Idiopathic Pulmonary FibrosisPhase 3NCT04419558
Zephyrus II: Efficacy and Safety Study of Pamrevlumab in Participants With Idiopathic Pulmonary Fibrosis (IPF)
A Phase 3 study testing Pamrevlumab in people with Idiopathic Pulmonary Fibrosis, run by Kyntra Bio at 157 sites in 25 countries.
Trial summary
This is a Phase 3 trial to evaluate the efficacy and safety of 30 milligrams (mg)/kilogram (kg) intravenous (IV) infusions of pamrevlumab administered every 3 weeks as compared to placebo in participants with Idiopathic Pulmonary Fibrosis (IPF). Read more about this study
- Who is it for?
- Ages 40 to 85 years
- Conditions the study is for
- Idiopathic Pulmonary Fibrosis
- What is being tested?
- Pamrevlumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 372 participants
- Where
- 157 sitesin 25 countries
- Study dates
- 30 Sep 2020to 4 Sep 2023
- Phase
- Phase 3
- 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 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of IPF as defined by American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Association (ATS/ERS/JRS/ALAT) guidelines within the past 7 years prior to study participation.
- High-resolution computed tomography (HRCT) scan at Screening, with ≥10% to <50% parenchymal fibrosis (reticulation) and <25% honeycombing.
- FVCpp value >45% and <95% at Screening and Day 1 (prior to randomization).
- Diffusing capacity of the lungs for carbon monoxide (DLCO) percent predicted ≥25% and ≤90%.
- Not currently receiving treatment for IPF with an approved therapy for IPF (such as, pirfenidone or nintedanib) for any reason, including prior intolerance or lack of response to an approved IPF therapy, or choice to forego treatment with an approved IPF therapy after a full discussion with the Investigator regarding risks/benefits of such therapy.
Who cannot join
- Previous exposure to pamrevlumab.
- Evidence of significant obstructive lung disease, as evidenced by spirometry or HRCT.
- Female participants who are pregnant or nursing.
- Smoking within 3 months of Screening and/or unwilling to avoid smoking throughout the study.
- Interstitial lung disease other than IPF.
- Sustained improvement in the severity of IPF during the 12 months prior to screening.
Show all 11Show fewer
- Other types of respiratory diseases that, in the opinion of the Investigator, would impact the primary protocol endpoint or otherwise preclude participation in the study, including diseases of the airways, lung parenchyma, pleural space, mediastinum, diaphragm, or chest wall.
- Certain medical conditions, that, in the opinion of the Investigator, would impact the primary protocol endpoint or otherwise preclude participation in the study (such as, myocardial infarction/stroke, severe chronic heart failure, pulmonary hypertension, or cancers).
- Acute IPF exacerbation during Screening or Randomization including hospitalization due to acute IPF exacerbation within 4 weeks prior to or during screening.
- Use of any investigational drugs or unapproved therapies, or participation in any clinical trial with an investigational new drug within 30 days prior to screening. Or use of approved IPF therapies (such as, pirfenidone or nintedanib) within 1 week prior to screening.
- History of allergic or anaphylactic reaction to human, humanized, chimeric or murine monoclonal antibodies, or to any component of the excipient.
Trial locations and contacts
157 sites in 25 countries.
