Table 23—

Country-specific regulatory approval and labelling for pulmonary arterial hypertension (PAH)-specific drug therapy

TreatmentCountryLabelling
AetiologyWHO-FC
Calcium channel blockers
AmbrisentanUSA, CanadaPAHII–III–IV
European UnionPAHII–III
Bosentan#European UnionPAHII–III
USA, CanadaPAHII–III–IV
SitaxentanEuropean UnionPAHIII
SildenafilUSA, CanadaPAHII–III–IV
European UnionPAHII–III
TadalafilUSAPAHII–III–IV
BeraprostJapan, KoreaPAHII–III–IV
Epoprostenol (intravenous)Europe+PAHIII–IV
USA, CanadaIPAH and PAH–CTDIII–IV
Iloprost (inhaled)European UnionIPAHIII
USAPAHIII–IV
Iloprost (intravenous)New ZealandIPAH, PAH–CTD and CTEPHIII–IV
Treprostinil (subcutaneous)USAPAHII–III–IV
CanadaPAHIII–IV
European Union§IPAHIII
Treprostinil (intravenous)USAƒPAHII–III–IV
CanadaPAHIII–IV
Treprostinil (inhaled)USAPAHIII
  • WHO-FC: World Health Organization functional class; IPAH: idiopathic PAH; CTD: connective tissue disease; CTEPH: chronic thromboembolic pulmonary hypertension. #: specifically approved also for PAH associated with congenital systemic-to-pulmonary shunts and Eisenmenger's physiology; : under regulatory review in the European Union; +: epoprostenol in Europe has not been registered through the centralised procedure of the European Medicines Agency (EMEA) but it is approved in different European countries on a national basis; §: treprostinil in Europe has not been registered through the centralised procedure of the EMEA but it is approved in France and in other countries through the mutual recognition process on a national basis; ƒ: in the case of intolerance of the subcutaneous form.