E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Participants with Pulmonary Arterial Hypertension |
Partecipanti con ipertensione arteriosa polmonare |
|
E.1.1.1 | Medical condition in easily understood language |
Participants with high blood pressure in the arteries of the lungs |
Partecipanti con pressione alta nelle arterie dei polmoni |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10064911 |
E.1.2 | Term | Pulmonary arterial hypertension |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
|
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the safety and tolerability of the long-term use of TPIP in participants with PAH from studies INS1009-201, INS1009-202 and other lead-in studies of TPIP in participants with PAH. |
Valutare la sicurezza e la tollerabilità dell'uso a lungo termine di TPIP in partecipanti con PAH provenienti dagli studi INS1009-201, INS1009-202 e da altri studi di lead-in su TPIP in partecipanti con PAH. |
|
E.2.2 | Secondary objectives of the trial |
-To evaluate the effect of the long-term use of TPIP on exercise capacity in participants with PAH. - To evaluate the effect of the long-term use of TPIP on blood biomarkers of disease severity in participants with PAH. -To evaluate the effect of the long-term use of TPIP on the mortality risk in participants with PAH. -To evaluate the effect of the long-term use of TPIP on the clinical status of participants with PAH. To evaluate the effect of the long-term use of TPIP on the clinical worsening rate in participants with PAH. -To further evaluate the PK profile of the long-term use of TPIP in participants with PAH. |
- Valutare l'effetto dell'uso a lungo termine di TPIP sulla capacità di esercizio in partecipanti con PAH - Valutare gli effetti dell'uso a lungo termine di TPIP sui biomarcatori ematici della gravità della malattia in partecipanti con PAH - Valutare l'effetto dell'uso a lungo termine di TPIP sul rischio di mortalità in partecipanti con PAH - Valutare l'effetto dell'uso a lungo termine di TPIP sullo stato clinico di partecipanti con PAH - Valutare l'effetto dell'uso a lungo termine di TPIP sul tasso di peggioramento clinico in partecipanti con PAH - Valutare ulteriormente il profilo PK dell'uso a lungo termine di TPIP in partecipanti con PAH |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Participants who completed the end of treatment visit in Study INS1009-201, Study INS1009-202, or any other lead-in PAH TPIP study. Participants for whom the OLE study was not available at the time of their completion of the lead-in study are eligible for enrolment within one year of their lead-in end of treatment visit. 2. Complete baseline screening assessments to confirm eligibility to participate if more than 30 days have elapsed since the end of the study visit in Study INS1009-201, Study INS1009-202, or any other lead-in PAH TPIP in study. 3. Capable of giving signed informed consent. |
1. Partecipanti che hanno completato la visita di fine trattamento dello Studio INS1009-201, dello Studio INS1009-202 o di qualsiasi altro studio di lead-in su TPIP per PAH. I partecipanti per i quali lo studio OLE non era disponibile al momento del completamento dello studio di lead-in sono eleggibili per l'arruolamento entro un anno dalla visita di fine trattamento del lead-in. 2. Completare le valutazioni di screening e al Basale per confermare l'eleggibilità a partecipare se sono trascorsi più di 30 giorni dalla fine della visita dello studio nello Studio INS1009-201, nello Studio INS1009-202 o in qualsiasi altro studio di lead-in su TPIP per PAH. 3. Essere in grado di fornire un consenso informato firmato. |
|
E.4 | Principal exclusion criteria |
1. Participants who experienced any hypersensitivity or adverse drug reaction or were withdrawn early/discontinued in a previous PAH TPIP study, which, in the opinion of the Investigator, could indicate that continued treatment with TPIP may present an unreasonable risk for the participant. 2. Initiation of parenteral administration of prostacyclin analogues (eg, TRE, epoprostenol) since the completion of studies INS1009-201, INS1009-202 or other TPIP studies. Initiation of inhaled prostacyclin analogues (eg, TRE [Tyvaso®] or iloprost) and oral prostacyclin analogues (eg, TRE [Orenitram®]) or receptor agonists (eg, selexipag) are permitted if stopped 24 hours prior to the start of study drug administration. 3. Pregnant or breastfeeding. 4. Any medical or psychological condition, including relevant laboratory abnormalities, at screening that, in the opinion of the Investigator, suggest a new and/or insufficiently understood disease that may present an unreasonable risk to the study participant as a result of participation in the study. |
1. Partecipanti che hanno sperimentato un'ipersensibilità o una reazione avversa al farmaco o che sono stati ritirati in anticipo/hanno interrotto un precedente studio su TPIP per PAH poiché ciò, secondo l'opinione dello Sperimentatore, indicherebbe che la continuazione del trattamento con TPIP può rappresentare un rischio irragionevole per il partecipante. 2. Inizio della somministrazione parenterale di analoghi della prostaciclina (per es. TRE, epoprostenolo) dal completamento degli studi INS1009-201, INS1009-202 o di altri studi su TPIP. L'inizio della somministrazione di analoghi della prostaciclina per via inalatoria (per es. TRE [Tyvaso®] o iloprost) e per via orale (per es. TRE [Orenitram®]) o di agonisti del recettore (per es. selexipag) è consentito se interrotto 24 ore prima dell'inizio della somministrazione del farmaco in studio. 3. Gravidanza o allattamento. 4. Eventuali condizioni mediche o psicologiche, comprese anomalie di laboratorio rilevanti allo Screening che, secondo l'opinione dello Sperimentatore, suggeriscono una malattia nuova e/o non sufficientemente compresa che può rappresentare un rischio irragionevole per il partecipante allo studio come conseguenza della sua partecipazione allo studio. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Frequency and severity of TEAEs |
Frequenza e gravità dei TEAE. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Throughout the study. |
Durante lo studio. |
|
E.5.2 | Secondary end point(s) |
-Change in 6MWD (absolute and relative). -Change in the concentration of NT-proBNP in blood. - Change in the REVEAL Lite 2.0 score. -Annualized rate of clinical worsening events (as defined in the protocol) -Plasma concentration levels of TP and TRE. |
- Variazione (assoluta e relativa) nel 6MWT. - Variazione nella concentrazione di NTproBNP nel sangue - Variazione d nel punteggio REVEAL Lite 2.0. - Tasso annualizzato di eventi di peggioramento clinico (come definito nel protocollo) - Livelli di concentrazione plasmatica di TP e TRE. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- From pre-OLE baseline to Month 6, Month 12, Month 18, and Month 24 - From pre-OLE baseline* to Month 6, Month 12, Month 18, and Month 24 - From pre-OLE baseline* to Month 6, Month 12, Month 18, and Month 24 -Throughout the study -Throughout the study |
- Dal Basale pre-OLE al Mese 6, al Mese 12, al Mese 18 e al Mese 24. - Dal Basale pre-OLE al Mese 6, al Mese 12, al Mese 18 e al Mese 24. - Dal Basale pre-OLE al Mese 6, al Mese 12, al Mese 18 e al Mese 24. - Durante lo studio. - Durante lo studio. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability |
Tollerabilità |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Periodo di titolazione di 3 sett per partecipanti che provengono immediatamente da studio lead-in |
3-week blinded titration period for participants enrolling immediately from a lead in study. |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 35 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Brazil |
Japan |
Malaysia |
Mexico |
Peru |
Philippines |
United States |
Austria |
Spain |
Switzerland |
Germany |
Italy |
Belgium |
Denmark |
United Kingdom |
Serbia |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The end of study is defined as the date of the last Follow-Up phone call or visit for the last participant in the study. |
La fine dello studio è definita come la data dell'ultima telefonata di follow-up o visita per l'ultimo partecipante allo studio. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |