Clinical Trials

Numerous clinical trials evaluate treprostinil sodium across severe pulmonary vascular disorders—including pulmonary arterial hypertension, interstitial lung disease-associated pulmonary hypertension, non-operable chronic thromboembolic pulmonary hypertension, and pulmonary hypertension due to left heart disease—as well as in healthy volunteers. Spanning Phase 1 safety evaluations to Phase 4 studies, including Phase 2/3 extension and Phase 3 efficacy trials, these investigations exhibit statuses ranging from active and recruiting to completed, terminated, and withdrawn. Research is supported by academic medical institutions alongside major industry sponsors, including United Therapeutics, Insmed Incorporated, and SciPharm SàRL.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07234032 RECRUITING
Pulmonary Hypertension; Interstitial Lung Disease
Insmed Incorporated
2026-07-20 PHASE3
NCT07805785 NOT_YET_RECRUITING
Progressive Pulmonary Fibrosis; Interstitial Lung Disease
Insmed Incorporated
2026-12-01 PHASE3
NCT04905693 ENROLLING_BY_INVITATION
Idiopathic Pulmonary Fibrosis; Interstitial Lung Disease; Progressive Pulmonary Fibrosis
United Therapeutics
2022-09-06 PHASE3
NCT07285655 RECRUITING
Pulmonary Hypertension Due to Lung Disease (Disorder)
Liquidia Technologies, Inc.
2026-04-23 PHASE3
NCT07179380 RECRUITING
Pulmonary Hypertension; Interstitial Lung Disease
Insmed Incorporated
2026-01-07 PHASE3
NCT07481981 RECRUITING
Pulmonary Arterial Hypertension
Insmed Incorporated
2026-07-21 PHASE3
NCT06350032 RECRUITING
Pulmonary Arterial Hypertension
AOP Orphan Pharmaceuticals AG
2024-07-31 PHASE3
NCT07112183 RECRUITING
Raynaud's Disease; Raynaud Phenomena; Raynauds
Brigham and Women's Hospital
2025-10-15 PHASE4
NCT04005469 RECRUITING
Ischemia Reperfusion Injury; Delayed Graft Function
Rhode Island Hospital
2020-11-13 PHASE1; PHASE2
NCT07177703 NOT_YET_RECRUITING
Pulmonary Arterial Hypertension (PAH)
Shanghai Zhongshan Hospital
2025-10-31 PHASE2
NCT05943535 RECRUITING
Progressive Pulmonary Fibrosis; Interstitial Lung Disease
United Therapeutics
2023-10-30 PHASE3
NCT07116681 NOT_YET_RECRUITING
Pulmonary Hypertension
University of California, San Diego
2025-10-01 EARLY_PHASE1
NCT07037836 RECRUITING
COPD (Chronic Obstructive Pulmonary Disease); Hypoxemia
Bastiaan Driehuys
2025-09-29 PHASE2
NCT06317805 RECRUITING
Pulmonary Arterial Hypertension
AOP Orphan Pharmaceuticals AG
2023-12-06 PHASE4
NCT07759804 NOT_YET_RECRUITING
Pulmonary Arterial Hypertension (PAH)
Liquidia Technologies, Inc.
2026-09 PHASE4
NCT07643155 RECRUITING
Hepatic Impairment
Insmed Incorporated
2026-07-14 PHASE1
NCT07748000 NOT_YET_RECRUITING
Raynaud's Phenomenon Secondary to Systemic Sclerosis
Liquidia Technologies, Inc.
2026-10-26 PHASE2
NCT05649748 ACTIVE_NOT_RECRUITING
Pulmonary Arterial Hypertension
Insmed Incorporated
2023-03-07 PHASE2; PHASE3
NCT06969573 ACTIVE_NOT_RECRUITING
COPD (Chronic Obstructive Pulmonary Disease)
University of Alberta
2025-06-05 PHASE2
NCT07333183 RECRUITING
Pulmonary Hypertension; Interstitial Lung Disease (ILD); Lung Diseases; Vascular Diseases; Cardiovascular Diseases; Fibrosis
Pulmovant, Inc.
