CClinicalTrials.gg
CompletedNCT03888365PRNUpdated Mar 16, 2021Results posted

Patient Global Impression Questions for Activity-Induced Symptoms in Participants With PAH

An observational study in Pulmonary Arterial Hypertension, sponsored by United Therapeutics. Completed at 10 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-16.

Sponsored by United Therapeutics · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
43
Ages
18 Years and older
Sex
All
01

Study summary

This is an observational, multicenter, single-day, Phase 2 study. This study will include a 14-day Screening Period and Study Day 1 clinic visit. Participants will be required to perform an activity to induce symptoms of PAH, and participants' severity of self-reported symptoms of PAH will be measured from pre-activity, immediately after the activity, and through the 30-minute recovery. Participants will be asked about their PAH symptoms using 3 PGI-S questions that address their overall PAH symptoms, shortness of breath, and physical fatigue.

Read the detailed description

This is an observational, multicenter, single-day, Phase 2 study. This study will include a 14-day Screening Period and Study Day 1 clinic visit. Participants will be required to perform an activity to induce symptoms of PAH, and participants' severity of self-reported symptoms of PAH will be measured from pre-activity, immediately after the activity, and through the 30-minute recovery. Participants will be asked about their PAH symptoms using 3 Patient Global Impression of Severity (PGI-S) questions that address their overall PAH symptoms, shortness of breath, and physical fatigue.

PAH symptoms will be induced via the Incremental Shuttle Walk Test (ISWT). The ISWT used in this study required the participant to walk back and forth on a 10-meter course. The total number of shuttles completed by a participant during the Screening ISWT will be the maximum targeted for that participant during the remaining ISWTs in the study.

After Screening, participants will be assigned to 1 of 2 cohorts based on PAH medications as prescribed by their physician: Cohort A will include participants who are currently prescribed and using inhaled treprostinil for the treatment of PAH and Cohort B will include participants who are taking other PAH medications (instead of inhaled treprostinil).

The study also includes 2 periods. One period for participants in Cohort A (Treprostinil Users), included an ISWT initiated within 30 minutes of the previous dose (expected peak level) and the other period included an ISWT within 3 to 4 hours of the previous dose of inhaled treprostinil (expected trough level). Participants in Cohort B (Non-Treprostinil Users), an ISWT will be initiated approximately 4 hours after the morning dose of PAH medication (Period 1) and an ISWT initiated at least 1 hour following completion of the previous ISWT (Period 2). Participants will be provided at least a 1-hour period for rest between ISWTs (until participant feels they are rested enough to perform again at their baseline level) prior to Period 2 assessments.

02

Conditions studied

  • Pulmonary Arterial Hypertension

Keywords

  • Hypertension
  • Treprostinil
  • Pulmonary Hypertension
  • Lung Diseases
03

In context

Pulmonary Arterial Hypertension

761 studies on the registry are indexed under Pulmonary Arterial Hypertension; 142 are open to participants now.

This study's enrollment of 43 is below the median of 100 across 197 observational studies indexed under Pulmonary Arterial Hypertension.

Browse Pulmonary Arterial Hypertension studies →

Lead sponsor

United Therapeutics is the lead sponsor of 81 studies on the registry; 6 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 14 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Males and females aged 18 years and above with a diagnosis of PAH that is either idiopathic or familial PAH (World Health Organization [WHO] Group 1), collagen vascular disease associated PAH, PAH associated with human immunodeficiency virus (HIV) infection, PAH induced by anorexigens/toxins, or PAH associated with repaired congenital systemic-to-pulmonary shunts (repaired ≥1 years).

Inclusion criteria

  1. Participant voluntarily gives informed consent to participate in the study.
  2. Males and females aged 18 years and above at the time of informed consent.
  3. Established primary diagnosis of PAH that is either idiopathic or familial PAH (WHO Group 1), collagen vascular disease associated PAH, PAH associated with HIV infection, PAH induced by anorexigens/toxins, or PAH associated with repaired congenital systemic-to-pulmonary shunts (repaired ≥1 years).
  4. Participant is deemed WHO Functional Class 1, 2, or 3.
  5. Participant has shortness of breath upon exertion (exhibits a ≥1-point change in Borg dyspnea score) as assessed by the ISWT and a minimum completion of 3 shuttles (30 meters) of the ISWT. Participant may have other symptoms as well.
  6. Participant is on stable dose of all FDA-approved PAH treatments (exceptions are anticoagulants and diuretics) for at least 60 days prior to Screening.
  7. In the opinion of the Investigator, the participant can communicate effectively with study personnel, and is considered reliable, willing, and likely to be cooperative with protocol requirements.

