Evidence map›Paper›PMID 42146787›Full record

ArticlePulmonary circulation2026

Sotatercept in TBX4 Associated Heritable Pulmonary Arterial Hypertension: A Case Report of a Super Responder.

Jop W Schneijdenberg, Annemien E van den Bosch, Miriam E Kap, Robert M Kauling, Prewesh P Chandoesing, Leon M van den Toorn, Bas J Mathot, Thomas Koudstaal, Karin A Boomars

Abstract read
In one paragraph

Article in Pulmonary circulation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jop W SchneijdenbergDepartment of Cardiology, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.ORCID https://orcid.org/0009-0007-5094-1916
Annemien E van den BoschDepartment of Cardiology, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.ORCID https://orcid.org/0000-0002-0422-9860
Miriam E KapDepartment of Pulmonary Medicine, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.
Robert M KaulingDepartment of Cardiology, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.ORCID https://orcid.org/0000-0002-8654-7634
Prewesh P ChandoesingDepartment of Pulmonary Medicine, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.
Leon M van den ToornDepartment of Pulmonary Medicine, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.
Bas J MathotDepartment of Pulmonary Medicine, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.ORCID https://orcid.org/0000-0002-4196-6421
Thomas KoudstaalDepartment of Pulmonary Medicine, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.ORCID https://orcid.org/0000-0002-7655-4830
Karin A BoomarsDepartment of Pulmonary Medicine, Cardiovascular Institute, Thorax Center Erasmus University Medical Center Rotterdam Zuid-Holland the Netherlands.ORCID https://orcid.org/0000-0003-1519-8147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) is a life-threatening disease of the pulmonary arteries. Progressively increasing pulmonary artery pressure may lead to fatal failure of the right ventricle, necessitating aggressive drug treatment. Sotatercept, a novel drug for PAH-targeted therapy, shows promising results in clinical trials. Nevertheless, efficacy in the heterogeneous PAH population and long-term outcomes have yet to be investigated. This case report illustrates the life-changing effects of sotatercept in a patient with heritable PAH associated with a TBX4 mutation. Our patient faced near immobility, oxygen dependency, and was listed for lung transplantation in November 2023. Following sotatercept administration from July 2024 onward, she started sporting activities and has been removed from the transplantation waiting list. Thereby, this case illustrates an exceptional response to sotatercept in a patient with TBX4-associated heritable PAH. Positive effects persist 1 year after initiation without significant side effects.

Indexed as

pulmonary arterial hypertensionsotaterceptTBX4 mutation

Identifiers

PMID42146787
PMCPMC13176855

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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.