2025-12-23 PHASE2
NCT05203510 ACTIVE_NOT_RECRUITING
Pulmonary Arterial Hypertension
United Therapeutics
2022-10-20 PHASE4
NCT05649722 COMPLETED
Pulmonary Hypertension; Interstitial Lung Disease
Insmed Incorporated
2023-05-11 PHASE2; PHASE3
NCT04708782 COMPLETED
Idiopathic Pulmonary Fibrosis; Interstitial Lung Disease
United Therapeutics
2021-06-01 PHASE3
NCT04062565 RECRUITING
Pulmonary Arterial Hypertension
University of Arizona
2019-03-25 PHASE3
NCT03814317 COMPLETED
Sarcoidosis; Precapillary Pulmonary Hypertension; Interstitial Lung Disease
University of Florida
2020-01-30 PHASE2
NCT05255991 COMPLETED
Idiopathic Pulmonary Fibrosis; Interstitial Lung Disease
United Therapeutics
2022-10-04 PHASE3
NCT03835676 UNKNOWN
Pulmonary Hypertension
Magdi H. Yacoub
2019-05-01 PHASE4
NCT03992755 ACTIVE_NOT_RECRUITING
Primary Pulmonary Hypertension
Liquidia Technologies, Inc.
2019-07-18 PHASE3
NCT04882774 WITHDRAWN
Pulmonary Hypertension Due to Left Heart Disease
Mardi Gomberg -Maitland MD, MSc
2023-04 PHASE2
NCT05147805 COMPLETED
Pulmonary Arterial Hypertension
Insmed Incorporated
2022-08-24 PHASE2
NCT04691154 ACTIVE_NOT_RECRUITING
Pulmonary Arterial Hypertension; Pulmonary Hypertension Due to Lung Diseases
Liquidia Technologies, Inc.
2021-08-01 PHASE3
NCT05564637 COMPLETED
Pulmonary Arterial Hypertension; Interstitial Lung Disease; Healthy Adults
Mayo Clinic
2023-03-13 PHASE2
NCT06605326 COMPLETED
Pulmonary Hypertension; Pulmonary Arterial Hypertension; Chronic Lung Disease-Associated Pulmonary Hypertension; Lung Transplantation; Heart Failure
Guangzhou Institute of Respiratory Disease
2015-01-01 PHASE4
NCT05176951 COMPLETED
Pulmonary Hypertension
Insmed Incorporated
2022-12-22 PHASE2
NCT03950739 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2019-09-17 PHASE1
NCT05060315 Active not recruiting
Pulmonary Arterial Hypertension
United Therapeutics
2023-07-05 --
NCT05649722 Recruiting
Pulmonary Hypertension|Interstitial Lung Disease
Insmed Incorporated
2023-05-11 Phase 2|Phase 3
NCT04882774 Withdrawn
Pulmonary Hypertension Due to Left Heart Disease
Mardi Gomberg -Maitland MD MSc|Ohio State University|Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)|George Washington University
2023-04 Phase 2
NCT05649748 Recruiting
Pulmonary Arterial Hypertension
Insmed Incorporated
2023-03-07 Phase 2|Phase 3
NCT05176951 Completed
Pulmonary Hypertension
Insmed Incorporated
2022-12-22 Phase 2
NCT03794583 TERMINATED
Pulmonary Hypertension; Chronic Obstructive Pulmonary Disease
United Therapeutics
2018-12-21 PHASE3
NCT03496623 TERMINATED
Pulmonary Hypertension; Chronic Obstructive Pulmonary Disease
United Therapeutics
2018-05-08 PHASE3
NCT02261883 TERMINATED
Persistent Pulmonary Hypertension of the Newborn
United Therapeutics
2015-07-29 PHASE2
NCT04791514 TERMINATED
Pulmonary Arterial Hypertension
Insmed Incorporated
2022-03-29 PHASE2
NCT03497689 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2019-01-31 PHASE4
NCT02583789 COMPLETED
Raynaud's Phenomenon
Brigham and Women's Hospital
2016-05 EARLY_PHASE1
NCT03654989 TERMINATED
Diabetic Foot Ulcer
University Hospital, Grenoble
2020-01-28 PHASE1; PHASE2
NCT05067270 COMPLETED
Type 1 Diabetes Mellitus
Eli Lilly and Company
2021-10-22 PHASE1
NCT02999906 WITHDRAWN
Pulmonary Arterial Hypertension
United Therapeutics
2017-10 PHASE3
NCT03055234 WITHDRAWN
Pulmonary Hypertension Associated With Sickle Cell Disease
United Therapeutics
2017-06 PHASE3
NCT01560637 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2013-09-11 PHASE3
NCT02633293 TERMINATED
Pulmonary Hypertension; Interstitial Lung Disease; Combined Pulmonary Fibrosis and Emphysema
United Therapeutics
2016-09-15 PHASE2; PHASE3
NCT02882126 WITHDRAWN
Pulmonary Arterial Hypertension
United Therapeutics
2017-06 PHASE4
NCT06091579 COMPLETED
Healthy Volunteers
Insmed Incorporated
2020-09-17 PHASE1
NCT03884465 TERMINATED
Pulmonary Arterial Hypertension
Liquidia Technologies, Inc.
