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Treprostinil Diolamine

Phase 4FDA approved

Pulmonary Arterial Hypertension | Small molecule | Cardiovascular |United Therapeutics Corporation|Trials Updated: Dec 28, 2023

Treprostinil Diolamine development status

FDA approval on record Dec 20, 2013 as Orenitram
Approval holderUnited Therap
ApplicationNDA203496
Highest phase Phase 4 (NCT05203510)
Phase scored for UTHRPhase 3
Registered trials 25 across 3 sponsors since Oct 2008

Label indication Orenitram is a prostacyclin mimetic indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group 1): To delay disease progression and to improve exercise capacity. The studies that established effectiveness included predominately patients with WHO functional class II-III symptoms and etiologies of idiopathic or heritable PAH (66%) or PAH associated with connective tissue disease (26%). FDA label

Treprostinil Diolamine target and mechanism

Molecular targetPTGIR
Target classAgonist
ModalitySmall molecule

Also known as UT--15C, Oral treprostinil, Treprostinil diethanolamine, UT-15C SR

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials8
Total Enrollment1,052

FDA Designations

No designations recorded

Treprostinil Diolamine clinical trials

Treprostinil Diolamine · 8 trials · 4 indications

Phase 3 1Phase 2 1Phase 1 6
NCT01560624Phase III Clinical Worsening Study of UT-15C in Subjects With PAH Receiving Background Oral MonotherapyPulmonary Arterial Hypertension
COMPLETED690 Analytics
PHASE3COMPLETED
Phase III Clinical Worsening Study of UT-15C in Subjects With PAH Receiving Background Oral Monotherapy
Pulmonary Arterial HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to First Clinical Worsening Event
From randomization to approximately 4 years

Clinical worsening was assessed continuously from randomization until the subject's last study visit. Clinical worsening events were defined as death (all causes), hospitalizations due to worsening pulmonary arterial hypertension (PAH), initiation of an inhaled or infused prostacyclin (PGI2) for the treatment of worsening PAH, disease progression, or unsatisfactory long-term clinical response. All clinical worsening events reported by the study sites were reviewed by the Sponsor Medical Monitors. Once a clinical worsening event occurred, it was entered in the eCRF and a narrative was submitted for review by the Sponsor's Medical Monitor within 48 hours after the event became known to the Investigator or designee. Subsequently, the narratives for subjects with the reported clinical worsening events were sent to an independent adjudication committee. The independent adjudication committee reviewed and adjudicated all clinical worsening events throughout the study.

Net Ulcer Burden
Week 20

Net ulcer burden was defined as the number of "new" or "active" digital ulcers (DU), plus the number of "indeterminate" DUs at that assessment that have previously been classified as either "active" or "new" at any earlier assessment during the study. A DU was defined as an area with visually discernable depth and a loss of continuity of epithelial coverage, which could be denuded or covered by a scab or necrotic tissue. If denuded, the DU was pronounced "active." If denudation could not be judged because of the presence of scab or necrotic tissue, DU presenting with features, including underlying pain, based on Investigator clinical judgment to be consistent with loss of epithelialization, epidermis, or dermis, and requiring treatment were designated as "active." Otherwise, the DU was pronounced "indeterminate." Only DUs distal to the proximal interphalangeal joints, volar to the equator of the finger, not localized in creases and vascular in origin were assessed.

Plasma treprostinil concentrations
1 month

Pharmacokinetic blood sampling will occur twice for each subject. Pharmacokinetic parameters will be derived from treprostinil concentration-time data

Treprostinil pharmacokinetics
36 hours

Treprostinil pharmacokinetics in healthy volunteers following a single oral dose of 0.5 mg, 1 mg and 2.5 mg treprostinil diethanolamine sustained release tablets immediately prior to through 36 hours post treprostinil diethanolamine dosing.

Treprostinil pharmacokinetics in healthy volunteers following a single oral dose of a 1 mg treprostinil diethanolamine sustained release tablet after four different meal types.
Immediately prior to through 36 hours post treprostinil diethanolamine dosing for each treatment period (4 treatment periods each separated by a 7-day washout period)
Adverse event monitoring
From the first dose of treprostinil diethanolamine through study end (Study Day 23/24)
Treprostinil pharmacokinetics in healthy volunteers following a single oral dose of a 1 mg treprostinil diethanolamine sustained release tablet before and after repeated dosing with esomeprazole.
Within 10 minutes prior to through 36 hours post treprostinil diethanolamine dosing
Cohort 1: treprostinil pharmacokinetics in patients with systemic sclerosis following single oral administration of a 1 mg treprostinil diethanolamine SR dose.
pre-24hrs post dose
Cohort 2: treprostinil pharmacokinetics at dose levels of 2 mg BID and 4 mg BID, respectively, in patients with systemic sclerosis following repeated oral administration of treprostinil diethanolamine SR tablets
0-12 hrs post-dose

