Hypertension, Pulmonary
Conditions
Keywords
Pulmonary Hypertension,Riociguat,Living with Pulmonary Hypertension Questionnaire
Brief summary
The MOTION study was a prospective, Phase IV study for patients with Pulmonary Arterial Hypertension (PAH). The study was designed to further explore patient-reported outcomes in PAH subjects who were not on active treatment and living in the United States. In addition, the study explored the use of new telemetric technology (Accelerator band) to evaluate if this technology correlates with improvements in 6 Minute Walking Distance 6MWD in patients with PAH.
Interventions
Participants received therapy with riociguat during a 10-week titration phase. The starting dose for riociguat for all patients was 0.5 milligram (mg) three times a day (TID). The dose of riociguat was increased every 2 weeks in 0.5 mg increments to 1.0, 1.5, 2.0, and 2.5 mg until patients reached their individual optimal dose based on their systolic blood pressure and well-being. After reaching their optimal dose, patients then entered a maintenance phase and remained on this dose for an additional 14 weeks. End of treatment was reached at Visit 10 after 24 weeks of treatment with riociguat.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female patients, 18 to 80 years of age at Visit 0 * Women of childbearing potential must have a negative pre-treatment pregnancy test, negative monthly pregnancy test, and must use reliable methods of contraception according to the Risk Evaluation Mitigation Strategies (REMS) guidance * Symptomatic pulmonary arterial hypertension, World Health Organization Group 1 with a pulmonary vascular resistance (PVR) \>300 dyn\*sec\*cm-5, mean pulmonary artery pressure (PAP mean) ≥25 mmHg, and pulmonary capillary wedge pressure (PCWP) ≤15 mmHg as assessed by right heart catheterization within 6 months prior to Screening (Visit 0) * PAH of the following types: Idiopathic (IPAH) Familial (FPAH) Associated with PAH (APAH) due to: Connective tissue disease Congenital heart disease, but only if patient underwent surgical repair more than one year before enrollment Anorexigen or amphetamine use Portal hypertension with liver cirrhosis * Not treated with PAH-specific pulmonary medications within 14 days of Screening (Visit 0) * 6MWD between 150 meters and 450 meters
Exclusion criteria
* Patients who are pregnant * Patients currently on nitrate and/or nitric oxide (NO) donor therapy; patients currently taking phosphodiesterase 5 (PDE5) inhibitors (such as sildenafil, tadalafil, vardenafil) and non-specific PDE inhibitors (theophylline, dipyridamole) * Non-WHO group 1 Pulmonary Hypertension * Severe restrictive lung disease * History of uncontrolled high blood pressure or hypotension * A medical disorder, condition, or history that in the opinion of the Investigator would impair their ability to participate or complete this study * Active state of hemoptysis or pulmonary hemorrhage, including those events managed by bronchial artery embolization
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline to Week 24 in the Living With Pulmonary Hypertension (LPH) Questionnaire Total Score | Baseline to Week 24 | The Living with Pulmonary Hypertension (LPH) questionnaire with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 (best) to 105 (worst) is calculated by summing the responses to all 21 questions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Week 16 to Week 24 in the LPH Total Score (Completers Analysis Set Only) | Week 16 to Week 24 | The Living with Pulmonary Hypertension (LPH) questionnaire with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 (best) to 105 (worst) is calculated by summing the responses to all 21 questions. |
| Change From Baseline to Weeks 4, 16, and 24 in the LPH Physical Dimension Score | Baseline to Weeks 4, 16, and 24 | The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the LPH Physical Dimension Score (Completers Analysis Set Only) | Week 16 to Week 24 | The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition. |
| Change From Baseline to Weeks 4, 16, and 24 in the LPH Emotional Dimension Score | Baseline to Week 4, Week 16 and Week 24 | The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the LPH Emotional Dimension Score (Completers Analysis Set Only) | Week 16 to Week 24 | The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition. |
| Percentage of Patients With a Minimal Clinically Significant Important Difference (MCID) From Baseline in LPH Total Score at Weeks 4, 16, and 24 | Baseline to Week 4, Week 16 and Week 24 | For LPH total score, the MCID was an 11-point decrease from baseline. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Percentage of Patients With an MCID From Baseline in LPH Physical Dimension Score at Weeks 4, 16, and 24 | Baseline to Week 4, Week 16 and Week 24 | For the physical and emotional dimension scores, the MCID was a 4-point decrease. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Percentage of Patients With an MCID From Baseline in LPH Emotional Dimension Score at Weeks 4, 16, and 24 | Baseline to Week 4, Week 16 and Week 24 | For the physical and emotional dimension scores, the MCID was a 4-point decrease. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Percentage of Patients With an MCID From Week 16 in LPH Total Score at Week 24 (Completers Analysis Set Only) | Week 16 to Week 24 | For LPH total score, the MCID was an 11-point decrease. |
| Percentage of Patients With an MCID From Week 16 in Physical Dimension Score at Week 24 (Completers Analysis Set Only) | Week 16 to Week 24 | For the physical and emotional dimension scores, the MCID was a 4-point decrease. |
