PPF 참가자를 대상으로 AP01의 안전성과 유효성을 평가하는 2b상 연구
진행성 폐섬유화증(PPF) 참가자의 흡입용 피르페니돈 용액(AP01)의 안전성과 유효성을 평가하는 무작위 이중 맹검 위약 대조 2b상 연구
A randomized, double-blind, placebo-controlled clinical study to evaluate the safety and efficacy of 2 doses of inhaled pirfenidone (AP01) versus placebo on top of standard of care in participants with PPF over 52 weeks.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
This is a randomized, double-blind, placebo-controlled clinical study to evaluate the safety and efficacy of 2 doses of AP01 (pirfenidone solution for inhalation) versus placebo on top of standard of care in participants with PPF over 52 weeks. Up to 300 eligible participants will be randomized to 1 of 3 treatment arms: AP01 high dose, AP01 low dose, or placebo.
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 2 단계
연락처 및 위치
연구 장소
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Rotterdam, 네덜란드, 3015 GD
- Erasmus University Medical Center
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Utrecht
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Nieuwegein, Utrecht, 네덜란드, 3435
- St Antoniusziekenhuis
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Auckland
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Auckland, Auckland, 뉴질랜드, 1051
- Greenlane Clinical Centre
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Canterbury
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Christchurch, Canterbury, 뉴질랜드, 8011
- Health New Zealand
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Dunedine
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Dunedin, Dunedine, 뉴질랜드, 9016
- Dunedin Hospital
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South Tauranga
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Tauranga, South Tauranga, 뉴질랜드, 3112
- Bay of Plenty Clinical School
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Bavaria
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Munich, Bavaria, 독일, 81241
- Pneumologisches Studienzentrum München-West
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München, Bavaria, 독일, 81925
- Muenchen Klinik Bogenhausen - Klinik für Pneumologie und Pneumologische Onkologie
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Rosenheim, Bavaria, 독일, 83022
- RoMed Klinikum Rosenheim
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Lower Saxony
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Hanover, Lower Saxony, 독일, 30625
- Medizinische Hochschule Hannover
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Main Hessia
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Frankfurt, Main Hessia, 독일, 60389
- Studienzentrum Dr. Claus Keller
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North Rhine-Westphalia
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Essen, North Rhine-Westphalia, 독일, 45239
- Ruhrlandklinik Essen, Klinik fuer Pneumologie
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Rhineland-Palatinate
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Mainz, Rhineland-Palatinate, 독일, 55131
- Universitätsmedizin Mainz - Zentrum für Thoraxerkrankungen
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Saxony
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Leipzig, Saxony, 독일, 04103
- Uniklinikum Leipzig Medizinische Klinik II - Bereich
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State of Berlin
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Berlin, State of Berlin, 독일, 12351
- Vivantes Klinikum Neukölln - Klinik für Innere Medizin - Pneumologie und Infektiologie
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Alabama
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Birmingham, Alabama, 미국, 35205
- University of Alabama at Birmingham
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Arizona
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Scottsdale, Arizona, 미국, 85259
- Mayo Clinic- Scottsdale
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California
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Los Angeles, California, 미국, 90033
- University of Southern California
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Los Angeles, California, 미국, 90048
- Cedars-Sinai
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Los Angeles, California, 미국, 90095
- UCLA
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Newport Beach, California, 미국, 92663
- Newport Native MD, Inc.
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Redding, California, 미국, 96001
- Paradigm Clinical Research - Redding
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San Francisco, California, 미국, 94143
- University of California - San Francisco
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Colorado
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Aurora, Colorado, 미국, 80045
- University of Colorado, Anschutz Medical Campus
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Denver, Colorado, 미국, 80206
- National Jewish Health
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Connecticut
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Farmington, Connecticut, 미국, 06030
- UCONN Health
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New Haven, Connecticut, 미국, 06519
- Yale University
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Florida
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Leesburg, Florida, 미국, 34748
- Clinical Site Partners, LCC
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Ocala, Florida, 미국, 34470
- Renstar Medical Research
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Winter Park, Florida, 미국, 32789
- Clinical Site Partners
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Georgia
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Atlanta, Georgia, 미국, 30309
- Piedmont Healthcare, Inc.