Exclusion criteria

Exclusion Criteria:

  1. The participant is known to be pregnant or nursing.
  2. The participant has PAH related to any condition not covered under inclusion criteria, including, but not limited to, pulmonary venous hypertension, pulmonary venoocclusive disease, pulmonary capillary hemangiomatosis, chronic thromboembolic pulmonary hypertension, or other conditions under WHO Group 2, 3, 4, and 5 classifications.
  3. The participant has evidence of clinically significant left-sided heart disease (including, but not limited to, left ventricular ejection fraction \<40%, left ventricular hypertrophy) or clinically significant cardiologic conditions, such as congestive heart failure, coronary artery disease, or valvular heart disease.
  4. The participant has any form of congenital heart disease (repaired or unrepaired; other than a patent foramen ovale).
  5. The participant has any ambulatory or orthopedic limitations that would interfere with the ability to perform the activity.
  6. The participant has been hospitalized within 30 days of Screening.
  7. Current use of prostacyclin analogs/agonists, except inhaled treprostinil, for the treatment of PAH.
  8. Use of any other investigational drug/device, or participation in any investigational study with therapeutic intent within 30 days of Screening (concurrent participation in registry studies is allowed).
  9. Any other clinically significant illness that, in the opinion of the Investigator, might put the participant at risk of harm during the study or might adversely affect the interpretation of the study data.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
43 participants (actual)
Patient registry
No

Groups and cohorts

  • Cohort A: Treprostinil

    Participants who are currently prescribed and using inhaled treprostinil for the treatment of PAH.

    Drug: Treprostinil

  • Cohort B: Non-Treprostinil PAH Medications

    Participants who are taking other PAH medications (instead of inhaled treprostinil).

    Drug: Non-Treprostinil PAH Medications

Interventions

  • DrugTreprostinil

    Treprostinil treatment will be at the discretion of the participant's physician, and determined on an individual basis.

  • DrugNon-Treprostinil PAH Medications

    Non-treprostinil treatment will be at the discretion of the participant's physician, and determined on an individual basis.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Patient Global Impression of Severity (PGI-S) Score in Cohort A Participants at Approximately 30 Minutes of Previous Dose of Inhaled Treprostinil (the Expected Peak Level) on Day 1

    A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) shortness of breath (SOB), and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value. Peak levels are the highest concentrations of a drug in plasma.

    Time frame: Baseline, Approximately 30 m of previous dose of inhaled treprostinil (the expected peak level) on Day 1

  2. Change From Baseline in PGI-S Score in Cohort A Participants at Approximately 3-4 Hours of Previous Dose of Inhaled Treprostinil (the Expected Trough Level) on Day 1

    A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) SOB, and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value. Trough levels are the lowest concentrations of a drug in plasma.

    Time frame: Baseline, Approximately 3-4 h of previous dose of inhaled treprostinil (the expected trough level) on Day 1

  3. Change From Baseline in PGI-S Score in Cohort B Participants at Approximately 4 Hours After Morning Dose of Non-Treprostinil PAH Medication (Period 1) on Day 1

    A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) SOB, and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value.

    Time frame: Baseline, Approximately 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 1

  4. Change From Baseline in PGI-S Scores in Cohort B Participants With an ISWT at Least 1 h Following Completion of Previous ISWT (Period 2) on Day 1

    A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) SOB, and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value.

    Time frame: Baseline, At least 1 h following completion of previous ISWT (Period 2) on Day 1

Secondary outcomes

  1. Change From Baseline in Modified Borg Dyspnea Scores at Day 1

    The modified Borg scale allows participants to rate maximum level of dyspnea experienced during 6-Minute Walk Test (6MWT). Scores ranged from 0 (best condition) to 10 (worst condition). Baseline defined as average from Borg Dyspnea Scores measured at 15 and 0 m prior to ISWT. If a single pre-ISWT Borg Dyspnea Score was missing, the other nonmissing single score was used as baseline value. Change from Baseline=Post-Baseline value - Baseline value. Data for participants in Cohort A with an ISWT initiated at 30 m of previous dose (expected peak level) and an ISWT initiated at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1 are presented. Data for participants in Cohort B with an ISWT initiated at 4 h after morning dose of non-treprostinil PAH medication (Period 1) and with an ISWT initiated at least 1 h following completion of previous ISWT (Period 2) on Day 1 are presented. Peak and trough levels are highest and lowest concentrations of a drug in plasma.

