search
Back to results

Trial Of IW001 in Patients With Idiopathic Pulmonary Fibrosis

Primary Purpose

Idiopathic Pulmonary Fibrosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
IW001
Sponsored by
ImmuneWorks
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis focused on measuring safety, biologic effects, IPF, autoimmune

Eligibility Criteria

35 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients must meet all of the following to be included in the study:

    1. Diagnosis of IPF (ATS criteria) prior to the Baseline visit.
    2. Forced Vital Capacity (FVC) ≥ 50% of predicted.
    3. Lung Diffusion Capacity (DLCO) ≥ 35% of predicted.
    4. Ages 35-75 years inclusive.
    5. Positive for anti-Col (V) antibodies.
    6. White blood cell count (WBC) ≥ 2500 mm3.
    7. Hematocrit ≥ 25% and ≤ 59%.
    8. Platelets ≥ 100,000 mm3.
    9. Creatinine ≤ 1.5x Upper Limits of Normal (ULN).
    10. Bilirubin ≤ 1.5x ULN.
    11. Aspartate aminotransferase (AST, SGOT) ≤ 1.5x ULN.
    12. Females of child-bearing potential (defined as less than one year post-menopausal or not surgically sterile) must be using an acceptable method of birth control or practicing abstinence from the time consent is signed until 30 days after treatment discontinuation. If sexually active, female patients must use a double barrier method of birth control, such as a condom and spermicidal. Patient must have a negative pregnancy test at the Screening and Baseline visits.
    13. Willing and able to provide adequate written informed consent.

      Exclusion Criteria:

  • Patients will be excluded from the study for any of the following:

    1. Concurrent use of systemic corticosteroids or immunosuppressives within 30 days of the Baseline visit.
    2. Chronic NSAID use (limited, i.e., up to 72 hours continuous use of NSAIDs will be permitted during the study), (see Section 9, concomitant medications).
    3. N-acetyl cysteine (NAC) use within 14 days of the Baseline visit.
    4. Any disease, condition or surgery (e.g. inflammatory bowel disease, surgical resection) that may cause malabsorption of IW001.
    5. Known or suspected allergy to bovine products.
    6. Concurrent or prior use of any experimental medication within 30 days of the Baseline visit.
    7. History of smoking within three months prior to the Baseline visit.
    8. Known Hepatitis C or Human Immunodeficiency Virus (HIV) infections.
    9. Evidence of active infection at the Baseline visit.
    10. History of unstable or deteriorating cardiac disease.
    11. Myocardial infarction, coronary artery bypass, or angioplasty within 6 months of the Baseline visit.
    12. Unstable angina pectoris or congestive heart failure requiring hospitalization within 6 months of the Baseline visit.
    13. Uncontrolled arrhythmia.
    14. Patient has a history of illicit drug or alcohol abuse in the past year or current evidence of such abuse or addiction in the opinion of the Investigator.
    15. Patient has positive findings on urine drug screen.
    16. Any other clinically significant illness, that, in the opinion of the Investigator, might put the patient at risk of harm during the study or might adversely affect the interpretation of the study data.
    17. Females who are pregnant and/or lactating.

Sites / Locations

  • University of Alabama at Birmingham
  • University of Miami
  • University of Chicago
  • IUPUI
  • University of Louisville
  • University of Michigan
  • Newark Beth Israel Hospital
  • Ohio State University
  • Medical University of South Carolina
  • Vanderbilt University
  • University of Vermont

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

IW001

Arm Description

Three dose cohorts, 0.1 mg, 0.5 mg, 1.0 mg

Outcomes

Primary Outcome Measures

To evaluate the safety and tolerability of three doses of IW001 (0.1 mg/day, 0.5 mg/day, and 1.0 mg/day orally) in patients with IPF patients over a 24 week treatment period.

Secondary Outcome Measures

To explore the biologic effects of IW001 on T-cell and B-cell reactivity. To explore relationships between Col V reactivity and clinical measures of lung function in patients with IPF.

