drugset / Trial / NCT06317805

Initial Triple Therapy Including Parenteral Treprostinil vs Initial Double Oral Therapy in PAH Group I Patients

NCT06317805

RandomizedParallel-groupOpen-labelTreatment

Summary

TripleTRE investigates the effect of initial triple combination therapy (oral endothelin receptor antagonist (ERA) + oral phosphodiesterase tyüe-5 inhibitor (PDE-5i) + parenteral treprostinil) compared to double oral therapy (oral ERA + oral PDE-5i) in pulmonary arterial hypertension (PAH) patients (group I) with intermediate-high risk or patients with intermediate-low risk with severe hemodynamic impairment at baseline in a prospective, randomized, unblinded setting with scope of increasing evidence for optimization of therapy concepts in PAH. The effect of initial triple combination therapy vs initial double oral therapy (standard of care (SoC)) will be measured by primary endpoint: (non)response to the assigned treatment.

Timeline

Start
2023-12-06
Primary completion
2027-06
Completion
2027-06-30

Drugs

EvaluationDrugModalityDoseRoute
Subject Treprostinil Other / unclassified 40 unknown Subcutaneous
Background Ambrisentan Small molecule
Background Bosentan Other / unclassified
Background Macitentan Other / unclassified
Background Sildenafil Unknown
Background Tadalafil Small molecule