search
Back to results

A Study to Investigate the Safety, Tolerability, and Pharmacokinetics of Monoclonal Antibody (mAb) in Patients With IPF

Primary Purpose

Idiopathic Pulmonary Fibrosis

Status
Recruiting
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
CHF10067 starting dose
CHF10067 intermediate dose
CHF10067 high dose
Placebo
Sponsored by
Chiesi Farmaceutici S.p.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject's written informed consent obtained prior to any study-related procedure.
  • Males or females, of any race, aged between 40 and 80 years of age, inclusive.
  • Body weight ≥ 45 kg.
  • Diagnosis of IPF as defined by current American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Association guidelines. Diagnosis of IPF must be within the past 5 years prior to enrolment, and in the opinion of the Investigator, has been stable for at least 3 months.
  • Subjects not receiving any IPF treatment (including subjects with previous use of antifibrotic treatment that has been stopped) or receiving well-tolerated standard of care approved treatments at a stable dose for at least 8 weeks prior to screening (nintedanib or pirfenidone) and it is anticipated the dose will remain unchanged throughout the study.
  • Forced vital capacity (FVC) ≥ 50% of predicted and ratio of forced expiratory volume in the first second (FEV1)/FVC ≥ 0.7 at screening and prior to randomization.
  • Diffusing capacity of the lung for carbon monoxide (DLCO; corrected for haemoglobin) from 35% to 79% of predicted, inclusive at screening and prior to randomization.
  • Able to understand the study procedures and the risks involved.
  • Male and Female subjects following contraceptive requirements detailed in the study protocol.

Exclusion Criteria:

  • History of respiratory tract infection within 2 months prior to screening and up to Day 1 of the study.
  • History of acute exacerbation of IPF within 3 months prior to screening and up to Day 1 of the study
  • Active diagnosis of lung cancer or a history of lung cancer.
  • Active cancer or a history of cancer (other than lung cancer) with less than 5 years disease free survival time (whether or not there is evidence of local recurrence or metastases).
  • Infiltrative lung disease other than IPF
  • Subjects exhibiting unhealed wounds or foot ulcers or have known history of wound healing complications.
  • Chronic heart failure categorized as New York Heart Association Class II, III, or IV; clinical diagnosis of cor pulmonale requiring specific treatment; or severe pulmonary hypertension
  • Currently receiving, or have received, a systemic corticosteroid, immunosuppressant, cytotoxic therapy, vasodilator therapy for pulmonary hypertension, or unapproved or investigational treatment for IPF within 4 weeks prior to screening or prior to randomization.
  • Coronavirus disease-2019 (COVID-19) vaccine at least 7 days before dosing. Any systemic symptoms (e.g. myalgia, fever, chills, fatigue, etc.) after COVID-19 vaccine should subside at least 2 days before the Day 1 visit.
  • Documented COVID-19 diagnosis within the last 8 weeks or which has not resolved within 14 days prior to screening or before treatment.
  • Known intolerance and/or hypersensitivity to any of the excipients contained in the formulation or any other substance used in the study.
  • History of allergic or anaphylactic reaction to human, humanised, chimeric, immunoglobulins (Igs), or murine monoclonal antibodies.
  • Clinically relevant abnormal laboratory values (clinical chemistry and haematology) at screening suggesting an unknown disease and requiring further clinical investigation or which may impact the safety of the subject or the evaluation of the study results according to Investigator judgement. .
  • Pregnant or lactating women.

Sites / Locations

  • Liverpool Clinical Research Facility - Liverpool University Hospital Foundation TrustRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Test Treatment

Reference treatment

Arm Description

A single intravenous (IV) dose of CHF10067

A single dose of placebo (commercial source of 0.9% sodium chloride aqueous solution)

Outcomes

Primary Outcome Measures

Adverse Event recording
Adverse Event recording

Secondary Outcome Measures

Pharmacokinetic profile of CHF10067
Calculation of the Area under the curve
Pharmacokinetic profile of CHF10067
Cmax (maximum observed concentration)
Pharmacokinetic profile of CHF10067
tmax (time to maximum observed concentration)
Pharmacokinetic profile of CHF10067
Half life
Evaluation of the CHF10067 immunogenicity profile
Evaluation of Anti Drug Antibodies and neutralising antibody (nAb)
Vital signs
Systolic and diastolic blood pressure
Oxygen saturation
Oxygen saturation measured via pulse oximetry
12-lead ECG (Electrocardiogram)
Heart Rate
12-lead ECG (Electrocardiogram)
PR (PR interval)
12-lead ECG (Electrocardiogram)
QRS Interval
12-lead ECG (Electrocardiogram)
QTCF (QT corrected for heart rate by Fridericia's formula)
Spirometry
FEV1 (forced expiratory volume in the first second)
Spirometry
FVC (forced vital capacity)
Diffusing capacity (DLCO)
Diffusing capacity (DLCO)