157 sites in 25 countries
United States23 sites
Emory University/The Emory Clinic
Atlanta, Georgia, 30324
University of Maryland Medical Center
Baltimore, Maryland, 21201
UAB Lung Health Center
Birmingham, Alabama, 35294
The General Hospital Corporation d/b/a Massachusetts General Hospital
Boston, Massachusetts, 02114
The University of Vermont
Burlington, Vermont, 05405
Low Country Lung and Critical Care, PA
Charleston, South Carolina, 29406
St. Francis Medical Center
Clearwater, Florida, 33765
Ohio State University
Columbus, Ohio, 43221
National Jewish Health
Denver, Colorado, 80206
Duke University Medical Center
Durham, North Carolina, 27710
Spectrum Health
Grand Rapids, Michigan, 49504
PulmonIx, LLC
Greensboro, North Carolina, 27403
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033
University of Iowa
Iowa City, Iowa, 52242
The University of Kansas Medical Center
Kansas City, Kansas, 66160
Pulmonary Disease Specialists d/b/a PDS Research
Kissimmee, Florida, 34741
University of Wisconsin Clinical Research
Madison, Wisconsin, 53706
University of Minnesota
Minneapolis, Minnesota, 55455
Yale University
New Haven, Connecticut, 06520
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Mayo Clinic
Rochester, Minnesota, 55905
UC San Francisco
San Francisco, California, 94143
TGH/USF Center for Advanced Lung Disease and Lung Transplant
Tampa, Florida, 33606
China15 sites
BeiJing Chao-Yang Hospital,Capital Medical University
Beijing
Beijing Frindship hosiptal capital Medical University
Beijing
China Japan Friendship hospital
Beijing
Peking Union Medical College Hospital
Beijing
Sichuan People's Hospital
Chengdu
Guangdong Provincial People's Hospital
Guangzhou
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai
Shanghai Oriental Hospital
Shanghai
The First Hospital of China Medical University
Shenyang
General Hospital of Tianjin Medical University
Tianjing
Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an
General Hospital of Ningxia Medical University
Yinchuan
South Korea15 sites
Soonchunhyang University Hospital Bucheon
Bucheon-si, 14584
The Catholic University of Korea Bucheon St. Mary's Hospital
Bucheon-si, 14647
Inje University Haeundae Paik Hospital
Busan, 48108
Inje University Hospital Iisan Paik Hospital
Goyang, 10380
Myongji Hospital
Goyang-si, Gyeonggi-do, 10475
Chonnam National University Hospital
Gwangju, 61469
Gachon University Gil Medical Centre
Incheon, 21565
Seoul National University Bundang Hospital
Seongnam, 13620
Seoul National University Hospital
Seoul, 03080
Kyunghee University Medical Center
Seoul, 17104
Severance hospital
Seoul, 3722
Soonchunhyang University Hospital Seoul
Seoul, 4401
Asan Medical Center
Seoul, 5505
The Catholic University of Korea, Yeouido ST. Mary's Hospital
Seoul, 7345
Ulsan University Hospital
Ulsan, 44033
Italy11 sites
Gaspare Rodiloco Hospital
Catania, 95123
Ospedale G.B.Morgagni L.Pierantoni - Azienda Unita Sanitaria Locale (AUSL) di Forli
Forlì, 47121
Ospedale San Giuseppe
Milan, 20123
AOU Policlinico di Modena
Modena, 41124
Monaldi Hospital
Naples, 80131
Azienda Ospedaliera Universitaria di Padova
Padova, 35128
IRCCS Fondazione San Matteo di Pavia
Pavia, 27100
Agostina Gemelli University Polyclinic
Rome, 00168
Azienda Ospedaliera Universitaria Senese, Policlinico "Le Scotte"
Siena, 53100
Azienda Ospedaliera Citta' della Salute e delle Scienza di Torino
Torino, 0126
Azienda Ospedaliero-Universitaria "Ospedali Riuniti di Ancona"
Torrette, 60126
France10 sites
University Hospital Avicenne
Bobigny, 93000
Hôpital Cardio-Vasculaire et Pneumologique Louis Pradel
Bron, 69677
CHU de Caen
Caen, 14033
Centre Memoire Ressources Recherche, Hopital F. MITTERRAND
Dijon, 21079
C.H.R.U. de Montpellier - Hôpital Lapeyronie
Montpellier, 34295
CHU de Nice Hôpital Pasteur
Nice, 06000
Hôpital Bichat - Claude Bernard
Paris, 75018
CHU de Reims Hopital Maison Blanche
Reims, 51092
CHU de Rennes Hôpital Pontchaillou
Rennes, 35033
Service de Néphrologie, Hôpital Bretonneau, CHRU de Tours
Tours, 37044
Brazil9 sites
Hospital das Clínicas da UFMG - Centro de Pesquisas Clínicas do Hospital das Clínicas da Universidade Federal de Minas Gerais - CPC HC/UFMG
Belo Horizonte, Minas Gerais, 30130-100
Hospital Dia do Pulmão
Blumenau, Santa Catarina, 89030-101
Unidade de Pesquisa Clínica da Faculdade de Medicina de Botucatu - UPECLIN - UNESP
Botucatu, São Paulo, 18618-686
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
HSL-PUCRS Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90610-000
CEMEC - Centro Multidisciplinar de Estudos Clínicos LTDA EPP
São Bernardo do Campo, São Paulo, 09715-090
CPQuali Pesquisa Clínica Ltda.
