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A Study of Oral Vismodegib in Combination With Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis (ISLAND2)

26 oktober 2017 uppdaterad av: Hoffmann-La Roche

A Single Arm, Multicenter, Open-label, Phase 1b Study to Assess the Safety and Tolerability of Oral Vismodegib in Combination With Pirfenidone in Patients With Idiopathic Pulmonary Fibrosis

This is a single arm, multicenter, open-label, Phase 1b study to evaluate the safety and tolerability of vismodegib in combination with pirfenidone in participants with idiopathic pulmonary fibrosis (IPF) currently being treated with pirfenidone.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

21

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Förenta staterna
    • California
      • La Jolla, California, Förenta staterna, 92037
        • Scripps Clinic
    • Florida
      • Orlando, Florida, Förenta staterna, 32803
        • Central Florida Pulmonary Group, PA
    • Illinois
      • Elk Grove, Illinois, Förenta staterna, 60007
        • Suburban Lung Associates
    • Indiana
      • Muncie, Indiana, Förenta staterna, 47303
        • Medical Consultants, PC ; Pulmonary
    • Kentucky
      • Louisville, Kentucky, Förenta staterna, 40202-1798
        • University of Louisville
    • Louisiana
      • New Orleans, Louisiana, Förenta staterna, 70112
        • Tulane University Medical School
    • Massachusetts
      • Boston, Massachusetts, Förenta staterna, 02135
        • Steward St. Elizabeth's Medical Center ; Pulmonary, Critical Care and Sleep Medicine
    • Nebraska
      • Omaha, Nebraska, Förenta staterna, 68131
        • Creighton University Medical Center
    • Nevada
      • Reno, Nevada, Förenta staterna, 89503
        • Allied Clinical Research
    • New Jersey
      • Summit, New Jersey, Förenta staterna, 07901
        • Atlantic Respiratory Institute
    • North Carolina
      • Greensboro, North Carolina, Förenta staterna, 27403
        • Pulmonix LLC
      • Wilmington, North Carolina, Förenta staterna, 28401
        • PMG Research of Wilmington
    • Washington
      • Everett, Washington, Förenta staterna, 98208
        • Western Washington Medical Group
      • Seattle, Washington, Förenta staterna, 98122
        • Swedish Medical Center
  • Tyskland
      • Hannover, Tyskland, 30625
        • Fraunhofer-Institut für Toxikologie und Experimentelle Medizin ITEM

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

40 år till 80 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Have a diagnosis of IPF 5 years from time of screening, confirmed at baseline
  • Tolerated dose of pirfenidone 1602-2403 mg once daily (QD) for a minimum of 24 weeks required prior to and during screening
  • Greater than or equal to (>=) 50 percent (%) and less than or equal to (<=) 100% of predicted forced vital capacity (FVC) at screening
  • Stable baseline lung function as evidenced by a difference of less than (<) 10% in absolute FVC measurements (in liters) between screening and Day 1/Visit 2 prior to enrollment
  • >=30% and <=90% of predicted diffusion capacity of the lung for carbon monoxide at screening
  • Agree to use protocol defined methods of contraception
  • Male participants must agree not to donate semen during the study and for at least 2 months (or as per local requirements) after the last dose of vismodegib
  • Agree not to donate blood or blood products during the study and for at least 9 months (or as per local requirements) after the last dose of study treatment

Exclusion Criteria:

  • Prior treatment with vismodegib or any Hh-pathway inhibitor
  • Evidence of other known causes of interstitial lung disease
  • Hospitalization due to an exacerbation of IPF within 4 weeks prior to or during screening
  • Lung transplant expected within 6 months of screening
  • Evidence of clinically significant lung disease other than IPF
  • Post-bronchodilator forced expiratory volume in 1 second/FVC ratio <0.7 at screening
  • Any clinically significant medical disease (other than IPF) that is associated with an expected survival of <6 months, likely to require a change in therapy during the study
  • Class IV New York Heart Association chronic heart failure or historical evidence of left ventricular ejection fraction <35%
  • Known current malignancy or current evaluation for a potential malignancy
  • Known immunodeficiency, including, but not limited to, human immunodeficiency virus infection
  • Evidence of acute or chronic hepatitis or known liver cirrhosis
  • Creatinine clearance <=30 milliliter per minute, calculated using the Cockcroft-Gault formula

