A Study to Evaluate the Efficacy and Safety of GSK3915393 in Participants With Idiopathic Pulmonary Fibrosis (IPF)
A Phase 2, Randomized, Double-Blind, Placebo Controlled, Parallel Group Study (TRANSFORM) to Evaluate the Efficacy and Safety of GSK3915393 in Participants With Idiopathic Pulmonary Fibrosis (IPF)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: US GSK Clinical Trials Call Center
- Phone Number: 877-379-3718
- Email: GSKClinicalSupportHD@gsk.com
Study Contact Backup
- Name: EU GSK Clinical Trials Call Center
- Phone Number: +44 (0) 20 89904466
- Email: GSKClinicalSupportHD@gsk.com
Study Locations
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Buenos Aires, Argentina, C1426ABP
- GSK Investigational Site
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Ciudad Autonoma de Bueno, Argentina, C1207AAP
- GSK Investigational Site
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Florida, Argentina, B1602DQD
- GSK Investigational Site
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La Plata, Argentina, 1900
- GSK Investigational Site
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Mendoza, Argentina, M5500CCG
- GSK Investigational Site
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Rosario, Argentina, S2000DBS
- GSK Investigational Site
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- GSK Investigational Site
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Newfoundland and Labrador
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St. John's, Newfoundland and Labrador, Canada, A1B 3V6
- GSK Investigational Site
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Ontario
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Ajax, Ontario, Canada, L1S 2J5
- GSK Investigational Site
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Hamilton, Ontario, Canada, L8N 4A6
- GSK Investigational Site
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Quebec
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Trois-Rivières, Quebec, Canada, G8T 7A1
- GSK Investigational Site
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La Tronche, France, 38700
- GSK Investigational Site
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Paris, France, 75018
- GSK Investigational Site
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Pessac, France, 33604
- GSK Investigational Site
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Rennes, France, 35000
- GSK Investigational Site
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Rouen, France, 76000
- GSK Investigational Site
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Toulouse, France, 31059
- GSK Investigational Site
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Essen, Germany, 45293
- GSK Investigational Site
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Hanover, Germany, 30173
- GSK Investigational Site
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Heidelberg, Germany, 69126
- GSK Investigational Site
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Wuppertal, Germany, 42283
- GSK Investigational Site
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Catania, Italy, 95123
- GSK Investigational Site
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Monza MB, Italy, 20900
- GSK Investigational Site
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Napoli, Italy
- GSK Investigational Site
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Padua, Italy, 35128
- GSK Investigational Site
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Perugia, Italy, 06132
- GSK Investigational Site
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Pisa, Italy, 56124
- GSK Investigational Site
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Roma, Italy, 00168
- GSK Investigational Site
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Sassari, Italy, 07100
- GSK Investigational Site
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Torrette AN, Italy
- GSK Investigational Site
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Eindhoven, Netherlands, 5623 EJ
- GSK Investigational Site
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Rotterdam, Netherlands, 3015 CE
- GSK Investigational Site
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Bialystok, Poland, 15-044
- GSK Investigational Site
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Lodz, Poland, 90-153
- GSK Investigational Site
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Poznan, Poland, 60-569
- GSK Investigational Site
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Barcelona, Spain
- GSK Investigational Site
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Barcelona, Spain, 08907
- GSK Investigational Site
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Madrid, Spain, 28006
- GSK Investigational Site
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Madrid, Spain, 28007
- GSK Investigational Site
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Oviedo, Spain, 33011
- GSK Investigational Site
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Pozuelo de AlarcOn Madr, Spain, 28223
- GSK Investigational Site
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Santander, Spain, 39011
- GSK Investigational Site
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Seville, Spain, 41013
- GSK Investigational Site
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Edinburgh, United Kingdom, EH16 4SA
- GSK Investigational Site
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Leeds West Yorkshire, United Kingdom, LS9 7TF
- GSK Investigational Site
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London, United Kingdom, SW3 6HP
- GSK Investigational Site
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California
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Newport Beach, California, United States, 92663
- GSK Investigational Site
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Florida
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Jacksonville, Florida, United States, 32224
- GSK Investigational Site
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St. Petersburg, Florida, United States, 33704
- GSK Investigational Site
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Michigan
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Ann Arbor, Michigan, United States, 48109-5360
- GSK Investigational Site
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Minnesota
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Rochester, Minnesota, United States, 55905
- GSK Investigational Site
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New York
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New York, New York, United States, 10065
- GSK Investigational Site
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North Carolina
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Wilmington, North Carolina, United States, 28401
- GSK Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- GSK Investigational Site
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Tennessee
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Nashville, Tennessee, United States, 37204
- GSK Investigational Site
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Texas
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Cypress, Texas, United States, 77429
- GSK Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants with IPF diagnosed within 5 years prior to screening based on the applicable American Thoracic Society (ATS)/ European Respiratory Society (ERS)/ Japanese Respiratory Society (JRS)/ Latin American Thoracic Society (ALAT) Guideline at the time of diagnosis.