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Illinois
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Chicago, Illinois, 미국, 60611
- Northwestern University
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Evanston, Illinois, 미국, 60201
- Endeavor Health
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Maywood, Illinois, 미국, 60153
- Loyola University Medical Center
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Kansas
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Kansas City, Kansas, 미국, 66160
- The University of Kansas Medical Center
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Maryland
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Baltimore, Maryland, 미국, 21201
- University of Maryland
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Baltimore, Maryland, 미국, 21224
- Johns Hopkins University
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Massachusetts
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Boston, Massachusetts, 미국, 02215
- Beth Israel Deaconess Medical Center
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Michigan
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Ann Arbor, Michigan, 미국, 48109
- University of Michigan
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Minnesota
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Minneapolis, Minnesota, 미국, 55455
- University of Minnesota
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Rochester, Minnesota, 미국, 55905
- Mayo Clinic Rochester
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Missouri
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Hannibal, Missouri, 미국, 63401
- Hannibal Regional Healthcare System
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New York
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Mount Kisco, New York, 미국, 10549
- Northern Westchester Hospital
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Mount Kisco, New York, 미국, 10549
- Northwell Health - Mount Kisco
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New York, New York, 미국, 10032
- Columbia University
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New York, New York, 미국, 10029
- Icahn School of Medicine at Mount Sinai
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New York, New York, 미국, 10021
- Weill Cornell
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New York, New York, 미국, 10017
- NYU Langone Health
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The Bronx, New York, 미국, 10467
- Montefiore Medical Center
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North Carolina
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Durham, North Carolina, 미국, 27710
- Duke University
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Statesville, North Carolina, 미국, 28625
- Piedmont HealthCare, PA
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Wilmington, North Carolina, 미국, 28401
- Accellacare
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Winston-Salem, North Carolina, 미국, 27103
- Southeastern Research Center
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Ohio
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Cincinnati, Ohio, 미국, 45267
- University of Cincinnati
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Cleveland, Ohio, 미국, 44195
- Cleveland Clinic
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Oregon
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Beaverton, Oregon, 미국, 97008
- The Oregon Clinic Pulmonary West
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Bend, Oregon, 미국, 97701
- Summit Health
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Portland, Oregon, 미국, 97220
- The Oregon Clinic Pulmonary East
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Portland, Oregon, 미국, 97225
- The Oregon Clinic Pulmonary West
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Pennsylvania
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Hershey, Pennsylvania, 미국, 17033
- The Pennsylvania State University
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Philadelphia, Pennsylvania, 미국, 19107
- Thomas Jefferson University
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Philadelphia, Pennsylvania, 미국, 19140
- Temple University
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South Carolina
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Charleston, South Carolina, 미국, 29425
- Medical University of South Carolina
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Charleston, South Carolina, 미국, 29406
- Lowcountry Lung and Critical Care
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Tennessee
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Franklin, Tennessee, 미국, 37067
- Clinical Trials Center of Middle Tennessee
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Nashville, Tennessee, 미국, 37204
- Vanderbilt Lung Institute
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Texas
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Dallas, Texas, 미국, 75390
- UT Southwestern Medical Center
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Dallas, Texas, 미국, 75246
- Baylor Scott & White Research Institute, Baylor University Medical Center