Full Information

First Posted
September 9, 2010
Last Updated
July 26, 2013
Sponsor
ImmuneWorks
search

1. Study Identification

Unique Protocol Identification Number
NCT01199887
Brief Title
Trial Of IW001 in Patients With Idiopathic Pulmonary Fibrosis
Official Title
A Phase One, Open Label, Multi-Dose Study to Evaluate the Safety, Tolerability, and Biologic Effects of Three Doses of IW001 in Patients With Idiopathic Pulmonary Fibrosis (IPF)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
October 2012 (Actual)
Study Completion Date
October 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmuneWorks

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open label, Phase One, multicenter study, designed to evaluate the safety, tolerability, to explore the biologic effects, and to explore the clinical effects of the following doses of IW001: 0.1mg/day, 0.5 mg/day, and 1.0 mg/day, when administered once a day orally for 24 weeks in patients with IPF.
Detailed Description
IW001 is a therapeutic designed to treat anti-Col (V)-mediated autoimmune diseases via oral tolerance. With the identification of the specific antigen involved in the autoimmune disease process in IPF, IW001 induced oral tolerance may be an effective treatment. IW001 is taken orally, introduced into the mucosal immune system at the Peyer's Patches in the distal small intestine, where antigen-presenting cells present the antigen to regulatory T cells (Tregs). These antigen-specific Tregs enter the blood stream and traffic to areas where the specific antigen has generated an autoimmune response. Thus, IW001 may produce selective suppression of immune responses against Col (V).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Pulmonary Fibrosis
Keywords
safety, biologic effects, IPF, autoimmune

