Insmed Incorporated's treprostinil palmitil inhalation powder (TPIP) demonstrated 35% pulmonary vascular resistance reduction and 35.5 metre 6-minute walking distance (6MWD) improvement in its Phase IIb pulmonary arterial hypertension (PAH) trial, triggering a 29% stock rise (USD 16.6 billion market cap).
The once-daily therapy showed superior tolerability (85% mild cough) versus current prostacyclin analogues requiring 4x daily dosing. The 102-patient study also reported 60% reduction in cardiac stress marker NT-proBNP and 15% cardiac index increase.
TPIP's success follows Merck's sotatercept (USD 419 million 2024 sales), potentially advancing prostacyclin therapy efficacy.