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In the double-blind PASSION study (Phosphodiesterase-5 Inhibition in Patients With Heart Failure With Preserved Ejection Fraction and Combined Post- and Pre-Capillary Pulmonary Hypertension), patients with heart failure with preserved ejection fraction and combined postcapillary and precapillary pulmonary hypertension were randomized 1:1 to receive tadalafil at a target dose of 40 mg or placebo. Introduction. Pulmonary arterial hypertension (PAH) is a rare but life-threatening disease. It is characterized by progressive structural changes to the pulmonary vascular bed with resultant increase in pulmonary vascular resistance and pulmonary arterial pressures that ultimately result in right heart failure and death. [] In a placebo-controlled clinical trial, patients taking tadalafil demonstrated significantly improved exercise capacity as measured by the 6-minute walk distance. Patients also experienced decreased incidence of clinical worsening, increased quality of life, and improved cardiopulmonary hemodynamics. Tadalafil doses higher than 10 mg might be more effective. At the time of our study design, tadalafil had not been licensed for pulmonary hypertension at the present tadalafil for pulmonary hypertension dose

Data on the effect of initial combination therapy with ambrisentan and tadalafil on long-term outcomes in patients with pulmonary arterial hypertension are scarce. In this event-driven, double-blin Tadalafil, a phosphodiesterase 5 inhibitor, is being investigated as a treatment for pulmonary arterial hypertension (PAH) in children aged 6 months to less than 18 years. Tadalafil pharmacokinetic (PK) data in children less than 2 years old are unavailable, therefore a physiologically based pharmac Tadalafil 40 mg once daily (QD), a potent and selective PDE5 inhibitor administered orally, was approved for the treatment of PAH in adults. Pulmonary Arterial Hypertension Response to Tadalafil (PHIRST) was a global Phase 3 study that evaluated tadalafil for 16 weeks in adult PAH patients. In the double-blind PASSION study (Phosphodiesterase-5 Inhibition in Patients With Heart Failure With Preserved Ejection Fraction and Combined Post- and Pre

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