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Idiopathic Pulmonary FibrosisPhase 2NCT01872689

A Study of Lebrikizumab in Participants With Idiopathic Pulmonary Fibrosis (IPF)

A Phase 2 study testing Lebrikizumab and Pirfenidone in people with Idiopathic Pulmonary Fibrosis, run by Hoffmann-La Roche at 112 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized, multicenter, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of lebrikizumab as monotherapy in the absence of background IPF therapy and as combination therapy with pirfenidone background therapy in participants with IPF. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Idiopathic Pulmonary Fibrosis
What is being tested?
Lebrikizumab and Pirfenidone
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
505 participants
Where
112 sitesin 13 countries
Study dates
13 Oct 2013to 6 Nov 2017
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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have a diagnosis of IPF within the previous 5 years from time of screening and confirmed at baseline
  • FVC >/=40 percent (%) and </=100% of predicted at screening
  • Stable baseline lung function as evidenced by a difference of less than (<) 10% in FVC (in liters) measurements between screening and Day 1, Visit 2 prior to randomization
  • DLco >/=25% and </=90% of predicted at screening
  • Ability to walk >/=100 meters unassisted in 6 minutes
  • Cohort A: No background IPF therapy for >/=4 weeks allowed prior to randomization and throughout the placebo-controlled study period
  • Cohort B: Tolerated dose of pirfenidone </=2403 milligrams once daily (mg/day) for >/=4 weeks required prior to randomization and throughout the placebo-controlled study period

Who cannot join

  • History of severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
  • Evidence of other known causes of interstitial lung disease
  • Lung transplant expected within 12 months of screening
  • Evidence of clinically significant lung disease other than IPF
  • Post-bronchodilator forced expiratory volume in 1 second (FEV1)/FVC ratio <0.7 at screening
  • Positive bronchodilator response, evidenced by an increase of >/=12% predicted and 200 milliliters increase in FEV1 or FVC
Show all 21Show fewer
  • Class IV New York Heart Association chronic heart failure or historical evidence of left ventricular ejection fraction <35%
  • Hospitalization due to an exacerbation of IPF within 4 weeks prior to or during screening
  • Known current malignancy or current evaluation for potential malignancy
  • Listeria monocytogenes infection or active parasitic infection within 6 months prior to Day 1, Visit 2
  • Active tuberculosis requiring treatment within 12 months of screening
  • Known immunodeficiency, including but not limited to human immunodeficiency virus infection
  • Past use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
  • Evidence of acute or chronic hepatitis or known liver cirrhosis
  • Exclusions Criteria Limited to Cohort B:
  • Known achalasia, esophageal stricture, or esophageal dysfunction sufficient to limit the ability to swallow oral medication
  • Tobacco smoking or use of tobacco-related products within 3 months of screening or unwillingness to avoid smoking throughout the study period
  • Known or suspected peptic ulcer
  • Any condition that, as assessed by the investigator, might be significantly exacerbated by the known side effects associated with pirfenidone
  • Creatinine clearance <40 milliliters/minute, calculated using the Cockcroft-Gault formula
  • Use of following therapies within 4 weeks of randomization (Day 1, Visit 2) or during the study: Strong inhibitors of CYP1A2 (Cytochrome P450 Family 1 Subfamily A Member 2) (example: fluvoxamine or enoxacin); Moderate inducers of CYP1A2 (limited to tobacco smoking and tobacco-related products)

Trial locations and contacts

112 sites in 13 countries.

112 sites in 13 countries

United States54 sites
  • Lovelace Scientific Resources, Inc.