- Centrally read chest High Resolution Computed Tomography (HRCT) obtained at screening or historical HRCT obtained within 12 months of screening that is consistent with Usual interstitial pneumonia (UIP) or probable UIP (if indeterminate HRCT finding, IPF may be confirmed locally by historical biopsy).
- FVC greater than or equal to (>=) 45 percent (%) of predicted normal.
- Diffusing Capacity (of Lung) for Carbon Monoxide (DLCO) >=25% of predicted normal corrected for hemoglobin (Hb).
- Prebronchodilator Forced Expiratory Volume in 1 second (FEV1)/FVC >=0.7.
- If receiving antifibrotics must be on stable dose of nintedanib or pirfenidone for at least 12 weeks prior to screening.
- If not receiving approved antifibrotics (pirfenidone or nintedanib) there should be a valid reason for this, such as previous failure, contraindications, failure to meet national or regional eligibility criteria for anti-fibrotic treatment, or participant choice.
- If not currently receiving pirfenidone or nintedanib, participant must have stopped pirfenidone or nintedanib for at least 4 weeks prior to screening.
- Body weight >=40 kilogram (kg) and body mass index within the range 18.5-35 kilogram per meter square (kg/m^2) (inclusive).
- A female participant is eligible to participate if a woman of nonchildbearing potential (WONCBP)
- Capable of giving signed informed consent
Exclusion Criteria:
- Participants with Interstitial Lung Disease (ILD) associated with other known causes.
- Diagnosis of sarcoidosis or any systemic autoimmune disease (including but not limited to scleroderma, polymyositis/dermatomyositis, systemic lupus erythematosus and rheumatoid arthritis).
- Acute IPF exacerbation within 6 months prior to screening and/or during the screening period (investigator-determined).
- Clinically significant non-parenchymal lung disease (e.g., asthma, chronic obstructive pulmonary disease, cavitary or pleural diseases) at screening.
- Diagnosis of severe pulmonary hypertension (investigator-determined)
- Extent of emphysema is greater than the extent of fibrosis according to reported results from the most recent HRCT.
- History of previous lung transplant or recent major surgery (investigator-determined) within 12 weeks prior to screening or planned during the trial period. Registration on a transplant waiting list is allowed.
- Clinically significant respiratory tract infection (e.g., active tuberculosis, infectious pneumonia, Corona virus disease 2019 [COVID-19]) requiring treatment within 4 weeks prior to and/or during the screening period.
- Cigarette smoking (including e-cigarettes) either current or within 3 months before screening.
- Current or chronic liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
- Alanine transaminase (ALT), Aspartate transaminase (AST), Alkaline phosphatase (ALP) greater than (>) 2x Upper Limit of Normal (ULN) and bilirubin >1.5x ULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin less than (<) 35% at screening).
- Clinically significant abnormalities detected on ECG of either rhythm or conduction, a Corrected QT interval (QTc) >450 millisecond (msec) or QTc > 480msec for participants with a bundle branch block and/or a pacemaker who are actively ventricularly pacing during the screening ECG.
- Participants with pacemakers who are not pacing at the time of the screening ECG should have a non-paced QTc <450 msec.