São Paulo, 01228-000
Hospital Alemao Oswaldo Cruz
São Paulo, 01323-001
INCOR - Instituto do Coração Centro de Pesquisa Prof. Dr. Fulvio Pileggi Hospital das Clínicas da Faculdade de Medicina da USP - HCFMUSP
São Paulo, 05403-000
Spain8 sites
Hospital Universitario de Bellvitge
Barcelona, 08907
Hospital Clinic de Barcelona
Barcelona, 8036
Hospital Universitaio de La Princesa
Madrid, 28006
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Clinico San Carlos-Madrid C/Martin Lagos s/n
Madrid, 28040
Hospital Universitario Quironsalud Madrid
Madrid, 28223
Hospital Universitario Marques de Valdecilla
Santander, 39008
Hospital Universitario Nuestra Senora de Valme
Seville, 41014
United Kingdom8 sites
Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust
Birmingham, B15 2TH
Papworth Hospital NHS Foundation Trust, Advanced Heart Failure Unit
Cambridge, CB2 0AY
Medway NHS Foundation Trust
Gillingham, Kent, ME7 5NY
The Princess Alexandra Hospital NHS Trust
Harlow, CM20 1QX
Royal Brompton Hospital
London, SW3 6NP
University College London
London, WC1E 6JF
Manchester University NHS Foundation Trust
Manchester, M23 9LT
Southampton General Hospital
Southampton, SO16 6YD
Germany7 sites
Ruhrlandklinik-Universitaetsmedizin Essen
Essen, 45239
Klinik Schillerhoehe
Gerlingen, 70839
Agaplesion Evangelisches Krankenhaus Mittelhessen
Giessen, 035398
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
University of Munich
Munich, 81377
RoMed Klinikum Rosenheim
Rosenheim, 83022
Institut fur Pneumologie an der Universitat zu Koln
Solingen, 83022
Mexico6 sites
Instituto Nacional de Enfermedades Respiratorias INER
México, 14080
Unidad Medica para la Salud Integral (UMSI)
México, 66465
Medical Care and Research S.A. de C.V.
México, 97070
St. Lucas Clinical Research Center SA de CV
México, CP97217
Centro Regional para el estudio del Adulto Mayor, Servicio de Geriatria, Hospital Universitario Dr Jose Eleuterio Gonzalez
Monterrey, 64460
Oaxaca Site Management Organization S.C. (OSMO)
Oaxaca City, 68000
Peru6 sites
Clinica Internacional
Lima, 15001
Clinica San Pablo
Lima, 150140
Clinica Providencia
Lima, 15088
Hospital Nacional Cayetano Heredia / Servicio de Inmunología y Reumatología
Lima, 15102
Centro de Investigacion Ricardo Palma
San Isidro, 150131
Clinica La luz
Santa Beatriz, 15046
Netherlands5 sites
Dept. of Pulmonary Diseases
Amsterdam, 30.033
Catharina Hospital
Eindhoven, 5623 EJ
Longarts - Opleider Longziekten Zuyderland MC
Heerlen, 6419
St. Antonius Ziekenhuis BV
Nieuwegein, 3435
Canisius-Wilhelmina Ziekenhuis
Nieuwegein, 6533
Poland5 sites
Centrum Dentystyczno-Lekarskie Promedica Joanna Markiewicz
Będzin, 42-500
Centrum Medycyny Oddechowej Mroz SJ
Bialystok, 15-044
Gornoslaskie Centrum Medyczne im. prof. Leszka Gieca Slaskiego Uniwersytetu Medycznego w Katowicach
Katowice, 40-635
University Hospital No1
Lodz, 90-153
Instytut Gruzlicy i Chorob Pluc
Warsaw, 01-138
Hungary4 sites
Semmelweis University Clinic of Pulmonology
Budapest, 1083
Orszagos Koranyi Tbc es Pulmonologiai Intezet, IV. Tudobelosztaly
Budapest, 1121
Fejer Megyei Szent Gyorgy kh
Székesfehérvár, 8000
Pulmonology Hospital
Törökbálint, 2045
Serbia4 sites
Municipal Institute for Lung Diseases and Tuberculosis
Belgrade, 11000
University Clinical Center of Serbia
Belgrade, 11000
Institute for Pulmonary Diseases of Vojvodina
Kamenitz, 21204
University Clinical Center of Nis
Niš, 18000
Colombia3 sites
Fundación Santa Fe de Bogotá
Bogotá, 110121
Fundación Neumológica Colombiana
Bogotá, 110131
Healthy Medical Center S.A.S
Zipaquirá, 250252
Czechia3 sites