| Percentage of Patients With an MCID From Week 16 in Emotional Dimension Score at Week 24 (Completers Analysis Set Only) | Week 16 to Week 24 | For the physical and emotional dimension scores, the MCID was a 4-point decrease. |
| Change From Baseline to Weeks 4 and 16 in the LPH Total Score | Baseline to Week 4 and Week 16 | The Living with Pulmonary Hypertension (LPH) questionnaire with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 (best) to 105 (worst) is calculated by summing the responses to all 21 questions. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Baseline to Weeks 4, 16, and 24 in the WLQ Percentage of Productivity Loss | Baseline to Week 4, Week 16 and Week 24 | The WLQ is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Using an algorithm, WLQ scale scores can be converted into an estimate of productivity loss. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands, and Output Demands Scores (Completers Analysis Set Only) | Week 16 to Week 24 | The Work Limitations Questionnaire (WLQ) is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Scale score range from 0 (limited none of the time) to 100 (limited all of the time) and represent the reported amount of time in the prior two weeks respondents were limited on-the-job. |
| Change From Week 16 to Week 24 in the WLQ Percentage of Productivity Loss (Completers Analysis Set Only) | Week 16 to Week 24 | The WLQ is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Using an algorithm, WLQ scale scores can be converted into an estimate of productivity loss. |
| Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | Baseline to Week 4, Week 16 and Week 24 | SF-12v2® Health Survey is a 12-item questionnaire to measure functional health and well-being from the patient's point of view. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the SF-12 PCS Score and MCS Score (Completers Analysis Set Only) | Week 16 to Week 24 | SF-12v2® Health Survey is a 12-item questionnaire to measure functional health and well-being from the patient's point of view. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. |
| Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Baseline to Week 4, Week 16 and Week 24 | Functional class was determined by the WHO classification: I: Patients with PH (pulmonary hypertension) but without resulting limitation of physical activity. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain, or near syncope. II: Patients with PH resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope. III: Patients with PH resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain, or near syncope. IV: Patients with PH with inability to carry out any physical activity without symptoms. These patients manifest signs of right-heart failure. Dyspnea and/or fatigue may even be present at rest. Discomfort is increased by any physical activity. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only) | Week 16 to Week 24 | Functional class was determined by the WHO classification: I: Patients with PH (pulmonary hypertension) but without resulting limitation of physical activity. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain, or near syncope. II: Patients with PH resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope. III: Patients with PH resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain, or near syncope. IV: Patients with PH with inability to carry out any physical activity without symptoms. These patients manifest signs of right-heart failure. Dyspnea and/or fatigue may even be present at rest. Discomfort is increased by any physical activity. |
| Change From Baseline to Weeks 16 and 24 in the Modified Borg Dyspnea Scale | Week 16 to Week 24 | The Modified Borg Dyspnea Scale assessed the intensity of the patient's dyspnea from 0 (best) to 10 (worst). In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the Modified Borg Dyspnea Scale (Completers Analysis Set Only) | Week 16 to Week 24 | The Modified Borg Dyspnea Scale assessed the intensity of the patient's dyspnea from 0 (best) to 10 (worst). |
| Change From Baseline to Weeks 16 and 24 in the 6MWD | Week 16 to Week 24 | Six-minute walk distance (6MWD) was conducted to test the physical limitations of the patient by assessing the patient's exercise capacity. The distance walked by the patient in 6 minutes was measured. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
| Change From Week 16 to Week 24 in the 6MWD (Completers Analysis Set Only) | Week 16 to Week 24 | Six-minute walk distance (6MWD) was conducted to test the physical limitations of the patient by assessing the patient's exercise capacity. The distance walked by the patient in 6 minutes was measured. |
| Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Baseline to Week 4, Week 16 and Week 24 | The Work Limitations Questionnaire (WLQ) is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Scale score range from 0 (limited none of the time) to 100 (limited all of the time) and represent the reported amount of time in the prior two weeks respondents were limited on-the-job. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint. |
Countries
Puerto Rico, United States
Participant flow
Recruitment details
A total of 97 patients signed informed consent; 22 patients did not complete screening (20 patients were screen failures and 2 patients withdrew from the study). Of 75 patients who received therapy with riociguat, 65 patients completed study treatment and entered follow-up, and 60 patients completed the study.
