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Expert Interview

Slingshot members are talking to an expert! The topic is:

Assessing Roivant's Phase 1b ATMOS Study Results of Mosliciguat in Pulmonary Hypertension and Its Potential for PH-ILD

Ticker(s): ROIV

Who's the expert?

Institution: University of Rochester

  • Pulmonary & Critical Care Medicine Physician at the University of Rochester
  • Manages 450 Group 1 and 20-30 Group 3 PAH patients monthly
  • Research interest in pulmonary arterial hypertension and is an active investigator on several ongoing clinical trials

Interview Questions
Q1.

In the Phase 1b ATMOS study, mosliciguat achieved a reduction in pulmonary vascular resistance (PVR) of up to 38%, which is among the highest reductions seen in PH trials. How meaningful is this level of PVR reduction for patients with pulmonary hypertension, particularly those with PH-ILD?

Added By: slingshot_insights
Q2.

Mosliciguat offers the convenience of once-daily dosing via dry powder inhaler (DPI), a significant advantage over other PH therapies that require multiple daily administrations. How important is this ease of use for patient compliance, and could it influence long-term treatment outcomes?

Added By: slingshot_insights
Q3.

Mosliciguat’s sGC activator mechanism works independently of nitric oxide (NO) and heme, allowing it to retain efficacy in highly oxidative environments typical of PH. Can you elaborate on why this is a critical differentiation compared to sGC stimulators and how it might expand treatment possibilities for PH patients?

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Q4.

The ATMOS study demonstrated that mosliciguat was generally well-tolerated with low rates of treatment-emergent adverse events (TEAEs). Given the safety concerns associated with systemic vasodilators, how significant is the localized lung delivery of mosliciguat in minimizing adverse effects, and what safety considerations are most important for PH patients?

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Q5.

PH-ILD affects around 200,000 patients in the U.S. and Europe, with limited treatment options available. Based on the data from ATMOS, how promising is mosliciguat as a potential therapy for PH-ILD patients, and what unmet needs could it address in this population?

Added By: slingshot_insights
Q6.

Mosliciguat’s efficacy, safety, and once-daily dosing differentiate it from currently approved inhaled therapies, which often require multiple puffs several times per day. How does mosliciguat compare to existing treatments in terms of both patient convenience and therapeutic impact?

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Q7.

The upcoming Phase 2 PHocus study will enroll approximately 120 patients with PH-ILD. What are the key objectives and primary endpoints of this trial, and what data from the ATMOS study will guide its design and expected outcomes?

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Q8.

Roivant has in-licensed mosliciguat from Bayer with significant milestones planned for its development. What are the regulatory and commercial prospects for mosliciguat, and how might its potential best-in-class profile shape the future of PH treatment, particularly for the underserved PH-ILD population?

Added By: slingshot_insights

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