Idiopathic Pulmonary FibrosisPhase 2RAINIERNCT01769196
Study to Assess the Efficacy and Safety of Simtuzumab (GS-6624) in Adults With Idiopathic Pulmonary Fibrosis (IPF)
A Phase 2 study testing Simtuzumab in people with Idiopathic Pulmonary Fibrosis, run by Gilead Sciences at 175 sites in 14 countries.
Trial summary
The primary objectives of this study are to determine the effect of simtuzumab (GS-6624) on progression-free survival (PFS) as determined by either a categorical decline in forced vital capacity (FVC) or all-cause mortality, in all participants enrolled or in a subset of participants who are classified as lysyl… Read more about this study
- Who is it for?
- Ages 45 to 85 years
- Conditions the study is for
- Idiopathic Pulmonary Fibrosis
- What is being tested?
- Simtuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 544 participants
- Where
- 175 sitesin 14 countries
- Study dates
- 31 Jan 2013to 23 Feb 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female subjects from 45 to 85 years of age
- Definite IPF within 3 years prior to screening
- Be able to walk at least 50 meters
Who cannot join
- Significant diseases other than IPF
- Obstructive lung disease
- Aortic aneurysm greater than or equal to 3.5 cm in diameter
- Treatment with immunosuppressive, cytotoxic, or antifibrotic drugs < 28 days prior to randomization are not permitted.
- N-acetylcysteine is permitted provided the individual has been on a stable dose for > 4 weeks prior to screening
- Concomitant use of pirfenidone or nintedanib must be in accordance with the approved prescribing instructions in the country where the site is located
- Individuals actively listed for lung transplant are excluded. However individuals at transplant centers with long waiting times (greater than 1 year) may be permitted to enter the study after discussion with Medical Monitor.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
175 sites in 14 countries.
175 sites in 14 countries
United States72 sites
Albany Medical College
Albany, New York, 12208
Emory University Hospital
Atlanta, Georgia, 30322
University of Maryland
Baltimore, Maryland, 21201
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Tufts University School of Medicine
Boston, Massachusetts, 02111
Brigham and Women's Hospital
Boston, Massachusetts, 02120
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Massachusetts General Hospital
Boston, Massachusetts
Medical University of South Carolina
Charleston, South Carolina, 29425
CardioPulmonary Associates
Chesterfield, Missouri, 63017
Northwestern University
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
University of Chicago
Chicago, Illinois, 60637
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267
University of Cincinnati
Cincinnati, Ohio, 45267
Bay Area Chest Physicians
Clearwater, Florida, 33756
Cleveland Clinic
Cleveland, Ohio, 44195
Ohio State University
Columbus, Ohio, 43221
Loess Hills Clinical Research Center
Council Bluffs, Iowa, 51503
Miami Valley Hospital
Dayton, Ohio, 45409
Southeastern Lung Care
Decatur, Georgia, 30033
National Jewish Health
Denver, Colorado, 80206
Henry Ford Hospital
Detroit, Michigan, 48124
Duke University Medical Center
Durham, North Carolina, 27710
Providence Everett Medical Center
Everett, Washington, 98201
Inova Fairfax Hospital
Falls Church, Virginia, 22042
Baylor College of Medicine
Houston, Texas, 77030
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
University of Florida
Jacksonville, Florida, 32209
Mayo Clinic Florida
Jacksonville, Florida, 32224
Jamaica Hospital Medical Center
Jamaica, New York, 11418
Saint Luke's Midwest Pulmonary Consultants
Kansas City, Missouri, 64111
University of California San Diego
La Jolla, California, 92093
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 55905
David Geffen School of Medicine at University of California, Los Angeles
Los Angeles, California, 90024
Kentuckiana Pulmonary Associates
Louisville, Kentucky, 40202
University of Louisville
Louisville, Kentucky, 40202
Loyola University Medical Center
Maywood, Illinois, 60153
University of Miami
Miami, Florida, 33136
Froedtert Hospital and Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
University of Minnesota Medical Center
Minneapolis, Minnesota, 55455
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08903-0019
Yale University School of Medicine
New Haven, Connecticut, 06150
North Shore University Hospital
New Hyde Park, New York, 11040
Tulane University School of Medicine
New Orleans, Louisiana, 70112
Mount Sinai School of Medicine
New York, New York, 10029
Columbia University
New York, New York, 10032
Weill Cornell Medical College
New York, New York, 10065
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Temple University Hospital, Temple Lung Center
Philadelphia, Pennsylvania, 19140
Arizona Pulmonary Specialists, Ltd.
