New pill could ease rare lung disease
NCT ID NCT07365332
First seen Jun 26, 2026 · Last updated Sep 03, 2026 · Updated 3 times
Summary
This study tests an experimental drug called IKT-001 in people with pulmonary arterial hypertension (PAH), a condition where high blood pressure in the lungs makes it hard to breathe and move. About 486 adults will receive either IKT-001 or a placebo to see if the drug improves blood flow and walking distance. The goal is to find a new way to manage PAH symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- IKT-001 (tablet)
- What this could lead to
- If successful, this could provide a new treatment option to help control pulmonary arterial hypertension and improve daily function.
- What could go wrong
- This is a Phase 3 trial, but results are not guaranteed. The drug may not work better than placebo, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 486 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Documented diagnosis of WHO PAH Group 1 in any of the following subtypes: * Idiopathic PAH * Heritable PAH * Drug/toxin-induced PAH * PAH associated with connective tissue disease (CTD) * PAH associated with simple, congenital systemic-to-pulmonary shunts at least 1 year following repair * Men and women 18 and 75 years of age (inclusive) * Must have a body mass index (BMI) of ≥18.5 kg/m\^2 and ≤35.0 kg/m\^2 at screening. * Baseline RHC performed during the Screening Period documenting a PVR of ≥ 400 dyn/sec/cm\^5 ; pulmonary capillary wedge pressure (PCWP) ≤15 mmHg and mean pulmonary artery pressure (mPAP) \>20 mmHg. PVR enrichment criteria to ensure population baseline PVR \>700 dynes/sec/cm\^5 * On stable doses of background PAH therapy including endothelin receptor antagonists, phosphodiesterase-5 inhibitors, prostacyclins, and soluble guanylate cyclase stimulators for ≥90 days prior to screening. Current use of sotatercept is not permitted. * 6MWD ≥ 100 and ≤ 475 m Exclusion Criteria: * Diagnosis of PAH WHO Groups 2, 3, 4, or 5. * Diagnosis of the following PAH Group 1 subtypes: human immunodeficiency virus (HIV)-associated PAH, PAH associated with portal hypertension, schistosomiasis-associated PAH, and pulmonary veno-occlusive disease. * Any of the following blood pressure-related values or abnormalities: Uncontrolled systemic hypertension as evidenced by sitting systolic BP \>160 mmHg or sitting diastolic BP \>100 mmHg at screening, Baseline systolic BP \<90 mmHg at screening, Syncope within 3 months prior to screening * History of restrictive, constrictive, or congestive cardiomyopathy. * ECG with Fridericia's corrected QT interval (QTcF) ≥ 450 msec in males or ≥ 470 msec in females at screening or ≥500 msec in the presence of a right bundle branch block. * Personal or family history of long QT syndrome or sudden cardiac death. * Presence of a CardioMEMS device or any other implanted hemodynamic monitoring device. * Forced vital capacity (FVC) \<70 percent on pulmonary function test (PFT) performed no more than 6 months prior to screening; or if FVC is 60 percent to 69 percent, must have a chest computed tomography scan within 12 months with no more than mild interstitial lung disease. * History of atrial fibrillation or atrial flutter. * History of cerebrovascular accident, intracranial hemorrhage, or subdural hematoma at anytime, or a fall associated with head trauma within 3 months of screening. * Acutely decompensated right heart failure within 30 days prior to screening, as per investigator assessment. * Clinically significant ischemic, valvular, constrictive heart disease, or heart failure with preserved ejection fraction in the opinion of the investigator. * History of pneumonectomy. * Untreated or inadequately treated (in the opinion of the investigator) obstructive sleep apnea. * Acute or chronic hepatitis B or C infection, defined as: * Hepatitis B virus: a positive hepatitis B surface antigen test or a positive hepatitis B core antibody test with detectable DNA * Hepatitis C virus (HCV): a positive hepatitis C antibody test with detectable HCV ribonucleic acid (RNA).Participants with a positive hepatitis C antibody test, but no detectable HCV RNA who completed treatment with direct-acting antivirals may be considered after discussion with the medical monitor. * History of or currently diagnosed with a bleeding disorder, including but not limited to hemophilia, von Willebrand disease, thrombocytopenia, or significant bleeding history defined as any bleeding event requiring medical intervention. * Received treatment with any of the following excluded medications: * Currently receiving strong cytochrome P450 (CYP) 3A inducers or CYP3A inhibitors (except for topical administration) * Currently receiving or anticipated need to receive any anticoagulant (e.g., heparins, vitamin K antagonists, direct oral anticoagulants, or direct thrombin inhibitors). * Current use of sotatercept. Note: participants who previously received sotatercept may be considered if the last dose administered was \>6 months prior to screening, participant had no significant bleeding events while on sotatercept. * Initiation of an exercise program for cardiopulmonary rehabilitation within 90 days prior to screening or planned initiation during the study (participants who are stable in the maintenance phase of a program and who will continue for the duration of the study are eligible). * History of atrial septostomy within 180 days prior to screening. * Current participation in another investigational clinical trial and/or receipt of any investigational medication within 90 days prior to screening. * Previous randomization into this or another IKT-001 study. * Any social, behavioral, or medical reason that would preclude completion of the study, in the judgement of the investigator. * Currently lactating, pregnant or planning on becoming pregnant during the study. * Prior receipt of a solid organ transplant or stem cell transplant. * Planned surgery that would require any study drug interruption or interfere with study assessments during the study (minor procedures may be allowed in consultation with the medical monitor). * Malignancy within the last 5 years prior to consent except completely treated non-metastatic-basal cell, squamous cell, in situ cervical cancer, and clinically localized National Comprehensive Cancer Network very low to low risk prostate cancer under active surveillance.
