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A myPHteam Member asked a question 💭
Scottsdale, AZ

The press release specifically indicated people who are combined pre and post capillary disease (like ME!) within Group 2. My PH specialist sent me a shout out via portal cause he knew how I've been waiting and waiting for this. We are going to try to get me into this Phase III part of the trial. I am so hopeful and excited.

https://www.merck.com/news/mercks-winrevair-sot...

Merck’s WINREVAIR™ (sotatercept-csrk) Met Primary Endpoint in Phase 2 CADENCE Study in Adults With Combined Post- and Precapillary Pulmonary Hypertension (CpcPH) due to Heart Failure With Preserved Ejection Fraction (HFpEF) - Merck.com
Merck’s WINREVAIR™ (sotatercept-csrk) Met Primary Endpoint in Phase 2 CADENCE Study in Adults With Combined Post- and Precapillary Pulmonary Hypertension (CpcPH) due to Heart Failure With Preserved Ejection Fraction (HFpEF) - Merck.com
November 18, 2025
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Answer Summary

Members celebrated the news that Winrevair is advancing toward approval for Group 2 pulmonary hypertension patients, particularly those with... Read more

Members celebrated the news that Winrevair is advancing toward approval for Group 2 pulmonary hypertension patients, particularly those with combined pre and post capillary disease, with one member excitedly sharing that her PH specialist reached out about entering the Phase III trial after previously being turned down for Phase II. Several members expressed hope and encouragement, with those already on Winrevair describing it as life-changing, while others shared information about an even newer medication in trials, HS235 Pharma, which is said to be a next-generation activin inhibitor with potentially fewer side effects and less frequent dosing than Winrevair. A recurring theme was the collective excitement and cautious optimism around expanding treatment options for a community that has long awaited effective therapies, with members encouraging one another to stay informed through specialist meetings and support groups.

A myPHteam Member

I am practically giddy I am so excited. I hope i'll qualify for the Phase III trial. I had been turned down for the Phase II part of it. They thought I wasn't sick enough at that point. I hope the criteria is a bit different for phase III.

November 18, 2025 (edited)
myPHteam

That's incredibly exciting news! It sounds like you're referring to the progress of Winrevair (sotatercept) for combined pre- and postcapillary pulmonary hypertension.

Winrevair is currently FDA-approved for pulmonary arterial hypertension (WHO Group 1). The development for Group 2, particularly for people with combined Show Full Answer

That's incredibly exciting news! It sounds like you're referring to the progress of Winrevair (sotatercept) for combined pre- and postcapillary pulmonary hypertension.

Winrevair is currently FDA-approved for pulmonary arterial hypertension (WHO Group 1). The development for Group 2, particularly for people with combined pre- and postcapillary disease like yourself, represents a promising expansion since most PH treatments were originally developed for precapillary PH.

Combined pre- and postcapillary PH occurs when someone meets the criteria for postcapillary PH (linked to left heart disease), but also has elevated pulmonary vascular resistance greater than 2 Wood units. This makes treatment more complex since typical Group 2 therapies focus on managing the underlying left heart condition.

Having your PH specialist proactively reach out about the Phase III trial opportunity shows they're invested in finding the best treatment options for you. Clinical trials can provide access to emerging therapies and contribute valuable data for others with similar conditions.

This is genuinely hopeful progress for people with combined disease who've had limited treatment options!

November 18, 2025
A myPHteam Member

Hope you can get into that trial, Heather!

November 20, 2025
A myPHteam Member

I don’t know. This was presented:
35Pharma HS235
This drug is very promising and is the next generation activin inhibitor. Activin inhibitors work
by targeting the proteins that are known to cause PH. Sotatercept/Winrevair is a less refined version of this drug. Lysine proteins in this drug will have less side effects than are currently a
concern with Sotatercept and dosing can be done less often.

When I look it up it says for overweight healthy people. I’ll ask him tomorrow night in case I got the number wrong.

November 19, 2025
A myPHteam Member

Sounds great! Thanks for sharing!

November 21, 2025

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