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Pulmonary FibrosisPhase 2PIRFENIVASNCT03385668

Pilot Study of Pirfenidone in Pulmonary Fibrosis With Anti-myeloperoxydase Antibodies

A Phase 2 study testing Pirfenidone in people with Pulmonary Fibrosis, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Completed

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

Official record
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Trial summary

The purpose of this study is to determine wether pirfenidone is safe and effective in the treatment of pulmonary fibrosis with anti-myeloperoxydase (MPO) antibodies or pulmonary fibrosis with anti-MPO associated vasculitis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pulmonary Fibrosis
What is being tested?
Pirfenidone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
7 participants
Where
1 siteFrance
Study dates
31 Jan 2018to 24 Jul 2020
Phase
Phase 2
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age > 18 years
  • Presence of anti-MPO antibody (ELISA) at inclusion or during pulmonary fibrosis follow-up and/or diagnosis of anti-MPO associated vasculitis according to the 2012 Revised International Chapel Hill Consensus Conference definitions
  • Definite or possible Usual Interstitial Pneumonia or Non Specific Interstitial Pneumonia based on high-resolution computed tomography
  • Presence of pulmonary fibrosis, defined as a range of 50 to 90% of the %FVC and a range of 30 to 90% of the %DLCO
  • Pulmonary fibrosis refractory (according to the investigator's judgment) to a conventional regimen used for anti-MPO associated vasculitis when a treatment against vasculitis has been used
  • Have the ability to understand the requirements of the study, provide written informed consent (including consent for the use and disclosure of research-related health information) and comply with the study protocol procedures (including required study visits)
  • Have affiliation with a mode of social security (profit our being entitled).

Who cannot join

  • Other type of systemic vasculitis;
  • Active vasculitis defined by Birmingham Vasculitis Activity Score >3 (BVAS) ;
  • Contraindication to Pirfenidone;
  • Unable to perform pulmonary function test (PFT);
  • Pregnancy or lactation. Women of childbearing capacity are required to have a negative serum pregnancy test before treatment and must agree to maintain highly effective contraception by practicing abstinence or by using an effective method of birth control from the date of consent through the end of the study : implants of levonorgestrel; injectable progesterone; any intrauterine device (IUD) with a documented failure rate of less than 1% per year; oral contraceptives (either combined or progesterone only); double barrier method (condom, cervical cap or diaphragm with spermicidal agent); transdermal contraceptive patch; male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for the female subject;
  • Any of the following liver function test criteria above specified limits: total bilirubin above 1,5 times the upper limit of normal (ULN), excluding patients with Gilbert's syndrome; aspartate (AST)/Glutamate Oxaloacétique Transaminase (SGOT) or alanine aminotransferase (ALT)/Glutamate Pyruvate Transaminase (SGPT), (AST/SGOT or ALT/SGPT) >3 × ULN; alkaline phosphatase >2.5 × ULN;
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  • Creatinine clearance (CrCl<30) mL/min, calculated using the Cockcroft-Gault formula at screening
  • Current treatment with Nintedanib or past treatment with Nintedanib in the last 12 months;
  • Current treatment with Fluvoxamine or past treatment with Fluvoxamine in the last 28 days before screening
  • Prior use of Pirfenidone or known hypersensitivity to any of the components of study treatment;
  • Expected to receive a lung transplant within 1 year from randomization or, on a lung transplant waiting list at randomization;
  • Associated connective tissue disease (such as systemic sclerosis).;
  • Electrocardiogram (ECG), with a heart-rate-corrected QT interval (corrected using Fridericia's formula, QTcF) ≥ 500 ms at Screening, or a family or personal history of long QT syndrome;
  • Treatment with Cyclophosphamide in the last 3 months;
  • Current smoking or past smoking in the last 3 months.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Cochin Hospital

    Paris, 75014

Other trials in France

About this study

Official title: A Pilot Study to Evaluate the Efficacy and Safety of Pirfenidone in Patients With Pulmonary Fibrosis With Anti-myeloperoxydase (MPO) Antibodies or With Anti-MPO Associated Vasculitis."

The purpose of this study is to determine wether pirfenidone is safe and effective in the treatment of pulmonary fibrosis with anti-myeloperoxydase (MPO) antibodies or pulmonary fibrosis with anti-MPO associated vasculitis.

