A Long-term Extension Study of Riociguat in Patients With Symptomatic Pulmonary Arterial Hypertension.
RIALTO
An Open-label, Multi-national, Multi-center, Single-arm, Uncontrolled, Long-term Extension Study of Orally Administered Riociguat in Patients With Symptomatic Pulmonary Arterial Hypertension (PAH) Who Received Riociguat in a Bayer Clinical Trial
2 other identifiers
interventional
18
2 countries
9
Brief Summary
To provide riociguat therapy to eligible patients with PAH originating from Bayer-sponsored trials with BAY63-2521/ Riociguat / Adempas® who are currently or recently treated in these trials until lack of patient benefit as assessed by investigator, or commercial availability and reimbursement.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Jun 2016
Longer than P75 for phase_4
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 29, 2016
CompletedFirst Posted
Study publicly available on registry
May 3, 2016
CompletedStudy Start
First participant enrolled
June 16, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
September 15, 2025
CompletedOctober 3, 2025
October 1, 2025
9.3 years
April 29, 2016
October 2, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients with treatment-emergent adverse events (TEAEs) as measure of safety and tolerability
Up to approx. 3 years
Study Arms (1)
BAY63-2521
EXPERIMENTALSingle-arm, uncontrolled
Interventions
0.5 to 2.5 mg in 0.5 mg increments (according to individual adapted optimal dose determined in originating study) administered three times daily (tid)
Eligibility Criteria
You may qualify if:
- Patients diagnosed with Pulmonary Arterial Hypertension (PAH) participating or having participated in the Bayer-sponsored studies 12935, 16719 or 18588, who have completed the main study phase and are still being treated with riociguat (either while still being on treatment with the respective study drug or by commercial means with Adempas) and who, in the opinion of the investigator, are expected to continue to have an overall positive benefit/risk from continuing treatment.
- Women and men of reproductive potential must agree to use adequate contraception when sexually active. This applies for the time period between signing of the informed consent form and 30 days after the last administration of study drug.
You may not qualify if:
- Ongoing serious adverse event (SAE) from originating study that is assessed as related to riociguat
- Pregnant women or breast-feeding women
- Any contra-indication to Adempas treatment listed in the BAY63-2521 / Riociguat Investigators's Brochure
- Concomitant participation in another clinical study with the study drug
- Patients with pulmonary hypertension associated with idiopathic interstitial pneumonia (PH-IIP)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayerlead
Study Sites (9)
Unknown Facility
Besançon, 25030, France
Unknown Facility
Brest, F-29609, France
Unknown Facility
Le Kremlin-Bicêtre, 94275, France
Unknown Facility
Lille, 59037, France
Unknown Facility
Rouen, 76031, France
Unknown Facility
Seoul, Seoul Teugbyeolsi, 03722, South Korea
Unknown Facility
Seoul, Seoul Teugbyeolsi, 05505, South Korea
Unknown Facility
Seoul, Seoul Teugbyeolsi, 3080, South Korea
Unknown Facility
Seoul, 06351, South Korea
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bayer Study Director
Bayer
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 29, 2016
First Posted
May 3, 2016
Study Start
June 16, 2016
Primary Completion
September 15, 2025
Study Completion
September 15, 2025
Last Updated
October 3, 2025
Record last verified: 2025-10