAlbumin (g/dL)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAlkaline phosphatase (U/L)22.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAspartate aminotransferase (U/L)16.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryBilirubin (mg/dL)17.2 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCalcium (mg/dL)2.6 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCreatine kinase (U/L)28.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCreatinine (mg/dL)32.5 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryGamma glutamyltransferase (U/L)22.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryGlutamate dehydrogenase (U/L)43.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryPhosphate (mg/dL)7.9 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryPotassium (mmol/L)4.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryProtein (g/dL)2.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryPseudocholinesterase (U/mL)2.1 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistrySodium (mmol/L)1.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryTriacylglycerol lipase (U/L)18.8 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryUrate (mg/dL)13.6 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryUrea (mg/dL)22.9 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryeGFR MDRD method(mL/min/1.73 m2)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCreatinine clearance (mL/min)11.5 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryUrea (mg/dL)36.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAlanine aminotransferase (U/L)13.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryPhosphate (mg/dL)5.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAlbumin (g/dL)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryTriacylglycerol lipase (U/L)18.8 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAlkaline phosphatase (U/L)19.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryPotassium (mmol/L)6.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryAspartate aminotransferase (U/L)14.1 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCreatinine clearance (mL/min)8.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryBilirubin (mg/dL)15.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryProtein (g/dL)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCalcium (mg/dL)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryUrate (mg/dL)35.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCreatine kinase (U/L)30.3 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryPseudocholinesterase (U/mL)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryCreatinine (mg/dL)31.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryeGFR MDRD method(mL/min/1.73 m2)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryGamma glutamyltransferase (U/L)24.1 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistrySodium (mmol/L)3.9 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Clinical ChemistryGlutamate dehydrogenase (U/L)34.0 Percentage
Secondary

Percentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and Coagulation

Frequency of participants only with a treatment-emergent shift in hematology and coagulation parameters from normal or low at baseline to a high value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit, and for each parameter.

ArmMeasureGroupValue (NUMBER)
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationBasophils (Giga/L)1.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationLymphocytes (Giga/L)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationEosinophils (Giga/L)0.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationLymphocytes / Leukocytes (%)8.8 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationErythrocytes (T/L)18.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationMonocytes (Giga/L)3.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationBasophils / Leukocytes (%)18.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationMonocytes / Leukocytes (%)15.6 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationHematocrit (%)41.2 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationNeutrophils (Giga/L)11.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationEosinophils / Leukocytes (%)3.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationNeutrophils / Leukocytes (%)31.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationHemoglobin (g/dL)12.5 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationPlatelets (Giga/L)17.2 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationLeukocytes (Giga/L)8.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationProthrombin international normalized ratio92.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationActivated partial thromboplastin time (sec)97.1 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationProthrombin international normalized ratio75 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationActivated partial thromboplastin time (sec)90.5 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationBasophils (Giga/L)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationBasophils / Leukocytes (%)16.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationEosinophils (Giga/L)5.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationHemoglobin (g/dL)10.8 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationEosinophils / Leukocytes (%)9.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationErythrocytes (T/L)24.2 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationHematocrit (%)38.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationLeukocytes (Giga/L)16.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationLymphocytes (Giga/L)1.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationLymphocytes / Leukocytes (%)7.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationMonocytes (Giga/L)8.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationMonocytes / Leukocytes (%)16.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationNeutrophils (Giga/L)23.3 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationNeutrophils / Leukocytes (%)32.9 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent High Laboratory Abnormalities in Hematology and CoagulationPlatelets (Giga/L)20.6 Percentage
Secondary

Percentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical Chemistry

Frequency of participants per treatment group only with a treatment-emergent shift in clinical chemistry parameters from normal or high at baseline to a low value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit, and for each parameter.

