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Evaluation of Efficacy and Safety of PLN-74809 in Patients With Idiopathic Pulmonary Fibrosis

Phase 2
Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
Drug: Placebo
Registration Number
NCT04396756
Lead Sponsor
Pliant Therapeutics, Inc.
Brief Summary

A Phase 2a, multicenter, 4-part, randomized, double-blind, dose-ranging, placebo-controlled study to evaluate the safety, tolerability, and PK of once-daily treatment with PLN-74809 in participants with idiopathic pulmonary fibrosis.

Detailed Description

Four part study:

Part A - 4 week treatment period evaluating PLN-74809 or matching placebo

Part B - 12 week treatment period evaluating PLN-74809 or matching placebo

Part C - 12 week treatment period evaluating up to two intermediatery PLN-74809 doses or matching placebo

Part D - ≥ 24 week treatment period evaluating higher PLN-74809 dose or matching placebo

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Diagnosis of IPF based upon the Fleischner Society guidelines within 3 years from Screening (Part A) or based on ATS/ERS/JRS/ALAT 2018 guidelines within 5 years from Screening (Part B, C & D)
  • FVC % of predicted ≥45%
  • DLco (hemoglobin-adjusted) ≥30%
  • Participants receiving treatment for IPF with nintedanib or pirfenidone are allowed, if on a stable dose for at least 3 months
Exclusion Criteria
  • Currently receiving or planning to initiate treatment for IPF (fibrosis) with agents not approved for that indication by the FDA
  • Forced expiratory volume during the first seconds of the forced breath (FEV1)/FVC ratio <0.7 at Screening
  • Clinical evidence of active infection, including but not limited to bronchitis, pneumonia, sinusitis that can affect FVC measurement or IPF progression
  • Known acute IPF exacerbation or suspicion by the Investigator of such, within 6 months of Screening
  • Smoking of any kind within 3 months of Screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo
PLN-74809 Dose Level 1 (Part A)PLN-74809PLN-74809 Dose Level 1 (Part A) - 4 weeks
PLN-74809 Dose Level 2 (Part A)PLN-74809PLN-74809 Dose Level 2 (Part A) - 4 weeks
PLN-74809 Dose Level 2 (Part B)PLN-74809PLN-74809 Dose Level 2 (Part B) - 12 weeks
PLN-74809 - Dose Level 3 (Part C)PLN-74809PLN-74809 Dose Level 3 (Part C) - 12 weeks
PLN-74809 - Dose Level 4 (Part C)PLN-74809PLN-74809 Dose Level 4 (Part C) - 12 weeks
PLN-74809 - Dose Level 5 (Part D)PLN-74809PLN-74809 Dose Level 5 (Part D) - ≥ 24 weeks
Primary Outcome Measures
NameTimeMethod
Part A - Number of Participants With Serious Treatment-Emergent Adverse EventsUp to 4 weeks

An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Part A - Number of Participants With Treatment-Emergent Adverse EventsUp to 4 weeks

An AE was any untoward medical occurrence in a clinical study participant administered a study drug that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a study drug, whether or not the AE is considered related to the study drug. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 14 days after permanent discontinuation of study drug.

Part B, C, D - Number of Participants With Treatment-Emergent Adverse EventsUp to 12 weeks

An AE was any untoward medical occurrence in a clinical study participant administered a study drug that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a study drug, whether or not the AE is considered related to the study drug. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 14 days after permanent discontinuation of study drug.

Part D - Number of Participants With Treatment-Emergent Adverse EventsUp to 48 weeks

An AE was any untoward medical occurrence in a clinical study participant administered a study drug that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a study drug, whether or not the AE is considered related to the study drug. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 14 days after permanent discontinuation of study drug.

Part B, C, D - Number of Participants With Serious Treatment-Emergent Adverse EventsUp to 12 weeks

An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Part D - Number of Participants With Serious Treatment-Emergent Adverse EventsUp to 48 weeks

An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Secondary Outcome Measures
NameTimeMethod
Part D - Assessment of PLN-74809 Total Plasma ConcentrationsWeek 24, 2 Hours Post Dose

Part D - Assessment of PLN-74809 Total Plasma Concentrations Week 24, 2 Hours Post Dose

Part A - Assessment of PLN-74809 Total Plasma ConcentrationsWeek 4, 1 Hour Post Dose

Part A - Assessment of PLN-74809 Total Plasma Concentrations Week 4, 1 Hour Post Dose

Part B, C, D - Assessment of PLN-74809 Total Plasma ConcentrationsWeek 12, 2 Hours Post Dose

Part B, C, D - Assessment of PLN-74809 Total Plasma Concentrations Week 12, 2 Hours Post Dose

Trial Locations

Locations (20)

UZ Leuven

🇧🇪

Leuven, Belgium

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

The Emory Clinic

🇺🇸

Atlanta, Georgia, United States

Pulmonary Associates, PA

🇺🇸

Phoenix, Arizona, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Royal Prince Alfred Hospital

🇦🇺

Camperdown, New South Wales, Australia

CISSS de la Montérégie Centre

🇨🇦

Greenfield Park, Quebec, Canada

San Giuseppe Hospital, Multimedica S.p.a.

🇮🇹

Milan, Italy

Dr. Anil Dhar Medicine Professional Corporation

🇨🇦

Windsor, Ontario, Canada

Catharina Ziekenhuis

🇳🇱

Eindhoven, EJ, Netherlands

Canisius-Wilhelmina Ziekenhuis

🇳🇱

Nijmegen, SZ, Netherlands

UPMC

🇺🇸

Pittsburgh, Pennsylvania, United States

Yale University Scool of Medicine/ Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Cardio-Pulmonary Associates of St. Luke's Hospital - Chesterfield

🇺🇸

Chesterfield, Missouri, United States

The Alfred Hospital

🇦🇺

Melbourne, Victoria, Australia

New Zealand Respiratory and Sleep Institute

🇳🇿

Greenlane, Auckland, New Zealand

University of Otago Christchurch

🇳🇿

Christchurch, New Zealand

Vanderbilt Lung Institute at One Hundred Oaks

🇺🇸

Nashville, Tennessee, United States

PulmonIx

🇺🇸

Greensboro, North Carolina, United States

Cedars-Sinai Medical Center, Interstitial Lung Disease Program, Pulmonary and Critical Care Medicine

🇺🇸

Los Angeles, California, United States

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