About this trial
The purpose of this study is to find out if L606 is safe and if it helps people with high blood pressure in the lungs (pulmonary hypertension) caused by interstitial lung disease (PH-ILD, WHO Group 3). One of the main ways the study will check this is by seeing if people can walk further in six minutes (called the "six-minute walk test"). Another important (secondary) goal is to see how long it takes for PH-ILD to get worse while people are taking L606. One way the study will measure this is by looking at the distance people walk at different times in the study on different doses of L606. Throughout the study, doctors will also closely monitor for any side effects people have to make sure L606 is safe. People who decide to join this study will be randomly (like tossing a coin) placed into one of two groups: one group will get L606 and the other group will get a placebo, which will look like L606 but will not contain any active medicine. At the end of the initial blinded portion of the study, study participants may have the opportunity to enroll in an open-label extension portion of the study where all participants will receive L606.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participant is between 18 years to 80 years old.
Has a confirmed diagnosis of ILD based on High Resolution Computed Tomography (HRCT) chest imaging.
Pulmonary vascular resistance (PVR) ≥ 320 dynes.sec/cm5 (i.e. 4 Woods Units (WU)), and
Mean Pulmonary Artery Pressure (mPAP) of ≥ 25 mmHg, and
Disqualifiers
PH in the updated WHO Classification Groups 1, 2, 4, or 5.
Has evidence of clinically significant left-sided heart disease as defined by echocardiography.
Participants with history of persistent/permanent or uncontrolled atrial fibrillation.
Participants with severe obstructive sleep apnea.
Trial design
Parallel
Treatments tested in this trial
L606
DrugL606 is a liposomal version of treprostinil intended for delivery via oral inhalation using a study issued nebulizer.
Placebo
DrugPlacebo will match L606 but contain no treprostinil.
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline in 6-minute walk distance (6MWD) as evaluated by the 6-minute walk test (6MWT)
Secondary outcomes
Time to first occurrence of: -Death -Hospitalization due to a cardio-pulmonary indication related to underlying disease -Lung transplant -Decrease in 6MWD > 15% from Baseline related to disease under study at 2 consecutive visits >1 week apart
Change from baseline in 6-minute walk distance (6MWD) as evaluated by the 6-minute walk test (6MWT)
Change from baseline in 6-minute walk distance (6MWD) as evaluated by the 6-minute walk test (6MWT)
Sponsors and contacts
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