Winrevair (Sotatercept-csrk) – Pulmonary Arterial Hypertension | HongKong DengYue Medicine
- Generic Name/Brand Name: Sotatercept-csrk / Winrevair
- Indications: Pulmonary Arterial Hypertension
- Dosage Form: Injection
- Specification: 45 mg/60 mg
Winrevair Application Scope
Winrevair™ (sotatercept-csrk) is the first FDA-approved activin signaling inhibitor for adults with pulmonary arterial hypertension (PAH), enhancing exercise capacity, improving WHO functional class, and reducing the risk of clinical worsening events.

Characteristics
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Ingredients:
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Sotatercept-csrk
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Properties: Sotatercept-csrk is a recombinant fusion protein that acts as an activin signaling inhibitor, targeting the TGF-β superfamily pathways.
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Packaging Specification: Available in single-dose vials containing either 45 mg or 60 mg of lyophilized powder for subcutaneous injection.
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Storage:
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Store refrigerated at 2°C to 8°C (36°F to 46°F)
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Do not freeze
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Keep in original packaging to protect from light.
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Expiry Date: Refer to the expiration date printed on the vial label and packaging
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Executive Standard: Manufactured by FDA and EMA regulatory standards
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Approval Number: FDA approval granted in March 2024.
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Date of Revision: May 9, 2025.
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Manufacturer: Merck Sharp & Dohme LLC (U.S.); Merck Sharp & Dohme B.V., Haarlem, The Netherlands (EU).
Guidelines for the Use of Winrevair
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Dosage and Administration: Administered via subcutaneous injection every 3 weeks.
- Starting dose: 0.3 mg/kg
- Target dose: 0.7 mg/kg, adjusted based on hemoglobin and platelet levels.
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Adverse Reactions: Common side effects (≥10%) include headache, nosebleeds, rash, telangiectasia, diarrhea, dizziness, and erythema.
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Contraindications: No known contraindications.
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Precautions:
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Monitor for erythrocytosis; elevated hemoglobin levels may increase the risk of thromboembolic events.
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Monitor for thrombocytopenia; decreased platelet counts may increase bleeding risk.
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Advise patients on the potential risk of serious bleeding, especially if on prostacyclin therapy or antithrombotic agents.
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Potential embryo-fetal toxicity; advise effective contraception during treatment and for 4 months after the final dose.
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Interactions
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Drug Interactions: Moderate interactions observed with efgartigimod alfa and rozanolixizumab.
Note:
- If there is a new packaging for the drug, the new packaging shall prevail. The above information is sourced from DengYue Medicine.
- It is only for internal discussion among medical staff and does not serve as a basis for medication. For specific medication guidelines, please consult the attending physician.










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