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Study of ARO-MMP7 Inhalation Solution in Healthy Subjects and Patients With Idiopathic Pulmonary Fibrosis

Primary Purpose

Idiopathic Pulmonary Fibrosis

Status
Recruiting
Phase
Phase 1
Locations
New Zealand
Study Type
Interventional
Intervention
ARO-MMP7 Inhalation Solution
Placebo
Sponsored by
Arrowhead Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria (NHVs):

  • Normal pulmonary function tests at Screening, prior to sputum induction
  • Normal electrocardiogram (ECG) at Screening
  • Non-smoking
  • Able to produce an induced sputum sample at Screening
  • Female participants cannot be pregnant or lactating
  • Male and female participants of childbearing potential must agree to use highly effective contraception and must not donate eggs/sperm during the study and for at least 12 weeks following end of study or last dose of study drug, whichever is later.

Inclusion Criteria (IPF Participants):

  • Age ≥ 45 years at Screening
  • Clinical diagnosis consistent with IPF based upon established criteria confirmed by review of high-resolution computed tomography (HRCT) and surgical lung biopsy findings (if available)
  • Safely able to undergo bronchoscopy
  • Stable IPF disease at Screening with minimum life expectancy of ≥ 12 months from Screening
  • Willing to abstain from use of any approved antifibrotic therapy for IPF for the duration of the study
  • Female participants cannot be pregnant or lactating
  • Male and female participants of childbearing potential must agree to use highly effective contraception and must not donate eggs/sperm during the study and for at least 12 weeks following end of study or last dose of study drug, whichever is later.

Exclusion Criteria (NHVs):

  • Acute lower respiratory infection within 30 days prior to first dose or acute upper respiratory infection within 7 days prior to first dose
  • Positive COVID-10 test during Screening window
  • Any history of chronic pulmonary disease or anaphylaxis
  • Human immunodeficiency virus (HIV) infection, seropositive for hepatitis B virus (HBV), seropositive for hepatitis C virus (HCV)
  • Uncontrolled hypertension
  • History of significant cardiac disease
  • History of major surgery within 12 weeks prior to first dose
  • Unwilling to limit alcohol consumption to within moderate limits for the duration of the study
  • Use of illicit drugs
  • Use of an investigational agent or device within 30 days prior to first dose

Exclusion Criteria (IPF Participants):

  • Interstitial lung disease (ILD) associated with known primary cause
  • Positive COVID-19 test during Screening window
  • IPF exacerbation within 6 weeks prior to first dose
  • Lower respiratory tract infection requiring antibiotics or antivirals within 30 days prior to first dose
  • Smoking cigarettes or e-cigarettes within 3 months prior to first dose
  • Use of systemic corticosteroid therapy within 30 days prior to first dose
  • Use of antifibrotic therapy for IPF within 10 weeks prior to first dose
  • Any history of lung transplant
  • Any concomitant pulmonary disease that could interfere with the evaluation of the study drug or interpretation of patient safety or study results
  • HIV infection, seropositive for HBV, seropositive for HCV
  • Uncontrolled hypertension
  • History of significant cardiac disease
  • History of major surgery within 12 weeks prior to first dose
  • Unwilling to limit alcohol consumption to within moderate limits for the duration of the study
  • Use of illicit drugs
  • Use of an investigational agent or device within 30 days prior to first dose

Note: additional inclusion/exclusion criteria may apply per protocol

Sites / Locations

  • New Zealand Clinical Research-ChristchurchRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ARO-MMP7

