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Pulmonary Arterial HypertensionPhase 2NCT05147805

A Study to Evaluate the Efficacy, Safety and Pharmacokinetics of Treprostinil Palmitil Inhalation Powder in Participants With Pulmonary Arterial Hypertension

A Phase 2 study testing Treprostinil Palmitil in people with Pulmonary Arterial Hypertension, run by Insmed Incorporated at 92 sites in 17 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The main objective of the study is to assess the effect of treprostinil palmitil inhalation powder (TPIP) compared with placebo on pulmonary vascular resistance. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Pulmonary Arterial Hypertension
What is being tested?
Treprostinil Palmitil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
102 participants
Where
92 sitesin 17 countries
Study dates
24 Aug 2022to 27 Mar 2025
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must be ≥ 18 to ≤ 75 years at the time of signing the informed consent form (ICF).
  • Participants must have a diagnosis of World Health Organization (WHO) Group 1 Pulmonary Hypertension (PH) [pulmonary arterial hypertension (PAH)] in any of the following subtypes:
  • Idiopathic
  • Heritable
  • Drug/toxin-induced or connective tissue disease (CTD)-associated PAH
  • Congenital heart disease-related with simple systemic-to-pulmonary shunt at least 1 year following repair.
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  • PAH diagnosis for at least 3 months.
  • Participants must be on stable PH therapy consisting of up to 2 medications from the following classes:
  • Endothelin receptor antagonists (eg, ambrisentan, bosentan, macitentan)
  • Phosphoesterase type 5 inhibitors (eg, sildenafil, tadalafil)
  • Guanylate cyclase stimulator (eg, riociguat)
  • No change in PH medications (eg, ambrisentan, bosentan, macitentan, sildenafil, tadalafil, riociguat) or dosage for at least 30 days prior to Screening.
  • No change in long-term diuretic use or dosage for at least 30 days prior to Screening.
  • Body Mass Index (BMI) within the range 18.0-37.0 kg/m^2 (inclusive).
  • Male participants: Male participants who are not sterile and have female partners of childbearing potential, must be using effective contraception from Day 1 to at least 90 days after the last dose of study drug.
  • Female participants: Women must be postmenopausal (defined as no menses for 12 months without an alternative medical cause), surgically sterile, (ie, post-tubal ligation for at least 12 months) or using highly effective contraception methods (ie, methods that alone or in combination achieve <1% unintended pregnancy rates per year when used consistently and correctly) from Day 1 to at least 90 days after the last dose of study drug.
  • Male participants with pregnant or non-pregnant woman of childbearing potential partner must use a condom in order to avoid potential exposure to embryo/fetus.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in the protocol.

Who cannot join

  • History of PH other than idiopathic, hereditary, drug/toxin-induced, repaired simple congenital heart disease, or CTD-associated PAH (eg, complex, congenital heart disease-associated PAH, portal hypertension-associated PAH, PH belonging to Groups 2 through 5).
  • Allergy, or documented hypersensitivity or contraindication, to TPIP or Treprostinil or mannitol (an excipient of the TPIP formulation).
  • Any known ventricular or supraventricular tachyarrhythmia except for paroxysmal atrial fibrillation and any symptomatic bradycardia.
  • History of heart disease including left ventricular ejection fraction (LVEF) ≤ 40% or clinically significant valvular, constrictive, or symptomatic atherosclerotic heart disease (eg, stable angina, myocardial infarction, etc).
  • Participation in a cardio-pulmonary rehabilitation program within 1 month of Screening Visit.
  • Evidence of thromboembolic disease as assessed by ventilation-perfusion (VQ) scan, pulmonary angiography, or pulmonary computed tomography (CT) scan.
Show all 26Show fewer
  • Active liver disease or hepatic dysfunction.
  • History of HIV infection.
  • Established diagnosis of hepatitis B viral infection, or positive for hepatitis B surface antigen (HBsAg) at the time of Screening.
  • Established diagnosis of hepatitis C viral infection at the time of screening.
  • Active and current symptomatic coronavirus disease 2019 (COVID-19) or previous severe disease and/or hospitalization due to COVID-19.
  • Use of live attenuated vaccines within 30 days of the Screening Visit.
  • Participants with Down's Syndrome.
  • History of abnormal bleeding or bruising.
  • History of solid organ transplantation.
  • Known or suspected immunodeficiency disorder, including history of invasive opportunistic infections (eg, tuberculosis, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis) despite infection resolution, or otherwise recurrent infections of abnormal frequency, or prolonged infections suggesting an immune compromised status, as judged by the Investigator.
  • History of alcohol or drug abuse within 6 months prior to Screening.
  • Acute or chronic impairment (other than dyspnea), limiting the ability to comply with study requirements, in particular with 6-minute walk test (eg, angina pectoris, claudication, musculoskeletal disorder, need for walking aids).
  • Participants with current or recent (past 30 days) lower respiratory tract infection.
  • History of malignancy in the past 5 years, with exception of completely treated in situ carcinoma of the cervix and completely treated non-metastatic squamous or basal cell carcinoma of the skin.
  • Change in PH medication (endothelin receptor agonists, phosphoesterase type 5 inhibitors, and guanylate cyclase stimulators or diuretics) between Screening and Baseline.
  • Have participated in any other interventional clinical studies within 30 days prior to Screening.
  • Current use of cigarettes (as defined by Centers for Disease Control and Prevention) or e-cigarettes.
  • Participants who currently inhale marijuana (recreational or medical).
  • Pregnant or breastfeeding.
  • Note: Other inclusion/exclusion criteria may apply.

