Therapy | Patients | Conventional end-points | Surrogate end-points |
cMRI | |||
Epoprostenol [83] | 11 PAH | ↑ 6MWD | ↑ RVSV |
↓ PVR | ↑ CO | ||
↔ RVEDV | |||
↔ RV mass | |||
↔ P̄pa | |||
Bosentan [116] | 16 PAH | ↑ 6MWD | ↔ RVEF |
↑ CI | ↔ RVEDV | ||
↓ PVR | ↔ RVSV | ||
Bosentan/sildenafil [117] | 26 PAH (IPAH and CTD-APAH) | ↑ 6MWD | ↓ RV mass |
↑ CI | ↓ LVSEI | ||
Bosentan and sildenafil [118] | 9 IPAH | ↑ 6MWD | ↑ RVEF |
3 CTD-APAH | ↑ CI | ↓ RV mass | |
2 CHD-APAH | ↔ RVEDV | ||
1 HIV-APAH | ↔ LVEDV | ||
↓ RVEDV/LVEDV ratio | |||
↔ RVSV index | |||
Ambisertan [119] | 11 IPAH | ↑ 6MWD | ↑ RVEF |
1 drug-induced PAH | ↓ PVR | ↔ RVEDV | |
↔ RV mass | |||
Sildenafil [120] | 4 IPAH | ↑ 6MWD | ↓ RV mass |
1 CHD-APAH | ↓ PVR | ||
Echocardiography | |||
Epoprostenol [121] | 9 IPAH | ↓ NYHA FC | ↓ RV dilatation |
1 CTD-APAH | ↓ TRV | ||
2 CHD-APAH | ↓ Ppa,syst/PVVTI | ||
4 PPH | ↔ RVMPI | ||
1 CTEPH | |||
2 sarcoid | |||
1 IPF | |||
Bosentan [122] | 48 IPAH | ↑ 6MWD | ↑ CI |
7 CTD-APAH | ↓ NYHA FC | ↑ LVED filling velocity | |
1 other PAH | ↑ LVED area | ||
↓ LVSEI | |||
↓ RVES area | |||
↓ RV:LV diastolic areas | |||
↓ Pericardial effusion score | |||
Bosentan [123] | 13 CTD-APAH | ↑ 6MWD | ↓ RVSP |
↔ P̄pa | |||
Sildenafil [124] | 11 PAH | ↔ NYHA FC | ↔ RVSP |
1 CTEPH | ↔ 6MWD | ↔ Tei index | |
1 PPH | |||
Epoprostenol/treprostinil s.c./inhaled iloprost plus sildenafil [125] | 13 IPAH | ↓ NYHA FC | ↓ RVES diameter |
6 toxic oil PAH | ↓ Right heart failure | ↓ LVDEI | |
1 HIV-APAH | ↑ 6MWD | ||
Epoprostenol [126] | 41 IPAH | NA | ↓ RVED area |
↓ LVDEI | |||
↓ LVSEI | |||
↔ Pericardial effusion score | |||
↓ Maximal TRV | |||
Beraprost/inhaled iloprost/iloprost i.v. plus bosentan [127] | 10 IPAH | ↑ 6MWD | ↓ Tei index |
6 other PAH | ↑ 6MWD | ||
Biomarkers | |||
Bosentan [128] | 18 CTD-APAH | ↔ WHO class III | ↓ NO |
↑ 6MWD | ↓ sCD40L | ||
↑ P-selectin | |||
Bosentan and sildenafil [118] | 9 IPAH | ↑ 6MWD | ↓ NT-proBNP |
3 CTD-APAH | |||
2 CHD-APAH | |||
1 HIV-APAH | |||
Bosentan/sildenafil [117] | 26 PAH (IPAH and CTD-APAH) | ↑ 6MWD | ↓ BNP |
↑ CI |
cMRI: cardiac magnetic resonance imaging; IPAH: idiopathic PAH/primary pulmonary hypertension; CTD-APAH: PAH associated with connective tissue disease; CHD-APAH: PAH associated with congenital heart disease; PPH: portopulmonary hypertension; CTEPH: chronic thromboembolic pulmonary hypertension; IPF: idiopathic pulmonary fibrosis; 6MWD: 6-min walk distance; PVR: pulmonary vascular resistance; CI: cardiac index; NYHA FC: New York Heart Association functional class; NA: not applicable; WHO: World Health Organization; RV: right ventricular; RVSV: RV stroke volume; CO: cardiac output; RVEDV: RV end-diastolic volume; P̄pa: mean pulmonary artery pressure; RVEF: RV ejection fraction; LV: left ventricular; LVSEI: LV systolic eccentricity index; LVEDV: LV end-diastolic volume; TRV: tricuspid regurgitation jet velocity; Ppa,syst: pulmonary artery systolic pressure; PVVTI: pulmonary valve velocity time integral; RVMPI: RV myocardial performance index; LVED: LV end-diastolic; RVES: RV end-systolic; RVSP: RV systolic pressure; LVDEI: LV diastolic eccentricity index; RVED: RV end-diastolic; NO: nitric oxide; sCD40L: human soluble CD40 ligand; BNP: brain natriuretic peptide; NT-proBNP: N-terminal pro-BNP.