Advice

following a resubmission:

sotatercept (Winrevair®) is accepted for restricted use within NHSScotland.

Indication under review: in combination with other pulmonary arterial hypertension (PAH) therapies, for the treatment of PAH in adult patients with WHO Functional Class (FC) II to III, to improve exercise capacity.

SMC restriction: for use in patients with intermediate-low risk status on the European Society of Cardiology (ESC)/European Respiratory Society (ERS) four-strata risk rating system.

In a phase III study of patients with PAH with WHO FC II or III who were receiving stable background therapy, sotatercept significantly improved exercise capacity, measured by the 6-minute walk test, compared with placebo.

This advice applies only in the context of an approved NHSScotland Patient Access Scheme (PAS) arrangement delivering the cost-effectiveness results upon which the decision was based, or a PAS/ list price that is equivalent or lower.

Medicine details

Medicine name:
sotatercept (Winrevair)
SMC ID:
SMC2923
Indication:

In combination with other pulmonary arterial hypertension (PAH) therapies, is indicated for the treatment of PAH in adult patients with WHO Functional Class (FC) II to III, to improve exercise capacity.

Pharmaceutical company
Merck Sharp & Dohme Ltd
BNF chapter
Cardiovascular system
Submission type
Resubmission
Status
Restricted
Date advice published
13 April 2026