ArmMeasureGroupValue (NUMBER)
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryAlbumin (g/dL)2.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryAlkaline phosphatase (U/L)2.1 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryBilirubin (mg/dL)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCalcium (mg/dL)14.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCreatine kinase (U/L)6.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCreatinine (mg/dL)4.1 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryGamma glutamyltransferase (U/L)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryPhosphate (mg/dL)10.5 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryPotassium (mmol/L)18.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryProtein (g/dL)6.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryPseudocholinesterase (U/mL)10.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistrySodium (mmol/L)4.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryTriacylglycerol lipase (U/L)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryUrate (mg/dL)2.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryUrea (mg/dL)0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryeGFR MDRDmethod (mL/min/1.73 m2)26.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCreatinine clearance (mL/min)29.2 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryTriacylglycerol lipase (U/L)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryAlbumin (g/dL)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCreatinine clearance (mL/min)40.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryAlkaline phosphatase (U/L)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryProtein (g/dL)2.8 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryBilirubin (mg/dL)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryUrate (mg/dL)2.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryPotassium (mmol/L)18.9 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCalcium (mg/dL)6.3 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryPseudocholinesterase (U/mL)14.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCreatine kinase (U/L)6.8 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryeGFR MDRDmethod (mL/min/1.73 m2)22.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryCreatinine (mg/dL)3.9 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistrySodium (mmol/L)6.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryGamma glutamyltransferase (U/L)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryUrea (mg/dL)1.3 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Clinical ChemistryPhosphate (mg/dL)9.5 Percentage
Secondary

Percentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and Coagulation

Frequency of participants only with a treatment-emergent shift in hematology and coagulation parameters from normal or high at baseline to a low value at a timepoint after the start of treatment. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit, and for each parameter.

ArmMeasureGroupValue (NUMBER)
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationHematocrit (%)9.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationMonocytes (Giga/L)0.7 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationLeukocytes (Giga/L)25.4 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationMonocytes / Leukocytes (%)3.6 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationErythrocytes (T/L)21.1 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationNeutrophils (Giga/L)10.8 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationLymphocytes (Giga/L)30.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationNeutrophils / Leukocytes (%)5.8 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationHemoglobin (g/dL)30.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationPlatelets (Giga/L)19.8 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationLymphocytes / Leukocytes (%)39.3 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationProthrombin INR0.0 Percentage
Riociguat-Former Riociguat 1.0-2.5 mgPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationActivated partial thromboplastin time (sec)2.9 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationProthrombin INR0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationActivated partial thromboplastin time (sec)2.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationErythrocytes (T/L)29.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationHematocrit (%)17.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationHemoglobin (g/dL)36.2 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationLeukocytes (Giga/L)25.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationLymphocytes (Giga/L)22.4 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationLymphocytes / Leukocytes (%)42.9 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationMonocytes (Giga/L)0.0 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationMonocytes / Leukocytes (%)2.7 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationNeutrophils (Giga/L)5.6 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationNeutrophils / Leukocytes (%)10.1 Percentage
Riociguat-Former PlaceboPercentage of Participants With Treatment-emergent Low Laboratory Abnormalities in Hematology and CoagulationPlatelets (Giga/L)19.4 Percentage
Other Pre-specified

Change From Baseline in Borg CR 10 Scale

The Borg CR10 Scale was measured in conjunction with the 6MWD test. The test was explained to the participant before starting the 6MWD test. Participants were asked to rank their exertion at the end of the 6MWD test. Low values indicate low levels of exertion; high values indicate more intense exertion reported by the participant. The score ranges from 0 (Nothing at all) to 10 (Extremely strong - Maximal).

Time frame: From baseline to Week 12

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange From Baseline in Borg CR 10 ScaleBaseline (Week 0)4.36 Scores on a scaleStandard Deviation 2.3
Riociguat-Former Riociguat 1.0-2.5 mgChange From Baseline in Borg CR 10 ScaleChange from baseline to Week 12-0.93 Scores on a scaleStandard Deviation 2.47
Riociguat-Former PlaceboChange From Baseline in Borg CR 10 ScaleBaseline (Week 0)4.45 Scores on a scaleStandard Deviation 2.26
Riociguat-Former PlaceboChange From Baseline in Borg CR 10 ScaleChange from baseline to Week 12-0.3 Scores on a scaleStandard Deviation 2.08
Other Pre-specified

Change in N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)

NT-proBNP levels in the blood are used for diagnosis of acute congestive heart failure (CHF) and may be useful to establish prognosis in heart failure