    Albuquerque, New Mexico, 87108

  • Piedmont Healthcare Pulmonary and Critical Care Research

    Austell, Georgia, 30106

  • University of Maryland Medical Center

    Baltimore, Maryland, 21201

  • Johns Hopkins Bayview Medical Center - Johns Hopkins Asthma & Allergy Center

    Baltimore, Maryland, 21224

  • University Alabama At Birmingham

    Birmingham, Alabama, 35294

  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Cardiopulmonary Associates LLC Cardiopulmonary Research

    Chesterfield, Missouri, 63017

  • University of Chicago; Pulmonary and Critical Care

    Chicago, Illinois, 60637

  • University of Cincinnati

    Cincinnati, Ohio, 45203-0542

  • Research Alliance Inc

    Clearwater, Florida, 33756

  • Case Western Research University; University Hospitals Case Medical Center

    Cleveland, Ohio, 44106-5067

  • University Vermont College Medicine Fletcher Allen Health Care

    Colchester, Vermont, 05446

  • Ohio State University

    Columbus, Ohio, 43210

  • Southeastern Lung Care

    Decatur, Georgia, 30033

  • National Jewish Health

    Denver, Colorado, 80206

  • Inova Transplant Center Fairfax Hospital

    Falls Church, Virginia, 22042

  • Penn State University College Medical Allergy And Care Med

    Hershey, Pennsylvania, 17033

  • Baylor College Med

    Houston, Texas, 77030

  • Houston Methodist Hospital

    Houston, Texas, 77030

  • Univ of Iowa Hosp & Clinics; Pulmonary

    Iowa City, Iowa, 52242

  • Mayo Clinic-Jacksonville

    Jacksonville, Florida, 32224

  • Uni of Kansas Medical Center

    Kansas City, Kansas, 66160

  • UCSD Medical Center

    La Jolla, California, 92093

  • University Wisconsin Hospitals and Clinics

    Madison, Wisconsin, 53792

  • Loyola University Med Center

    Maywood, Illinois, 60153

  • University Miami

    Miami, Florida, 33136

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • University of Minnesota Hospital & Clinic

    Minneapolis, Minnesota, 55455

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Yale New Haven Hospital

    New Haven, Connecticut, 06520

  • Weill Medical College of Cornell University

    New York, New York, 10021-5663

  • Mt Sinai School Medical Pulmo And Critical Care Med

    New York, New York, 10029

  • Oklahoma University Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • University of Nebraska

    Omaha, Nebraska, 68198-5300

  • Central Florida Pulmonary Group, PA

    Orlando, Florida, 32803

  • Temple Lung Center, Temple Universtiy-Of the Commomwealth System of Higher Education

    Philadelphia, Pennsylvania, 19140

  • University of Pittsburgh Med Cen; Dorothy P And Richard P Simmons Cen For Interstitial Lung Disease

    Pittsburgh, Pennsylvania, 15213

  • Maine Medical Center -Division of Pulmomary and Critical Care Medicine

    Portland, Maine, 04106

  • The Oregon Clinic.

    Portland, Oregon, 97220

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • Mayo Clinic Rochester

    Rochester, Minnesota, 55902

  • Highland Hospital-University of Rochester Medical Center

    Rochester, New York, 14620

  • University of Utah Health Sciences Center, Lung Health Research Center

    Salt Lake City, Utah, 84108

  • Audie Murphy Va Hospital

    San Antonio, Texas, 78229

  • University of California, San Francisco

    San Francisco, California, 94116

  • Mayo Clinic- Scottsdale

    Scottsdale, Arizona, 85259

  • Pulmonary Consultants

    Tacoma, Washington, 98405

  • USF Tampa General Hospital

    Tampa, Florida, 33606

  • Southern Arizona Veterans Administration Healthcare Systems

    Tucson, Arizona, 85723

  • University of Arizona

    Tucson, Arizona, 85724-5030

  • Cleveland Clinic Florida

    Weston, Florida, 33331

  • Rocky Mountain Center For Clinical Research

    Wheat Ridge, Colorado, 80033

  • Via Christi Hospital Inc. DBA Via Christi Research; Research Dept.

