Study to evaluate HZN-825 in patients with Idiopathic Pulmonary Fibrosis (IPF)

Last updated: May 20, 2022
Sponsor: Horizon Therapeutics Ireland DAC
Overall Status: Active - Recruiting

Phase

2

Condition

Idiopathic Pulmonary Fibrosis

Treatment

HZN-825

Placebo

Clinical Study ID

NCT05032066
HZNP-HZN-825-303
2021-001253-32
  • Ages 18-80
  • All Genders

Study Summary

The goal is to determine the efficacy, safety and tolerability for 360 patients with Idiopathic Pulmonary Fibrosis (IPF) assigned to either one of 2 dose regimens of HZN-825 (administered once daily (QD) or twice daily (BID)) or a placebo regimen for 52 weeks. Participants who complete the duration of this trial may be eligible to enter an open-label 52-week extension trial where all patients will receive active HZN-825. Particpants not entering the extension will have a final follow-up visit for a final safety evaluation.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Diagnosis of IPF, as defined by American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Society (ALAT) guidelines [Raghu et al., 2018]; the date of diagnosis of IPF should be ≥1 year to ≤7 years prior to Screening.

  2. Lung HRCT historically performed within 6 months prior to the Screening Visit and according to the minimum requirements for IPF diagnosis by central review based on subject's HRCT. If an evaluable HRCT is not available within 6 months prior to Screening, an HRCT will be performed at Screening to determine eligibility, according to the same requirements as the historical HRCT

  3. HRCT shows ≥10% to <50% parenchymal fibrosis (reticulation) and <25% honeycombing and the extent of fibrotic changes is greater than the extent of emphysema on the most recent HRCT scan (central reviewer determined)

  4. Meets all of the following criteria during the Screening Period: FVC ≥45% and ≤80% predicted of normal, forced expiratory volume in 1 second (FEV1)/FVC ≥0.7, DLCO corrected for hemoglobin is ≥30% and ≤90% predicted of normal

  5. Not currently being treated with specific IPF therapy for the reasons: intolerant or not responsive to approved IPF therapies; ineligible to receive approved IPF therapies; declines approved IPF therapies

Exclusion

Exclusion Criteria:

  1. Any of the following cardiovascular diseases: uncontrolled, severe hypertension (≥160/100 mmHg), within 6 months of Screening; myocardial infarction within 6 months of Screening; unstable cardiac angina within 6 months of Screening

  2. Interstitial lung disease (ILD) associated with known primary diseases (e.g., sarcoidosis, amyloidosis and coronavirus disease 2019 [COVID-19]), connective tissue disorders (e.g., rheumatoid arthritis, systemic lupus erythematosus, Sjogren's, dermatomyositis, scleroderma), exposures (e.g., radiation, silica, asbestos and coal dust) or drugs (e.g., amiodarone)

  3. Known active bacterial, viral, fungal, mycobacterial or other infection, including tuberculosis or atypical mycobacterial disease (fungal infections of nail beds are allowed). The subject must be 3 months beyond any acute infection with COVID-19 if there has been a prior infection

  4. Clinically significant pulmonary hypertension requiring chronic medical therapy

  5. Use of any of the following therapies within 4 weeks prior to Screening, during the Screening Period or planned during the trial: prednisone at steady dose >10 mg/day or equivalent or cyclosporine A. Prednisone ≤10 mg/day (or equivalent dosing of glucocorticoids) is allowed

Study Design

Total Participants: 360
Treatment Group(s): 2
Primary Treatment: HZN-825
Phase: 2
Study Start date:
August 25, 2021
Estimated Completion Date:
December 31, 2023

Study Description

This is a randomized, double-blind, placebo-controlled, repeat-dose, multicenter trial to evaluate the efficacy, safety and tolerability of HZN-825 in subjects with IPF. Subjects will be screened within 8 weeks prior to the Baseline (Day 1) Visit. Approximately 360 subjects who meet the trial eligibility criteria will be randomly assigned in a 1:1:1 ratio on Day 1 to receive HZN-825 300 mg QD, HZN-825 300 mg BID or placebo for 52 weeks using the following 2 stratification factors: Prior use of approved IPF therapy (i.e., nintedanib or pirfenidone): yes or no; FVC % predicted at Baseline: ≥70% or <70%.

Connect with a study center

  • Centro Medico Dra de Salvo

    Ciudad de Buenos Aires, C1426ABP
    Argentina

    Active - Recruiting

  • Instituto De Enfermedades Respiratorias E Investigacion Medica

    Florencio Varela, 1888
    Argentina

    Active - Recruiting

  • Instituto Ave Pulmo

    Mar Del Plata, 7600
    Argentina

    Active - Recruiting

  • Instituto De Patologías Respiratorias

    San Miguel De Tucumán, 4000
    Argentina

    Active - Recruiting

  • Instituto Del Buen Aire

    Santa Fe, 3000
    Argentina

    Active - Recruiting

  • ROYAL ADELAIDE HOSPITAL

    Adelaide, 05000
    Australia

    Active - Recruiting

  • Box Hill Hospital

    Box Hill, 03128
    Australia

    Active - Recruiting

  • Centro de Investigación Curico

    Curico, 3440000
    Chile

    Active - Recruiting

  • Enroll SpA

    Providencia, 7500587
    Chile

    Active - Recruiting

  • Centro Respiratorio Integral LTDA. (CENRESIN)