Fakultní nemocnice Brno
Brno, 625 00
Nemocnice Jihlava
Jihlava, 586 33
Nemocnice Na Bulovce, Klinika pneumologie
Prague, 18081
Lebanon3 sites
American University of beirut medical center
Beirut
Hotel Dieu De France
Beirut
Rafik Hariri University Hospital (Clinical Research Unit)
Bir Hassan
Ukraine3 sites
Communal non-profit enterprise "City clinical hospital #16" of Dnipro Сit Сouncil
Dnipro, 49069
Ivano-Frankivsk Regional Phthisiology-Pulmonology Center of Ivano-Frankivsk regional council
Ivano-Frankivsk, 76018
National Institute of Phthisiology and Pulmonology named after F. G. Yanovskyi NAMS of Ukraine, Clinical and Functional Department
Kyiv, 03680
Denmark2 sites
Aarhus Universitets Hospital
Aarhus, DK-8200
Odense University Hospital
Odense, 5000
Dominican Republic2 sites
Centro de Obstetricia y Ginecologia
Santo Domingo, 10205
Centro Medico Dominicano
Santo Domingo, 456
Georgia2 sites
Research Institute Of Clinical Medicine Todua Clinic
Tbilisi, 0112
Clinic Diacor
Tbilisi, 0159
Argentina1 site
Fundacion Respirar - Centro Médico Dra. De Salvo
Ciudad Autonoma de Buenos Aires (caba)
About this study
Official title: Zephyrus II: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study of Pamrevlumab in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
This is a Phase 3 trial to evaluate the efficacy and safety of 30 milligrams (mg)/kilogram (kg) intravenous (IV) infusions of pamrevlumab administered every 3 weeks as compared to placebo in participants with Idiopathic Pulmonary Fibrosis (IPF). There is a 48-week randomized treatment phase followed by an optional, open-label extension phase.
Read the detailed description
The intent of this study is to evaluate the efficacy and safety of pamrevlumab as monotherapy in participants with IPF. Participants who are not being treated with approved IPF therapies (that is, nintedanib or pirfenidone) may be eligible for screening. Examples of reasons participants may not be treated with approved IPF therapies include but are not limited to:
- Intolerant or not responsive to approved IPF therapies
- Ineligible to receive these therapies
- Participant voluntarily declines to receive approved IPF therapies after being fully informed of the potential benefits/risks
NOTE: No participant should discontinue an approved IPF therapy for the purpose of enrolling in this study.
During the 48-week treatment phase of the study, co-administration of an approved IPF therapy (such as, pirfenidone or nintedanib) is acceptable if clinically indicated in the Investigator's opinion, after assessment of potential risks/benefits of such combination with blinded study treatment.
Participants who complete the 48-week study will be eligible for an optional, open-label extension phase with continued access to pamrevlumab, regardless of their randomized assignment.
- Conditions
- Idiopathic Pulmonary Fibrosis
- Being tested
- Pamrevlumab, Placebo
- Keywords
- Idiopathic Pulmonary Fibrosis, IPF, Idiopathic Interstitial Pneumonia, Interstitial Lung Disease, Lung Fibrosis
- Medical subject headings
- Idiopathic Pulmonary Fibrosis, Idiopathic Interstitial Pneumonias, Lung Diseases, Interstitial, Pulmonary Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PamrevlumabDrug
Also called FG-3019
Sterile solution for injection
PlaceboDrug
Sterile solution for injection
| Study group | Role | What they receive |
|---|---|---|
| Pamrevlumab | Experimental | Treatment phase: Pamrevlumab 30 mg/kg administered by IV infusion, every 3 weeks, for a total of up to 17 infusions over 48 weeks.
