{"id":56,"date":"2026-04-08T09:23:56","date_gmt":"2026-04-08T09:23:56","guid":{"rendered":"https:\/\/www.merckconnect.com\/ohtuvayre\/?page_id=56"},"modified":"2026-08-21T20:31:40","modified_gmt":"2026-08-21T20:31:40","slug":"mechanism-of-action","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/ohtuvayre\/mechanism-of-action\/","title":{"rendered":"Mechanism of action"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1775653743' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1785934614' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-middle ratio-70-30 horizontal mobile text-align-left has-primary-dark-color is-default-style mobile-uses-desktop-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:194px;--videoOpacity:0.6\" data-desktop-autoplay=\"true\" data-mobile-autoplay=\"true\" data-desktop-playback-mode=\"loop\" data-mobile-playback-mode=\"loop\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a.png?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a.png?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a.png?w=1440\"\/><img decoding=\"async\" width=\"2256\" height=\"324\" loading=\"lazy\" data-src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a.png?w=1920\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a.png?w=1920\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:50%;--tablet-focal-y:50%\"\/><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h1 style=\"--headlineFontSize:36px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:24px;--headlineLineHeight:45px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:36px\" class=\"hero-title fontWeightBold\">A novel mechanism of action in COPD<sup>1,2<\/sup><\/h1><p style=\"--contentFontSize:16px;--contentLineHeight:24px;--contentFontSizeMobile:16px;--contentLineHeightMobile:24px\" class=\"hero-description\">OHTUVAYRE\u00ae (ensifentrine) is a non-corticosteroid treatment that can be prescribed by itself or as an add-on to maintenance treatment.<sup>2<\/sup><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><div id=\"video-a11y-announcer\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position:absolute; left:-9999px;\"><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:32px;--mobile-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1775653743' media='all' \/>\n\n<div class=\"vivid360-heading\" id=\"a7ebbe5c5-9761-43b6-a200-e382d86ec88c\"><h3 class=\"has-primary-dark-color content-width fontWeightBold mb-0 mt-0\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">PDE3 and PDE4 enzymes are present throughout the body, including various cells of the lungs.<sup>3<\/sup><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1783718418' media='all' \/>\n\n<div class=\"wp-block-vivid360-image img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"259\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-moa-smooth_muscle@2x.png?w=400\" alt=\"\" class=\"wp-image-565  style-noshadow deskHeightAuto deskWidthAuto \" style=\"height:259px;width:400px\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-moa-smooth_muscle@2x.png 400w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-moa-smooth_muscle@2x.png?resize=300,194 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/figure><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:20px;--tablet-spacer:20px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\"><em>Smooth muscle cells<\/em><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-vivid360-image img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"259\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-moa-immune_cells@2x.png?w=400\" alt=\"\" class=\"wp-image-564  style-noshadow deskHeightAuto deskWidthAuto \" style=\"height:259px;width:400px\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-moa-immune_cells@2x.png 400w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-moa-immune_cells@2x.png?resize=300,194 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/figure><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:20px;--tablet-spacer:20px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\"><em>Immune cells<\/em><\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--tablet-spacer:28px;--mobile-spacer:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1785165093' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card afbb8edc8-9661-4608-959b-45be57af68ab vivid360-block-card has-text-align-left hasBoxShadow card-basic full-page-width mb-0 mt-0\" style=\"border-width:0px;border-style:;border-radius:16px;color:#111 !important\"><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightBold\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-dark-color\">PDE3 and PDE4<\/mark><\/h4><div class=\"card-desc has-regular-font-size\">\n<div class=\"paragraph-wrapper wp-elements-7b96e30e9414807b8aff66439cde5707\"><div class=\"_c24a8925-02ed-4aec-977b-ceb6d08be146 mt-0\" id=\"\"><p class=\"has-dark-text-color has-text-color has-link-color\">Impact secondary messengers involved with signaling in the lungs.<sup>3<\/sup><\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n<\/div><\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:17px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n<\/div>\n\n\n\n<div class=\"column-wrapper _7e27a761-4815-42e0-8879-3086519aa53a\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-7e27a761-4815-42e0-8879-3086519aa53a,\n\t\t\t\t\t._7e27a761-4815-42e0-8879-3086519aa53a {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-7e27a761-4815-42e0-8879-3086519aa53a,\n\t\t\t\t\t._7e27a761-4815-42e0-8879-3086519aa53a {\n\t\t\t\t\t\tflex-basis: 100% !