A Study to Test How Effective Belumosudil Tablets Are for Treating Adult Participants With Chronic Lung Allograft Dysfunction

NCT ID: NCT06082037

Last Updated: 2026-01-27

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-10

Study Completion Date

2028-06-02

Brief Summary

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This double-blind, randomized, placebo-controlled, multinational, multicenter, parallel-group, Phase 3, 2-arm, study will investigate the efficacy and safety of belumosudil compared with placebo, both administered on top of azithromycin and standard-of-care regimen of immunosuppression in male or female participants at least 1 year after bilateral lung transplant, who are at least 18 years of age and who have evidence of progressive CLAD despite azithromycin therapy.

Study details include:

The study duration will be up to 31 weeks for participants not entering the open-label extension (OLE) period and up to 57 weeks for participants entering the OLE period but not the long-term OLE.

The treatment duration will be up to 26 weeks for participants not entering the OLE period and up to 52 weeks for participants entering the OLE period but not the long-term OLE.

The number of visits will be up to 10 visits for participants not entering the OLE period and up to 16 visits for participants entering the OLE period but not the long-term OLE.

For participants who enter the long-term OLE, treatment and study participation will continue with visits every 12 weeks per protocol specifications.

Detailed Description

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Conditions

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Lung Transplant Rejection

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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Belumosudil + Azithromycin

Participants will receive 200 mg belumosudil orally once daily

Group Type EXPERIMENTAL

Belumosudil

Intervention Type DRUG

Tablet, Oral

Azithromycin

Intervention Type DRUG

Depends on pharmaceutical presentation, Oral

Placebo + Azithromycin

Participants will receive placebo orally once daily

Group Type PLACEBO_COMPARATOR

Azithromycin

Intervention Type DRUG

Depends on pharmaceutical presentation, Oral

Placebo

Intervention Type DRUG

Tablet, Oral

Interventions

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Belumosudil

Tablet, Oral

Intervention Type DRUG

Azithromycin

Depends on pharmaceutical presentation, Oral

Intervention Type DRUG

Placebo

Tablet, Oral

Intervention Type DRUG

Other Intervention Names

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REZUROCK

Eligibility Criteria

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Inclusion Criteria

* Participant ≥1 year post bilateral lung transplantation at the time of screening
* Participants presenting with CLAD Stage 1 or 2: FEV1 from \>50% to 80% of post-transplant baseline at screening and at randomization
* Participants who have received at least 8 weeks of azithromycin (≥250 mg/day, at least 3 times a week) prior to randomization

Exclusion Criteria

* FEV1 ≤50% of the post-transplant baseline value (CLAD 3 and 4)
* Lung function decline that can be explained by non-CLAD causes including but not limited to acute lung allograft rejection (\>A1), antibody-mediated rejection, airway stenosis, or tracheobronchomalacia
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meiji Seika Pharma Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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UAB Lung Health Center- Site Number : 8400026

Birmingham, Alabama, United States

Site Status RECRUITING

St. Joseph's Hospital & Medical Center - Norton Thoracic Research Department- Site Number : 8400019

