Progressive Pulmonary FibrosisPhase 3NCT05943535
Study of the Efficacy and Safety of Inhaled Treprostinil in Subjects With Progressive Pulmonary Fibrosis (TETON-PPF)
A Phase 3 study testing Inhaled Treprostinil and Treprostinil Ultrasonic Nebulizer in people with Progressive Pulmonary Fibrosis and Interstitial Lung Disease, run by United Therapeutics at 165 sites in 15 countries.
Trial summary
Study RIN-PF-305 is designed to evaluate the safety and efficacy of inhaled treprostinil in subjects with progressive pulmonary fibrosis (PPF) over a 52-week period. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Progressive Pulmonary Fibrosis, Interstitial Lung Disease
- What is being tested?
- Inhaled Treprostinil and Treprostinil Ultrasonic Nebulizer
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 698 participants
- Where
- 165 sitesin 15 countries
- Study dates
- 30 Oct 2023to Nov 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject gives voluntary informed consent to participate in the study.
- Subject is ≥18 years of age, inclusive, at the time of signing informed consent.
- Subject has radiological evidence of pulmonary fibrosis of >10% extent on an HRCT scan in the previous 12 months (confirmed by central review).
- Subject has a diagnosis of PPF (other than IPF) that fulfills at least 1 of the following criteria for progression within 24 months of screening despite standard treatment of ILD, as assessed by the Investigator:
- Clinically significant decline in % predicted FVC based on ≥10% relative decline
- Marginal decline in % predicted FVC based on ≥5% to <10% relative decline combined with worsening of respiratory symptoms
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- Marginal decline in % predicted FVC based on ≥5% to <10% relative decline combined with increasing extent of fibrotic changes on chest imaging
- Worsening of respiratory symptoms as well as increasing extent of fibrotic changes on chest imaging
- FVC ≥45% predicted at Screening (confirmed by central review).
- Subjects must be on 1 of the following:
- On nintedanib or pirfenidone for ≥90 days prior to Baseline and in the Investigator's opinion, are planning to continue treatment through the study
- Not on treatment with nintedanib or pirfenidone for ≥90 days prior to Baseline and in the Investigator's opinion, not planning to initiate either treatment during the study.
- Concomitant use of both nintedanib and pirfenidone is not permitted.
- Subjects treated with immunosuppressive agents (eg, mycophenolate, methotrexate, azathioprine, oral corticosteroids, rituximab) need to be on treatment for at least 120 days prior to Baseline and, in the Investigator's clinical opinion, must be refractory to treatment.
- Women of childbearing potential must be non-pregnant (as confirmed by a urine pregnancy test at Screening and Baseline) and non-lactating, and will agree to do 1 of the following:
- Abstain from intercourse (when it is in line with their preferred and usual lifestyle)
- Use 2 medically acceptable, highly effective forms of contraception for the duration of the study, and at least 30 days after discontinuing study drug.
- Medically acceptable, highly effective forms of contraception can include approved hormonal contraceptives (oral, injectable, and implantable) and barrier methods (such as a condom or diaphragm) when used with a spermicide.
- Women who are successfully sterilized (including hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or postmenopausal (defined as amenorrhea for at least 12 consecutive months) are not considered to be of reproductive potential.
- 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.
- 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.
Who cannot join
- Subject is pregnant or lactating.
- Subject has primary obstructive airway physiology (forced expiratory volume in 1 second/FVC <0.70 at Screening) or greater extent of emphysema than fibrosis on HRCT (confirmed by central review).
- Subject has a diagnosis of IPF.
- Subject has shown intolerance or significant lack of efficacy to a prostacyclin or prostacyclin analogue that resulted in discontinuation or inability to effectively titrate that therapy.
- Subject has received any PAH-approved therapy, including prostacyclin therapy (epoprostenol, treprostinil, iloprost, or beraprost; except for acute vasoreactivity testing), IP receptor agonists (selexipag), endothelin receptor antagonists, phosphodiesterase type 5 inhibitors (PDE5-Is), soluble guanylate cyclase stimulators, or activin signaling inhibitors (sotatercept) within 60 days prior to Baseline. As needed use of a PDE5-I for erectile dysfunction is permitted, provided no doses are taken within 48 hours prior to any study-related efficacy assessments.
- Subject is receiving >10 L/min of oxygen supplementation by any mode of delivery at rest at Baseline.
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- Exacerbation of ILD or active pulmonary or upper respiratory infection within 30 days prior to Baseline. Subjects must have completed any antibiotic or steroid regimens for treatment of the infection or acute exacerbation more than 30 days prior to Baseline to be eligible. If hospitalized for an acute exacerbation of ILD or a pulmonary or upper respiratory infection, subjects must have been discharged more than 90 days prior to Baseline to be eligible.
- Subject has uncontrolled cardiac disease, defined as myocardial infarction within 6 months prior to Baseline or unstable angina within 30 days prior to Baseline.
- Use of any other investigational drug/device or participation in any investigational study in which the subject received a medical intervention (ie, procedure, device, medication/supplement) within 30 days prior to Screening. Subjects participating in non-interventional, observational, or registry studies are eligible.
- Acute pulmonary embolism within 90 days prior to Baseline.
- In the opinion of the Investigator, the subject has any condition that would interfere with the interpretation of study assessments or would impair study participation or cooperation.
- In the opinion of the Investigator, life expectancy <12 months due to ILD or a concomitant illness.
- Subject has received nerandomilast within 60 days prior to Baseline.
Trial locations and contacts
165 sites in 15 countries. Contact the study team or a site near you to ask about taking part.
