A Study to Investigate Leramistat in Patients With IPF

NCT ID: NCT05951296

Last Updated: 2025-04-09

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-30

Study Completion Date

2024-03-14

Brief Summary

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To compare the effect of daily oral dosing of leramistat over 12 weeks with placebo in participants aged 40 years or older with idiopathic pulmonary fibrosis (IPF).

Detailed Description

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This will be a Phase 2, double-blind, placebo-controlled, 2-arm, parallel-group, multi-centre study to investigate leramistat treatment of patients aged 40 years or older with IPF. The study is planned to consist of the following parts:

Screening period: 1 to 28 days (Weeks -4 to -1). Treatment period: a 12-week blinded, placebo-controlled treatment period (Weeks 1 to 12).

Follow up period: 56 days (Weeks 13 to 20). All participants will return for a follow-up visit 56 days after their final dose.

Randomization will be stratified by concomitant use of an approved anti-fibrotic drug (nintedanib or pirfenidone) at randomization versus no concomitant use of an approved anti-fibrotic drug at randomization.

Number of Participants: Approximately 150 participants will be enrolled and randomly assigned in a 2:1 ratio to receive either leramistat or matched placebo.

If the participant is receiving nintedanib or pirfenidone treatment, it should be stable for at least 8 weeks prior to study entry and be predicted to remain stable during the course of the study. The maximum duration of participation (including screening period and follow-up) is 24 weeks.

Data Monitoring/Other Committee: A DSMB has been appointed for this study.

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

DOUBLE

Participants Investigators

Study Groups

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Leramistat

Leramistat once daily

Group Type EXPERIMENTAL

Leramistat

Intervention Type DRUG

Drug: Leramistat

Placebo

Placebo comparator

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo comparator

Interventions

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Leramistat

Drug: Leramistat

Intervention Type DRUG

Placebo

Placebo comparator

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of IPF based on: a. ATS/ERS/JRS/ALAT guidelines (Raghu, 2022) as confirmed by the investigator based on chest high-resolution computed tomography (hrCT) scan taken within 3 years of Screening and, if available, surgical lung biopsy b. UIP or probable UIP hrCT pattern consistent with the clinical diagnosis of IPF, as confirmed by central review prior to baseline (if indeterminate, hrCT findings of IPF may be confirmed locally by historical biopsy).
2. Has an FVC ≥45% of predicted.
3. Has a DLCO corrected for hemoglobin ≥25% and ≤80% of predicted.
4. Minimum distance on 6MWT of 150 meters.
5. Has a FEV1/FVC ratio \>0.70.
6. If on anti-fibrotics, only the approved treatments of nintedanib or pirfenidone are allowed. Participants must be on a stable dose for at least 8 weeks prior to Visit 1
7. Has a life expectancy of at least 12 months (in the opinion of the investigator).

Exclusion Criteria

1. Emphysema ≥50% on hrCT or the extent of emphysema is greater than the extent of fibrosis according to the central reviewer's assessment from the most recent hrCT or if reported by the local reviewer.
2. Any current malignancy or a history of malignancy within the previous 5 years prior to screening, with the exception of adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ.
3. Abnormality in heart rate, blood pressure or 12-lead ECG at screening that in the opinion of the Investigator increases the risk of participating in the study.
4. Significant history of drug allergy, including to leramistat or excipients, as determined by the Investigator.
5. Allergic reaction, anaphylaxis, or other reactions (e.g., Stevens-Johnson syndrome, toxic epidermal necrolysis or leukopenia)
6. History of opportunistic, chronic, or recurrent infections.
7. Participants with chronic obstructive pulmonary disease (COPD) or asthma that:

* require \>2 maintenance therapies
* have experienced an exacerbation requiring hospitalization or systemic corticosteroids within 12 months prior to screening.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Modern Biosciences Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UCSF Fresno

