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

NCT ID: NCT02550873

Last Updated: 2022-05-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

117 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-01

Study Completion Date

2017-05-02

Brief Summary

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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.

Detailed Description

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

Conditions

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Idiopathic Pulmonary Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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PRM-151 10mg / kg

Dosing Every 4 Weeks

Group Type EXPERIMENTAL

PRM-151

Intervention Type BIOLOGICAL

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

Placebo

Dosing Every 4 weeks

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

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

Interventions

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PRM-151

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

Intervention Type BIOLOGICAL

placebo

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

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Is aged 40-80 years.
2. 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.
3. 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.
4. If not currently receiving pirfenidone or nintedanib, subject must have been off pirfenidone or nintedanib for ≥ 4 weeks before baseline.
5. Has a FVC ≥ 50% and ≤ 90% of predicted.
6. Has a DLCO ≥ 25% and ≤ 90% of predicted.
7. Minimum distance on 6-Minute Walk Test (6MWT) of 150 meters.
8. Has a forced expiratory volume in 1 second (FEV1)/FVC ratio \> 0.70.
9. 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.
10. Has a life expectancy of at least 9 months
11. According to the investigator's best judgment, can comply with the requirements of the protocol.
12. Has provided written informed consent to participate in the study.

Exclusion Criteria

1. 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.
2. Has a history of cigarette smoking within the previous 3 months.
3. Has received investigational therapy for IPF within 4 weeks before baseline.
4. Is receiving systemic corticosteroids equivalent to prednisone \> 10 mg/day or equivalent within 2 weeks of baseline.
5. Received azathioprine, cyclophosphamide, or cyclosporine A within 4 weeks of baseline.
6. 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.
7. 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.
8. Has baseline resting oxygen saturation of \< 89% on room air or supplemental oxygen.
9. 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.
10. Has a known post bronchodilator (short acting beta agonist \[SABA\] - albuterol or salbutamol) increase in FEV1 of \>10% and in FVC of \>7.5%.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bernt van den Blink, MD, PhD

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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UCSF Interstitial Lung Disease Program

San Francisco, California, United States

Site Status

National Jewish Medical and Research Center

Denver, Colorado, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

University of Louisville Hospital

Louisville, Kentucky, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

UT - Southwestern Medical School

Dallas, Texas, United States

Site Status

Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

University of Wisconsin-Madison

Madison, Wisconsin, United States

Site Status

Thomayer Hospital

Prague, , Czechia

Site Status

Justus-Liebig University Giessen

Giessen, , Germany

Site Status

Thoraxklinik University of Heidelberg

Heidelberg, , Germany

Site Status

Az. Ospedaliera Universitaria-Policlinico V. Emanuele di Catania

Catania, , Italy

Site Status

Azienda Ospedaliera San Gerardo

Monza, , Italy

Site Status

Erasmus Medical Center

Rotterdam, South Holland, Netherlands

Site Status

Hospital University de Bellvitge

Barcelona, , Spain

Site Status

Centre Hospitalier Universitaire Vaudois (CHUV)

Lausanne, , Switzerland

Site Status

Countries

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United States Czechia Germany Italy Netherlands Spain Switzerland

References

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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.

Reference Type RESULT
PMID: 29800034 (View on PubMed)

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.

Reference Type DERIVED
PMID: 35597980 (View on PubMed)

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.

Reference Type DERIVED
PMID: 31122893 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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PRM-151-202

Identifier Type: OTHER

Identifier Source: secondary_id

2014-004782-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

WA42404

Identifier Type: -

Identifier Source: org_study_id

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