Extension Study of Inhaled Treprostinil in Subjects With Idiopathic Pulmonary Fibrosis
- Conditions
- Idiopathic Pulmonary FibrosisInterstitial Lung Disease
- Interventions
- Device: Treprostinil Ultrasonic Nebulizer
- Registration Number
- NCT04905693
- Lead Sponsor
- United Therapeutics
- Brief Summary
Study RIN-PF-302 is designed to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis.
- Detailed Description
Study RIN-PF-302 is a Phase 3, multicenter, open-label extension (OLE) study for eligible subjects who completed Study RIN-PF-301 or Study RIN-PF-303 to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis (IPF). 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 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, 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 may participate in a PK substudy to evaluate the systemic exposure of treprostinil after inhaled administration.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 792
- Subject gives voluntary informed consent to participate in the study.
- The subject participated in Study RIN-PF-301 or Study RIN-PF-303 and remained on study drug and completed all scheduled study visits or was enrolled in Study RIN-PF-301 or Study RIN-PF-303 at the time that the study or study subject was discontinued by the Sponsor.
- Women of childbearing potential must be non-pregnant (as confirmed by a urine pregnancy test at OLE Entry Visit and Baseline) and non-lactating, and will 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.
- Males with a partner of childbearing potential must use a condom for the duration of treatment and for at least 48 hours after discontinuing study drug.
- 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.
- Subject is pregnant or lactating.
- In the opinion of the Investigator, enrollment in Study RIN-PF-302 would represent a risk to the subject's overall health.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Inhaled Treprostinil 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. Inhaled Treprostinil Treprostinil Ultrasonic Nebulizer 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.
- Primary Outcome Measures
Name Time Method Long-term safety and tolerability of inhaled treprostinil in subjects with IPF Baseline to 6 years Incidence of AEs and SAEs, incidence of abnormal clinical laboratory parameters, abnormal vital signs, and abnormal 12-lead ECGs
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (182)
Tulane University Medical Center
๐บ๐ธNew Orleans, Louisiana, United States
LSU Health Science Center Shreveport
๐บ๐ธShreveport, Louisiana, United States
Johns Hopkins Asthma and Allergy Center
๐บ๐ธBaltimore, Maryland, United States
Adventist Healthcare White Oak Medical Center
๐บ๐ธSilver Spring, Maryland, United States
Tufts Medical Center
๐บ๐ธBoston, Massachusetts, United States
Brigham and Women's Hospital
๐บ๐ธBoston, Massachusetts, United States
University of Michigan Int Med Pulmonary and critical care
๐บ๐ธAnn Arbor, Michigan, United States
Baylor University Medical Center
๐บ๐ธDallas, Texas, United States
University of Texas Southwestern Medical Center
๐บ๐ธDallas, Texas, United States
vzw AZORG - Aalst - Moorselbaan
๐ง๐ชAalst, Belgium
Ziekenhuis Aan de Stroom
๐ง๐ชAntwerpen, Belgium
Cliniques Universitaires Saint-Luc
๐ง๐ชBrussels, Belgium
UZ Leuven
๐ง๐ชLeuven, Belgium
CHR de la Citadelle
๐ง๐ชLiรจge, Belgium
CHU de Liรจge
๐ง๐ชLiรจge, Belgium
Dynamic Drug Advancement Limited
๐จ๐ฆAjax, Ontario, Canada
St. Joseph's Healthcare Hamilton
๐จ๐ฆHamilton, Ontario, Canada
Centre d'investigation Clinique Mauricie
๐จ๐ฆTrois-Riviรจres, Quebec, Canada
Institut Universitaire de Cardiologie et de Pneumologie de Quebec
๐จ๐ฆQuรฉbec, Canada
Centro de Investigaciรณn del Maule SpA
๐จ๐ฑTalca, Maule, Chile
CEC Centro de Estudios Clรญnicos
๐จ๐ฑSantiago, Metropolitana, Chile
Hopital Larrey
๐ซ๐ทToulouse, Haute-Garonne, France
Centro de Prevenciรณn y Rehabilitaciรณn de Enfermedades Pulmonares Crรณnicas (CEPREP)
๐ฒ๐ฝMonterrey, Nuevo Leรณn, Mexico
Unidad de Investigaciรณn Clรญnica en Medicina, S.C.