2019-11-11 PHASE2
NCT02498444 TERMINATED
Single Ventricle
Stanford University
2015-09
NCT02663895 COMPLETED
Systemic Sclerosis; Calcinosis
Stanford University
2016-10 PHASE2
NCT03043651 TERMINATED
Pulmonary Hypertension Associated With HFpEF
United Therapeutics
2018-01-30 PHASE3
NCT01027949 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2007-01-16 PHASE3
NCT02630316 COMPLETED
Pulmonary Hypertension; Interstitial Lung Disease; Combined Pulmonary Fibrosis and Emphysema
United Therapeutics
2017-02-03 PHASE2; PHASE3
NCT03037580 TERMINATED
Pulmonary Hypertension; Heart Failure With Preserved Ejection Fraction
United Therapeutics
2017-08-15 PHASE3
NCT04041648 COMPLETED
Pulmonary Arterial Hypertension
Pharmosa Biopharm Inc.
2018-11-09 PHASE1
NCT03120533 COMPLETED
Scleroderma, Systemic
University Hospital, Grenoble
2017-06-20 PHASE1; PHASE2
NCT01481974 COMPLETED
Ischemia Reperfusion Injury
Abhinav Humar, MD
2012-12 PHASE1
NCT03399604 COMPLETED
Primary Pulmonary Hypertension
Liquidia Technologies, Inc.
2018-01-02 PHASE3
NCT03012646 WITHDRAWN
Pulmonary Hypertension; Chronic Obstructive Pulmonary Disease
United Therapeutics
2017-04 PHASE2
NCT01615627 WITHDRAWN
Pulmonary Arterial Hypertension
Jewish General Hospital
2012-07-01 PHASE4
NCT01908699 COMPLETED
Pulmonary Arterial Hypertension
Lung Biotechnology PBC
2013-05-31 PHASE3
NCT02178566 TERMINATED
Chronic Obstructive Pulmonary Disease (COPD)
Inova Health Care Services
2015-08 PHASE2
NCT01557660 WITHDRAWN
Pulmonary Arterial Hypertension
United Therapeutics
2012-06 PHASE3
NCT02769624 TERMINATED
Congenital Heart Disease
Children's Hospital Medical Center, Cincinnati
2017-02-21 PHASE2
NCT03016468 WITHDRAWN
Pulmonary Arterial Hypertension
United Therapeutics
2017-05 PHASE2
NCT01560624 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2012-06-26 PHASE3
NCT03464864 COMPLETED
Pulmonary Arterial Hypertension
Mannkind Corporation
2018-03-09 PHASE1
NCT04675944 COMPLETED
Pulmonary Arterial Hypertension
Bial - Portela C S.A.
2018-02-28 PHASE1
NCT02893995 WITHDRAWN
Pulmonary Arterial Hypertension
United Therapeutics
2017-02 PHASE4
NCT02603068 WITHDRAWN
Pulmonary Hypertension; Pulmonary Fibrosis
United Therapeutics
2016-02 PHASE2
NCT02370095 TERMINATED
Respiratory Distress Syndrome, Adult
University of North Carolina, Chapel Hill
2015-02 PHASE2
NCT02276872 COMPLETED
PAH
United Therapeutics
2014-12-18 PHASE2
NCT02471183 COMPLETED
Pulmonary Arterial Hypertension
Actelion
2015-10-12 PHASE3
NCT01416636 COMPLETED
Non-operable Chronic Thromboembolic Pulmonary Hypertension
SciPharm SàRL
2009-03 PHASE3
NCT01268553 COMPLETED
Pulmonary Arterial Hypertension
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
2010-08 PHASE4
NCT02770521 COMPLETED
Healthy
Eli Lilly and Company
2016-05 PHASE1
NCT01758744 COMPLETED
Pulmonary Hypertension; COPD
University of Colorado, Denver
2012-12 PHASE1
NCT01557647 WITHDRAWN
Pulmonary Arterial Hypertension
United Therapeutics
2012-06 PHASE3
NCT03803163 TERMINATED
Healthy Volunteers
Ascendis Pharma A/S
2015-01 PHASE1
NCT02149095 WITHDRAWN
PAH
United Therapeutics
2014-07 PHASE1
NCT02318758 COMPLETED
Healthy
United Therapeutics
2014-09 PHASE1
NCT01305252 COMPLETED
Hypertension, Pulmonary
Stanford University
2010-07 PHASE4
NCT01588405 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2012-04 PHASE2
NCT03055221 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2005-06-10 PHASE4
NCT01934582 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2013-08 PHASE3
NCT01554540 UNKNOWN
Scleroderma, Systemic
University Hospital, Grenoble
2012-02 PHASE1; PHASE2
NCT01104870 COMPLETED