Phoenix, Arizona, 85012
Saint Joseph's Hospital and Medical Center
Phoenix, Arizona, 85103
University of Pittsburgh Presbyterian - Montefiore
Pittsburgh, Pennsylvania, 15213
The Oregon Clinic, PC
Portland, Oregon, 97220
Mayo Clinic
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14620
University of California Davis Medical Center
Sacramento, California, 95817
University of Utah
Salt Lake City, Utah, 84108
University of California San Francisco
San Francisco, California, 94143
Sansum Clinic
Santa Barbara, California, 93105
Sarasota Memorial Hospital
Sarasota, Florida, 34239
Arizona Pulmonary Specialists, Ltd.
Scottsdale, Arizona, 85258
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
University of Washington
Seattle, Washington, 98195
Washington University School of Medicine
St Louis, Missouri, 63110
Stanford University Medical Center
Stanford, California, 94305
Pulmonary and Allergy Associates, PA
Summit, New Jersey, 07901
Tampa General Hospital
Tampa, Florida, 33606
The University of Arizona
Tucson, Arizona, 85724
Cleveland Clinic Florida
Weston, Florida, 33331
United Kingdom16 sites
Birmingham Heartlands Hospital
Birmingham, England, B9 5SS
Southmead Hospital
Bristol, England, BS10 5NB
Papworth Hospital
Cambridge, England, CB23 3RE
Castle Hill Hospital
Cottingham, England, HU16 5JQ
Royal Infirmary of Edinburgh
Edinburgh, Scotland, EH16 4TJ
Royal Devon and Exeter Hospital
Exeter, England, EX2 5DW
Glasgow Royal Infirmary
Glasgow, Scotland, G11 6NT
Saint James's University Hospital
Leeds, England, LS9 7TF
Glenfield Hospital
Leicester, England, LE3 9QP
Aintree University Hospitals NHS Foundation Trust
Liverpool, England, L9 7AL
Royal Brompton Hospital
London, England, SW3 6NP
University Hospital of South Manchester NHS Foundation Trust
Manchester, England, M23 9LT
Nottingham City Hospital
Nottingham, England, NG5 1PD
Churchill Hospital
Oxford, England, OX3 7LE
Northern General Hospital
Sheffield, England, S5 7AU
Southampton General Hospital
Southampton, England, SO16 6YD
France13 sites
Centre Hospitalier Universitaire Hôpital Avicenne
Bobigny, Île-de-France Region, 93009
Hôpital Louis Pradel
Bron, Rhone-aples, 69677
Centre Hospitalier Universitaire Grenoble Hopital Michalon
Grenoble, Auvergne-Rhône-Alpes, 38043
Hôpital Albert Calmette
Lille, Hauts-de-France, 59037
Centre Hospitalier Universitaire Hôpital Nord
Marseille, Provence-Alpes-Côte d'Azur Region, 13015
Hôpital Arnaud de Villeneuve
Montpellier, Languedoc-roussillon, 34295
Centre Hospitalier Universitaire de Nice-Hôpital Pasteur
Nice, Poitou-charentes, 06002
Hôpital Bichat-Claude Bernard
Paris, Île-de-France Region, 75018
HEGP
Paris, Île-de-France Region, 75908
Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou
Rennes, Brittany Region, 35033
Hôpitaux Universitaires de Strasbourg
Strasbourg, Alsace, 67091
Hôpital Larrey, CHU de Toulouse, Service de Pneumologie