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Pulmonary arterial hypertension are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
43 sites in 14 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Amsterdam UMC site VUMC
RECRUITINGAmsterdam, North Holland, 1081 BT, Netherlands
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Arizona Pulmonary Specialists, LTD
RECRUITINGScottsdale, Arizona, 85258, United States
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Auckland City Hospital
RECRUITINGAuckland, Auckland, 1051, New Zealand
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CHRU Strasbourg
RECRUITINGStrasbourg, Grand Est, 67091, France
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Cedars Sinai
RECRUITINGBeverly Hills, California, 90211, United States
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Chonnam National University Hospital
RECRUITINGGwangju, 61469, South Korea
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Duke University
RECRUITINGDurham, North Carolina, 27710, United States
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Fondazione IRCCS San Gerardo dei Tintori
RECRUITINGMonza, Monza and Brianza, 20900, Italy
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Golden Jubilee National Hospital
RECRUITINGGlasgow, West Dunbartonshire, G81 4DY, United Kingdom
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Hospital Clínic de Barcelona
RECRUITINGBarcelona, Barcelona, 08036, Spain
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Hospital Costa del Sol
RECRUITINGMarbella, Malaga, 29603, Spain
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Hospital General Universitario de Toledo
RECRUITINGToledo, Toledo, 45007, Spain
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Hospital Universitari Vall d'Hebron
RECRUITINGBarcelona, Catalonia, 08035, Spain
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Hospital Universitari i Politecnic La Fe de Valencia
RECRUITINGValencia, Valencia, 46026, Spain
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Hospital Universitario Doce de Octubre
RECRUITINGMadrid, Madrid, 28041, Spain
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Hospital Universitario Marqués De Valdecilla
RECRUITINGSantander, Cantabria, 39008, Spain
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Hospital Universitario Virgen Macarena
RECRUITINGSeville, Sevilla, 41009, Spain
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Hospital Universitario Virgen de la Victoria
RECRUITINGMálaga, Andalusia, 29010, Spain
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Hospital Universitario la Paz
RECRUITINGMadrid, Madrid, 28046, Spain
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Hôpital Bicêtre
RECRUITINGLe Kremlin-Bicêtre, France, 94270, France
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Hôpital Universitaire de Bruxelles - Erasme
RECRUITINGAnderlecht, Brussels Capital, 1070, Belgium
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Imperial College Healthcare NHS Trust
RECRUITINGLondon, W12 0HS, United Kingdom
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Jeffrey S. Sager, MD Medical Corporation
RECRUITINGSanta Barbara, California, 93105, United States
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Lundquist at Harbor UCLA
RECRUITINGTorrance, California, 90502, United States
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Medizinische Hochschule Hannover, Abteilung Pneumologie und Infektiologie
RECRUITINGHanover, Lower Saxony, 30625, Germany
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NYU Langone Health
RECRUITINGNew York, New York, 10016, United States
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Norton Healthcare
RECRUITINGLouisville, Kentucky, 40202, United States
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Pulmonary Hypertension Research Queensland PHRQ
RECRUITINGAuchenflower, Queensland, 4066, Australia
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Royal Papworth Hospital
RECRUITINGCambridge, Cambridgeshire, CB2 0AY, United Kingdom
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Sanatorio de la Trinidad Palermo
RECRUITINGBuenos Aires, Buenos Aires, 1425, Argentina
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Te Whato Ora, Health New Zealand, Waikato Hospital
RECRUITINGHamilton, Waikato Region, 3204, New Zealand
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Tufts Medical Center
RECRUITINGBoston, Massachusetts, 02111, United States
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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Unidade Local de Saúde de Santo António - Hospital de Santo António
RECRUITINGPorto, Porto District, 4099-001, Portugal
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University of Alberta Hospital
RECRUITINGEdmonton, Alberta, T6G 2B7, Canada
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University of Cincinnati
RECRUITINGCincinnati, Ohio, 45267, United States
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University of Colorado Anschutz Medical Campus
RECRUITINGAurora, Colorado, 80045, United States
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University of Kansas Medical Center
RECRUITINGKansas City, Kansas, 66103, United States
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University of Otago Christchurch
RECRUITINGChristchurch, Canterbury, 8011, New Zealand
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232-7610, United States
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Washington University School of Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
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Westchester Medical Center
RECRUITINGValhalla, New York, 10595, United States
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Other studies related to the condition(s) this trial covers.
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