A Study to Assess Pulsed Inhaled Nitric Oxide in Subjects With Pulmonary Fibrosis at Risk for Pulmonary Hypertension

NCT ID: NCT03267108

Last Updated: 2023-07-27

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-14

Study Completion Date

2023-06-30

Brief Summary

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A randomized, double-blind, placebo-controlled dose escalation and verification study to assess the safety and efficacy of pulsed inhaled nitric oxide (iNO) in subjects at risk for pulmonary hypertension associated with pulmonary fibrosis on long term oxygen therapy (Part 1 and Part 2) - REBUILD

Detailed Description

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This is a Phase 3, randomized, double-blind, placebo-controlled dose escalation and verification clinical study to assess the safety and efficacy of pulsed inhaled nitric oxide (iNO) in subjects at risk for pulmonary hypertension associated with pulmonary fibrosis on long term oxygen therapy (Part 1 and Part 2) - REBUILD

Conditions

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Pulmonary Fibrosis Pulmonary Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Inhaled Nitric Oxide (iNO)

Pulsed inhaled iNO 45 mcg/kg Ideal Body Weight (IBW)/hour (hr)

Group Type ACTIVE_COMPARATOR

INOpulse®

Intervention Type COMBINATION_PRODUCT

Subjects will be treated by means of an INOpulse® device using an INOpulse® nasal cannula.

Placebo

Pulsed inhaled N2, 99.999% gas

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type COMBINATION_PRODUCT

Subjects will be treated by means of an INOpulse® device using an INOpulse® nasal cannula.

Open Label Extension

Pulsed inhaled iNO 45 mcg/kg IBW/hr

Group Type OTHER

Open Label Extension

Intervention Type COMBINATION_PRODUCT

Subjects will be treated by means of an INOpulse® device using an INOpulse® nasal cannula.

Interventions

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INOpulse®

Subjects will be treated by means of an INOpulse® device using an INOpulse® nasal cannula.

Intervention Type COMBINATION_PRODUCT

Placebo

Subjects will be treated by means of an INOpulse® device using an INOpulse® nasal cannula.

Intervention Type COMBINATION_PRODUCT

Open Label Extension

Subjects will be treated by means of an INOpulse® device using an INOpulse® nasal cannula.

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* A high resolution CT scan performed in the 6 months prior to screening associated with one of the following conditions and confirmed using guidelines, as per American Thoracic Society (ATS) / European Respiratory Society (ERS) / Japanese Respiratory Society (JRS) / Latin American Thoracic Association (ALAT):

* Major IIPs (idiopathic interstitial pneumonias) diagnosis or suspected as one of the following:

* Idiopathic pulmonary fibrosis
* Idiopathic nonspecific interstitial pneumonia
* Respiratory bronchiolitis-interstitial lung disease
* Desquamative interstitial pneumonia
* Cryptogenic organizing pneumonia
* Acute interstitial pneumonia
* Rare IIPs diagnosis by one of the following:

* Idiopathic lymphoid interstitial pneumonia
* Idiopathic pleuroparenchymal fibroelastosis
* Unclassifiable idiopathic interstitial pneumonias

* Chronic hypersensitivity pneumonitis
* Occupational lung disease
* Connective Tissue Disease associated with IPF (CTD-ILD)
* Interstitial Pneumonia with Autoimmune Features (IPAF)
* Have been using oxygen therapy by nasal cannula for at least 4 weeks (including use limited to exertion)
* 6MWD ≥ 100 meters and ≤ 400 meters at screening and Baseline/Randomization visits.
* World Health Organization (WHO) Functional Class II-IV
* Forced Vital Capacity ≥ 40% predicted within the 60 day Screening period
* Age between 18 and 80 years (inclusive) at screening