Phoenix, Arizona, United States

Site Status RECRUITING

David Geffen School of Medicine at UCLA- Site Number : 8400020

Los Angeles, California, United States

Site Status RECRUITING

Stanford Health Care - Center for Advance Lung Disease- Site Number : 8400008

Stanford, California, United States

Site Status RECRUITING

Mayo Clinic- Site Number : 8400031

Jacksonville, Florida, United States

Site Status RECRUITING

University of Miami - Jackson Memorial Hospital- Site Number : 8400030

Miami, Florida, United States

Site Status RECRUITING

Advent Health Transplant Institute- Site Number : 8400023

Orlando, Florida, United States

Site Status RECRUITING

Tampa General Hospital- Site Number : 8400015

Tampa, Florida, United States

Site Status RECRUITING

~Emory University Hospital- Site Number : 8400027

Atlanta, Georgia, United States

Site Status RECRUITING

Northwestern University- Site Number : 8400003

Chicago, Illinois, United States

Site Status RECRUITING

Loyola University Medical Center- Site Number : 8400025

Maywood, Illinois, United States

Site Status RECRUITING

University Of Iowa Hospitals And Clinics- Site Number : 8400032

Iowa City, Iowa, United States

Site Status RECRUITING

University of Maryland School of Medicine- Site Number : 8400009

Baltimore, Maryland, United States

Site Status RECRUITING

~Johns Hopkins University School of Medicine- Site Number : 8400034

Baltimore, Maryland, United States

Site Status RECRUITING

Brigham & Women's Hospital/VA Boston Lung Transplant Program- Site Number : 8400016

Boston, Massachusetts, United States

Site Status RECRUITING

University of Michigan Hospital - 1500 E Medical Center Dr- Site Number : 8400014

Ann Arbor, Michigan, United States

Site Status RECRUITING

Corewell Health- Site Number : 8400010

Grand Rapids, Michigan, United States

Site Status RECRUITING

NYU Langone Medical Center- Site Number : 8400001

New York, New York, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai- Site Number : 8400037

New York, New York, United States

Site Status RECRUITING

New York Presbyterian/Columbia University Medical Center- Site Number : 8400002

New York, New York, United States

Site Status RECRUITING

Montefiore Medical Center- Site Number : 8400036

The Bronx, New York, United States

Site Status RECRUITING

Duke Lung Transplant Program- Site Number : 8400017

Durham, North Carolina, United States

Site Status RECRUITING

Cleveland Clinic Foundation- Site Number : 8400005

Cleveland, Ohio, United States

Site Status RECRUITING

OSU Wexner Medical Center- Site Number : 8400028

Columbus, Ohio, United States

Site Status RECRUITING

University of Pennsylvania - Harron Lung Center- Site Number : 8400006

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Temple University Hospital- Site Number : 8400007

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Vanderbilt University Medical Center- Site Number : 8400018

Nashville, Tennessee, United States

Site Status RECRUITING

Baylor University Medical Center - Dallas- Site Number : 8400011

Dallas, Texas, United States

Site Status RECRUITING

UT Southwestern Medical Center- Site Number : 8400013

Dallas, Texas, United States

Site Status RECRUITING

Baylor University Medical Center - Houston- Site Number : 8400024

Houston, Texas, United States

Site Status RECRUITING

Houston Methodist Research Institute- Site Number : 8400021

Houston, Texas, United States

Site Status RECRUITING

UT Health San Antonio - University Hospital- Site Number : 8400035

San Antonio, Texas, United States

Site Status RECRUITING

Inova Fairfax Medical Campus - IHVI ALD and Lung Transplant Services- Site Number : 8400004

