An Extension Study of Treprostinil Palmitil Inhalation Powder (TPIP) for Pulmonary Hypertension Associated With Interstitial Lung Disease (PH-ILD)

NCT ID: NCT05649722

Last Updated: 2025-12-31

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-11

Study Completion Date

2026-03-14

Brief Summary

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The primary objective of this study is to evaluate the safety and tolerability of the long-term use of TPIP in participants with PH-ILD from Study INS1009-211 (NCT05176951) and other lead-in studies of TPIP in participants with PH-ILD.

Detailed Description

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Conditions

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Pulmonary Hypertension Interstitial Lung Disease

Keywords

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Treprostinil Palmitil

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treprostinil Palmitil Inhalation Powder

Participants who are not transitioning immediately from INS1009-211 and other lead-in studies, will be administered TPIP, once daily (QD), during 3-week titration period.

Participants who are transitioning immediately from a randomized blinded lead-in TPIP study and who previously received:

1. TPIP- will be administered placebo QD along with the maximum tolerated dose (MTS) TPIP dose from lead-in study in a blinded manner during 3-week titration period.
2. Placebo- will be administered TPIP QD along with the achieved placebo dose from lead-in study in a blinded manner during 3-week titration period.

The overall treatment period will be 24 months.

Group Type EXPERIMENTAL

Treprostinil Palmitil Inhalation Powder

Intervention Type DRUG

Oral inhalation using a capsule-based dry powder inhaler device.

Placebo

Intervention Type DRUG

Oral placebo inhalation using a capsule-based dry powder inhaler device.

Interventions

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Treprostinil Palmitil Inhalation Powder

Oral inhalation using a capsule-based dry powder inhaler device.

Intervention Type DRUG

Placebo

Oral placebo inhalation using a capsule-based dry powder inhaler device.

Intervention Type DRUG

Other Intervention Names

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INS1009

Eligibility Criteria

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Inclusion Criteria

* Participants who completed the end of treatment visit in Study INS1009-211 (NCT05176951). Participants for whom the OLE study was not available at the time of their completion of the lead-in study are eligible for enrolment within one year of their lead-in end of treatment visit.
* Complete baseline screening assessments to confirm eligibility to participate if more than 30 days have elapsed since the end of the study visit in Study INS1009-211, or any other lead-in PH-ILD TPIP study.
* Capable of giving signed informed consent that includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion Criteria

* Participants who experienced any hypersensitivity or adverse drug reaction or were withdrawn early/discontinued in a previous PH-ILD TPIP study, which in the opinion of the Investigator, could indicate that continued treatment with TPIP may present an unreasonable risk for the participant.
* Initiation of parenteral administration of prostacyclin analogues (eg, TRE, epoprostenol) since the completion of Study INS1009-211 or other TPIP studies. Initiation of inhaled prostacyclin analogues (eg, TRE \[Tyvaso\] or iloprost) and oral prostacyclin analogues (eg, TRE \[Orenitram\]) or receptor agonists (eg, selexipag) are permitted if stopped 24 hours prior to the start of study drug administration.

Pregnant or breastfeeding. Male and female participants must use contraceptives that are consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Female participants of childbearing potential must have a negative urine pregnancy test result at trial entry before the first dose of study drug.

\- Any 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 that may present an unreasonable risk to the study participant as a result of participation in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Insmed Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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ARG003

Autonomus City of Buenos Aires, Buenos Aires, Argentina

Site Status

ARG001

Rosario, Santa Fe Province, Argentina

Site Status

AUS005

Macquarie Park, New South Wales, Australia

Site Status

BEL002

Liège, , Belgium

Site Status

GER006

Heidelberg, Baden-Wurttemberg, Germany

Site Status

GER004

München, Bavaria, Germany

Site Status

GER010

Giessen, Hesse, Germany

Site Status

GER003

Essen, North Rhine-Westphalia, Germany

Site Status

GER001

Dresden, Saxony, Germany

Site Status

GER002

Berlin, , Germany

Site Status

GER012

Berlin, , Germany

Site Status

ITA004

Milan, Lombardy, Italy

Site Status

ITA002

Monza, Lombardy, Italy

Site Status

ITA001

Palermo, Sicily, Italy

Site Status

ITA003

Napoli, , Italy

Site Status

ESP003

Palma, Balearic Islands, Spain

Site Status

ESP009

Santiago de Compostela, Galicia, Spain

Site Status

ESP007

Oviedo, Principality of Asturias, Spain

Site Status

ESP005

Barcelona, , Spain

Site Status

ESP010

Barcelona, , Spain

Site Status

GBR003

Clydebank, Glasgow, United Kingdom

Site Status

GBR001

Sheffield, South Yorkshire, United Kingdom

Site Status

Countries

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Argentina Australia Belgium Germany Italy Spain United Kingdom

Other Identifiers

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2022-001950-45

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-505540-19-00

Identifier Type: OTHER

Identifier Source: secondary_id

INS1009-212

Identifier Type: -

Identifier Source: org_study_id