A Study of the Efficacy and Safety of MK-5475 in Participants with Pulmonary Arterial Hypertension

Prior treatment

• Oxygen saturation measured by pulse oximetry (SpO₂) <90%, despite supplemental oxygen therapy.

Other illness

• Group 2 to 5 pulmonary hypertension
• History of cancer, except: nonmelanomatous skin carcinoma or carcinoma in situ of the cervix or other malignancies which have been successfully treated, with appropriate follow up, and unlikely to recur for the duration of the study.
• Evidence of more-than-mild obstructive lung disease or parenchymal lung disease.

Lab values

• PAH in one of the following groups: Long term responders to calcium channel blockers, or overt features of venous/capillary involvement
• Evidence or history of left heart disease, including any of the following: Left ventricular ejection fraction (LVEF) ≤45%, moderate or severe left-sided valvular disease (aortic or mitral valve stenosis or regurgitation), or significant left ventricular diastolic dysfunction on echocardiographic evaluation.
• Presence of 3 or more of the following risk factors for heart failure with preserved ejection fraction: BMI>30 kg/m², essential systemic hypertension, diabetes mellitus of any type, or coronary artery disease.
• Chronic renal insufficiency (eGFR <30 mL/min)
• Chronic liver disease (i.e., Child-Pugh B or C), portal hypertension, cirrhosis, or significant hepatic laboratory abnormalities.

Other

• Current smoker or currently uses electronic cigarettes (vapes).
• Evidence of more-than-mild obstructive sleep apnea (OSA) that is untreated.

• Pulmonary arterial hypertension (PAH) in one of the following groups: Idiopathic PAH, heritable PAH, drug and toxin-induced PAH, PAH associated with connective tissue disease, HIV infection, or congenital heart disease
• Diagnosis of PAH documented by right heart catheterization (RHC).
• Eligibility RHC meeting all of the following criteria: Mean pulmonary artery pressure (mPAP) ≥25 mmHg, pulmonary vascular resistance (PVR) of ≥3 Wood units, and pulmonary capillary wedge pressure (PCWP) or left ventricular end diastolic pressure (LVEDP) ≤15 mmHg.
• World Health Organization functional class (WHO-FC) symptoms between Class II and IV.
• Two 6-Minute walk distance (6MWD) measurements between 150 and 500 meters, one at screening and one at randomization.
• Stable concomitant background PAH-specific therapy.
• Body Mass Index (BMI) between 18.5 kg/m² and 40 kg/m².