    Time frame: Baseline, ~30 m of previous dose of inhaled treprostinil, ~3-4 h of previous dose of inhaled treprostinil, ~4 h after morning dose of non-treprostinil PAH medication, and ≥1 h following completion of previous ISWT on Day 1

Other outcomes

  1. Change From Baseline in Pulse Oximetry at Day 1

    Pulse Oximetry includes the collection of saturation peripheral capillary oxygenation (SpO_2). Baseline was defined as the average from pulse oximetry measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing pre-ISWT pulse oximetry, the other non-missing single measurement would be used as baseline value. Change from Baseline = Post-Baseline value - Baseline value. Data for participants in Cohort A who had an ISWT initiated at 30 m of previous dose (expected peak level) and an ISWT initiated at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1 are presented. Additionally, data for participants in Cohort B who included an ISWT initiated at 4 h after morning dose of non-treprostinil PAH medication (Period 1) and with an ISWT initiated at least 1 h following completion of previous ISWT (Period 2) on Day 1 are presented. Peak and trough levels are the highest and lowest concentrations of a drug in plasma.

    Time frame: Baseline, ~30 m of previous dose of inhaled treprostinil, ~3-4 h of previous dose of inhaled treprostinil, ~4 h after morning dose of non-treprostinil PAH medication, and ≥1 h following completion of previous ISWT on Day 1

  2. Change From Baseline in Heart Rate at Day 1

    Heart rate was captured as beats per minute (bpm). Baseline was defined as the average from pulse oximetry measured at 15 minutes and 0 minute prior to the Incremental Shuttle Walk Test (ISWT). In the case of a single, missing pre-ISWT pulse oximetry, the other non-missing single measurement would be used as baseline value. Change from Baseline = Post-Baseline value - Baseline value. Data for participants in Cohort A who had an ISWT initiated at 30 m of previous dose (expected peak level) and an ISWT initiated at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1 are presented. Additionally, data for participants in Cohort B who included an ISWT initiated at 4 h after morning dose of non-treprostinil PAH medication (Period 1) and with an ISWT initiated at least 1 h following completion of previous ISWT (Period 2) on Day 1 are presented. Peak and trough levels are the highest and lowest concentrations of a drug in plasma.

    Time frame: Baseline, ~30 m of previous dose of inhaled treprostinil, ~3-4 h of previous dose of inhaled treprostinil, ~4 h after morning dose of non-treprostinil PAH medication, and ≥1 h following completion of previous ISWT on Day 1

07

Results

Posted Mar 16, 2021

Participant flow

The study included a 14-day Screening Period and Day 1 clinic visit. Participants performed a Incremental Shuttle Walk Test (ISWT) to induce symptoms of Pulmonary Arterial Hypertension (PAH). The ISWT required participants to walk back and forth on a 10-meter course. Total number of shuttles completed by a participant during the Screening ISWT was the maximum targeted for the participant for remaining study ISWTs. Study also included 2 periods/cohort. There was ≥1-h rest period between ISWTs.

Cohort A Peak Level/Cohort B Period 1
Participant flow — Cohort A Peak Level/Cohort B Period 1
MilestoneCohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Started2023
Safety population2023
Completed2023
Not completed00
Rest - At Least 1 h
Participant flow — Rest - At Least 1 h
MilestoneCohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Started2023
Completed2023
Not completed00
Cohort A Trough Level/Cohort B Period 2
Participant flow — Cohort A Trough Level/Cohort B Period 2
MilestoneCohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Started2023
Completed2023
Not completed00

Outcome measures

PrimaryChange From Baseline in Patient Global Impression of Severity (PGI-S) Score in Cohort A Participants at Approximately 30 Minutes of Previous Dose of Inhaled Treprostinil (the Expected Peak Level) on Day 1

A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) shortness of breath (SOB), and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value. Peak levels are the highest concentrations of a drug in plasma.