Toulouse, Midi-pyrenees, 31059
Centre Hospitalier Régional et Universitaire - Hôpital Bretonneau
Tours, Centre-Val de Loire, 37044
Australia10 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Mater Adult Hospital
Brisbane, Queensland, 4000
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050
Prince Charles Hospital
Chermside, Queensland, 4032
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Saint Vincents Hospital
Darlinghurst, New South Wales, 2010
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
The Alfred Hospital
Melbourne, Victoria, 3004
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
Royal Perth Hospital
Perth, Western Australia, 6000
Germany10 sites
Helios Klinikum Emil von Behring, Lungenklinik Heckeshorn
Berlin, 14165
Fachkrankenhaus Coswig
Coswig, Saxony, 01640
Universität Freiburg, Klinikum, Abt für Pneumologie
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Philipps-Universität und Universitätsklinikum Gießen und Marburg GmbH
Giessen, Hesse, 35392
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
Thoraxklinik am Universitätsklinikum Heidelberg
Heidelberg, Baden-Wurttemberg, 69126
Lungenfachklinik Immenhausen
Immenhausen, Hesse, 34376
Universitätsklinikum Leipzig
Leipzig, Saxony, 04103
Ruhrlandklinik
Mannheim, Baden-Wurttemberg, 68165
Klinikum Großhadern der Ludwig-Maximilians-Universität München
München, Bavaria, 81377
Italy9 sites
Policlinico Universitario di Catania
Catania, 95123
Ospedale "G.B.Morgagni - L. Pierantoni"
Forlì, Forli-cesena, 47100
San Giuseppe Hospital, Dept. of Internal Medicine
Milan, 20132
Azienda Ospedaliero-Universitaria Policlinico di Modena
Modena, 41100
Azienda Ospedaliera San Gerardo di Monza
Monza, Monza E Brianza, 20052
Università degli studi Federico II di Napoli
Naples, 80131
Istituto Mediterraneo Trapianti e Terapia Alta Specializzazione (ISMETT)
Palermo, 90127
Fondazione PTV - Policlinico Tor Vergata
Roma, 00133
Azienda Ospedaliera Universitaria Senese Policlinico Le Scotte
Siena, 53100
Canada7 sites
Saint Joseph's Healthcare
Hamilton, Ontario, L8N 4A6
Kelowna Respiratory and Allergy Clinic
Kelowna, British Columbia, V1Y1E4
Centre Hospitalier de L'Université de Montréal Hôtel-Dieu
Montreal, Quebec, H2W 1T8
Institut Universitaire de Cardiologie et de Pneumologie de Québec
Québec, Quebec, G1V4G5
University Health Network
Toronto, Ontario, M5G2C4
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
University of British Columbia
Vancouver, British Columbia, V6Z 1Y6
Czechia7 sites
Fakultní nemocnice Brno
Brno, Jihormoravsky Kraj, 625 00
Nemocnice Jihlava
Jihlava, Jihormoravsky Kraj, 689 32
Krajská nemocnice Liberec a.s.
Liberec, Severocesky Kraj, 460 63
Fakultní Nemocnice Ostrava
Ostrava - Poruba, Severomoravsky Kraj, 708 52
Fakultní nemocnice Plzen
Pilsen, Zapadocesky Kraj, 305 99
Thomayerova nemocnice
Prague 4 - Krc, 140 59
Masarykova nemocnice v Ústí nad Labem o.z.