165 sites in 15 countries
United States74 sites, 74 recruiting
- Recruiting
University of New Mexico
Albuquerque, New Mexico, 87131
Frederick Gentry, 505-272-1160, fgentry@salud.unm.edu
Nour Assad, MD
- Recruiting
The Emory Clinic
Atlanta, Georgia, 45227
Mitzi Near, 404-712-9603, mnear@emory.edu
Srihari Veeraraghavan, MD
- Recruiting
Johns Hopkins Asthma and Allergy Center
Baltimore, Maryland, 21224
Sarah Collins, 410-550-2062, shirsh1@jhmi.edu
Mathew Lammi, MD
- Recruiting
University of Maryland Medical Center
Baltimore, Maryland, 45227
Maura Deeley, 410-328-4535, madeeley@som.umaryland.edu
Sarah R Williams
- Recruiting
UAB Lung Health Center
Birmingham, Alabama, 35233
Melessia Wells, 205-975-9332, mrasheed@uabmc.edu
Tejaswini Kulkarni, MD
- Recruiting
Tufts Medical Center
Boston, Massachusetts, 02111
Mary Hays, 617-636-1334, Mary.M.Hays@tuftsmedicine.org
Nicholas Hill, MD
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
Layla Rahimi, 617-724-5548, layla.rahimi@mgh.harvard.edu
Leo C Ginns, MD
- Recruiting
Medical University of South Carolina-Nexus
Charleston, South Carolina, 29425
Angela Francisco, 843-792-3710, millare@musc.edu
Rachana Krishna, MD
- Recruiting
University of Virginia Health System
Charlottesville, Virginia, 22903
Yousef Althulth, 434-924-0749, KPQ5SK@hscmail.mcc.virginia.edu
Hannah C Mannem, MD
- Recruiting
The Lung Research Center, LLC
Chesterfield, Missouri, 63017
Anna Shipp, 314-682-3653, Anna.Shipp@stlukes-stl.com
Neil Ettinger, MD
- Recruiting
Northwestern Memorial Hospital, Clinical Research Unit
Chicago, Illinois, 60611
Aaron Gundersheimer, 312-503-7475, aaron.gundersheimer@northwestern.edu
Bradford Bemiss, MD
- Recruiting
Rush University Medical Center Outpatient Pulmonary Clinic
Chicago, Illinois, 60612
Kimberly Saulsberry, 312-996-6275, Kimberly_P_Saulsberry@rush.edu
Mark Yoder, MD
- Recruiting
UI Health Hospital
Chicago, Illinois, 60612
Hannah Carlson, hrc@uic.edu
Dustin Fraidenburg, MD
- Recruiting
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219
Emillie Hoh, 513-584-1999, hohek@ucmail.uc.edu
Nishant Gupta, MD
- Recruiting
St. Luke's Univeristy Health Network-Pulmonary & Critical Care
Cincinnati, Ohio, 45227
Jena Hagerty, 484-526-3890, Jena.hagerty@sluhn.org
Douglas Corwin, MD
- Recruiting
Prisma Health Pulmonology-Richland
Columbia, South Carolina, 29203
Keera McKenna, 803-434-8262, keera.mckenna2@prismahealth.org
Abhinav Gupta, MD
- Recruiting
The Ohio State University Wexner Medical CEnter
Columbus, Ohio, 43201
Benjamin Hood, 614-293-3351, benjamin.hood2@osumc.edu
Nitin Bhatt, MD
- Recruiting
Baylor University Medical Center
Dallas, Texas, 75246
Brianna Kamran, 214-820-1685, brianna.kamran@bswhealth.org
Yosafe Wakwaya, MD
- Recruiting
UT Southwestern Medical Center-Advanced Lung Clinic
Dallas, Texas, 75390
Maria Goralski, 214-645-2340, maria.goralski@utsouthwestern.edu
Margaret Kypreos, MD
- Recruiting
Duke University Medical Center
Durham, North Carolina, 27710
Lisa Holmes, 919-684-8726, lisa1.holmes@duke.edu
Lake Morrison, MD
- Recruiting
Christopher King, MD
Falls Church, Virginia, 22042
Priscila Dauphin, 703-776-7128, priscila.dauphin@inova.org
Christopher King, MD
- Recruiting
Clinical Trials Center of Middle Tennessee, LLC
Franklin, Tennessee, 37067
Lindsey Robbs, 615-205-8350, lrobbs@ctcmidtn.com
Aaron Milstone, MD
- Recruiting
Corewell Health Grand Rapids Hospitals - Butterworth
Grand Rapids, Michigan, 49503
Kendra Selby, 616-488-0281, kendra.selby@helendevoschildrens.org
Pranav Kidambi, MD
- Recruiting
PulmonIx LLC
Greensboro, North Carolina, 27403
Lauren Hinshaw, 336-522-8870, lauren.hinshaw@pulmonix.com
Murali Ramaswamy, MD
- Recruiting
East Carolina University
Greenville, North Carolina, 27834
Shravya Dharambhat, 252-744-1116, dharambhats22@ecu.edu
Veeranna Maddipati, MD
- Recruiting
Memorial Hospital at Gulfport
Gulfport, Mississippi, 39501
Bobby W Tullos, MD
- Recruiting
Pennsylvania State Hershey Medical Center and College of Medicine
Hershey, Pennsylvania, 17033
Timothy Sheehan, 717-531-0003, tsheehan@pennstatehealth.psu.edu
Rebecca Bascom, MD
- Recruiting
Houston Methodist Outpatient Center
Houston, Texas, 77030
Nelson Villasmil Hernandez, 832-970-3187, navillasmilhernandez@houstonmethodist.org
Sandeep Sahay, MD
- Recruiting
The University of Texas Health Science Center at Houston, McGovern Medical School
Houston, Texas, 77030
Mary Rangel, 713-500-6851, mary.rangel@uth.tmc.edu
Rodeo Abrencillo, MD
- Recruiting
Ascension Medical Group St. Vincent's Lung Institute
Jacksonville, Florida, 32204
Jennifer McWilliams, 904-308-5764, jennifer.mcwilliams@ascension.org
Akram Shibani, MD
- Recruiting
Mayo Clinic
Jacksonville, Florida, 32224
Inna Dawson, 904-953-3855, dawson.inna@mayo.edu
Augustine S Lee, MD
- Recruiting
University of Kansas Medical Center
Kansas City, Kansas, 66160
Kimberly Lovell, 913-588-6067, klovell@kumc.edu