Time frame:
Baseline, Approximately 30 m of previous dose of inhaled treprostinil (the expected peak level) on Day 1
Reported as:
Mean · scores on a scale
Change From Baseline in Patient Global Impression of Severity (PGI-S) Score in Cohort A Participants at Approximately 30 Minutes of Previous Dose of Inhaled Treprostinil (the Expected Peak Level) on Day 1
scores on a scaleCohort A: Treprostinil
PAH, Baseline1.25 ± 0.47
PAH, Change at 30 m of previous dose of inhaled treprostinil (expected peak level) on Day 11.65 ± 0.80
SOB, Baseline1.15 ± 0.33
SOB, Change at 30 m of previous dose of inhaled treprostinil (expected peak level) on Day 11.90 ± 0.80
Fatigue, Baseline1.30 ± 0.55
Fatigue, Change at 30 m of previous dose of inhaled treprostinil (expected peak level) on Day 11.40 ± 0.95
PrimaryChange From Baseline in PGI-S Score in Cohort A Participants at Approximately 3-4 Hours of Previous Dose of Inhaled Treprostinil (the Expected Trough Level) on Day 1

A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) SOB, and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value. Trough levels are the lowest concentrations of a drug in plasma.

Time frame:
Baseline, Approximately 3-4 h of previous dose of inhaled treprostinil (the expected trough level) on Day 1
Reported as:
Mean · scores on a scale
Change From Baseline in PGI-S Score in Cohort A Participants at Approximately 3-4 Hours of Previous Dose of Inhaled Treprostinil (the Expected Trough Level) on Day 1
scores on a scaleCohort A: Treprostinil
PAH, Baseline1.10 ± 0.31
PAH, Change at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 11.75 ± 0.79
SOB, Baseline1.10 ± 0.31
SOB, Change at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 11.85 ± 0.93
Fatigue, Baseline1.25 ± 0.44
Fatigue, Change at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 11.50 ± 1.15
PrimaryChange From Baseline in PGI-S Score in Cohort B Participants at Approximately 4 Hours After Morning Dose of Non-Treprostinil PAH Medication (Period 1) on Day 1

A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) SOB, and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value.

Time frame:
Baseline, Approximately 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 1
Reported as:
Mean · scores on a scale
Change From Baseline in PGI-S Score in Cohort B Participants at Approximately 4 Hours After Morning Dose of Non-Treprostinil PAH Medication (Period 1) on Day 1
scores on a scaleCohort B: Non-Treprostinil PAH Medications
PAH, Baseline1.22 ± 0.39
PAH, Change at 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 11.74 ± 0.90
SOB, Baseline1.17 ± 0.36
SOB, Change at 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 11.78 ± 0.78
Fatigue, Baseline1.17 ± 0.36
Fatigue, Change at 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 11.61 ± 1.07
PrimaryChange From Baseline in PGI-S Scores in Cohort B Participants With an ISWT at Least 1 h Following Completion of Previous ISWT (Period 2) on Day 1

A global index that consists of 3 questions to which participants will rate the severity of 1) their PAH symptoms, 2) SOB, and 3) fatigue. The minimum and maximum range of scores for each of the 3 individual questions was 1-5, with severity scale choices of 1=Not present, 2=Mild, 3=Moderate, 4=Severe, and 5=Very Severe. A higher score indicated worse outcome. The Baseline is defined as the average respective severity rating measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing severity rating measured pre-ISWT, the other non-missing single severity rating would be used as baseline value. Only participants with both a measurement at baseline and at the given post-baseline visit are summarized. Change from Baseline = Post-Baseline value - Baseline value.

Time frame:
Baseline, At least 1 h following completion of previous ISWT (Period 2) on Day 1
Reported as:
Mean · scores on a scale
Change From Baseline in PGI-S Scores in Cohort B Participants With an ISWT at Least 1 h Following Completion of Previous ISWT (Period 2) on Day 1
scores on a scaleCohort B: Non-Treprostinil PAH Medications
PAH, Baseline1.13 ± 0.34
PAH, Change at least 1 h following completion of previous ISWT (Period 2) on Day 11.87 ± 0.97
SOB, Baseline1.04 ± 0.21
SOB, Change at least 1 h following completion of previous ISWT (Period 2) on Day 12.13 ± 0.92
Fatigue, Baseline1.13 ± 0.34
Fatigue, Change at least 1 h following completion of previous ISWT (Period 2) on Day 11.91 ± 1.04
SecondaryChange From Baseline in Modified Borg Dyspnea Scores at Day 1

