Idiopathic Pulmonary FibrosisPhase 2NCT01766817
Safety and Efficacy of a Lysophosphatidic Acid Receptor Antagonist in Idiopathic Pulmonary Fibrosis
A Phase 2 study testing BMS-986020 in people with Idiopathic Pulmonary Fibrosis, run by Bristol-Myers Squibb at 72 sites in 6 countries.
Trial summary
The purpose of this study is to determine if study drug (BMS-986020) dose of 600 mg once daily or 600 mg twice daily for 26 weeks compared with placebo will reduce the decline in forced vital capacity (FVC) and will be well tolerated in subjects with idiopathic pulmonary fibrosis (IPF). Read more about this study
- Who is it for?
- Ages 40 to 90 years
- Conditions the study is for
- Idiopathic Pulmonary Fibrosis
- What is being tested?
- BMS-986020
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 325 participants
- Where
- 72 sitesin 6 countries
- Study dates
- 31 Jan 2013to 29 Feb 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Are between the ages of 40 and 90 years, inclusive, at randomization.
- Have clinical symptoms consistent with IPF.
- Have first received a diagnosis of IPF less than 6 years before randomization. The date of diagnosis is defined as the date of the first available imaging or surgical lung biopsy consistent with IPF/UIP.
- Have a diagnosis of usual interstitial pulmonary fibrosis (UIP) or IPF by HRCT or surgical lung biopsy (SLB).
- Extent of fibrotic changes (honeycombing, reticular changes) greater than the extent of emphysema on HRCT scan.
- Have no features supporting an alternative diagnosis on transbronchial biopsy, BAL, or SLB, if performed.
Show all 19Show fewer
- Have percent predicted post-bronchodilator FVC between 45% and 90%, inclusive, at screening.
- Have a change in post-bronchodilator FVC (measured in liters) between screening and day 1 that is less than a 10% relative difference, calculated as: the absolute value of 100% * (screening FVC (L) - day 1 FVC (L)) / screening FVC (L).
- Have carbon monoxide diffusing capacity (DLCO) between 30% and 80% (adjusted for hemoglobin and altitude), inclusive, at screening.
- Have no evidence of improvement in measures of IPF disease severity over the preceding year, in the investigator's opinion.
- Be able to walk 150 meters or more at screening.
- Demonstrate an exertional decrease in oxygen saturation of 2 percentage points or greater at screening (may be performed with supplemental oxygen titrating to keep oxygen saturation levels >88%).
- Are able to understand and sign a written informed consent form.
- Are able to understand the importance of adherence to study treatment and the study protocol and are willing to comply with all study requirements, including the concomitant medication restrictions, throughout the study.
- Women of childbearing potential (WOCBP) and men who are sexually active with WOCBP must use acceptable method(s) of contraception. The individual methods of contraception and duration should be determined in consultation with the investigator. WOCBP must follow instructions for birth control when the half-life of the investigational drug is less than 24 hours, contraception should be continued for a period of 30 days after the last dose of investigational product.
- Women must have a negative urine pregnancy test within 24 hours prior to the start of investigational product.
- Women must not be breastfeeding.
- Men who are sexually active with WOCBP must use any contraceptive method with a failure rate of less than 1% per year. Men that are sexually active with WOCBP must follow instructions for birth control when the half-life of the investigational drug is less than 24 hours, contraception should be continued for a period of 90 days after the last dose of investigational product.
- Women who are not of childbearing potential (i.e., who are postmenopausal or surgically sterile) and azoospermic men do not require contraception.
Who cannot join
- Target Disease Exclusions
- Has significant clinical worsening of IPF between screening and day 1 (during the screening process), in the opinion of the investigator.
- Has forced expiratory volume in 1 second (FEV1)/FVC ratio less than 0.8 after administration of bronchodilator at screening.
- Has bronchodilator response, defined by an absolute increase of 12% or greater and an increase of 200 mL in FEV1 or FVC or both after bronchodilator use compared with the values before bronchodilator use at screening.
- Medical History and Concurrent Diseases
- Has a history of clinically significant environmental exposure known to cause pulmonary fibrosis, including, but not limited to, drugs (such as amiodarone), asbestos, beryllium, radiation, and domestic birds.
