Efficacy and Safety Study of Treprostinil Palmitil Inhalation Powder (TPIP) in Participants With Pulmonary Hypertension Associated With Interstitial Lung Disease (PH-ILD) (PALM-ILD)
A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter, Parallel Group Study to Evaluate the Efficacy and Safety of Treprostinil Palmitil Inhalation Powder in Participants With Pulmonary Hypertension Associated With Interstitial Lung Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Insmed Medical Information
- Phone Number: 18444467633
- Email: medicalinformation@insmed.com
Study Locations
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Córdoba, Argentina, X5000KEH
- Not yet recruiting
- ARG004
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Córdoba, Argentina, X5003DCE
- Not yet recruiting
- ARG001
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Buenos Aires
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Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, C1060ABN
- Recruiting
- ARG005
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CiudadAutonoma de Buenos Aires, Buenos Aires, Argentina, C1280AEB
- Recruiting
- ARG002
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Córdoba Province
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Río Cuarto, Córdoba Province, Argentina, X5800AEV
- Recruiting
- ARG003
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Tucumán Province
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San Miguel de Tucumán, Tucumán Province, Argentina, T4000AXL
- Recruiting
- ARG008
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Recruiting
- AUS001
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Kingswood, New South Wales, Australia, 2747
- Recruiting
- AUS006
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New Lambton Heights, New South Wales, Australia, 2305
- Recruiting
- AUS005
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Westmead, New South Wales, Australia, 2145
- Not yet recruiting
- AUS003
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Queensland
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South Brisbane, Queensland, Australia, 4101
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- AUS002
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Innsbruck, Austria, 6020
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Anderlecht, Belgium, 1070
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Vlaams Brabant
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Leuven, Vlaams Brabant, Belgium, 3000
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- BEL002
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90035-074
- Recruiting
- BRA012
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Porto Alegre, Rio Grande do Sul, Brazil, 90560-030
- Not yet recruiting
- BRA007
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Porto Alegre, Rio Grande do Sul, Brazil, 90610-000
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- BRA003
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Prague, Czechia, 14000
- Recruiting
- CZE001
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Central Jutland
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Aarhus N, Central Jutland, Denmark, 8200
- Recruiting
- DNK001
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Brest, France, 29200
- Not yet recruiting
- FRA010
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Bron, France, 69500
- Not yet recruiting
- FRA011
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Pessac, France, 33604
- Recruiting
- FRA005
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Strasbourg, France, 67091
- Recruiting
- FRA006
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Alpes-Maritimes
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Nice, Alpes-Maritimes, France, 6001
- Recruiting
- FRA009
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Bouches-du-Rhône
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Marseille, Bouches-du-Rhône, France, 13015
- Recruiting
- FRA002
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Maine-et-Loire
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Angers, Maine-et-Loire, France, 49100
- Recruiting
- FRA004
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Nord
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Lille, Nord, France, 59037
- Not yet recruiting
- FRA007
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Pays de la Loire Region
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Saint Priest En Jarez, Pays de la Loire Region, France, 42270
- Not yet recruiting
- FRA008
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Val-de-Marne
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Le Kremlin-Bicêtre, Val-de-Marne, France, 94270
- Recruiting
- FRA003
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Vienne
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Poitiers, Vienne, France, 86000
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- FRA001
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Tbilisi, Georgia, 0186
- Recruiting
- GEO001
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Tbilisi, Georgia, 0159
- Recruiting
- GEO004
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Tbilisi, Georgia, 0180
- Recruiting
- GEO003
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Tbilisi, Georgia, 0144
- Recruiting
- GEO002
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Gauting, Germany, 82131
- Recruiting
- DEU010
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Baden-Wurttemberg
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Heidelberg, Baden-Wurttemberg, Germany, 69126
- Recruiting
- DEU001
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Immenhausen, Baden-Wurttemberg, Germany, 34376
- Recruiting
- DEU005
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Stuttgart, Baden-Wurttemberg, Germany, 70376
- Not yet recruiting
- DEU012
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Bavaria
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München, Bavaria, Germany, 80639
- Recruiting
- DEU006
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München, Bavaria, Germany, 80335
- Not yet recruiting
- DEU003
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North Rhine-Westphalia
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Bonn, North Rhine-Westphalia, Germany, 53127
- Not yet recruiting
- DEU008
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Essen, North Rhine-Westphalia, Germany, 45239
- Not yet recruiting
- DEU002
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Saarland
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Homburg, Saarland, Germany, 66424
- Not yet recruiting
- DEU009
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Saxony
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Dresden, Saxony, Germany, 1307
- Not yet recruiting
- DEU004
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Schleswig-Holstein
