A Study of Lebrikizumab in Participants With Idiopathic Pulmonary Fibrosis (IPF)
Idiopathic Pulmonary Fibrosis
About this trial
This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis
Eligibility Criteria
Inclusion Criteria:
- Have a diagnosis of IPF within the previous 5 years from time of screening and confirmed at baseline
- FVC >/=40 percent (%) and </=100% of predicted at screening
- Stable baseline lung function as evidenced by a difference of less than (<) 10% in FVC (in liters) measurements between screening and Day 1, Visit 2 prior to randomization
- DLco >/=25% and </=90% of predicted at screening
- Ability to walk >/=100 meters unassisted in 6 minutes
- Cohort A: No background IPF therapy for >/=4 weeks allowed prior to randomization and throughout the placebo-controlled study period
- Cohort B: Tolerated dose of pirfenidone </=2403 milligrams once daily (mg/day) for >/=4 weeks required prior to randomization and throughout the placebo-controlled study period
Exclusion Criteria:
- History of severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
- Evidence of other known causes of interstitial lung disease
- Lung transplant expected within 12 months of screening
- Evidence of clinically significant lung disease other than IPF
- Post-bronchodilator forced expiratory volume in 1 second (FEV1)/FVC ratio <0.7 at screening
- Positive bronchodilator response, evidenced by an increase of >/=12% predicted and 200 milliliters increase in FEV1 or FVC
- Class IV New York Heart Association chronic heart failure or historical evidence of left ventricular ejection fraction <35%
- Hospitalization due to an exacerbation of IPF within 4 weeks prior to or during screening
- Known current malignancy or current evaluation for potential malignancy
- Listeria monocytogenes infection or active parasitic infection within 6 months prior to Day 1, Visit 2
- Active tuberculosis requiring treatment within 12 months of screening
- Known immunodeficiency, including but not limited to human immunodeficiency virus infection
- Past use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
- Evidence of acute or chronic hepatitis or known liver cirrhosis
Exclusions Criteria Limited to Cohort B:
- Known achalasia, esophageal stricture, or esophageal dysfunction sufficient to limit the ability to swallow oral medication
- Tobacco smoking or use of tobacco-related products within 3 months of screening or unwillingness to avoid smoking throughout the study period
- Known or suspected peptic ulcer
- Any condition that, as assessed by the investigator, might be significantly exacerbated by the known side effects associated with pirfenidone
- Creatinine clearance <40 milliliters/minute, calculated using the Cockcroft-Gault formula
- Use of following therapies within 4 weeks of randomization (Day 1, Visit 2) or during the study: Strong inhibitors of CYP1A2 (Cytochrome P450 Family 1 Subfamily A Member 2) (example: fluvoxamine or enoxacin); Moderate inducers of CYP1A2 (limited to tobacco smoking and tobacco-related products)
Sites / Locations
- University Alabama At Birmingham
- Mayo Clinic- Scottsdale
- Southern Arizona Veterans Administration Healthcare Systems
- University of Arizona
- UCSD Medical Center
- University of California, San Francisco
- National Jewish Health
- Rocky Mountain Center For Clinical Research
- Yale New Haven Hospital
- Research Alliance Inc
- Mayo Clinic-Jacksonville
- University Miami
- Central Florida Pulmonary Group, PA
- USF Tampa General Hospital
- Cleveland Clinic Florida
- Piedmont Healthcare Pulmonary and Critical Care Research
- Southeastern Lung Care
- University of Chicago; Pulmonary and Critical Care
- Loyola University Med Center
- Univ of Iowa Hosp & Clinics; Pulmonary
- Uni of Kansas Medical Center
- Via Christi Hospital Inc. DBA Via Christi Research; Research Dept.
- Maine Medical Center -Division of Pulmomary and Critical Care Medicine
- University of Maryland Medical Center
- Johns Hopkins Bayview Medical Center - Johns Hopkins Asthma & Allergy Center
- Tufts Medical Center
- University of Minnesota Hospital & Clinic
- Mayo Clinic Rochester
- Cardiopulmonary Associates LLC Cardiopulmonary Research
- University of Nebraska
- Lovelace Scientific Resources, Inc.
- Weill Medical College of Cornell University
- Mt Sinai School Medical Pulmo And Critical Care Med
- Highland Hospital-University of Rochester Medical Center
- University of Cincinnati
- Case Western Research University; University Hospitals Case Medical Center
- Ohio State University
- Oklahoma University Health Sciences Center
- The Oregon Clinic.