    Wichita, Kansas, 67208

Other trials in United States

United Kingdom7 sites
  • Southmead Hospital; Respiratory Department

    Bristol, BS10-5NB

  • Papworth Hospital NHS Foundation Trust; Respiratory Department

    Cambridge, CB23 3RE

  • Southampton General Hospital; Respiratory Department

    Hampshire, SO16 6YD

  • St James University Hospital; Respiratory Department

    Leeds, LS9 7TF

  • Respiratory research department clinical science building

    Liverpool, L9 7AL

  • Royal Brompton Hospital; Respiratory Department

    London, SW3 6NP

  • North Manchester Hospital; Respiratory Department

    Manchester, M8 5RB

Other trials in United Kingdom

Germany6 sites
  • Ruhrlandklinik Lungenzentrum der UNI Essen Abt.Pneumologie-Allergologie

    Essen, 45239

  • Universitätsklinikum Standort Gießen Medizinische Klinik II u. Poliklinik Innere Med./Pneumologie

    Giessen, 35392

  • LungenClinic Großhansdorf

    Großhansdorf, 22927

  • Thoraxklinik Heidelberg gGmbH

    Heidelberg, 69126

  • Fachklinik für Lungenerkrankungen

    Immenhausen, 34376

  • CPC Comprehensive Pneumology Center / Forschungsambulanz, Helmholtz Zentrum

    München, 81377

Other trials in Germany

Italy6 sites
  • A.O.U. Policlinico Vittorio Emanuele; Centro per la cura delle Malattie Rare del Polmone

    Catania, Sicily, 95123

  • Ospedale Morgagni-Pierantoni; U.O. Pneumologia

    Forlì, Emilia-Romagna, 47121

  • Ospedale San Giuseppe; U.O. di Pneumologia

    Milan, Lombardy, 20123

  • A.O. Universitaria San Luigi Gonzaga di Orbassano; Ambulatorio per le Malattie Rare del Polmone

    Orbassano (TO), Piedmont, 10043

  • Policlinico Tor Vergata; UO Mal. Respiratorie; Centro Malattie rare polmone

    Rome, Lazio, 00133

  • A.O. Univ. Senese Policlinico S. Maria alle Scotte; UOC Malattie Resepiratorie e Trapianto Polmonare

    Siena, Tuscany, 53100

Other trials in Italy

Australia5 sites
  • Box Hill Hospital; Eastern Clinical Research Unit

    Box Hill, Victoria, 3128

  • Royal Prince Alfred Hospital; Department of Respiratory Medicine

    Camperdown, New South Wales, 2050

  • ST VINCENT'S HOSPITAL; Thoracic Medicine

    Darlinghurst, New South Wales, 2010

  • Alfred Hospital; Allergy Immuno Resp

    Melbourne, Victoria, 3004

  • Institute for Respiratory Health Inc

    Nedlands, Western Australia, 6009

Other trials in Australia

Canada5 sites
  • St. Joseph's Healthcare Hamilton

    Hamilton, Ontario, L8N4A6

  • Lawson Health Research Institute a joint venture of LHSC Research Inc and Lawson Research Institute

    London, Ontario, N6C 2R5

  • Dr. Georges-L. Dumont Regional Hospital

    Moncton, New Brunswick, E1G 2K5

  • Institut universitaire de cardiologie et de pneumologie de Québec (Hôpital Laval)

    Ste. Foy, Quebec, G1V 4G5

  • University of British Columbia - Vancouver Coastal Health Authority

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

France5 sites
  • Hopital Avicenne; Pneumologie

    Bobigny, 93000

  • Hopital Louis Pradel; Pneumologie

    Bron, 69677

  • Hopital Calmette; Pneumologie

    Lille, 59037

  • Hopital Bichat Claude Bernard ; Service de Pneumologie

    Paris, 75877

  • Hopital de Pontchaillou; Service de Pneumologie

    Rennes, 35033

Other trials in France

Poland5 sites
  • Uniwersytecki Szpital Kliniczny Nr 1 im.N.Barlickiego Oddzial Kliniczny Pneumonologii i Alergologii

    Lodz, 90-153

  • Ms Clinsearch Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej

    Lublin, 20-064

  • Klinika Pulmonologii, Alergologii i Onkologii Pulmonologicznej Uniwersytet Medyczny w Poznaniu