Trial locations and contacts

92 sites in 17 countries.

92 sites in 17 countries

United States21 sites
  • USA009

    Atlanta, Georgia, 30309

  • USA006

    Chicago, Illinois, 60611

  • USA001

    Chicago, Illinois, 60612

  • USA016

    Dallas, Texas, 75246

  • USA012

    Denison, Texas, 75020

  • USA008

    Gainesville, Florida, 32610

  • USA018

    Houston, Texas, 77030

  • USA013

    Indianapolis, Indiana, 46260

  • USA014

    Iowa City, Iowa, 52242

  • USA005

    Jacksonville, Florida, 32224

  • USA003

    Kansas City, Kansas, 66160

  • USA102

    New York, New York, 10021

  • USA017

    New York, New York, 10032-1559

  • USA007

    Orlando, Florida, 32803

  • USA025

    Phoenix, Arizona, 85006

  • USA023

    Sacramento, California, 95817

  • USA022

    Scottsdale, Arizona, 85258

  • USA011

    Tampa, Florida, 33601

  • USA021

    Tucson, Arizona, 85724

  • USA002

    West Hollywood, California, 90048

  • USA010

    Winter Park, Florida, 32792-3800

Other trials in United States

Japan9 sites
  • JPN001

    Kagoshima, Kagoshima-ken, 890-8520

  • JPN007

    Kurume-Shi, Hukuoka, 830-0011

  • JPN009

    Nagasaki, Nagasaki, 852-8501

  • JPN002

    Okayama, Okayama-ken, 701-1154

  • JPN005

    Sapporo, Hokkaidô, 060-8543

  • JPN004

    Sapporo, Hokkaidô, 060-8648

  • JPN008

    Shinjuku-Ku, Tokyo, 160-8582

  • JPN003

    Suita-Shi, Ôsaka, 564-8565

  • JPN006

    Tsukuba, Ibaraki, 305-8576

Other trials in Japan

Argentina7 sites
  • ARG004

    Córdoba, X5000DCE

  • ARG001

    Córdoba, X5000FPQ

  • ARG008

    Cuiudad Autónoma de Buenos Aires, C1430EGF

  • ARG009

    Quilmes, Buenos Aires, B1878GEG

  • ARG002

    Rosario, Santa Fe Province, S2013DSR

  • ARG006

    Rosario, Santa Fe Province, S2013KDS

  • ARG007

    San Miguel de Tucumán, Tucumán Province, T4000AXL

Other trials in Argentina

Spain7 sites
  • ESP002

    Barcelona, 8025

  • ESP007

    Las Palmas, 35010

  • ESP008

    Madrid, 28046

  • ESP006

    Palma de Mallorca, Balearic Islands, 07010

  • ESP001

    Santander, Cantabria, 39008

  • ESP003

    Seville, 41009

  • ESP004

    Toledo, 45007

Other trials in Spain

Brazil6 sites
  • BRA003

    Belo Horizonte, Minas Gerais, 30130

  • BRA004

    Belo Horizonte, Minas Gerais, 30441-070

  • BRA002

    Blumenau, Santa Catarina, 80440-080

  • BRA007

    Passo Fundo, Rio Grande do Sul, 99010-120

  • BRA006

    Porto Alegre, Rio Grande do Sul, 90035-003

  • BRA001

    São Paulo, 05403-000

Other trials in Brazil

Germany6 sites
  • GER007

    Berlin, 12683

  • GER006

    Dresden, Saxony, 01307

  • GER001

    Halle, Saxony-Anhalt, 6120

  • GER005

    Heidelberg, Baden-Wurttemberg, 69126

  • GER002

    Lübeck, Schleswig-Holstein, 23562

  • GER003

