FDA-Approved for pediatric USE Expanded indication includes pediatric patients 2 to 17 years of age with pulmonary arterial hypertension.1
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  • About PAH
    • Treatment Recommendations
    • Mechanism of Action
  • GRIPHON Trial
    • Study Design
    • Disease Progression
    • Hospitalization
    • Safety
    • Triple-Combination Subgroups
    • Time-from-Diagnosis Subgroups
    • CTD Subgroup
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GRIPHON Trial Hospitalization

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PAH-Related Hospitalization With UPTRAVI

Hospitalization for PAH as the first endpoint in GRIPHON1,2*
Percent of patients without an event on UPTRAVI vs placebo desktop curve
Percent of patients without an event on UPTRAVI vs placebo desktop curve

Percentage of patients hospitalized for PAH as a first event occurring as part of the composite endpoint1

Percent of patients without an event on UPTRAVI vs placebo desktop curve

PAH-related hospitalizations are a key indicator of disease progression3,4

Study Design

Proven in a Broad Range of Patients1

GRIPHON is the largest PAH pivotal trial, studied as monotherapy, dual therapy (ERA or PDE5i), and triple therapy (ERA + PDE5i)1,2

GRIPHON: Multicenter, long-term, double-blind, placebo-controlled, parallel-group, event-driven, phase 3 trial1,3

1156 Patients

UPTRAVI (selexipag):
n=574

Placebo: n=582

Mean age:
48 years

Female:
80%

1.4 Years (duration of exposure to UPTRAVI)

Longest endpoint evaluation period of any prostacyclin pathway therapy

0.9 Years 

Median time from PAH diagnosis in patients taking UPTRAVI

New England Journal of Medicine Clinical Trial Publication for GRIPHON

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This article includes information that has not been approved by the Food and Drug Administration for UPTRAVI. Please see full Prescribing Information available on this website. Authors[s] of this article have received remuneration from Actelion Pharmaceuticals US, Inc., or its affiliates.

†Other=drugs and toxins (2%) and HIV (1%).
ERA=endothelin receptor antagonist; GRIPHON=Prostacyclin (PGI2) Receptor Agonist In Pulmonary Arterial HypertensiON; HIV=human immunodeficiency virus; HPAH=heritable PAH; IPAH=idiopathic PAH; PAH=pulmonary arterial hypertension; PAH-CHD=PAH associated with congenital heart disease with repaired shunts; PAH-CTD=PAH associated with connective tissue disease; PDE5i=phosphodiesterase type 5 inhibitor.
References: 1. UPTRAVI (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 2. Data on file. Actelion Pharmaceuticals US, Inc. Length and Population Size of PAH Pivotal Trials Confirmation. June 2024. 3. Sitbon O, Channick R, Chin KM, et al. Selexipag for the treatment of pulmonary arterial hypertension. N Engl J Med. 2015;373:2522-2533. 4. Sitbon O, Gomberg-Maitland M, Granton J, et al. Clinical trial design and new therapies for pulmonary arterial hypertension. Eur Respir J. 2019;53(1):1801908. doi:10.1183/13993003.01908-2018 5. Data on file. Actelion Pharmaceuticals US, Inc. GRIPHON Baseline Characteristics Study Report.

Proven in a Broad Range of Patients1

GRIPHON is the largest PAH pivotal trial, studied as monotherapy, dual therapy (ERA or PDE5i), and triple therapy (ERA + PDE5i)1,2

GRIPHON: Multicenter, long-term, double-blind, placebo-controlled, parallel-group, event-driven, phase 3 trial1,3

1156 Patients

UPTRAVI (selexipag):
n=574

Placebo: n=582

Mean age:
48 years

Female:
80%

1.4 Years (duration of exposure
to UPTRAVI)

Longest endpoint evaluation period of any prostacyclin pathway therapy

0.9 Years 

Median time from PAH diagnosis in patients taking UPTRAVI

New England Journal of Medicine Clinical Trial Publication for GRIPHON

Download

This article includes information that has not been approved by the Food and Drug Administration for UPTRAVI. Please see full Prescribing Information available on this website. Authors[s] of this article have received remuneration from Actelion Pharmaceuticals US, Inc., or its affiliates.

†Other=drugs and toxins (2%) and HIV (1%).
ERA=endothelin receptor antagonist; GRIPHON=Prostacyclin (PGI2) Receptor Agonist In Pulmonary Arterial HypertensiON; HIV=human immunodeficiency virus; HPAH=heritable PAH; IPAH=idiopathic PAH; PAH=pulmonary arterial hypertension; PAH-CHD=PAH associated with congenital heart disease with repaired shunts; PAH-CTD=PAH associated with connective tissue disease; PDE5i=phosphodiesterase type 5 inhibitor.
References: 1. UPTRAVI (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 2. Data on file. Actelion Pharmaceuticals US, Inc. Length and Population Size of PAH Pivotal Trials Confirmation. June 2024. 3. Sitbon O, Channick R, Chin KM, et al. Selexipag for the treatment of pulmonary arterial hypertension. N Engl J Med. 2015;373:2522-2533. 4. Sitbon O, Gomberg-Maitland M, Granton J, et al. Clinical trial design and new therapies for pulmonary arterial hypertension. Eur Respir J. 2019;53(1):1801908.
doi:10.1183/13993003.01908-2018
5. Data on file. Actelion Pharmaceuticals US, Inc. GRIPHON Baseline Characteristics Study Report.
UPTRAVI (selexipag) is the only prostacyclin pathway therapy indicated to delay disease progression AND reduce risk of PAH-related hospitalization1,5

Learn more about UPTRAVI

VIEW SAFETY PROFILE

*Not adjusted for multiplicity.