    Poznan, 60-569

  • Instytut Gruzlicy i Chorob Płuc

    Warsaw, 01-138

  • Klinika Chorob Pluc i Gruzlicy w Zabrzu; Slaski Uniwersytet Medyczny

    Zabrze, 41-803

Other trials in Poland

Spain5 sites
  • Hospital Universitari de Bellvitge ; Servicio de Neumologia

    L'Hospitalet de Llobregat, Barcelona, 08097

  • Hospital Universitario La Princesa; Servicio de Neumologia

    Madrid, 28006

  • Hospital Clínico San Carlos - Servicio de Neumologia

    Madrid, 28040

  • Hospital Universitario Virgen del Rocio; Servicio de Neumologia

    Seville, 41013

  • Hospital General Universitario De Valencia; Servicio de Neumologia

    Valencia, 46014

Other trials in Spain

Belgium4 sites
  • Hospital Erasme; Neurologie

    Brussels, 1070

  • Cliniques Universitaires St-Luc

    Brussels, 1200

  • UZ Leuven Gasthuisberg

    Leuven, 3000

  • CHU UCL Mont-Godinne

    Mont-godinne, 5530

Other trials in Belgium

Mexico4 sites
  • Hospital General Del Estado De Sonora "Dr. Ernesto Ramos Bours"; Servicio De Neumologia

    Hermosillo, 83000

  • Instituto Nacional De Enfermedades Respiratorias;Unidad de Investigación

    Mexico City, 14080

  • Universidad Autonoma De Nuevo Leon, Hospital Universitario Doctor Jose Eleuterio Gonzalez

    Monterrey, 64460

  • Unidad de Investigacion Clinica En Medicina (Udicem) S.C.

    Monterrey, 64718

Other trials in Mexico

Japan3 sites
  • Kanagawa Cardiovascular and Respiratory Center; Respiratory Medicine

    Kanagawa, 236-0051

  • Kinki-Chuo Chest Medical Center

    Osaka, 591-8555

  • Tosei General Hospital

    Seto-shi, 489-8642

Other trials in Japan

Peru3 sites
  • Clinica San Pablo

    Lima, Lima 33

  • Clinica Internacional, Sede San Borja; Unidad de Investigacion de Clínica Internacional

    Lima, Lima 41

  • Clinica San Borja; NEUMOCARE

    Lima, Lima 41

Other trials in Peru

About this study

Official title: A Phase II, Randomized, Double-Blind, Placebo-Controlled, Study to Assess the Efficacy and Safety of Lebrikizumab in Patients With Idiopathic Pulmonary Fibrosis

This randomized, multicenter, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of lebrikizumab as monotherapy in the absence of background IPF therapy and as combination therapy with pirfenidone background therapy in participants with IPF. Participants will be randomized to receive either lebrikizumab or placebo subcutaneously every 4 weeks.

Being tested
Lebrikizumab, Pirfenidone, Placebo
Medical subject headings
Idiopathic Pulmonary Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LebrikizumabDrug

    Also called RO5490255

    Lebrikizumab will be administered at a dose of 250 mg via SC injection once every 4 weeks.

  • PirfenidoneDrug

    Pirfenidone will be administered orally at a stable dose of 2403 mg per day or at MTD.

  • PlaceboDrug

    Placebo matched to lebrikizumab will be administered via SC injection once every 4 weeks.

Study groups in NCT01872689
Study groupRoleWhat they receive
Monotherapy (Cohort A): PlaceboPlacebo comparatorParticipants will receive monotherapy with placebo matched to lebrikizumab administered via subcutaneous (SC) injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period. Participants will be allowed to receive treatment with lebrikizumab at a dose of 250 mg administered via SC injection once every 4 weeks up to additional 52 weeks (that is, up to Week 104) in the open-label period.
Receives: Drug: Lebrikizumab; Drug: Placebo
Monotherapy (Cohort A): LebrikizumabExperimentalParticipants will receive monotherapy with lebrikizumab at a dose of 250 milligrams (mg) administered via SC injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period. Participants will be allowed to receive treatment with lebrikizumab at a dose of 250 mg administered via SC injection once every 4 weeks up to additional 52 weeks (that is, up to Week 104) in the open-label period.
Receives: Drug: Lebrikizumab
Combination Therapy (Cohort B): Placebo + PirfenidonePlacebo comparatorParticipants will receive pirfenidone at a stable dose of 2403 mg per day (three 267 mg capsules three times a day [9 capsules daily] for a total of 2403 mg/day) or at maximum tolerated dose (MTD) administered orally along with placebo matched to lebrikizumab administered via SC injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period.
Receives: Drug: Pirfenidone; Drug: Placebo
Combination Therapy (Cohort B): Lebrikizumab + PirfenidoneExperimentalParticipants will receive pirfenidone at a stable dose of 2403 mg per day (three 267 mg capsules three times a day [9 capsules daily] for a total of 2403 mg/day) or at MTD administered orally along with lebrikizumab at a dose of 250 mg administered via SC injection once every 4 weeks up to 52 weeks during the placebo-controlled treatment period.
Receives: Drug: Lebrikizumab; Drug: Pirfenidone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized Rate of Decrease in Percent Predicted Forced Vital Capacity (FVC) Over 52 Weeks

