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Idiopathic Pulmonary FibrosisPhase 2NCT02550873

A Trial to Evaluate the Efficacy of PRM-151 in Subjects With Idiopathic Pulmonary Fibrosis (IPF)

A Phase 2 study testing PRM-151 in people with Idiopathic Pulmonary Fibrosis, run by Hoffmann-La Roche at 18 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is a Phase 2, randomized, double-blind, placebo controlled, pilot study designed to evaluate the efficacy and safety of PRM-151 administered through Week 24 to subjects with IPF. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Idiopathic Pulmonary Fibrosis
What is being tested?
PRM-151
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
117 participants
Where
18 sitesin 7 countries
Study dates
1 Sep 2015to 2 May 2017
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Is aged 40-80 years.
  • Has IPF satisfying the American Thoracic Society/European Respiratory Society /Japanese Respiratory Society/Latin American Thoracic Association (ATS/ERS/JRS/ALAT) diagnostic criteria (Raghu, Collard et al. 2011). In the absence of a surgical lung biopsy, high-resolution computed tomography (HRCT) must be "consistent with "usual interstitial pneumonia" (UIP) defined as meeting either criteria A, B, and C, or criteria A and C, or criteria B and C below:
  • Definite honeycomb lung destruction with basal and peripheral predominance.
  • Presence of reticular abnormality AND traction bronchiectasis consistent with fibrosis, with basal and peripheral predominance.
  • Atypical features are absent, specifically nodules and consolidation. Ground glass opacity, if present, is less extensive than reticular opacity pattern.
  • If on pirfenidone or nintedanib, subject must have been on a stable dose of pirfenidone or nintedanib for at least 3 months without increase in forced vital capacity (FVC)% predicted on two consecutive pulmonary function tests (PFTs), including screening PFTs. Subjects may not be on both pirfenidone and nintedanib.
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  • If not currently receiving pirfenidone or nintedanib, subject must have been off pirfenidone or nintedanib for ≥ 4 weeks before baseline.
  • Has a FVC ≥ 50% and ≤ 90% of predicted.
  • Has a DLCO ≥ 25% and ≤ 90% of predicted.
  • Minimum distance on 6-Minute Walk Test (6MWT) of 150 meters.
  • Has a forced expiratory volume in 1 second (FEV1)/FVC ratio > 0.70.
  • Women of child bearing potential (WCBP), defined as a sexually mature woman not surgically sterilized or not post-menopausal for at least 24 consecutive months if ≤ 55 years or 12 months if > 55 years, must have a negative serum pregnancy test within four weeks prior to the first dose of study drug and must agree to use adequate methods of birth control throughout the study. Adequate methods of contraception are defined in the protocol.
  • Has a life expectancy of at least 9 months
  • According to the investigator's best judgment, can comply with the requirements of the protocol.
  • Has provided written informed consent to participate in the study.

Who cannot join

  • Has emphysema ≥ 50% on HRCT or the extent of emphysema is greater than the extent of fibrosis according to reported results from the most recent HRCT.
  • Has a history of cigarette smoking within the previous 3 months.
  • Has received investigational therapy for IPF within 4 weeks before baseline.
  • Is receiving systemic corticosteroids equivalent to prednisone > 10 mg/day or equivalent within 2 weeks of baseline.
  • Received azathioprine, cyclophosphamide, or cyclosporine A within 4 weeks of baseline.
  • Has a history of a malignancy within the previous 5 years, with the exception of basal cell skin neoplasms. In addition, a malignant diagnosis or condition first occurring prior to 5 years must be considered cured, inactive, and not under current treatment.
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  • Has any concurrent condition other than IPF that, in the Investigator's opinion, is unstable and/or would impact the likelihood of survival for the study duration or the subject's ability to complete the study as designed, or may influence any of the safety or efficacy assessments included in the study.
  • Has baseline resting oxygen saturation of < 89% on room air or supplemental oxygen.
  • Is unable to refrain from use of the following:
  • Short acting bronchodilators on the day of and within 12 hours of pulmonary function, DLCO, and 6 minute walk assessments.
  • Long acting bronchodilators on the day of and within 24 hours of these assessments.
  • Has a known post bronchodilator (short acting beta agonist [SABA] - albuterol or salbutamol) increase in FEV1 of >10% and in FVC of >7.5%.

