GKT137831 in IPF Patients with Idiopathic Pulmonary Fibrosis

Last updated: December 5, 2024
Sponsor: University of Alabama at Birmingham
Overall Status: Completed

Phase

2

Condition

Pulmonary Fibrosis

Idiopathic Pulmonary Fibrosis

Lung Injury

Treatment

Placebo Oral Tablet

GKT137831

Clinical Study ID

NCT03865927
IRB-300001635
  • Ages 40-85
  • All Genders

Study Summary

A placebo-controlled, multicenter, randomized trial to test GKT137831 in ambulatory patients with idiopathic pulmonary fibrosis. This drug is an inhibitor of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) isoforms. The investigators hypothesize the drug will decrease pulmonary injury due to reactive oxygen species (ROS) generated by NOX enzymes, which are believed to play an important role in the development of IPF. Treatment with GKT137831 could result in significant benefit for a lung disease that has, until now, been almost invariably inexorable.

This clinical trial represents the bedside application of a series of NOX translational and basic studies and discoveries, over several years, from the laboratory of Dr. Victor Thannickal.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age between 40-85 years old.

  2. A diagnosis of IPF that fulfills current American Thoracic Society (ATS) ConsensusCriteria.

  3. IPF duration <5 years, based on the date of definitive diagnosis.

  4. Ability and willingness to give informed consent and adhere to study requirements.

  5. Ratio of forced expiratory volume in 1 second to forced vital capacity (FEV1/FVC) >70% of predicted values

Exclusion

Exclusion Criteria:

  1. Diagnosis of major comorbidities expected to interfere with study participation

  2. History of malignancy, excluding basal or squamous cell skin cancer and low-riskprostate cancer, the latter defined as stage T1 or T2a, with prostate specificantigen <10 ng/dl. NOX inhibition is not known to promote cancer, and these criteriaare within current guidelines.

  3. The occurrence of any acute infection requiring systemic antibiotic therapy within 2weeks prior to Screening (Visit 1).

  4. Treatment for >14 days within the preceding month with >20 mg. prednisone (orequivalent) or any treatment during the last month with a cellular immunosuppressant (e.g., cyclophosphamide, methotrexate, calcineurin inhibitors, etc.), givenincreased risks of opportunistic infections.

  5. Treatment with any investigational agent within 4 weeks of Screening (Visit 1) or 5half-lives of the investigational medicinal product (whichever is longer).

  6. Fertile women who do not agree to contraception or abstinence, or who are breastfeeding. IPF is a disease of older adults, and male predominant, so this will not bea frequent consideration.

  7. Subjects with known hypersensitivity to GKT137831 or its excipients (e.g. capsule "bulking" agents).

  8. A history of bone marrow disorder including aplastic anemia, or marked anemiadefined as hemoglobin < 10.0 g/dL (or 6.2 mmol/L).

  9. Severe cardiovascular disease, defined as any of the following within the preceding 12 weeks: acute myocardial infarction or unstable angina, a coronaryrevascularization procedure, congestive heart failure (NYHA Class III or IV), orstroke, including a transient ischemic attack.

  10. Evidence of cardiac conducting abnormalities, defined as second or third degreeatrial-ventricular (AV) block not successfully treated with a pacemaker, or apersonal or family history of long QT syndrome (QTc interval >450 msec for males or 470 msec for females).

  11. End-stage renal disease requiring dialysis.

  12. Undergoing transplantation evaluation, or listed with the United Network for OrganSharing (UNOS) as a lung transplantation candidate at the time of enrollment in thistrial.

  13. Liver function tests (transaminases, alkaline phosphatase, direct and totalbilirubin) >3x upper limit of normal values

Study Design

Total Participants: 58
Treatment Group(s): 2
Primary Treatment: Placebo Oral Tablet
Phase: 2
Study Start date:
September 07, 2020
Estimated Completion Date:
November 30, 2024

Connect with a study center

  • University of Alabama at Birmingham

    Birmingham, Alabama 35233
    United States

    Site Not Available

  • Tulane University Medical Center

    New Orleans, Louisiana 70112
    United States

    Site Not Available

  • University of Michigan Medical Center

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • Temple University Medical Center

    Philadelphia, Pennsylvania 19140
    United States

    Site Not Available

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