Full Information

First Posted
August 17, 2022
Last Updated
February 3, 2023
Sponsor
Chiesi Farmaceutici S.p.A.
search

1. Study Identification

Unique Protocol Identification Number
NCT05513950
Brief Title
A Study to Investigate the Safety, Tolerability, and Pharmacokinetics of Monoclonal Antibody (mAb) in Patients With IPF
Official Title
A Phase Ib, Randomised, Double-blind, Placebo-controlled Study to Investigate the Safety, Tolerability, and Pharmacokinetics of an Intravenous Monoclonal Antibody (mAB) After Single Ascending Doses in Subjects Affected by Idiopathic Pulmonary Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 25, 2023 (Actual)
Primary Completion Date
May 30, 2024 (Anticipated)
Study Completion Date
May 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chiesi Farmaceutici S.p.A.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the safety of CHF10067 (the study drug) and any side effects that might be associated with it. In addition, the study will evaluate how much of the study drug gets into the bloodstream and how long the body takes to remove it. The body's immune response to the study drug will also be evaluated. The study may also evaluate the effect of the study drug on the level of a certain protein in the body. Chiesi is conducting this study on people affected by idiopathic pulmonary fibrosis (IPF, a lung disease). The reason Chiesi is doing this study is to establish the doses suitable for future studies in subjects