Participants by arm
| Arm | Count |
|---|---|
| Riociguat (Adempas, BAY63-2521) Participants received therapy with riociguat during a 10-week titration phase. The starting dose for riociguat for all patients was 0.5 milligram (mg) three times a day (TID). The dose of riociguat was increased every 2 weeks in 0.5 mg increments to 1.0, 1.5, 2.0, and 2.5 mg until patients reached their individual optimal dose based on their systolic blood pressure and well-being. After reaching their optimal dose, patients then entered a maintenance phase and remained on this dose for an additional 14 weeks. End of treatment was reached at Visit 10 after 24 weeks of treatment with riociguat. | 75 |
| Total | 75 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Follow-up | Adverse Event | 1 |
| Follow-up | Lost to Follow-up | 2 |
| Follow-up | Ongoing/unknown | 2 |
| Treatment | Adverse Event | 2 |
| Treatment | Death | 4 |
| Treatment | Other | 1 |
| Treatment | Withdrawal by Subject | 3 |
Baseline characteristics
| Characteristic | Riociguat (Adempas, BAY63-2521) |
|---|---|
| Age, Continuous | 61.7 Years STANDARD_DEVIATION 11.4 |
| Living with Pulmonary Hypertension (LPH) Emotional dimension score | 10.20 Scores STANDARD_DEVIATION 7.8 |
| Living with Pulmonary Hypertension (LPH) Physical dimension score | 22.83 Scores STANDARD_DEVIATION 10.7 |
| Living with Pulmonary Hypertension (LPH) Total score | 46.03 Scores STANDARD_DEVIATION 24.57 |
| Modified Borg Dyspnea Scale | 4.47 Scores STANDARD_DEVIATION 2.74 |
| Sex: Female, Male Female | 66 Participants |
| Sex: Female, Male Male | 9 Participants |
| Short Form-12 Health Survey (SF-12) questionnaire Mental component summary | 47.453 Scores STANDARD_DEVIATION 9.213 |
| Short Form-12 Health Survey (SF-12) questionnaire Physical component summary | 36.660 Scores STANDARD_DEVIATION 8.577 |
| Six-minute walk distance (6MWD) | 310.259 Meters STANDARD_DEVIATION 89.578 |
| WHO functional class I | 9.3 Percentage of participants |
| WHO functional class II | 30.7 Percentage of participants |
| WHO functional class III | 58.7 Percentage of participants |
| WHO functional class IV | 1.3 Percentage of participants |
| WLQ: Percentage of Productivity loss | 8.85 Percentage STANDARD_DEVIATION 6.62 |
| Work Limitations Questionnaire (WLQ) Mental-interpersonal demands scale | 28.66 Percentage STANDARD_DEVIATION 25.22 |
| Work Limitations Questionnaire (WLQ) Output demands scale | 36.52 Percentage STANDARD_DEVIATION 31.51 |
| Work Limitations Questionnaire (WLQ) Physical demands scale | 33.47 Percentage STANDARD_DEVIATION 28.25 |
| Work Limitations Questionnaire (WLQ) Time management scale | 36.42 Percentage STANDARD_DEVIATION 30.82 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 61 / 75 |
| serious Total, serious adverse events | 21 / 75 |
Outcome results
Change From Baseline to Week 24 in the Living With Pulmonary Hypertension (LPH) Questionnaire Total Score
The Living with Pulmonary Hypertension (LPH) questionnaire with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 (best) to 105 (worst) is calculated by summing the responses to all 21 questions.
