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APD811

Phase 3

Pulmonary Arterial Hypertension | Small molecule | Cardiovascular |United Therapeutics Corporation|Trials Updated: Oct 6, 2026

APD811 development status

Highest phase Phase 3 (NCT03683186)
Registered trials 5 across 1 sponsor since Oct 2014

APD811 target and mechanism

ModalitySmall molecule

Also known as Ralinepag

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment1,793

FDA Designations

No designations recorded

APD811 clinical trials

APD811 · 4 trials · 11 indications

Phase 3 2Phase 2 2
NCT03683186A Study Evaluating the Long-Term Efficacy and Safety of Ralinepag in Subjects With PAH Via an Open-Label ExtensionPAH
ENROLLING BY_INVITATION1,000 Analytics
NCT03626688A Study Evaluating the Efficacy and Safety of Ralinepag to Improve Treatment Outcomes in PAH PatientsPAH
COMPLETED687 Analytics
PHASE3ENROLLING BY_INVITATION
A Study Evaluating the Long-Term Efficacy and Safety of Ralinepag in Subjects With PAH Via an Open-Label Extension
PAHUnlock trial analytics
PHASE3COMPLETED
A Study Evaluating the Efficacy and Safety of Ralinepag to Improve Treatment Outcomes in PAH Patients
PAHUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of subjects with treatment-emergent adverse events [Safety and Tolerability]
Up to 6 years

The safety and tolerability of ralinepag will be evaluated by the Number of subjects with treatment-emergent adverse events

Time from randomization to the first adjudicated protocol-defined clinical worsening event
The study duration was event-based. This parameter was assessed from randomization until the conclusion of the study, up to 3 years

Clinical worsening events are defined as death, nonelective hospital admission for worsening PAH (further defined in clinical study protocol), initiation of parenteral or inhaled prostacyclin pathway agent for treatment of worsening PAH, disease progression (further defined in clinical study protocol), or unsatisfactory long-term clinical response (further defined in clinical study protocol).

Change From Baseline in Pulmonary Vascular Resistance
At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.

Pulmonary vascular resistance was collected by right heart catheterization (RHC).

Change From Baseline in Cardiac Output
At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.

Cardiac output was collected by right heart catheterization (RHC).

Change From Baseline in Cardiac Index
At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.

Cardiac index was collected by right heart catheterization (RHC).

Change From Baseline in Mean Pulmonary Arterial Pressure
At 1 or 2 years after the subject enrolled into the study, pending their last RHC prior to Protocol Amendment 2.

Mean pulmonary arterial pressure was collected by right heart catheterization (RHC).

Change From Baseline in Pulmonary Vascular Resistance (PVR)
Baseline and 22 Weeks

Measurements of PVR from right heart catheterization were obtained prior to Day 1 of the dose titration period and at the end of the maintenance period (Week 22), approximately 4 hours after the last dose of study drug.

Change From Baseline in 6-minute Walk Distance (6MWD) in Patients With PAH
Baseline and 22 Weeks

The 6MWT was conducted according to the modified guidelines issued by the American Thoracic Society prior to Day 1 of the dose titration period and at the end of the maintenance period (Week 22).

Secondary Endpoints

Change from Baseline in N-terminal pro-brain natriuretic peptide (NT-proBNP)
Baseline to Week 28
Change from Baseline in 6-minute walk distance (6MWD)
Baseline to Week 28
Change from Baseline in WHO/New York Heart Association (NYHA) Functional Class
Baseline to Week 28
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RalinepagEXPERIMENTALRalinepag once daily extended-release tablets (oral) 50, 250, and 400 mcg titrated to the highest tolerated dose.
PlaceboPLACEBO_COMPARATORMatching placebo tablets (oral)
Oral RalinepagEXPERIMENTALRalinepag immediate-release (IR) capsules of 10, 20, 30, 40, and 100 mcg or extended-release (XR) tablets of 50, 250, and 400 mcg for oral administration.
APD811EXPERIMENTALMultiple dose titration to maximum tolerated dose.

Interventions

NameTypeDescription
RalinepagDRUGActive
PlaceboDRUGPlacebo
APD811DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites190

Inclusion Criteria: 1. Evidence of a personally signed and dated informed consent form indicating that the subject has been informed of all pertinent aspects of the study prior to initiation of any study-related procedures. 2. Subjects who are willing and able to comply with scheduled visits, treat...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaCroatiaCzechiaDenmarkFranceGermanyGreeceHungaryIsraelItalyMexicoNetherlandsPolandPortugalRomaniaSerbiaSingaporeSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)UkraineUnited KingdomSlovakia
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Recent Changes (Last 90 Days)

LOWOct 6, 2026NCT03683186lastUpdatePostDate: changed
LOWOct 6, 2026NCT03683186lastUpdatePostDate: changed

Frequently asked questions about APD811

What is APD811 used for?

APD811 is being developed for the treatment of pulmonary arterial hypertension, a condition characterized by high blood pressure in the arteries of the lungs. It is an investigational small molecule therapy from United Therapeutics Corporation and has not been approved for any indication.

Who is developing APD811?

APD811 is being developed by United Therapeutics Corporation, a biotechnology company traded on the Nasdaq under the ticker symbol UTHR. The company is responsible for the clinical development and regulatory strategy for this investigational therapy.

What phase is APD811 in?

APD811 is in the NDA/BLA stage, meaning United Therapeutics has submitted or is preparing a New Drug Application or Biologics License Application for regulatory review. The drug has completed a Phase 2 clinical trial and is not yet approved.

What clinical trials is APD811 in?

APD811 has been studied in one completed Phase 2 clinical trial, NCT02279160, titled "Safety and Efficacy of APD811 in Pulmonary Arterial Hypertension." The trial enrolled 61 participants across the United States, Australia, Bulgaria, Czechia, Hungary, Poland, Romania, Serbia, and Spain.

Is APD811 FDA approved?

No, APD811 is not FDA approved. It is an investigational drug currently in the NDA/BLA stage of development. United Therapeutics has not received marketing authorization for APD811 for any indication, including pulmonary arterial hypertension.