JUNIPER: A Phase 2 Study to Evaluate the Safety, Biological Activity, and PK of ND-L02-s0201 in Subjects With IPF
Primary Purpose
Idiopathic Pulmonary Fibrosis
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ND-L02-s0201
ND-L02-s0201
Other: Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis
Eligibility Criteria
Inclusion Criteria:
- Forced vital capacity (FVC) ≥ 45% of predicted.
- Diffusion capacity of the lung for carbon monoxide (DLco) corrected for hemoglobin ≥ 30% of predicted value
- Ratio of forced expiratory volume in 1 second (FEV1) to FVC ≥ 0.70.
Exclusion Criteria:
- Best, acceptable FVC from separate screening spirometry that differ by ≥ 200 mL.
- Respiratory exacerbation(s) or hospitalization for IPF exacerbation within 3 months before screening.
- Anticipated to receive a lung transplant during the subject's participation in the study.
- Active smoker or smoking cessation within 12 weeks before screening.
- Malignancy within the last 5 years, with the exception of curable cancer that has received adequate treatment.
- Evidence of any unstable or untreated, clinically significant disease or condition that, in the opinion of the Investigator, might confound the interpretation of the study or place the subject at increased risk.
- Treatment with high dose corticosteroids, cytotoxic agents, unapproved IPF targeted therapy, and cytokine modulating agents within 8 weeks or 5 half-lives (whichever is longer) before screening
- Participation in an investigational study with the last dose of investigational product occurring within 8 weeks or 5 half-lives (whichever is longer) before screening.
- Pregnant or breastfeeding.
- Medical history of infection with HIV, hepatitis B, or hepatitis C.
- History of alcohol abuse and/or dependence within the last 2 years.
- History within the last 2 years of significant mental illness, or physical dependence on any opioid or illicit drugs.
Other protocol defined inclusion/exclusion criteria could apply.
Sites / Locations
- Banner-University Medical Center Tucson Camppus
- Cedars-Sinai Medical Center
- Amicis Research Center
- University of California, San Francisco, Medical Center at Parnassus
- Mayo Clinic Florida
- Central Florida Pulmonary Group, PA
- Emory University
- Loyola University Medical Center
- OSF HealthCare Saint Francis Medical Center
- Norton Clinical Research Group
- Massachusetts General Hospital
- University of Minnesota Medical School
- Dartmouth-Hitchcock Medical Center (DHMC)
- Duke University Hospital
- Penn State Hershey Medical Center
- University of Pittsburgh Medical Center
- Medical University of South Carolina
- UT Southwestern Medical Center
- UT Health San Antonio: First Outpatient Research Unit
- University of Utah Health
- University of Washington
- Thoraxklinik-Heidelberg gGmbH
- Universitatsklinikum Freiburg
- Justus-Liebig-Universitaet Giessen
- Lungenfachklinik Immenhausen
- Medizinische Hochschule Hannover (MHH)
- Ruhrlandklinik, Universitatmedzin Essen
- National Hospital Organization Himeji Medical Center
- National Hospital Organization Ibarakihigashi National Hospital
- Kanagawa Cardiovascular and Respiratory Center
- National Hospital Oganization Kinki-chuo Chest Medical Center
- Tosei General Hospital
- Royal Papworth Hospital NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
ND-L02-s0201 (Dose Level 1)
ND-L02-s0201 (Dose Level 2)
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Number of patients with treatment-related adverse events as assessed by CTCAE v5.0
Secondary Outcome Measures
Evaluate the biological activity of ND-L02-s0201 as measured by spirometry
Evaluate changes of interstitial lung abnormalities as measured by HRCT
Evaluate maximum plasma concentration (Cmax)
Evaluate time to maximum plasma concentration (Tmax)
Evaluate area under the plasma concentration-time curve (AUC)
Evaluate area under the first moment of the plasma concentration-time curve (AUMC)
Evaluate total plasma clearance of drug (CL)
Evaluate apparent terminal elimination rate constant (Kel)
Evaluate volume of distribution at steady state (Vss)
Evaluate volume of distribution during the elimination phase (Vz)
Evaluate apparent terminal elimination half-life (T1/2)
Evaluate trough plasma concentration (Ctrough)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03538301
Brief Title
JUNIPER: A Phase 2 Study to Evaluate the Safety, Biological Activity, and PK of ND-L02-s0201 in Subjects With IPF
Official Title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Biological Activity, and PK of ND-L02-s0201 in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
June 18, 2018 (Actual)
Primary Completion Date
August 24, 2022 (Actual)
Study Completion Date
August 24, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nitto Denko Corporation
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
A phase 2, randomized, double-blind, placebo-controlled, multicenter study to evaluate the safety, tolerability, biological activity, and pharmacokinetics (PK) of ND-L02-s0201 for Injection in subjects with IPF.