Sahil Pandya, MD
- Recruiting
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
Rosann Gans, 816-304-1561, rgans@saint-lukes.org
Mark Yagan, MD
- Recruiting
StatCare Pulmonary Consultants, PLLC
Knoxville, Tennessee, 37919
Tabitha McCauley, 865-934-2672, tabitha.mccauley@biomed-research.com
Eric Weaver, MD
- Recruiting
University of Kentucky
Lexington, Kentucky, 45227
Srushan Shankara bhaktula, 859-562-0882, ssh486@uky.edu
Parijat Sen, MD
- Recruiting
Peter Morton Medical Building
Los Angeles, California, 90095
Jennifer Perez, 310-825-5800, jsperez@mednet.ucla.edu
Stephen S Weigt, MD
- Recruiting
University of Louisville Healthcare Outpatient Research Clinic
Louisville, Kentucky, 40202
Belica Graf, 502-852-3184, belica.graf@louisville.edu
Mohamed A Saad, MD
- Recruiting
University Hospital and UW Health Clinics
Madison, Wisconsin, 53792
Maggie Chilsen, 608-263-2704, mchilsen@clinicaltrials.wisc.edu
Stephen J Halliday, MD
- Recruiting
Loyola University Medical Center
Maywood, Illinois, 60153
Adriana Martinez, 708-216-2057, amartinez59@luc.edu
Daniel Dilling, MD
- Recruiting
A & A Research Consultants, LLC
McAllen, Texas, 78503
Jaedan Chapa, 972-802-1512, jaedanchapa@hotmail.com
Alfredo Renzo Arauco Brown, MD
- Recruiting
Metroplex Pulmonary and Sleep Center
McKinney, Texas, 75069
Ambreen Ahmed, 972-838-1892, aahmed@mpsleepcenter.com
Shahrukh Kureishy, MD
- Recruiting
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226-1222
Kiley Timler, 414-955-6875, ktimler@mcw.edu
Mark Barash, MD
- Recruiting
University of Minnesota Health Clinical Research Unit (CRU)
Minneapolis, Minnesota, 55455
Amanda DeGrote, carl1032@umn.edu
Hyun Kim, MD
- Recruiting
Intermountain Medical Center
Murray, Utah, 84107
Danielle Nasson, 831-507-4629, dani.memmott@imail.org
Peter Crossno, MD
- Recruiting
The Vanderbilt Lung Institute
Nashville, Tennessee, 37204
Phyllis Young, 615-322-0368, phyllis.d.young@vumc.org
Justin Hewlett, MD
- Recruiting
Northwell Health
New Hyde Park, New York, 11042
Sara Khan, 516-465-5437, skhan109@northwell.edu
Arunabh Talwar, MD
- Recruiting
Tulane Medical Center
New Orleans, Louisiana, 45227
Sandy Ditta, 504-988-4040, sditta@tulane.edu
Shigeki Saito, MD
- Recruiting
Weill Cornell Medicine, New York-Presbyterian Hospital
New York, New York, 10065
Christine Wu, 646-962-2833, chw4019@med.cornell.edu
Anna Podolanczuk, MD
- Recruiting
NewportNativeMD, Inc.
Newport Beach, California, 92663
Grace Harvey, 949-791-8599 ext. 107, grace@newportnativemd.com
Ryan Klein, MD
- Recruiting
Infinity Medical Center
North Dartmouth, Massachusetts, 02747
Cheryl O'Neil, 508-998-3041, coneil@infinitymedicalresearch.com
Curtis J Mello, MD
- Recruiting
University of California Irvine Medical Center
Orange, California, 92868
Jordan Perkins, 714-456-6875, jperkin3@hs.uci.edu
Bassam Yaghmour, MD
- Recruiting
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Sarah Alam, 609-668-7771, sarah.alam@pennmedicine.upenn.edu
Michaela Anderson, MD
- Recruiting
Jefferson Honickman Center
Philadelphia, Pennsylvania, 19107
Ramya priya Talluri, 215-955-9792, ramyapriya.talluri@jefferson.edu
Valeria Santibanez, MD
- Recruiting
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Kim Selwood, 215-707-1359, kim.selwood@tuhs.temple.edu
Rali Parth, MD
- Recruiting
Banner University Medical Center Phoenix Lung Institute
Phoenix, Arizona, 85006
Surya Olguin, 602-521-3300, suryaolguin@arizona.edu
Sally Suliman, MD
- Recruiting
Norton Thoracic Institute
Phoenix, Arizona, 85013
Gabrielle Ambrose, 602-406-3825, gabrielle.ambrose@commonspirit.org
Rajat Walia, MD
- Recruiting
Paradigm Clinical Research
Redding, California, 45227
Mandy Swanson, 530-247-7049, mswanson@paradigm-research.com
Rafael Lupercio, MD
- Recruiting
Pulmonary Associates of Richmond, Inc.
Richmond, Virginia, 23230
Betsy Daniel, 804-288-5947, bdaniel@paraccess.com
Shilpa Johri, MD
- Recruiting
Mayo Clinic
Rochester, Minnesota, 55905
Teng Moua, 507-284-5398, moua.teng@mayo.edu
Teng Moua, MD
- Recruiting
Beaumont Hospital, Royal Oak
Royal Oak, Michigan, 48073
Beverly Mauer, 248-551-2581, beverly.maurer@corewellhealth.org
Enrique Calvo-Ayala, MD
- Recruiting
UC Davis Health Medical Center
Sacramento, California, 95817
Sarah Natera, 916-734-1820, srnatera@ucdavis.edu
Namita Sood, MD
- Recruiting
University of Utah Health
Salt Lake City, Utah, 84108
Heather Hammerschmidt, 801-585-5194, heather.hammerschmidt@hsc.utah.edu
Mary Scholand, MD
- Recruiting
Methodist Hospital
San Antonio, Texas, 78229
Susana Mondaca, 210-552-3255, susana.mondacabolanos@hcahealthcare.com
Charles Burch, MD
- Recruiting
Paradigm Clinical Research
San Diego, California, 92108
Chery Bolovits, 858-274-4226, cbolovits@paradigm-research.com
Daniel Jones, MD
- Recruiting
Adventist Healthcare White Oak Medical Center
Silver Spring, Maryland, 20904
Jennifer Hernandez, 240-637-5024, jhernandez1@adventisthealthcare.com