Time frame: Baseline to Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 66 patients were evaluable for LPH total score at Week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Week 24 in the Living With Pulmonary Hypertension (LPH) Questionnaire Total Score | -10.99 Scores | Standard Deviation 22.51 |
Change From Baseline to Weeks 16 and 24 in the 6MWD
Six-minute walk distance (6MWD) was conducted to test the physical limitations of the patient by assessing the patient's exercise capacity. The distance walked by the patient in 6 minutes was measured. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Week 16 to Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 67 patients were evaluable for 6MWD at week 24.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 16 and 24 in the 6MWD | Week 16 (N=66) | 2.362 Meters | Standard Deviation 75.506 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 16 and 24 in the 6MWD | Week 24 (N=67) | -2.921 Meters | Standard Deviation 59.247 |
Change From Baseline to Weeks 16 and 24 in the Modified Borg Dyspnea Scale
The Modified Borg Dyspnea Scale assessed the intensity of the patient's dyspnea from 0 (best) to 10 (worst). In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Week 16 to Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 58 patients were evaluable for Modified Borg Dyspnea Scale at week 24.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 16 and 24 in the Modified Borg Dyspnea Scale | Week 24 (N=58) | -0.91 Scores | Standard Deviation 3.44 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 16 and 24 in the Modified Borg Dyspnea Scale | Week 16 (N=57) | -0.70 Scores | Standard Deviation 3.23 |
Change From Baseline to Weeks 4, 16, and 24 in the LPH Emotional Dimension Score
The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 75 patients were evaluable for LPH emotional dimension score at week 16 or before.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the LPH Emotional Dimension Score | Week 4 (N=72) | -2.22 Scores | Standard Deviation 5.7 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the LPH Emotional Dimension Score | Week 16 or Last Before (N=75) | -1.44 Scores | Standard Deviation 7.32 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the LPH Emotional Dimension Score | Week 24 (N=66) | -2.33 Scores | Standard Deviation 6.9 |
Change From Baseline to Weeks 4, 16, and 24 in the LPH Physical Dimension Score
The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Weeks 4, 16, and 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 75 patients were evaluable for LPH physical dimension score at week 16 or before.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the LPH Physical Dimension Score | Week 4 (N=72) | -3.77 Scores | Standard Deviation 8.25 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the LPH Physical Dimension Score | Week 16 or Last Before (N=75) | -3.97 Scores | Standard Deviation 9.94 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the LPH Physical Dimension Score | Week 24 (N=65) | -6.10 Scores | Standard Deviation 9.38 |
Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score
SF-12v2® Health Survey is a 12-item questionnaire to measure functional health and well-being from the patient's point of view. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 73 patients were evaluable for PCS and MCS at Week 4.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | PCS Week 4 (N=73) | 1.009 Scores | Standard Deviation 6.474 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | PCS Week 16 (N=69) | 0.036 Scores | Standard Deviation 7.059 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | PCS Week 24 (N=67) | 1.230 Scores | Standard Deviation 8.401 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | MCS Week 4 (N=73) | 1.955 Scores | Standard Deviation 9.262 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | MCS Week 16 (N=69) | 1.869 Scores | Standard Deviation 7.605 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the Short Form-12 Health Survey (SF-12) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Score | MCS Week 24 (N=67) | 2.883 Scores | Standard Deviation 10.073 |
Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class
Functional class was determined by the WHO classification: I: Patients with PH (pulmonary hypertension) but without resulting limitation of physical activity. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain, or near syncope. II: Patients with PH resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope. III: Patients with PH resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain, or near syncope. IV: Patients with PH with inability to carry out any physical activity without symptoms. These patients manifest signs of right-heart failure. Dyspnea and/or fatigue may even be present at rest. Discomfort is increased by any physical activity. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 75 patients were evaluable for WHO Function Class at Week 16 or Last Before.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 4 (-1 Change in WHO Class), N=72 | 9.7 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 4 (0 Change in WHO Class), N=72 | 87.5 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 4 (+1 Change in WHO Class), N=72 | 2.8 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 4 (+2 Change in WHO Class), N=72 | 0 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 16 or LastBefore (-1 Change in WHOClass),N=75 | 18.7 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 16 or LastBefore (0 Change in WHOClass),N=75 | 66.7 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 16 or LastBefore (+1 Change in WHOClass),N=75 | 12.0 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 16 or LastBefore (+2 Change in WHOClass),N=75 | 2.7 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 24 (-1 Change in WHO Class), N=67 | 28.4 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 24 (0 Change in WHO Class), N=67 | 64.2 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 24 (+1 Change in WHO Class), N=67 | 6.0 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WHO Functional Class | Week 24 (+2 Change in WHO Class), N=67 | 1.5 Percentage of participants |
