Actively Recruiting

Phase 3
Age: 18Years - 75Years
All Genders
ID07481981

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Once Daily Treprostinil Palmitil Inhalation Powder in Adults With Pulmonary Arterial Hypertension

Led by Insmed Incorporated · Updated on 2026-05-26

344

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of once daily treatment with Treprostinil Palmitil Inhalation Powder (TPIP) compared with a placebo on exercise capacity in adults with pulmonary arterial hypertension (PAH). This phase 3 study aims to assess the efficacy and safety of TPIP over 24 weeks in participants diagnosed with PAH, including various subtypes according to established guidelines. The study is randomized, double-blind, and placebo-controlled, focusing on improving physical function in this population. Participants are assigned to receive either TPIP once daily, starting at 80 micrograms and increasing up to the maximum tolerated dose of 1280 micrograms, or a matching placebo for 24 weeks. TPIP and placebo are both administered via an oral inhalation using a capsule-based dry powder inhaler device. The trial includes a stable PAH therapy background, with participants continuing their current PAH medications during the study. Throughout the study, participants undergo assessments including the 6-minute walk distance test measured at baseline and week 24, along with various secondary evaluations like changes in functional class, biomarker levels, symptom questionnaires, and heart function measurements. Safety and drug plasma concentrations are monitored at multiple time points. The total participation period includes 24 weeks of treatment and follow-up, with detailed measures to monitor clinical worsening and overall health status.

CONDITIONS

Brief Title

A Study to Evaluate the Efficacy and Safety of Once Daily Treprostinil Palmitil Inhalation Powder (TPIP) in Participants With Pulmonary Arterial Hypertension (PAH)

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 to 75 years
  • Diagnosed with WHO Group 1 pulmonary arterial hypertension (PAH) subtypes including idiopathic, heritable, drug/toxin-induced, connective tissue disease-associated, or congenital heart disease-associated PAH
  • PAH diagnosis for at least 3 months before screening
  • New York Heart Association (NYHA) or WHO functional class II-IV
  • On stable PAH therapy with 1 to 3 medications including endothelin receptor antagonists, phosphodiesterase inhibitors, guanylate cyclase stimulators, or activin signaling inhibitors
  • Able to complete two 6-minute walk tests with distances between 150 and 450 meters
  • Right heart catheterization within 6 months prior to screening meeting specific hemodynamic criteria
Not Eligible

You will not qualify if you...

  • Diagnosis of other pulmonary hypertension groups (WHO Groups 2, 3, 4, or 5) or certain PAH subtypes such as HIV-related or complex congenital heart disease-associated PAH
  • Significant left heart disease or unstable heart conditions
  • Airflow obstruction with FEV1/FVC ratio less than 0.7
  • Significant restrictive lung disease with FVC less than 70% predicted
  • Chronic thromboembolic disease or recent pulmonary embolism within 6 months
  • Known allergy or contraindication to treprostinil or inhalation powder components
  • Any medical or psychological condition posing unacceptable risk or interfering with study participation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 24 weeks

Participants receive once daily inhalation of Treprostinil Palmitil Inhalation Powder or matching placebo for pulmonary arterial hypertension.

Regular visits during the 24-week treatment period

Trial Site Locations

Total: 1 location

1

USA007

Anderson, South Carolina, United States, 29621

Actively Recruiting

Loading map...

Research Team

I

Insmed Medical Information

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Similar Trials

129Xenon MR Imaging and Spectroscopy Response to Sotatercept...

Pulmonary Hypertension

Actively Recruiting

1 location

129 Xenon MRI as a Biomarker for Diagnosis and Response to T...

Pulmonary Arterial Hypertension

Actively Recruiting

1 location

An Open-label Long-term Follow-up Study to Evaluate the Effe...

Pulmonary Arterial Hypertension

Actively Recruiting

116 locations

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here