Extension Study of Inhaled Treprostinil in Subjects With Fibrotic Lung Disease

NCT ID: NCT04905693

Last Updated: 2026-01-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

PHASE3

Total Enrollment

1850 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-06

Study Completion Date

2026-06-30

Brief Summary

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Study RIN-PF-302 is designed to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis or progressive pulmonary fibrosis.

Detailed Description

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Study RIN-PF-302 is a Phase 3, multicenter, open-label extension (OLE) study for eligible subjects who completed Study RIN-PF-301, Study RIN-PF-303, or Study RIN-PF-305 to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF). Following OLE entry, subjects will return at Week 4, Week 12, and every 12 weeks thereafter for up to 6 years or until the subject prematurely discontinues study treatment due an adverse event (AE)/serious adverse event (SAE) or other reason, inhaled treprostinil becomes commercially available for IPF or PPF, or the study is discontinued by the Sponsor (whichever is sooner).

Efficacy assessments will include spirometry (forced expiratory volume in 1 second \[FEV1\] and forced vital capacity \[FVC\]), time to clinical worsening, time to first acute exacerbation of IPF or interstitial lung disease (ILD), overall survival, King's Brief Interstitial Lung Disease (K-BILD) Questionnaire, plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) concentration, supplemental oxygen use, and diffusion capacity of lungs for carbon monoxide (DLCO). Safety assessments will include monitoring for the development of AEs/SAEs, vital signs, clinical laboratory parameters, and electrocardiogram (ECG) parameters. In addition, up to 24 eligible subjects with IPF rolling over from Study RIN-PF-301 and up to 24 eligible subjects with PPF rolling over from Study RIN-PF-305 may participate in a PK substudy to evaluate the systemic exposure of treprostinil after inhaled administration.

Conditions

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Idiopathic Pulmonary Fibrosis Interstitial Lung Disease Progressive Pulmonary Fibrosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Open-label Extension
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Inhaled Treprostinil

Treprostinil inhalation solution (0.6 mg/mL) delivered via an ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath. Inhaled QID and titrated to a target of 15 breaths QID or until the subject reaches their maximum clinically tolerated dose.

Group Type EXPERIMENTAL

Inhaled Treprostinil

Intervention Type DRUG

Inhaled Treprostinil (6 mcg/breath) administered QID

Treprostinil Ultrasonic Nebulizer

Intervention Type DEVICE

Treprostinil ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath.

Interventions

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Inhaled Treprostinil

Inhaled Treprostinil (6 mcg/breath) administered QID

Intervention Type DRUG

Treprostinil Ultrasonic Nebulizer

Treprostinil ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath.

Intervention Type DEVICE

Other Intervention Names

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Tyvaso

Eligibility Criteria

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Inclusion Criteria

1. Subject gives voluntary informed consent to participate in the study.
2. The subject participated in Study RIN-PF-301, Study RIN-PF-303, or Study RIN-PF-305 and remained on study drug and completed all scheduled study visits or was enrolled in Study RIN-PF-301, Study RIN-PF-303, or Study RIN-PF-305 at the time that the study or study subject was discontinued by the Sponsor for reasons other than safety.
3. Women of childbearing potential must be non-pregnant (as confirmed by a urine pregnancy test at OLE Entry Visit) and non-lactating, and will agree to abstain from intercourse (when it is in line with their preferred and usual lifestyle) or use 2 medically acceptable, highly effective forms of contraception for the duration of the study, and at least 30 days after discontinuing study drug.
4. Males with a partner of childbearing potential must agree to use a condom for the duration of treatment and for at least 48 hours after discontinuing study drug.
5. In the opinion of the Investigator, the subject is able to communicate effectively with study personnel, and is considered reliable, willing, and likely to be cooperative with protocol requirements, including attending all study visits.

Exclusion Criteria

1. Subject is pregnant or lactating.
2. In the opinion of the Investigator, enrollment in Study RIN-PF-302 would represent a risk to the subject's overall health.
3. Use of any other investigational drug/device or participation in any investigational study in which the subject received a medical intervention (ie, procedure, device, medication/supplement). Subjects participating in non-interventional, observational, or registry studies are eligible.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Clinical Trials Center of Middle Tennessee

Franklin, Arizona, United States

Site Status

Banner University Medical Center-Phoenix

Phoenix, Arizona, United States

Site Status

St. Joseph's Hospital and Medical Center - Norton Thoracic Institute

Phoenix, Arizona, United States

Site Status

University of Arizona

Tucson, Arizona, United States

Site Status

UC San Diego Health

La Jolla, California, United States

Site Status

David Geffen School of Medicine at UCLA

Los Angeles, California, United States

Site Status

NewportNativeMD, Inc

Newport Beach, California, United States

Site Status

Palmtree Clinical Research, Inc.