Prior/Concomitant Therapy-
- Simultaneous use of pirfenidone and nintedanib at screening.
- Received systemic corticosteroids equivalent to prednisone >10 milligrams/day or equivalent within 2 weeks of screening period.
- Use of any of the following therapies within 4 weeks prior to screening and during the screening period or planned during the study:
- Immunomodulatory therapies, including but not limited to azathioprine, mycophenolate mofetil, methotrexate, tacrolimus, cyclophosphamide, imatinib, Tumour Necrosis Factor -Alpha (TNF- α) inhibitors.
- Medications that are under investigation for the treatment of IPF including inhaled treprostinil and Phosphodiesterase-4 (PDE-4) inhibitors. Symptomatic cough therapies are allowed.
- Current use of systemic strong and moderate inducers or inhibitors of Cytochrome P450 3A4 (CYP3A4) that cannot be safely discontinued or switched to an alternative agent at least 14 days before randomization.
- Current use of systemic CYP3A4 substrates that have a narrow therapeutic index that cannot be safely discontinued or switched to an alternative agent at least 14 days before randomization.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo
Participants will receive placebo
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Placebo will be administered.
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Experimental: GSK3915393
Participants will receive GSK3915393
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GSK3915393 will be administered.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Absolute Change from Baseline in Forced Vital Capacity (FVC) (milliliters [mL]) at Week 26
Time Frame: Baseline and at Week 26
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Baseline and at Week 26
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Absolute Change from Baseline in Forced Vital Capacity (mL) at Weeks 4, 8, 12 and 18
Time Frame: Baseline and at Week 4, Week 8, Week 12 and Week 18
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Baseline and at Week 4, Week 8, Week 12 and Week 18
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Absolute Change from Baseline in Percent Predicted Forced Vital Capacity (%) at Weeks 4, 8, 12, 18 and 26
Time Frame: Baseline and at Week 4, Week 8, Week 12, Week 18 and Week 26
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Baseline and at Week 4, Week 8, Week 12, Week 18 and Week 26
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Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: Up to Week 26
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Up to Week 26
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Number of Participants with Clinically Important Findings in Electrocardiogram (ECG)
Time Frame: Baseline and up to Week 26
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Baseline and up to Week 26
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Number of Participants with Clinically Important Findings in Hepatobiliary Parameters
Time Frame: Baseline and up to Week 26
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Baseline and up to Week 26
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Number of Participants Achieving Relative Decline from Baseline in FVC (mL) Less than or Equal to (≤) 5 Percent (%) at Week 26
Time Frame: Baseline and at Week 26
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Baseline and at Week 26
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Number of Participants with Clinically Important Findings in Vital Signs
Time Frame: Baseline and up to Week 26
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Baseline and up to Week 26
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Number of Participants with Clinically Important Findings in Hematology
Time Frame: Baseline and up to Week 26
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Baseline and up to Week 26
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Number of Participants with Clinically Important Findings in Clinical Chemistry
Time Frame: Baseline up to Week 26
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Baseline up to Week 26
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Maximum observed concentration (Cmax) of GSK3915393 in IPF Participants
Time Frame: At Week 2 (pre-dose, and 0.5, 1, 1.5, 2, 3 and 4 hour post-dose)
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At Week 2 (pre-dose, and 0.5, 1, 1.5, 2, 3 and 4 hour post-dose)
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Area under the time-concentration curve (AUC) from Zero (pre-dose) to 4 hours post-dose sample (AUC0-4 hour) of GSK3915393
Time Frame: At Week 2 (pre-dose, and 0.5, 1, 1.5, 2, 3 and 4 hour post-dose)
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At Week 2 (pre-dose, and 0.5, 1, 1.5, 2, 3 and 4 hour post-dose)
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Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC-inf) of GSK3915393
Time Frame: At Week 2 (pre-dose, and 0.5, 1, 1.5, 2, 3 and 4 hour post-dose)
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At Week 2 (pre-dose, and 0.5, 1, 1.5, 2, 3 and 4 hour post-dose)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 220929
- 2023-509371-16-00 (Other Identifier: EU CT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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