Time frame: From baseline to End of study visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange in N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)Baseline (Week 0)1553.19 picograms/millilitre (pg/mL)Standard Deviation 2435.94
Riociguat-Former Riociguat 1.0-2.5 mgChange in N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)Change from baseline to End of study visit-125.99 picograms/millilitre (pg/mL)Standard Deviation 2503.78
Riociguat-Former PlaceboChange in N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)Baseline (Week 0)1404.23 picograms/millilitre (pg/mL)Standard Deviation 1745.48
Riociguat-Former PlaceboChange in N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)Change from baseline to End of study visit-187.96 picograms/millilitre (pg/mL)Standard Deviation 1438.96
Other Pre-specified

Change in Pulmonary Vascular Resistance (PVR)

Pulmonary vascular resistance (PVR) was measured only if right-heart catheterization was performed as part of a regular diagnostic work-up. Analyses up to Month 48 due to limited data.

Time frame: From baseline to Month 45 and Month 48

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange in Pulmonary Vascular Resistance (PVR)Baseline (Week 0)796.64 dyn*s*cm^-5Standard Deviation 435.24
Riociguat-Former Riociguat 1.0-2.5 mgChange in Pulmonary Vascular Resistance (PVR)Change from baseline to Month 48-148.29 dyn*s*cm^-5Standard Deviation 74.39
Riociguat-Former PlaceboChange in Pulmonary Vascular Resistance (PVR)Baseline (Week 0)761.83 dyn*s*cm^-5Standard Deviation 388.87
Riociguat-Former PlaceboChange in Pulmonary Vascular Resistance (PVR)Change from baseline to Month 45-1243.48 dyn*s*cm^-5
Other Pre-specified

Change in Score of EQ-5D Questionnaire

The EQ-5D is a standardized instrument for use as a measure of health outcome. The EQ-5D is a self report questionnaire. The utility score is calculated based on five questions concerning problems with mobility, self-care, usual activities, pain/discomfort and anxiety/depression. An increase in the utility score represents an improvement in quality of life. The score ranges from -0.594 (worst answer in all five questions) to 1 (best answer in all five questions).

Time frame: From baseline to End of study visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange in Score of EQ-5D QuestionnaireBaseline (Week 0)0.6406 Scores on a scaleStandard Deviation 0.2509
Riociguat-Former Riociguat 1.0-2.5 mgChange in Score of EQ-5D QuestionnaireChange from baseline to EOS Visit-0.1008 Scores on a scaleStandard Deviation 0.4965
Riociguat-Former PlaceboChange in Score of EQ-5D QuestionnaireBaseline (Week 0)0.6569 Scores on a scaleStandard Deviation 0.2518
Riociguat-Former PlaceboChange in Score of EQ-5D QuestionnaireChange from baseline to EOS Visit-0.1230 Scores on a scaleStandard Deviation 0.5213
Other Pre-specified

Change in Score of Living With Pulmonary Hypertension (LPH) Questionnaire

The LPH questionnaire is designed to measure the effects of PH and PH-specific treatments on an individual's quality of life. The LPH is a self-report questionnaire and was completed by the participant. The LPH total score can range from 0 (best) to 105 (worst).

Time frame: From baseline to End of study visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange in Score of Living With Pulmonary Hypertension (LPH) QuestionnaireBaseline (Week 0)42.19 Scores on a scaleStandard Deviation 22.05
Riociguat-Former Riociguat 1.0-2.5 mgChange in Score of Living With Pulmonary Hypertension (LPH) QuestionnaireChange from baseline to EOS Visit-2.64 Scores on a scaleStandard Deviation 29.26
Riociguat-Former PlaceboChange in Score of Living With Pulmonary Hypertension (LPH) QuestionnaireChange from baseline to EOS Visit-0.56 Scores on a scaleStandard Deviation 30.83
Riociguat-Former PlaceboChange in Score of Living With Pulmonary Hypertension (LPH) QuestionnaireBaseline (Week 0)46.01 Scores on a scaleStandard Deviation 22.93
Other Pre-specified

