Actively Recruiting
A Phase 2A, Open-Label Study to Evaluate Oral ROC-101 in Adults With Pulmonary Arterial Hypertension (PAH) and Pulmonary Hypertension Associated With Interstitial Lung Disease (ILD-PH)
Led by AllRock Bio, Inc. · Updated on 2026-05-28
40
Participants Needed
19
Research Sites
104 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of ROC-101 in adults with Pulmonary Arterial Hypertension (PAH) or Pulmonary Hypertension associated with Interstitial Lung Disease (ILD-PH). This Phase 2a, open-label, single-arm study aims to assess the safety, tolerability, and efficacy of oral ROC-101 in combination with standard of care (SOC) therapy. The study focuses on patients classified under World Health Organization (WHO) Group I PAH or Group III ILD-PH, monitoring clinical and hemodynamic parameters. Participants will receive ROC-101 orally once daily, starting at 10 mg with a planned increase to 40 mg daily during a 24-week treatment period alongside their SOC therapy. Following this main phase, participants may continue in a long-term extension phase until the study program ends or regulatory approval is obtained. Evaluations include detailed hemodynamic measurements taken during right heart catheterization (RHC) and monitoring of adverse events. Throughout the study, participants will undergo various assessments including pulmonary function tests, 6-minute walk distance evaluations, and multiple heart catheterization measurements to track changes in pulmonary vascular resistance and other cardiac functions. Safety will be closely monitored by recording adverse events. Participants are expected to comply with study procedures and contraceptive guidelines as applicable, with total participation lasting beyond 24 weeks if they join the extension phase.
CONDITIONS
Brief Title
A Study of ROC-101 in Patients With Pulmonary Arterial Hypertension (PAH) and Pulmonary Hypertension Associated With Interstitial Lung Disease (ILD-PH) (ROCSTAR STUDY)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older and able to voluntarily sign informed consent
- Diagnosed with WHO Group 1 PAH or WHO Group 3 ILD-PH confirmed by right heart catheterization
- Symptomatic Pulmonary Hypertension classified as WHO Functional Class II or III
- PAH participants with Pulmonary Vascular Resistance (PVR) 2 5 Wood units, PCWP 2 15 mmHg, and mPAP > 20 mm Hg; ILD-PH participants with PVR 2 3 Wood units, PCWP 2 15 mmHg, and mPAP > 20 mm Hg
- On stable background therapy for PAH or ILD-PH
- Females of childbearing potential must agree to use highly effective contraception
- Male participants must follow contraception guidance
- Able to communicate, understand study procedures, and agree to complete the study
- Able to swallow tablets
- Pulmonary function tests meeting specified criteria for PAH or ILD-PH
- Acceptable ECG findings including normal sinus rhythm and QTcF intervals
- Body weight > 50.0 kg and BMI between 19.00 and 36.00 kg/m2
- 6-minute walk distance between 100 and 550 meters with consistent results
You will not qualify if you...
- Diagnosis of PH WHO Groups 2, 4, or 5
- Certain PAH Group 1 subtypes including HIV-associated and portal hypertension-related PAH
- Positive blood tests for hepatitis B, hepatitis C (unless treated), or HIV
- Known hypersensitivity to ROC-101 or its components
- Recent history of malignancy except certain treated skin or cervical cancers
- Significant non-PAH related medical conditions limiting participation
- Participation in other investigational drug or device trials within 4 weeks prior
- Recent major surgery within 8 weeks prior or planned during the study
- Prior heart or heart-lung transplants or listed for transplantation
- Pregnant or breastfeeding females
- Uncontrolled hypertension or abnormal blood pressure readings
- Certain heart conditions including pericardial disease, cardiomyopathy, or valve disease
- Use of supplemental oxygen > 10 liters/minute with low oxygen saturation
- Recent use of intravenous inotropes
- History of atrial septostomy within 180 days prior
- Liver disease with hepatic impairment
- Severe obstructive sleep apnea untreated
- Active daily cannabis or tobacco smoking
- Current alcohol or illicit drug abuse
- Severe lung function impairment or fibrosis beyond study limits
- Lab abnormalities at screening
- Severe renal disease or recent acute renal failure
- Recent initiation or planned changes in cardiopulmonary rehabilitation
- Use of certain medications sensitive to cytochrome enzymes
- History or presence of impaired cardiac function
- Blood donation planned during and shortly after the study drug period
- Withdrawal from main study due to adverse event related to study drug
- Pregnancy, breastfeeding, or intent to conceive during extension period
- Investigator judgment of risk or interference 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 oral ROC-101 daily in addition to standard of care therapy to treat pulmonary arterial hypertension or pulmonary hypertension associated with interstitial lung disease.
Multiple visits during treatment for dosing and safety assessments
Trial Site Locations
Total: 19 locations
1
Arizona Pulmonary Specialists
Phoenix, Arizona, United States, 85012
Actively Recruiting
2
University of California Davis Health
Rancho Cordova, California, United States, 95670
Actively Recruiting
3
University of Colorado
Aurora, Colorado, United States, 80045
Actively Recruiting
4
George Washington University Medical
Washington D.C., District of Columbia, United States, 20037
Actively Recruiting
5
Mayo Clinic of Florida
Jacksonville, Florida, United States, 32224
Actively Recruiting
6
The University of Kansas Medical Center Research Institute
Kansas City, Kansas, United States, 66160
Actively Recruiting
7
University of Michigan
Ann Arbor, Michigan, United States, 48109
Actively Recruiting
8
Ohio State University
Columbus, Ohio, United States, 43210
Actively Recruiting
9
Bend Memorial Clinic
Bend, Oregon, United States, 97701
Actively Recruiting
10
Temple University
Philadelphia, Pennsylvania, United States, 19140
Actively Recruiting
11
Royal Prince Alfred Hospital
Camperdown, New South Wales, Australia, 2050
Actively Recruiting
12
Pulmonary Hypertension Research Queensland
Auchenflower, Queensland, Australia, 4066
Actively Recruiting
13
Peter Lougheed Centre
Calgary, Alberta, Canada, T1Y 6J4
Actively Recruiting
14
London Health Ontario
London, Ontario, Canada, N6A 5W9
Actively Recruiting
15
CHU de BICETRE SERVICE PNEUMOLOGIE
Le Kremlin-Bicêtre, Val-de-Marne, France, 94275
Actively Recruiting
16
Medizinische Hochschule Hannover
Hanover, Lower Saxony, Germany, 30625
Actively Recruiting
17
Fondazione IRCCS Policlinico San Matteo
Pavia, Lombardy, Italy, 27100
Actively Recruiting
18
Pauls Stradins Clinical University Hospital
Riga, Latvia, LV-1002
Actively Recruiting
19
Hospital Universitario 12 de Octubre
Madrid, Madrid, Spain, 28041
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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