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临床试验/NL-OMON50041
NL-OMON50041已完成2 期

A Randomized Open-Label, Phase 1b Study of the Safety of Pirfenidone Solution for Inhalation (AP01) in Patients with Idiopathic Pulmonary Fibrosis (ATLAS Study) - ATLAS study

Avalyn Pharma, Inc.0 个研究点目标入组 10 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
已完成
入组人数
10

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Male and female patients, at least 40 years of age at Screening
  • 2. Not eligible for oral pirfenidone and nintedanib due to national formulary;
  • restrictions OR intolerant to or unwilling to start oral pirfenidone and
  • nintedanib, if previously offered;
  • 3. Clinical symptoms consistent with IPF of * 12 months duration (with or
  • without IPF diagnosis)
  • 4. Diagnosis of IPF, defined as the first instance in which a patient was
  • informed of having IPF, no more than 60 months before randomization;
  • Patients that have had an IPF diagnosis * 1 year, the following criteria must
  • - HRCT and/or Surgical Lung Biopsy findings consistent with UIP. If
  • honeycombing is not present on the HRCT, then one or both of the following
  • criteria must be present:
  • * Disease progression since diagnosis by HRCT and/or
  • * An absolute loss of FVC * 5% percent predicted over the past 12 months,
  • Patients that have had IPF diagnosis within the last year, the following
  • criteria must be met:
  • - Diagnosis of Usual Interstitial Pneumonia (UIP) or IPF by HRCT (HRCT must be
  • performed within 12 months prior to Screening) and/or Surgical Lung Biopsy
  • 5. Extent of fibrotic changes (honeycombing, reticular changes) greater than
  • the extent of emphysema on HRCT scan, confirmed by central review;
  • 6. No features supporting an alternative diagnosis on transbronchial biopsy,
  • BAL, or surgical lung biopsy, if performed;
  • 7. 40% * FVC * 90 % predicted at Screening based on Global Lung Initiative12
  • equations. The first 20 patients randomized must have FVC * 50% predicted.
  • After the first 20 patients have randomized, patients with FVC 40% - 50%
  • predicted will be allowed to be randomized in the
  • study but randomization for these patients will be capped at 20;
  • 8. Change in FVC (measured in liters) between Screening and Day 1 (pre-dose
  • measurement) must be a < 10% relative difference;
  • 9. 30 * % DLCO * 90% at Screening;
  • 10. In the investigator's opinion, no evidence of improvement in measure of IPF
  • disease severity over the preceding year;
  • 11. FEV1/FVC * 70%;
  • 12. Able to understand and sign a written informed consent form;
  • 13. Able to understand the importance of adherence to study treatment and the
  • study protocol and willing to follow all study requirements, including the
  • concomitant medication restrictions, throughout the study;

排除标准

  • 1. Significant clinical worsening of IPF between Screening and Day 1, in the
  • opinion of the investigator;
  • 2. Not a suitable candidate for enrollment or unlikely to comply with the
  • requirements of this study, in the opinion of the investigator;
  • 3. History of acute IPF exacerbation requiring hospitalization in the last3
  • 4. History of clinically significant environmental exposure known to cause
  • pulmonary fibrosis, including but not limited to drugs (such as amiodarone),
  • asbestos, beryllium, radiation, and domestic birds;
  • 5. Known explanation for interstitial lung disease, including but not limited
  • to radiation, drug toxicity, sarcoidosis, hypersensitivity pneumonitis,
  • bronchiolitis obliterans organizing pneumonia, human
  • immunodeficiency virus, viral hepatitis, and cancer;
  • 6. Clinical diagnosis of any connective tissue disease, including but not
  • limited to scleroderma, polymyositis/dermatomyositis, systemic lupus
  • erythematosus, and rheumatoid arthritis;
  • 7. Current diagnosis of asthma or chronic obstructive pulmonary disease;
  • 8. Clinical evidence of active infection, including but not limited to
  • bronchitis, pneumonia, sinusitis, urinary tract infection, or cellulitis;
  • 9. Females with a positive pregnancy test at Screening or are currently
  • breastfeeding
  • 10. Any history of malignancy likely to result in significant disability or
  • likely to require significant medical or surgical intervention within the next
  • 6 months. This does not include minor surgical procedures for
  • localized cancer (e.g., basal cell carcinoma);
  • 11. Any condition other than IPF that, in the opinion of the investigator, is
  • likely to result in the death of the patient within the next 6 months;
  • 12. History of severe hepatic impairment or end-stage liver disease or ALT or
  • AST greater than 5 times the upper limit of normal at Screening;
  • 13. History of end-stage renal disease requiring dialysis
  • 14. Participation in a clinical study with administration of an investigational
  • drug product within the previous 30 days, or five half-lives of the previously
  • administered investigational product.

研究者

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