Change From Baseline to Weeks 4, 16, and 24 in the WLQ Percentage of Productivity Loss
The WLQ is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Using an algorithm, WLQ scale scores can be converted into an estimate of productivity loss. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 37 patients were evaluable for WLQ percentage of productivity loss at week 4.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Percentage of Productivity Loss | Week 4 Productivity loss (%), N=37 | -1.07 Percentage | Standard Deviation 4.68 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Percentage of Productivity Loss | Week 16 Productivity loss (%), N=30 | 0.54 Percentage | Standard Deviation 4.85 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Percentage of Productivity Loss | Week 24 Productivity loss (%), N=27 | -0.53 Percentage | Standard Deviation 5.82 |
Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores
The Work Limitations Questionnaire (WLQ) is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Scale score range from 0 (limited none of the time) to 100 (limited all of the time) and represent the reported amount of time in the prior two weeks respondents were limited on-the-job. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 52 patients were evaluable for WLQ at week 4.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 4 Time management score, N=45 | 4.17 Scores | Standard Deviation 25.28 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 4 Physical demands score, N=52 | 0.96 Scores | Standard Deviation 25.35 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 4 Mental-interpersonal demands score, N=48 | -8.59 Scores | Standard Deviation 25.29 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 4 Output demands score, N=40 | -6.88 Scores | Standard Deviation 27 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 16 Time management score, N=45 | 0.56 Scores | Standard Deviation 26.24 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 16 Physical demands score, N=49 | 7.40 Scores | Standard Deviation 26.26 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 16 Mental-interpersonal demands score, N=46 | -6.52 Scores | Standard Deviation 24.82 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 16 Output demands score, N=40 | 2.81 Scores | Standard Deviation 25.71 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 24 Time management score, N=42 | -2.68 Scores | Standard Deviation 26.41 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 24 Physical demands score, N=43 | 2.33 Scores | Standard Deviation 21.17 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 24 Mental-interpersonal demands score, N=41 | -2.13 Scores | Standard Deviation 25.91 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4, 16, and 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands and Output Demands Scores | Week 24 Output demands score, N=34 | -2.57 Scores | Standard Deviation 25.71 |
Change From Baseline to Weeks 4 and 16 in the LPH Total Score
The Living with Pulmonary Hypertension (LPH) questionnaire with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 (best) to 105 (worst) is calculated by summing the responses to all 21 questions. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4 and Week 16
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 72 patients were evaluable for LPH total score at Week 4.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4 and 16 in the LPH Total Score | Week 4 (N=72) | -7.65 Scores | Standard Deviation 18.3 |
| Riociguat (Adempas, BAY63-2521) | Change From Baseline to Weeks 4 and 16 in the LPH Total Score | Week 16 (N=68) | -6.98 Scores | Standard Deviation 20.85 |
Change From Week 16 to Week 24 in the 6MWD (Completers Analysis Set Only)
Six-minute walk distance (6MWD) was conducted to test the physical limitations of the patient by assessing the patient's exercise capacity. The distance walked by the patient in 6 minutes was measured.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 57 patients in Completer analysis set were evaluable for 6MWD at week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the 6MWD (Completers Analysis Set Only) | -7.932 Meters | Standard Deviation 71.542 |
Change From Week 16 to Week 24 in the LPH Emotional Dimension Score (Completers Analysis Set Only)
The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 58 patients in Completer analysis set were evaluable for LPH emotional dimension score at Week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the LPH Emotional Dimension Score (Completers Analysis Set Only) | -0.11 Scores | Standard Deviation 5.5 |
Change From Week 16 to Week 24 in the LPH Physical Dimension Score (Completers Analysis Set Only)
The LPH derived from the Minnesota Living with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 to 105 is calculated by summing the responses to all 21 questions. A physical dimension score (range 0-40, 8 items) and an emotional dimension score (range 0-25, 5 items) can also be calculated. For all LPH scores, a higher score indicates that patients are more affected by their medical condition.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 57 patients in Completer analysis set were evaluable for LPH physical dimension score at Week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the LPH Physical Dimension Score (Completers Analysis Set Only) | -0.86 Scores | Standard Deviation 7.2 |
Change From Week 16 to Week 24 in the LPH Total Score (Completers Analysis Set Only)
The Living with Pulmonary Hypertension (LPH) questionnaire with Heart Failure questionnaire comprises 21 items, responded to on a 6-point Likert scale ranging from 0 'No' to 5 'Very much'. A total score ranging from 0 (best) to 105 (worst) is calculated by summing the responses to all 21 questions.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 58 patients in Completer analysis set were evaluable for LPH total score at Week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the LPH Total Score (Completers Analysis Set Only) | -1.66 Scores | Standard Deviation 15.13 |
Change From Week 16 to Week 24 in the Modified Borg Dyspnea Scale (Completers Analysis Set Only)
The Modified Borg Dyspnea Scale assessed the intensity of the patient's dyspnea from 0 (best) to 10 (worst).
