Evidence map›Paper›PMID 34363816›Full record

Trial reportChest2022

Riociguat for Sarcoidosis-Associated Pulmonary Hypertension: Results of a 1-Year Double-Blind, Placebo-Controlled Trial.

Robert P Baughman, Oksana A Shlobin, Rohit Gupta, Peter J Engel, Jeffrey I Stewart, Elyse E Lower, Franck F Rahaghi, Joyce Zeigler, Steven D Nathan

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02625558 (A Double Blind, Placebo Controlled Trial of Oral Riociguat for Sarcoidosis Associated Pulmonary Hypertension), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02625558 phase4unknown statusnot on this map

A Double Blind, Placebo Controlled Trial of Oral Riociguat for Sarcoidosis Associated Pulmonary Hypertension

TypeinterventionalSponsorUniversity of CincinnatiRan2015 to 2018Enrolled60ConditionsSarcoidosisArmsRiociguat, Placebo
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. New Therapies for Sarcoidosis: Molecular and Pathophysiological Basis.International journal of molecular sciences · 2026
    Review
  5. Clinical Updates in Pulmonary Hypertension.Reviews in cardiovascular medicine · 2026
    Review
  6. Article
  7. Advanced Pulmonary Sarcoidosis: Treatment and Monitoring.Diagnostics (Basel, Switzerland) · 2025
    Review
  8. WASOG Clinical Trial Endpoint Task Force: Executive Summary.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  9. Pulmonary hypertension associated with lung diseases.The European respiratory journal · 2024
    Review
  10. Article
  11. Article
  12. Sarcoidosis-Associated Pulmonary Hypertension.Journal of clinical medicine · 2024
    Review
  13. Use of pulmonary arterial hypertension therapies in patient swith sarcoidosis-associated pulmonary hypertension.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Pulmonary fibrosis in sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Robert P BaughmanDepartment of Medicine, University of Cincinnati Medical Center, Cincinnati, OH. Electronic address: baughmrp@ucmail.uc.edu.
Oksana A ShlobinAdvanced Lung Disease and Transplant Program, Inova Fairfax Hospital, Falls Church, VA.
Rohit GuptaDepartment of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, PA.
Peter J EngelChrist Hospital, Cincinnati, OH.
Jeffrey I StewartDepartment of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, PA.
Elyse E LowerDepartment of Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
Franck F RahaghiCleveland Clinic Florida, Weston, FL.
Joyce ZeiglerDepartment of Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
Steven D NathanAdvanced Lung Disease and Transplant Program, Inova Fairfax Hospital, Falls Church, VA.
Inova Fairfax Hospital · USTemple University Hospital · USUniversity of Cincinnati Medical Center · USChrist Hospital · USCleveland Clinic Florida · USUniversity of Cincinnati · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
NCATS NIH HHS UL1 TR001425
6 · The paper itself

Abstract

backgroundRiociguat is effective in delaying the time to clinical worsening (TCW) in patients with groups 1 and 4 pulmonary hypertension. RESEARCH QUESTION: Is riociguat more effective than placebo in prolonging TCW in sarcoidosis-associated pulmonary hypertension (SAPH)? STUDY DESIGN AND

methodsThis was a double-blind placebo-controlled trial. Patients with SAPH confirmed by right heart catheterization were randomized 1:1 to riociguat or placebo. Patients underwent 6-min walk distance (6MWD) and spirometry testing every 8 weeks. The primary end point was TCW, which was defined by the time to the first of the following: (1) all-cause mortality, (2) need for hospitalization because of worsening cardiopulmonary status attributable to progression of disease, (3) > 50 m decrease in the 6MWD test, or (4) worsening of World Health Organization functional class.

resultsA total of 16 patients were randomized to riociguat (n = 8) or placebo (n = 8). No difference was found in pulmonary artery mean, pulmonary vascular resistance, initial 6MWD, or FVC between the two groups. Five of eight patients who received placebo met TCW criteria, whereas none of the patients who received riociguat experienced a qualifying event. By log-rank analysis, patients who received riociguat were in the study for a significantly longer period (χ

interpretationOver the 1 year of the study, riociguat was effective in preventing clinical worsening and improving exercise capacity in patients with SAPH. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT02625558; URL: www.clinicaltrials.gov.

Indexed as

AgedDisease ProgressionDouble-Blind MethodEnzyme ActivatorsFemaleHumansHypertension, PulmonaryMaleMiddle AgedPyrazolesPyrimidinesQuality of LifeSarcoidosisSpirometryWalk TestEnzyme ActivatorsPyrazolesPyrimidinesriociguat6-min walk distancepulmonary fibrosisriociguatsarcoidosis-associated pulmonary hypertension

Identifiers

PMID34363816
PMCPMC9005858
OpenAlexW3187270436

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.