    Munich, 80639

Other trials in Germany

Italy6 sites
  • ITA006

    Milan, Lombardy, 20123

  • ITA005

    Monza, Lombardy, 20900

  • ITA003

    Naples, Campania, 80131

  • ITA001

    Palermo, Sicily, 90127

  • ITA002

    Pavia, Lombardy, 27100

  • ITA004

    Roma, 00161

Other trials in Italy

Australia5 sites
  • AUS003

    Adelaide, South Australia, 5000

  • AUS002

    Hobart, Tasmania, 7000

  • AUS004

    Milton, Queensland, 4064

  • AUS005

    New Lambton Heights, New South Wales, 2305

  • AUS001

    Woolloongabba, Queensland, 4102

Other trials in Australia

United Kingdom5 sites
  • GBR001

    Bath, Avon, BA1 3NG

  • GBR002

    Glasgow, Lanarkshire, G81 4HX

  • GBR006

    London, London, City of, W12 0HS

  • GBR004

    London, NW3 2Q

  • GBR003

    Newcastle upon Tyne, Tyne and Wear, NE3 3HD

Other trials in United Kingdom

Malaysia4 sites
  • MYS005

    Alor Star, Kedah, 05460

  • MYS003

    Kajang, Selangor, 43000

  • MYS002

    Kuantan, Pahang, 25200

  • MYS004

    Sungai Buloh, Selangor, 47000

Other trials in Malaysia

Mexico4 sites
  • MEX005

    Lomas de Guevara, Jalisco, 44657

  • MEX003

    Mexico City, Mexico City, 14080

  • MEX004

    San Luis Potosí City, 78200

  • MEX001

    Sertoma, 64718

Other trials in Mexico

Belgium3 sites
  • BEL003

    Anderlecht, Brussels Capital, 1070

  • BEL002

    Leuven, Vlaams Brabant, 3000

  • BEL001

    Liège, 4000

Other trials in Belgium

Serbia3 sites
  • SRB004

    Belgrade, Belgrade, 116550

  • SRB001

    Belgrade, 11000

  • SRB003

    Belgrade, 11000

Other trials in Serbia

Austria2 sites
  • AUT002

    Linz, Upper Austria, 4020

  • AUT001

    Vienna, 1090

Other trials in Austria

Philippines2 sites
  • PHL002

    Makati City, 1229

  • PHL001

    Quezon City, National Capital Region, 1100

Other trials in Philippines

Denmark1 site
  • DNK001

    Aarhus N, Central Jutland, 8200

Other trials in Denmark

Switzerland1 site
  • CHE002

    Lausanne, Vaud (fr), CH-1011

Other trials in Switzerland

About this study

Official title: A Phase 2b, Randomized, Double-Blind, Multicenter, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Treprostinil Palmitil Inhalation Powder in Participants With Pulmonary Arterial Hypertension

The main objective of the study is to assess the effect of treprostinil palmitil inhalation powder (TPIP) compared with placebo on pulmonary vascular resistance.

Being tested
Treprostinil Palmitil, Placebo
Keywords
Treprostinil Palmitil, Pulmonary Arterial Hypertension
Medical subject headings
Pulmonary Arterial Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Treprostinil PalmitilDrug

    Also called INS1009

    Administered by oral inhalation using a Plastiape capsule-based dry powder inhaler.