Open-label extension phase: Pamrevlumab 30 mg/kg administered by intravenous infusion, every 3 weeks for up to 48 weeks Receives: Drug: Pamrevlumab |
| Placebo | Experimental | Pamrevlumab-matching placebo administered by IV infusion every 3 weeks for a total of up to 17 infusions over 48 weeks Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
DB Period: Change From Baseline in FVC at Week 48
FVC is a standard pulmonary function test used to quantify respiratory muscle weakness. FVC was the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Least square (LS) mean and standard error (SE) were analyzed using mixed model repeated measures (MMRM).
Measured: Baseline, Week 48
Secondary outcomes (6)
DB Period: Time to Disease Progression
Time to disease progression was defined as time from randomization to either the first occurrence of an absolute FVC percent predicted (FVCpp) decline of ≥10% from baseline or death, whichever occurred first. 'Median Time to Event' is an estimated value, which was calculated based on Kaplan-Meier method. For an endpoint in which less than half of the participants have encountered the events, the 'Median Time to Event' might be longer than the reported timeframe of 48 weeks.
Measured: Up to Week 48
DB Period: Change From Baseline in Quantitative Lung Fibrosis (QLF) Volume at Week 48
The QLF volume is calculated as QLF=total lung capacity volume (TLC) * % of quantitative lung fibrosis for fibrosis of the whole lung. LS mean and SE were analyzed using MMRM.
Measured: Baseline, Week 48
DB Period: Time to First Occurrence of Any Component of the Clinical Composite Endpoint, Whichever Occurred First
The components of the clinical composite endpoints included acute idiopathic pulmonary fibrosis (IPF) exacerbation, respiratory hospitalization, or death. 'Median Time to Event' is an estimated value, which was calculated based on Kaplan-Meier method. For an endpoint in which less than half of the participants have encountered the events, the 'Median Time to Event' might be longer than the reported timeframe of 48 weeks.
Measured: Up to Week 48
DB Period: Time to First Acute IPF Exacerbation
'Median Time to Event' is an estimated value, which was calculated based on Kaplan-Meier method. For an endpoint in which less than half of the participants have encountered the events, the 'Median Time to Event' might be longer than the reported timeframe of 48 weeks.
Measured: Up to Week 48
DB Period: Time to All-Cause Mortality
'Median Time to Event' is an estimated value, which was calculated based on Kaplan-Meier method. For an endpoint in which less than half of the participants have encountered the events, the 'Median Time to Event' might be longer than the reported timeframe of 48 weeks.
Measured: Up to Week 48
DB Period: Time to First Respiratory Hospitalization
'Median Time to Event' is an estimated value, which was calculated based on Kaplan-Meier method. For an endpoint in which less than half of the participants have encountered the events, the 'Median Time to Event' might be longer than the reported timeframe of 48 weeks.
Measured: Up to Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2020
- Study start30 Sep 2020
- Primary completion4 Sep 2023
- Study completion4 Sep 2023
Why it stopped: Sponsor Decision
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.
- Other trials for Idiopathic Pulmonary FibrosisStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 372 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kyntra Bio
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04419558
- Sponsor's protocol ID
- FGCL-3019-095
- Status last verified
- Aug 2024
- First submitted
- 3 Jun 2020
- Last updated
- 12 Aug 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Zephyrus II: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study of Pamrevlumab in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
- ClinicalTrials.gov ID
- NCT04419558
- Acronym / sponsor ID
- FGCL-3019-095
- Conditions
- Idiopathic Pulmonary Fibrosis
- Keywords
- Idiopathic Pulmonary Fibrosis, IPF, Idiopathic Interstitial Pneumonia, Interstitial Lung Disease, Lung Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor Decision
- Enrolment
- 372 participants (actual)
- Lead sponsor
- Kyntra BioIndustry (pharma, biotech, devices)
- Study start
- 30 Sep 2020 (actual)
- Primary completion
- 4 Sep 2023 (actual)
- Study completion
- 4 Sep 2023 (actual)
- First posted
- 5 Jun 2020 (actual)
- Results
- Posted 12 Aug 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3 trial to evaluate the efficacy and safety of 30 milligrams (mg)/kilogram (kg) intravenous (IV) infusions of pamrevlumab administered every 3 weeks as compared to placebo in participants with Idiopathic Pulmonary Fibrosis (IPF). There is a 48-week randomized treatment phase followed by an optional, open-label extension phase.