Secondary Endpoints

Change in 6-Minute Walk Distance
From Baseline to Week 24
Change in Plasma N-Terminal Pro-brain Natriuretic Peptide (NT-proBNP) From Baseline to Week 24
From Baseline to Week 24
Change in World Health Organization Functional Class (WHO FC) From Baseline to Week 48
Baseline to Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
UT-15CEXPERIMENTALTreprostinil diolamine extended-release tablets (oral) 0.125 to 12 mg TID
PlaceboPLACEBO_COMPARATORMatching placebo tablets (oral)
treprostinil diethanolamineEXPERIMENTALTreprostinil diethanolamine sustained release tablet initiated at 0.25 mg BID and titrated up to a maximum dose of 16 mg BID or the individual's maximum tolerated dose.
placebo (sugar pill)PLACEBO_COMPARATORMatching placebo sustained release tablet initiated at 0.25 mg BID and titrated up to a maximum dose of 16 mg BID or the individual's maximum tolerated dose.
1 mg tablet; 1mg solutionEXPERIMENTAL -
1mg solution; 1mg tabletEXPERIMENTAL -
0.5 mg treprostinil diethanolamineEXPERIMENTAL0.5 mg treprostinil diethanolamine
2.5 mg treprostinil diethanolamineEXPERIMENTAL2.5 mg treprostinil diethanolamine
1 mg treprostinil diethanolamineEXPERIMENTAL1 mg treprostinil diethanolamine
manufacturer #1ACTIVE_COMPARATORtreprostinil diethanolamine from manufacturer #1
manufacturer #2EXPERIMENTALtreprostinil diethanolamine from manufacturer #2

Interventions

NameTypeDescription
Treprostinil DiolamineDRUGActive
PlaceboDRUGPlacebo
treprostinil diethanolamineDRUGoral sustained release tablet. Maximum tolerable dose not exceeding 16 mg twice daily (BID)
Standardized mealsOTHEREach subject will receive one of four different standardized meals of varying caloric and fat content in a randomized sequence such that all subjects will receive all four meals over the course of the study. Each subject will receive one standardized meal for breakfast on Study Days 1, 8, 15, and 22.
EsomeprazoleDRUGEach subject will receive a single 40 mg capsule of esomeprazole by mouth in the morning for seven days.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites155

Subject Inclusion Criteria: 1. Voluntarily gave informed consent to participate in the study. 2. Are 18 to 75 years of age (inclusive) at Screening. 3. Women of childbearing potential must practice abstinence from intercourse when in line with their preferred and usual lifestyle, or use 2 different...

Countries:United StatesArgentinaAustraliaAustriaBrazilCanadaChileChinaDenmarkFranceGermanyGreeceIndiaIsraelItalyMexicoNetherlandsPolandSingaporeSouth KoreaSwedenTaiwanUnited Kingdom
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Frequently asked questions about Treprostinil Diolamine

What is treprostinil diolamine used for?

Treprostinil diolamine is being developed for the treatment of pulmonary arterial hypertension, a cardiovascular condition. It is a small molecule therapeutic candidate from United Therapeutics Corporation. The drug has been studied in a Phase 3 clinical trial in adults with PAH who were receiving background oral monotherapy.

What does treprostinil diolamine target?

Treprostinil diolamine targets PTGIR, the prostacyclin receptor, and acts as an agonist. By activating this receptor, the drug is designed to produce vasodilation and inhibit platelet aggregation, effects relevant to pulmonary arterial hypertension. The target class is agonist.

Who is developing treprostinil diolamine?

Treprostinil diolamine is being developed by United Therapeutics Corporation, which trades on the Nasdaq under the ticker UTHR. The company is responsible for the clinical program in pulmonary arterial hypertension.

What phase is treprostinil diolamine in?

Treprostinil diolamine is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 3 trial has been completed, and the drug remains under development for pulmonary arterial hypertension.

What clinical trials is treprostinil diolamine in?

Treprostinil diolamine has been evaluated in one Phase 3 clinical trial, NCT01560624, titled "Phase III Clinical Worsening Study of UT-15C in Subjects With PAH Receiving Background Oral Monotherapy." The trial enrolled 690 participants, was randomized, double-blind, and placebo-controlled, and is now completed.