Status:

ACTIVE_NOT_RECRUITING

A Study of a Mean Pulmonary Artery Pressure-Targeted Approach With Early and Rapid Treprostinil Therapy to Reverse Right Ventricular Remodeling in Participants With Pulmonary Arterial Hypertension

Lead Sponsor:

United Therapeutics

Collaborating Sponsors:

Lung Biotechnology PBC

Conditions:

Pulmonary Arterial Hypertension

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The primary objective of this study is to assess the effect of early and rapid treprostinil therapy for mean pulmonary artery pressure (mPAP) reduction to improve right ventricular (RV) function and r...

Eligibility Criteria

Inclusion

  • Confirmed PAH (WHO Group 1) classified by one of the following subgroups:
  • Idiopathic, heritable or drug/toxin induced (with the exception of amphetamine-induced PAH)
  • Associated with repaired congenital systemic-to-pulmonary shunts (repaired ≥1 year)
  • Associated with connective tissue disease
  • Associated with human immunodeficiency virus infection
  • Baseline visit right heart catheterization (RHC) must also meet the following criteria:
  • mPAP \>35 mmHg
  • Pulmonary vascular resistance (PVR) \>2 Wood units
  • Pulmonary artery wedge pressure (PAWP) ≤15 mmHg
  • On a stable dose of an endothelin receptor antagonist (ERA) and/or phosphodiesterase type 5 inhibitor (PDE-5i) or soluble guanylate cyclase stimulator (sGC) therapy or if treatment naïve, willing to take one of these medications in addition to study drug
  • REVEAL Lite 2 risk score ≤9
  • WHO FC II or III
  • 6MWD \>165 meters

Exclusion

  • PAH-related

Key Trial Info

Start Date :

October 20 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 30 2028

Estimated Enrollment :

52 Patients enrolled

Trial Details

Trial ID

NCT05203510

Start Date

October 20 2022

End Date

April 30 2028

Last Update

December 9 2025

Active Locations (28)

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Page 1 of 7 (28 locations)

1

Banner University Medical Center (University of Arizona)

Phoenix, Arizona, United States, 85006

2

HonorHealth John C. Lincoln Medical Center

Phoenix, Arizona, United States, 85020

3

University of California San Francisco - Fresno

Fresno, California, United States, 93701

4

Cedars-Sinai Medical Center

Los Angeles, California, United States, 90048