๐ฒ๐ฝMonterrey, Nuevo Leรณn, Mexico
Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas
๐ฒ๐ฝCiudad de Mexico, Mexico
Zuyderland Medisch Centrum - Heerlen
๐ณ๐ฑHeerlen, Limburg, Netherlands
Erasmus MC -Dr. Molewaterplein 40
๐ณ๐ฑRotterdam, Zuid-Holland, Netherlands
Waikato Hospital
๐ณ๐ฟHamilton, Waikato, New Zealand
Canterbury Respiratory Research Group
๐ณ๐ฟChristchurch, New Zealand
Hospital Nacional Adolfo Guevara Velasco - Red Asistencial Cusco
๐ต๐ชCusco, Peru
Clinica Ricardo Palma
๐ต๐ชLima, Peru
The University of Alabama at Birmingham
๐บ๐ธBirmingham, Alabama, United States
Clinical Trials Center of Middle Tennessee
๐บ๐ธFranklin, Arizona, United States
Banner University Medical Center-Phoenix
๐บ๐ธPhoenix, Arizona, United States
St. Joseph's Hospital and Medical Center - Norton Thoracic Institute
๐บ๐ธPhoenix, Arizona, United States
University of Arizona
๐บ๐ธTucson, Arizona, United States
David Geffen School of Medicine at UCLA
๐บ๐ธLos Angeles, California, United States
NewportNativeMD, Inc
๐บ๐ธNewport Beach, California, United States
Palmtree Clinical Research, Inc.
๐บ๐ธPalm Springs, California, United States
UC Davis Health Medical Center
๐บ๐ธSacramento, California, United States
Stanford University School of Medicine
๐บ๐ธStanford, California, United States
National Jewish Health
๐บ๐ธDenver, Colorado, United States
University of Florida Health at Shands
๐บ๐ธGainesville, Florida, United States
Ascension St. Vincent's
๐บ๐ธJacksonville, Florida, United States
University of Florida
๐บ๐ธJacksonville, Florida, United States
Mayo Clinic Florida
๐บ๐ธJacksonville, Florida, United States
Pulmonary Disease Specialists, PA d/b/a PDS Research
๐บ๐ธKissimmee, Florida, United States
Central Florida Pulmonary Group, PA
๐บ๐ธOrlando, Florida, United States
Coastal Pulmonary & Critical Care PLC
๐บ๐ธSaint Petersburg, Florida, United States
University of South Florida Health
๐บ๐ธTampa, Florida, United States
Cleveland Clinic Florida
๐บ๐ธWeston, Florida, United States
Piedmont Healthcare Atlanta
๐บ๐ธAtlanta, Georgia, United States
Emory University
๐บ๐ธAtlanta, Georgia, United States
Northwestern Memorial Hospital
๐บ๐ธChicago, Illinois, United States
Loyola University Medical Center
๐บ๐ธMaywood, Illinois, United States
Community Health Network
๐บ๐ธIndianapolis, Indiana, United States
University of Kansas Medical Center
๐บ๐ธKansas City, Kansas, United States
Norton Pulmonary Specialists
๐บ๐ธLouisville, Kentucky, United States
University of Louisville Healthcare Outpatient Center
๐บ๐ธLouisville, Kentucky, United States
Henry Ford Hospital
๐บ๐ธDetroit, Michigan, United States
Corewell Health William Beaumont Hospital
๐บ๐ธRoyal Oak, Michigan, United States
University of Minnesota
๐บ๐ธMinneapolis, Minnesota, United States
Mayo Clinic, Division of Pulmonary and Critical Care Medicine
๐บ๐ธRochester, Minnesota, United States