Jonathan Cohen, MD
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
Megan Baldenweck, 314-362-3705, meganbaldenweck@wustl.edu
Tonya D. Russell, MD
- Recruiting
Stanford University Medical Center
Stanford, California, 94305
Jannet Estrada, janestr@stanford.edu
Rishi Raj, MD
- Recruiting
Stony Brook Advanced Specialty Care
Stony Brook, New York, 11794-8172
Jacqueline Skarre, 631-444-9033, jacqueline.skarre@stonybrookmedicine.edu
Alpa Desai, MD
- Recruiting
TGH/USF Center for Advanced Lung Disease and Lung Transplant
Tampa, Florida, 33606
Brenda Farlow, 813-844-3430, bfarlow@tgh.org
Debabrata Bandyopadhyay, MD
- Recruiting
Montefiore Medical Center
The Bronx, New York, 10467
Jane Wilson, 718-920-7916, jwilson4@montefiore.org
Ali Mansour, MD
- Recruiting
Mercy Health St.Vincent Medical Center LLC
Toledo, Ohio, 43608
Joseph Bandi, 419-251-4919, jbandi@mercy.com
Vinod Khatri, MD
- Recruiting
Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Amen Hamed, 202-444-0895, amen.m.hamed@gunet.georgetown.edu
Cristina Reichner, MD
- Recruiting
Cleveland Clinic Florida
Weston, Florida, 33331
Osvaldo Perez, 954-659-5570, perezo4@ccf.org
David Zisman, MD
- Recruiting
Wake Forest Baptist Health
Winston-Salem, North Carolina, 27104
Bob Hmieleski, 336-713-8555, bhmieles@wakehealth.edu
Heather Clark
Argentina9 sites, 9 recruiting
- Recruiting
CINME Centro de Investigaciones Metabolicas
Buenos Aires, C1056ABI
Yesica Castillo, +541150319915, ycastillo@cinme.com.ar
Maria Otaola, MD
- Recruiting
Fundación Respirar
Buenos Aires, C1426ABP
Antonela Iannazzo, +541170781548 ext ext. 702, iannazzoantonela@gmail.com
María Cristina De Salvo, MD
- Recruiting
Instituto de Medicina Respiratoria
Córdoba, 5003
Angélica Baima, +543514888200, abaima@damic.com.ar
Alexis Cazaux, MD
- Recruiting
Sanatorio Allende Cerro
Córdoba, 5021
Maria Gracia de la Vega, +54351269200, mgdelavega@sanatorioallende.com
Viviana Alejandra Moyano
- Recruiting
Instituto Ave Pulmo - Fundacion enfisema
Mar del Plata, Buenos Aires, 7600
Mario Fernando Sabas, (223) 410-8383 ext. 82, fsabas@gmail.com
Luis Arturo Wehbe, MD
- Recruiting
Instituto Medico Rio Cuarto
Río Cuarto, Córdoba Province, 5800
Sebastián Etchevers, +5491131077237, sebastianet@gmail.com
Mauricio J Eceiza, MD
- Recruiting
Sanatorio Parque de Rosario - Consultorios Externos
Rosario, Santa Fe Province, 2000
Julieta Nasurdi, +543414200222, julinasurdi99@gmail.com
Silvina Mannarino, MD
- Recruiting
Investigaciones en Patologias Respiratorias
San Miguel de Tucumán, Tucumán Province, 4000
Maria Jose Guzman, +543814212611, ipr_mariajose@yahoo.com.ar
Ramon A Rojas, MD
- Recruiting
CIMER-Centro Integral de Medicina Respiratoria
San Miguel de Tucumán, Tucumán Province
Natalia Juarez Babiano, +543812577481, nataliajuarezbabiano1@gmail.com
Altieri Hector, MD
Australia9 sites, 9 recruiting
- Recruiting
Eastern Health Box Hill Hospital
Box Hill, Victoria, 3128
Alan Young, 61390952415, alan.young@easternhealth.org.au
Francis Thien, MD
- Recruiting
The Prince Charles Hospital
Brisbane, Queensland, Australia
Alan Carew, 61731394000, alan.carew@health.qld.gov.au
John Andrew Mackintosh
- Recruiting
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050
Alan Teoh, (02) 9515 4188, alan.teoh@health.nsw.gov.au
Tamera Corte, Prof.
- Recruiting
Lung Research QLD
Chermside, Queensland, 4032
Sandra Bancroft, 61 7 3154 6376, sandy@lrq.com.au
Daniel Chambers
- Recruiting
Monash Health-Monash Medical Centre
Clayton, Victoria, 3168
Yvonne Ng, 61395942900, yvonne.ng@monashhealth.org
Xun Li, MD
- Recruiting
Austin Health
Heidelberg, Victoria, 3084
Yet Khor, 613412230524, yethong.khor@austing.org.au
Nicole Soo Goh, MD
- Recruiting
St George Hospital
Kogarah, New South Wales, 2217
Ajantha Raguparan, 6191132325, ajantha.raguparan@health.nsw.gov.au
Alexandra Smith, MD
- Recruiting
Institute for Respiratory Health - Midland
Midland, Western Australia, 6056
Kaye McMullan, 61863173486, kaye.mcmullan@resphealth.uwa.edu.au
David Manners, MD
- Recruiting
Institute for Respiratory Health
Nedlands, Western Australia, 6009
Michelle Young, MD, 618 6151 0888, michelle.c.young@resphealth.uwa.edu.au
Vidya Navaratnam, MD
Israel9 sites, 9 recruiting
- Recruiting
Barzilai Medical Center
Ashkelon, 7830604
Mohamed Alamor, (972) 585-5111 x48, mohamedala@bmc.gov.il
Ori Wand, MD
- Recruiting
Hillel Yaffe Medical Center
Hadera, 3846201
Marinella Beckerman, 97246304487, marinellab@hy.health.gov.il
Michael Kuchuk, MD
- Recruiting
Rabin Medical Center
Haifa, 3436212
Michal Shteinberg, (972) 4-8250517, michalsh4@clalit.org.il
Yochai Adir, Prof
- Recruiting
Shaare Zedek Medical Center
Jerusalem, 9103102
Ariel Rokach, +972-2-6555111, arielr@szmc.org.il
Gabriel Izbicki, MD
- Recruiting
The Hadassah University Medical Center Ein Kerem Hospital
Jerusalem, 9112001
Rottem Kuint, +972-2-6776817, kuint@hadassah.org.il
Neville Berkman, Prof.