    Annualized rates of decrease (slope throughout time from baseline to Week 52) for percent predicted FVC was assessed and reported. FVC is a standard pulmonary function test. FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100.

    Measured: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

Secondary outcomes (20)
  1. Annualized Rate of Decline in 6-Minute Walk Test (6MWT) Distance Over 52 Weeks

    Annualized rates of decline (slope throughout time from baseline to Week 52) in 6MWT was assessed and reported. 6MWT was the distance (in meters [m]) that a participant could walk in 6 minutes.

    Measured: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

  2. Percentage of Participants With Event of Greater Than or Equal to (>/=) 10% Absolute Decline in Percent Predicted FVC or Death From Any Cause

    FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100.

    Measured: Baseline up to the event of >/=10% absolute decline in percent predicted FVC or death from any cause, whichever occurred first (up to Week 122)

  3. Time to First Occurrence of a >/=10% Absolute Decline in Percent Predicted FVC or Death From Any Cause

    FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100. Time from randomization to first occurrence of an event of >/=10% absolute decline in percent predicted FVC or death from any cause was reported. Participants without an event were censored at the last assessment during the double-blind treatment period. Any participant who underwent lung transplantation was censored at the date of the transplant. The median time to event was estimated using Kaplan-Meier method. 95% confidence interval (CI) for median was computed using the method of Brookmeyer and Crowley.

    Measured: Baseline up to the event of >/=10% absolute decline in percent predicted FVC or death from any cause, whichever occurred first (up to Week 122)

  4. Annualized Rate of Decrease in Diffusion Capacity of the Lung for Carbon Monoxide (DLco) Over 52 Weeks

    Annualized rates of decrease (slope throughout time from baseline to Week 52) in DLco was assessed and reported. DLco (in milliliters per minute/millimeters of mercury [mL/min/mmHg]) is a measure of the gas transfer.

    Measured: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

  5. Percentage of Participants With Event of Death, All Cause Hospitalization, or a Decrease From Baseline of >/=10% in FVC

    FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC = [(observed FVC)/(predicted FVC)]*100.

    Measured: Baseline up to the event of death from any cause, all cause hospitalization, or a decrease from baseline of >/=10% in FVC, whichever occurred first (up to Week 122)

  6. Progression-Free Survival (PFS)

    FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted FVC is based on sex, age, and height of a person. Percent predicted FVC = [(observed FVC)/(predicted FVC)]*100. PFS was defined as time from randomization to death from any cause, all cause hospitalization, or a decrease from baseline of >/=10% in FVC, whichever occurred first. Participants without an event were censored at the last assessment during the double-blind treatment period. Any participant who underwent lung transplantation was censored at the date of the transplant. The median PFS was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley.

    Measured: Baseline up to the event of death from any cause, all cause hospitalization, or a decrease from baseline of >/=10% in FVC, whichever occurred first (up to Week 122)

  7. Annualized Rate of Decrease in FVC Over 52 Weeks

    Annualized rates of decrease (slope throughout time from baseline to Week 52) in FVC (in milliliters per year [mL/year]) was assessed and reported. FVC is defined as the volume of air that can forcibly be blown out after full inspiration in the upright position.