Show all 45Show fewer
- Has a known explanation for interstitial lung disease, including, but not limited to, radiation, drug toxicity, sarcoidosis, hypersensitivity, pneumonitis, bronchiolitis, obliterans, organizing pneumonia, human immunodeficiency virus (HIV), viral hepatitis, and cancer.
- Has a clinical diagnosis of any connective tissue disease, including, but not limited to, scleroderma, polymyositis/dermatomyositis, systemic lupus erythematosus, rheumatoid arthritis, and undifferentiated connective tissue disease.
- Currently has clinically significant asthma or chronic obstructive pulmonary disease.
- Has clinical evidence of active infection, including, but not limited to, bronchitis, pneumonia, sinusitis, urinary tract infection, and cellulitis.
- Has any history of malignancy likely to result in significant disability or likely to require significant medical or surgical intervention within the next 2 years. This does not include minor surgical procedures for localized cancer (e.g., basal cell carcinoma).
- Has any condition other than IPF that, in the opinion of the investigator, is likely to result in the death of the subject within the next 2 years.
- Has a history of end-stage liver disease.
- Has a history of end-stage renal disease requiring dialysis.
- Has a history of unstable or deteriorating cardiac or pulmonary disease (other than IPF) within the previous 6 months, including, but not limited to, the following: i. Unstable angina pectoris or myocardial infarction ii. Congestive heart failure requiring hospitalization iii. Uncontrolled clinically significant arrhythmias
- Has any condition that, in the opinion of the investigator, might be significantly exacerbated by the known side effects associated with the administration of BMS-986020.
- Has a history of alcohol or substance abuse in the past 2 years.
- Has a family or personal history of long QT syndrome and/or Torsades de Pointes (polymorphic ventricular tachycardia).
- Has used any of the excluded medications per Appendix 1 of the Protocol, which includes, but is not limited to:
- current treatment with pirfenidone or nintedanib
- use of over-the-counter medications and herbal preparations, within 4 weeks before study drug administration except those medications cleared by the BMS medical monitor
- For subjects taking statins, there are restrictions on the maximum allowable doses for statins listed below. If subjects are currently taking statins and their doses are higher than those mentioned below, please reduce the dose to the maximum allowable dose.
- Additionally, if subjects are on statins and ready to start dosing, these subjects should limit statin doses by maximal allowable dose or lower for at least 5 days prior to the first BMS-986020 dosing. Shorter durations may be considered in select cases after discussion with the medical monitor.
- Maximum allowable dose for statins:
- Simvastatin 20 mg QD
- Pitavastatin 2 mg QD
- Atorvastatin 40 mg QD
- Pravastatin 40 mg QD
- Rosuvastatin 20 mg QD
- Lovastatin 40 mg QD
- Fluvastatin 40 mg QD
- Prednisone is allowed up to a maximum of 15 mg po daily
- Pirfenidone or nintedanib dosing for a maximum of 3 months in the prior 12 months is permitted with a 4 week washout period prior to dosing with BMS-986020.
- Physical and Laboratory Test Findings
- Has any of the following liver-function test criteria above the specified limits: total bilirubin >1.5 x ULN, excluding subjects with Gilbert's syndrome; aspartate or alanine aminotransferase (AST/SGOT or ALT/SGPT) greater than 3 x ULN; alkaline phosphatase greater than 2.5 x ULN.
- Has creatinine clearance less than 30 mL/minute, calculated using the Cockcroft-Gault formula.
- Has ECG result with a QT interval by Fridericia's correction (QTcF) of 500 msec or greater or an uncorrected QT of 500 msec or greater at screening. Note: For subjects with a machine read QT interval of >500 msec, if their heart rate is > 100 bpm, the machine read QT interval (either corrected or not) may not be accurate. If the investigator is uncertain about the QT abnormality, it is recommended that ECGs be over-read by a cardiologist. The manually read QT interval by a cardiologist should be used for assessment of eligibility whenever possible.
- Allergies and Adverse Drug Reaction Has had prior use of BMS-986020 or has known hypersensitivity to any of the components of study treatment.
- Other Exclusion Criteria
- Is not a suitable candidate for enrollment or is unlikely to comply with the requirements of this study, in the opinion of the investigator.
- Has smoked cigarettes within 4 weeks or screening or is unwilling to avoid tobacco products throughout the study.