Exclusion Criteria

* For women of child-bearing potential: Pregnant or breastfeeding females at Screening, or planning to get pregnant, or unwilling to use appropriate contraception if sexually active to avoid pregnancy during the study and for at least 30 days after discontinuation of the study drug.
* Heart failure with reduced ejection fraction (HFrEF; systolic heart failure) with an ejection fraction of \< 40%; or severe HF with preserved EF (HFpEF; diastolic HF)
* History of sarcoidosis
* History of chronic thrombo-embolic pulmonary hypertension (CTEPH; WHO group 4 PH)
* Smoking within 3 months of Screening and/or unwilling to avoid smoking throughout the study
* Body mass index (BMI) \>40 kg/m2 at screening
* Intermittent uncontrolled atrial fibrillation, in the opinion of the Principal Investigator
* Known severe hepatic impairment, in the opinion of the Principal Investigator
* Known severe renal impairment (Chronic Kidney Disease Epidemiology Collaboration (CKDEPI) 2009 equation \[Levy 2009\] calculated creatinine clearance \<30 ml/min) at screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bellerophon Pulse Technologies

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ashika Ahmed

Role: STUDY_DIRECTOR

Bellerophon Therapeutics

Locations

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University of Alabama

Birmingham, Alabama, United States

Site Status

Banner - University Medical Center Arizona

Phoenix, Arizona, United States

Site Status

Arizona Pulmonary Specialists, Ltd.

Phoenix, Arizona, United States

Site Status

University of California San Francisco

Fresno, California, United States

Site Status

University of California

Los Angeles, California, United States

Site Status

Amicis Research

Northridge, California, United States

Site Status

Paloma Medical Group

Paloma, California, United States

Site Status

University of California Davis Health

Sacramento, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

UC Denver Anschutz Medical Center

Aurora, Colorado, United States

Site Status

National Jewish

Denver, Colorado, United States

Site Status

Georgetown University

Washington D.C., District of Columbia, United States

Site Status

St. Francis Sleep Allergy and Lung Institute

Clearwater, Florida, United States

Site Status

Advanced Pulmonary Research Institute

Loxahatchee Groves, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Avanza Medical Research Center

Pensacola, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Cleveland Clinic

Weston, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northside Hospital

Atlanta, Georgia, United States

Site Status

Piedmont Healthcare

Austell, Georgia, United States

Site Status

Northwestern

Chicago, Illinois, United States

Site Status

North Shore University Hospital

Evanston, Illinois, United States

Site Status

Loyola University

Maywood, Illinois, United States

Site Status

Southern Illinois University

Springfield, Illinois, United States

Site Status

Ascension St. Vincent Hospital

Indianapolis, Indiana, United States

Site Status

Norton Pulmonary Specialists

Louisville, Kentucky, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

The Lung Research Center, LLC

Chesterfield, Missouri, United States

Site Status

Creighton University

Omaha, Nebraska, United States

Site Status

Atlantic Health Respiratory Institute

Summit, New Jersey, United States

Site Status

NYU Langone

New York, New York, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Weill Cornell Medical Center

New York, New York, United States

Site Status

Stony Brook University Hospital

Stony Brook, New York, United States

Site Status

The University of North Carolina at Chapel Hill Marsico Clinical Research Center

Chapel Hill, North Carolina, United States

Site Status

Pulmonix, LLC/LeBauer Cone Health

Greensboro, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

University Hospitals

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

The Oregon Clinic

Portland, Oregon, United States

Site Status

Thomas Jefferson University Korman Respiratory Institute

Philadelphia, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

AnMed Health

Anderson, South Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Metroplex Pulmonary and Sleep

McKinney, Texas, United States

Site Status

University of Utah Health Sciences

Salt Lake City, Utah, United States

Site Status

Inova Heart and Vascular Institute Advanced Lung Disease Clinic

Falls Church, Virginia, United States

Site Status

Pulmonary Associates of Richmond

Richmond, Virginia, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

University of British Columbia

Vancouver, British Columbia, Canada

Site Status

Queen's University/Hotel Dieu Hospital

Kingston, Ontario, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Nathan SD, Rajicic N, Dudenhofer R, Hussain R, Argula R, Bandyopadhyay D, Luckhardt T, Muehlemann N, Flaherty KR, Glassberg MK, Lancaster L, Raghu G, Fernandes P. Inhaled Nitric Oxide in Fibrotic Lung Disease: A Randomized, Double-Blind, Placebo-controlled Trial. Ann Am Thorac Soc. 2024 Dec;21(12):1661-1669. doi: 10.1513/AnnalsATS.202406-662OC.

Reference Type DERIVED
PMID: 39141673 (View on PubMed)

Other Identifiers

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PULSE-PHPF-001

Identifier Type: -

Identifier Source: org_study_id

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