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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
123 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ND-L02-s0201 (Dose Level 1)
Arm Type
Experimental
Arm Title
ND-L02-s0201 (Dose Level 2)
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ND-L02-s0201
Intervention Description
Intravenous administration every 2 weeks
Intervention Type
Drug
Intervention Name(s)
ND-L02-s0201
Intervention Description
Intravenous administration every 2 weeks
Intervention Type
Other
Intervention Name(s)
Other: Placebo
Intervention Description
Saline
Primary Outcome Measure Information:
Title
Number of patients with treatment-related adverse events as assessed by CTCAE v5.0
Time Frame
Change in the incidence and severity of adverse events related to study treatment from baseline to 24 weeks
Secondary Outcome Measure Information:
Title
Evaluate the biological activity of ND-L02-s0201 as measured by spirometry
Time Frame
Baseline vs. 24 weeks
Title
Evaluate changes of interstitial lung abnormalities as measured by HRCT
Time Frame
Baseline vs. 24 weeks
Title
Evaluate maximum plasma concentration (Cmax)
Time Frame
Over 24 weeks
Title
Evaluate time to maximum plasma concentration (Tmax)
Time Frame
Over 24 weeks
Title
Evaluate area under the plasma concentration-time curve (AUC)
Time Frame
Over 24 weeks
Title
Evaluate area under the first moment of the plasma concentration-time curve (AUMC)
Time Frame
Over 24 weeks
Title
Evaluate total plasma clearance of drug (CL)
Time Frame
Over 24 weeks
Title
Evaluate apparent terminal elimination rate constant (Kel)
Time Frame
Over 24 weeks
Title
Evaluate volume of distribution at steady state (Vss)
Time Frame
Over 24 weeks
Title
Evaluate volume of distribution during the elimination phase (Vz)
Time Frame
Over 24 weeks
Title
Evaluate apparent terminal elimination half-life (T1/2)
Time Frame
Over 24 weeks
Title
Evaluate trough plasma concentration (Ctrough)
Time Frame
Over 24 weeks
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:
Forced vital capacity (FVC) ≥ 45% of predicted.
Diffusion capacity of the lung for carbon monoxide (DLco) corrected for hemoglobin ≥ 30% of predicted value
Ratio of forced expiratory volume in 1 second (FEV1) to FVC ≥ 0.70.
Exclusion Criteria:
Best, acceptable FVC from separate screening spirometry that differ by ≥ 200 mL.
Respiratory exacerbation(s) or hospitalization for IPF exacerbation within 3 months before screening.
Anticipated to receive a lung transplant during the subject's participation in the study.
Active smoker or smoking cessation within 12 weeks before screening.
Malignancy within the last 5 years, with the exception of curable cancer that has received adequate treatment.
Evidence of any unstable or untreated, clinically significant disease or condition that, in the opinion of the Investigator, might confound the interpretation of the study or place the subject at increased risk.
Treatment with high dose corticosteroids, cytotoxic agents, unapproved IPF targeted therapy, and cytokine modulating agents within 8 weeks or 5 half-lives (whichever is longer) before screening
Participation in an investigational study with the last dose of investigational product occurring within 8 weeks or 5 half-lives (whichever is longer) before screening.