Ústí nad Labem, Severocesky Kraj, 401 13
South Korea7 sites
Soon Chun Hyang University Hospital Bucheon
Bucheon-si, Gyeonggi-do, 420-767
Gachon University Gil Medical Center
Incheon, Gyeonggi-do, 405-760
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 463-707
Samsung Medical Center
Seoul, Gyeonggi-do, 135-710
Seoul National University Hospital
Seoul, 110-744
Korea University Anam Hospital
Seoul, 136-705
Asan Medical Center
Seoul, 138-736
Spain7 sites
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025
Hospital Universitario Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario La Princesa
Madrid, 28006
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
Hospital Quirón Madrid
Pozuelo de Alarcón, Madrid, 28223
Hospital Universitario Virgen del Rocio
Seville, 41013
Israel6 sites
Soroka University Medical Center
Beersheba, Beersheba, 84100
Hadassah-Hebrew University Medical Center
Jerusalem, 91120
Meir Medical Center
Kfar Saba, 44281
Rabin Medical Center
Petach Tikvah, 49100
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Chaim Sheba Medical Center
Tel HaShomer, Tel Aviv, 52621
Poland5 sites
10 Wojskowy Szpital Kliniczny z Poliklinika SP ZOZ w Bydgoszczy
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-681
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomeranian Voivodeship, 80-952
Samodzielny Publiczny ZOZ, Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego
Lódz, Łódź Voivodeship, 90-153
Instytut Gruzlicy i Chorób Pluc
Warsaw, Masovian Voivodeship, 01-138
Samodzielny Publiczny Szpital Kliniczny nr 3 w Zabrzu Slaskiego Uniwersytetu Medycznego w Katowicach
Zabrze, Silesian Voivodeship, 41-803
Belgium3 sites
ULB Erasme
Anderlecht, Brussels Capital, 1070
Universitair Ziekenhuis Leuven
Leuven, Flemish Brabant, 3000
Cliniques Universitaires UCL de Mont-Godinne
Yvoir, Namur, 5530
Switzerland3 sites
Universitätsspital Basel
Basel, 4031
Centre Hospitalier Universitaire Vaudois Lausanne (CHUV)
Lausanne, Canton of Vaud, CH 1011
Kantonsspital St. Gallen
Sankt Gallen, Canton of St. Gallen, 9007
About this study
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study to Assess the Efficacy and Safety of Simtuzumab (GS-6624) in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
The primary objectives of this study are to determine the effect of simtuzumab (GS-6624) on progression-free survival (PFS) as determined by either a categorical decline in forced vital capacity (FVC) or all-cause mortality, in all participants enrolled or in a subset of participants who are classified as lysyl oxidase-like-2 (LOXL2) high based on a prespecified level in serum at baseline.
- Conditions
- Idiopathic Pulmonary Fibrosis
- Being tested
- Simtuzumab, Simtuzumab placebo
- Keywords
- Idiopathic, Pulmonary, Fibrosis, IPF
- Medical subject headings
- Idiopathic Pulmonary Fibrosis, Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SimtuzumabDrug
Also called GS-6624
125 mg/mL single-dose vials administered subcutaneously once a week
Simtuzumab placeboDrug
Simtuzumab placebo single-dose vials administered subcutaneously once a week
| Study group | Role | What they receive |
|---|---|---|
| Simtuzumab | Experimental | Participants will receive simtuzumab for up to 254 weeks. Receives: Drug: Simtuzumab |
| Simtuzumab Placebo | Placebo comparator | Participants will receive simtuzumab placebo for up to 254 weeks. Receives: Drug: Simtuzumab placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival
Progression free survival (PFS) was defined as the categorical decrease in forced vital capacity (FVC) % predicted (≥ 10% relative decrease in FVC and ≥ 5% absolute decrease in FVC from baseline) with confirmation at a consecutive visit at least 2 weeks later using the same criteria.
Measured: Up to 148 weeks
PFS Among the Participants With sLOXL2 ≥ 50th Percentile
Measured: Up to 148 weeks
PFS Among the Participants With sLOXL2 ≥ 75th Percentile
Measured: Up to 148 weeks
Secondary outcomes (9)
Overall Survival (OS)
Overall survival was defined as the time from randomization date to death that occurred prior to the last dose date plus 30 days.
