A Study of Oral Vismodegib in Combination With Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis

NCT ID: NCT02648048

Last Updated: 2017-10-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-15

Study Completion Date

2016-11-30

Brief Summary

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This is a single arm, multicenter, open-label, Phase 1b study to evaluate the safety and tolerability of vismodegib in combination with pirfenidone in participants with idiopathic pulmonary fibrosis (IPF) currently being treated with pirfenidone.

Detailed Description

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Conditions

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Idiopathic Pulmonary Fibrosis

Keywords

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Idiopathic Pulmonary Fibrosis Vismodegib Pirfenidone

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Vismodegib and Pirfenidone

Participants being treated with pirfenidone, will receive vismodegib 150 milligrams (mg) once daily and pirfenidone up to 2403 mg daily orally for 24 weeks.

Group Type EXPERIMENTAL

Pirfenidone

Intervention Type DRUG

Pirfenidone will be administered as per the dosage schedule mentioned in arm description.

Vismodegib

Intervention Type DRUG

Vismodegib will be administered as per the dosage schedule mentioned in arm description.

Interventions

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Pirfenidone

Pirfenidone will be administered as per the dosage schedule mentioned in arm description.

Intervention Type DRUG

Vismodegib

Vismodegib will be administered as per the dosage schedule mentioned in arm description.

Intervention Type DRUG

Other Intervention Names

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RO0220912 RO5450815

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of IPF 5 years from time of screening, confirmed at baseline
* Tolerated dose of pirfenidone 1602-2403 mg once daily (QD) for a minimum of 24 weeks required prior to and during screening
* Greater than or equal to (\>=) 50 percent (%) and less than or equal to (\<=) 100% of predicted forced vital capacity (FVC) at screening
* Stable baseline lung function as evidenced by a difference of less than (\<) 10% in absolute FVC measurements (in liters) between screening and Day 1/Visit 2 prior to enrollment
* \>=30% and \<=90% of predicted diffusion capacity of the lung for carbon monoxide at screening
* Agree to use protocol defined methods of contraception
* Male participants must agree not to donate semen during the study and for at least 2 months (or as per local requirements) after the last dose of vismodegib
* Agree not to donate blood or blood products during the study and for at least 9 months (or as per local requirements) after the last dose of study treatment

Exclusion Criteria

* Prior treatment with vismodegib or any Hh-pathway inhibitor
* Evidence of other known causes of interstitial lung disease
* Hospitalization due to an exacerbation of IPF within 4 weeks prior to or during screening
* Lung transplant expected within 6 months of screening
* Evidence of clinically significant lung disease other than IPF
* Post-bronchodilator forced expiratory volume in 1 second/FVC ratio \<0.7 at screening
* Any clinically significant medical disease (other than IPF) that is associated with an expected survival of \<6 months, likely to require a change in therapy during the study
* Class IV New York Heart Association chronic heart failure or historical evidence of left ventricular ejection fraction \<35%
* Known current malignancy or current evaluation for a potential malignancy
* Known immunodeficiency, including, but not limited to, human immunodeficiency virus infection
* Evidence of acute or chronic hepatitis or known liver cirrhosis
* Creatinine clearance \<=30 milliliter per minute, calculated using the Cockcroft-Gault formula
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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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Scripps Clinic

La Jolla, California, United States

Site Status

Central Florida Pulmonary Group, PA

Orlando, Florida, United States

Site Status

Suburban Lung Associates

Elk Grove, Illinois, United States

Site Status

Medical Consultants, PC ; Pulmonary

Muncie, Indiana, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Tulane University Medical School

New Orleans, Louisiana, United States

Site Status

Steward St. Elizabeth's Medical Center ; Pulmonary, Critical Care and Sleep Medicine

Boston, Massachusetts, United States

Site Status

Creighton University Medical Center

Omaha, Nebraska, United States

Site Status

Allied Clinical Research

Reno, Nevada, United States

Site Status

Atlantic Respiratory Institute

Summit, New Jersey, United States

Site Status

Pulmonix LLC

Greensboro, North Carolina, United States

Site Status

PMG Research of Wilmington

Wilmington, North Carolina, United States

Site Status

Western Washington Medical Group

Everett, Washington, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Fraunhofer-Institut fur Toxikologie und Experimentelle Medizin ITEM

Hanover, , Germany

Site Status

Countries

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United States Germany

References

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Prasse A, Ramaswamy M, Mohan S, Pan L, Kenwright A, Neighbors M, Belloni P, LaCamera PP. A Phase 1b Study of Vismodegib with Pirfenidone in Patients with Idiopathic Pulmonary Fibrosis. Pulm Ther. 2019 Dec;5(2):151-163. doi: 10.1007/s41030-019-0096-8. Epub 2019 Jul 19.

Reference Type DERIVED
PMID: 32026407 (View on PubMed)

Other Identifiers

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2015-003481-81

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GB29764

Identifier Type: -

Identifier Source: org_study_id