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Lübeck, Schleswig-Holstein, Germany, 23562
- Not yet recruiting
- DEU011
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Thessaloniki, Greece, 54636
- Recruiting
- GRC001
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Achaia
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Pátrai, Achaia, Greece, 26504
- Not yet recruiting
- GRC003
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Anatoliki Attiki
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Athens, Anatoliki Attiki, Greece, 106 76
- Recruiting
- GRC002
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Crete
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Heraklion, Crete, Greece, 71500
- Not yet recruiting
- GRC004
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Haifa, Israel, 3436212
- Recruiting
- ISR001
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Haifa, Israel, 3109601
- Recruiting
- ISR005
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Tel Aviv, Israel, 6423906
- Not yet recruiting
- ISR004
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Central District
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Petah Tikva, Central District, Israel, 4941492
- Not yet recruiting
- ISR003
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Jerusalem
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Jerusalem, Jerusalem, Israel, 9112001
- Not yet recruiting
- ISR002
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Milan, Italy, 20123
- Not yet recruiting
- ITA008
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Monza, Italy, 20900
- Recruiting
- ITA005
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Pavia, Italy, 27100
- Recruiting
- ITA001
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Roma, Italy, 161
- Not yet recruiting
- ITA003
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Rozzano, Italy, 20089
- Not yet recruiting
- ITA004
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Sassari, Italy, 07100
- Not yet recruiting
- ITA012
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Emilia-Romagna
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Bologna, Emilia-Romagna, Italy, 40138
- Recruiting
- ITA011
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Chiba, Japan, 260-8677
- Not yet recruiting
- JPN014
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Tsukuba, Japan, 305-8576
- Not yet recruiting
- JPN016
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Aichi-ken
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Nagakute, Aichi-ken, Japan, 480-1195
- Recruiting
- JPN006
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Seto, Aichi-ken, Japan, 489-8642
- Not yet recruiting
- JPN012
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Aomori
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Hirosaki, Aomori, Japan, 036-8563
- Recruiting
- JPN011
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Chiba
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Narashino-shi, Chiba, Japan, 275-0006
- Recruiting
- JPN002
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Narita-shi, Chiba, Japan, 286-8520
- Recruiting
- JPN004
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Hokkaido
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Sapporo, Hokkaido, Japan, 060-8648
- Not yet recruiting
- JPN001
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Kanagawa
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Yokohama, Kanagawa, Japan, 236-0051
- Recruiting
- JPN007
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Kyoto
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Kyotoshi, Kyoto, Japan, 606-8507
- Recruiting
- JPN010
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Nagano
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Matsumoto, Nagano, Japan, 390-8621
- Not yet recruiting
- JPN009
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Nagano, Nagano, Japan, 380-0928
- Recruiting
- JPN005
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Osaka
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Sakai, Osaka, Japan, 590-0197
- Recruiting
- JPN015
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Suita, Osaka, Japan, 564-8565
- Recruiting
- JPN017
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Tokyo
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Bunkyo-Ku, Tokyo, Japan, 113-8431
- Not yet recruiting
- JPN013
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Kiyose, Tokyo, Japan, 204-0023
- Not yet recruiting
- JPN008
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Shibuya City, Tokyo, Japan, 151-8528
- Recruiting
- JPN003
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Kedah
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Alor Star, Kedah, Malaysia, 5460
- Recruiting
- MYS004
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Kelantan
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Kota Bharu, Kelantan, Malaysia, 15586
- Not yet recruiting
- MYS001
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Pahang
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Kuantan, Pahang, Malaysia, 25200
- Recruiting
- MYS003
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Sarawak
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Kuching, Sarawak, Malaysia, 93586
- Not yet recruiting
- MYS002
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Selangor
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Kajang, Selangor, Malaysia, 43000
- Recruiting
- MYS005
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Canterbury
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Christchurch, Canterbury, New Zealand, 8011
- Recruiting
- NZL001
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Otago
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Dunedin, Otago, New Zealand, 9010
- Recruiting
- NZL002
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Iloilo City, Philippines, 5000
- Not yet recruiting
- PHL002
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Makati City, Philippines, 1229
- Not yet recruiting
- PHL001
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Lisbon, Portugal, 1769-001
- Not yet recruiting
- PRT001
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Setúbal District
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Almada, Setúbal District, Portugal, 2805-267
- Recruiting
- PRT002
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Bucharest, Romania, 11461
- Not yet recruiting
- ROU003
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Cluj
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Cluj-Napoca, Cluj, Romania, 400371
- Not yet recruiting
- ROU004
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Mureș County
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Târgu Mureş, Mureș County, Romania, 540136
- Recruiting
- ROU002
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Timiș County
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Timișoara, Timiș County, Romania, 300310