University Mississippi Medical Center
๐บ๐ธJackson, Mississippi, United States
The Lung Research Center, LLC
๐บ๐ธChesterfield, Missouri, United States
Washington University School of Medicine
๐บ๐ธSaint Louis, Missouri, United States
Creighton University Clinical Research Office
๐บ๐ธOmaha, Nebraska, United States
University of New Mexico Health Sciences Center
๐บ๐ธAlbuquerque, New Mexico, United States
Montefiore Medical Center
๐บ๐ธBronx, New York, United States
Northwell Health
๐บ๐ธNew Hyde Park, New York, United States
University of Rochester Medical Center
๐บ๐ธRochester, New York, United States
PulmonIx, LLC
๐บ๐ธGreensboro, North Carolina, United States
East Carolina University
๐บ๐ธGreenville, North Carolina, United States
Southeastern Research Center
๐บ๐ธWinston-Salem, North Carolina, United States
University of Cincinnati Medical Center
๐บ๐ธCincinnati, Ohio, United States
Cleveland Clinic
๐บ๐ธCleveland, Ohio, United States
The Ohio State University Wexner Medical Center
๐บ๐ธColumbus, Ohio, United States
University of Oklahoma Health Sciences Center
๐บ๐ธOklahoma City, Oklahoma, United States
The Oregon Clinic
๐บ๐ธPortland, Oregon, United States
Penn State Milton S.Hershey Medical Center
๐บ๐ธHershey, Pennsylvania, United States
Hospital of the University of Pennsylvania
๐บ๐ธPhiladelphia, Pennsylvania, United States
Thomas Jefferson,Hospital University
๐บ๐ธPhiladelphia, Pennsylvania, United States
Temple University Hospital
๐บ๐ธPhiladelphia, Pennsylvania, United States
Medical University of South Carolina
๐บ๐ธCharleston, South Carolina, United States
Prisma Health Midlands
๐บ๐ธColumbia, South Carolina, United States
Clinical Research of Rock Hill
๐บ๐ธRock Hill, South Carolina, United States
StatCare Pulmonary Consultants, PLLC
๐บ๐ธKnoxville, Tennessee, United States
Vanderbilt University Medical Center
๐บ๐ธNashville, Tennessee, United States
Baylor College of Medicine
๐บ๐ธHouston, Texas, United States
The University of Texas Health Science Center at Houston
๐บ๐ธHouston, Texas, United States
A & A Research Consultants, LLC
๐บ๐ธMcAllen, Texas, United States
Metroplex Pulmonary and Sleep Center PA
๐บ๐ธMcKinney, Texas, United States
Renovatio Clinical
๐บ๐ธThe Woodlands, Texas, United States
Intermountain Healthcare
๐บ๐ธMurray, Utah, United States
University of Utah Health
๐บ๐ธSalt Lake City, Utah, United States
University of Virginia Health Systems
๐บ๐ธCharlottesville, Virginia, United States
Inova Fairfax Hospital
๐บ๐ธFalls Church, Virginia, United States
Pulmonary Associates of Richmond, Inc.
๐บ๐ธRichmond, Virginia, United States
University Hospital and UW Health Clinics
๐บ๐ธMadison, Wisconsin, United States
Medical College of Wisconsin
๐บ๐ธMilwaukee, Wisconsin, United States
CINME S.A. - Centro de Investigaciones Metabรณlicas
๐ฆ๐ทCiudad Autรณnoma de Buenos Aires, Buenos Aires, Argentina