Palm Springs, California, United States

Site Status

UC Davis Health Medical Center

Sacramento, California, United States

Site Status

University of California San Francisco

San Francisco, California, United States

Site Status

Stanford University School of Medicine

Stanford, California, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

University of Florida Health at Shands

Gainesville, Florida, United States

Site Status

Ascension St. Vincent's

Jacksonville, Florida, United States

Site Status

University of Florida

Jacksonville, Florida, United States

Site Status

Mayo Clinic Florida

Jacksonville, Florida, United States

Site Status

Pulmonary Disease Specialists, PA d/b/a PDS Research

Kissimmee, Florida, United States

Site Status

Central Florida Pulmonary Group, PA

Orlando, Florida, United States

Site Status

Coastal Pulmonary & Critical Care PLC

St. Petersburg, Florida, United States

Site Status

University of South Florida Health

Tampa, Florida, United States

Site Status

Cleveland Clinic Florida

Weston, Florida, United States

Site Status

Piedmont Healthcare Atlanta

Atlanta, Georgia, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Community Health Network

Indianapolis, Indiana, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Norton Pulmonary Specialists

Louisville, Kentucky, United States

Site Status

University of Louisville Healthcare Outpatient Center

Louisville, Kentucky, United States

Site Status

Tulane University Medical Center

New Orleans, Louisiana, United States

Site Status

LSU Health Science Center Shreveport

Shreveport, Louisiana, United States

Site Status

Johns Hopkins Asthma and Allergy Center

Baltimore, Maryland, United States

Site Status

Adventist Healthcare White Oak Medical Center

Silver Spring, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan Int Med Pulmonary and critical care

Ann Arbor, Michigan, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Corewell Health William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic, Division of Pulmonary and Critical Care Medicine

Rochester, Minnesota, United States

Site Status

University Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

The Lung Research Center, LLC

Chesterfield, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Creighton University Clinical Research Office

Omaha, Nebraska, United States

Site Status

University of New Mexico Health Sciences Center

Albuquerque, New Mexico, United States

Site Status

Stony Brook Advanced Specialty Care

Commack, New York, United States

Site Status

Northwell Health

New Hyde Park, New York, United States

Site Status

Weill Cornell Medical Center

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

PulmonIx, LLC

Greensboro, North Carolina, United States

Site Status

East Carolina University

Greenville, North Carolina, United States

Site Status

Southeastern Research Center

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

The Oregon Clinic

Portland, Oregon, United States

Site Status

Penn State Milton S.Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson,Hospital University

Philadelphia, Pennsylvania, United States

Site Status

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Prisma Health Midlands

Columbia, South Carolina, United States

Site Status

Clinical Research of Rock Hill

Rock Hill, South Carolina, United States

Site Status

StatCare Pulmonary Consultants, PLLC

Knoxville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

The University of Texas Health Science Center at Houston, McGovern Medical School

Houston, Texas, United States

Site Status

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

A & A Research Consultants, LLC

McAllen, Texas, United States

Site Status

Metroplex Pulmonary and Sleep Center PA

McKinney, Texas, United States

Site Status

Renovatio Clinical

The Woodlands, Texas, United States

Site Status

Intermountain Healthcare

Murray, Utah, United States

Site Status

University of Utah Health

Salt Lake City, Utah, United States

Site Status

University of Virginia Health Systems

Charlottesville, Virginia, United States

Site Status

Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status

Pulmonary Associates of Richmond, Inc.