- Recruiting
- ROU001
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Belgrade, Serbia, 11000
- Recruiting
- SRB001
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Kamenitz, Serbia, 21102
- Not yet recruiting
- SRB002
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Kragujevac, Serbia, 34000
- Not yet recruiting
- SRB003
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Incheon, South Korea, 21565
- Recruiting
- KOR002
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Seoul, South Korea, 03080
- Recruiting
- KOR001
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Seoul, South Korea, 6351
- Recruiting
- KOR006
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Seoul, South Korea, 6591
- Not yet recruiting
- KOR003
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Seoul, South Korea, 3722
- Recruiting
- KOR004
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Wŏnju, South Korea, 26426
- Not yet recruiting
- KOR005
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Barcelona, Spain, 8036
- Recruiting
- ESP004
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Barcelona, Spain, 8035
- Recruiting
- ESP012
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Madrid, Spain, 28041
- Recruiting
- ESP006
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Madrid, Spain, 28046
- Recruiting
- ESP003
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Madrid, Spain, 28304
- Recruiting
- ESP009
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Santiago de Compostela, Spain, 15706
- Not yet recruiting
- ESP011
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Seville, Spain, 41009
- Recruiting
- ESP001
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Toledo, Spain, 45007
- Recruiting
- ESP007
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Balearic Islands
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Palma de Mallorca, Balearic Islands, Spain, 7120
- Recruiting
- ESP002
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spain, 8907
- Recruiting
- ESP005
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Madrid
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Majadahonda, Madrid, Spain, 28222
- Not yet recruiting
- ESP010
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Basel, Switzerland, 4031
- Recruiting
- CHE001
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Zurich, Switzerland, 8091
- Recruiting
- CHE002
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Douliu City Yunlin County, Taiwan, 640
- Not yet recruiting
- TWN004
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Hsinchu, Taiwan, 300
- Recruiting
- TWN003
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Kaohsiung City, Taiwan, 80756
- Recruiting
- TWN001
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Taichung, Taiwan, 40447
- Not yet recruiting
- TWN005
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Taipei, Taiwan, 104
- Not yet recruiting
- TWN006
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Taipei, Taiwan, 10002
- Not yet recruiting
- TWN002
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Adana, Turkey (Türkiye), 1250
- Not yet recruiting
- TUR003
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Ankara, Turkey (Türkiye), 6010
- Not yet recruiting
- TUR004
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Bursa, Turkey (Türkiye), 16059
- Not yet recruiting
- TUR001
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Eskişehir, Turkey (Türkiye), 26040
- Not yet recruiting
- TUR012
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Kayseri, Turkey (Türkiye), 38039
- Recruiting
- TUR005
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Kocaeli, Turkey (Türkiye), 41380
- Recruiting
- TUR009
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Trabzon, Turkey (Türkiye), 61080
- Not yet recruiting
- TUR011
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Bath, United Kingdom, BA1 3NG
- Not yet recruiting
- GBR001
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Glasgow, United Kingdom, G81 4DY
- Not yet recruiting
- GBR007
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London, United Kingdom, NW3 2QG
- Not yet recruiting
- GBR002
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Southampton, United Kingdom, SO16 6YD
- Not yet recruiting
- GBR005
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Greater London
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London, Greater London, United Kingdom, W12 0HS
- Not yet recruiting
- GBR009
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Yorkshire
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Sheffield, Yorkshire, United Kingdom, S10 2JF
- Recruiting
- GBR004
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California
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Los Angeles, California, United States, 900275969
- Not yet recruiting
- USA010
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Santa Barbara, California, United States, 93105-4349
- Recruiting
- USA001
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Florida
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Gainesville, Florida, United States, 32610
- Not yet recruiting
- USA017
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Naples, Florida, United States, 34102-5412
- Recruiting
- USA006
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St. Petersburg, Florida, United States, 33707-6129
- Recruiting
- USA026
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Kansas
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Kansas City, Kansas, United States, 66160
- Not yet recruiting
- USA002
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New York
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New York, New York, United States, 10016
- Not yet recruiting
- USA005
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Ohio
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Cincinnati, Ohio, United States, 45267
- Not yet recruiting
- USA015
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Oregon
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Bend, Oregon, United States, 97701
- Recruiting
- USA003
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- Recruiting
- USA013
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Virginia
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Richmond, Virginia, United States, 23230
- Recruiting
- USA008
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Diagnosis of PH World Health Organisation (WHO) Group 3 associated with ILD [including but not limited to idiopathic interstitial pneumonia (IIP), chronic hypersensitivity pneumonitis (HSP), connective tissue disease-associated interstitial lung disease (CTD-ILD), combined pulmonary fibrosis and emphysema (CPFE)].
- Confirmation of fibrotic interstitial lung disease by centrally overread computed tomography (CT) scan performed at Screening or within prior 12 months.