Trial locations and contacts

18 sites in 7 countries.

18 sites in 7 countries

United States10 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • UT - Southwestern Medical School

    Dallas, Texas, 75930

  • National Jewish Medical and Research Center

    Denver, Colorado, 80206

  • Inova Fairfax Hospital

    Falls Church, Virginia, 22042

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of Louisville Hospital

    Louisville, Kentucky, 40202

  • University of Wisconsin-Madison

    Madison, Wisconsin, 53715

  • Yale University School of Medicine

    New Haven, Connecticut, 06520

  • UCSF Interstitial Lung Disease Program

    San Francisco, California, 94143

  • University of Washington Medical Center

    Seattle, Washington, 98195

Other trials in United States

Germany2 sites
  • Justus-Liebig University Giessen

    Giessen, D-35392

  • Thoraxklinik University of Heidelberg

    Heidelberg, D-69126

Other trials in Germany

Italy2 sites
  • Az. Ospedaliera Universitaria-Policlinico V. Emanuele di Catania

    Catania, 78-95123

  • Azienda Ospedaliera San Gerardo

    Monza, 20900

Other trials in Italy

Czechia1 site
  • Thomayer Hospital

    Prague, 14059

Other trials in Czechia

Netherlands1 site
  • Erasmus Medical Center

    Rotterdam, South Holland, 3015 CE

Other trials in Netherlands

Spain1 site
  • Hospital University de Bellvitge

    Barcelona, 08907

Other trials in Spain

Switzerland1 site
  • Centre Hospitalier Universitaire Vaudois (CHUV)

    Lausanne, CH-1011

Other trials in Switzerland

About this study

Official title: A Phase 2 Trial to Evaluate the Efficacy of PRM-151 in Subjects With Idiopathic Pulmonary Fibrosis (IPF)

This study is a Phase 2, randomized, double-blind, placebo controlled, pilot study designed to evaluate the efficacy and safety of PRM-151 administered through Week 24 to subjects with IPF.

Read the detailed description

PRM-151 is an anti-fibrotic immunomodulator being developed for treatment of fibrotic diseases.

Being tested
PRM-151, placebo
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.

  • PRM-151Biological

    PRM 151 10 mg/kg IV infusion over 60 minutes days 1, 3, and 5, then one infusion every 4 weeks

  • placeboOther

    Placebo IV infusion over 60 minutes on days 1, 3, and 5, then one infusion every 4 weeks

Study groups in NCT02550873
Study groupRoleWhat they receive
PRM-151 10mg / kgExperimentalDosing Every 4 Weeks
Receives: Biological: PRM-151
PlaceboPlacebo comparatorDosing Every 4 weeks
Receives: Other: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Forced Vital Capacity (FVC) [% Predicted]

    Determine the effect size of PRM-151 relative to placebo in change from Baseline to Week 28 in mean FVC% predicted, pooling subjects on a stable dose of pirfenidone or nintedanib with subjects not on other treatment for IPF.

    Measured: 0 to 28 weeks

Secondary outcomes (23)
  1. Change From Baseline in 6-Minute Walk Distance (6MWD)

    Measured: 0 to 28 weeks

  2. Change From Baseline in Total Lung Volume on High-resolution Computed Tomography (HRCT)

    Mean change from baseline in total lung volume on HRCT using quantitative imaging software.

