Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as UT-15C, UT-15C SR, Oral treprostinil, Treprostinil diolamine, Oral treprostinil (UT-15C) Sustained Release Tablets
Treprostinil diethanolamine · 15 trials · 6 indications
All subjects who received oral treprostinil in TDE-PH-311 were included in the Safety population. All AEs were captured from the time the ICF was signed. All AEs were followed until resolution (or return to normal or baseline values), until they were judged by the Investigator to no longer be clinically significant, or for up to 30 days if the AE extended beyond the final visit. All SAEs were followed until resolution, death, or the subject was lost to follow-up, even if they were ongoing more than 30 days after completion of the final visit. The overall summary of AEs includes the number of subjects with any AE, the number of subjects with any study drug-related AEs, the number of subjects with AEs leading to study drug withdrawal, the number of subjects with any serious AEs, the number of subjects with any severe AEs, and the number of subjects with any study drug-related severe/serious AEs. AEs were coded using the Medical Dictionary for Regulatory Activities.
The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.
The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.
The PK sampling occurred over a 12-hour period in subjects during BID dosing (PK Visit 1) and during TID dosing (PK Visit 2). Prior to each PK sampling day, subjects must have been receiving a stable dose for at least 5 days.
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.
Placebo-corrected change in 6MWD from Baseline to Week 16, correlates with the current clinical standard for assessing patient functional status in the treatment of PAH and is considered an objective measure of patient functional status by the American Thoracic Society (ATS). The 6MWD was to be assessed between 3 and 6 hours after the morning dose of study drug and background therapy(ies).
Successful transition was based on the number of participants that completely transitioned to oral treprostinil by the week 4 study visit and clinically maintained on oral treprostinil treatment through Week 24.
Hemodynamics (via right heart catheterization \[RHC\]) were assessed at Baseline and Week 24 or at the time of premature termination of study drug if prior to the Week 24 visit. Cardiopulmonary hemodynamic measurements included the following: mean pulmonary arterial pressure (PAPm), mean systemic arterial pressure (SAPm), mean right atrial pressure (RAPm), and mean pulmonary capillary wedge pressure (PCWPm).
Heart rate was assessed at Baseline and Week 24 or at the time of premature termination of study drug if prior to the Week 24 visit.
Hemodynamics (via right heart catheterization \[RHC\]) were assessed at Baseline and Week 24 or at the time of premature termination of study drug if prior to the Week 24 visit. Cardiopulmonary hemodynamic measurements included arterial oxygen saturation (SaO2) and mixed venous oxygen saturation (SvO2).
Hemodynamics (via right heart catheterization \[RHC\]) were assessed at Baseline and Week 24 or at the time of premature termination of study drug if prior to the Week 24 visit.
Hemodynamics (via right heart catheterization \[RHC\]) were assessed at Baseline and Week 24 or at the time of premature termination of study drug if prior to the Week 24 visit. Cardiopulmonary hemodynamic measurements included cardiac index (CI).
Hemodynamics (via right heart catheterization \[RHC\]) were assessed at Baseline and Week 24 or at the time of premature termination of study drug if prior to the Week 24 visit. Cardiopulmonary hemodynamic measurements included the following: pulmonary vascular resistance index (PVRI).
The effects of 12-week treatment with different doses of UT-15C on peak TPRI during exercise will be evaluated by comparing the change from Baseline to Week 12 at peak wattage on a pairwise basis between treatment groups. The primary measure of efficacy was the change from Baseline to Week 12 in peak TPRI during exercise assessed 3 to 6 hours after the subject's morning dose of UT-15C to obtain measurements at peak concentrations of treprostinil. The equation used to determine the Total Pulmonary Resistance Index (TPRI) (mmHg/\[L/min/m\^2\]) is Mean Pulmonary Artery Pressure (PAPm)/ Cardiac Index (CI).
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 | Open label access |
| Open label extension | EXPERIMENTAL | - |
| Placebo | PLACEBO_COMPARATOR | Matching placebo tablets (oral) |
| UT-15C SR | EXPERIMENTAL | Doses were initiated at 0.25 mg BID and increased by 0.25 mg BID every three days (as clinically indicated based on tolerability and symptoms of PAH), to a max dose of 16 mg BID. |
| UT-15C SR BID | EXPERIMENTAL | Initiated at 0.125 mg twice daily (BID), titrated as clinically indicated. |
| Dose Group 1 | ACTIVE_COMPARATOR | UT-15C 0.25 mg twice daily |
| Dose Group 2 | ACTIVE_COMPARATOR | UT-15C 1.25 mg twice daily |
| Dose Group 3 | ACTIVE_COMPARATOR | UT-15C individual Maximum Tolerated Dose |
| 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 |
|---|---|---|
| UT-15C (treprostinil diolamine) | DRUG | UT-15C extended release oral tablet three times daily |
| UT-15C SR | DRUG | - |
| treprostinil diethanolamine | DRUG | Open label study drug. |
| Treprostinil Diolamine | DRUG | Active |
| Placebo | DRUG | Placebo |
| Tyvaso Inhalation Solution | DRUG | Administered as at least 9 breaths 4 times daily for at least 4 weeks prior to Baseline |
| UT-15C | DRUG | oral |
| UT-15C SR (treprostinil diethanolamine) | DRUG | Single dose, 1 mg UT-15C SR |
| 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. |
Inclusion Criteria: * Participated in United Therapeutics Study TDE-PH-310 * All women of childbearing potential (WOCBP) must have practiced true abstinence from intercourse when it was in line with their preferred and usual lifestyle or used 2 different forms of highly effective contraception for ...
Treprostinil diethanolamine is an oral small molecule developed by United Therapeutics Corporation for pulmonary arterial hypertension and related cardiovascular conditions. It is an investigational agent that has been studied in Phase 1 clinical trials, primarily to characterize its bioavailability and pharmacokinetic profile in healthy volunteers.
Treprostinil diethanolamine targets PTGIR, the prostacyclin receptor, where it acts as an agonist. Agonism at this receptor supports vasodilation relevant to pulmonary arterial hypertension. This mechanism aligns with the drug's development for pulmonary vascular and systemic sclerosis related indications.
United Therapeutics Corporation develops treprostinil diethanolamine. The company trades on the Nasdaq under the ticker UTHR. United Therapeutics has sponsored the Phase 1 clinical program evaluating oral formulations of this compound.
Treprostinil diethanolamine is in Phase 1 clinical development. It is investigational and has not been approved by the FDA. The completed Phase 1 studies focused on bioavailability, pharmacokinetic linearity, and drug interaction assessments rather than pivotal efficacy endpoints.
Four completed Phase 1 trials have evaluated treprostinil diethanolamine: NCT01172496, NCT01165476, NCT01153386, and NCT00963027. These studies enrolled 154 participants in total and examined oral tablet and solution bioavailability, manufacturing comparability, pharmacokinetic linearity, and the effect of esomeprazole on oral treprostinil pharmacokinetics.
Treprostinil diethanolamine has been studied in pulmonary arterial hypertension as an oral prostacyclin receptor agonist. The Phase 1 trials were conducted in healthy volunteers to assess bioavailability and pharmacokinetics rather than to establish efficacy in patients. It remains investigational for this indication.