Can an inhaled therapy replace a daily pill for PAH?
NCT ID NCT07759804
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This trial tests whether adults with pulmonary arterial hypertension (PAH) can safely switch from selexipag, a pill taken by mouth, to LIQ861, an inhaled form of treprostinil. Participants stop selexipag on day one and start taking LIQ861 four times a day using a handheld inhaler, with doses adjusted based on how well they tolerate it. The study tracks side effects, walking distance, a blood marker of heart strain, and reported symptoms over 16 weeks. The goal is to see if this switch is a safe and tolerable option for managing PAH.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LIQ861 (treprostinil) inhalation powder, taken four times daily via a handheld dry powder inhaler
- What this could lead to
- If successful, this could offer people with PAH a new way to manage their condition by switching from a daily pill to an inhaled treatment, potentially with fewer side effects.
- What could go wrong
- This is a small, open-label study (20 people) focused on safety and tolerability, not effectiveness. It may not show clear benefits, and some people may not tolerate the switch or the inhaled drug.
Why investors are watching
Liquidia is testing LIQ861, an inhaled form of treprostinil, in patients with pulmonary arterial hypertension who switch from an oral drug called selexipag. This small Phase 4 study matters because it could show that LIQ861 is a safe and tolerable alternative for patients already on a similar therapy, which would broaden its use beyond its current approved setting. For a small company, a positive safety and tolerability result in this switching population could support wider adoption and strengthen its position in the PAH market.
If it works: If the study shows LIQ861 is well tolerated when patients switch from selexipag, doctors may feel more comfortable prescribing it, potentially expanding the drug's patient base. A positive readout could also support regulatory discussions or label expansion, giving Liquidia a stronger commercial story.
If it fails: If the trial shows poor tolerability or safety issues, it could limit LIQ861's use in this switching population and hurt the company's credibility. Trials often fail to meet their goals, and a negative result could delay broader adoption and weigh on the company's prospects.
AI-written from the trial record. Speculative, and not investment advice.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 20 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2027
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 80 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: * Male or female 18 to 80 years of age * Documented findings on right heart catheterization consistent with a diagnosis of WHO Group 1 pulmonary arterial hypertension of one of the following subtypes: idiopathic PAH; heritable PAH; drug- or toxin-induced PAH; PAH associated with connective tissue disease; or PAH associated with simple congenital systemic-to-pulmonary shunts repaired at least 1 year previously * Receiving selexipag at any dose between 200 and 1600 mcg twice daily for at least 90 days, and willing and able to transition from selexipag to LIQ861 due to unsatisfactory clinical response or tolerability issues * May be receiving up to 2 additional approved non-prostacyclin oral PAH therapies at a stable dose and regimen, planned to continue unchanged for the duration of the study * New York Heart Association Functional Class II or III * Able to demonstrate correct use of the dry powder inhaler Exclusion Criteria: * Pulmonary hypertension in WHO Group 2, 3, 4, or 5, or a WHO Group 1 subtype not listed in the inclusion criteria * Clinically significant left-sided heart disease by echocardiography, including left ventricular ejection fraction ≤ 45%, left atrial volume index \> 48 mL/m², or hemodynamically significant valvular disease * Symptomatic coronary artery disease within the previous 6 months * Prior atrial septostomy
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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
1 site. 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
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Genom att skicka in godkänner du våra Användarvillkor
Locations
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Southeastern Cardiology Associates
Columbus, Georgia, 31904, United States
Contact Email: •••••@•••••
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