Instituto Ave Pulmo - Fundaciรณn enfisema
๐ฆ๐ทMar del Plata, Buenos Aires, Argentina
Sanatorio Allende Cerro
๐ฆ๐ทCรณrdoba, Provincia De Cรณrdoba, Argentina
Instituto Medico Rรญo Cuarto
๐ฆ๐ทRio Cuarto, Provincia De Cรณrdoba, Argentina
Centro Mรฉdico INSARES
๐ฆ๐ทMendoza, Provincia De Mendoza, Argentina
Centro Integral de Medicina Respiratoria (CIMER)
๐ฆ๐ทSan Miguel de Tucumรกn, Tucumรกn, Argentina
Investigaciones en Patologรญas Respiratorias
๐ฆ๐ทSan Miguel de Tucumรกn, Tucumรกn, Argentina
Centro Mรฉdico Dra. De Salvo
๐ฆ๐ทCiudad Autรณnoma de Buenos Aires, Argentina
Royal Prince Alfred Hospital
๐ฆ๐บCamperdown, New South Wales, Australia
Macquarie University
๐ฆ๐บMacquarie Park, New South Wales, Australia
Westmead Hospital
๐ฆ๐บWestmead, New South Wales, Australia
Lung Research Qld
๐ฆ๐บChermside, Queensland, Australia
The Prince Charles Hospital
๐ฆ๐บChermside, Queensland, Australia
Mater Misericordiae Ltd
๐ฆ๐บSouth Brisbane, Queensland, Australia
Alfred Health
๐ฆ๐บMelbourne, Victoria, Australia
Hรดpital Erasme
๐ง๐ชAnderlecht, Brussels, Belgium
CHU UCL Namur - Site Godinne
๐ง๐ชYvoir, Namur, Belgium
Instituto Nacional del tรณrax
๐จ๐ฑSantiago, Regiรณn Metropolitana, Chile
Fundaciรณn Mรฉdica San Cristobal
๐จ๐ฑSantiago, Regiรณn Metropolitana, Chile
Centro Respiratorio Integral Limitada
๐จ๐ฑQuillota, Valparaiso, Chile
Aarhus University Hospital - Department of Respiratory Diseases and Allergy, Research Unit
๐ฉ๐ฐAarhus N, Denmark
Gentofte Hospital - Lungemedicinsk forskningsafdeling
๐ฉ๐ฐHellerup, Denmark
Odense University Hospital - Department of Respiratory Medicine
๐ฉ๐ฐOdense C, Denmark
Hopital Nord AP-HM (Assistance Publique Hรดpitaux De Marseille - Centre Hospitalier Rรฉgional de Marseille
๐ซ๐ทMarseille, Bouches-du-Rhรดne, France
CHU Caen Normandie
๐ซ๐ทCaen, Calvados, France
Hรดpital Bretonneau
๐ซ๐ทTours, Indre-et-Loire, France
CHU Rouen Hopital Charles Nicolle
๐ซ๐ทRouen, Seine-Maritime, France
CHU Amiens-Picardie
๐ซ๐ทAmiens, France
AP-HP - Hopital Avicenne
๐ซ๐ทBobigny, France
Hospices Civils De Lyon - Universitรฉ Hospital of Lyon
๐ซ๐ทBron, France
Tel Aviv Sourasky Medical Center - PPDS
๐ฎ๐ฑTel Aviv, Israel
AP-HP - Hรดpital Europรฉen Georges Pompidou
๐ซ๐ทParis, France
Hรดptial Bichat
๐ซ๐ทParis, France
Centre Hospitalier Universitaire De Reims - Hรดpital Maison Blanche
๐ซ๐ทReims, France
Hรดpital Pontchaillou
๐ซ๐ทRennes, France
SLK Kliniken Heilbronn GmbH Standort Fachklink Lรถwenstein Med. Klinik I Pneumologie Beatmungsmedizin Intensivmedizin
๐ฉ๐ชLรถwenstein, Baden-Wรผrttemberg, Germany
LMU Klinikum der Universitรคt Mรผnchen
๐ฉ๐ชMรผnchen, Bayern, Germany
RoMed Klinikum Rosenheim
๐ฉ๐ชRosenheim, Bayern, Germany
Universitรคtsmedizin Essen Ruhrlandklinik Westdeutsches Lungenzentrum am Universitรคtsklinikum Essen gGmbH
๐ฉ๐ชEssen, Nordrhein-Westfalen, Germany
Prรผfstelle der GWT am Fachkrankenhaus Coswig
๐ฉ๐ชCoswig, Sachsen, Germany
