BACKGROUND: This analysis examined the effects of the activin signaling inhibitor, sotatercept, in pulmonary arterial hypertension (PAH) subgroups stratified by baseline cardiac index (CI). METHODS: Pooled data from PULSAR (N = 106
NCT03496207) and STELLAR (N = 323
NCT04576988) were analyzed using 2 different CI thresholds, <
2.0 and ≥2.0 liter/min/m RESULTS: Of 429 participants, 51 had CI <
2.0 and 378 ≥2.0 liter/min/m CONCLUSIONS: Sotatercept demonstrated consistent efficacy and safety across CI subgroups, supporting its use in PAH patients irrespective of baseline cardiac hemodynamics.