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:1px\">\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container mt-0 mr-0 mb-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/2.png?w=1\" alt=\"\" class=\"wp-image-1612  style-noshadow  deskWidthAuto \" height=\"398\" style=\"height:398px;width:1px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/1-1.png\" alt=\"\" class=\"wp-image-1618  style-noshadow mobile-image   \" width=\"356\" height=\"1\" title=\"\" style=\"height:1px;width:356px\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/1-1.png 356w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/1-1.png?resize=150,1 150w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/1-1.png?resize=300,1 300w\" sizes=\"auto, (max-width: 356px) 100vw, 356px\" \/><\/figure><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<div class=\"vivid360-heading\" id=\"a092b7039-1593-46fa-9e5b-fcf29185b748\"><h3 class=\"has-primary-dark-color content-width fontWeightBold mt-0\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Selective inhibition of PDE3 and PDE4 results in accumulation of intracellular levels of signaling molecules, cAMP and cGMP<\/h3><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-vivid360-image img-container mt-0 mr-0 mb-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1-1.png?w=1024\" alt=\"Mechanism of Action for OHTUVAYRE\u00ae (ensifentrine)\" class=\"wp-image-3336  style-noshadow deskHeightAuto deskWidthAuto \" title=\"MOA GRAPHIC_V10_update 11_30 (1)\" style=\"height:1080px;width:1920px\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1-1.png 1920w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1-1.png?resize=300,169 300w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1-1.png?resize=768,432 768w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1-1.png?resize=1024,576 1024w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1-1.png?resize=1536,864 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1.png\" alt=\"Mechanism of Action for OHTUVAYRE\u00ae (ensifentrine)\" class=\"wp-image-3257  style-noshadow mobile-image deskHeightAuto deskWidthAuto \" width=\"1920\" height=\"1080\" title=\"MOA GRAPHIC_V10_update 11_30\" style=\"height:undefinedpx;width:undefinedpx\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1.png 1920w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1.png?resize=300,169 300w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1.png?resize=768,432 768w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1.png?resize=1024,576 1024w, https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-GRAPHIC_V10_update-11_30-1.png?resize=1536,864 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/figure><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:32px;--mobile-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p><strong>OHTUVAYRE should not be used to treat acute symptoms of bronchospasm.<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:21px;--tablet-spacer:21px;--mobile-spacer:21px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-small-font-size\">AMP, adenosine monophosphate; cAMP, cyclic adenosine monophosphate; cGMP, cyclic guanosine monophosphate; COPD, chronic obstructive pulmonary disease; GMP, guanosine monophosphate; PDE3, phosphodiesterase 3; PDE4, phosphodiesterase 4.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:56px;--tablet-spacer:40px;--mobile-spacer:40px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-middle ratio-30-70 horizontal mobile text-align-left has-white-color is-split-style split-image-right mobile-is-split-style mobile-split-image-top mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;background:linear-gradient(270deg,rgb(30,72,150) 0%,rgb(14,19,92) 100%);--minHeight:370px;--mobileMinHeight:471px;--videoOpacity:0.6\" data-desktop-autoplay=\"true\" data-mobile-autoplay=\"true\" data-desktop-playback-mode=\"loop\" data-mobile-playback-mode=\"loop\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-Mobile.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-Mobile.webp?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-Desktop-1.webp?w=1440\"\/><img decoding=\"async\" width=\"1439\" height=\"789\" loading=\"lazy\" data-src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-Desktop-1.webp?w=1590\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/MOA-Desktop-1.webp?w=1590\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:50%;--tablet-focal-y:50%\"\/><div class=\"capoverlay-container-mobile right-bottom show    label desktop-default-font\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h2 style=\"--headlineFontSize:24px;--headlineFontSizeTablet:24px;--headlineFontSizeMobile:20px;--headlineLineHeight:36px;--headlineLineHeightTablet:36px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightBold\"><strong>A treatment option for symptomatic adult patients with COPD.<\/strong><\/h2><p class=\"hero-description\">See study results for OHTUVAYRE.