Fresno, California, United States

Site Status

National Jewish Health Main Campus

Denver, Colorado, United States

Site Status

MedStar Georgetown University Hospital

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

Site Status

Reliant Medical Research

Miami, Florida, United States

Site Status

US Associates in Research Inc

Miami, Florida, United States

Site Status

GCP Clinical Research, LLC

Tampa, Florida, United States

Site Status

GCP Clinical Research

Tampa, Florida, United States

Site Status

Southern Medical Research, LLC

Macon, Georgia, United States

Site Status

GenHarp Clinical Solutions

Chicago, Illinois, United States

Site Status

IU Health Ball Memorial Physicians Pulmonary and Critical Care Medicine

Muncie, Indiana, United States

Site Status

Benchmark Research - Covington - HyperCore - PPDS

Covington, Louisiana, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Howard County Center for Lung and Sleep Medicine, LLC

Columbia, Maryland, United States

Site Status

Howard County Center for Lung and Sleep Medicine, LLC

Columbia, Maryland, United States

Site Status

Hudson County Clinical Trials Research Center

Union City, New Jersey, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Southeastern Research Center

Winston-Salem, North Carolina, United States

Site Status

Baylor Scott and White Health - Advanced Lung Disease Specialists - Dallas

Dallas, Texas, United States

Site Status

Metroplex Pulmonary and Sleep Medicine Center-4833 Medical Center Dr

McKinney, Texas, United States

Site Status

Metroplex Pulmonary and Sleep Medicine Centre 4833 Medical Center Dr

McKinney, Texas, United States

Site Status

University of Utah - PPDS

Salt Lake City, Utah, United States

Site Status

Hopital Nord AP-HM

Marseille, , France

Site Status

Hôpital Pasteur II

Nice, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Hopital Robert Schuman

Vantoux, , France

Site Status

Zentralklinik Bad Berka GmbH

Bad Berka, , Germany

Site Status

Klinikum Köln-Merheim

Cologne, , Germany

Site Status

Ruhrlandklinik

Essen, , Germany

Site Status

IKF Pneumologie

Frankfurt am Main, , Germany

Site Status

Universitätsklinikum Gießen und Marburg GmbH

Giessen, , Germany

Site Status

Universitatsklinikum Halle (Saale)

Halle, , Germany

Site Status

Universitatsklinikum Leipzig

Leipzig, , Germany

Site Status

Universitatsklinikum Schleswig-Holstein - Kiel

Lübeck, , Germany

Site Status

University Hospital of Alexandroupolis

Alexandroupoli, , Greece

Site Status

Evangelismos General Hospital of Athens

Athens, , Greece

Site Status

General Hospital of Diseases Thoracos of Athens "Sotiria"

Athens, , Greece

Site Status

University General Hospital of Heraklion

Heraklion, , Greece

Site Status

University General Hospital of Ioannina

Ioannina, , Greece

Site Status

University General Hospital of Larissa

Larissa, , Greece

Site Status

Georgios Papanikolaou General Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Semmelweis Egyetem

Budapest, , Hungary

Site Status

Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz

Székesfehérvár, , Hungary

Site Status

Lady Davis Carmel Medical Center

Haifa, , Israel

Site Status

Rambam Medical Center - PPDS

Haifa, , Israel

Site Status

Kaplan Medical Center

Rehovot, , Israel

Site Status

Tel Aviv Sourasky Medical Center - PPDS

Tel Aviv, , Israel

Site Status

Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele

Catania, , Italy

Site Status

Azienda Ospedaliera Universitaria Careggi

Florence, , Italy

Site Status

Azienda Ospedaliero Universitaria Di Modena Policlinico

Modena, , Italy

Site Status

Fondazione Policlinico Universitario A Gemelli-Rome

Roma, , Italy

Site Status

Azienda Ospedaliera Universitaria Senese

Siena, , Italy

Site Status

Hospital Puerta del Mar

Cadiz, , Spain

Site Status

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status

Royal Brompton Hospital

London, , United Kingdom

Site Status

University College Hospital

London, , United Kingdom

Site Status

North Manchester General Hospital - PPDS

Manchester, , United Kingdom

Site Status

Walsall Manor Hospital

Walsall, , United Kingdom

Site Status

Countries

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United States France Germany Greece Hungary Israel Italy Spain United Kingdom

Other Identifiers

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2023-504418-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

IST-07

Identifier Type: -

Identifier Source: org_study_id

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