Treprostinil inhalation powder for PAH patients switching from selexipag
Official title: An Open-label Study to Evaluate the Safety and Tolerability of LIQ861 in Participants With WHO Group 1 PAH Transitioning From Oral Selexipag to Inhaled Treprostinil
Run by Liquidia Technologies, Inc. · NCT07759804 · Data updated 2026-11-12
This study tests whether inhaled treprostinil (LIQ861) is safe and tolerable for adults with PAH who are moving from oral selexipag to inhaled therapy.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Liquidia Technologies, Inc. Industry-sponsored |
| Locations | 1 site (Columbus, Georgia) |
| Status | Recruiting |
| Started | September 2026 |
| Main results expected | May 2027 |
| Study ends | June 2027 |
| Registry record updated | October 2, 2026 |
| Trial ID | NCT07759804 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with WHO Group 1 PAH who are currently taking selexipag (200–1600 mcg twice daily) for at least 90 days and are willing to transition to LIQ861.
✕Probably not a fit
Patients with PAH not driven by prostacyclin pathways or who cannot tolerate inhaled therapy may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 4 trial evaluates LIQ861, a dry powder inhaler formulation of treprostinil, in adults with WHO Group 1 PAH who switch from selexipag. All participants will discontinue selexipag and begin LIQ861 four times daily for 16 weeks, with possible dose adjustments for tolerability. The study will assess safety and tolerability, and explore effects on 6-minute walk distance, a biomarker of cardiac stress, and patient-reported symptoms. Eligible participants may be on up to two other non-prostacyclin PAH medications at stable doses. The trial is conducted at a single site in Georgia, led by Liquidia Technologies as sponsor.
Why it matters
Potential benefit: If successful, switching to LIQ861 could offer a convenient inhaled option with acceptable safety and potential improvements in symptoms and functional status.
How similar studies have gone: Prior approaches with prostacyclin therapies via inhalation have shown safety in PAH; this study explores switching from oral selexipag to inhaled treprostinil, which is a novel transition strategy.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female 18 to 80 years of age * Documented findings on right heart catheterization consistent with a diagnosis of WHO Group 1 pulmonary arterial hypertension of one of the following subtypes: idiopathic PAH; heritable PAH; drug- or toxin-induced PAH; PAH associated with connective tissue disease; or PAH associated with simple congenital systemic-to-pulmonary shunts repaired at least 1 year previously * Receiving selexipag at any dose between 200 and 1600 mcg twice daily for at least 90 days, and willing and able to transition from selexipag to LIQ861 due to unsatisfactory clinical response or tolerability issues * May be receiving up to 2 additional approved non-prostacyclin oral PAH therapies at a stable dose and regimen, planned to continue unchanged for the duration of the study * New York Heart Association Functional Class II or III * Able to demonstrate correct use of the dry powder inhaler Exclusion Criteria: * Pulmonary hypertension in WHO Group 2, 3, 4, or 5, or a WHO Group 1 subtype not listed in the inclusion criteria * Clinically significant left-sided heart disease by echocardiography, including left ventricular ejection fraction ≤ 45%, left atrial volume index \> 48 mL/m², or hemodynamically significant valvular disease * Symptomatic coronary artery disease within the previous 6 months * Prior atrial septostomy
Where it's running
-
Southeastern Cardiology Associates
Columbus, Georgia, United States Recruiting
Study contacts
- Study coordinator: Liquidia Point of Contact
- Email: LiquidiaStudies@liquidia.com
- Phone: 1-888-241-6906
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Sleep problems in PAH patients: how sleep breathing relates to PAH outcomes
This study tests how sleep-disordered breathing and nocturnal oxygen changes relate to outcomes in adults with pulmonary arterial hypertension.
-
Impact of ambient air vs nasal liquid oxygen on exercise performance in pulmonary vascular disease
This study tests whether using nasal liquid oxygen during a 6-minute walk test changes how far patients with PAH or CTEPH can walk compared to breathing room air.
-
Liquid oxygen vs ambient air during a 6-minute walk in people with pulmonary vascular disease
This study tests whether walking with liquid oxygen at about 4 L/min helps or hinders distance walked compared with walking on room air in adults with PAH or CTEPH living in Switzerland.
-
Escalation options for PAH patients already on dual therapy
This trial tests whether adding a prostacyclin pathway drug or increasing sildenafil dose helps PAH patients at intermediate-to-high risk who aren’t at low risk despite dual therapy.
-
Vasoactive Agents in Pulmonary Hypertension Crisis
This trial tests whether dopamine, norepinephrine, or epinephrine can safely and effectively help people with a pulmonary hypertension crisis who are in the hospital.
-
Tele-Pulmonary Rehabilitation for Chronic Lung Diseases
This study tests whether a remote tele-rehabilitation program helps people with chronic lung diseases start and stick with pulmonary rehab better than usual center-based care.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.