- Is expected to receive a lung transplant within 1 year from randomization or, for subjects at sites in the United States, is on a lung-transplant waiting list at screening.
- Prisoners or subjects who are involuntarily incarcerated.
- Subjects who are compulsorily detained for treatment either of a psychiatric or physical (e.g., infectious disease) illness.
- Inability to comply with restrictions and prohibited activities/treatments as listed in Section 3.3 of the Protocol.
Trial locations and contacts
72 sites in 6 countries.
72 sites in 6 countries
United States48 sites
University of Michigan Health System
Ann Arbor, Michigan, 48109-5360
Asheville Pulmonary and Critical Care Associates, P.A.
Asheville, North Carolina, 28801
Johns Hopkins University
Baltimore, Maryland, 21224
University of Alabama at Birmingham - Division of Pulmonary, Allergy & Criticial Care
Birmingham, Alabama, 35294-0006
Brigham and Women's Hospital
Boston, Massachusetts, 02120
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
CardioPulmonary Research Center
Chesterfield, Missouri, 63017
University of Chicago
Chicago, Illinois, 60637
University of Cincinnati Pulmonary, Critical Care & Sleep Medicine
Cincinnati, Ohio, 45267
Cleveland Clinic
Cleveland, Ohio, 44195
Vermont Lung Center
Colchester, Vermont, 05444
The Ohio State University
Columbus, Ohio, 43221
University of Texas Southwestern Medical Center - Dallas
Dallas, Texas, 78212
Advanced Pulmonary & Sleep Research Institute of Florida
Daytona Beach, Florida, 32117
National Jewish Health
Denver, Colorado, 80206
Duke University Medical Center
Durham, North Carolina, 27710
Inova Fairfax Medical Campus
Falls Church, Virginia, 22042
ISA Clinical Research
Forest Hills, New York, 11375
University of Florida
Gainesville, Florida, 32610-0225
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
University of Kentucky- Center for Clinical and Translational Science
Lexington, Kentucky, 40513
Cedars-Sinai Medical Center
Los Angeles, California, 90048
David Geffen School of Medicine at UCLA
Los Angeles, California, 90095
University of Louisville
Louisville, Kentucky, 40202
University of Wisconsin Hospital & Clinics
Madison, Wisconsin, 53792
Metroplex Pulmonary and Sleep Center
McKinney, Texas, 75069
ILD Research Center
Miami, Florida, 33136
University of Minnesota
Minneapolis, Minnesota, 55455
Vanderbilt University
Nashville, Tennessee, 37232
Yale University School of Medicine, Section of Pulmonary & Critical Care
New Haven, Connecticut, 06511
Tulane University
New Orleans, Louisiana, 70112
Weill Cornell Medical College
New York, New York, 10065
Temple Lung Center
Philadelphia, Pennsylvania, 19140
St. Joseph's Hospital and Medical Center - Heart Lung Institute/ Clinical Research
Phoenix, Arizona, 85013
University of Pittsburgh Medical Center - Simmons Center for Interstitial Lung Disease
Pittsburgh, Pennsylvania, 15213
The Oregon Clinic
Portland, Oregon, 97220
Oregon Health Science University
Portland, Oregon, 97239
Mayo Clinic, Pulmonary Clinical Research Unit
Rochester, Minnesota, 55905
Highland Hospital
Rochester, New York, 14620
University of Utah
Salt Lake City, Utah, 84108
Alamo Clinical Research
San Antonio, Texas, 78212
University of California at San Francisco
San Francisco, California, 94143
Washington University School of Medicine
St Louis, Missouri, 63110
Stanford University Medical Center
Stanford, California, 94305-5236
Pulmonary & Allergy Associates, PA
Summit, New Jersey, 07901
University of Texas Health Science Center at Tyler
Tyler, Texas, 75708
Cleveland Clinic Florida- Weston Hospital
Weston, Florida, 33331
Via Christi Clinic
Wichita, Kansas, 67028
Mexico6 sites
Local Institution
Guadalajara, Jalisco, 44100
Local Institution
Mexico City, Mexico City, 14050
Local Institution
Mexico City, Mexico City, 14080
Local Institution
Monterrey, Nuevo León, 64460
Local Institution
Monterrey, Nuevo León, 64710
Local Institution
Monterrey, Nuevo León, 66465
Australia5 sites
Local Institution
Adelaide, South Australia, 5000
Local institution
Frankston, Victoria, 3199
Local institution
Greenslopes, Queensland, 4120
Local institution
Nedlands, Western Australia, 6009
Local institution
Westmead, New South Wales, 2145
Peru5 sites
Local institution
Lima, 01
Local Institution
Lima, 1
Local institution
Lima, 27
Local institution
Lima, 33
Local institution
Lima, 41
Chile4 sites
Local institution
Quillota
Local institution
Santiago
Local Institution
Talca, 3465584
Local institution
Viña del Mar, Valparaiso
Colombia4 sites
Fundacion Neumologica Colombiana
Bogota, Cundinamarca
Hospital Universitario San Ignacio
Bogota, Cundinamarca
Local Institution
Bogota, Cundinamarca
Hospital Pablo Tobon Uribe
Medellín, Antioquia
About this study
The purpose of this study is to determine if study drug (BMS-986020) dose of 600 mg once daily or 600 mg twice daily for 26 weeks compared with placebo will reduce the decline in forced vital capacity (FVC) and will be well tolerated in subjects with idiopathic pulmonary fibrosis (IPF).
