Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 to 80

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.

More Pulmonary Arterial Hypertension (PAH) trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment20 (estimated)
SponsorLiquidia Technologies, Inc.
Industry-sponsored
Locations1 site (Columbus, Georgia)
StatusRecruiting
StartedSeptember 2026
Main results expectedMay 2027
Study endsJune 2027
Registry record updatedOctober 2, 2026
Trial IDNCT07759804 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.