An Open-Label Extension Study of Treprostinil Palmitil Inhalation Powder (TPIP) in Participants With Pulmonary Hypertension Associated With Interstitial Lung Disease (PH-ILD)
Pulmonary Hypertension · Interstitial Lung Disease
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Phase 3
- Age range
- 18 years - Not specified
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 344 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
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 INS1009-311 (NCT07179380).
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria
- Participants who have completed the lead-in PH-ILD TPIP Study INS1009-311 (NCT07179380).
- 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.
- Agree not to participate in any other interventional trials or use investigational drugs or devices while participating in the INS1009-312 study.
Exclusion Criteria
- Participants who experienced any adverse events (AEs) evaluated as causally related to TPIP by the Investigator in a lead-in study, which in the opinion of the Investigator, could pose an unreasonable risk of continued treatments for the participant.
- Current use or expected need for pulmonary arterial hypertension (PAH)-approved therapy, including prostacyclin, prostacyclin analogues or other prostacyclin receptor agonists, endothelin receptor antagonists, and/or soluble guanylate cyclase stimulator, or any PH-ILD approved treprostinil therapy. Use of phosphodiesterase 5 inhibitors in line with applicable guidelines is allowed.
- Diagnosis of Pulmonary Hypertension World Health Organisation (WHO) Groups 1, 2, 4, or 5, or subtypes of PH WHO Group 3 other than interstitial lung disease (including combined pulmonary fibrosis and emphysema).
- Evidence of left ventricular failure, heart failure with preserved ejection fraction (HFpEF) or postcapillary PH.
- Known hypersensitivity or contraindication to treprostinil or TPIP or TPIP formulation excipients (eg, mannitol, leucine).
Note: Other protocol-defined inclusion/exclusion criteria may apply.
Understand screeningTreatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Not applicable
- Masking
- No masking
Treprostinil Palmitil Inhalation Powder (TPIP)
Participants transitioning from study INS1009-311 (NCT07179380) will undergo an initial double-dummy titration with the stable dose from the lead-in study and either TPIP or placebo for 4 weeks. They will then receive open-label TPIP at a stable maintenance dose with optional escalation (80-1280 micrograms once daily) for the remainder of the 104-week treatment period.
Drug: Treprostinil Palmitil Inhalation Powder · Drug: Placebo
Treprostinil Palmitil Inhalation Powder DRUG
Oral inhalation using a capsule-based dry powder.
Placebo DRUG
Oral inhalation in initial double-dummy titration period.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Number of Participants Who Experienced at Least One Treatment-Emergent Adverse Events (TEAEs)
Time frame: Up to 108 weeks
Not reported in this registry record.
Secondary measures
Change From Baseline in 6-Minute Walk Distance (6MWD) Measured Post-Dose
Time frame: Up to 104 weeks
Not reported in this registry record.
Absolute Change From Baseline in Forced Vital Capacity (FVC)
Time frame: Up to 104 weeks
Not reported in this registry record.
Percent Change From Baseline in Forced Vital Capacity (FVC)
Time frame: Up to 104 weeks
Not reported in this registry record.
Absolute Change From Baseline in Percent Predicted FVC (FVC% pred)
Time frame: Up to 104 weeks
Not reported in this registry record.
Percent Change From Baseline in Percent Predicted FVC (FVC% pred)
Time frame: Up to 104 weeks
Not reported in this registry record.
Absolute Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Up to 104 weeks
Not reported in this registry record.
Percent Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Up to 104 weeks
Not reported in this registry record.
Absolute Change From Baseline in Percent Predicted FEV1 (FEV1%)
Time frame: Up to 104 weeks
Not reported in this registry record.
Percent Change From Baseline in Percent Predicted FEV1 (FEV1%)
Time frame: Up to 104 weeks
Not reported in this registry record.
Change From Baseline in the Plasma Concentration of N-Terminal Pro B-Type Natriuretic Peptide (NT-proBNP)
Time frame: Up to 104 weeks
Not reported in this registry record.
Annualized Rate of Occurrence of Exacerbations of Interstitial Lung Disease (ILD)
Time frame: Up to 104 weeks
Not reported in this registry record.
Percentage of Participants With a Clinical Worsening Events
Time frame: Up to 104 weeks
Not reported in this registry record.
Mean Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Domain Score
Time frame: Up to 104 weeks
Not reported in this registry record.
Mean Change From Baseline in L-PF Cough Domain Score
Time frame: Up to 104 weeks
Not reported in this registry record.
Mean Change From Baseline in L-PF Dyspnea Domain Score
Time frame: Up to 104 weeks
Not reported in this registry record.
Mean Change From Baseline in L-PF Impact Domain Score
Time frame: Up to 104 weeks
Not reported in this registry record.
Mean Change From Baseline in the EuroQoL- 5 Dimensions (EQ-5D-5L) Index Score
Time frame: Up to 104 weeks
Not reported in this registry record.
Mean Change From Baseline in the EQ-5D-5L Visual Analog Scale (VAS)
Time frame: Up to 104 weeks
Not reported in this registry record.
Percentage of Participants With Major Morbidity or Mortality Events
Time frame: Up to 104 weeks
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (12)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
12 locations
USA006Naples, Florida, United StatesRecruiting
USA003Bend, Oregon, United StatesRecruiting
CZE001Prague, CzechiaRecruiting
FRA003Le Kremlin-Bicêtre, FranceRecruiting
GEO003Tbilisi, GeorgiaRecruiting
DEU010Gauting, GermanyRecruiting
DEU006München, GermanyRecruiting
JPN004Narita, Chiba, JapanRecruiting
JPN007Yokohama, JapanRecruiting
KOR001Seoul, South KoreaRecruiting
ESP006Madrid, SpainRecruiting
ESP003Madrid, SpainRecruiting
Study team and timeline
- Lead sponsor
- Insmed Incorporated
- Study start
- Jul 20, 2026 Actual
- Primary completion
- Jan 22, 2031 Estimated
- Study completion
- Jan 22, 2031 Estimated
- First posted
- Nov 18, 2025 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
A Long-term Open-Label Extension Study of Treprostinil Palmitil Inhalation Powder for Treatment of Pulmonary Hypertension Associated With Interstitial Lung Disease
Ask Wellness Clinical Research
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
