25 Participants NeededMy employer runs this trial

TX000045 for Pulmonary Hypertension Due to Interstitial Lung Disease

Recruiting at 16 trial locations
CT
Overseen ByClinical Trials
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment, TX000045, for individuals with pulmonary hypertension due to interstitial lung disease (PH-ILD). The researchers aim to determine if this treatment can reduce pressure in the lung blood vessels and assess its safety. Participants will receive an injection every four weeks over a 13-week period. This trial suits those with confirmed interstitial lung disease, such as lung scarring, and symptoms of pulmonary hypertension, like shortness of breath or fatigue. As a Phase 2 trial, the research focuses on evaluating the treatment's effectiveness in an initial, smaller group.

Will I have to stop taking my current medications?

You may need to stop taking certain medications like phosphodiesterase type 5 inhibitors, endothelin receptor antagonists, and others at least 30 days before the first screening visit. If you're on stable doses of disease-modifying therapy for ILD, you can continue them, but you shouldn't start new ILD therapies within 90 days before the first screening visit.

Is there any evidence suggesting that TX000045 is likely to be safe for humans?

Research has shown that TX000045 has been tested for safety in people with pulmonary hypertension, which is high blood pressure in the lungs. In an earlier study, participants took TX000045 for 16 weeks. The study examined the drug's effects on blood flow in the lungs and monitored for side effects.

Initial results suggested that TX000045 is generally well-tolerated. Most reported side effects were mild to moderate, with no serious side effects directly linked to the treatment. However, individual reactions can vary with any medication.

Since the current trial is in Phase 2, TX000045 has already passed initial safety tests in Phase 1. This phase focuses more on the drug's effectiveness while still monitoring safety. This provides some reassurance about its safety in humans, but more information will become available as the study continues.12345

Why do researchers think this study treatment might be promising for pulmonary hypertension?

Unlike the standard treatments for pulmonary hypertension due to interstitial lung disease, which often include oral medications like endothelin receptor antagonists or phosphodiesterase-5 inhibitors, TX000045 offers a novel approach. This treatment is administered through a subcutaneous injection every four weeks, which might simplify dosing and improve patient compliance. Researchers are excited because TX000045 could potentially offer a new mechanism of action and improve outcomes where current options may fall short.

What evidence suggests that TX000045 might be an effective treatment for pulmonary hypertension?

Research suggests that TX000045, the investigational treatment in this trial, might help people with pulmonary hypertension caused by interstitial lung disease (PH-ILD) by improving blood flow and reducing lung pressure. In earlier studies, TX000045 showed promise in boosting heart function and reducing inflammation and scarring, major issues in PH-ILD. This treatment lowers resistance in the lung's blood vessels, easing symptoms and potentially improving quality of life. While more information is needed, these early results offer hope for those affected by this condition.13467

Are You a Good Fit for This Trial?

This trial is for adults with pulmonary hypertension caused by interstitial lung disease, confirmed by a recent chest CT scan showing at least 10% lung fibrosis. Participants must have moderate to moderately reduced lung function (FVC between 40% and 80% of what's expected).

Inclusion Criteria

* 40% predicted less than or equal to (\<=) forced vital capacity (FVC) \<= 80% predicted at screening
I have been diagnosed with fibrotic lung disease on a chest CT in the past year.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive subcutaneous injection of TX000045 at a dose of 300 mg every 4 weeks from Week 1 up to Week 13

16 weeks
4 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • TX000045

Trial Overview

The study is testing TX000045, a new medication, to see if it can lower blood pressure in the lungs and how safe it is for people with pulmonary hypertension due to interstitial lung disease.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: TX000045 300 mgExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Tectonic Operating Company, Inc.

Lead Sponsor

Citations

NCT07473700 | Study of TX000045 in Participants With ...

The primary purpose of this study is to assess the effect of TX000045 on pulmonary vascular resistance (PVR) in participants with pulmonary hypertension ...

Tectonic planning trial to test TX45 impact on blood flow in ...

This should help lower blood pressure and reduce inflammation and scarring, thereby easing the symptoms of PH-ILD. “We believe TX45's mechanism ...

TX000045 for Pulmonary Hypertension Due to Interstitial ...

The primary purpose of this study is to assess the effect of TX000045 on pulmonary vascular resistance (PVR) in participants with pulmonary hypertension ...

Tectonic Therapeutic Announces Third Quarter 2025 ...

Positive topline data from Part B of the TX45 Phase 1b trial demonstrated improvements in both left heart function and pulmonary ...

5.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41819536/

Pulmonary Hypertension Associated With Interstitial Lung ...

Pulmonary hypertension (PH) is a common sequela of interstitial lung diseases (ILDs) and is associated with poor prognosis and quality of life.

An Open-Label Study to Assess the Hemodynamic Effect and ...

An Open-Label Study to Assess the Hemodynamic Effect and the Safety of TX000045 After 16 Weeks of Treatment in Participants With Pulmonary ...

Tectonic expects early data from TX45 trial in coming months

ALPINE will be the first trial to test TX45 for PH related to interstitial lung disease (PH-ILD). “During Q1 2026, we made meaningful ...