Read the detailed description

Pulmonary fibrosis can be associated with Anti-Neutrophil Cytoplasmic Antibody (ANCA) directed against MPO or with anti-MPO associated vasculitis, leading to increased disability and poor prognosis. The pathophysiology of this association remains unclear. Conventional therapies used for the treatment of vasculitis manifestations are often disappointing for the treatment of pulmonary fibrosis. The main cause of death in patients with anti-MPO ANCA associated vasculitis and associated pulmonary fibrosis is the progression of pulmonary fibrosis. No treatment has demonstrated efficacy to stabilize or improve pulmonary fibrosis associated with anti-MPO associated vasculitis.

Previous studies showed that Pirfenidone improves survival and pulmonary function in patients with idiopathic pulmonary fibrosis (IPF) and that Pirfenidone treatment is safe and well tolerated in IPF. Patients with anti-MPO associated vasculitis (or anti-MPO antibodies without vasculitis) and associated pulmonary fibrosis might benefit from the use of Pirfenidone. However, the efficacy and safety of pirfenidone in patients with anti-MPO associated vasculitis and associated pulmonary fibrosis has not been evaluated. This study was designed to assess the efficacy and safety of pirfenidone in patients with pulmonary fibrosis and anti-MPO ANCA associated vasculitis or anti-MPO antibodies without vasculitis.

Being tested
Pirfenidone
Keywords
Pulmonary fibrosis, Antibodies, Antineutrophil Cytoplasmic, Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis, Pirfenidone, Microscopic Polyangiitis, Interstitial lung disease
Medical subject headings
Pulmonary Fibrosis, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis, Microscopic Polyangiitis, Lung Diseases, Interstitial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PirfenidoneDrug

    Pirfenidone at a dose of 2403 mg/day for 50 weeks, after a 2 weeks period of titration (801 mg/day for one week then 1602 mg/day for one week).

Study groups in NCT03385668
Study groupRoleWhat they receive
PirfenidoneExperimentalAll patients will receive Pirfenidone
Receives: Drug: Pirfenidone

What is being measured

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

  1. Treatment efficacy measured by the absolute change in percent predicted forced vital capacity (%FVC)

    Treatment efficacy at Week 52 measured by the absolute change from baseline to Week 52 in percent predicted forced vital capacity (%FVC) :

    • Patients with progressive disease will be defined as absolute decline of 10% or more in %FVC. Missing values or death will be also considered as progressive.
    • Patients with non-progressive disease will be defined as improvement or no decline in %FVC or a decline of %FVC<10%.

    Measured: 52 weeks

Secondary outcomes (15)
  1. Adverse Events (AE)

    Safety parameters reported in the period from baseline to 28 days after the last dose of the study drug:

    • Treatment-emergent AEs
    • Treatment-emergent Serious Adverse Events (SAE)
    • Treatment emergent Adverse Event of Special Interest (AESI)
    • Treatment-emergent treatment-related AEs
    • Treatment-emergent treatment-related SAEs
    • Treatment emergent related AESIs
    • AEs leading to early discontinuation of study treatment
    • Treatment-emergent deaths
    • Cause of death
    • Treatment-emergent changes in clinical laboratory findings
    • Vital signs

    Measured: 56 weeks corresponding to 28 days after the last dose of study drug

  2. Treatment efficacy measured by the absolute change in percent predicted forced vital capacity (%FVC)

    Treatment efficacy at Week 24 measured by the absolute change from baseline to Week 24 in percent predicted forced vital capacity (%FVC) :

    • Patients with progressive disease will be defined as absolute decline of 10% or more in %FVC. Missing values or death will be also considered as progressive.
    • Patients with non-progressive disease will be defined as improvement or no decline in %FVC or a decline of %FVC<10%.