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
Interventional Study Model
Sequential Assignment
Model Description
Treatment with single dose escalation: 3 different cohorts receive 3 incremental doses of Investigational Medicinal Product. Each cohort can start when the previous cohort is complete and the data are evaluated by the Safety Committee.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
The Investigational Medicinal Product is blinded for the participant, the investigators and the Sponsor. At site an unblind pharmacist is foreseen to prepare the Investigational Medicinal Product and an unblinded Clinical Research Associate will check the documents of the Investigational Medicinal Product preparation.
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Test Treatment
Arm Type
Experimental
Arm Description
A single intravenous (IV) dose of CHF10067
Arm Title
Reference treatment
Arm Type
Placebo Comparator
Arm Description
A single dose of placebo (commercial source of 0.9% sodium chloride aqueous solution)
Intervention Type
Biological
Intervention Name(s)
CHF10067 starting dose
Intervention Description
Intravenous administration of a starting dose of the monoclonal antibody
Intervention Type
Biological
Intervention Name(s)
CHF10067 intermediate dose
Intervention Description
Intravenous administration of an intermediate dose of the monoclonal antibody
Intervention Type
Biological
Intervention Name(s)
CHF10067 high dose
Intervention Description
Intravenous administration of a high dose of the monoclonal antibody
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intravenous administration of a physiological solution as placebo.
Primary Outcome Measure Information:
Title
Adverse Event recording
Description
Adverse Event recording
Time Frame
From pre-dose up to day 84
Secondary Outcome Measure Information:
Title
Pharmacokinetic profile of CHF10067
Description
Calculation of the Area under the curve
Time Frame
From pre-dose up to day 84
Title
Pharmacokinetic profile of CHF10067
Description
Cmax (maximum observed concentration)
Time Frame
From pre-dose up to day 84
Title
Pharmacokinetic profile of CHF10067
Description
tmax (time to maximum observed concentration)
Time Frame
From pre-dose up to day 84
Title
Pharmacokinetic profile of CHF10067
Description
Half life
Time Frame
From pre-dose up to day 84
Title
Evaluation of the CHF10067 immunogenicity profile
Description
Evaluation of Anti Drug Antibodies and neutralising antibody (nAb)
Time Frame
From predose up to 84 days post dose
Title
Vital signs
Description
Systolic and diastolic blood pressure
Time Frame
From pre-dose up to day 84
Title
Oxygen saturation
Description
Oxygen saturation measured via pulse oximetry
Time Frame
From pre-dose up to day 84
Title
12-lead ECG (Electrocardiogram)
Description
Heart Rate
Time Frame
From pre-dose up to day 84
Title
12-lead ECG (Electrocardiogram)
Description
PR (PR interval)
Time Frame
From pre-dose up to day 84
Title
12-lead ECG (Electrocardiogram)
Description
QRS Interval
Time Frame
From pre-dose up to day 84
Title
12-lead ECG (Electrocardiogram)
Description
QTCF (QT corrected for heart rate by Fridericia's formula)
Time Frame
From pre-dose up to day 84
Title
Spirometry
Description
FEV1 (forced expiratory volume in the first second)
Time Frame
From pre-dose up to day 84
Title
Spirometry
Description
FVC (forced vital capacity)
Time Frame
From pre-dose up to day 84
Title
Diffusing capacity (DLCO)
Description
Diffusing capacity (DLCO)
Time Frame
From pre-dose up to day 84
Other Pre-specified Outcome Measures:
Title
Evaluate Transglutaminase 2 levels in plasma
Description
Evaluate Transglutaminase 2 levels in plasma
Time Frame
From predose up to 84 days post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject's written informed consent obtained prior to any study-related procedure. Males or females, of any race, aged between 40 and 80 years of age, inclusive. Body weight ≥ 45 kg. Diagnosis of IPF as defined by current American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Association guidelines. Diagnosis of IPF must be within the past 5 years prior to enrolment, and in the opinion of the Investigator, has been stable for at least 3 months. Subjects not receiving any IPF treatment (including subjects with previous use of antifibrotic treatment that has been stopped) or receiving well-tolerated standard of care approved treatments at a stable dose for at least 8 weeks prior to screening (nintedanib or pirfenidone) and it is anticipated the dose will remain unchanged throughout the study. Forced vital capacity (FVC) ≥ 50% of predicted and ratio of forced expiratory volume in the first second (FEV1)/FVC ≥ 0.7 at screening and prior to randomization. Diffusing capacity of the lung for carbon monoxide (DLCO; corrected for haemoglobin) from 35% to 79% of predicted, inclusive at screening and prior to randomization. Able to understand the study procedures and the risks involved. Male and Female subjects following contraceptive requirements detailed in the study protocol. Exclusion Criteria: History of respiratory tract infection within 2 months prior to screening and up to Day 1 of the study. History of acute exacerbation of IPF within 3 months prior to screening and up to Day 1 of the study Active diagnosis of lung cancer or a history of lung cancer. Active cancer or a history of cancer (other than lung cancer) with less than 5 years disease free survival time (whether or not there is evidence of local recurrence or metastases). Infiltrative lung disease other than IPF Subjects exhibiting unhealed wounds or foot ulcers or have known history of wound healing complications. Chronic heart failure categorized as New York Heart Association Class II, III, or IV; clinical diagnosis of cor pulmonale requiring specific treatment; or severe pulmonary hypertension Currently receiving, or have received, a systemic corticosteroid, immunosuppressant, cytotoxic therapy, vasodilator therapy for pulmonary hypertension, or unapproved or investigational treatment for IPF within 4 weeks prior to screening or prior to randomization. Coronavirus disease-2019 (COVID-19) vaccine at least 7 days before dosing. Any systemic symptoms (e.g. myalgia, fever, chills, fatigue, etc.) after COVID-19 vaccine should subside at least 2 days before the Day 1 visit. Documented COVID-19 diagnosis within the last 8 weeks or which has not resolved within 14 days prior to screening or before treatment. Known intolerance and/or hypersensitivity to any of the excipients contained in the formulation or any other substance used in the study. History of allergic or anaphylactic reaction to human, humanised, chimeric, immunoglobulins (Igs), or murine monoclonal antibodies. Clinically relevant abnormal laboratory values (clinical chemistry and haematology) at screening suggesting an unknown disease and requiring further clinical investigation or which may impact the safety of the subject or the evaluation of the study results according to Investigator judgement. . Pregnant or lactating women.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chiesi Clinical Trial Info
Phone
+ 39 0521 2791
Email
Clinicaltrials_info@chiesi.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lisa Spencer
Organizational Affiliation
Liverpool University Hospitals NHS Foundation Trust
Official's Role
Principal Investigator
Facility Information:
Facility Name
Liverpool Clinical Research Facility - Liverpool University Hospital Foundation Trust
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Spencer, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Investigate the Safety, Tolerability, and Pharmacokinetics of Monoclonal Antibody (mAb) in Patients With IPF

We'll reach out to this number within 24 hrs