Measured: Up to 151 weeks
Overall Survival Among the Participants With sLOXL2 ≥ 50th Percentile
Measured: Up to 151 weeks
Overall Survival Among the Participants With sLOXL2 ≥ 75th Percentile
Measured: Up to 151 weeks
Relative Change From Baseline in FVC % Predicted
- FVC was defined as the volume of air (liters) that can forcibly be blown out after taking a full breath. FVC % predicted was defined as FVC % of the participant divided by the average FVC % in the population for any person of similar age, sex, and body composition.
- Adjusted means were from mixed model repeated measures (MMRM) model with baseline FVC % predicted, sLOXL2 level, concomitant pirfenidone/nintedanib use (never vs. ever), treatment, visit, and treatment-by-visit interaction terms, including all data up to Week 130
- The relative change was calculated as 100% * ( value at later time point minus value at baseline ) / value at baseline, with lower values indicating a decrease and higher values indicating an increase.
Measured: Weeks 54, 106, and 130
Definite Acute Exacerbations of IPF Among Adjudicated Respiratory Hospitalizations
Measured: Up to 148 weeks
Number of Adjudicated Respiratory Hospitalizations (ARP) Among Total Hospitalizations
Measured: Up to 148 weeks
Number of Participants Experiencing Adjudicated Respiratory Deaths Among Those With Adjudicated Death
Measured: Up to 148 weeks
Absolute Change From Baseline in 6 Minute Walk Distance (6MWD)
- Adjusted means were from MMRM model with baseline 6MWD, FVC % predicted, sLOXL2 level, concomitant pirfenidone/nintedanib use (never vs. ever), treatment, visit, and treatment-by-visit interaction terms, including all data up to Week 130.
- The absolute change was calculated as value at later time point minus value at baseline, with lower values indicating a decrease and higher values indicating an increase.
Measured: Weeks 58, 106, and 130
Absolute Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Score
- The SGRQ is a disease-specific questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Patients respond to questions about symptoms (frequency \& severity) and impact components (social functioning and psychological disturbances resulting from airways disease). Scores range from 0 to 100, with higher scores indicating more limitations.
- The absolute change was calculated as value at later time point minus value at baseline, with lower values indicating a decrease and higher values indicating an increase.
Measured: Week 58, 106, and 130
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jan 2013 (estimated)
- Study start31 Jan 2013
- Primary completion23 Feb 2016
- Study completion23 Feb 2016
Why it stopped: The Study was terminated due to lack of efficacy.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Idiopathic Pulmonary FibrosisStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 544 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gilead Study Director, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01769196
- Sponsor's protocol ID
- GS-US-322-0207
- Other IDs
- 2012-001571-36
- Acronym
- RAINIER
- Status last verified
- Apr 2017
- First submitted
- 14 Jan 2013
- Last updated
- 30 May 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Raghu G, Brown KK, Collard HR, Cottin V, Gibson KF, Kaner RJ, Lederer DJ, Martinez FJ, Noble PW, Song JW, Wells AU, Whelan TP, Wuyts W, Moreau E, Patterson SD, Smith V, Bayly S, Chien JW, Gong Q, Zhang JJ, O'Riordan TG. Efficacy of simtuzumab versus placebo in patients with idiopathic pulmonary fibrosis: a randomised, double-blind, controlled, phase 2 trial. Lancet Respir Med. 2017 Jan;5(1):22-32. doi: 10.1016/S2213-2600(16)30421-0. Epub 2016 Dec 7.
PubMed 27939076Humphries SM, O'Riordan TG, Zhang JJ, Bayly S, Sood R, Hayden A, Lynch DA; Relationship Baseline Fibrosis Score to Lung Function in A Clinical Trial Population with Idiopathic Pulmonary Fibrosis. ATS International Conference, 2016 May 13-18, San Francisco CA.
