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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
Also known as UT--15C, Oral treprostinil, Treprostinil diethanolamine, UT-15C SR
Treprostinil Diolamine · 8 trials · 4 indications
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 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.
Pharmacokinetic blood sampling will occur twice for each subject. Pharmacokinetic parameters will be derived from treprostinil concentration-time data
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.
| Arm | Type | Description |
|---|---|---|
| UT-15C | EXPERIMENTAL | Treprostinil diolamine extended-release tablets (oral) 0.125 to 12 mg TID |
| Placebo | PLACEBO_COMPARATOR | Matching placebo tablets (oral) |
| treprostinil diethanolamine | EXPERIMENTAL | Treprostinil 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_COMPARATOR | Matching 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 solution | EXPERIMENTAL | - |
| 1mg solution; 1mg tablet | EXPERIMENTAL | - |
| 0.5 mg treprostinil diethanolamine | EXPERIMENTAL | 0.5 mg treprostinil diethanolamine |
| 2.5 mg treprostinil diethanolamine | EXPERIMENTAL | 2.5 mg treprostinil diethanolamine |
| 1 mg treprostinil diethanolamine | EXPERIMENTAL | 1 mg treprostinil diethanolamine |
| manufacturer #1 | ACTIVE_COMPARATOR | treprostinil diethanolamine from manufacturer #1 |
| manufacturer #2 | EXPERIMENTAL | treprostinil diethanolamine from manufacturer #2 |
| Name | Type | Description |
|---|---|---|
| Treprostinil Diolamine | DRUG | Active |
| Placebo | DRUG | Placebo |
| treprostinil diethanolamine | DRUG | oral sustained release tablet. Maximum tolerable dose not exceeding 16 mg twice daily (BID) |
| Standardized meals | OTHER | Each 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. |
| Esomeprazole | DRUG | Each subject will receive a single 40 mg capsule of esomeprazole by mouth in the morning for seven days. |
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...
Top 13 of 15 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Merck & Co., Inc. | MRK | 8 | PHASE3 | Sotatercept, Riociguat, Frespaciguat |
| United Therapeutics Corporation | UTHR | 5 | PHASE3 | Ralinepag, Tyvaso (treprostinil) |
| Insmed Incorporated | INSM | 4 | PHASE3 | Treprostinil Palmitil |
| Johnson & Johnson | JNJ | 4 | PHASE3 | selexipag, Macitentan |
| Liquidia Corporation | LQDA | 4 | PHASE3 | L606, LIQ861 Treprostinil, LIQ861 |
| Tenax Therapeutics, Inc. | TENX | 3 | PHASE3 | Levosimendan (TNX-103) |
| Inhibikase Therapeutics, Inc. | IKT | 2 | PHASE3 | IKT-001 |
| Roivant Sciences Ltd. | ROIV | 3 | PHASE3 | Mosliciguat |
| Regeneron Pharmaceuticals, Inc. | REGN | 1 | PHASE2 | REGN13335 |
| Tectonic Therapeutic Inc | TECX | 2 | PHASE2 | TX45 |
| Gossamer Bio, Inc. | GOSS | 1 | PHASE3 | Seralutinib |
| Pfizer Inc. | PFE | 1 | PHASE2 | PF-07868489 |
| GSK plc Sponsored ADR | GSK | 2 | PHASE1 | HS235 |
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.
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.
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.
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.
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.