Trial Outcomes & Findings for A Pharmacokinetic Substudy of the TDE-PH-304 Protocol (NCT NCT01934582)

NCT ID: NCT01934582

Last Updated: 2024-01-03

Results Overview

The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

13 participants

Primary outcome timeframe

Up to 14 days prior to transitioning to TID dosing regimen (PK Visit 1) and up to 35 days after transitioning to TID dosing regiment (PK Visit 2)

Results posted on

2024-01-03

Participant Flow

Participant milestones

Participant milestones
Measure
Open-label Extension PK Population
The PK population included all subjects enrolled in the PK substudy having met the study criteria who received at least 1 treatment of open-label treprostinil diethanolamine.
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Pharmacokinetic Substudy of the TDE-PH-304 Protocol

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Open-label Extension PK Population
n=13 Participants
The PK population included all subjects enrolled in the PK substudy having met the study criteria, who had sufficient treprostinil concentration-time data to derive noncompartmental PK parameters for at least 1 treatment of open-label treprostinil diethanolamine.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
Age, Continuous
60.6 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 14 days prior to transitioning to TID dosing regimen (PK Visit 1) and up to 35 days after transitioning to TID dosing regiment (PK Visit 2)

The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.

Outcome measures

Outcome measures
Measure
PK Visit 1
n=13 Participants
UT-15C SR (treprostinil diethanolamine) BID
PK Visit 2
n=13 Participants
UT-15C SR (treprostinil diethanolamine) TID
To Assess the Pharmacokinetics (Mean AM Dose) in Subjects During Twice Daily (BID) Dosing (up to 14 Days Prior to Transitioning to Three Times Daily [TID] Dosing Regimen at PK Visit 1) and up to 35 Days After Transitioning to TID Dosing (at PK Visit 2).
8.12 mg
Interval 2.0 to 17.5
6.75 mg
Interval 1.25 to 15.0

PRIMARY outcome

Timeframe: Up to 14 days prior to transitioning to TID dosing regimen (PK Visit 1) and up to 35 days after transitioning to TID dosing regiment (PK Visit 2)

The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.

Outcome measures

Outcome measures
Measure
PK Visit 1
n=13 Participants
UT-15C SR (treprostinil diethanolamine) BID
PK Visit 2
n=13 Participants
UT-15C SR (treprostinil diethanolamine) TID
To Assess the Pharmacokinetics (Cmax, Cmin) in Subjects During BID Dosing (up to 14 Days Prior to Transitioning to TID Dosing Regimen at PK Visit 1) and up to 35 Days After Transitioning to TID Dosing Regiment (PK Visit 2)
Cmax
8.60 ng/mL
Interval 1.7 to 18.2
8.94 ng/mL
Interval 2.25 to 16.8
To Assess the Pharmacokinetics (Cmax, Cmin) in Subjects During BID Dosing (up to 14 Days Prior to Transitioning to TID Dosing Regimen at PK Visit 1) and up to 35 Days After Transitioning to TID Dosing Regiment (PK Visit 2)
Cmin
1.19 ng/mL
Interval 0.29 to 2.5
2.14 ng/mL
Interval 0.263 to 6.12

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose at up to 14 days prior to transitioning to TID dosing regimen (PK Visit 1) and at up to 35 days after transitioning to TID dosing regiment (PK Visit 2)

The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.

Outcome measures

Outcome measures
Measure
PK Visit 1
n=13 Participants
UT-15C SR (treprostinil diethanolamine) BID
PK Visit 2
n=13 Participants
UT-15C SR (treprostinil diethanolamine) TID
To Assess the Pharmacokinetics (AUClast) in Subjects During Twice Daily (BID) Dosing (up to 14 Days Prior to Transitioning to Three Times Daily [TID] Dosing Regimen at PK Visit 1) and up to 35 Days After Transitioning to TID Dosing (at PK Visit 2).
47.8 h*ng/mL
Interval 8.92 to 80.6
58.0 h*ng/mL
Interval 10.8 to 109.0

SECONDARY outcome

Timeframe: The 6MWT was conducted during BID dosing PK collection (up to 14 days prior to transitioning to TID dosing regimen [PK Visit 1]) and during TID dosing PK collection (up to 35 days after transitioning to TID dosing regimen [PK Visit 2]).

