Inhaled Vardenafil for Pulmonary Arterial Hypertension

(VIPAH-PRN 2B Trial)

No longer recruiting at 30 trial locations
KC
DJ
SD
RT
CO
Overseen ByClinical Operations
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Respira Therapeutics, Inc.
Must be taking: Endothelin antagonists, PDE5 inhibitors
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new inhaled medication, RT234 (inhaled vardenafil), to determine if it can safely help people with pulmonary arterial hypertension (PAH) exercise more effectively and reduce shortness of breath. PAH is a condition where high blood pressure in the lungs' arteries makes activities like walking difficult. People with PAH who are on stable treatment and can walk at least 150 meters might be suitable for this trial. The trial will compare different doses of RT234 to identify the most effective one. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of participants.

Will I have to stop taking my current medications?

The trial requires that participants have stable PAH-specific medication regimens for at least 3 months before starting and throughout the study. If you are on certain medications like vasodilators or vitamin K antagonists, you must maintain a stable dose for at least 1 month before starting the trial. Some medications, like riociguat and nitrates, must be stopped before the trial.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research shows that RT234, an inhaled form of vardenafil, is generally safe for people. In earlier studies, participants tolerated doses from 0.2 mg to 2.4 mg well, using the medicine up to four times a day for nine days without major problems.

The treatment was also tested on healthy volunteers and proved safe when inhaled. This suggests that RT234 could be a good option for those considering it for pulmonary arterial hypertension (PAH). While these results are encouraging, individual experiences may vary.12345

Why do researchers think this study treatment might be promising for pulmonary arterial hypertension?

Researchers are excited about RT234 for pulmonary arterial hypertension because it offers a unique approach with its inhaled delivery method. Unlike current treatments that are often oral or intravenous, the inhalation method allows the medication to work directly in the lungs where it's needed most, potentially enhancing effectiveness and reducing side effects. Additionally, RT234 uses vardenafil, a well-known phosphodiesterase-5 (PDE5) inhibitor, which helps relax blood vessels and improve blood flow. This targeted delivery system could mean quicker relief of symptoms and improved quality of life for patients.

What evidence suggests that RT234 might be an effective treatment for pulmonary arterial hypertension?

Research has shown that inhaled vardenafil, also known as RT234, may help treat pulmonary arterial hypertension (PAH). In studies, RT234 helped patients exercise longer and with less effort. It also increased oxygen use during exercise, which is crucial for people with PAH. Additionally, the treatment improved blood flow in the lungs. These findings suggest it could effectively manage PAH symptoms.14678

Who Is on the Research Team?

EP

Ed Parsley, DO

Principal Investigator

Respira Therapeutics

Are You a Good Fit for This Trial?

Adults aged 18-80 with a confirmed diagnosis of WHO Group 1 Pulmonary Arterial Hypertension (PAH) who can walk at least 150 meters and are on stable PAH medication may qualify. Exclusions include vision loss from optic neuropathy, use of non-oral PAH meds, recent pulmonary rehab, sudden hearing loss, Down syndrome, severe blood or heart conditions, liver disease, uncontrolled asthma or hypertension, certain infections in HIV patients.

Inclusion Criteria

I've had a scan that shows I don't have CTEPH.
My pulmonary arterial hypertension is stable without major treatment changes.
I have been on a stable dose of my current medications for at least 1 month.
See 5 more

Exclusion Criteria

I am using non-oral medication for pulmonary arterial hypertension.
I have severe liver disease or hypertension related to liver problems.
I have irregular heartbeats that are sudden or not well-controlled.
See 21 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single inhaled dose of RT234 to assess its effects on exercise capacity and dyspnea

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including changes in vital signs and adverse events

30 days

What Are the Treatments Tested in This Trial?

Interventions

  • RT234
Trial Overview The trial is testing RT234 - vardenafil inhalation powder delivered via an Axially Oscillating Sphere dry powder inhaler to see if it improves exercise ability in PAH patients. Participants will undergo a Cardiopulmonary Exercise Test (CPET) to measure the drug's effects.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: RT234 2.0 mg Cohort 3Experimental Treatment1 Intervention
Group II: RT234 1.0 mg Cohort 2Experimental Treatment1 Intervention
Group III: RT234 0.5 mg Cohort 1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Respira Therapeutics, Inc.

Lead Sponsor

Trials
3
Recruited
90+

Citations

Safety and efficacy of RT234 vardenafil inhalation powder on ...This study aims to evaluate whether RT234 can increase oxygen capacity during cardiopulmonary exercise testing (CPET) in patients with PAH.
A Single Dose of RT234, Vardenafil Inhaled via the Axial ...RESULTS: There were 39 participants evaluable in the per protocol population. Improvements in exercise capacity (i.e. peak VO2 increase) and ventilatory ...
NCT05343637 | A Dose Escalation Study to Evaluate the ...The current study will identify the effective dose(s) of RT234 to acutely improve pulmonary vascular hemodynamics when delivered in a dose escalation manner in ...
Vardenafil Inhaled for Pulmonary Arterial Hypertension ...The objectives of this study are to evaluate the safety of RT234 and the effects of RT234 on exercise capacity as assessed by ...
Findings from a Phase 2b Trial Evaluating RT234, a Drug ...RT234 is an investigational drug-device combination that delivers a dry powder formulation of vardenafil via a novel oscillating inhaler.
Safety and Efficacy of RT234 Vardenafil Inhalation Powder ...• Pulmonary arterial hypertension (PAH; Group 1 pulmonary ... • Safety data will be summarized descriptively. OBJECTIVE. METHODS. • RT234 ...
A First-in-Human, Ascending Single- and Multiple-Dose Study ...RT234 was generally safe and well tolerated at single doses of 0.2–2.4 mg and after repeated dose administration of up to 2.4 mg q4h for four doses daily for 9 ...
SAFETY AND PHARMACOKINETICS OF VARDENAFIL ...Vardenafil Inhalation Powder (RT234), was found to be safe and well tolerated when orally inhaled in normal human volunteers.
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