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
IW001
Arm Type
Experimental
Arm Description
Three dose cohorts, 0.1 mg, 0.5 mg, 1.0 mg
Intervention Type
Drug
Intervention Name(s)
IW001
Intervention Description
IW001, 0.1 mg, 0.5 mg, 1.0 mg PO daily for 24 weeks.
Primary Outcome Measure Information:
Title
To evaluate the safety and tolerability of three doses of IW001 (0.1 mg/day, 0.5 mg/day, and 1.0 mg/day orally) in patients with IPF patients over a 24 week treatment period.
Time Frame
Monthly during the 24 week treatment period.
Secondary Outcome Measure Information:
Title
To explore the biologic effects of IW001 on T-cell and B-cell reactivity. To explore relationships between Col V reactivity and clinical measures of lung function in patients with IPF.
Time Frame
Monthly during the 24 week treatment period.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must meet all of the following to be included in the study: Diagnosis of IPF (ATS criteria) prior to the Baseline visit. Forced Vital Capacity (FVC) ≥ 50% of predicted. Lung Diffusion Capacity (DLCO) ≥ 35% of predicted. Ages 35-75 years inclusive. Positive for anti-Col (V) antibodies. White blood cell count (WBC) ≥ 2500 mm3. Hematocrit ≥ 25% and ≤ 59%. Platelets ≥ 100,000 mm3. Creatinine ≤ 1.5x Upper Limits of Normal (ULN). Bilirubin ≤ 1.5x ULN. Aspartate aminotransferase (AST, SGOT) ≤ 1.5x ULN. Females of child-bearing potential (defined as less than one year post-menopausal or not surgically sterile) must be using an acceptable method of birth control or practicing abstinence from the time consent is signed until 30 days after treatment discontinuation. If sexually active, female patients must use a double barrier method of birth control, such as a condom and spermicidal. Patient must have a negative pregnancy test at the Screening and Baseline visits. Willing and able to provide adequate written informed consent. Exclusion Criteria: Patients will be excluded from the study for any of the following: Concurrent use of systemic corticosteroids or immunosuppressives within 30 days of the Baseline visit. Chronic NSAID use (limited, i.e., up to 72 hours continuous use of NSAIDs will be permitted during the study), (see Section 9, concomitant medications). N-acetyl cysteine (NAC) use within 14 days of the Baseline visit. Any disease, condition or surgery (e.g. inflammatory bowel disease, surgical resection) that may cause malabsorption of IW001. Known or suspected allergy to bovine products. Concurrent or prior use of any experimental medication within 30 days of the Baseline visit. History of smoking within three months prior to the Baseline visit. Known Hepatitis C or Human Immunodeficiency Virus (HIV) infections. Evidence of active infection at the Baseline visit. History of unstable or deteriorating cardiac disease. Myocardial infarction, coronary artery bypass, or angioplasty within 6 months of the Baseline visit. Unstable angina pectoris or congestive heart failure requiring hospitalization within 6 months of the Baseline visit. Uncontrolled arrhythmia. Patient has a history of illicit drug or alcohol abuse in the past year or current evidence of such abuse or addiction in the opinion of the Investigator. Patient has positive findings on urine drug screen. Any other clinically significant illness, that, in the opinion of the Investigator, might put the patient at risk of harm during the study or might adversely affect the interpretation of the study data. Females who are pregnant and/or lactating.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Terrence Chew, MD
Organizational Affiliation
ImmuneWorks, Medical Consultant
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
IUPUI
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
University of Louisville
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
University of Michigan
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Newark Beth Israel Hospital
City
Newark
State/Province
New Jersey
ZIP/Postal Code
07112
Country
United States
Facility Name
Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43221
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Vanderbilt University
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
University of Vermont
City
Burlington
State/Province
Vermont
ZIP/Postal Code
05401
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
10673212
Citation
American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and treatment. International consensus statement. American Thoracic Society (ATS), and the European Respiratory Society (ERS). Am J Respir Crit Care Med. 2000 Feb;161(2 Pt 1):646-64. doi: 10.1164/ajrccm.161.2.ats3-00. No abstract available.
Results Reference
background
PubMed Identifier
16809633
Citation
Raghu G, Weycker D, Edelsberg J, Bradford WZ, Oster G. Incidence and prevalence of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2006 Oct 1;174(7):810-6. doi: 10.1164/rccm.200602-163OC. Epub 2006 Jun 29.
Results Reference
background
PubMed Identifier
15968010
Citation
Martinez FJ, Safrin S, Weycker D, Starko KM, Bradford WZ, King TE Jr, Flaherty KR, Schwartz DA, Noble PW, Raghu G, Brown KK; IPF Study Group. The clinical course of patients with idiopathic pulmonary fibrosis. Ann Intern Med. 2005 Jun 21;142(12 Pt 1):963-7. doi: 10.7326/0003-4819-142-12_part_1-200506210-00005.
Results Reference
background
PubMed Identifier
16738197
Citation
Walter N, Collard HR, King TE Jr. Current perspectives on the treatment of idiopathic pulmonary fibrosis. Proc Am Thorac Soc. 2006 Jun;3(4):330-8. doi: 10.1513/pats.200602-016TK.
Results Reference
background
PubMed Identifier
16102428
Citation
Trulock EP, Edwards LB, Taylor DO, Boucek MM, Keck BM, Hertz MI. Registry of the International Society for Heart and Lung Transplantation: twenty-second official adult lung and heart-lung transplant report--2005. J Heart Lung Transplant. 2005 Aug;24(8):956-67. doi: 10.1016/j.healun.2005.05.019. No abstract available.