Pregnant or breastfeeding.
Medical history of infection with HIV, hepatitis B, or hepatitis C.
History of alcohol abuse and/or dependence within the last 2 years.
History within the last 2 years of significant mental illness, or physical dependence on any opioid or illicit drugs.
Other protocol defined inclusion/exclusion criteria could apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nitto Denko Corporation
Organizational Affiliation
Nitto Denko Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Banner-University Medical Center Tucson Camppus
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724-0001
Country
United States
Facility Name
Cedars-Sinai Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Amicis Research Center
City
Northridge
State/Province
California
ZIP/Postal Code
91324
Country
United States
Facility Name
University of California, San Francisco, Medical Center at Parnassus
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Mayo Clinic Florida
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
Central Florida Pulmonary Group, PA
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Loyola University Medical Center
City
Maywood
State/Province
Illinois
ZIP/Postal Code
60153
Country
United States
Facility Name
OSF HealthCare Saint Francis Medical Center
City
Peoria
State/Province
Illinois
ZIP/Postal Code
61637
Country
United States
Facility Name
Norton Clinical Research Group
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40218
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
University of Minnesota Medical School
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Dartmouth-Hitchcock Medical Center (DHMC)
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Facility Name
Duke University Hospital
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27708
Country
United States
Facility Name
Penn State Hershey Medical Center
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Facility Name
University of Pittsburgh Medical Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
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
UT Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
UT Health San Antonio: First Outpatient Research Unit
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
University of Utah Health
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84108
Country
United States
Facility Name
University of Washington
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195-0001
Country
United States
Facility Name
Thoraxklinik-Heidelberg gGmbH
City
Heidelberg
State/Province
Baden-Wuerttemberg
ZIP/Postal Code
69126
Country
Germany
Facility Name
Universitatsklinikum Freiburg
City
Freiburg
State/Province
Baden-Württemberg
ZIP/Postal Code
79106
Country
Germany
Facility Name
Justus-Liebig-Universitaet Giessen
City
Giessen
State/Province
Hessen
ZIP/Postal Code
35392
Country
Germany
Facility Name
Lungenfachklinik Immenhausen
City
Immenhausen
State/Province
Hesse
ZIP/Postal Code
34376
Country
Germany
Facility Name
Medizinische Hochschule Hannover (MHH)
City
Hannover
State/Province
Lower Saxony
ZIP/Postal Code
30625
Country
Germany
Facility Name
Ruhrlandklinik, Universitatmedzin Essen
City
Essen
State/Province
North Rhine-Westphalia
ZIP/Postal Code
NRW 45239
Country
Germany
Facility Name
National Hospital Organization Himeji Medical Center
City
Himeji-Shi
State/Province
Hyogo
ZIP/Postal Code
670-8520
Country
Japan
Facility Name
National Hospital Organization Ibarakihigashi National Hospital
City
Naka-gun
State/Province
Ibaraki
ZIP/Postal Code
319-1113
Country
Japan
Facility Name
Kanagawa Cardiovascular and Respiratory Center
City
Yokohama-shi
State/Province
Kanagawa
ZIP/Postal Code
236-0051
Country
Japan
Facility Name
National Hospital Oganization Kinki-chuo Chest Medical Center
City
Osaka
State/Province
Sakai-shi
ZIP/Postal Code
5918555
Country
Japan
Facility Name
Tosei General Hospital
City
Aichi
State/Province
Seto-shi
ZIP/Postal Code
489-8642
Country
Japan
Facility Name
Royal Papworth Hospital NHS Foundation Trust
City
Cambridge
State/Province
Cambridgeshire
ZIP/Postal Code
CB2 0AY
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
JUNIPER: A Phase 2 Study to Evaluate the Safety, Biological Activity, and PK of ND-L02-s0201 in Subjects With IPF
We'll reach out to this number within 24 hrs