Change in Six-minute Walking Distance (6MWD) Test

6MWD is exercise testing and is one of efficacy evaluation

Time frame: From baseline to End of study visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEDIAN)
Riociguat-Former Riociguat 1.0-2.5 mgChange in Six-minute Walking Distance (6MWD) TestBaseline (Week 0)361.0 meters
Riociguat-Former Riociguat 1.0-2.5 mgChange in Six-minute Walking Distance (6MWD) TestChange from baseline to End of study visit31.0 meters
Riociguat-Former PlaceboChange in Six-minute Walking Distance (6MWD) TestBaseline (Week 0)372.0 meters
Riociguat-Former PlaceboChange in Six-minute Walking Distance (6MWD) TestChange from baseline to End of study visit12.5 meters
Other Pre-specified

Change in World Health Organization (WHO) Functional Class

WHO classification: I: Participants with PH. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain, or near syncope. II: Participants with PH are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope. III: Participants with PH are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain, or near syncope. IV: Participants with PH with inability to carry out any physical activity. They manifest signs of right-heart failure. Dyspnea and/or fatigue may even be present at rest. For class change from baseline, minus indicates a participant's functional class decreased compared with baseline (e.g. -1 indicates a participant changed from class IV to class III, or from class II to class I), plus indicates a participant's functional class increased compared with baseline (e.g. +1 indicates a participant changed from class I to class II, or from class III to class IV).

Time frame: From baseline to End of study visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class I3 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class II48 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class III100 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class IV4 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-Missing0 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- -27 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- -144 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- -072 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +111 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +213 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +37 Participants
Riociguat-Former Riociguat 1.0-2.5 mgChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +41 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +36 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class I0 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- -124 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class II25 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +27 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class III54 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- -038 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-class IV2 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +40 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassBaseline (Week 0)-Missing1 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- +12 Participants
Riociguat-Former PlaceboChange in World Health Organization (WHO) Functional ClassChange from baseline to End of study visit- -24 Participants
Other Pre-specified

Change of Arterial Partial Oxygen Pressure (PaO2)

PaO2 is one parameter of blood gas. The sample was obtained with the participant resting in a sitting or supine position for at least 10 minutes. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of Arterial Partial Oxygen Pressure (PaO2)Baseline (Week 0)69.66 mmHgStandard Deviation 11.9
Riociguat-Former Riociguat 1.0-2.5 mgChange of Arterial Partial Oxygen Pressure (PaO2)From baseline to Termination visit-1.67 mmHgStandard Deviation 8.02
Riociguat-Former PlaceboChange of Arterial Partial Oxygen Pressure (PaO2)Baseline (Week 0)69.19 mmHgStandard Deviation 10.96
Riociguat-Former PlaceboChange of Arterial Partial Oxygen Pressure (PaO2)From baseline to Termination visit2.00 mmHgStandard Deviation 24.73
Other Pre-specified

Change of Arterial Partial Pressure of Carbon Dioxide (PaCO2)

PaCO2 is one parameter of blood gas. The sample was obtained with the participant resting in a sitting or supine position for at least 10 minutes. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of Arterial Partial Pressure of Carbon Dioxide (PaCO2)Baseline (Week 0)33.20 mmHgStandard Deviation 4.61
Riociguat-Former Riociguat 1.0-2.5 mgChange of Arterial Partial Pressure of Carbon Dioxide (PaCO2)From baseline to Termination visit-0.33 mmHgStandard Deviation 1.53
Riociguat-Former PlaceboChange of Arterial Partial Pressure of Carbon Dioxide (PaCO2)Baseline (Week 0)33.52 mmHgStandard Deviation 4.6
Riociguat-Former PlaceboChange of Arterial Partial Pressure of Carbon Dioxide (PaCO2)From baseline to Termination visit-2.25 mmHgStandard Deviation 4.5
Other Pre-specified

Change of Diastolic Blood Pressure (DBP)

DBP was measured after the participants had been at rest for 10 minutes in a supine position. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of Diastolic Blood Pressure (DBP)Baseline (Week 0)75.34 mmHgStandard Deviation 9.75
Riociguat-Former Riociguat 1.0-2.5 mgChange of Diastolic Blood Pressure (DBP)Change from baseline to Termination visit-6.16 mmHgStandard Deviation 13.77
Riociguat-Former PlaceboChange of Diastolic Blood Pressure (DBP)Baseline (Week 0)78.55 mmHgStandard Deviation 9.46
Riociguat-Former PlaceboChange of Diastolic Blood Pressure (DBP)Change from baseline to Termination visit-7.26 mmHgStandard Deviation 11.09
Other Pre-specified