- Recruiting
Meir Medical Center
Kfar Saba, 4428164
Lilach Israeli-Shani, (972)-9-7471556, lilach.israeli@clalit.org.il
David Shitrit, MD
- Recruiting
Rabin Medical Center
Petah Tikva, 4941492
Maayan Flaschner, +972 545675938, maayanfl@clalit.org
Osnat Livne-Shtraichman, MD
- Recruiting
Kaplan Medical Center
Rehovot, 7551041
Nina Azarov, (972) 8-9441829, nina.azarov@gmail.com
Alexander Yarmolovsky, MD
- Recruiting
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Irina Fomin, (972) 3-6973591, irenaf@tlvmc.gov.il
Amir Bar-Shai, MD
Germany8 sites, 8 recruiting
- Recruiting
Zentralklinik Bad Berka GmbH Klinik für Pneumologie, Zentrum für Schlaf-und Beatmungsmedizin
Bad Berka, 99437
Veronika Gath, (439) 355016458, veronika.gath@zentralklinik.de
Michael Weber, MD
- Recruiting
Prufstelle der GWT am Fachkrankenhaus Coswig
Coswig, 01640
Marcus Vogler, vogler@fachkrankenhaus-coswig.de
Dirk Koschel, MD
- Recruiting
uhrlandklinik Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
Essen, 45239
Eda Burcur Börner, (492) 014-334532, eda.boerner@rlk.uk-essen.de
Francesco T Bonella, MD
- Recruiting
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
Ilona Olzik
511 532-3692, olzik.ilona@mh-hannover.de
- Recruiting
Lungenfachklinik Immenhausen
Immenhausen, 34376
Katrin Schwedler, 4956735011577, k.schwedler@lungenfachklinik-immenhausen.de
Peter Hammerl, Dr. med.
- Recruiting
SLK Kliniken Heilbronn GmbH
Löwenstein, 74245
Biljana Joves, (497)130 156611, biljana.joves@slk-kliniken.de
Jonas Kuon, Dr
- Recruiting
LMU Klinikum Medizinische Klinik und Poliklinik V
München, 81377
Tobias Veit, (498)9440075310, tobias.veit@med.uni-muenchen.de
Jurgen Behr, MD
- Recruiting
RoMed Klinikum Rosenheim-Ellmaierstr. 23
Rosenheim, Bavaria, 83022
Stefan Jungbauer, (498) 031-3657103, stefan.jungbauer2@ro-med.de
Stephan Budweiser, MD
Belgium7 sites, 7 recruiting
- Recruiting
AZORG
Aalst, 9300
Elke Hardeman, +32 53 72 42 89, elke.hardeman@AZORG.be
Valerie Adam, MD
- Recruiting
ZAS Middelheim
Antwerp, 2020
Johan Clukers, +32 3 280 36 84, johan.clukers@zas.be
Hans Slabbynck, MD
- Recruiting
CUB Hopital Erasmde
Brussels, 1070
Sebastien Van Laethem, +32 486 65 68 65, sebastien.vanlaethem@chu-charleroi.be
Benjamin Bondue, MD
- Recruiting
Cliniques Universitaires St.-Luc
Brussels, 1200
Sophie Gohy, +32 2 764 80 84, sophie.gohy@uclouvain.be
Antoine Froidure, MD
- Recruiting
Universitair Ziekenhuis Gent
Ghent, 9000
Anja Delporte, 3293320228, anja.delporte@uzgent.be
Geert Van Pottelberge, MD
- Recruiting
UZ Leuven
Leuven, 3000
Nico De Crem, +32 16 34 22 13, nico.decrem@uzleuven.be
Wim Wuyts, MD
- Recruiting
CHU de Liège
Liège, 4000
Fanny Gester, +32 4 323 78 81, fanny.gester@chuliege.be
Julien Guiot, MD
Canada7 sites, 7 recruiting
- Recruiting
Dynamic Drug Advancement Limited
Ajax, Ontario, L1S 2J5
Cynthia Lee, (647) 460-9594, crc2@dynamicdrugadvancement.com
George Philteos, MD
- Recruiting
St.Joseph's Healthcare Hamilton
Hamilton, Ontario, L8N 4A6
Sarah Goodwin, (905) 521-6130, sgoodwin@stjoes.ca
Nathan Hambly, MD
- Recruiting
Hôpital Maisonneuve-Rosemont
Montreal, Quebec, H1T 2M4
Danae Tassy, (514) 254-7455, danae.tassy.cemtl@ssss.gouv.qc.ca
Ping Shi Zhu, MD
- Recruiting
CIC Mauricie inc.
Québec, Quebec, G8T 7A1
Mireille Devost, (819) 373-1128, mdevost@cic-mauricie.ca
Émilie Millaire, MD
- Recruiting
Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8
Veronica Marcoux, Dr.
- Recruiting
Diex Recherche Inc. - Division Sherbrooke Est
Sherbrooke, Quebec, J1E 0N8
Annie-Pier Beauchesne, 8193462887, apbeauchesne@diex.ca
Christophe He, MD
- Recruiting
St.Paul's Hospital
Vancouver, British Columbia, V6Z 176
Jeff Wong, (604) 682-2344 ext. 63199, jwong145@providencehealth.bc.ca
Christopher Ryerson, MD
Italy7 sites, 7 recruiting
- Recruiting
Azienda Ospedaliero Universitaria Policlinico "G. Rodolico - San Marco" Presidio Ospedaliero Gaspare Rodolico
Catania, 95123
Antonio Galia, 3909537814268, anto.galia95@gmail.com
Carlo Vancheri
- Recruiting
Azienda Unita Sanitaria Locale Della Romagna Ospedale "Gian Battista Morgagni - Luigi Pierantoni" di Forlì
Forlì, 47121
Luca Donati, 390543735828, luca.donati@irst.emr.it
Claudia Ravaglia, MD
- Recruiting
Azienda Ospedaliero-Universitaria di Modena Policlinico di Modena
Modena, 41124
Valentina Ruggieri, 3900594225762, valentina.ruggieri@unimore.it
Stefania Cerri, MD
- Recruiting
Fondazione IRCCS San Gerardo dei Tintori
Monza
Gabriella Marsoni, 390392333962, gabriella.marsoni@irccs-sangerardo.it
Fabrizio Luppi
- Recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, 168
Diana Verdirosi, 390630157724, diana.verdirosi@policlinicogemelli.it
Giacomo Sgalla
- Recruiting
Azienda Ospedaliero-Universitaria Senese
Siena, 53100
Benedetta Di Ruggiero, +39 0577586717, benedettadiruggiero@gmail.com
Elena Bargagli, MD
- Recruiting
Centro Ricerche Cliniche di Verona SrL Pneumology Unit
Verona, 37134
Mirandola Giorgia, 390458126622, giorgia.mirandola@crc.vr.it
Claudio Micheletto
Chile6 sites, 6 recruiting
- Recruiting
Centro de Investigacion Curico
Curicó, Maule Region, 3341643
Reinaldo Eduardo Cortez de la Fuente, +56991591749, reinaldante@gmail.com
Victor Antonio Martinez Hagen, MD
- Recruiting
Centro Respiratorio Integral LTDA. (CENRESIN)
Quillota, Valparaiso, 2260000
Leon Fernando Ovalle Jarpa, 56992356201, fdoovalle@hotmail.com
Juana Rosa Pavie Gallegos, MD
- Recruiting
CEC Centro Estudios Clinicos
Santiago, Santiago Metropolitan, 7550495
Nicolas Cataldo, 56 965783567, ncataldocec@gmail.com
Georgina Viviana Miranda Saez, MD
- Recruiting
Fundacion Medica San Cristobal
Santiago, Santiago Metropolitan, 7630226
Eliana Andahur Orellana, +56965132877, eandahuro@udd.cl
Ricardo Luis Sepulveda Moncayo, MD
- Recruiting
Biocinetic Ltda.