    Measured: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

  8. Annualized Rate of Decrease in A Tool to Assess Quality of Life in IPF (ATAQ-IPF) Questionnaire Total Score Over 52 Weeks

    The ATAQ-IPF Version 3 was utilized that included 31 items within 5 domains: cough (6 items), dyspnea (7 items), exhaustion (6 items), emotional well-being (6 items), and independence (6 items). Each item was assessed on a scale ranging from 1 (Strongly disagree) to 4 (Strongly agree). The ATAQ-IPF had a recall specification of 2 weeks. Simple summation scoring was used to derive individual domain scores as well as a total score. ATAQ-IPF total score ranged from 31 to 124 with lower score indicating better quality of life (QoL). Annualized rates of decrease (slope throughout time from baseline to Week 52) in ATAQ-IPF questionnaire total score was assessed and reported.

    Measured: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)

  9. Percentage of Participants With an Event of St. George's Respiratory Questionnaire (SGRQ) Total Score Worsening or Death From Any Cause

    The SGRQ is a 50-item health-related QoL instrument that measured health impairment. The questionnaire contains 3 domains: symptoms, activity, and impacts. Items were assessed on various response scales, including a 5-point Likert scale and True/False scale. The SGRQ had a recall specification of 4 weeks. The SGRQ total score (summed weights) ranged from 0 to 100 with a lower score denoting a better health status. Percentage of participants with an event of SGRQ total score worsening (defined as reaching minimal important difference [MID], that is, an increase in total score of >/=7) or death from any cause was reported.

    Measured: Baseline up to the event of SGRQ total score worsening or death from any cause, whichever occurred first (up to Week 122)

  10. Time to First Occurrence of SGRQ Total Score Worsening or Death From Any Cause

    The SGRQ is a 50-item health-related QoL instrument that measured health impairment. The questionnaire contains 3 domains: symptoms, activity, and impacts. Items were assessed on various response scales, including a 5-point Likert scale and True/False scale. The SGRQ had a recall specification of 4 weeks. The SGRQ total score (summed weights) ranged from 0 to 100 with a lower score denoting a better health status. Time from randomization to first occurrence of an event of SGRQ total score worsening (defined as reaching minimal important difference [MID], that is, an increase in total score of >/=7) or death from any cause was reported. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley.

    Measured: Baseline up to the event of SGRQ total score worsening or death from any cause, whichever occurred first (up to Week 122)

  11. Percentage of Participants With an Event of Acute Idiopathic Pulmonary Fibrosis (IPF) Exacerbation

    IPF exacerbation was defined as an event that met all of the following criteria as determined by the investigator: Unexplained worsening or development of dyspnea within the previous 30 days; And radiologic evidence of new bilateral ground-glass abnormality or consolidation, superimposed on a reticular or honeycomb background pattern, that is consistent with usual interstitial pneumonitis; And absence of alternative causes, such as left heart failure, pulmonary embolism, pulmonary infection (on the basis of endotracheal aspirate or bronchoalveolar lavage if available, or investigator judgment), or other events leading to acute lung injury (for example, sepsis, aspiration, trauma, reperfusion pulmonary edema).

    Measured: Baseline up to the event of acute IPF exacerbation (up to Week 122)

  12. Time to First Event of Acute IPF Exacerbation

    Time from randomization to first occurrence of an event of IPF exacerbation was reported. IPF exacerbation was defined as an event that met all of the following criteria as determined by the investigator: Unexplained worsening or development of dyspnea within the previous 30 days; And radiologic evidence of new bilateral ground-glass abnormality or consolidation, superimposed on a reticular or honeycomb background pattern, that is consistent with usual interstitial pneumonitis; And absence of alternative causes, or other events leading to acute lung injury. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley.

    Measured: Baseline up to the event of acute IPF exacerbation (up to Week 122)

  13. Percentage of Participants With Respiratory-Related Hospitalization

    Measured: Baseline up to the event of respiratory-related hospitalization (up to Week 122)

  14. Time to Respiratory-Related Hospitalization

    Time from randomization to first occurrence of an event of respiratory-related hospitalization was reported. Participants without an event were censored at the last known alive day, study Day 368, or the last date during the double-blind period. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley.