    Measured: 0 to 28 weeks

  3. Change From Baseline in Volume of Interstitial Lung Abnormalities (ILA) on HRCT

    Mean change from baseline in volume of parenchymal features on HRCT representative of ILA, including ground glass density, reticular changes, and honeycombing, using quantitative imaging software

    Measured: 0 to 28 weeks

  4. Change From Baseline in % of Total Lung Volume of ILA on HRCT

    Mean change from baseline in % of total lung volume of parenchymal features on HRCT representative of ILA, including ground glass density, reticular changes, and honeycombing, using quantitative imaging software

    Measured: 0 to 28 weeks

  5. Change From Baseline in Volume of Normal Lung on HRCT

    Mean change from baseline in volume of parenchymal features on HRCT representative of normal lung (non-ILA), including normal and mild low attenuation areas, using quantitative imaging software.

    Measured: 0 to 28 weeks

  6. Change From Baseline in % of Normal Lung on HRCT (%)

    Mean change from baseline in % of total lung volume of parenchymal features on HRCT representative of normal lung (non-ILA), including normal and mild low attenuation areas, using quantitative imaging software.

    Measured: 0 to 28 weeks

  7. Correlation Between Mean Change From Baseline in FVC [% Predicted] and Mean Change From Baseline in ILA

    Correlation between mean change from Baseline in FVC [% predicted] and mean change from Baseline in volume of parenchymal features on HRCT representative of ILA, including ground glass density, reticular changes, and honeycombing by quantitative imaging software.

    Measured: 0 to 28 weeks

  8. Number of Subjects With a Decline in FVC [% Predicted] of ≥ 5% and ≥ 10% From Baseline to Week 28.

    Pulmonary Function Tests for the Proportion (%) of subjects with a decline in FVC% predicted of ≥ 5% and ≥ 10% from Baseline to Week 28.

    Measured: 0 to 28 weeks

  9. Number of Subjects With a Decline in FVC of ≥ 100 mL and ≥ 200 mL From Baseline to Week 28.

    Measured: 0 to 28 weeks

  10. Number of Subjects With an Increase in FVC [% Predicted] of ≥ 5% and ≥10% From Baseline to Week 28.

    Measured: 0 to 28 weeks

  11. Number of Subjects With an Increase in FVC of ≥ 100 mL and ≥ 200 mL From Baseline to Week 28

    Measured: 0 to 28 weeks

  12. Number of Subjects With Stable Disease, Defined as a Change in FVC [% Predicted] of < 5% From Baseline to Week 28.

    Measured: 0 to 28 weeks

  13. Number of Subjects With Stable Disease, Defined as a Change in FVC of < 100 mL From Baseline to Week 28.

    Measured: 0 to 28 weeks

  14. Change From Baseline in % Predicted Diffusion Capacity of Carbon Monoxide (DLCO).

    Pulmonary Function Tests to discern the mean change from Baseline to Week 28 in % predicted diffusion capacity of carbon monoxide (DLCO).

    Measured: 0 to 28 weeks

  15. Percentage of Subjects With Treatment-emergent Adverse Events (TEAEs)

    Tolerability/safety was assessed over the 28-week study period by the number of reported TEAEs

    Measured: 0 to 28 weeks

  16. Percentage of Subjects Discontinuing Study Drug Due to AEs

    Tolerability/safety was assessed over the 28-week study period by the proportion of subjects who discontinued study drug due to AEs

    Measured: 0 to 28 weeks

  17. Percentage of Subjects Reporting Serious Adverse Events (SAEs)

    Tolerability/safety was assessed over the 28-week study period by incidence of SAEs

    Measured: 0 to 28 weeks

  18. Percentage of Subjects Reporting Respiratory Decline AEs

    Tolerability/safety was assessed over the 28-week study period by the number of reported respiratory decline AEs, defined as follows:

    • Unscheduled visits to a healthcare professional for respiratory status deterioration.
    • Urgent care visits for respiratory status deterioration.
    • Hospitalization due to a worsening or exacerbation of respiratory symptoms.

