Study to Evaluate Sotatercept (MK-7962) in Children With Pulmonary Arterial Hypertension (PAH) (MK-7962-008)

Inclusion Criteria

   - Documented, historic diagnostic right heart catheterization (RHC) any time before
   Screening confirming the diagnosis of PAH WHO Group 1 in any of the following
   subtypes:

   - Idiopathic pulmonary arterial hypertension (IPAH)

   - Heritable PAH

   - Drug/toxin-induced PAH

   - PAH associated with connective tissue disease

   - PAH-congenital heart disease (CHD) with shunt closure >6 months before Screening and
   subsequently confirmed by RHC before Screening

   - PAH with coincidental shunt.

   - Must be on a stable dose(s) of background PAH therapy (phosphdiesterase-5 (PDE5)
   inhibitors, endothelin receptor antagonists (ERAs), soluble guanylate cyclase
   stimulators (sGCS), or prostanoids [including subcutaneous and intravenous])

   - If male, agree to the following during the intervention period and for at least 16
   weeks (112 days) after the last dose of study intervention:

   - Abstains from heterosexual intercourse as their preferred and usual lifestyle
   (abstinent on a long-term and persistent basis) and agrees to remain abstinent or

   - Uses contraception unless confirmed to be azoospermic (vasectomized or secondary to
   medical cause, documented from the site personnel's review of the participant's
   medical records, medical examination, or medical history interview) as detailed below:

   - Uses a male condom plus partner use of an additional contraceptive method when having
   penile-vaginal intercourse with a woman of childbearing potential (WOCBP) who is not
   currently pregnant Note: Men with a pregnant or breastfeeding partner must agree to
   remain abstinent from penile-vaginal intercourse or use a male condom during each
   episode of penile-vaginal penetration.

   - If female, must be either not a WOCBP or use a contraceptive method that is highly
   effective or be abstinent from heterosexual intercourse during the intervention period
   and for at least 16 weeks (112 days) after the last dose of study intervention

   - If male, agrees to refrain from donating blood or sperm for the duration of the study
   and for 16 weeks (112 days) after the last dose of study intervention

   - If female, agrees to refrain from donating blood, eggs, or ovum for the duration of
   the study and for at least 16 weeks (112 days) after the last dose of study
   intervention

Exclusion Criteria

   - History of left-sided heart disease, including valvular disease (eg, moderate or
   greater mitral or aortic regurgitation or stenosis), left ventricular outflow tract
   obstruction, and/or left heart failure (eg, restrictive or dilated cardiomyopathy)

   - Severe (as based on the opinion of the investigator) congenital or developmental
   abnormalities of the lung, thorax, and/or diaphragm

   - History of Eisenmenger syndrome, Potts shunt, or atrial septostomy

   - Unrepaired or residual cardiac shunt

   - Diagnosis of pulmonary veno-occlusive diseases, pulmonary capillary hemangiomatosis,
   or overt signs of capillary and/or venous involvement

   - PAH associated with portal hypertension

   - Known visceral (lung, liver, or brain) arteriovenous malformation(s)

   - History of full or partial pneumonectomy

   - Untreated more than mild obstructive sleep apnea

   - History of known pericardial constriction

   - Family history of sudden cardiac death or long QT syndrome

   - Any current or prior history of symptomatic coronary disease (myocardial infarction,
   percutaneous coronary intervention, coronary artery bypass graft surgery, or cardiac
   anginal chest pain) within 6 months before Screening

   - Cerebrovascular accident within 3 months before Screening

   - Prior exposure to sotatercept or luspatercept or has had an allergic reaction to any
   of their excipients