Santiago, Santiago Metropolitan, 8320000
Beatriz Diaz, +56226965804, beatriz.diaz@cecim.cl
Ricardo Alexis Fritz Garrido, MD
- Recruiting
Centro de Investigación de Enfermedades Respiratorias e Inmunológicas (CIERI)
Viña del Mar, Valparaiso, 2520000
Magdalena Reyes, +56 32 332 0863, magdalena.reyes@cieri.cl
Felipe Eduardo Saavedra Gonzalez, MD
France6 sites, 6 recruiting
- Recruiting
Hôpital Avicennes
Bobigny, 93000
Morgane Didier, 33 1 48 95 51 28, didier.morgane@aphp.fr
Hilario Nunes, MD
- Recruiting
Hospices civils de Lyon - Hôpital Louis Pradel
Bron, 69500
François Lestelle, 33 4 27 85 77 00, francois.lestelle@chu-lyon.fr
Vincent Cottin, MD
- Recruiting
CHU Caen Normandie
Caen, 14000
Aurélien Justet, 33 2 31 06 46 77, bergot-e@chu-caen.fr
Emmanuel Bergot, MD
- Recruiting
Assistance Publique Hôpitaux de Marseille - centre Hospitalier Régional de Marseille
Marseille
Benjamin Coiffard, 33 4 91 96 61 45, benjamin.coiffard@ap-hm.fr
Martine Reynaud-Gaubert, MD
- Recruiting
Rouen University Hospital
Rouen, 7600
Hélène Morisse Pradier, 33 2 32 88 8247, helene.morisse@chu-rouen.fr
Mathieu Salaun, MD
- Recruiting
Centre Hospitalier Régional Universitaire de Tours
Tours, Tours Cedex 9
Laurent Plantier, 33 2 47 47 98 34, l.plantier@chu-tours.fr
Julie Mankikian, MD
Peru6 sites, 6 recruiting
- Recruiting
Hospital Nacional Adolfo Guevara Velasco
Cusco, 08002
Rosa Alfaro Carrasco, +51 84 238749, rosaalfaro_7@hotmail.com
Sandra Graciela Vargas Marquez, MD
- Recruiting
Clinica Internacional - Sede Lima
Lima, 15001
Eneyda Llerena Zegarra, +51996663828, eneyda40@hotmail.com
Alfredo Guerreros Benavides, MD
- Recruiting
Unidad de Investigacion de Enfermedades Respiratorias- Clinica San Pablo -Surco
Lima, 15023
Alva Silvia, 511 3410579, silvia9098@yahoo.com
Alejandro M Peña Villalobos, MD
- Recruiting
Clinica Ricardo Palma
Lima, 15036
Judith Armas, juditharmas@gmail.com
Cesar Fernando Villaran Ferreyros, MD
- Recruiting
Hospital Central de la Fuerza Aerea del Peru
Lima, 15046
Franklin Gutierrez Torres, +51 35300 ext. 2765, franklingutor@gmail.com
Maria Carmela Faverio Mannucci, MD
- Recruiting
Centro de Investigacion de Enfermedades Respiratorias - Clinica Providencia
Lima, 15088
Marjorie Gaviria Haxhuell, 5112729720, gmarjorie03@hotmail.com
Carlos A Iberico Barrera, MD
United Kingdom6 sites, 6 recruiting
- Recruiting
Birmingham Heartlands Hospital
Birmingham
Caroline Gallagher, 0044 (0)121 424 1685, caroline.gallagher@uhb.nhs.uk
Christopher Huntley, MD
- Recruiting
Royal Papworth Hospital
Cambridge, CB2 0AY
Helen Parfrey, (441) 480-3648 x49, helen.parfrey@nhs.net
Christine Fiddley, MD
- Recruiting
NHS Lothian, Royal INfirmary of Edingburgh
Edinburgh, EH16 4SA
Manjit Cartlidge, (0044)1312421191, manjit.cartlidge@nhs.scot
Nikhil Hirani, MD
- Recruiting
Guy's Hospital
London, SE1 9RT
Alexandra Lawrence, 0044 020 7188 7188 ext51052, alexandra.lawrence8@nhs.net
Katherine Myall, MD
- Recruiting
Manchester University NHS Foundation Trust, North Manchester General Hospital
Manchester, M8 5RB
Huda Badri, 0044-1617202122, huda.badri@pat.nhs.uk
Zoe Borril, MD
- Recruiting
NHS Tayside, Perth Royal Infirmary
Perth, PH1 1NX
Moses Effiong, 0044-776587099, moses.effiong@nhs.scot
Mark Spears, MD
South Korea5 sites, 5 recruiting
- Recruiting
Gachon University Gil Medical Center
Incheon, 21565
Huiyeong Hwang, 82-10-2833-6768, highjumpp@naver.com
Sung Hwan Jeong, MD
- Recruiting
Seoul National University Bundang Hospital
Seongnam-si, 13620
LeeNa Kim, 82-31-787-8539, lnkim4572@naver.com
Jong Sun Park, MD
- Recruiting
Korea University Anam Hospital
Seoul, 02841
Mija Kim, 82-10-7235-3168, aakmcaapu001@kumc.or.kr
Eun Joo Lee, MD
- Recruiting
Asan Medical Center
Seoul, 05505
Yebin Park, 82-10-7163-5439, yebin.p1014@gmail.com
Jin Woo Song, MD
- Recruiting
The Catholic University of Korea, Eunpyeong St. Mary's Hospital
Seoul, 3312
SunHwa Ryu, 82-10-9340-0685, rsh515@hanmail.net
Sang Haak Lee, MD
New Zealand3 sites, 3 recruiting
- Recruiting
Aotearoa Clinical Trials Trust- Middlemore Hospital
Auckland
Jennifer Treacy, 64021610589, jennfier.treacy@aotearoatrials.nz
Conor Odochartaigh, MD
- Recruiting
Canterbury Respiratory Research Group
Christchurch, Canterbury, 8011
Sara Pure, +64 3 364 1157, Sara.prue@cdhb.health.nz
Michael Epton, MD
- Recruiting
Waikato Hospital
Hamilton, 3204
Sandra Hopping, 64 21 2407432, sandra.hopping@waikatodhb.co.nz
Catherina Chang
Taiwan3 sites, 3 recruiting
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Hung Yuan-Chen, 886-7-3121101 ext. 7734, sealion12133@hotmail.com
Sheu Chau-Chyun, MD
- Recruiting
Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
Yi-Chun Shih, 886 929-090-012, show650401@yahoo.com.tw
Kuo-Tung Huang, MD
- Recruiting
Taichung Veterans General Hospital
Taichung, 40705
Yi-Chun Shih, +886 929-090-012, show650401@yahoo.com.tw
Pin-Kuei Fu, MD
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Multinational, Phase 3 Study of the Efficacy and Safety of Inhaled Treprostinil in Subjects With Progressive Pulmonary Fibrosis (TETON-PPF)