<\/p><div class=\"hero-btn-group\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1783718418' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.8' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile custom-width-330px\"><a class=\"btn primary primary-regular has-icon icon-right has-white-border-color has-white-background-color has-primary-dark-color hovered hoveredTextColor hoveredBorderColor\" role=\"button\" aria-label=\"link to clinical data page for Ohtuvayre\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:60px;border-style:solid;justify-content:center;--hoverColor:#FFF;--hoverTextColor:#0e0d5c;--hoverBorderColor:#FFF;text-align:left;width:100%\" href=\"https:\/\/www.merckconnect.com\/ohtuvayre\/clinical-data-study-design\/\" title=\"Go to clinical data and efficacy\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Go to clinical data and efficacy\" data-design-module=\"element\" data-event-name=\"element_click\">Go to clinical data and efficacy<span aria-hidden=\"true\" class=\"icon-arrow-right\"><\/span><\/a><\/div>\n<\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><div id=\"video-a11y-announcer\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position:absolute; left:-9999px;\"><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:2px;--tablet-spacer:2px;--mobile-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.8' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;--desktopImageUrl:url(https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-bg-desktop@2x.png?w=1440);--mobileImageUrl:url(https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/ohtuvayre-bg-desktop@2x.png?w=768);--focalDesktopX:50%;--focalDesktopY:50%;--focalMobileX:50%;--focalMobileY:50%\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width full-page-width\"><div class=\"stretch\" id=\"row1b677366-1f65-4d21-97a3-529ba8b87f2e\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<div style=\"background-color:transparent;--desktop-spacer:48px;--tablet-spacer:32px;--mobile-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a3244d056-211e-48c5-aea3-2e5863599b2f\"><h3 class=\"has-white-color has-text-align-center content-width fontWeightBold mt-0 mb-0\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Take a look at the safety profile of OHTUVAYRE.<\/h3><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-center\">\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular has-icon icon-right has-white-border-color has-white-background-color has-primary-dark-color hovered hoveredTextColor hoveredBorderColor\" role=\"button\" aria-label=\"link to safety profile page for Ohtuvayre\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:60px;border-style:solid;justify-content:center;--hoverColor:#FFF;--hoverTextColor:#0e0d5c;--hoverBorderColor:#FFF;text-align:left;width:100%\" href=\"https:\/\/www.merckconnect.com\/ohtuvayre\/adverse-reactions\/\" title=\"Go to safety\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Go to safety\" data-design-module=\"element\" data-event-name=\"element_click\">Go to safety<span aria-hidden=\"true\" class=\"icon-arrow-right\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:40px;--tablet-spacer:32px;--mobile-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:32px;--mobile-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a28ff7166-97bd-4819-a95a-56ca53e054c6\"><h3 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>References<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-parent-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list-parent\/css\/style.css?ver=1775653743' media='all' \/>\n\n<div class=\"vivid-block-list2 content-width  \">\n<ol style=\"--listBulletColor:#333\" class=\"list-bullet-color has-small-font-size\">\n<li>Anzueto A, Barjaktarevic IZ, Siler TM, et al. Ensifentrine, a novel phosphodiesterase 3 and 4 inhibitor for the treatment of chronic obstructive pulmonary disease: randomized, double-blind, placebo-controlled, multicenter phase III trials (the ENHANCE trials). <em>Am J Respir Crit Care Med<\/em>. 2023;208(4):406-416. doi:10.1164\/rccm.202306-0944OC<\/li>\n\n\n\n<li>Sciurba FC, Christenson SA, Rheault T, Bengtsson T, Rickard K, Barjaktarevic IZ. Effect of dual phosphodiesterase 3 and 4 inhibitor ensifentrine on exacerbation rate and risk in patients with moderate to severe COPD.<em> Chest.<\/em> 2025;167(2):425-435. doi:10.1016\/j.chest.2024.07.168<\/li>\n\n\n\n<li>Zuo H, Cattani-Cavalieri I, Musheshe N, Nikolaev VO, Schmidt M. Phosphodiesterases as therapeutic targets for respiratory diseases. <em>Pharmacol Ther.<\/em> 2019;197:225-242. doi:10.1016\/j.pharmthera.2019.02.002<\/li>\n<\/ol>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Smooth muscle cells Immune cells OHTUVAYRE should not be used to treat acute symptoms of bronchospasm. AMP, adenosine monophosphate; cAMP, cyclic adenosine&#8230;<\/p>\n","protected":false},"author":605,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[8],"ga4_page_birn_id":[],"ga4_page_branding":[25],"ga4_page_businessunit":[30],"ga4_page_campaign":[],"ga4_page_content_purpose":[61],"ga4_page_customer_journey_stage":[102],"ga4_page_customer_specialty":[163],"ga4_page_experience":[],"ga4_page_indication":[324],"ga4_page_material_intent":[364],"ga4_page_product":[],"ga4_page_region":[748],"ga4_page_therapeuticarea":[814],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-56","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mechanism of Action for 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