The modified Borg scale allows participants to rate maximum level of dyspnea experienced during 6-Minute Walk Test (6MWT). Scores ranged from 0 (best condition) to 10 (worst condition). Baseline defined as average from Borg Dyspnea Scores measured at 15 and 0 m prior to ISWT. If a single pre-ISWT Borg Dyspnea Score was missing, the other nonmissing single score was used as baseline value. Change from Baseline=Post-Baseline value - Baseline value. Data for participants in Cohort A with an ISWT initiated at 30 m of previous dose (expected peak level) and an ISWT initiated at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1 are presented. Data for participants in Cohort B with an ISWT initiated at 4 h after morning dose of non-treprostinil PAH medication (Period 1) and with an ISWT initiated at least 1 h following completion of previous ISWT (Period 2) on Day 1 are presented. Peak and trough levels are highest and lowest concentrations of a drug in plasma.

Time frame:
Baseline, ~30 m of previous dose of inhaled treprostinil, ~3-4 h of previous dose of inhaled treprostinil, ~4 h after morning dose of non-treprostinil PAH medication, and ≥1 h following completion of previous ISWT on Day 1
Reported as:
Mean · scores on a scale
Change From Baseline in Modified Borg Dyspnea Scores at Day 1
scores on a scaleCohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Expected peak level, Baseline0.28 ± 0.54—
Change at 30 m of previous dose of inhaled treprostinil (expected peak level) on Day 13.00 ± 1.78—
Expected trough level, Baseline0.23 ± 0.62—
Change at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 13.13 ± 2.16—
Period 1, Baseline—0.24 ± 0.50
Change at 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 1—2.85 ± 1.81
Period 2, Baseline—0.23 ± 0.64
Change at least 1 h following completion of previous ISWT (Period 2) on Day 1—3.03 ± 1.90
Other pre-specifiedChange From Baseline in Pulse Oximetry at Day 1

Pulse Oximetry includes the collection of saturation peripheral capillary oxygenation (SpO_2). Baseline was defined as the average from pulse oximetry measured at 15 minutes and 0 minute prior to the ISWT. In the case of a single, missing pre-ISWT pulse oximetry, the other non-missing single measurement would be used as baseline value. Change from Baseline = Post-Baseline value - Baseline value. Data for participants in Cohort A who had an ISWT initiated at 30 m of previous dose (expected peak level) and an ISWT initiated at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1 are presented. Additionally, data for participants in Cohort B who included an ISWT initiated at 4 h after morning dose of non-treprostinil PAH medication (Period 1) and with an ISWT initiated at least 1 h following completion of previous ISWT (Period 2) on Day 1 are presented. Peak and trough levels are the highest and lowest concentrations of a drug in plasma.

Time frame:
Baseline, ~30 m of previous dose of inhaled treprostinil, ~3-4 h of previous dose of inhaled treprostinil, ~4 h after morning dose of non-treprostinil PAH medication, and ≥1 h following completion of previous ISWT on Day 1
Reported as:
Mean · percent saturation (SpO_2)
Change From Baseline in Pulse Oximetry at Day 1
percent saturation (SpO_2)Cohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Expected peak level, Baseline93.73 ± 2.94—
Change at 30 m of previous dose of inhaled treprostinil (expected peak level) on Day 1-8.13 ± 6.68—
Expected trough level, Baseline95.15 ± 3.12—
Change at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1-10.35 ± 9.35—
Period 1, Baseline—94.98 ± 3.24
Change at 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 1—-4.85 ± 5.13
Period 2, Baseline—94.04 ± 3.14
Change at least 1 h following completion of previous ISWT (Period 2) on Day 1—-2.91 ± 3.79
Other pre-specifiedChange From Baseline in Heart Rate at Day 1

Heart rate was captured as beats per minute (bpm). Baseline was defined as the average from pulse oximetry measured at 15 minutes and 0 minute prior to the Incremental Shuttle Walk Test (ISWT). In the case of a single, missing pre-ISWT pulse oximetry, the other non-missing single measurement would be used as baseline value. Change from Baseline = Post-Baseline value - Baseline value. Data for participants in Cohort A who had an ISWT initiated at 30 m of previous dose (expected peak level) and an ISWT initiated at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 1 are presented. Additionally, data for participants in Cohort B who included an ISWT initiated at 4 h after morning dose of non-treprostinil PAH medication (Period 1) and with an ISWT initiated at least 1 h following completion of previous ISWT (Period 2) on Day 1 are presented. Peak and trough levels are the highest and lowest concentrations of a drug in plasma.