- Penn State University College Medical Allergy And Care Med
- Temple Lung Center, Temple Universtiy-Of the Commomwealth System of Higher Education
- University of Pittsburgh Med Cen; Dorothy P And Richard P Simmons Cen For Interstitial Lung Disease
- Rhode Island Hospital
- Medical University of South Carolina
- Vanderbilt University Medical Center
- Baylor College Med
- Houston Methodist Hospital
- Audie Murphy Va Hospital
- University of Utah Health Sciences Center, Lung Health Research Center
- University Vermont College Medicine Fletcher Allen Health Care
- Inova Transplant Center Fairfax Hospital
- Pulmonary Consultants
- University Wisconsin Hospitals and Clinics
- Medical College of Wisconsin
- Royal Prince Alfred Hospital; Department of Respiratory Medicine
- ST VINCENT'S HOSPITAL; Thoracic Medicine
- Box Hill Hospital; Eastern Clinical Research Unit
- Alfred Hospital; Allergy Immuno Resp
- Institute for Respiratory Health Inc
- Hospital Erasme; Neurologie
- Cliniques Universitaires St-Luc
- UZ Leuven Gasthuisberg
- CHU UCL Mont-Godinne
- University of British Columbia - Vancouver Coastal Health Authority
- Dr. Georges-L. Dumont Regional Hospital
- St. Joseph's Healthcare Hamilton
- Lawson Health Research Institute a joint venture of LHSC Research Inc and Lawson Research Institute
- Institut universitaire de cardiologie et de pneumologie de Québec (Hôpital Laval)
- Hopital Avicenne; Pneumologie
- Hopital Louis Pradel; Pneumologie
- Hopital Calmette; Pneumologie
- Hopital Bichat Claude Bernard ; Service de Pneumologie
- Hopital de Pontchaillou; Service de Pneumologie
- Ruhrlandklinik Lungenzentrum der UNI Essen Abt.Pneumologie-Allergologie
- Universitätsklinikum Standort Gießen Medizinische Klinik II u. Poliklinik Innere Med./Pneumologie
- LungenClinic Großhansdorf
- Thoraxklinik Heidelberg gGmbH
- Fachklinik für Lungenerkrankungen
- CPC Comprehensive Pneumology Center / Forschungsambulanz, Helmholtz Zentrum
- Ospedale Morgagni-Pierantoni; U.O. Pneumologia
- Policlinico Tor Vergata; UO Mal. Respiratorie; Centro Malattie rare polmone
- Ospedale San Giuseppe; U.O. di Pneumologia
- A.O. Universitaria San Luigi Gonzaga di Orbassano; Ambulatorio per le Malattie Rare del Polmone
- A.O.U. Policlinico Vittorio Emanuele; Centro per la cura delle Malattie Rare del Polmone
- A.O. Univ. Senese Policlinico S. Maria alle Scotte; UOC Malattie Resepiratorie e Trapianto Polmonare
- Kanagawa Cardiovascular and Respiratory Center; Respiratory Medicine
- Kinki-Chuo Chest Medical Center
- Tosei General Hospital
- Hospital General Del Estado De Sonora "Dr. Ernesto Ramos Bours"; Servicio De Neumologia
- Instituto Nacional De Enfermedades Respiratorias;Unidad de Investigación
- Universidad Autonoma De Nuevo Leon, Hospital Universitario Doctor Jose Eleuterio Gonzalez
- Unidad de Investigacion Clinica En Medicina (Udicem) S.C.
- Clinica San Pablo
- Clinica Internacional, Sede San Borja; Unidad de Investigacion de Clínica Internacional
- Clinica San Borja; NEUMOCARE
- Uniwersytecki Szpital Kliniczny Nr 1 im.N.Barlickiego Oddzial Kliniczny Pneumonologii i Alergologii
- Ms Clinsearch Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej
- Klinika Pulmonologii, Alergologii i Onkologii Pulmonologicznej Uniwersytet Medyczny w Poznaniu
- Instytut Gruzlicy i Chorob Płuc
- Klinika Chorob Pluc i Gruzlicy w Zabrzu; Slaski Uniwersytet Medyczny
- Hospital Universitari de Bellvitge ; Servicio de Neumologia
- Hospital Universitario La Princesa; Servicio de Neumologia
- Hospital Clínico San Carlos - Servicio de Neumologia
- Hospital Universitario Virgen del Rocio; Servicio de Neumologia
- Hospital General Universitario De Valencia; Servicio de Neumologia
- Southmead Hospital; Respiratory Department
- Papworth Hospital NHS Foundation Trust; Respiratory Department
- Southampton General Hospital; Respiratory Department
- St James University Hospital; Respiratory Department
- Respiratory research department clinical science building
- Royal Brompton Hospital; Respiratory Department
- North Manchester Hospital; Respiratory Department
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Monotherapy (Cohort A): Placebo
Monotherapy (Cohort A): Lebrikizumab
Combination Therapy (Cohort B): Placebo + Pirfenidone
Combination Therapy (Cohort B): Lebrikizumab + Pirfenidone
Participants will receive monotherapy with placebo matched to lebrikizumab administered via subcutaneous (SC) injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period. Participants will be allowed to receive treatment with lebrikizumab at a dose of 250 mg administered via SC injection once every 4 weeks up to additional 52 weeks (that is, up to Week 104) in the open-label period.
Participants will receive monotherapy with lebrikizumab at a dose of 250 milligrams (mg) administered via SC injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period. Participants will be allowed to receive treatment with lebrikizumab at a dose of 250 mg administered via SC injection once every 4 weeks up to additional 52 weeks (that is, up to Week 104) in the open-label period.
Participants will receive pirfenidone at a stable dose of 2403 mg per day (three 267 mg capsules three times a day [9 capsules daily] for a total of 2403 mg/day) or at maximum tolerated dose (MTD) administered orally along with placebo matched to lebrikizumab administered via SC injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period.
Participants will receive pirfenidone at a stable dose of 2403 mg per day (three 267 mg capsules three times a day [9 capsules daily] for a total of 2403 mg/day) or at MTD administered orally along with lebrikizumab at a dose of 250 mg administered via SC injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period.