Richmond, Virginia, United States

Site Status

University Hospital and UW Health Clinics

Madison, Wisconsin, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

CINME S.A. - Centro de Investigaciones Metabólicas

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Instituto Ave Pulmo - Fundación enfisema

Mar del Plata, Buenos Aires, Argentina

Site Status

Sanatorio Allende Cerro

Córdoba, Córdoba Province, Argentina

Site Status

Instituto Medico Río Cuarto

Río Cuarto, Córdoba Province, Argentina

Site Status

Centro Médico INSARES

Mendoza, Mendoza Province, Argentina

Site Status

Sanatorio Parque de Rosario - Consultorios Externos

Rosario, Santa Fe Province, Argentina

Site Status

Centro Integral de Medicina Respiratoria (CIMER)

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Investigaciones en Patologías Respiratorias

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Centro Médico Dra. De Salvo

Buenos Aires, , Argentina

Site Status

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

Macquarie University

Macquarie Park, New South Wales, Australia

Site Status

Westmead Hospital

Westmead, New South Wales, Australia

Site Status

Cairns Hospital

Cairns, Queensland, Australia

Site Status

Lung Research Qld

Chermside, Queensland, Australia

Site Status

The Prince Charles Hospital

Chermside, Queensland, Australia

Site Status

Mater Misericordiae Ltd

South Brisbane, Queensland, Australia

Site Status

Alfred Health

Melbourne, Victoria, Australia

Site Status

Hôpital Erasme

Anderlecht, Brussels Capital, Belgium

Site Status

CHU UCL Namur - Site Godinne

Yvoir, Namur, Belgium

Site Status

vzw AZORG - Aalst - Moorselbaan

Aalst, , Belgium

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Ziekenhuis Aan de Stroom

Antwerp, , Belgium

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

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CHR de la Citadelle

Liège, , Belgium

Site Status

CHU de Liège

Liège, , Belgium

Site Status

St.Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Dynamic Drug Advancement Limited

Ajax, Ontario, Canada

Site Status

St. Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada

Site Status

Toronto General Hospital

Toronto, Ontario, Canada

Site Status

Centre d'investigation Clinique Mauricie

Trois-Rivières, Quebec, Canada

Site Status

Institut Universitaire de Cardiologie et de Pneumologie de Quebec

Québec, , Canada

Site Status

Centro de Investigación del Maule SpA

Talca, Maule Region, Chile

Site Status

Centro Respiratorio Integral Limitada

Quillota, Región de Valparaíso, Chile

Site Status

Instituto Nacional del tórax

Santiago, Santiago Metropolitan, Chile

Site Status

Fundación Médica San Cristobal

Santiago, Santiago Metropolitan, Chile

Site Status

CEC Centro de Estudios Clínicos

Santiago, Santiago Metropolitan, Chile

Site Status

Aarhus University Hospital - Department of Respiratory Diseases and Allergy, Research Unit

Aarhus N, , Denmark

Site Status

Gentofte Hospital - Lungemedicinsk forskningsafdeling

Hellerup, , Denmark

Site Status

Odense University Hospital - Department of Respiratory Medicine

Odense C, , Denmark

Site Status

Hopital Nord AP-HM (Assistance Publique Hôpitaux De Marseille - Centre Hospitalier Régional de Marseille

Marseille, Bouches-du-Rhône, France

Site Status

CHU Caen Normandie

Caen, Calvados, France

Site Status

Hopital Larrey

Toulouse, Haute-Garonne, France

Site Status

Hôpital Bretonneau

Tours, Indre-et-Loire, France

Site Status

CHU Rouen Hopital Charles Nicolle

Rouen, Seine-Maritime, France

Site Status

CHU Amiens-Picardie

Amiens, , France

Site Status

AP-HP - Hopital Avicenne

Bobigny, , France

Site Status

Hospices Civils De Lyon - Université Hospital of Lyon

Bron, , France

Site Status

AP-HP - Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Hôptial Bichat

Paris, , France

Site Status

Centre Hospitalier Universitaire De Reims - Hôpital Maison Blanche

Reims, , France

Site Status

Hôpital Pontchaillou

Rennes, , France

Site Status

SLK Kliniken Heilbronn GmbH Standort Fachklink Löwenstein Med. Klinik I Pneumologie Beatmungsmedizin Intensivmedizin

Löwenstein, Baden-Wurttemberg, Germany

Site Status

LMU Klinikum der Universität München

München, Bavaria, Germany

Site Status

RoMed Klinikum Rosenheim

Rosenheim, Bavaria, Germany

Site Status

Universitätsmedizin Essen Ruhrlandklinik Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH