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El Paso, Texas, 미국, 79902
- El Paso Pulmonary Association
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Houston, Texas, 미국, 77030
- Baylor College of Medicine
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Houston, Texas, 미국, 77030
- The University of Texas Health Science Center
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McKinney, Texas, 미국, 75069
- Metroplex Pulmonary and Sleep Center, PA
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Utah
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Murray, Utah, 미국, 84157
- Intermountain Medical Center
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Salt Lake City, Utah, 미국, 84108
- University of Utah Health
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Virginia
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Falls Church, Virginia, 미국, 22042
- Inova Healthcare
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Washington
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Seattle, Washington, 미국, 98195
- University of Washington
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Leuven, 벨기에, 3000
- UZ Leuven
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Liège, 벨기에, 4000
- CHU de Liège
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Barcelona, 스페인, 08908
- Hospital Universitary de Bellvitge
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Cadiz, 스페인, 11009
- Hospital Universitario Puerta del Mar - Leon-Jimenez
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Andalusia
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Granada, Andalusia, 스페인, 18014
- Hospital Universitario Virgen de las Nieves
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Barcelona
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Barcelona, Barcelona, 스페인, 08025
- Hospital de Sant Pau y la Santa Creu
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Cantabria
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Santander, Cantabria, 스페인, 39008
- Hospital Universitario Marqués de Valdecilla
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Madrid
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Madrid, Madrid, 스페인, 28034
- Hospital Universitario Ramon y Cajal
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Madrid, Madrid, 스페인, 28007
- Hospital Gregorio Marañon
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Málaga
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Málaga, Málaga, 스페인, 29010
- Hospital Universitario Virgen de la Victoria
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Principality of Asturias
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Oviedo, Principality of Asturias, 스페인, 33011
- Hospital Universitario Central de Asturias
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Sevilla
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Seville, Sevilla, 스페인, 41013
- Hospital Universitario Virgen del Rocío
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Buenos Aires
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Buenos Aires, Buenos Aires, 아르헨티나, 1427
- Fundacion Respirar
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Buenos Aires, Buenos Aires, 아르헨티나, C1056AB
- CINME
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Ciudad Autónoma de Buenos Aires, Buenos Aires, 아르헨티나, C1199ABH
- Hospital Italiano de Buenos Aires
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Mar del Plata, Buenos Aires, 아르헨티나, 7600
- Instituto Ave Pulmo, Fundacion Enfisema
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Monte Grande, Buenos Aires, 아르헨티나, 1842
- Clinica Monte Grande
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Quilmes, Buenos Aires, 아르헨티나, B1878
- Centro Respiratorio Quilmes
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Córdoba Province
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Córdoba, Córdoba Province, 아르헨티나, 5003
- Instituto de Medicina Respiratoria
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Tucumán Province
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San Miguel de Tucumán, Tucumán Province, 아르헨티나, 4000
- CIMER Centro Integral de Medicina Respiratoria
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San Miguel de Tucumán, Tucumán Province, 아르헨티나, 4000
- Investigaciones En Patologias Respiratorias
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Cambridge, 영국, CB2 0BB
- Royal Papworth Hospital
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London, 영국, SW3 6HP
- Royal Brompton Hospital
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Manchester, 영국, M23 9LT
- Manchester University NHS Foundation Trust
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Nottingham, 영국, NG5 1PB
- Nottingham University NHS Trust
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Stoke-on-Trent, 영국, ST4 6QG
- University Hospitals of North Midlands NHS Trust, Royal Stoke University Hospital
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East Yorkshire
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Cottingham, East Yorkshire, 영국, HU16 5JQ
- Hull University Teaching Hospital NHS Trust
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Heartlands
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Birmingham, Heartlands, 영국, B95SS