- Conditions
- Idiopathic Pulmonary Fibrosis
- Being tested
- BMS-986020, Placebo matching with BMS-986020
- Keywords
- IPF
- Medical subject headings
- Idiopathic Pulmonary Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-986020Drug
Placebo matching with BMS-986020Drug
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: BMS 986020, 600 mg. once daily | Experimental | BMS-986020, 600 mg tablets, by mouth, once daily, 26 weeks Receives: Drug: BMS-986020 |
| Arm 2: BMS-986020, 600 mg twice daily | Experimental | BMS-986020, 600 mg tablets, by mouth, twice daily, 26 weeks Receives: Drug: BMS-986020 |
| Arm 3: Placebo matching with BMS-986020 | Placebo comparator | Placebo, 0 mg tablets, by mouth, twice daily, 26 weeks Receives: Drug: Placebo matching with BMS-986020 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26
FVC is the is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which is used to dilate participant's bronchial (breathing) tubes.
Measured: Baseline, Week 26
Secondary outcomes (16)
Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline
The QLF score itself ranges from 0 to 100%, where greater values represent a greater amount of lung fibrosis and are considered a worse health status. Hence smaller geometric mean ratios to baseline were considered favorable. Baseline included all testing done on Day -1 as well as predose on Day 1.
Measured: Baseline, Week 26
Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26
The 6MWT measures the distance (in meters), a participant is able to walk in 6 minutes. This test measures the distance a person can walk quickly on a flat, hard surface in 6 minutes and reflects an individual's ability to perform daily physical activities. Baseline included all testing done on Day -1 as well as predose on Day 1
Measured: Baseline, Week 26
Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26
The UCSD SOBQ is a 24-item questionnaire developed to measure breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. Baseline included all testing done on Day -1 as well as predose on Day 1. The total score ranges from 0 to 120, with higher scores indicating worse dyspnea.
Measured: Baseline, Week 26
Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26
FVC is is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of lungs after taking an inhaled bronchodilator medicine which is used to dilate bronchial (breathing) tubes. Baseline included all testing done on Day -1 as well as predose on Day 1
Measured: Baseline, Week 26
Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26
The SF-36 determines participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 primarily contribute to the Aggregate Physical score of the SF-36. Items 5-8 primarily contribute to the Aggregate mental score of the SF-36. Scores on each item are summed and averaged. Range for Aggregate Physical Score : 0=worst to 100=best; and for Aggregate Mental Score: 0=worst to 100=best. Increases from baseline indicate improvement. Baseline included all testing done on Day -1 as well as predose on Day 1
Measured: Baseline, Week 26
Number of Participants With Death or Non-Elective Hospitalization
Time to death or non-elective hospitalization was defined as the elapsed time (days) from randomization to the date of death or the first non-elective hospitalization.
Measured: Upto Day 210
Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD)
Number of participants with death or respiratory hospitalization or 10% decline in absolute volume of FVC or 25 meter loss in 6MWD over time were reported.