Detailed description
The intent of this study is to evaluate the efficacy and safety of pamrevlumab as monotherapy in participants with IPF. Participants who are not being treated with approved IPF therapies (that is, nintedanib or pirfenidone) may be eligible for screening. Examples of reasons participants may not be treated with approved IPF therapies include but are not limited to:
- Intolerant or not responsive to approved IPF therapies
- Ineligible to receive these therapies
- Participant voluntarily declines to receive approved IPF therapies after being fully informed of the potential benefits/risks
NOTE: No participant should discontinue an approved IPF therapy for the purpose of enrolling in this study.
During the 48-week treatment phase of the study, co-administration of an approved IPF therapy (such as, pirfenidone or nintedanib) is acceptable if clinically indicated in the Investigator's opinion, after assessment of potential risks/benefits of such combination with blinded study treatment.
Participants who complete the 48-week study will be eligible for an optional, open-label extension phase with continued access to pamrevlumab, regardless of their randomized assignment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pamrevlumab | Experimental | Drug: PamrevlumabTreatment phase: Pamrevlumab 30 mg/kg administered by IV infusion, every 3 weeks, for a total of up to 17 infusions over 48 weeks. Open-label extension phase: Pamrevlumab 30 mg/kg administered by intravenous infusion, every 3 weeks for up to 48 weeks |
| Placebo | Experimental | Drug: PlaceboPamrevlumab-matching placebo administered by IV infusion every 3 weeks for a total of up to 17 infusions over 48 weeks |
Who may qualify
- Ages
- 40 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis of IPF as defined by American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Association (ATS/ERS/JRS/ALAT) guidelines within the past 7 years prior to study participation.
- High-resolution computed tomography (HRCT) scan at Screening, with ≥10% to <50% parenchymal fibrosis (reticulation) and <25% honeycombing.
- FVCpp value >45% and <95% at Screening and Day 1 (prior to randomization).
- Diffusing capacity of the lungs for carbon monoxide (DLCO) percent predicted ≥25% and ≤90%.
- Not currently receiving treatment for IPF with an approved therapy for IPF (such as, pirfenidone or nintedanib) for any reason, including prior intolerance or lack of response to an approved IPF therapy, or choice to forego treatment with an approved IPF therapy after a full discussion with the Investigator regarding risks/benefits of such therapy.
Key exclusion criteria (11 listed)
- Previous exposure to pamrevlumab.
- Evidence of significant obstructive lung disease, as evidenced by spirometry or HRCT.
- Female participants who are pregnant or nursing.
- Smoking within 3 months of Screening and/or unwilling to avoid smoking throughout the study.
- Interstitial lung disease other than IPF.
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 |
|---|---|---|
| PamrevlumabAlso: FG-3019Sterile solution for injection | Drug | Pamrevlumab |
| PlaceboSterile solution for injection | Drug | Placebo |
Primary outcome
DB Period: Change From Baseline in FVC at Week 48
Time frame: Baseline, Week 48
FVC is a standard pulmonary function test used to quantify respiratory muscle weakness. FVC was the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Least square (LS) mean and standard error (SE) were analyzed using mixed model repeated measures (MMRM).
6 secondary outcomes
DB Period: Time to Disease Progression
Time frame: Up to Week 48
DB Period: Change From Baseline in Quantitative Lung Fibrosis (QLF) Volume at Week 48
Time frame: Baseline, Week 48
DB Period: Time to First Occurrence of Any Component of the Clinical Composite Endpoint, Whichever Occurred First
Time frame: Up to Week 48
DB Period: Time to First Acute IPF Exacerbation
Time frame: Up to Week 48
DB Period: Time to All-Cause Mortality
Time frame: Up to Week 48
DB Period: Time to First Respiratory Hospitalization
Time frame: Up to Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Not yet recruitingPhase 2
A Phase 2 Study of HB0056 in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary Fibrosis (IPF)
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.
The record lists no contact. Use the official record to reach the sponsor.
157 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pamrevlumab in people with Idiopathic Pulmonary Fibrosis, run by Kyntra Bio at 157 sites in 25 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 5 inclusion and 11 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: stopped early, as of the sponsor's last update on 12 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 157 sites in United States, China, South Korea, Italy, France and 20 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 12 Aug 2024). 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?
DB Period: Change From Baseline in FVC at Week 48 (time frame: Baseline, Week 48). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 12 Aug 2024.