Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID07175038

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

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

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
Not Eligible

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

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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 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

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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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