Treprostinil Palmitil for Liver Disease
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how Treprostinil Palmitil Inhalation Powder behaves in people with varying levels of liver disease. The goal is to understand how individuals with mild, moderate, or severe liver impairment process this medication compared to those with normal liver function. People with liver disease for more than six months, without recent major changes, might be suitable for this study. As a Phase 1 trial, participants will be among the first to help researchers understand how this new treatment works in people.
Is there any evidence suggesting that Treprostinil Palmitil Inhalation Powder is likely to be safe for humans?
Previous studies have generally found Treprostinil Palmitil Inhalation Powder (TPIP) to be well tolerated. For instance, research showed that patients with pulmonary hypertension tolerated TPIP well over a 16-week treatment period. In another study, liver transplant patients used TPIP without experiencing any serious side effects.
Further evidence suggests that TPIP remains safe even with long-term use. Data from a 12-month study indicated that daily use of TPIP did not introduce new safety concerns, even at higher doses. While some side effects occurred, they were not severe enough to discontinue treatment for most patients.
The current trial is in an early stage, and researchers are still gathering detailed safety data. However, past findings provide a reassuring picture of TPIP's safety so far.12345Why do researchers think this study treatment might be promising for liver disease?
Treprostinil Palmitil is unique because it offers a new inhalation delivery method for treating liver disease, which is different from traditional oral or injectable therapies. This approach allows the medication to be absorbed directly through the lungs, potentially leading to faster and more efficient relief of symptoms. Additionally, Treprostinil Palmitil uses a novel compound that might improve blood flow, offering hope for better management of liver conditions compared to standard treatments like beta-blockers or diuretics. Researchers are excited about its potential to offer a more targeted, effective option with possibly fewer systemic side effects.
What evidence suggests that Treprostinil Palmitil Inhalation Powder might be an effective treatment for liver disease?
Previous studies have shown promise for Treprostinil Palmitil Inhalation Powder (TPIP) as an effective treatment. Research indicates that TPIP can improve exercise capacity in patients with pulmonary arterial hypertension and may reduce their risk of death. Patients tolerated the treatment well, even at higher doses. Importantly, evidence shows that liver function does not significantly affect the drug's removal from the body. This trial will evaluate TPIP in different groups based on liver function, including healthy participants and those with varying degrees of hepatic impairment. These findings support TPIP's potential effectiveness for individuals with liver disease.36789
Who Is on the Research Team?
Study Director
Principal Investigator
Insmed Incorporated
Are You a Good Fit for This Trial?
This trial is for adults with stable, long-term liver disease or healthy adults with normal liver function. Participants must have a BMI between 18 and 40, controlled blood sugar if diabetic, and be in generally good health aside from their liver condition.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a single dose of 80 μg Treprostinil Palmitil Inhalation Powder
Pharmacokinetic Monitoring
PK parameters are measured pre-dose and at multiple timepoints post-dose
Follow-up
Participants are monitored for safety and adverse events
What Are the Treatments Tested in This Trial?
Interventions
- Treprostinil Palmitil Inhalation Powder
Trial Overview
The study tests how the body processes a single inhaled dose of Treprostinil Palmitil Inhalation Powder (TPIP) in people with different levels of liver impairment compared to those with normal liver function.
How Is the Trial Designed?
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Treatment groups
Experimental Treatment
Participants with severe hepatic impairment (classified based on the numerical Child-Pugh total score of 10 to 15) will receive a single dose of TPIP on Day 1.
Participants with moderate hepatic impairment (classified based on the numerical Child-Pugh total score of 7 to 9) will receive a single dose of TPIP on Day 1.
Participants with mild hepatic impairment (classified based on the numerical Child-Pugh total score of 5 to 6) will receive a single dose of TPIP on Day 1.
Healthy participants with normal hepatic function will receive a single dose of TPIP on Day 1.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Insmed Incorporated
Lead Sponsor
Citations
A Phase 2 Study of the Safety and Tolerability ...
Maximum TPIP dose (640 µg) once daily was achieved by 79.3% of patients. TPIP was well tolerated in this study, with a safety profile generally ...
Press Release - Investor Relations | Insmed Incorporated
These unprecedented Phase 2b results unequivocally demonstrate TPIP's potential to be a highly effective and well-tolerated once-daily ...
Efficacy and Safety Study of Treprostinil Palmitil Inhalation ...
The primary objective of this study is to evaluate the effect of 24-weeks of once daily treatment with TPIP versus placebo on exercise capacity in adults with ...
4.
pvrinstitute.org
pvrinstitute.org/learning-hub/material/phase-2-study-safety-and-tolerability-treprostinil-palmitil-inhalation-powderA Phase 2 Study of the Safety and Tolerability ...
Maximum TPIP dose (640 µg) once daily was achieved by 79.3% of patients. TPIP was well tolerated in this study, with a safety profile generally ...
Safety, Tolerability, and Pharmacokinetics of Treprostinil ...
Treprostinil has proven to be efficacious but is rapidly eliminated from the circulation and requires either frequent administration or ...
An evaluation of the safety and preliminary efficacy of peri - PMC
Treprostinil (36–106 ng/kg/min) has been previously used in liver transplant patients with pulmonary hypertension without any adverse outcomes. We hypothesized ...
7.
ctv.veeva.com
ctv.veeva.com/study/a-study-to-evaluate-the-pharmacokinetics-pk-and-safety-of-a-single-dose-of-treprostinil-palmitil-iA Study to Evaluate the Pharmacokinetics (PK) and Safety of a ...
The primary purpose of the study is to determine the effect of mild, moderate, and severe hepatic impairment on the PK of total treprostinil ...
NCT07643155 | A Study to Evaluate the Pharmacokinetics ...
The primary purpose of the study is to determine the effect of mild, moderate, and severe hepatic impairment on the PK of total treprostinil palmitil (TP) ...
Safety and Pharmacokinetics of Single Dose Treprostinil ...
This phase 1 study aims to evaluate the safety and how the body processes a single dose of Treprostinil Palmitil in individuals with normal and impaired liver ...
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