Barely Significant
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Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review.

Core Evid · 2015 · PMC4636095 · PMID 26587013

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The sentences

an observed trendno p-value reported
There was also an observed trend of decreased incidence of clinical worsening; however, at no point did this trend become significant in either age group alone.

also in 504 other papers

Treatment-naïve patients receiving tadalafil 20 mg and bosentan background patients experienced an increase in placebo-adjusted 6MWD that failed to reach statistical significance.

also in 6,035 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.