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Parenteral treprostinil in paediatric pulmonary arterial hypertension: a systematic review and meta-analysis - PubMed

3 hours ago
  • #Pediatric Pulmonary Arterial Hypertension
  • #Treprostinil
  • #Meta-Analysis
  • Pediatric pulmonary arterial hypertension (PAH) is more complex and challenging to treat than adult PAH.
  • Current treatment recommendations rely on expert opinion, small studies, and adult guidelines, with limited evidence for parenteral prostacyclins.
  • This systematic review and meta-analysis evaluated the efficacy and safety of parenteral treprostinil in pediatric PAH.
  • 32 studies with 766 pediatric patients on parenteral prostacyclins were identified, including 649 on treprostinil.
  • A meta-analysis of five publications (143 treprostinil-naïve patients) showed statistically significant benefits for PAH-relevant efficacy endpoints.
  • Parenteral treprostinil is concluded to be effective and safe for treating pediatric PAH based on available data.