Study RIN-PF-305 is designed to evaluate the safety and efficacy of inhaled treprostinil in subjects with progressive pulmonary fibrosis (PPF) over a 52-week period.
Read the detailed description
Study RIN-PF-305 is a Phase 3, multinational, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of inhaled treprostinil in subjects with PPF over a 52-week period. Subjects will be randomly allocated 1:1 to receive inhaled treprostinil or placebo. All subjects will initiate inhaled treprostinil or placebo at a dose of 3 breaths administered 4 times daily (QID) and will titrate to a target dosing regimen of 12 breaths QID. Study drug doses may be titrated up as tolerated, until the target dose or maximum clinically tolerated dose is achieved. Once eligible, 6 Treatment Period visits to the clinic will be required at Weeks 4, 8, 16, 28, 40, and 52.
Efficacy assessments include spirometry (forced vital capacity [FVC]), time to clinical worsening, time to first acute exacerbation of 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 lung diffusion capacity (DLCO). Safety assessments include the development of adverse events (AEs)/serious adverse events (SAEs), vital signs, clinical laboratory parameters, and electrocardiogram (ECG) parameters.
Subjects who complete the Week 52 Visit may be offered the opportunity to enter an open-label extension (OLE) study after completing the final study visit.
- Being tested
- Placebo, Inhaled Treprostinil, Treprostinil Ultrasonic Nebulizer
- Keywords
- Treprostinil, PPF, ILD
- Medical subject headings
- Lung Diseases, Interstitial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo administered QID
Inhaled TreprostinilDrug
Also called Tyvaso
Inhaled treprostinil (6 mcg/breath) administered QID
Treprostinil Ultrasonic NebulizerDevice
Treprostinil ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Matching placebo inhaled using an ultrasonic nebulizer QID Receives: Drug: Placebo; Device: Treprostinil Ultrasonic Nebulizer |
| Inhaled Treprostinil | Experimental | Treprostinil for 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 up to a target of 12 breaths QID or until the subject reaches their maximum clinically tolerated dose. Receives: Drug: Inhaled Treprostinil; Device: Treprostinil Ultrasonic Nebulizer |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Absolute FVC from Baseline to Week 52
The FVC measurement indicates the amount of air a person can forcefully and quickly exhale after taking a deep breath.
Measured: Baseline to Week 52
Secondary outcomes (6)
Time to First Clinical Worsening
Clinical worsening is monitored from randomization until 1 of the following criteria are met: death (all causes), hospitalization due to a respiratory indication, or ≥10% relative decline in % predicted FVC.
Measured: Baseline to Week 52
Time to First Acute Exacerbation of ILD
An exacerbation of ILD is defined as an acute, clinically significant, respiratory deterioration characterized by evidence of new widespread alveolar abnormality.
Measured: Baseline to Week 52
Overall Survival at Week 52
Vital status will be assessed for all subjects at Week 52, including those who discontinue the study prematurely or who withdraw consent.
Measured: Week 52
Change in % Predicted FVC from Baseline to Week 52
The FVC measurement indicates the amount of air a person can forcefully and quickly exhale after taking a deep breath. Percent predicted FVC is calculated based on factors such as race, sex, age, height, and weight.
Measured: Baseline to Week 52
Change in K-BILD Questionnaire Score from Baseline to Week 52
The K-BILD is a self-administered, 15-item questionnaire validated for patients with ILD consisting of 3 domains (breathlessness and activities, psychological, and chest symptoms).
Measured: Baseline to Week 52
Change in DLCO from Baseline to Week 52
The DLCO measurement measures how well oxygen moves from the lungs to the blood.
Measured: Baseline to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2023
- Study start30 Oct 2023
- Primary completionNov 2027 (estimated)
- Study completionNov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Progressive Pulmonary FibrosisStudies of the same condition, open and under way.
- More trials run by United TherapeuticsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 698 participants (estimated)
Sponsor and investigators
- Lead sponsor
- United Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05943535
- Sponsor's protocol ID
- RIN-PF-305
- Status last verified
- Jul 2026
- First submitted
- 5 Jul 2023
- Last updated
- 13 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
Publications
Nathan SD, Behr J, Cottin V, Lancaster L, Smith P, Deng CQ, Breytenbach N, Bell H, Peterson L, Flaherty KR. Study Design and Rationale for the TETON-PPF Phase 3, Randomized, Controlled Clinical Trial of Inhaled Treprostinil in the Treatment of Progressive Pulmonary Fibrosis. CHEST Pulm. 2024 Nov 19;3(2):100124. doi: 10.1016/j.chpulm.2024.100124. eCollection 2025 Jun.