Pulmonary Hypertension
United Therapeutics
2010-04 PHASE2
NCT01302444 TERMINATED
Pulmonary Arterial Hypertension
Rhode Island Hospital
2011-03 PHASE4
NCT01433328 TERMINATED
Pulmonary Arterial Hypertension
Jewish General Hospital
2012-01 PHASE4
NCT01260454 COMPLETED
Pulmonary Hypertension; Pulmonary Arterial Hypertension
University of Rochester
2010-11 PHASE2
NCT00848107 TERMINATED
Systemic Sclerosis
United Therapeutics
2009-09 PHASE2
NCT00325403 COMPLETED
Pulmonary Hypertension
United Therapeutics
2006-10 PHASE3
NCT00775463 COMPLETED
Systemic Sclerosis; Scleroderma
United Therapeutics
2009-05 PHASE2
NCT00705133 COMPLETED
Pulmonary Arterial Hypertension; Interstitial Lung Disease; Idiopathic Pulmonary Fibrosis
Rajan Saggar
2008-07 PHASE2
NCT01082484 COMPLETED
Healthy
University Hospital, Grenoble
2010-01 PHASE1; PHASE2
NCT00651885 COMPLETED
Critical Limb Ischemia
Ochsner Health System
2008-03 PHASE2
NCT01131845 COMPLETED
Pulmonary Arterial Hypertension; Renal Dysfunction
United Therapeutics
2010-05 PHASE1
NCT01153386 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2010-07 PHASE1
NCT01172496 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2010-08 PHASE1
NCT01165476 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2010-07 PHASE1
NCT01884038 WITHDRAWN
Liver Transplant
United Therapeutics
2008-06 PHASE2; PHASE3
NCT00741819 COMPLETED
Pulmonary Arterial Hypertension
United Therapeutics
2008-09 PHASE4
NCT00848939 COMPLETED
Systemic Sclerosis
United Therapeutics
2008-12 PHASE1
NCT00643604 TERMINATED
Hypertension, Pulmonary
United Therapeutics
2008-03 PHASE4
NCT00703339 TERMINATED
Idiopathic Pulmonary Fibrosis; Pulmonary Hypertension
Lung Biotechnology PBC
2008-06 PHASE2
NCT00963001 COMPLETED
Hypertension, Pulmonary; Pulmonary Arterial Hypertension
United Therapeutics
2009-09 PHASE1
NCT00963027 COMPLETED
Hypertension, Pulmonary; Pulmonary Arterial Hypertension
United Therapeutics
2009-09 PHASE1
NCT00439946 TERMINATED
Pulmonary Arterial Hypertension
United Therapeutics
2007-02 PHASE4
NCT00325442 COMPLETED
Pulmonary Hypertension
United Therapeutics
2006-10 PHASE3
NCT00373360 COMPLETED
Pulmonary Hypertension
United Therapeutics
2006-09 PHASE4
NCT00147199 COMPLETED
Pulmonary Hypertension
United Therapeutics
2005-06 PHASE3
NCT00494533 TERMINATED
Pulmonary Arterial Hypertension
United Therapeutics
2005-03 PHASE4
NCT00058929 COMPLETED
Pulmonary Arterial Hypertension; Pulmonary Hypertension
United Therapeutics
2002-10 PHASE4
NCT00060996 TERMINATED
Critical Limb Ischemia; Peripheral Vascular Disease; Foot Ulcers; Rest Leg Pain
United Therapeutics
2003-02 PHASE3
NCT00067041 TERMINATED
Peripheral Vascular Disease
United Therapeutics
2003-03 PHASE2; PHASE3
NCT00445159 UNKNOWN
Critical Limb Ischemia
Southern Arizona Vascular Institute
2006-11 PHASE2
NCT00458042 TERMINATED
Hypertension, Pulmonary
United Therapeutics
2007-03 PHASE4

(data from https://clinicaltrials.gov, updated on 2026-08-13)

Check the Treprostinil sodium product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Treprostinil sodium functions as a potent agonist of DP1, EP2, and IP receptors with Ki values of 4.4 nM, 3.6 nM, and 32 nM, respectively, driving adenylate cyclase activation and elevating intracellular cyclic AMP levels. The resulting signaling cascade induces direct vasodilation of pulmonary vascular beds and suppresses smooth muscle cell proliferation, which provides the pharmacological mechanism for reducing pulmonary vascular resistance in patients evaluated for pulmonary arterial hypertension and related conditions.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.