Actively Recruiting
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
Eligibility Criteria
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
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
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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