Measured: Upto Day 210
Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26
DLCO is a measurement of the ability of the lungs to transfer gases from the air to the blood. Participant breathe in (inhale) air containing a very small, harmless amount of a tracer gas, such as carbon monoxide. Participant hold the breath for 10 seconds, then rapidly blow it out (exhale). The exhaled gas was tested to determine how much of the tracer gas was absorbed during the breath. DLCO, both uncorrected and corrected for hemoglobin in milliliter per minute per millimeter of mercury (mL/min/mmHg) was assessed.
Measured: Baseline, Week 26
Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF)
Acute IPF exacerbations is defined as a clinically significant deterioration of unidentifiable cause in a participant with underlying IPF. Exacerbations of IPF were adjudicated as definite (>=1 AEx) and Probable. Investigators were asked to make the diagnosis of acute exacerbation of IPF on the basis of subjective worsening over 30 days or less, new bilateral radiographic opacities, and the absence of infection or another identifiable etiology. The final diagnosis, however, was confirmed by the study medical monitor.
Measured: Upto Day 210
Maximum Observed Plasma Concentration (Cmax) BMS-986020
Cmax is defined as the maximum observed plasma concentration.
Measured: Day 1 and Day 7
Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020
Tmax is defined as the maximum observed plasma concentration.
Measured: Day 1 and Day 7
Accumulation Index (AI) of BMS-986020
AI is the ratio of area under the concentration time curve in one dosing interval in (AUC[TAU]) at steady-state to AUC(TAU) after the first dose.
Measured: Day 7
Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state
AUC(TAU) is the area under the concentration time curve in one dosing interval in at steady-state.
Measured: Day 1 and Day 7
Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020
AUC(0-12) is the area under the plasma concentration time curve over 12 hours post-dose.
Measured: Day 1 and Day 7
Apparent Oral Clearance (CLF/F) of BMS -986020
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
Measured: Day 1 and Day 7
Average Concentration of BMS -986020 at Steady State (Css[Avg])
Css (avg) is the average concentration at steady state.
Measured: Day 7
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jan 2013 (estimated)
- Study start31 Jan 2013
- Primary completion29 Feb 2016
- Study completion29 Feb 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Idiopathic Pulmonary FibrosisStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 325 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01766817
- Sponsor's protocol ID
- IM136-003
- Status last verified
- Aug 2020
- First submitted
- 10 Jan 2013
- Last updated
- 11 Aug 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Decato BE, Leeming DJ, Sand JMB, Fischer A, Du S, Palmer SM, Karsdal M, Luo Y, Minnich A. LPA1 antagonist BMS-986020 changes collagen dynamics and exerts antifibrotic effects in vitro and in patients with idiopathic pulmonary fibrosis. Respir Res. 2022 Mar 18;23(1):61. doi: 10.1186/s12931-022-01980-4.
PubMed 35303880Palmer SM, Snyder L, Todd JL, Soule B, Christian R, Anstrom K, Luo Y, Gagnon R, Rosen G. Randomized, Double-Blind, Placebo-Controlled, Phase 2 Trial of BMS-986020, a Lysophosphatidic Acid Receptor Antagonist for the Treatment of Idiopathic Pulmonary Fibrosis. Chest. 2018 Nov;154(5):1061-1069. doi: 10.1016/j.chest.2018.08.1058. Epub 2018 Sep 7.
PubMed 30201408
Study at a glance
From the registry record, last updated by the sponsor on 11 Aug 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Efficacy of a Lysophosphatidic Acid Receptor Antagonist in Idiopathic Pulmonary Fibrosis
- ClinicalTrials.gov ID
- NCT01766817
- Acronym / sponsor ID
- IM136-003
- Conditions
- Idiopathic Pulmonary Fibrosis
- Keywords
- IPF
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 325 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 31 Jan 2013 (actual)
- Primary completion
- 29 Feb 2016 (actual)
- Study completion
- 29 Feb 2016 (actual)
- First posted
- 11 Jan 2013 (estimated)
- Results
- Posted 22 May 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if study drug (BMS-986020) dose of 600 mg once daily or 600 mg twice daily for 26 weeks compared with placebo will reduce the decline in forced vital capacity (FVC) and will be well tolerated in subjects with idiopathic pulmonary fibrosis (IPF).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1: BMS 986020, 600 mg. once daily | Experimental | Drug: BMS-986020BMS-986020, 600 mg tablets, by mouth, once daily, 26 weeks |
| Arm 2: BMS-986020, 600 mg twice daily | Experimental | Drug: BMS-986020BMS-986020, 600 mg tablets, by mouth, twice daily, 26 weeks |
| Arm 3: Placebo matching with BMS-986020 | Placebo comparator | Drug: Placebo matching with BMS-986020Placebo, 0 mg tablets, by mouth, twice daily, 26 weeks |
Who may qualify
- Ages
- 40 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- Are between the ages of 40 and 90 years, inclusive, at randomization.