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Vismodegib and Pirfenidone
Participants being treated with pirfenidone, will receive vismodegib 150 milligrams (mg) once daily and pirfenidone up to 2403 mg daily orally for 24 weeks.
Läkemedel: Pirfenidone
Pirfenidone will be administered as per the dosage schedule mentioned in arm description.
Andra namn:
  • RO0220912
Läkemedel: Vismodegib
Vismodegib will be administered as per the dosage schedule mentioned in arm description.
Andra namn:
  • RO5450815

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Percentage of Participants with Serious and Non-Serious Adverse Events
Tidsram: Baseline up to 28 weeks
An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship. A serious adverse event is an adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Baseline up to 28 weeks
Percentage of Participants with Discontinuation of Any Study Medication Due to a Drug-Related Adverse Event
Tidsram: Baseline up to 28 weeks
An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship. Relatedness to the study drug will be assessed by the investigator.
Baseline up to 28 weeks
Percentage of Participants with Dose Modifications Due to Laboratory Abnormalities and Adverse Events
Tidsram: Baseline up to 28 weeks
An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possibility of causal relationship.
Baseline up to 28 weeks
Percentage of Participants with Clinically Meaningful Laboratory Abnormalities as Assessed by Investigator
Tidsram: Baseline up to 28 weeks
Vital signs and laboratory parameters will be evaluated, and percentage of participants with any clinically meaningful abnormalities as assessed by Investigator will be reported. Laboratory abnormalities of National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Grade greater than (>) 3 will be considered clinical meaningful.
Baseline up to 28 weeks

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Total and Free Trough Plasma Concentrations of Vismodegib at Week 4 (Cmin, Wk4)
Tidsram: Predose (0 hour) at Week 4
Total plasma concentration of vismodegib = free (unbound) vismodegib plasma concentration + alpha-1-acid glycoprotein (AAG)-bound vismodegib plasma concentration.
Predose (0 hour) at Week 4
Total and Free Trough Plasma Concentrations of Vismodegib at Week 12 (Cmin, Wk12)
Tidsram: Predose (0 hour) at Week 12
Total plasma concentration of vismodegib = free (unbound) vismodegib plasma concentration + AAG-bound vismodegib plasma concentration.
Predose (0 hour) at Week 12
Total and Free Trough Plasma Concentrations of Vismodegib at Week 24 (Cmin, Wk24)
Tidsram: Predose (0 hour) at Week 24
Total plasma concentration of vismodegib = free (unbound) vismodegib plasma concentration + AAG-bound vismodegib plasma concentration.
Predose (0 hour) at Week 24
Total and Free Trough Plasma Concentrations of Vismodegib at Safety Follow-up Visit (Cmin, SFU)
Tidsram: At Day 30 post last dose (last dose = 24 weeks) (up to 28 weeks)
Total plasma concentration of vismodegib = free (unbound) vismodegib plasma concentration + AAG-bound vismodegib plasma concentration.
At Day 30 post last dose (last dose = 24 weeks) (up to 28 weeks)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Hoffmann-La Roche

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 januari 2016

Primärt slutförande (Faktisk)

30 november 2016

Avslutad studie (Faktisk)

30 november 2016

Studieregistreringsdatum

Först inskickad

5 januari 2016

Först inskickad som uppfyllde QC-kriterierna

5 januari 2016

Första postat (Uppskatta)

6 januari 2016

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

30 oktober 2017

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

26 oktober 2017

Senast verifierad

1 oktober 2017

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • GB29764
  • 2015-003481-81 (EudraCT-nummer)

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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