  • PlaceboDrug

    Administered by oral inhalation using a Plastiape capsule-based dry powder inhaler.

Study groups in NCT05147805
Study groupRoleWhat they receive
Treprostinil Palmitil Inhalation PowderExperimentalParticipants will be administered TPIP once per day at a starting dose of 80 micrograms (μg). Participants will be up-titrated to the highest tolerated dose for each individual participant of between 80 μg and 640 μg during the initial 3 weeks of treatment. The overall treatment period will be 16 weeks.
Receives: Drug: Treprostinil Palmitil
PlaceboPlacebo comparatorParticipants will be administered a placebo matching TPIP once per day for 16 weeks.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in Pulmonary Vascular Resistance at Week 16

    Measured: Baseline to Week 16

Secondary outcomes (24)
  1. Change from Baseline in 6-Minute Walk Test Distance at Week 5, Week 10 and Week 16

    Measured: Baseline and Week 5, Week 10 and Week 16

  2. Percent Change from Baseline in 6-Minute Walk Test Distance at Week 5, Week 10 and Week 16

    Measured: Baseline and Week 5, Week 10 and Week 16

  3. Number of Participants Who Experience a Treatment-emergent Adverse Event (AE)

    Measured: Day 1 up to Week 20

  4. Number of Participants Who Experience a Clinically Significant Change from Baseline in Clinical Laboratory Evaluations

    Measured: Baseline to Week 16

  5. Number of Participants Who Experience a Clinically Significant Change from Baseline in Vital Sign Measurements

    Measured: Baseline to Week 16

  6. Number of Participants Who Experience a Clinically Significant Change from Baseline in Electrocardiogram (ECG) Measurements

    Measured: Baseline to Week 16

  7. Number of Participants Who Experience a Clinically Significant Change from Baseline in Physical Examinations

    Measured: Baseline to Week 16

  8. Maximum Plasma Concentration (Cmax) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  9. Maximum Plasma Concentration (Cmax) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  10. Time to Maximum Plasma Concentration (Tmax) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  11. Time to Maximum Plasma Concentration (Tmax) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  12. Area Under the Concentration-time Curve from Time 0 to 24 Hours Post-Dose (AUC24) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  13. Area Under the Concentration-time Curve from Time 0 to 24 Hours Post-Dose (AUC24) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  14. Area Under the Concentration-time Curve from Time 0 to Infinity (AUC∞) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  15. Area Under the Concentration-time Curve from Time 0 to Infinity (AUC∞) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  16. Area Under the Concentration-time Curve from Time 0 to Last Measurable Concentration (AUClast) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  17. Area Under the Concentration-time Curve from Time 0 to Last Measurable Concentration (AUClast) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  18. Apparent Total Clearance (CL/F) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  19. Apparent Total Clearance (CL/F) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  20. Apparent Volume of Distribution After Non-Intravenous Administration (Vd/F) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  21. Apparent Volume of Distribution After Non-Intravenous Administration (Vd/F) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  22. Elimination Half-Life (t1/2) of Treprostinil Palmitil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  23. Elimination Half-Life (t1/2) of Treprostinil

    Measured: Day 1, Weeks 2, 3, 5, 10, and 16: Predose and 0.5, 1, 2 ,4 and 6 hours post-dose

  24. Change from Baseline in the Concentration of N-Terminal-Pro Hormone Brain Natriuretic Peptide (NT-proBNP) Levels at Week 5, Week 10 and Week 16

    Measured: Baseline and Week 5, Week 10 and Week 16 or end of study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Dec 2021
  2. Study start24 Aug 2022
  3. Primary completion27 Mar 2025
  4. Study completion27 Mar 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05147805
Sponsor's protocol ID
INS1009-202
Other IDs
2021-001528-16, 2023-505541-99-00, 2023
Status last verified
Mar 2026
First submitted
24 Nov 2021
Last updated
30 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Treprostinil Palmitil in people with Pulmonary Arterial Hypertension, run by Insmed Incorporated at 92 sites in 17 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 92 sites in United States, Japan, Argentina, Spain, Brazil and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in Pulmonary Vascular Resistance at Week 16 (time frame: Baseline to Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Mar 2026.

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