- Birmingham Heartlands Hospital
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Leicester
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Glenfield, Leicester, 영국, LE3 9QP
- Leicester Biomedical Research Centre - Respiratory Theme
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London
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London, London, 영국, sw17 0QT
- St George's University Hospitals NHS Foundation Trust
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Midlands
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Birmingham, Midlands, 영국, B15 2GW
- ILD Unit, University Hospitals Birmingham NHS Foundation Trust Theme
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Northern Ireland
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Londonderry, Northern Ireland, 영국, BT46
- C-TRIC Altnagelvin Hospital
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Oxon
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Oxford, Oxon, 영국, OX3 7LE
- Oxford University Hospitals NHS Foundation Trust
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South West
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Exeter, South West, 영국, EX2 5DW
- Royal Devon
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West Midlands
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Wolverhampton, West Midlands, 영국, WV10 0QP
- The Royal Wolverhampton NHS Trust, New Cross Hospital, Research and Development
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West Yorkshire
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Leeds, West Yorkshire, 영국, LS9 7TF
- St James University Hospital - LTHT
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Ancona
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Torrette, Ancona, 이탈리아, 60126
- A.O.U. delle Marche - Ospedale di Torrette
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Campania
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Naples, Campania, 이탈리아, 80131
- Università degli Studi di Napoli Federico II - Ospedale Monaldi
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Naples, Campania, 이탈리아, 80131
- Azienda Ospedaliera dei Colli - Ospedale Monaldi
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Emilia-Romagna
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Bologna, Emilia-Romagna, 이탈리아, 40138
- IRCCS AOU di Bologna - Policlinico Sant' Orsola
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Giulia
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Venezia, Giulia, 이탈리아, 34149
- Azienda Sanitaria Universitaria Giuliano Isontina
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Lombardy
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Pavia, Lombardy, 이탈리아, 27100
- Fondazione IRCCS Policlinico San Matteo - UOC Pneumologia
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Milano
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Milan, Milano, 이탈리아, 20123
- Ospedale San Giuseppe
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Rozzano, Milano, 이탈리아, 20089
- HUMANITAS Research Hospital
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Sicily
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Catania, Sicily, 이탈리아, 95123
- A.O.U. Policlinico G. Rodolico
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British Columbia
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Vancouver, British Columbia, 캐나다, V5Z1M9
- Vancouver General Hospital
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Ontario
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Ajax, Ontario, 캐나다, L1S2J5
- Dynamic Drug Advancement
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Hamilton, Ontario, 캐나다, L8N 4A6
- St. Joseph's Healthcare Hamilton
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Quebec
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Montreal, Quebec, 캐나다, H4A 3J1
- Research Institute McGill University Health Center
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Québec, Quebec, 캐나다, G1V4G5
- Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval
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Trois-Rivières, Quebec, 캐나다, G8T7A1
- CIC Mauricie
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Adana, 터키 (Türkiye), 01240
- Cukurova University Medical Faculty
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Ankara, 터키 (Türkiye), 06010
- Health Sciences University, Gulhane Faculty of Medicine
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İzmir
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Bornova, İzmir, 터키 (Türkiye), 35100
- Ege University Medical Faculty Hospital
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-
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-
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Lodz, 폴란드, 90-153
- Department of Pneumology of the University Hospital No 1
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Lodz, 폴란드, 90-602
- PRYWATNY GABINET LEKARSKI GINEKOLOGIA I POŁOZNICTWO ULTRASONOGRAFIA Prof. Dr hab. Med. Jacek Suzin
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Bydgoszc
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Bydgoszcz, Bydgoszc, 폴란드, 85-079
- Vitamed Galaj I Cichomski sp.j.