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 57 patients in Completer analysis set were evaluable for Modified Borg Dyspnea Scale at Week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the Modified Borg Dyspnea Scale (Completers Analysis Set Only) | -0.19 Scores | Standard Deviation 3.75 |
Change From Week 16 to Week 24 in the SF-12 PCS Score and MCS Score (Completers Analysis Set Only)
SF-12v2® Health Survey is a 12-item questionnaire to measure functional health and well-being from the patient's point of view. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 58 patients in Completer analysis set were evaluable for PCS and MCS at Week 24.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the SF-12 PCS Score and MCS Score (Completers Analysis Set Only) | PCS | 1.383 Scores | Standard Deviation 6.81 |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the SF-12 PCS Score and MCS Score (Completers Analysis Set Only) | MCS | 0.437 Scores | Standard Deviation 8.378 |
Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only)
Functional class was determined by the WHO classification: I: Patients with PH (pulmonary hypertension) but without resulting limitation of physical activity. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain, or near syncope. II: Patients with PH resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope. III: Patients with PH resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain, or near syncope. IV: Patients with PH with inability to carry out any physical activity without symptoms. These patients manifest signs of right-heart failure. Dyspnea and/or fatigue may even be present at rest. Discomfort is increased by any physical activity.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 57 patients in Completer analysis set were evaluable for WHO Function Class at Week 24.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only) | -2 Change in WHO Class | 1.8 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only) | -1 Change in WHO Class | 15.8 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only) | 0 Change in WHO Class | 70.2 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only) | +1 Change in WHO Class | 10.5 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WHO Functional Class (Completers Analysis Set Only) | +2 Change in WHO Class | 1.8 Percentage of participants |
Change From Week 16 to Week 24 in the WLQ Percentage of Productivity Loss (Completers Analysis Set Only)
The WLQ is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Using an algorithm, WLQ scale scores can be converted into an estimate of productivity loss.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 40 patients in Completer analysis set were evaluable for WLQ percentage of productivity loss at week 24.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WLQ Percentage of Productivity Loss (Completers Analysis Set Only) | 0.19 Percentage | Standard Deviation 4.17 |
Change From Week 16 to Week 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands, and Output Demands Scores (Completers Analysis Set Only)
The Work Limitations Questionnaire (WLQ) is an 8-item questionnaire that measures the degree to which employed individuals are experiencing limitations on-the-job due to their health problems, and health-related productivity loss (Presenteeism). The WLQ's terms are aggregated into four scales (i.e. Time Management, Physical demands, Mental-interpersonal demands, Output demands). Scale score range from 0 (limited none of the time) to 100 (limited all of the time) and represent the reported amount of time in the prior two weeks respondents were limited on-the-job.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 40 patients in Completer analysis set were evaluable for WLQ at Week 24.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands, and Output Demands Scores (Completers Analysis Set Only) | Time management score, N=39 | -0.32 Scores | Standard Deviation 25.73 |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands, and Output Demands Scores (Completers Analysis Set Only) | Physical demands score, N=40 | -1.56 Scores | Standard Deviation 24.22 |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands, and Output Demands Scores (Completers Analysis Set Only) | Mental-interpersonal demands score, N=38 | 5.92 Scores | Standard Deviation 19.87 |
| Riociguat (Adempas, BAY63-2521) | Change From Week 16 to Week 24 in the WLQ Time Management, Physical Demands, Mental-Interpersonal Demands, and Output Demands Scores (Completers Analysis Set Only) | Output demands score, N=34 | -4.78 Scores | Standard Deviation 24.43 |