Raghu G, Brown K, Collard H, Lederer D, Martinez F, Noble P, Song JW, Wells A, Whelan T, Moreau E, Patterson S, Bayly S, Chien J, Zhang J, O'Riordan T; Simtuzumab in Idiopathic Pulmonary Fibrosis: Results of a Randomized Clinical Trial. ERS Congress, 2016 September 3-7, London, UK.
Raghu G, Brown KK, Collard HR, Lederer DJ, Martinez FJ, Noble PW, Song JW, Wells AU, Whalen TP, Lambert L, Chien JW, Zhang JJ, O'Riordan TG; Simtuzumab in Idiopathic Pulmonary Fibrosis (IPF): Baseline Demographic and Lung Function Data from a Clinical Trial. ATS International Conference, 2016 May 13-18, San Francisco CA.
Study at a glance
From the registry record, last updated by the sponsor on 30 May 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study to Assess the Efficacy and Safety of Simtuzumab (GS-6624) in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
- ClinicalTrials.gov ID
- NCT01769196
- Acronym / sponsor ID
- RAINIER / GS-US-322-0207
- Conditions
- Idiopathic Pulmonary Fibrosis
- Keywords
- Idiopathic, Pulmonary, Fibrosis, IPF
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The Study was terminated due to lack of efficacy.
- Enrolment
- 544 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 31 Jan 2013 (actual)
- Primary completion
- 23 Feb 2016 (actual)
- Study completion
- 23 Feb 2016 (actual)
- First posted
- 16 Jan 2013 (estimated)
- Results
- Posted 13 Apr 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objectives of this study are to determine the effect of simtuzumab (GS-6624) on progression-free survival (PFS) as determined by either a categorical decline in forced vital capacity (FVC) or all-cause mortality, in all participants enrolled or in a subset of participants who are classified as lysyl oxidase-like-2 (LOXL2) high based on a prespecified level in serum at baseline.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Simtuzumab | Experimental | Drug: SimtuzumabParticipants will receive simtuzumab for up to 254 weeks. |
| Simtuzumab Placebo | Placebo comparator | Drug: Simtuzumab placeboParticipants will receive simtuzumab placebo for up to 254 weeks. |
Who may qualify
- Ages
- 45 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female subjects from 45 to 85 years of age
- Definite IPF within 3 years prior to screening
- Be able to walk at least 50 meters
Key exclusion criteria (8 listed)
- Significant diseases other than IPF
- Obstructive lung disease
- Aortic aneurysm greater than or equal to 3.5 cm in diameter
- Treatment with immunosuppressive, cytotoxic, or antifibrotic drugs < 28 days prior to randomization are not permitted.
- Individuals actively listed for lung transplant are excluded. However individuals at transplant centers with long waiting times (greater than 1 year) may be permitted to enter the study after discussion with Medical Monitor.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SimtuzumabAlso: GS-6624125 mg/mL single-dose vials administered subcutaneously once a week | Drug | Simtuzumab |
| Simtuzumab placeboSimtuzumab placebo single-dose vials administered subcutaneously once a week | Drug | Simtuzumab Placebo |
Primary outcome
Progression Free Survival
Time frame: Up to 148 weeks
Progression free survival (PFS) was defined as the categorical decrease in forced vital capacity (FVC) % predicted (≥ 10% relative decrease in FVC and ≥ 5% absolute decrease in FVC from baseline) with confirmation at a consecutive visit at least 2 weeks later using the same criteria.