The 6-minute walk test (6MWT) was conducted at PK Visits 1 and 2, and was performed between hours 3 to 6 post-morning dose to correlate with the predicted peak plasma concentration of oral treprostinil.

Outcome measures

Outcome measures
Measure
PK Visit 1
n=13 Participants
UT-15C SR (treprostinil diethanolamine) BID
PK Visit 2
n=13 Participants
UT-15C SR (treprostinil diethanolamine) TID
To Assess 6-minute Walk Distance for Both Groups (BID and TID) 3 to 6 Hours Post-morning Dose.
332.5 Meters
Interval 177.0 to 525.0
347.9 Meters
Interval 223.0 to 541.0

SECONDARY outcome

Timeframe: The AEs were recorded for up to 50 days.

AE diaries including 8 therapy-specific terms were collected during both BID and TID dosing to allow for comparison of events from both regimens. The therapy-specific events included: diarrhea, extremity pain, flushing, headache, hypotension, jaw pain, nausea, and vomiting.

Outcome measures

Outcome measures
Measure
PK Visit 1
n=13 Participants
UT-15C SR (treprostinil diethanolamine) BID
PK Visit 2
n=13 Participants
UT-15C SR (treprostinil diethanolamine) TID
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Diarrhea
46 percentage of subjects
38 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Extremity pain
54 percentage of subjects
38 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Flushing
85 percentage of subjects
54 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Headache
69 percentage of subjects
85 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Hypotension
23 percentage of subjects
23 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Jaw Pain
38 percentage of subjects
46 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Nausea
38 percentage of subjects
77 percentage of subjects
To Compare the Adverse Event (AE) Profile of BID Versus TID Dosing.
Vomiting
0 percentage of subjects
0 percentage of subjects

Adverse Events

PK Visit 1

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

PK Visit 2

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
PK Visit 1
n=13 participants at risk
UT-15C SR (treprostinil diethanolamine): open-label study drug
PK Visit 2
n=13 participants at risk
UT-15C SR (treprostinil diethanolamine): open-label study drug
Gastrointestinal disorders
Diarrhea
46.2%
6/13 • Number of events 22 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
38.5%
5/13 • Number of events 20 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Musculoskeletal and connective tissue disorders
Extremity pain
53.8%
7/13 • Number of events 41 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
38.5%
5/13 • Number of events 47 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Vascular disorders
Flushing
84.6%
11/13 • Number of events 57 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
53.8%
7/13 • Number of events 58 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Nervous system disorders
Headache
69.2%
9/13 • Number of events 57 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
84.6%
11/13 • Number of events 70 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Vascular disorders
Hypotension
23.1%
3/13 • Number of events 8 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
23.1%
3/13 • Number of events 9 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Musculoskeletal and connective tissue disorders
Jaw pain
38.5%
5/13 • Number of events 18 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
46.2%
6/13 • Number of events 28 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Gastrointestinal disorders
Nausea
38.5%
5/13 • Number of events 31 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
76.9%
10/13 • Number of events 80 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
Gastrointestinal disorders
Vomiting
0.00%
0/13 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).
0.00%
0/13 • Approximately 50 days.
The AEs were recorded by subjects in an AE diary during BID dosing (within 14 days prior to transitioning to TID dosing regimen) and during TID dosing (within 35 days from transition).

Additional Information

Global Medical Information

United Therapeutics Corp.

Phone: 919-425-8350

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution and/or Principal Investigator agree not to publish or publicly present any interim results of the Study without the prior written consent of Sponsor, not to be unreasonably withheld or delayed, except as provided below. Institution and/or Principal Investigator further agree to provide Sponsor with drafts of any such publication or presentation for review and approval no less than 30 days prior to submission for publication or the date of public presentation.
  • Publication restrictions are in place

Restriction type: OTHER