    Quillota, 2260000
    Chile

    Active - Recruiting

  • Meditek Ltda

    Santiago, 8330008
    Chile

    Active - Recruiting

  • Centro de Investigacion del Maule

    Talca, 3465586
    Chile

    Active - Recruiting

  • Clinical Research Chile SpA

    Valdivia, 8330033
    Chile

    Active - Recruiting

  • MIRES/MYF estudios cli-nicos

    Ñuñoa, 7750495
    Chile

    Active - Recruiting

  • Hopital Nord AP-HM

    Marseille, 13915
    France

    Active - Recruiting

  • Hopital Haut Leveque

    Pessac, 33604
    France

    Active - Recruiting

  • HOPITAL BRETONNEAU

    Tours, 37044
    France

    Active - Recruiting

  • University General Hospital of Ioannina

    Ioannina, 455 00
    Greece

    Active - Recruiting

  • University General Hospital of Heraklion

    Iraklio, 711 10
    Greece

    Active - Recruiting

  • University General Hospital of Larissa

    Larisa, 411 10
    Greece

    Active - Recruiting

  • Athens Medical Center

    Marousi, 151 25
    Greece

    Active - Recruiting

  • University General Hospital of Patras

    Patras, 26504
    Greece

    Active - Recruiting

  • Azienda Ospedaliera Universitaria Senese

    Siena, 53100
    Italy

    Active - Recruiting

  • Seoul National University Bundang Hospital

    Seongnam-si, 13620
    Korea, Republic of

    Active - Recruiting

  • Asan Medical Center

    Seoul, 05505
    Korea, Republic of

    Active - Recruiting

  • Korea University Anam Hospital

    Seoul, 02841
    Korea, Republic of

    Active - Recruiting

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Active - Recruiting

  • Oaxaca Site management Organization (OSMO)

    Centro, 68000
    Mexico

    Active - Recruiting

  • CICUM San Miguel

    Guadalajara, 44160
    Mexico

    Active - Recruiting

  • Unidad de Investigación Clínica En Medicina SC

    Monterrey, 64718
    Mexico

    Active - Recruiting

  • Erasmus MC

    Rotterdam, 3015 GD
    Netherlands

    Active - Recruiting

  • Dr. Ismail Abdullah Private Practice

    Cape Town, 7764
    South Africa

    Active - Recruiting

  • KwaPhila Health Solutions

    Durban, 4091
    South Africa

    Active - Recruiting

  • Hospital Universitario de Bellvitge

    L'Hospitalet De Llobregat, 08907
    Spain

    Active - Recruiting

  • Hospital Universitario Quironsalud Madrid

    Pozuelo De Alarcón, 28233
    Spain

    Active - Recruiting

  • Kaohsiung Medical University - Chung-Ho Memorial Hospital

    Kaohsiung City, 807
    Taiwan, Province of China

    Active - Recruiting

  • Far Eastern Memorial Hospital

    Taipei, 220
    Taiwan, Province of China

    Active - Recruiting

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Active - Recruiting

  • Palmtree Clinical Research

    Palm Springs, California 92262
    United States

    Active - Recruiting

  • St. Francis Medical Institute

    Clearwater, Florida 33765
    United States

    Active - Recruiting

  • Advanced Pulmonary Research Institute

    Loxahatchee Groves, Florida 33470
    United States

    Active - Recruiting

  • Central Florida Pulmonary Group PA

    Orlando, Florida 32803
    United States

    Active - Recruiting

  • DBC Research Corp.

    Tamarac, Florida 33321
    United States

    Active - Recruiting

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Active - Recruiting

  • Nebraska Pulmonary Specialties LLC

    Lincoln, Nebraska 68510
    United States

    Active - Recruiting

  • Dartmouth Hitchcock Medical Center

    Lebanon, New Hampshire 03756-1000
    United States

    Active - Recruiting

  • Clinical Research of Gastonia

    Gastonia, North Carolina 28054
    United States

    Active - Recruiting

  • Shelby Clinical Research

    Shelby, North Carolina 28150
    United States

    Active - Recruiting

  • Southeastern Research Center

    Winston-Salem, North Carolina 27103
    United States

    Active - Recruiting

  • The Cleveland Clinic Foundation

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

  • Thomas Jefferson University

    Philadelphia, Pennsylvania 19107
    United States

    Active - Recruiting

  • Clinical Research of Rock Hill

    Rock Hill, South Carolina 29732
    United States

    Active - Recruiting

  • Clinical Trials Center of Middle Tennessee

    Franklin, Tennessee 37067
    United States

    Active - Recruiting

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37232
    United States

    Active - Recruiting

  • El Paso Pulmonary Association - Elligo

    El Paso, Texas 79902-1124
    United States

    Active - Recruiting

  • Metroplex Pulmonary and Sleep Medicine Center

    McKinney, Texas 75069
    United States

    Active - Recruiting

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