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Krakow
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Krakow, Krakow, 폴란드, 30-688
- University Hospital in Krakow
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, 폴란드, 90-349
- AppleTreeClinics Network
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Angers, 프랑스, 49933
- CHU Angers
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Le Kremlin-Bicêtre, 프랑스, 94270
- APHP - Hopital Bicetre
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Paris, 프랑스, 75014
- Hôpital Paris St Jozeph
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Pessac, 프랑스, 33604
- Hôpital Haut-Lévêque
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Cedex NA
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Rennes, Cedex NA, 프랑스, 35033
- CHU de Rennes
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Indre et Loire
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Tours, Indre et Loire, 프랑스, 37000
- CHU Tours
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Lorraine
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Metz, Lorraine, 프랑스, 57000
- Robert Schuman Hospital UNEOS
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Lyon
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Lyon, Lyon, 프랑스, 69677
- Louis Pradel Hospital
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Montpellier
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Montpellier, Montpellier, 프랑스, 34295
- University of Montpellier
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Canberra, 호주, 2605
- Canberra Hospital
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New South Wales
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Camperdown, New South Wales, 호주, 2050
- Royal Prince Alfred Hospital
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Kingswood, New South Wales, 호주, 2745
- Nepean Lung & Sleep
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New Lambton, New South Wales, 호주, 2305
- John Hunter Hospital
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Sydney, New South Wales, 호주, 2109
- Macquarie University Clinical Trials Unit
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Westmead, New South Wales, 호주, 2145
- Westmead Hospital
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Perth West Australia
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Nedlands, Perth West Australia, 호주, 6009
- Institute for Respiratory Health
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Queensland
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Brisbane, Queensland, 호주, 4032
- Wallace Street Specialist Centre/Lung Research QLD Pty Ltd
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Victoria
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Footscray, Victoria, 호주, 3011
- Lung Research Victoria
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Melbourne, Victoria, 호주, 3004
- Alfred Health
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Participant meets criteria for PPF, as follows:
- In subjects with interstitial lung disease (ILD) of known or unknown etiology other than idiopathic pulmonary fibrosis (IPF) who have radiological evidence of pulmonary fibrosis, PPF is defined as:
Physiological evidence of disease progression with at least 1 of the following criteria despite treatment with approved or unapproved medications commonly used in practice (per Investigator):
-
Relative decline in FVC ≥10% predicted within the previous 24 months based on documented historical spirometry assessments
-
Relative decline in FVC ≥5% to <10% predicted within the previous 24 months based on documented historical spirometry assessments with at least 1 of the 2 following criteria:
-
Worsening respiratory symptoms (Note: Changes attributable to comorbidities e.g., infection, heart failure must be excluded) OR
-
Radiological (HRCT) evidence of disease progression per a local or central radiologist (from historical HRCT taken up to 24 months prior to Screening Visit 1), for example:
- Increased extent or severity of traction bronchiectasis and bronchiolectasis
- New ground-glass opacity with traction bronchiectasis
- New fine reticulation
- Increased extent or increased coarseness of reticular abnormality
- New or increased honeycombing
- Increased lobar volume loss
-
-
Worsening of respiratory symptoms (Note: Changes attributable to comorbidities e.g., infection, heart failure must be excluded) AND radiological (HRCT) evidence of disease progression per a local or central radiologist
- Meeting all of the following criteria during the Screening Period:
a. FVC ≥45% of predicted normal at Screening Visit 1, b. Forced expiratory volume at 1 second (FEV1)/FVC ≥0.7 or ≥age-adjusted lower limit of normal at Screening Visit 1, c. Diffusing capacity of lung for carbon monoxide (DLCO) ≥30% of predicted, corrected for hemoglobin at Screening Visit 1, d. Acceptability: Participants can perform acceptable spirometry (i.e., meet American Thoracic Society (ATS)/ European Respiratory Society (ERS) acceptability criteria at both Screening Visits).
• For subjects already on background therapy (nintedanib or nerandomilast 18 mg twice daily [up to 30% of subjects]): Must have been on background therapy for at least 12 weeks prior to Screening with or without dose adjustments and/or drug interruptions during that period. For subjects who have discontinued background therapy prior to Screening: Must have been off for a minimum of 12 weeks.
Exclusion Criteria:
-
Current treatment with oral pirfenidone or nerandomilast 9 mg twice daily dose or treatment with oral pirfenidone within 3 months prior to Screening.
-
Elevated liver enzymes and liver injury at Screening defined as:
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ˃ 3 times the upper limit of normal (ULN)
- Bilirubin >2.0 x ULN
-
Renal disease with a creatinine clearance < 30 mL/min, calculated according to the Chronic Kidney Disease Epidemiology Collaboration formula. Retesting is allowed once.