Falls Church, Virginia, United States

Site Status RECRUITING

Investigational Site Number : 0360003

Darlinghurst, New South Wales, Australia

Site Status RECRUITING

Investigational Site Number : 0360001

Chermside, Queensland, Australia

Site Status RECRUITING

Investigational Site Number : 0360002

Murdoch, Western Australia, Australia

Site Status RECRUITING

Investigational Site Number : 0400001

Vienna, , Austria

Site Status RECRUITING

Investigational Site Number : 0560002

Godinne, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560001

Leuven, , Belgium

Site Status RECRUITING

Investigational Site Number : 1240002

Edmonton, Alberta, Canada

Site Status RECRUITING

Investigational Site Number : 1240001

Vancouver, British Columbia, Canada

Site Status RECRUITING

Investigational Site Number : 1240004

Toronto, Ontario, Canada

Site Status RECRUITING

Investigational Site Number : 1560004

Beijing, , China

Site Status RECRUITING

Investigational Site Number : 1560002

Chengdu, , China

Site Status RECRUITING

Investigational Site Number : 1560008

Fuzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560007

Guangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560001

Hangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560005

Hefei, , China

Site Status RECRUITING

Investigational Site Number : 1560009

Shanghai, , China

Site Status RECRUITING

Investigational Site Number : 1560003

Wuxi, , China

Site Status RECRUITING

Investigational Site Number : 1560006

Zhengzhou, , China

Site Status RECRUITING

Investigational Site Number : 2030002

Olomouc, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030001

Praha 5 - Motol, , Czechia

Site Status RECRUITING

Investigational Site Number : 2080001

Copenhagen, , Denmark

Site Status RECRUITING

Investigational Site Number : 2460001

Helsinki, , Finland

Site Status RECRUITING

Investigational Site Number : 2500005

La Plessis Robinson, , France

Site Status RECRUITING

Investigational Site Number : 2500006

Marseille, , France

Site Status RECRUITING

Investigational Site Number : 2500004

Paris, , France

Site Status RECRUITING

Investigational Site Number : 2500002

Pessac, , France

Site Status RECRUITING

Investigational Site Number : 2500003

Saint-Herblain, , France

Site Status RECRUITING

Investigational Site Number : 2500001

Suresnes, , France

Site Status RECRUITING

Investigational Site Number : 2760003

München, , Germany

Site Status RECRUITING

Investigational Site Number : 3480001

Budapest, , Hungary

Site Status RECRUITING

Investigational Site Number : 3760001

Petah Tikva, , Israel

Site Status RECRUITING

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano-Site Number : 3800001

Milan, Milano, Italy

Site Status RECRUITING

Investigational Site Number : 3800005

Padua, , Italy

Site Status RECRUITING

IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione)-Site Number : 3800004

Palermo, , Italy

Site Status RECRUITING

Fondazione IRCCS Policlinico San Matteo-Site Number : 3800003

Pavia, , Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria Senese UOC Malattie Respiratorie e Trapianto Polmonare-Site Number : 3800002

Siena, , Italy

Site Status RECRUITING

Investigational Site Number : 5280001

Groningen, , Netherlands

Site Status RECRUITING

Investigational Site Number : 5780001

Oslo, , Norway

Site Status RECRUITING

Investigational Site Number : 4100004

Yangsan, Gyeongsangnam-do, South Korea

Site Status RECRUITING

Investigational Site Number : 4100002

Seoul, Seoul-teukbyeolsi, South Korea

Site Status RECRUITING

Investigational Site Number : 4100001

Seoul, Seoul-teukbyeolsi, South Korea

Site Status RECRUITING

Investigational Site Number : 4100003

Seoul, Seoul-teukbyeolsi, South Korea

Site Status RECRUITING

Investigational Site Number : 7240002

A Coruña, A Coruña [La Coruña], Spain

Site Status RECRUITING

Investigational Site Number : 7240003

Barcelona, Barcelona [Barcelona], Spain

Site Status RECRUITING

Investigational Site Number : 7240001

Santander, Cantabria, Spain

Site Status RECRUITING

Investigational Site Number : 7240004

Valencia, , Spain

Site Status RECRUITING

Investigational Site Number : 7520001

Gothenburg, , Sweden

Site Status RECRUITING

Countries

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United States Australia Austria Belgium Canada China Czechia Denmark Finland France Germany Hungary Israel Italy Netherlands Norway South Korea Spain Sweden

Central Contacts

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Trial Transparency email recommended (Toll free number for US & Canada)

Role: CONTACT

800-633-1610 ext. option 6

Facility Contacts

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Francesco Blasi, Prof.

Role: primary

0039/0250320627

Grusselli Giovanna

Role: primary

0039/0912192111

Amelia Grosso, Dr.

Role: primary

0039/0382502611

David Bennett, Dr.

Role: primary

0039/0577586710

Related Links

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Other Identifiers

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U1111-1280-6777

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-503462-23

Identifier Type: REGISTRY

Identifier Source: secondary_id

EFC17801

Identifier Type: -

Identifier Source: org_study_id

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