PH confirmed by right heart catheterization (RHC) at Screening or within 12 months prior to Screening, with the following hemodynamic findings:
- Mean pulmonary arterial pressure (mPAP) >20 millimetre of mercury (mmHg) and
- Pulmonary capillary wedge pressure (PCWP) of ≤15 mmHg and
- Pulmonary vascular resistance (PVR) ≥4 wood units (WU).
- 6 Minute walking distance (6MWD) ≥100 and ≤500 meters at two 6MWTs at Screening performed at least 4 hours apart, with the difference between the 2 distances ≤15%.
- Participants receiving chronic medication for underlying disease (e.g., antifibrotic, immunomodulators, immunosuppressants, etc.) and/or phosphodiesterase 5 (PDE5) inhibitors, should be on this treatment for ≥90 days and on a stable dose for ≥30 days prior to Screening.
- Capable of giving signed informed consent as described in Section 10.1.5 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
Exclusion criteria
- Diagnosis of Pulmonary Hypertension WHO Groups 1, 2, 4, or 5, or subtypes of PH WHO Group 3 other than interstitial lung disease.
- Primary diagnosis of chronic obstructive pulmonary disease (COPD) and/or forced expiratory volume in 1 second (FEV1)/FVC <0.7 (based on screening or historical spirometry within the prior 6 months).
Clinically significant left heart disease:
- evidence of clinically significant left-sided valvular heart disease,
- left ventricular failure with left ventricular ejection fraction (LVEF) <45%, or diagnosis of heart failure with preserved ejection fraction (HFpEF)
- echocardiography findings at Screening suggestive for postcapillary PH
- unstable ischemic heart disease
- unstable arrhythmia, including uncontrolled atrial fibrillation (rate-controlled arrhythmia or paroxysmal atrial fibrillation is allowed)
- Evidence of chronic thromboembolic disease or recent (within 6 months of Screening) acute pulmonary embolism.
- Known hypersensitivity or contraindication to treprostinil or TPIP or TPIP formulation excipients (e.g., mannitol, leucine).
- Current use of cigarettes or e-cigarettes: An adult who has smoked at least 100 cigarettes in his or her lifetime and who currently smokes either every day or some days.
- Current use of inhaled marijuana, recreational or medical (current use defined as used at least one or more times during the past 30 days prior to Screening) or expected use during the study.
- Any other medical or psychological condition including relevant laboratory abnormalities at Screening that, in the opinion of the Investigator, suggest a new and/or insufficiently understood disease and/or may present an unreasonable risk to the study participant as a result of his/her participation in this clinical trial, may impede their ability complete the study or the study assessments or confound the outcomes of the trial.
Note: Other protocol defined inclusion/exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treprostinil Palmitil Inhalation Powder
Participants will receive TPIP, once daily (QD), at a starting dose of 80 micrograms (μg) to maximum tolerated dose up to 1280 μg for 24 weeks.
|
Oral inhalation using a capsule-based dry powder inhaler device.
Other Names:
|
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Placebo Comparator: Placebo
Participants will receive a placebo matching TPIP QD for 24 weeks.
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Oral inhalation using a capsule-based dry powder inhaler device.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in 6MWD Measured at Peak Exposure From Baseline to Week 24
Time Frame: Baseline, Week 24
|
Baseline, Week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time From Randomization to First Clinical Worsening Over the 24-Week Treatment Period
Time Frame: Up to Week 24
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Up to Week 24
|
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Time From Randomization to First Major Morbidity or Mortality Event Over the 24-Week Treatment Period
Time Frame: Up to Week 24
|
Up to Week 24
|
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Change From Baseline in N-Terminal Pro Hormone Brain Natriuretic Peptide (NT-proBNP) Plasma Concentration Over 24 Weeks
Time Frame: Baseline up to Week 24
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Baseline up to Week 24
|
|
Number of Participants With Greater Than or Equal to (>=) 30% Decrease in NT-proBNP or Who Maintained/Achieved Less Than (<) 300 Nanogram per Liter (ng/L) of NT-proBNP Level at Week 24
Time Frame: At Week 24
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At Week 24
|
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Change in 6MWD Measured at Trough Exposure From Baseline to Week 22
Time Frame: Baseline, Week 22
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Baseline, Week 22
|
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Change From Baseline in 6MWD Measured at Peak Exposure Over 20 Weeks
Time Frame: Baseline up to Week 20
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Baseline up to Week 20
|
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Mean Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Total Symptom Domain Score Over 24 Weeks
Time Frame: Baseline up to Week 24
|
Baseline up to Week 24
|
|
Plasma Concentrations of Treprostinil Palmitil (TP) and Treprostinil (TRE)
Time Frame: Pre-dose and post-dose at multiple timepoints up to Week 24
|
Pre-dose and post-dose at multiple timepoints up to Week 24
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- INS1009-311
- 2025-521558-40-00 (Other Identifier: EU CT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.