Respiratory

Hereditary Pulmonary Arterial Hypertension

Also known as heritable PAH, BMPR2-related PAH, familial pulmonary arterial hypertension

Hereditary pulmonary arterial hypertension is a rare, life-threatening condition caused by autosomal dominant mutations, most commonly in BMPR2, leading to progressive obliterative remodelling of small pulmonary arteries and right heart fai

ORPHA:422 ↗Gene BMPR2Gene ACVRL1Gene ENGPrevalence Approximately 1–2 per million; BMPR2 mutations in ~70–80% of heritable casesOnset Variable; childhood to adult

113

studies recruiting now

as of 7 Sept 2026

1,001

studies registered in total

as of 7 Sept 2026

16

countries with a recruiting site

as of 7 Sept 2026

29 May 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 113 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

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Registry: PHAR Registry (Pulmonary Hypertension Association Registry) · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Hereditary Pulmonary Arterial Hypertension

Hereditary pulmonary arterial hypertension is a rare, life-threatening condition caused by autosomal dominant mutations, most commonly in BMPR2, leading to progressive obliterative remodelling of small pulmonary arteries and right heart failure. Penetrance is incomplete (approximately 20%), and the disease shows variable expressivity, making genetic family screening essential. Despite advances in targeted therapies addressing the prostacyclin, endothelin, and nitric oxide pathways, there is no cure and prognosis remains guarded without transplantation.

Common clinical features

Progressive dyspnoea on exertionFatigueSyncope or pre-syncopeRight heart failure (peripheral oedema, ascites)Chest painHaemoptysisElevated mean pulmonary arterial pressure on right heart catheterisation

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Before you apply

Things trial teams commonly ask about for Hereditary Pulmonary Arterial Hypertension. Not eligibility rules; those are set by each study.

  • Right heart catheterisation confirming mPAP ≥25 mmHg at rest with PAWP ≤15 mmHg is the diagnostic gold standard required for most PAH trials; ensure this is on file.
  • Genetic mutation status (particularly BMPR2) is increasingly used as a stratification variable; obtain formal genetic testing before applying.
  • Baseline 6-minute walk distance and WHO functional class are near-universal eligibility and stratification criteria; obtain these measurements close to the trial screening date.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).