Percentage of Patients With a Minimal Clinically Significant Important Difference (MCID) From Baseline in LPH Total Score at Weeks 4, 16, and 24
For LPH total score, the MCID was an 11-point decrease from baseline. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 72 patients were evaluable for LPH total score at week 4.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With a Minimal Clinically Significant Important Difference (MCID) From Baseline in LPH Total Score at Weeks 4, 16, and 24 | Week 4 (N=72) | 38.9 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With a Minimal Clinically Significant Important Difference (MCID) From Baseline in LPH Total Score at Weeks 4, 16, and 24 | Week 16 (N=68) | 45.6 Percentage of participants |
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With a Minimal Clinically Significant Important Difference (MCID) From Baseline in LPH Total Score at Weeks 4, 16, and 24 | Week 24 (N=66) | 47.0 Percentage of participants |
Percentage of Patients With an MCID From Baseline in LPH Emotional Dimension Score at Weeks 4, 16, and 24
For the physical and emotional dimension scores, the MCID was a 4-point decrease. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 72 patients were evaluable for LPH emotional dimension score at week 4.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Baseline in LPH Emotional Dimension Score at Weeks 4, 16, and 24 | Week 16 (N=68) | 39.7 Percentage of Participants |
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Baseline in LPH Emotional Dimension Score at Weeks 4, 16, and 24 | Week 4 (N=72) | 31.9 Percentage of Participants |
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Baseline in LPH Emotional Dimension Score at Weeks 4, 16, and 24 | Week 24 (N=66) | 33.3 Percentage of Participants |
Percentage of Patients With an MCID From Baseline in LPH Physical Dimension Score at Weeks 4, 16, and 24
For the physical and emotional dimension scores, the MCID was a 4-point decrease. In the below table, N signifies subjects who were evaluable for the specific parameter at that timepoint.
Time frame: Baseline to Week 4, Week 16 and Week 24
Population: The ITT analysis set was synonymous with the Safety analysis set definition which included all patients who received at least 1 dose of test drug. 72 patients were evaluable for LPH physical dimension score at week 4.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Baseline in LPH Physical Dimension Score at Weeks 4, 16, and 24 | Week 4 (N=72) | 45.8 Percentage of Participants |
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Baseline in LPH Physical Dimension Score at Weeks 4, 16, and 24 | Week 16 (N=68) | 51.5 Percentage of Participants |
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Baseline in LPH Physical Dimension Score at Weeks 4, 16, and 24 | Week 24 (N=65) | 60.0 Percentage of Participants |
Percentage of Patients With an MCID From Week 16 in Emotional Dimension Score at Week 24 (Completers Analysis Set Only)
For the physical and emotional dimension scores, the MCID was a 4-point decrease.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 58 patients in Completer analysis set were evaluable for LPH emotional dimension score at Week 24.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Week 16 in Emotional Dimension Score at Week 24 (Completers Analysis Set Only) | 17.2 Percentage of Participants |
Percentage of Patients With an MCID From Week 16 in LPH Total Score at Week 24 (Completers Analysis Set Only)
For LPH total score, the MCID was an 11-point decrease.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 58 patients in Completer analysis set were evaluable for LPH total score at Week 24.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Week 16 in LPH Total Score at Week 24 (Completers Analysis Set Only) | 24.1 Percentage of Participants |
Percentage of Patients With an MCID From Week 16 in Physical Dimension Score at Week 24 (Completers Analysis Set Only)
For the physical and emotional dimension scores, the MCID was a 4-point decrease.
Time frame: Week 16 to Week 24
Population: The Completers analysis set included patients valid for Safety/ITT analysis sets who had an LPH score at baseline (Visit 1), Week 4, Week 16, and Week 24. 57 patients were evaluable for LPH physical dimension score at week 24.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Riociguat (Adempas, BAY63-2521) | Percentage of Patients With an MCID From Week 16 in Physical Dimension Score at Week 24 (Completers Analysis Set Only) | 29.8 Percentage of Participants |