ClinicalTrials.gg
Enrolling by invitationNCT04905693TETON-OLEUpdated Oct 19, 2026

Extension Study of Inhaled Treprostinil in Subjects With Fibrotic Lung Disease

A Phase 3 interventional study of Inhaled Treprostinil and Treprostinil Ultrasonic Nebulizer in Idiopathic Pulmonary Fibrosis, Interstitial Lung Disease and Progressive Pulmonary Fibrosis, sponsored by United Therapeutics. Enrolling by invitation at 192 sites in 18 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by United Therapeutics · Phase 3, Interventional, and Treatment

Updated Oct 19, 20262 sites added3 sites removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,850
Allocation
Not applicable
Ages
40 Years and older
Sex
All
01

Study summary

Study RIN-PF-302 is designed to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis or progressive pulmonary fibrosis.

Read the 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, Study RIN-PF-303, or Study RIN-PF-305 to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF). 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 PPF, 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 or interstitial lung disease (ILD), 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 with IPF rolling over from Study RIN-PF-301 and up to 24 eligible subjects with PPF rolling over from Study RIN-PF-305 may participate in a PK substudy to evaluate the systemic exposure of treprostinil after inhaled administration.

02

Conditions studied

  • Idiopathic Pulmonary Fibrosis
  • Interstitial Lung Disease
  • Progressive Pulmonary Fibrosis

Keywords

  • Treprostinil
  • IPF
  • ILD
  • PPF
03

In context

Idiopathic Pulmonary Fibrosis

576 studies on the registry are indexed under Idiopathic Pulmonary Fibrosis; 123 are open to participants now.

This study's planned enrollment of 1,850 is above the median of 55 across 389 interventional studies indexed under Idiopathic Pulmonary Fibrosis.

Browse Idiopathic Pulmonary Fibrosis studies →

Lead sponsor

United Therapeutics is the lead sponsor of 85 studies on the registry; 8 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 15 (88%) have results posted.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subject gives voluntary to participate in the study.
  2. The subject participated in Study RIN-PF-301, Study RIN-PF-303, or Study RIN-PF-305 and remained on study drug and completed all scheduled study visits or was enrolled in Study RIN-PF-301, Study RIN-PF-303, or Study RIN-PF-305 at the time that the study or study subject was discontinued by the Sponsor for reasons other than safety.
  3. Women of must be non-pregnant (as confirmed by a urine pregnancy test at OLE Entry Visit) and non-lactating, and will agree to abstain from intercourse (when it is in line with their preferred and usual lifestyle) or use 2 medically acceptable, highly effective forms of for the duration of the study, and at least 30 days after discontinuing study drug.
  4. Males with a partner of childbearing potential must agree to use a condom for the duration of treatment and for at least 48 hours after discontinuing study drug.
  5. 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.

Exclusion criteria

Exclusion Criteria:

  1. Subject is pregnant or lactating.
  2. In the opinion of the Investigator, enrollment in Study RIN-PF-302 would represent a risk to the subject's overall health.
  3. Use of any other drug/device or participation in any investigational study in which the subject received a medical intervention (ie, procedure, device, medication/supplement). Subjects participating in non-interventional, observational, or registry studies are eligible.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,850 participants (estimated)

Study arms

  • Experimental
    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.

    Drug: Inhaled Treprostinil · Device: Treprostinil Ultrasonic Nebulizer

Interventions

  • Inhaled Treprostinil (6 mcg/breath) administered QID

    Also known as: Tyvaso

  • DeviceTreprostinil Ultrasonic Nebulizer

    Treprostinil ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath.

06

What researchers measure

Primary outcomes

  1. Long-term safety and tolerability of inhaled treprostinil in subjects with IPF or PPF

    Incidence of AEs and SAEs, incidence of abnormal clinical laboratory parameters, abnormal vital signs, and abnormal 12-lead ECGs

    Time frame: Baseline to 6 years

07

Study locations

192 sites

Showing the first 100 of 192 sites across 18 countries. Choose a country and city above to see the rest.

08

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2022 (actual). Primary completion is estimated for Dec 2029, 87 months after the start.

Of 24 phase 3 interventional studies under Idiopathic Pulmonary Fibrosis, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 60. This study's planned 87 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
May 20, 2021
First posted
May 28, 2021
StartActual
Sep 6, 2022
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Oct 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added, 3 sites removed
Show 2 added (1 Australia, 1 Taiwan)
  • St. George Hospital · Kogarah, Australia
  • Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital · Kaohsiung City, Taiwan
Show 3 removed
  • Palmtree Clinical Research, Inc. · Palm Springs, United States
  • Coastal Pulmonary & Critical Care PLC · St. Petersburg, United States
  • Community Health Network · Indianapolis, United States
across 2 updates, Oct 6, 2026 – Oct 19, 2026
Show all 2 updates
  1. Oct 19, 2026
    2 sites added
    Show 2 added (1 Australia, 1 Taiwan)
    • St. George Hospital · Kogarah, Australia
    • Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital · Kaohsiung City, Taiwan
  2. Oct 6, 2026
    3 sites removed
    Show 3 removed
    • Palmtree Clinical Research, Inc. · Palm Springs, United States
    • Coastal Pulmonary & Critical Care PLC · St. Petersburg, United States
    • Community Health Network · Indianapolis, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT04905693
Responsible party
Sponsor
First posted
May 28, 2021
Start date
Sep 6, 2022
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Oct 19, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drug tested here: Treprostinil

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