    Measured: 0 to 28 weeks

  19. Percentage of Subjects Reporting Respiratory Decline SAEs [Safety and Tolerability]

    Tolerability/safety was assessed over the 28-week study period by the number of reported serious respiratory decline AEs

    Measured: 0 to 28 weeks

  20. Percentage of Subjects With Infusion Related Reactions

    Infusion Related Reactions were defined as events of headache, fever, facial flushing, pruritus, myalgia, nausea, chest tightness, dyspnea, vomiting, erythema, abdominal discomfort, diaphoresis, shivers, hypertension, hypotension, lightheadedness, palpitations, urticaria and somnolence occurring between the start of a study treatment infusion and one hour after completion of the infusion.

    Measured: 0 to 28 weeks

  21. All Cause Mortality

    Tolerability/safety was assessed over the 28-week study period by the incidence of all cause mortality

    Measured: 0 to 28 weeks

  22. Mortality Due to Respiratory Deterioration

    Tolerability/safety was assessed over the 28-week study period by the incidence of mortality due to respiratory deterioration

    Measured: 0 to 28 weeks

  23. Mortality Due to Disease Related Events

    Number of patients who died over the 28 week study period due to disease-related events (defined as cough, IPF exacerbation, IPF progression and respiratory decline AEs)

    Measured: 0 to 28 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Sep 2015 (estimated)
  2. Study start1 Sep 2015
  3. Primary completion2 May 2017
  4. Study completion2 May 2017

Resources

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
117 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02550873
Sponsor's protocol ID
WA42404
Other IDs
PRM-151-202, 2014-004782-24, 2014
Status last verified
Mar 2022
First submitted
27 Aug 2015
Last updated
2 May 2022
Data monitoring committee
Yes

Publications

  • Raghu G, van den Blink B, Hamblin MJ, Brown AW, Golden JA, Ho LA, Wijsenbeek MS, Vasakova M, Pesci A, Antin-Ozerkis DE, Meyer KC, Kreuter M, Santin-Janin H, Mulder GJ, Bartholmai B, Gupta R, Richeldi L. Effect of Recombinant Human Pentraxin 2 vs Placebo on Change in Forced Vital Capacity in Patients With Idiopathic Pulmonary Fibrosis: A Randomized Clinical Trial. JAMA. 2018 Jun 12;319(22):2299-2307. doi: 10.1001/jama.2018.6129.

    PubMed 29800034
  • Raghu G, Hamblin MJ, Brown AW, Golden JA, Ho LA, Wijsenbeek MS, Vasakova M, Pesci A, Antin-Ozerkis DE, Meyer KC, Kreuter M, Burgess T, Kamath N, Donaldson F, Richeldi L. Long-term evaluation of the safety and efficacy of recombinant human pentraxin-2 (rhPTX-2) in patients with idiopathic pulmonary fibrosis (IPF): an open-label extension study. Respir Res. 2022 May 21;23(1):129. doi: 10.1186/s12931-022-02047-0.

    PubMed 35597980
  • Raghu G, van den Blink B, Hamblin MJ, Brown AW, Golden JA, Ho LA, Wijsenbeek MS, Vasakova M, Pesci A, Antin-Ozerkis DE, Meyer KC, Kreuter M, Moran D, Santin-Janin H, Aubin F, Mulder GJ, Gupta R, Richeldi L. Long-term treatment with recombinant human pentraxin 2 protein in patients with idiopathic pulmonary fibrosis: an open-label extension study. Lancet Respir Med. 2019 Aug;7(8):657-664. doi: 10.1016/S2213-2600(19)30172-9. Epub 2019 May 20.

    PubMed 31122893

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PRM-151 in people with Idiopathic Pulmonary Fibrosis, run by Hoffmann-La Roche at 18 sites in 7 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 15 inclusion and 12 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 2 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, Germany, Italy, Czechia, Netherlands and 2 more countries. 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 14 Dec 2018). 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) [% Predicted] (time frame: 0 to 28 weeks). 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 NCT02550873, which also lists 3 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 2 May 2022; AzTrials last refreshed its copy on 7 Nov 2026.

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