-
Diagnosis of idiopathic pulmonary fibrosis (IPF) based on the ATS diagnostic algorithm for IPF. UIP that is not idiopathic, for example related to rheumatoid arthritis (RA), familial interstitial lung disease (ILD), or other is not exclusionary.
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Greater extent of emphysema than of fibrotic ILD on HRCT. Note: CT results must be confirmed through the central over read process.
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Significant clinical worsening of PPF between Screening Visit 1 and Visit 3
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Participants who cannot meet protocol-specified Baseline stability criteria. FVC Baseline stability is defined as the FVC assessments at Visit 3 being within ±12% of the mean of the FVC assessments obtained at the 2 preceding visits. At Visit 3, if the pre-dose FVC is outside of ±12% range, the participant will not be randomized and will be considered a screen failure.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: AP01 High Dose BID
Pirfenidone Solution for Inhalation |
Oral inhalation solution
다른 이름들:
|
|
실험적: AP01 Low Dose BID
Pirfenidone Solution for Inhalation |
Oral inhalation solution
다른 이름들:
|
|
위약 비교기: Placebo BID
Placebo solution for inhalation |
Placebo oral inhalation solution |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
To evaluate the effect of AP01 high dose twice a day (BID) or AP01 low dose twice a day (BID) compared to placebo twice a day (BID)
기간: Week 52
|
Change from baseline in forced vital capacity (FVC) (mL) |
Week 52
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
To evaluate the effect of AP01 high dose and AP01 low dose compared to placebo on disease progression (defined as absolute FVC percent predicted decline of ≥10% prior to Week 52)
기간: 52 weeks
|
Time to disease progression |
52 weeks
|
|
To evaluate the effect of AP01 high dose, AP01 low dose compared to placebo on quality of life (QoL)
기간: 52 weeks
|
Absolute change from Baseline in QoL measurements as assessed by Living with Pulmonary Fibrosis Symptoms and Impact Questionnaire (L-PF) total score. The L-PF is a 44-item questionnaire to assess how impacted a participant is by disease symptoms on a scale from 0 (Not at all) to 4 (Extremely). The higher the summary score, the greater the impairment. |
52 weeks
|
|
To evaluate the change from baseline in quantitative lung fibrosis score.
기간: 52 weeks
|
Change in lung fibrosis score. |
52 weeks
|
기타 결과 측정
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
To evaluate the safety of AP01 high dose and AP01 low dose compared to placebo
기간: 52 weeks
|
Incidents of adverse events (AEs), serious adverse events (SAEs), and treatment-emergent deaths |
52 weeks
|
공동 작업자 및 조사자
협력자
협력자
수사관
수사관
- 연구 책임자: Avalyn Pharma, Inc., Avalyn Pharma Inc.
간행물 및 유용한 링크
일반 간행물
- West A, Chaudhuri N, Barczyk A, Wilsher ML, Hopkins P, Glaspole I, Corte TJ, Sterclova M, Veale A, Jassem E, Wijsenbeek MS, Grainge C, Piotrowski W, Raghu G, Shaffer ML, Nair D, Freeman L, Otto K, Montgomery AB. Inhaled pirfenidone solution (AP01) for IPF: a randomised, open-label, dose-response trial. Thorax. 2023 Sep;78(9):882-889. doi: 10.1136/thorax-2022-219391. Epub 2023 Mar 22.
- Kolb M, Corte TJ, Feldman J, Nathan SD, Reisner C, Nair D, Woodhead F, Lazarus H, Conoscenti C. Design of the MIST study: a double-blind, randomised, placebo-controlled phase 2b trial of pirfenidone solution for inhalation in patients with progressive pulmonary fibrosis. BMJ Open Respir Res. 2025 Dec 25;12(1):e003059. doi: 10.1136/bmjresp-2024-003059.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- AP01-007
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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