    Measured: Baseline up to the event of respiratory-related hospitalization (up to Week 122)

  15. Percentage of Participants With an Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause

    DLco (in mL/min/mmHg) is a measure of the gas transfer. Predicted DLco is based on sex, age, and height of a person. Percent of predicted DLco (in %) = [(observed DLco)/(predicted DLco)]*100.

    Measured: Baseline up to the event of >/=15% absolute decrease in percentage of predicted DLco or death from any cause (up to Week 122)

  16. Time to First Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause

    DLco is a measure of the gas transfer. Predicted DLco is based on sex, age, and height of a person. Percent of predicted DLco (in %) = [(observed DLco)/(predicted DLco)]*100. Time from randomization to first occurrence of >/=15% absolute decrease in percentage of predicted DLco or death from any cause was reported. The median time to event was estimated using Kaplan-Meier method. 95% CI for median was computed using the method of Brookmeyer and Crowley.

    Measured: Baseline up to the event of >/=15% absolute decrease in percentage of predicted DLco or death from any cause (up to Week 122)

  17. Percentage of Participants With Anti-therapeutic Antibody (ATA) to Lebrikizumab

    ATA to lebrikizumab was tested using a validated immunoassay. A positive ATA result was defined as one in which the presence of detectable ATAs could be confirmed by competitive binding with lebrikizumab. Percentage of participants with positive results for ATA at Baseline and at post-baseline time points were reported. Only participants who received lebrikizumab were included in the analysis.

    Measured: Baseline and Post-Baseline (assessed at multiple time points: Weeks 4, 12, 24, 36, 52, 56, 64, 76, and at safety follow-up up to Week 122)

  18. Minimum Observed Serum Concentration (Cmin) of Lebrikizumab at Week 52

    Participants who received lebrikizumab were only included in the analysis.

    Measured: Predose (Hour 0) at Week 52

  19. Minimum Observed Serum Concentration (Cmin) of Lebrikizumab

    Participants who received lebrikizumab were only included in the analysis.

    Measured: Predose (Hour 0) at Weeks 4, 12, 24, and 36

  20. Elimination Half-Life (t1/2) of Lebrikizumab

    Elimination half-life is the time measured for the plasma drug concentration to decrease by one-half during the elimination phase of the drug. Analysis was performed on PK-Evaluable Population. Participants who received lebrikizumab were only included in the analysis.

    Measured: Pre-dose (Hour 0) at Weeks 1, 4, 12, 24, 36, 64, 76, 88, 104; and at 4, 12, and 18 weeks post-last dose (last dose = Week 104)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jun 2013 (estimated)
  2. Study start13 Oct 2013
  3. Primary completion28 Jul 2017
  4. Study completion6 Nov 2017

Resources

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
505 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01872689
Sponsor's protocol ID
GB28547
Other IDs
2013-001163-24
Status last verified
Aug 2018
First submitted
5 Jun 2013
Last updated
24 Aug 2018

Publications

  • Allen RJ, Stockwell A, Oldham JM, Guillen-Guio B, Schwartz DA, Maher TM, Flores C, Noth I, Yaspan BL, Jenkins RG, Wain LV; International IPF Genetics Consortium. Genome-wide association study across five cohorts identifies five novel loci associated with idiopathic pulmonary fibrosis. Thorax. 2022 Aug;77(8):829-833. doi: 10.1136/thoraxjnl-2021-218577. Epub 2022 Jun 10.

    PubMed 35688625

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lebrikizumab and Pirfenidone in people with Idiopathic Pulmonary Fibrosis, run by Hoffmann-La Roche at 112 sites in 13 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 7 inclusion and 21 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: finished, as of the sponsor's last update on 24 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 112 sites in United States, United Kingdom, Germany, Italy, Australia and 8 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 24 Aug 2018). 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?

Annualized Rate of Decrease in Percent Predicted Forced Vital Capacity (FVC) Over 52 Weeks (time frame: Baseline up to Week 52 (assessed at Baseline, Weeks 1, 4, 12, 24, 36, 44, and 52)). 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 NCT01872689, which also lists 1 linked publication.

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 24 Aug 2018.

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