Clinical trial Recruiting at 12 sites Phase 2 Interventional Ages 18 to 80

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

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment25 (estimated)
SponsorTectonic Operating Company, Inc.
Industry-sponsored
Locations16 sites (Phoenix, Arizona and 15 other locations)
StatusRecruiting
StartedOctober 30, 2026
Main results expectedNovember 21, 2027
Study endsDecember 11, 2027
Registry record updatedOctober 27, 2026
Trial IDNCT07473700 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

  • 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
  • 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

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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.