Placebo

Arm Description

single or multiple doses of ARO-MMP7 by inhalation of nebulized solution

single or multiple doses of placebo by inhalation of nebulized solution

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Over Time

Secondary Outcome Measures

Change From Baseline Over Time in Forced Expiratory Volume (FEV1)
Change From Baseline Over Time in Forced Vital Capacity (FVC)
Change From Baseline Over Time in Diffusing Capacity for Carbon Monoxide (DLCO)
PK of ARO-MMP7: Maximum Observed Plasma Concentration (Cmax)
PK of ARO-MMP7: Area Under the Plasma Concentration versus Time Curve from Zero to 24 Hours (AUC0-24)
PK of ARO-MMP7: Area Under the Plasma Concentration versus Time Curve from Zero to the Last Quantifiable Plasma Concentration (AUClast)
PK of ARO-MMP7: Area Under the Plasma Concentration versus Time Curve from Zero to Infinity (AUCinf)
PK of ARO-MMP7: Terminal Elimination Half-Life (t1/2)
PK of ARO-MMP7: Apparent Systemic Clearance (CL/F)
PK of ARO-MMP7: Apparent Terminal Phase Volume of Distribution (VZ/F)
PK of ARO-MMP7: Recovery of Unchanged Drug in Urine Over 0 to 24 Hours (Amount excreted; Ae) in NHVs
PK of ARO-MMP7: Percentage of Administered Drug Recovered in Urine Over 0 to 24 Hours in NHVs
PK of ARO-MMP7: Renal Clearance (CLr) in NHVs

Full Information

First Posted
September 8, 2022
Last Updated
July 12, 2023
Sponsor
Arrowhead Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT05537025
Brief Title
Study of ARO-MMP7 Inhalation Solution in Healthy Subjects and Patients With Idiopathic Pulmonary Fibrosis
Official Title
A Phase 1/2a Study Evaluating the Effects of ARO-MMP7 Inhalation Solution in Healthy Subjects and Patients With Idiopathic Pulmonary Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 30, 2023 (Actual)
Primary Completion Date
August 2024 (Anticipated)
Study Completion Date
August 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arrowhead Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of ARO-MMP7 in normal healthy volunteers (NHVs) and in participants with idiopathic pulmonary fibrosis (IPF). The study will initiate with NHVs receiving single ascending doses of ARO-MMP7. Following evaluation of safety and pharmacodynamic (PD) data, participants will receive multiple doses of ARO-MMP7.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Pulmonary Fibrosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ARO-MMP7
Arm Type
Experimental
Arm Description
single or multiple doses of ARO-MMP7 by inhalation of nebulized solution
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
single or multiple doses of placebo by inhalation of nebulized solution
Intervention Type
Drug
Intervention Name(s)
ARO-MMP7 Inhalation Solution
Intervention Description
ARO-MMP7 by inhalation of nebulized solution
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Calculated volume of normal saline (0.9% NaCl) to match active treatment by inhalation of nebulized solution
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Over Time
Time Frame
From first dose of study drug through the end of study (EOS; up to 85 days, or until sputum MMP7 protein concentration is ≥ 70% of the baseline value, whichever is later)
Secondary Outcome Measure Information:
Title
Change From Baseline Over Time in Forced Expiratory Volume (FEV1)
Time Frame
Baseline through EOS (up to 85 days, or until serum MMP7 protein concentration is ≥ 70% of the baseline value, whichever is later)
Title
Change From Baseline Over Time in Forced Vital Capacity (FVC)
Time Frame
Baseline through EOS (up to 85 days, or until serum MMP7 protein concentration is ≥ 70% of the baseline value, whichever is later)
Title
Change From Baseline Over Time in Diffusing Capacity for Carbon Monoxide (DLCO)
Time Frame
Baseline through EOS (up to 85 days, or until serum MMP7 protein concentration is ≥ 70% of the baseline value, whichever is later)
Title
PK of ARO-MMP7: Maximum Observed Plasma Concentration (Cmax)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Area Under the Plasma Concentration versus Time Curve from Zero to 24 Hours (AUC0-24)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Area Under the Plasma Concentration versus Time Curve from Zero to the Last Quantifiable Plasma Concentration (AUClast)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Area Under the Plasma Concentration versus Time Curve from Zero to Infinity (AUCinf)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Terminal Elimination Half-Life (t1/2)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Apparent Systemic Clearance (CL/F)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Apparent Terminal Phase Volume of Distribution (VZ/F)
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30, and (IPF only) Days 8, 22, and 36
Title
PK of ARO-MMP7: Recovery of Unchanged Drug in Urine Over 0 to 24 Hours (Amount excreted; Ae) in NHVs
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30
Title
PK of ARO-MMP7: Percentage of Administered Drug Recovered in Urine Over 0 to 24 Hours in NHVs
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30
Title
PK of ARO-MMP7: Renal Clearance (CLr) in NHVs
Time Frame
single dose phase: up to 168 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 15 or 29, 24 hours post-dose on Days 2 and 30