CI=confidence interval; GRIPHON=Prostacyclin (PGI2) Receptor Agonist In Pulmonary Arterial HypertensION; HR=hazard ratio; PAH=pulmonary arterial hypertension.

References: 1. UPTRAVI (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 2. Data on file. Actelion Pharmaceuticals US, Inc. UPTRAVI Hospitalization Confirmation. 3. Sitbon O, Channick R, Chin KM, et al; GRIPHON Investigators. Selexipag for the treatment of pulmonary arterial hypertension. N Engl J Med. 2015‍;‍373(26)‍:‍2522‍-‍2533 and suppl. 4. Gomberg-Maitland M, Bull TM, Saggar R, et al. New trial designs and potential therapies for pulmonary artery hypertension. J Am Coll Cardiol. 2013;62(25 Suppl):D82-D91. 5. Data on file. Actelion Pharmaceuticals US, Inc. UPTRAVI Indication Confirmation.

About PAH

  • Treatment Recommendations
  • Mechanism of Action

GRIPHON Trial

  • Study Design
  • Disease Progression
  • Hospitalization
  • Safety
  • Triple-Combination Subgroups
  • Time-from-Diagnosis Subgroups
  • CTD Subgroup

GRIPHON 10-Year OLE

Real-World Evidence

Dosing

  • Adult Dosing
  • Pediatric Dosing
  • UPTRAVI IV

Resources and Support

  • Access and Support Programs
  • Educational Resources

Download Enrollment Form

About PAH

  • Treatment Recommendations
  • Mechanism of Action

GRIPHON Trial

  • Study Design
  • Disease Progression
  • Hospitalization
  • Safety
  • Triple-Combination Subgroups
  • Time-from-Diagnosis Subgroups
  • CTD Subgroup

GRIPHON 10-Year OLE

Real-World Evidence

Dosing

  • Adult Dosing
  • Pediatric Dosing
  • UPTRAVI IV

Resources and Support

  • Access and Support Programs
  • Educational Resources

Download Enrollment Form

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STUDY DESIGN

GRIPHON Is the Largest PAH Pivotal Trial With the Longest Endpoint Evaluation Period of Any Prostacyclin Pathway Therapy1-3

GRIPHON is the largest adult PAH pivotal trial, studied as monotherapy, dual therapy (ERA or PDE5i), and triple therapy (ERA + PDE5i)1,2

Multicenter, long-term, double-blind, placebo-controlled, parallel-group, event-driven, phase 3 trial1,3

1156 Patients

UPTRAVI
(selexipag): n=574

Placebo:
n=582

Mean age:
48 years

Female:
80%

1.4 Years
(median duration of exposure to UPTRAVI)

Longest endpoint evaluation period of any prostacyclin pathway therapy

0.9 Years 

Median time from PAH diagnosis in patients taking UPTRAVI

New England Journal of Medicine Clinical Trial Publication for GRIPHON

Download

This article includes information that has not been approved by the Food and Drug Administration for UPTRAVI. Please see full Prescribing Information available on this website. Authors[s] of this article have received remuneration from Actelion Pharmaceuticals US, Inc., or its affiliates.

*Other=drugs and toxins (2%) and HIV (1%).
6MWD=6-minute walk distance; ERA=endothelin receptor antagonist; FC=Functional Class; GRIPHON=Prostacyclin (PGI2) Receptor Agonist In Pulmonary Arterial HypertensiON; HIV=human immunodeficiency virus; HPAH=heritable PAH; IPAH=idiopathic PAH; PAH-CHD=PAH associated with congenital heart disease with repaired shunts; PAH-CTD=PAH associated with connective tissue disease; PDE5i‍=‍phosphodiesterase type-5 inhibitor; WHO=World Health Organization.
1.  (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 2. Sitbon O, Gomberg-Maitland M, Granton J, et al. Clinical trial design and new therapies for pulmonary arterial hypertension. Eur Respir J. 2019;53(1):1801908. doi:10.1183/13993003.01908-2018 3. Data on file. Actelion Pharmaceuticals US, Inc. Length and Population Size of PAH Pivotal Trials Confirmation. June 2024. 4. Sitbon O, Channick R, Chin KM, et al. Selexipag for the treatment of pulmonary hypertension. N Engl J Med. 2015;373:2522-2533 and suppl. 5. Data on file. Actelion Pharmaceuticals US, Inc. GRIPHON Baseline Characteristics Study Report.
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