PubMed 42548323
Study at a glance
From the registry record, last updated by the sponsor on 13 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Multinational, Phase 3 Study of the Efficacy and Safety of Inhaled Treprostinil in Subjects With Progressive Pulmonary Fibrosis (TETON-PPF)
- ClinicalTrials.gov ID
- NCT05943535
- Acronym / sponsor ID
- RIN-PF-305
- Keywords
- Treprostinil, PPF, ILD
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 698 participants (estimated)
- Lead sponsor
- United TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 30 Oct 2023 (actual)
- Primary completion
- Nov 2027 (estimated)
- Study completion
- Nov 2027 (estimated)
- First posted
- 13 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study RIN-PF-305 is designed to evaluate the safety and efficacy of inhaled treprostinil in subjects with progressive pulmonary fibrosis (PPF) over a 52-week period.
Detailed description
Study RIN-PF-305 is a Phase 3, multinational, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of inhaled treprostinil in subjects with PPF over a 52-week period. Subjects will be randomly allocated 1:1 to receive inhaled treprostinil or placebo. All subjects will initiate inhaled treprostinil or placebo at a dose of 3 breaths administered 4 times daily (QID) and will titrate to a target dosing regimen of 12 breaths QID. Study drug doses may be titrated up as tolerated, until the target dose or maximum clinically tolerated dose is achieved. Once eligible, 6 Treatment Period visits to the clinic will be required at Weeks 4, 8, 16, 28, 40, and 52.
Efficacy assessments include spirometry (forced vital capacity [FVC]), time to clinical worsening, time to first acute exacerbation of 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 lung diffusion capacity (DLCO). Safety assessments include the development of adverse events (AEs)/serious adverse events (SAEs), vital signs, clinical laboratory parameters, and electrocardiogram (ECG) parameters.
Subjects who complete the Week 52 Visit may be offered the opportunity to enter an open-label extension (OLE) study after completing the final study visit.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo, Device: Treprostinil Ultrasonic NebulizerMatching placebo inhaled using an ultrasonic nebulizer QID |
| Inhaled Treprostinil | Experimental | Drug: Inhaled Treprostinil, Device: Treprostinil Ultrasonic NebulizerTreprostinil for 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 up to a target of 12 breaths QID or until the subject reaches their maximum clinically tolerated dose. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- Subject gives voluntary informed consent to participate in the study.
- Subject is ≥18 years of age, inclusive, at the time of signing informed consent.
- Subject has radiological evidence of pulmonary fibrosis of >10% extent on an HRCT scan in the previous 12 months (confirmed by central review).
- Subject has a diagnosis of PPF (other than IPF) that fulfills at least 1 of the following criteria for progression within 24 months of screening despite standard treatment of ILD, as assessed by the Investigator:
- FVC ≥45% predicted at Screening (confirmed by central review).
Key exclusion criteria (13 listed)
- Subject is pregnant or lactating.
- Subject has primary obstructive airway physiology (forced expiratory volume in 1 second/FVC <0.70 at Screening) or greater extent of emphysema than fibrosis on HRCT (confirmed by central review).
- Subject has a diagnosis of IPF.
- Subject has shown intolerance or significant lack of efficacy to a prostacyclin or prostacyclin analogue that resulted in discontinuation or inability to effectively titrate that therapy.
- Subject has received any PAH-approved therapy, including prostacyclin therapy (epoprostenol, treprostinil, iloprost, or beraprost; except for acute vasoreactivity testing), IP receptor agonists (selexipag), endothelin receptor antagonists, phosphodiesterase type 5 inhibitors (PDE5-Is), soluble guanylate cyclase stimulators, or activin signaling inhibitors (sotatercept) within 60 days prior to Baseline. As needed use of a PDE5-I for erectile dysfunction is permitted, provided no doses are taken within 48 hours prior to any study-related efficacy assessments.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo administered QID | Drug | Placebo |
| Inhaled TreprostinilAlso: TyvasoInhaled treprostinil (6 mcg/breath) administered QID | Drug | Inhaled Treprostinil |
| Treprostinil Ultrasonic NebulizerTreprostinil ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath. | Device | Inhaled Treprostinil, Placebo |
Primary outcome
Change in Absolute FVC from Baseline to Week 52
Time frame: Baseline to Week 52
The FVC measurement indicates the amount of air a person can forcefully and quickly exhale after taking a deep breath.
6 secondary outcomes
Time to First Clinical Worsening
Time frame: Baseline to Week 52
Time to First Acute Exacerbation of ILD
Time frame: Baseline to Week 52
Overall Survival at Week 52
Time frame: Week 52
Change in % Predicted FVC from Baseline to Week 52
Time frame: Baseline to Week 52
Change in K-BILD Questionnaire Score from Baseline to Week 52
Time frame: Baseline to Week 52
Change in DLCO from Baseline to Week 52
Time frame: Baseline to Week 52
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jul 2026.
- Derived from this study: PubMed 42548323Nathan SD, Behr J, Cottin V, Lancaster L, Smith P, Deng CQ, Breytenbach N, Bell H, Peterson L, Flaherty KR. Study Design and Rationale for the TETON-PPF Phase 3, Randomized, Controlled Clinical Trial of Inhaled Treprostinil in the Treatment of Progressive Pulmonary Fibrosis. CHEST Pulm. 2024 Nov 19;3(2):100124. doi: 10.1016/j.chpulm.2024.100124. eCollection 2025 Jun.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
165 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Inhaled Treprostinil and Treprostinil Ultrasonic Nebulizer in people with Progressive Pulmonary Fibrosis and Interstitial Lung Disease, run by United Therapeutics at 165 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 21 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 13 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 165 sites in United States, Argentina, Australia, Israel, Germany and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact United Therapeutics Global Medical Information (919-485-8350, clinicaltrials@unither.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Absolute FVC from Baseline to Week 52 (time frame: Baseline to Week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05943535, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2026.