Change of Heart Rate

Heart rate was measured after the participant had been at rest for 10 minutes in a supine position. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of Heart RateBaseline (Week 0)77.66 beats/minute (BPM)Standard Deviation 12.12
Riociguat-Former Riociguat 1.0-2.5 mgChange of Heart RateChange from baseline to Termination visit-0.89 beats/minute (BPM)Standard Deviation 13.85
Riociguat-Former PlaceboChange of Heart RateBaseline (Week 0)76.11 beats/minute (BPM)Standard Deviation 12.1
Riociguat-Former PlaceboChange of Heart RateChange from baseline to Termination visit3.77 beats/minute (BPM)Standard Deviation 14.69
Other Pre-specified

Change of Oxygen Saturation (SaO2)

SaO2 is one parameters of blood gas. The sample was obtained with the participant resting in a sitting or supine position for at least 10 minutes. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of Oxygen Saturation (SaO2)Baseline (Week 0)93.9 PercentageStandard Deviation 2.7
Riociguat-Former Riociguat 1.0-2.5 mgChange of Oxygen Saturation (SaO2)From baseline to Termination visit0.0 PercentageStandard Deviation 2.6
Riociguat-Former PlaceboChange of Oxygen Saturation (SaO2)Baseline (Week 0)93.6 PercentageStandard Deviation 2.4
Riociguat-Former PlaceboChange of Oxygen Saturation (SaO2)From baseline to Termination visit-2.3 PercentageStandard Deviation 5.5
Other Pre-specified

Change of PR Duration From ECG

PR duration was evaluated as part of ECG. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.

Time frame: From baseline to Month 48

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of PR Duration From ECGBaseline (Week 0)173.22 msecStandard Deviation 26.49
Riociguat-Former Riociguat 1.0-2.5 mgChange of PR Duration From ECGChange from baseline to Month 48-10.00 msecStandard Deviation 11.31
Riociguat-Former PlaceboChange of PR Duration From ECGBaseline (Week 0)174.92 msecStandard Deviation 24.35
Other Pre-specified

Change of QRS Duration From ECG

QRS duration was evaluated as part of ECG. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.

Time frame: From baseline to Month 48

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of QRS Duration From ECGBaseline (Week 0)104.30 msecStandard Deviation 17.85
Riociguat-Former Riociguat 1.0-2.5 mgChange of QRS Duration From ECGChange from baseline to Month 483.00 msecStandard Deviation 4.24
Riociguat-Former PlaceboChange of QRS Duration From ECGBaseline (Week 0)104.11 msecStandard Deviation 18.24
Other Pre-specified

Change of QT Duration in ECG

QT duration was evaluated as part of ECG. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.

Time frame: From baseline to Month 48

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of QT Duration in ECGBaseline (Week 0)405.82 msecStandard Deviation 31.29
Riociguat-Former Riociguat 1.0-2.5 mgChange of QT Duration in ECGChange from baseline to Month 4842.00 msecStandard Deviation 39.6
Riociguat-Former PlaceboChange of QT Duration in ECGBaseline (Week 0)408.45 msecStandard Deviation 30.98
Other Pre-specified

Change of RR Duration From Electrocardiogram (ECG)

Heart rate from ECG is derived from the RR duration, unless arrhythmias such as atrial fibrillation or ventricular extra beats require additional calculations. ECGs were recorded after the participant had been at rest for 15 minutes in a supine position. Analyses up to Month 48. After this timepoint, data was available for considerably fewer participants in the analysis set.

