An Adaptive Program of IKT-001 in Pulmonary Arterial Hypertension (PAH)
IMPROVE-PAH
An Adaptive, 2-Part, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of IKT-001 in Pulmonary Arterial Hypertension (PAH)
1 other identifier
interventional
486
14 countries
43
Brief Summary
This is an adaptive, 2-part, randomized, multicenter, double-blind, placebo-controlled, parallel-group study designed to evaluate the efficacy and safety of IKT-001 in adult participants with WHO Group 1 PAH.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Apr 2026
Typical duration for phase_3
43 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2026
CompletedFirst Posted
Study publicly available on registry
January 26, 2026
CompletedStudy Start
First participant enrolled
April 23, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2029
September 2, 2026
May 1, 2026
3.1 years
January 22, 2026
August 31, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
[Part A] To evaluate the effect on Pulmonary Vascular Resistance (PVR) in participants with WHO Group 1 PAH treated with IKT-001 compared to placebo
Change in Pulmonary Vascular Resistance (PVR)
Baseline to Week 24
[Part B] To characterize the effects of IKT-001 on symptoms and characteristics of Pulmonary Arterial Hypertension compared to placebo
Change in 6-minute walk distance (6MWD)
Baseline to Week 24
Secondary Outcomes (2)
To characterize the effects of IKT-001 on WHO Functional Class
Baseline up to Week 48
To characterize the effects of IKT-001 on time to clinical worsening
Baseline up to Week 48
Study Arms (2)
IKT-001
EXPERIMENTALIKT-001 tablets for PO administration
Placebo
PLACEBO COMPARATORMatching placebo to IKT-001 tablets for PO administration
Interventions
Eligibility Criteria
You may qualify if:
- 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.
- MWD ≥ 100 and ≤ 475 m
You may not qualify if:
- 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:
- +16 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (43)
Arizona Pulmonary Specialists, LTD
Scottsdale, Arizona, 85258, United States
Cedars Sinai
Beverly Hills, California, 90211, United States
Jeffrey S. Sager, MD Medical Corporation
Santa Barbara, California, 93105, United States
Lundquist at Harbor UCLA
Torrance, California, 90502, United States
University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045, United States
University of Kansas Medical Center
Kansas City, Kansas, 66103, United States
Norton Healthcare
Louisville, Kentucky, 40202, United States
Tufts Medical Center
Boston, Massachusetts, 02111, United States
Washington University School of Medicine
St Louis, Missouri, 63110, United States
NYU Langone Health
New York, New York, 10016, United States
Westchester Medical Center
Valhalla, New York, 10595, United States
Duke University
Durham, North Carolina, 27710, United States
University of Cincinnati
Cincinnati, Ohio, 45267, United States
Vanderbilt University Medical Center
Nashville, Tennessee, 37232-7610, United States
UT Southwestern Medical Center
Dallas, Texas, 75390, United States
Sanatorio de la Trinidad Palermo
Buenos Aires, Buenos Aires, 1425, Argentina
Pulmonary Hypertension Research Queensland PHRQ
Auchenflower, Queensland, 4066, Australia
Hôpital Universitaire de Bruxelles - Erasme
Anderlecht, Brussels Capital, 1070, Belgium
University of Alberta Hospital
Edmonton, Alberta, T6G 2B7, Canada
Hôpital Bicêtre
Le Kremlin-Bicêtre, France, 94270, France
CHRU Strasbourg
Strasbourg, Grand Est, 67091, France
Medizinische Hochschule Hannover, Abteilung Pneumologie und Infektiologie
Hanover, Lower Saxony, 30625, Germany
Fondazione IRCCS San Gerardo dei Tintori
Monza, Monza and Brianza, 20900, Italy
Amsterdam UMC site VUMC
Amsterdam, North Holland, 1081 BT, Netherlands
Auckland City Hospital
Auckland, Auckland, 1051, New Zealand
University of Otago Christchurch
Christchurch, Canterbury, 8011, New Zealand
Te Whato Ora, Health New Zealand, Waikato Hospital
Hamilton, Waikato Region, 3204, New Zealand
Unidade Local de Saúde de Santo António - Hospital de Santo António
Porto, Porto District, 4099-001, Portugal
Chonnam National University Hospital
Gwangju, 61469, South Korea
Samsung Medical Center
Seoul, 06351, South Korea
Hospital Universitario Virgen de la Victoria
Málaga, Andalusia, 29010, Spain
Hospital Clínic de Barcelona
Barcelona, Barcelona, 08036, Spain
Hospital Universitario Marqués De Valdecilla
Santander, Cantabria, 39008, Spain
Hospital Universitari Vall d'Hebron
Barcelona, Catalonia, 08035, Spain
Hospital Universitario Doce de Octubre
Madrid, Madrid, 28041, Spain
Hospital Universitario la Paz
Madrid, Madrid, 28046, Spain
Hospital Costa del Sol
Marbella, Malaga, 29603, Spain
Hospital Universitario Virgen Macarena
Seville, Sevilla, 41009, Spain
Hospital General Universitario de Toledo
Toledo, Toledo, 45007, Spain
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, Valencia, 46026, Spain
Royal Papworth Hospital
Cambridge, Cambridgeshire, CB2 0AY, United Kingdom
Golden Jubilee National Hospital
Glasgow, West Dunbartonshire, G81 4DY, United Kingdom
Imperial College Healthcare NHS Trust
London, W12 0HS, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 22, 2026
First Posted
January 26, 2026
Study Start
April 23, 2026
Primary Completion (Estimated)
June 1, 2029
Study Completion (Estimated)
December 1, 2029
Last Updated
September 2, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share