Zentralklinik Bad Berka GmbH Klinik fรผr Pneumologie
๐ฉ๐ชBad Berka, Thรผringen, Germany
Barzilai Medical Center
๐ฎ๐ฑAshkelon, HaDarom, Israel
Hillel Yaffe Medical Center
๐ฎ๐ฑHadera, Haifa, Israel
Kaplan Medical Center
๐ฎ๐ฑRehovot, HaMerkaz, Israel
Sheba Medical Center - PPDS
๐ฎ๐ฑRamat Gan, Tel-Aviv, Israel
Shaare Zedek Medical Center
๐ฎ๐ฑJerusalem, Yerushalayim, Israel
Hadassah Medical Center - PPDS
๐ฎ๐ฑJerusalem, Yerushalayim, Israel
Lady Davis Carmel Medical Center
๐ฎ๐ฑHaifa, Israel
Meir Medical Center
๐ฎ๐ฑKfar Saba, Israel
Rabin Medical Center - PPDS
๐ฎ๐ฑPetah Tiqva, Israel
Azienda Ospedaliero Universitaria Di Modena Policlinico
๐ฎ๐นModena, Emilia-Romagna, Italy
Fondazione Policlinico Universitario A Gemelli-Rome
๐ฎ๐นRoma, Lazio, Italy
Gruppo MultiMedica SpA - Ospedale San Giuseppe
๐ฎ๐นMilan, Lombardia, Italy
A.O.U. Policlinico Vittorio Emanuele presidio "G.Rodolico"
๐ฎ๐นCatania, Sicilia, Italy
Azienda ospedaliero-universitaria Senese
๐ฎ๐นSiena, Toscana, Italy
Azienda Ospedaliero Universitaria delle Marche
๐ฎ๐นAncona, Italy
Presidio Ospedaliero GB Morgagni L Pierantoni
๐ฎ๐นForlรฌ, Italy
Fondazione PTV Policlinico Tor Vergata
๐ฎ๐นRoma, Italy
CHA Bundang Medical Center, CHA University
๐ฐ๐ทSeongnam-si, Gyeonggido, Korea, Republic of
Seoul National University Bundang Hospital
๐ฐ๐ทSeongnam-Si, Gyeonggido, Korea, Republic of
Gachon University Gil Medical Center
๐ฐ๐ทIncheon, Incheon Gwang'yeogsi, Korea, Republic of
The Catholic University of Korea - Eunpyeong St. Mary's Hospital
๐ฐ๐ทSeoul, Seoul Teugbyeolsi, Korea, Republic of
SMG - SNU Boramae Medical Center
๐ฐ๐ทSeoul, Seoul Teugbyeolsi, Korea, Republic of
Samsung Medical Center
๐ฐ๐ทSeoul, Korea, Republic of
Hospital Central de la Fuerza Aรฉrea del Perรบ
๐ต๐ชLima, Peru
Hospital Clinico Universitario de Santiago de Compostela
๐ช๐ธSantiago de Compostela, A Coruรฑa, Spain
Hospital Universitario Central de Asturias
๐ช๐ธOviedo, Asturias, Spain
Hospital Universitario Son Espases
๐ช๐ธPalma de Mallorca, Baleares, Spain
Hospital Universitario de Bellvitge
๐ช๐ธLยดHospitalet de LLobregat, Barcelona, Spain
Hospital Universitario Virgen de la Victoria
๐ช๐ธMalaga, Mรกlaga, Spain
Hospital Universitario Vall d'Hebron
๐ช๐ธBarcelona, Spain
Hospital Clinic de Barcelona
๐ช๐ธBarcelona, Spain
Hospital Universitario Virgen de Las Nieves
๐ช๐ธGranada, Spain
Hospital Universitario de La Princesa
๐ช๐ธMadrid, Spain
Hospital General Universitario Gregorio Maraรฑon
๐ช๐ธMadrid, Spain
Hospital Clinico San Carlos
๐ช๐ธMadrid, Spain
Hospital Clinico Universitario Virgen de La Arrixaca
๐ช๐ธMurcia, Spain
Hospital Universitario Marques de Valdecilla
๐ช๐ธSantander, Spain
Kaohsiung Medical University - Chung-Ho Memorial Hospital
๐จ๐ณKaohsiung, Taiwan
E-DA hospital
๐จ๐ณKaohsiung, Taiwan
Far Eastern Memorial Hospital
๐จ๐ณNew Taipei City, Taiwan
Taipei Veterans General Hospital
๐จ๐ณTaipei, Taiwan