Patients with pulmonary arterial hypertension who received an additional 20mg or 40mg dose of Eli Lilly's tadalafil to first-line therapy with Actelion's Tracleer (bosentan) showed a trend towards a positive 23-meter improvement during the six-minute walk distance test, according to an analysis of PHIRST study data presented at the American Thoracic Society annual meeting, in San Diego.
Swiss firm Actelion noted that these findings are consistent with previous data investigating the impact of multiple drug therapy on symptoms, functioning and outcomes.
This PHIRST trial is the first to test the efficacy of an endothelin receptor antagonist and phosphodiesterase type 5 inhibitor in combination. Tracleer is an oral dual ERA, which is currently licensed for PAH, a life-threatening disorder which severely compromises the function of the lungs and heart.
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