- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06132256
Study to Evaluate Axatilimab in Participants With Idiopathic Pulmonary Fibrosis (IPF)
January 25, 2024 updated by: Syndax Pharmaceuticals
A 26-Week, Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Evaluate the Efficacy, Safety, and Tolerability of Axatilimab in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
The study will evaluate the efficacy and safety of axatilimab in participants with IPF.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
135
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Syndax Pharmaceuticals
- Phone Number: 781-419-1400
- Email: clinicaltrials@syndax.com
Study Locations
-
-
-
Brisbane, Australia, 4032
- Recruiting
- Wallace Street Specialist Centre
-
Nedlands, Australia, 6009
- Recruiting
- Institute for Respiratory Health
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Key Inclusion Criteria:
- Documented diagnosis of IPF per the 2018 American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Society Clinical Practice Guideline (Raghu 2018).
- Chest high-resolution computed tomography (HRCT) performed within 12 months prior to first Screening Visit and according to the minimum requirements for IPF diagnosis by central review based on participant's HRCT only (if no lung biopsy is available) or based on both HRCT and lung biopsy (with application of the different criteria in either situation). If an evaluable HRCT <12 months prior to Screening is not available, an HRCT can be performed at first Screening Visit to determine eligibility, according to the same requirements as the historical HRCT. If a participant has an indeterminate usual interstitial pneumonia (UIP) pattern and their HRCT is >6 months old, if in the opinion of the Investigator their disease has progressed, an additional HRCT may be obtained and reviewed for eligibility.
- FVC ≥45% of predicted normal at Screening Visits.
- Forced expiratory volume in 1 second (FEV1)/FVC ≥0.7 at Screening Visits.
- DLco ≥30% and ≤90% of predicted, corrected for hemoglobin at first Screening Visit.
Key Exclusion Criteria:
- Abnormalities detected on electrocardiogram (ECG) of either rhythm or conduction that in the opinion of the Investigator are clinical significant. Participants with implantable cardiovascular devices (for example, pacemaker) affecting the QT interval time may be enrolled in the study based upon Investigator judgment following cardiologist consultation if deemed necessary, and only after discussion with the Medical Monitor.
- Emphysema present on ≥50% of the HRCT, or the extent of emphysema is greater than the extent of fibrosis, according to central review of the HRCT.
- Interstitial lung disease associated with known primary diseases (for example, connective tissue disease, sarcoidosis and amyloidosis), exposures (for example, radiation, silica, asbestos, and coal dust), or drugs (for example, amiodarone).
- Participants who cannot meet protocol-specified baseline stability criteria.
- Acute IPF exacerbation within 3 months prior to screening.
- Receiving nintedanib in combination with pirfenidone
- Receiving systemic corticosteroids equivalent to prednisone >10 milligrams (mg)/day or equivalent within 2 weeks prior to Screening.
- Use of any of the following therapies within 4 weeks prior to Screening and during the Screening Period, or planned during the study: imatinib, ambrisentan, azathioprine, mycophenolate mofetil, cyclophosphamide, cyclosporine A, tacrolimus, bosentan, methotrexate, inhaled treprostinil, phosphodiesterase-5 inhibitors, including sildenafil (unless for occasional use), prednisone at steady dose >10 mg/day or equivalent, or other investigational therapy.
- History of cigarette smoking or vaping within the previous 3 months.
- Female participant who is pregnant or breastfeeding.
- Previous exposure to study intervention or known allergy/sensitivity to study drug.
- Receiving an investigational treatment within 28 days of randomization.
- Inadequate IV access.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Axatilimab
Participants will receive axatilimab every 2 weeks during the 26-week Treatment Period.
|
Administered as intravenous (IV) infusion
Other Names:
|
Placebo Comparator: Placebo
Participants will receive placebo every 2 weeks during the 26-week Treatment Period.
|
Placebo to match axatilimab administered as IV infusion.
Placebo will not contain active ingredient.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Annualized rate of decline in morning pre-dose trough forced vital capacity (FVC) (milliliter [mL])
Time Frame: Baseline through Week 26
|
Baseline through Week 26
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to disease progression
Time Frame: Baseline through Week 26
|
Disease progression is defined as absolute FVC percent predicted decline of ≥10%, or occurrence of lung transplant or all-cause death prior to Week 26.
|
Baseline through Week 26
|
Annualized rate of decline in FVC percent predicted over 26 weeks
Time Frame: Baseline through Week 26
|
Baseline through Week 26
|
|
Change in St. George's Respiratory Questionnaire (SGRQ) score from Baseline to Week 26
Time Frame: Baseline, Week 26
|
Baseline, Week 26
|
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Change in diffusion capacity for carbon monoxide (DLco % of predicted, corrected for hemoglobin) from Baseline to Week 26
Time Frame: Baseline, Week 26
|
Baseline, Week 26
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 11, 2023
Primary Completion (Estimated)
April 1, 2025
Study Completion (Estimated)
June 1, 2025
Study Registration Dates
First Submitted
November 9, 2023
First Submitted That Met QC Criteria
November 9, 2023
First Posted (Actual)
November 15, 2023
Study Record Updates
Last Update Posted (Estimated)
January 26, 2024
Last Update Submitted That Met QC Criteria
January 25, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SNDX-6352-0506
- 2022-502954-15-00 (Other Identifier: EU-CT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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