Treatment of Pulmonary Hypertension Associated COPD With Inhaled Treprostinil-1

This is a pilot study of 10 patients that have COPD-PH. Primary outcome measure is to see if
this drug is safe for this patient population and the secondary measure is to see if the
drug improves patient functional capacity.

Inclusion Criteria: must have:

- be between the ages of 30 and 80

- have a clinical diagnosis of Gold stage 2 to 4 COPD

- have a diagnosis of pulmonary hypertension established by a historic right heart
catheterization

- a minimum weight of 45 Kg

- minimum systolic blood pressure of >90 mmHg

- be able to perform a six minute walk test

- be able to maintain a oxygen saturation >88% at rest (with or without oxygen)

- be treated with background therapy for COPD for a minimum of 1 month prior to
consideration of enrollment.

- be competent to understand the information given in the Institutional Review Board
(IRB) or Independent Ethics Committee (IEC) approved Informed Consent Form and must
sign the form prior to the initiation of any study procedure.

Exclusion Criteria. Cannot have or be:

- The presence of pulmonary venous hypertension defined by a historical right heart
catheterization

- Gold Stage I COPD

- documented left ventricular dysfunction as measured by echocardiography

- pregnant or breastfeeding

- Recipient of a lung transplant

- received chronic prostanoid therapy for pulmonary hypertension within 4 weeks prior
to the screening appointment

- A requirement of greater than 9 l/min of O2 to maintain oxygen saturations greater
than 88% at rest

- No other serious medical conditions