- Have clinical symptoms consistent with IPF.
- Have first received a diagnosis of IPF less than 6 years before randomization. The date of diagnosis is defined as the date of the first available imaging or surgical lung biopsy consistent with IPF/UIP.
- Have a diagnosis of usual interstitial pulmonary fibrosis (UIP) or IPF by HRCT or surgical lung biopsy (SLB).
- Extent of fibrotic changes (honeycombing, reticular changes) greater than the extent of emphysema on HRCT scan.
Key exclusion criteria (45 listed)
- Target Disease Exclusions
- Has significant clinical worsening of IPF between screening and day 1 (during the screening process), in the opinion of the investigator.
- Has forced expiratory volume in 1 second (FEV1)/FVC ratio less than 0.8 after administration of bronchodilator at screening.
- Has bronchodilator response, defined by an absolute increase of 12% or greater and an increase of 200 mL in FEV1 or FVC or both after bronchodilator use compared with the values before bronchodilator use at screening.
- Medical History and Concurrent Diseases
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BMS-986020 | Drug | Arm 1: BMS 986020, 600 mg. once daily, Arm 2: BMS-986020, 600 mg twice daily |
| Placebo matching with BMS-986020 | Drug | Arm 3: Placebo matching with BMS-986020 |
Primary outcome
Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26
Time frame: Baseline, Week 26
FVC is the is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which is used to dilate participant's bronchial (breathing) tubes.
16 secondary outcomes
Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline
Time frame: Baseline, Week 26
Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26
Time frame: Baseline, Week 26
Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26
Time frame: Baseline, Week 26
Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26
Time frame: Baseline, Week 26
Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26
Time frame: Baseline, Week 26
Number of Participants With Death or Non-Elective Hospitalization
Time frame: Upto Day 210
Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD)
Time frame: Upto Day 210
Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26
Time frame: Baseline, Week 26
Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF)
Time frame: Upto Day 210
Maximum Observed Plasma Concentration (Cmax) BMS-986020
Time frame: Day 1 and Day 7
Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020
Time frame: Day 1 and Day 7
Accumulation Index (AI) of BMS-986020
Time frame: Day 7
Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state
Time frame: Day 1 and Day 7
Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020
Time frame: Day 1 and Day 7
Apparent Oral Clearance (CLF/F) of BMS -986020
Time frame: Day 1 and Day 7
Average Concentration of BMS -986020 at Steady State (Css[Avg])
Time frame: Day 7
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Aug 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35303880Decato BE, Leeming DJ, Sand JMB, Fischer A, Du S, Palmer SM, Karsdal M, Luo Y, Minnich A. LPA1 antagonist BMS-986020 changes collagen dynamics and exerts antifibrotic effects in vitro and in patients with idiopathic pulmonary fibrosis. Respir Res. 2022 Mar 18;23(1):61. doi: 10.1186/s12931-022-01980-4.
- Derived from this study: PubMed 30201408Palmer SM, Snyder L, Todd JL, Soule B, Christian R, Anstrom K, Luo Y, Gagnon R, Rosen G. Randomized, Double-Blind, Placebo-Controlled, Phase 2 Trial of BMS-986020, a Lysophosphatidic Acid Receptor Antagonist for the Treatment of Idiopathic Pulmonary Fibrosis. Chest. 2018 Nov;154(5):1061-1069. doi: 10.1016/j.chest.2018.08.1058. Epub 2018 Sep 7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
72 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BMS-986020 in people with Idiopathic Pulmonary Fibrosis, run by Bristol-Myers Squibb at 72 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 19 inclusion and 45 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 72 sites in United States, Mexico, Australia, Peru, Chile and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 22 May 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26 (time frame: Baseline, Week 26). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01766817, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2020.