Table 1– Summary of currently available studies on treatment of sarcoidosis-associated pulmonary hypertension
First author [ref.]Study type (number treated)Therapy (number treated)Outcomes
Preston [27]Prospective observational (8)Inhaled NO (5), inhaled NO with i.v. EPO (1), CCBs (2)Short-term 20% decrease in PVR and mPAP; long-term increase in 6MWT
Baughman [50]Prospective open label 16 weeks (22)Inhaled iloprost (15)6 out of 15 patients showed a decrease in mPAP/PVR, 3 out of 15 showed improvement in 6MWT
Fisher [51]Retrospective case series (7)i.v. EPO (6), s.c. treprostinil (1)Improved NYHA class
Barnett [52]Retrospective case series (22)i.v. EPO (1), bosentan (12), sildenafil (9)Improved 6MWT, NYHA class reduction in mPAP and PVR
Milman [53]Retrospective chart review (12)Sildenafil (12)Decrease in mPAP/PVR, increase in cardiac output, no change in 6MWT
Culver [54]Retrospective chart review (7)Bosentan (3), bosentan and i.v. EPO (4)Reduction in mPAP at 6–18 months in half of the patients
Baughman [30]Retrospective chart review (5)Bosentan (5)Reduction in mPAP from 50 mmHg to 35 mmHg in 3 out of 5 patients at 4 months
Judson [55]Prospective placebo-controlled 12 weeks (20)Ambrisentan (17 patients at 4 weeks, 12 patients at 8 weeks and 7 patients at 12 weeks)No change in 6MWT, 9 patients discontinued drug
  • NO: nitric oxide; i.v.: intravenous; EPO: epoprostenol; CCB: calcium channel blocker; PVR: pulmonary vascular resistance; mPAP: mean pulmonary artery pressure; 6MWT: 6-min walking test; NYHA: New York Heart Association; s.c.: subcutaneous.