Results Reference
background
PubMed Identifier
16738191
Citation
Kim DS, Collard HR, King TE Jr. Classification and natural history of the idiopathic interstitial pneumonias. Proc Am Thorac Soc. 2006 Jun;3(4):285-92. doi: 10.1513/pats.200601-005TK.
Results Reference
background
PubMed Identifier
17978154
Citation
Maher TM, Wells AU, Laurent GJ. Idiopathic pulmonary fibrosis: multiple causes and multiple mechanisms? Eur Respir J. 2007 Nov;30(5):835-9. doi: 10.1183/09031936.00069307.
Results Reference
background
PubMed Identifier
17684287
Citation
Hunninghake GW, Schwarz MI. Does current knowledge explain the pathogenesis of idiopathic pulmonary fibrosis? A perspective. Proc Am Thorac Soc. 2007 Aug 15;4(5):449-52. doi: 10.1513/pats.200702-036MS.
Results Reference
background
PubMed Identifier
18174545
Citation
Bobadilla JL, Love RB, Jankowska-Gan E, Xu Q, Haynes LD, Braun RK, Hayney MS, Munoz del Rio A, Meyer K, Greenspan DS, Torrealba J, Heidler KM, Cummings OW, Iwata T, Brand D, Presson R, Burlingham WJ, Wilkes DS. Th-17, monokines, collagen type V, and primary graft dysfunction in lung transplantation. Am J Respir Crit Care Med. 2008 Mar 15;177(6):660-8. doi: 10.1164/rccm.200612-1901OC. Epub 2008 Jan 3.
Results Reference
background
PubMed Identifier
17965778
Citation
Burlingham WJ, Love RB, Jankowska-Gan E, Haynes LD, Xu Q, Bobadilla JL, Meyer KC, Hayney MS, Braun RK, Greenspan DS, Gopalakrishnan B, Cai J, Brand DD, Yoshida S, Cummings OW, Wilkes DS. IL-17-dependent cellular immunity to collagen type V predisposes to obliterative bronchiolitis in human lung transplants. J Clin Invest. 2007 Nov;117(11):3498-506. doi: 10.1172/JCI28031.
Results Reference
background
PubMed Identifier
16048553
Citation
Faria AM, Weiner HL. Oral tolerance. Immunol Rev. 2005 Aug;206:232-59. doi: 10.1111/j.0105-2896.2005.00280.x.
Results Reference
background
PubMed Identifier
15681756
Citation
Whitacre CC, Song F, Wardrop RM 3rd, Campbell K, McClain M, Benson J, Guan Z, Gienapp I. Regulation of autoreactive T cell function by oral tolerance to self-antigens. Ann N Y Acad Sci. 2004 Dec;1029:172-9. doi: 10.1196/annals.1309.033.
Results Reference
background
PubMed Identifier
15681765
Citation
Nussenblatt R. Orally and nasally induced tolerance studies in ocular inflammatory disease: guidance for future interventions. Ann N Y Acad Sci. 2004 Dec;1029:278-85. doi: 10.1196/annals.1309.058.
Results Reference
background
PubMed Identifier
11739495
Citation
Artik S, Haarhuis K, Wu X, Begerow J, Gleichmann E. Tolerance to nickel: oral nickel administration induces a high frequency of anergic T cells with persistent suppressor activity. J Immunol. 2001 Dec 15;167(12):6794-803. doi: 10.4049/jimmunol.167.12.6794.
Results Reference
background
PubMed Identifier
9485087
Citation
Barnett ML, Kremer JM, St Clair EW, Clegg DO, Furst D, Weisman M, Fletcher MJ, Chasan-Taber S, Finger E, Morales A, Le CH, Trentham DE. Treatment of rheumatoid arthritis with oral type II collagen. Results of a multicenter, double-blind, placebo-controlled trial. Arthritis Rheum. 1998 Feb;41(2):290-7. doi: 10.1002/1529-0131(199802)41:23.0.CO;2-R. Erratum In: Arthritis Rheum 1998 May;41(5):938.
Results Reference
background
PubMed Identifier
10817559
Citation
McKown KM, Carbone LD, Bustillo J, Seyer JM, Kang AH, Postlethwaite AE. Induction of immune tolerance to human type I collagen in patients with systemic sclerosis by oral administration of bovine type I collagen. Arthritis Rheum. 2000 May;43(5):1054-61. doi: 10.1002/1529-0131(200005)43:53.0.CO;2-W.
Results Reference
background
PubMed Identifier
15334493
Citation
Carbone LD, McKown K, Pugazhenthi M, Barrow KD, Warrington K, Somes G, Postlethwaite AE. Dosage effects of orally administered bovine type I collagen on immune function in patients with systemic sclerosis. Arthritis Rheum. 2004 Aug;50(8):2713-5. doi: 10.1002/art.20361. No abstract available.
Results Reference
background
PubMed Identifier
18512816
Citation
Postlethwaite AE, Wong WK, Clements P, Chatterjee S, Fessler BJ, Kang AH, Korn J, Mayes M, Merkel PA, Molitor JA, Moreland L, Rothfield N, Simms RW, Smith EA, Spiera R, Steen V, Warrington K, White B, Wigley F, Furst DE. A multicenter, randomized, double-blind, placebo-controlled trial of oral type I collagen treatment in patients with diffuse cutaneous systemic sclerosis: I. oral type I collagen does not improve skin in all patients, but may improve skin in late-phase disease. Arthritis Rheum. 2008 Jun;58(6):1810-22. doi: 10.1002/art.23501.
Results Reference
background
PubMed Identifier
16757287
Citation
Baccarani U, Adani GL, Montanaro D, Risaliti A, Lorenzin D, Avellini C, Tulissi P, Groppuzzo M, Curro G, Luvisetto F, Beltrami A, Bresadola V, Viale PL, Bresadola F. De novo malignancies after kidney and liver transplantations: experience on 582 consecutive cases. Transplant Proc. 2006 May;38(4):1135-7. doi: 10.1016/j.transproceed.2006.02.016.
Results Reference
background
PubMed Identifier
11472972
Citation
Yasufuku K, Heidler KM, O'Donnell PW, Smith GN Jr, Cummings OW, Foresman BH, Fujisawa T, Wilkes DS. Oral tolerance induction by type V collagen downregulates lung allograft rejection. Am J Respir Cell Mol Biol. 2001 Jul;25(1):26-34. doi: 10.1165/ajrcmb.25.1.4431.
Results Reference
background
PubMed Identifier
12874199
Citation
Mizobuchi T, Yasufuku K, Zheng Y, Haque MA, Heidler KM, Woods K, Smith GN Jr, Cummings OW, Fujisawa T, Blum JS, Wilkes DS. Differential expression of Smad7 transcripts identifies the CD4+CD45RChigh regulatory T cells that mediate type V collagen-induced tolerance to lung allografts. J Immunol. 2003 Aug 1;171(3):1140-7. doi: 10.4049/jimmunol.171.3.1140.
Results Reference
background

Learn more about this trial

Trial Of IW001 in Patients With Idiopathic Pulmonary Fibrosis

We'll reach out to this number within 24 hrs