TX000045 for pulmonary hypertension from interstitial lung disease
Official title: An Open-Label Study to Assess the Hemodynamic Effect and the Safety of TX000045 After 16 Weeks of Treatment in Participants With Pulmonary Hypertension Due to Interstitial Lung Disease
Run by Tectonic Operating Company, Inc. · NCT07473700 · Data updated 2026-11-12
This study tests TX000045 to see if it can reduce pulmonary vascular resistance in people with PH caused by interstitial lung disease and to check its safety.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 25 (estimated) |
| Sponsor | Tectonic Operating Company, Inc. Industry-sponsored |
| Locations | 16 sites (Phoenix, Arizona and 15 other locations) |
| Status | Recruiting |
| Started | October 30, 2026 |
| Main results expected | November 21, 2027 |
| Study ends | December 11, 2027 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT07473700 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with fibrotic interstitial lung disease and confirmed pulmonary hypertension, meeting specific lung function and hemodynamic criteria, may be eligible.
✕Probably not a fit
Patients without pulmonary vascular involvement or who do not meet the hemodynamic criteria may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2 interventional trial enrolling adults with interstitial lung disease who have pulmonary hypertension. Participants will receive TX000045 and will be monitored for changes in pulmonary vascular resistance and safety/tolerability. Eligibility requires evidence of ILD on imaging and reduced lung function, plus a recent invasive or noninvasive assessment showing PH. Study sites are in Phoenix, San Francisco, and Boise, with centrally read imaging and hemodynamic assessments. The goal is to determine if TX000045 can improve PH-ILD and be safe in this population.
Why it matters
Potential benefit: If successful, TX000045 could improve blood flow through the lungs and potentially ease PH symptoms in people with ILD.
How similar studies have gone: Prior research in similar approaches for PH-ILD has shown mixed results; this study builds on a method with potential but is still exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Confirmed diagnosis of ILD based on imaging: chest computed tomography (CT) performed within the past 12 months with fibrotic lung disease (greater than or equal to (\>=) 10 percent (%) lung parenchyma with fibrosis) consistent with idiopathic interstitial pneumonia, ILD in association with connective tissue disease, occupational ILD, or chronic hypersensitivity pneumonitis. Chest CTs will be centrally read for eligibility * 40% predicted less than or equal to (\<=) forced vital capacity (FVC) \<= 80% predicted at screening * At least ONE of the following is required to undergo the first screening visit: Documented diagnostic right heart catheterization (RHC) within 18 months of screening with mean pulmonary arterial pressure (mPAP) \>= 25 millimeters of mercury (mm Hg), pulmonary capillary wedge pressure (PCWP) \<=15 mm Hg, and pulmonary vascular resistance (PVR) \>=4 Wood units; Documented echocardiogram (ECHO) within 18 months of screening with right ventricular (RV) (or pulmonary artery) systolic pressure \>46 mm Hg or tricuspid annular plane systolic excursion (TAPSE)/ systolic pulmonary artery pressure (SPAP) \<=0.38 and absence of clinically significant left ventricular dysfunction as assessed by the investigator Exclusion Criteria: * Participants have a confirmed or suspected diagnosis of pulmonary hypertension in World Health Organization (WHO) Group 1, WHO Group 2, WHO Group 4, or WHO Group 5 * Participants have received phosphodiesterase type 5 inhibitors, endothelin receptor antagonists, soluble guanylate cyclase stimulators, intravenous (IV) or subcutaneous (SC) prostacyclin analogues within 30 days before the first screening visit, or sotatercept within 180 days before the first screening visit * Participants have any type of pulmonary and cardiovascular comorbidities as defined n protocol * Participants who are taking disease-modifying therapy for the underlying interstitial lung disease (ILD) (anti-fibrotics, immunosuppressives, and anti-inflammatory medications) who are not on stable doses for \>30 days before the first screening visit or have initiated new ILD-directed therapies within 90 days before the first screening visit
Where it's running
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Phoenix
Phoenix, Arizona, United States Recruiting -
San Francisco
San Francisco, California, United States Recruiting -
Allen Park
Allen Park, Michigan, United States Recruiting -
Wroclaw
Wroclaw, Poland Recruiting -
Bucharest
Bucharest, Romania Recruiting -
Belgrade
Belgrade, Serbia Recruiting
Show 10 more locations
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Sremska Kamenica
Kamenitz, Serbia Recruiting -
Niš
Niš, Serbia Recruiting -
Gyeonggi-Do
Gyeonggi-do, South Korea Recruiting -
Seoul
Seoul, South Korea Recruiting -
Madrid
Madrid, Spain Recruiting -
Santander
Santander, Spain Recruiting -
Idaho
Boise, Idaho, United States Not yet recruiting -
Krakow
Krakow, Poland Not yet recruiting -
Lublin
Lublin, Poland Not yet recruiting -
Barcelona
Barcelona, Spain Not yet recruiting
Study contacts
- Study coordinator: Clinical Trials
- Email: ClinicalTrials@tectonictx.com
- Phone: +1 339 337 4053
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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.