    Measured: 24 weeks

  3. Relative change in in percent predicted forced vital capacity

    Relative change from baseline to Week 52 in percent predicted forced vital capacity (%FVC)

    Measured: 52 weeks

  4. Absolute change in in percent predicted forced vital capacity

    Relative and absolute change from baseline to Week 52 in percent predicted forced vital capacity (%FVC)

    Measured: 52 weeks

  5. Relative change in in percent predicted forced vital capacity

    Relative and absolute change from baseline to Week 24 in percent predicted forced vital capacity (%FVC)

    Measured: 24 weeks

  6. Absolute change in in percent predicted forced vital capacity

    Relative and absolute change from baseline to Week 24 in percent predicted forced vital capacity (%FVC)

    Measured: 24 weeks

  7. Six minute walk test (6MWT) distance

    Change from Baseline to Week 52 in the six minute walk test (6MWT) distance

    Measured: 52 weeks

  8. Six minute walk test (6MWT) distance

    Change from Baseline to Week 24 in the six minute walk test (6MWT) distance

    Measured: 24 weeks

  9. Carbon Monoxide Diffusing Capacity (%DLCO)

    Change from Baseline to Week 52 in the percent predicted Carbon Monoxide Diffusing Capacity (%DLCO)

    Measured: 52 weeks

  10. Carbon Monoxide Diffusing Capacity (%DLCO)

    Change from Baseline to Week 24 in the percent predicted Carbon Monoxide Diffusing Capacity (%DLCO)

    Measured: 24 weeks

  11. Progression-free survival

    Progression-free survival defined as the time to the first occurrence of any one of the following: a confirmed decrease of 10 percentage points or more in %FVC, a confirmed decrease of 15 percentage points or more in %DLCO, or death.

    Measured: 52 weeks

  12. Dyspnea

    Change from Baseline to Week 52 in dyspnea as measured by the New York Heart Association classification, the modified Borg scale and by the Saint-George's Respiratory Questionnaire (SGRQ).

    Measured: 52 weeks

  13. Chest CT-scan

    Change in Chest-CT scan abnormalities at Week 52 (evaluated after a centralized blinded review of the chest CT-scans).

    Measured: 52 weeks

  14. Quality of Life assessed by the Health Assessment Questionnaire (HAQ)

    Measured: 52 weeks

  15. Quality of Life assessed by the Short Form-36 (SF-36)

    Measured: 52 weeks

Timeline

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

  1. First posted28 Dec 2017
  2. Study start31 Jan 2018
  3. Primary completion24 Jul 2020
  4. Study completion24 Jul 2020

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
7 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03385668
Sponsor's protocol ID
P161001J
Other IDs
2017-002782-22, 2017
Acronym
PIRFENIVAS
Status last verified
Oct 2025
First submitted
7 Dec 2017
Last updated
20 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hervier B, Pagnoux C, Agard C, Haroche J, Amoura Z, Guillevin L, Hamidou MA; French Vasculitis Study Group. Pulmonary fibrosis associated with ANCA-positive vasculitides. Retrospective study of 12 cases and review of the literature. Ann Rheum Dis. 2009 Mar;68(3):404-7. doi: 10.1136/ard.2008.096131. Epub 2008 Oct 28.

    PubMed 18957485
  • King TE Jr, Bradford WZ, Castro-Bernardini S, Fagan EA, Glaspole I, Glassberg MK, Gorina E, Hopkins PM, Kardatzke D, Lancaster L, Lederer DJ, Nathan SD, Pereira CA, Sahn SA, Sussman R, Swigris JJ, Noble PW; ASCEND Study Group. A phase 3 trial of pirfenidone in patients with idiopathic pulmonary fibrosis. N Engl J Med. 2014 May 29;370(22):2083-92. doi: 10.1056/NEJMoa1402582. Epub 2014 May 18.

    PubMed 24836312
  • Lancaster L, Albera C, Bradford WZ, Costabel U, du Bois RM, Fagan EA, Fishman RS, Glaspole I, Glassberg MK, King TE Jr, Lederer DJ, Lin Z, Nathan SD, Pereira CA, Swigris JJ, Valeyre D, Noble PW. Safety of pirfenidone in patients with idiopathic pulmonary fibrosis: integrated analysis of cumulative data from 5 clinical trials. BMJ Open Respir Res. 2016 Jan 12;3(1):e000105. doi: 10.1136/bmjresp-2015-000105. eCollection 2016.

    PubMed 26835133

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pirfenidone in people with Pulmonary Fibrosis, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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 7 inclusion and 15 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 20 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Treatment efficacy measured by the absolute change in percent predicted forced vital capacity (%FVC) (time frame: 52 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 NCT03385668, 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 20 Nov 2025.

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