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria (NHVs): Normal pulmonary function tests at Screening Normal electrocardiogram (ECG) at Screening Non-smoking Female participants cannot be pregnant or lactating Male and female participants of childbearing potential must agree to use highly effective contraception and must not donate eggs/sperm during the study and for at least 90 days following end of study or last dose of study drug, whichever is later. Inclusion Criteria (IPF Participants): Age ≥ 45 years at Screening Clinical diagnosis consistent with IPF based upon established criteria confirmed by review of high-resolution computed tomography (HRCT) and surgical lung biopsy findings (if available) Safely able to undergo bronchoscopy Stable IPF disease at Screening with minimum life expectancy of ≥ 12 months from Screening Female participants cannot be pregnant or lactating Male and female participants of childbearing potential must agree to use highly effective contraception and must not donate eggs/sperm during the study and for at least 90 days following end of study or last dose of study drug, whichever is later. Exclusion Criteria (NHVs): Acute lower respiratory infection within 30 days prior to first dose or acute upper respiratory infection within 7 days prior to first dose Positive COVID-19 test during Screening window Any history of chronic pulmonary disease or anaphylaxis Human immunodeficiency virus (HIV) infection, seropositive for hepatitis B virus (HBV), seropositive for hepatitis C virus (HCV) Uncontrolled hypertension History of significant cardiac disease History of major surgery within 12 weeks prior to first dose Unwilling to limit alcohol consumption to within moderate limits for the duration of the study Use of illicit drugs Use of an investigational agent or device within 30 days prior to first dose Exclusion Criteria (IPF Participants): Interstitial lung disease (ILD) associated with known primary cause Positive COVID-19 test during Screening window IPF exacerbation within 6 weeks prior to first dose Lower respiratory tract infection requiring antibiotics or antivirals within 30 days prior to first dose Smoking cigarettes or e-cigarettes within 3 months prior to first dose Use of systemic corticosteroid therapy within 30 days prior to first dose Initiation or cessation of antifibrotic therapy or change of antifibrotic dose regimen within 10 weeks prior to first dose Any history of lung transplant Any concomitant pulmonary disease that could interfere with the evaluation of the study drug or interpretation of patient safety or study results HIV infection, seropositive for HBV, seropositive for HCV Uncontrolled hypertension History of significant cardiac disease History of major surgery within 12 weeks prior to first dose Unwilling to limit alcohol consumption to within moderate limits for the duration of the study Use of illicit drugs Use of an investigational agent or device within 30 days prior to first dose Note: additional inclusion/exclusion criteria may apply per protocol
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Medical Monitor
Phone
626-304-3400
Email
AROMMP7@arrowheadpharma.com
Facility Information:
Facility Name
New Zealand Clinical Research-Christchurch
City
Christchurch
ZIP/Postal Code
08011
Country
New Zealand
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Isabelle Van Hout
Phone
+64 3 372 9477
Email
Isabelle.vanhout@nzcr.co.nz
First Name & Middle Initial & Last Name & Degree
Alexandra Cole, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Study of ARO-MMP7 Inhalation Solution in Healthy Subjects and Patients With Idiopathic Pulmonary Fibrosis

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