Essen, North Rhine-Westphalia, Germany

Site Status

Prüfstelle der GWT am Fachkrankenhaus Coswig

Coswig, Saxony, Germany

Site Status

Zentralklinik Bad Berka GmbH Klinik für Pneumologie

Bad Berka, Thuringia, Germany

Site Status

Kaplan Medical Center

Rehovot, Central District, Israel

Site Status

Hillel Yaffe Medical Center

Hadera, Haifa District, Israel

Site Status

Shaare Zedek Medical Center

Jerusalem, Jerusalem, Israel

Site Status

Hadassah Medical Center - PPDS

Jerusalem, Jerusalem, Israel

Site Status

Barzilai Medical Center

Ashkelon, Southern District, Israel

Site Status

Sheba Medical Center - PPDS

Ramat Gan, Tel Aviv, Israel

Site Status

Lady Davis Carmel Medical Center

Haifa, , Israel

Site Status

Meir Medical Center

Kfar Saba, , Israel

Site Status

Rabin Medical Center - PPDS

Petah Tikva, , Israel

Site Status

Tel Aviv Sourasky Medical Center - PPDS

Tel Aviv, , Israel

Site Status

Azienda Ospedaliero Universitaria Di Modena Policlinico

Modena, Emilia-Romagna, Italy

Site Status

Fondazione Policlinico Universitario A Gemelli-Rome

Rome, Lazio, Italy

Site Status

Gruppo MultiMedica SpA - Ospedale San Giuseppe

Milan, Lombardy, Italy

Site Status

A.O.U. Policlinico Vittorio Emanuele presidio "G.Rodolico"

Catania, Sicily, Italy

Site Status

Azienda ospedaliero-universitaria Senese

Siena, Tuscany, Italy

Site Status

Azienda Ospedaliero Universitaria delle Marche

Ancona, , Italy

Site Status

Presidio Ospedaliero GB Morgagni L Pierantoni

Forlì, , Italy

Site Status

Fondazione PTV Policlinico Tor Vergata

Roma, , Italy

Site Status

Centro de Prevención y Rehabilitación de Enfermedades Pulmonares Crónicas (CEPREP)

Monterrey, Nuevo León, Mexico

Site Status

Unidad de Investigación Clínica en Medicina, S.C.

Monterrey, Nuevo León, Mexico

Site Status

Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas

Mexico City, , Mexico

Site Status

Zuyderland Medisch Centrum - Heerlen

Heerlen, Limburg, Netherlands

Site Status

Erasmus MC -Dr. Molewaterplein 40

Rotterdam, South Holland, Netherlands

Site Status

Waikato Hospital

Hamilton, Waikato Region, New Zealand

Site Status

Canterbury Respiratory Research Group

Christchurch, , New Zealand

Site Status

Hospital Nacional Adolfo Guevara Velasco - Red Asistencial Cusco

Cusco, , Peru

Site Status

Clinica Ricardo Palma

Lima, , Peru

Site Status

Hospital Central de la Fuerza Aérea del Perú

Lima, , Peru

Site Status

CHA Bundang Medical Center, CHA University

Seongnam-si, Gyeonggido, South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggido, South Korea

Site Status

Gachon University Gil Medical Center

Incheon, Incheon Gwang'yeogsi, South Korea

Site Status

The Catholic University of Korea - Eunpyeong St. Mary's Hospital

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

SMG - SNU Boramae Medical Center

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Hospital Clinico Universitario de Santiago de Compostela

Santiago de Compostela, A Coruña, Spain

Site Status

Hospital Universitario Son Espases

Palma de Mallorca, Balearic Islands, Spain

Site Status

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Universitario Virgen de la Victoria

Málaga, Málaga, Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

Site Status

Hospital Universitario Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Virgen de Las Nieves

Granada, , Spain

Site Status

Hospital Universitario de La Princesa

Madrid, , Spain

Site Status

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Clinico Universitario Virgen de La Arrixaca

Murcia, , Spain

Site Status

Hospital Universitario Marques de Valdecilla

Santander, , Spain

Site Status

Kaohsiung Medical University - Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

E-DA hospital

Kaohsiung City, , Taiwan

Site Status

Far Eastern Memorial Hospital

New Taipei City, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Countries

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United States Argentina Australia Belgium Canada Chile Denmark France Germany Israel Italy Mexico Netherlands New Zealand Peru South Korea Spain Taiwan

Other Identifiers

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RIN-PF-302

Identifier Type: -

Identifier Source: org_study_id

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