Time frame: From baseline to Month 48

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of RR Duration From Electrocardiogram (ECG)Baseline (Week 0)812.90 millisecond (msec)Standard Deviation 144.31
Riociguat-Former Riociguat 1.0-2.5 mgChange of RR Duration From Electrocardiogram (ECG)Change rom baseline to Month 48152.00 millisecond (msec)Standard Deviation 236.17
Riociguat-Former PlaceboChange of RR Duration From Electrocardiogram (ECG)Baseline (Week 0)828.47 millisecond (msec)Standard Deviation 147.54
Other Pre-specified

Change of Systolic Blood Pressure (SBP)

SBP was measured after the participant had been at rest for 10 minutes in a supine position. Low SBP was defined as SBP \<95 mmHg, normal SBP as SBP 95-140mmHg, and high SBP as SBP \>140 mmHg. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of Systolic Blood Pressure (SBP)Baseline (Week 0)118.81 millimetre(s) of mercury (mmHg)Standard Deviation 14.96
Riociguat-Former Riociguat 1.0-2.5 mgChange of Systolic Blood Pressure (SBP)Change from baseline to Termination visit-3.96 millimetre(s) of mercury (mmHg)Standard Deviation 17.34
Riociguat-Former PlaceboChange of Systolic Blood Pressure (SBP)Baseline (Week 0)124.26 millimetre(s) of mercury (mmHg)Standard Deviation 16.14
Riociguat-Former PlaceboChange of Systolic Blood Pressure (SBP)Change from baseline to Termination visit-5.02 millimetre(s) of mercury (mmHg)Standard Deviation 14.79
Other Pre-specified

Change of Weight

Weight was evaluated for safety. A termination visit was only to be performed in the case of premature termination of study medication or if the sponsor announced the official end of the study.

Time frame: From baseline to Termination visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (MEAN)Dispersion
Riociguat-Former Riociguat 1.0-2.5 mgChange of WeightBaseline (Week 0)74.01 kilogram (kg)Standard Deviation 18.76
Riociguat-Former Riociguat 1.0-2.5 mgChange of WeightFrom baseline to Termination visit-0.87 kilogram (kg)Standard Deviation 5.86
Riociguat-Former PlaceboChange of WeightBaseline (Week 0)77.29 kilogram (kg)Standard Deviation 16.42
Riociguat-Former PlaceboChange of WeightFrom baseline to Termination visit-2.97 kilogram (kg)Standard Deviation 7.27
Other Pre-specified

Incidence of Clinical Worsening Events Per 100 Person Years

Time to clinical worsening was a parameter that combined death and events reflective of persistent clinical worsening of the participant's underlying diagnosis of pulmonary hypertension (PH).

Time frame: From baseline to End of study visit, up to 10 years

ArmMeasureGroupValue (NUMBER)
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsDeath4.04 Percentage per 100 person-years
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsAny clinical worsening event12.84 Percentage per 100 person-years
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsPulmonary endarterectomy0.73 Percentage per 100 person-years
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsHospitalization due to PH1.65 Percentage per 100 person-years
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsStart of new PH treatment4.40 Percentage per 100 person-years
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsDecrease in 6MWD due to PH0.73 Percentage per 100 person-years
Riociguat-Former Riociguat 1.0-2.5 mgIncidence of Clinical Worsening Events Per 100 Person YearsPersistent worsening of functional class due to PH1.28 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsDeath4.50 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsStart of new PH treatment3.81 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsAny clinical worsening event11.77 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsPersistent worsening of functional class due to PH0.69 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsPulmonary endarterectomy1.04 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsDecrease in 6MWD due to PH0.69 Percentage per 100 person-years
Riociguat-Former PlaceboIncidence of Clinical Worsening Events Per 100 Person YearsHospitalization due to PH1.04 Percentage per 100 person-years
Other Pre-specified

Number of Participants With Clinical Worsening

Time to clinical worsening was a parameter that combined death and events reflective of persistent clinical worsening of the participant's underlying diagnosis of pulmonary hypertension (PH).

Time frame: From baseline to End of study visit, up to 10 years

Population: Participants in SAF with evaluable data for each visit

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningHospitalization due to PH7 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningDecrease in 6MWD due to PH4 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningPulmonary endarterectomy4 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningPersistent worsening of functional class due to PH7 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningStart of new PH treatment21 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningDeath22 Participants
Riociguat-Former Riociguat 1.0-2.5 mgNumber of Participants With Clinical WorseningAny clinical worsening45 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningDeath13 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningAny clinical worsening23 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningPulmonary endarterectomy3 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningHospitalization due to PH3 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningStart of new PH treatment9 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningDecrease in 6MWD due to PH2 Participants
Riociguat-Former PlaceboNumber of Participants With Clinical WorseningPersistent worsening of functional class due to PH2 Participants

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026