PFS Among the Participants With sLOXL2 ≥ 50th Percentile
Time frame: Up to 148 weeks
PFS Among the Participants With sLOXL2 ≥ 75th Percentile
Time frame: Up to 148 weeks
9 secondary outcomes
Overall Survival (OS)
Time frame: Up to 151 weeks
Overall Survival Among the Participants With sLOXL2 ≥ 50th Percentile
Time frame: Up to 151 weeks
Overall Survival Among the Participants With sLOXL2 ≥ 75th Percentile
Time frame: Up to 151 weeks
Relative Change From Baseline in FVC % Predicted
Time frame: Weeks 54, 106, and 130
Definite Acute Exacerbations of IPF Among Adjudicated Respiratory Hospitalizations
Time frame: Up to 148 weeks
Number of Adjudicated Respiratory Hospitalizations (ARP) Among Total Hospitalizations
Time frame: Up to 148 weeks
Number of Participants Experiencing Adjudicated Respiratory Deaths Among Those With Adjudicated Death
Time frame: Up to 148 weeks
Absolute Change From Baseline in 6 Minute Walk Distance (6MWD)
Time frame: Weeks 58, 106, and 130
Absolute Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Score
Time frame: Week 58, 106, and 130
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 May 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 27939076Raghu G, Brown KK, Collard HR, Cottin V, Gibson KF, Kaner RJ, Lederer DJ, Martinez FJ, Noble PW, Song JW, Wells AU, Whelan TP, Wuyts W, Moreau E, Patterson SD, Smith V, Bayly S, Chien JW, Gong Q, Zhang JJ, O'Riordan TG. Efficacy of simtuzumab versus placebo in patients with idiopathic pulmonary fibrosis: a randomised, double-blind, controlled, phase 2 trial. Lancet Respir Med. 2017 Jan;5(1):22-32. doi: 10.1016/S2213-2600(16)30421-0. Epub 2016 Dec 7.
- Results publicationHumphries SM, O'Riordan TG, Zhang JJ, Bayly S, Sood R, Hayden A, Lynch DA; Relationship Baseline Fibrosis Score to Lung Function in A Clinical Trial Population with Idiopathic Pulmonary Fibrosis. ATS International Conference, 2016 May 13-18, San Francisco CA.
- Results publicationRaghu G, Brown K, Collard H, Lederer D, Martinez F, Noble P, Song JW, Wells A, Whelan T, Moreau E, Patterson S, Bayly S, Chien J, Zhang J, O'Riordan T; Simtuzumab in Idiopathic Pulmonary Fibrosis: Results of a Randomized Clinical Trial. ERS Congress, 2016 September 3-7, London, UK.
- Results publicationRaghu G, Brown KK, Collard HR, Lederer DJ, Martinez FJ, Noble PW, Song JW, Wells AU, Whalen TP, Lambert L, Chien JW, Zhang JJ, O'Riordan TG; Simtuzumab in Idiopathic Pulmonary Fibrosis (IPF): Baseline Demographic and Lung Function Data from a Clinical Trial. ATS International Conference, 2016 May 13-18, San Francisco CA.
Related trials for Idiopathic Pulmonary Fibrosis
RecruitingPhase 2
Study to Evaluate the Efficacy, Safety, and Tolerability of PIPE 791 in Subjects With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary Fibrosis
RecruitingPhase 2
An Extension Study of Subjects Who Received an Avalyn Inhaled Antifibrotic Agent (SAIL)
Progressive Pulmonary Fibrosis, Idiopathic Pulmonary Fibrosis (IPF)
RecruitingObservational study
Real-world Study of Nerandomilast in Patients With Idiopathic Pulmonary Fibrosis and Progressive Pulmonary Fibrosis
Idiopathic Pulmonary Fibrosis (IPF), Progressive Pulmonary Fibrosis
RecruitingPhase 2
A Phase 2 Study of LTI-03 in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary Fibrosis (IPF)
Not yet recruitingPhase 2
A Phase 2 Study of HB0056 in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary Fibrosis (IPF)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gilead Study Director study director
Gilead Sciences
175 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Simtuzumab in people with Idiopathic Pulmonary Fibrosis, run by Gilead Sciences at 175 sites in 14 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 30 May 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 175 sites in United States, United Kingdom, France, Australia, Germany and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Apr 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (time frame: Up to 148 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01769196, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 May 2017.