Time frame:
Baseline, ~30 m of previous dose of inhaled treprostinil, ~3-4 h of previous dose of inhaled treprostinil, ~4 h after morning dose of non-treprostinil PAH medication, and ≥1 h following completion of previous ISWT on Day 1
Reported as:
Mean · bpm
Change From Baseline in Heart Rate at Day 1
bpmCohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Expected peak level, Baseline80.08 ± 11.93—
Change at 30 m of previous dose of inhaled treprostinil (expected peak level) on Day 124.48 ± 18.10—
Expected trough level, Baseline75.58 ± 10.78—
Change at 3-4 h of previous dose of inhaled treprostinil (expected trough level) on Day 123.08 ± 19.10—
Period 1, Baseline—74.59 ± 11.67
Change at 4 h after morning dose of non-treprostinil PAH medication (Period 1) on Day 1—31.28 ± 13.67
Period 2, Baseline—75.26 ± 12.04
Change at least 1 h following completion of previous ISWT (Period 2) on Day 1—33.39 ± 18.08

Adverse events

Collected over Baseline through Day 1 (up to at least 5 hours or at the Investigator's discretion). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort A: Treprostinil0/20 (0%)0/20 (0%)0/20 (0%)
Cohort B: Non-Treprostinil PAH Medications0/23 (0%)0/23 (0%)9/23 (39.1%)
Most frequent other events
Most frequent other events
EventCohort A: TreprostinilCohort B: Non-Treprostinil PAH Medications
Pain in extremityMusculoskeletal and connective tissue disorders0/202/23
DiarrhoeaGastrointestinal disorders0/201/23
VomitingGastrointestinal disorders0/201/23
ChillsGeneral disorders0/201/23
FatigueGeneral disorders0/201/23
Non-cardiac chest painGeneral disorders0/201/23
BronchitisInfections and infestations0/201/23
DyspnoeaRespiratory, thoracic and mediastinal disorders0/201/23

Baseline characteristics

All Participants: Participants who consented to the study protocol.

Age, Continuous
Age, Continuous(years)Cohort A: TreprostinilCohort B: Non-Treprostinil PAH MedicationsTotal
Mean61.2 ± 8.6955.9 ± 13.1458.3 ± 11.48
Sex: Female, Male
Sex: Female, Male(Participants)Cohort A: TreprostinilCohort B: Non-Treprostinil PAH MedicationsTotal
Female161733
Male4610
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort A: TreprostinilCohort B: Non-Treprostinil PAH MedicationsTotal
Hispanic or Latino123
Not Hispanic or Latino192140
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort A: TreprostinilCohort B: Non-Treprostinil PAH MedicationsTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American5510
White141832
More than one race000
Unknown or Not Reported101
08

Study locations

10 sites
  • The University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
  • Cedars-Sinai Medical Center
    Beverly Hills, California 90211, United States
  • Santa Barbara Pulmonary Associates
    Santa Barbara, California 93105, United States
  • St. Francis Sleep, Allergy & Lung Institute
    Clearwater, Florida 33765, United States
  • Pulmonary & Critical Care of Atlanta
    Atlanta, Georgia 30342, United States
  • Kentuckiana Pulmonary Associates
    Louisville, Kentucky 40202, United States
  • Pulmonary Health Physicians, PC
    Fayetteville, New York 13066, United States
  • The Mount Sinai Hospital
    New York, New York 10029, United States
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27517, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
09

References and documents

Study documents

  • Study protocol · Jan 31, 2019
  • Statistical analysis plan · Oct 30, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03888365
Lead sponsor
United Therapeutics
Collaborators
Lung Biotechnology PBC
Responsible party
Sponsor
First posted
Mar 25, 2019
Start date
Apr 1, 2019
Primary completion
Sep 19, 2019
Completion
Sep 19, 2019
Results posted
Mar 16, 2021
Last update
Mar 16, 2021

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion