Idiopathic Pulmonary FibrosisPhase 3NCT02739165
Clinical Study of ART-123 for the Treatment of Acute Exacerbation of Idiopathic Pulmonary Fibrosis
A Phase 3 study testing ART-123 in people with Idiopathic Pulmonary Fibrosis, run by Asahi Kasei Therapeutics Corporation at 26 sites in Japan.
Trial summary
The purpose of this study is to assess the efficacy and safety of the intravenous drip infusion of ART-123 in patients with acute exacerbation of idiopathic pulmonary fibrosis (IPF) in a multicenter, double-blind, randomized, placebo-controlled, parallel group comparison study, and to confirm its superiority over… Read more about this study
- Who is it for?
- Ages 40 to 85 years
- Conditions the study is for
- Idiopathic Pulmonary Fibrosis
- What is being tested?
- ART-123
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 74 participants
- Where
- 26 sitesJapan
- Study dates
- May 2016to Dec 2018
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Main Inclusion Criteria:
- Patients diagnosed with IPF who meet all criteria from (1) through (4) during the course of IPF
- (1)Unexplained development or worsening of dyspnea within 1 month during the course of IPF
- (2)Finding of new, bilateral ground glass opacities and/or consolidation on HRCT
- (3)No apparent Pulmonary infections, pneumothorax, malignant tumors, pulmonary embolism, or left heart failure
- (4)A decrease* in PaO2 of ≥10 mmHg or SpO2 of ≥4% under the same conditions compared with the level at the previous measurements
- (*) In cases where no PaO2 or SpO2 test values under the same conditions are available, a patient with a P/F ratio ≤300 in the current episode of acute exacerbation is considered to have met criterion (4)
- Aged 40 years or older and no older than 85 years at the time of informed consent with either sex
Main Exclusion Criteria:
- Have intracranial hemorrhage, pulmonary hemorrhage, gastrointestinal bleeding (continued hematemesis, bloody discharge, gastrointestinal ulcer-induced hemorrhage)
- Have a history of cerebrovascular disorder (e.g., cerebral hemorrhage or cerebral infarction) within 52 weeks (364 days) before informed consent
- Patients for whom the completion of hemostatic treatment has not been confirmed after undergoing surgery of the central nervous system or after trauma
- Have a high risk for fatal or life-threatening hemorrhage
- Patients with malignant tumors
- Have acute exacerbation attributable to drug induced pulmonary disorder, after surgery for malignant tumors, chemotherapy, or radiation therapy
- Have acute exacerbation due to a thoracic surgical procedure (including thoracoscopic lung biopsy)
- Have a history of acute exacerbation of IPF
- Receiving mechanical ventilation through intratracheal intubation
- Patients who are pregnant or nursing, or who may be pregnant
- Patients with a platelet count less than 100,000/uL at the time of enrollment
- Patients with severe renal (serum Cr: ≥4 mg/dL) or hepatic (AST/ALT: ≥500 IU/L or T-Bil: ≥10 mg/dL) dysfunction
- Have been administered a commercially available thrombomodulin alfa (recombinant )(Recomodulin® for Intravenous Injection 12800) within 30 days before the start of investigational product administration
- Have a history of hypersensitivity for investigational product
Trial locations and contacts
26 sites in 1 country.
26 sites in 1 country
Japan26 sites
Study site
Bunkyo, Tokyo
Study site
Chiba
Study site
Fukuoka
Study site
Hamamatsu, Shizuoka
Study site
Himeji, Hyōgo
Study site
Kamogawa, Chiba
Study site
Kobe, Hyōgo
Study site
Kumamoto
Study site
Kurashiki, Okanaya
Study site
Kurume, Fukuoka
Study site
Minato, Tokyo
Study site
Nagasaki
Study site
Nagoya, Aichi-ken
Study site
Naka, Ibaragi
Study site
Ōgaki, Gifu
Study site
Ōta-ku, Tokyo
Study site
Sakai, Osaka
Study site
Sakura, Chiba
Study site
Sayama, Osaka
Study site
Sendai, Miyagi
Study site
Seto, Aichi-ken
Study site
Shibuya City, Tokyo
Study site
Shimotsuke, Tochigi
Study site
Shinjuku, Tokyo
Study site
Tenri, Nara
Study site
Yokohama, Kanagawa
About this study
Official title: Phase III Clinical Study of ART-123 for the Treatment of Acute Exacerbation of Idiopathic Pulmonary Fibrosis: a Multicenter Randomized Placebo-controlled Double-blind Study to Assess the Efficacy and Safety of ART-123
The purpose of this study is to assess the efficacy and safety of the intravenous drip infusion of ART-123 in patients with acute exacerbation of idiopathic pulmonary fibrosis (IPF) in a multicenter, double-blind, randomized, placebo-controlled, parallel group comparison study, and to confirm its superiority over placebo with survival rate on Day 90 as the primary endpoint.
- Conditions
- Idiopathic Pulmonary Fibrosis
- Being tested
- ART-123, Placebo
- Keywords
- Acute exacerbations, Idiopathic pulmonary fibrosis, Recombinant human soluble thrombomodulin, ART-123
- 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.
ART-123Drug
380 U/kg/day by intravenous drip infusion in addition to standard of care steroid therapy
PlaceboDrug
Placebo by intravenous drip infusion in addition to standard of care steroid therapy
| Study group | Role | What they receive |
|---|---|---|
| ART-123 | Experimental | Not described Receives: Drug: ART-123 |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Survival rate on Day 90
Measured: 90 days
Secondary outcomes (4)
Overall survival
Measured: 180 days after the start of investigational product administration in the last subject
Survival time up to Day 90
Measured: 90days
P/F ratio
Measured: 4 days, 7 days, 15 days, 28 days, 60 days, 90 days
Coagulation tests
Measured: 4 days, 7 days, 15days, 28 days, 60 days, 90 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Apr 2016 (estimated)
- Study startMay 2016
- Primary completionSep 2018
- Study completionDec 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Idiopathic Pulmonary FibrosisStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 74 participants (actual)
Sponsor and investigators
- Lead sponsor
- Asahi Kasei Therapeutics Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Asahi Kasei Pharma Corporation, Study chair, Asahi Kasei Therapeutics Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02739165
- Sponsor's protocol ID
- ART-123-AEIPF-301
- Status last verified
- Jul 2017
- First submitted
- 1 Apr 2016
- Last updated
- 18 Jan 2019
- Results posted
- No
Publications
Kondoh Y, Azuma A, Inoue Y, Ogura T, Sakamoto S, Tsushima K, Johkoh T, Fujimoto K, Ichikado K, Matsuzawa Y, Saito T, Kishi K, Tomii K, Sakamoto N, Aoshima M, Araya J, Izumi S, Arita M, Abe M, Yamauchi H, Shindoh J, Suda T, Okamoto M, Ebina M, Yamada Y, Tohda Y, Kawamura T, Taguchi Y, Ishii H, Hashimoto N, Abe S, Taniguchi H, Tagawa J, Bessho K, Yamamori N, Homma S. Thrombomodulin Alfa for Acute Exacerbation of Idiopathic Pulmonary Fibrosis. A Randomized, Double-Blind Placebo-controlled Trial. Am J Respir Crit Care Med. 2020 May 1;201(9):1110-1119. doi: 10.1164/rccm.201909-1818OC.
PubMed 31917621
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase III Clinical Study of ART-123 for the Treatment of Acute Exacerbation of Idiopathic Pulmonary Fibrosis: a Multicenter Randomized Placebo-controlled Double-blind Study to Assess the Efficacy and Safety of ART-123
- ClinicalTrials.gov ID
- NCT02739165
- Acronym / sponsor ID
- ART-123-AEIPF-301
- Conditions
- Idiopathic Pulmonary Fibrosis
- Keywords
- Acute exacerbations, Idiopathic pulmonary fibrosis, Recombinant human soluble thrombomodulin, ART-123
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 74 participants (actual)
- Lead sponsor
- Asahi Kasei Therapeutics CorporationIndustry (pharma, biotech, devices)
- Study start
- May 2016
- Primary completion
- Sep 2018 (actual)
- Study completion
- Dec 2018 (actual)
- First posted
- 15 Apr 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the efficacy and safety of the intravenous drip infusion of ART-123 in patients with acute exacerbation of idiopathic pulmonary fibrosis (IPF) in a multicenter, double-blind, randomized, placebo-controlled, parallel group comparison study, and to confirm its superiority over placebo with survival rate on Day 90 as the primary endpoint.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ART-123 | Experimental | Drug: ART-123 |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 40 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| ART-123380 U/kg/day by intravenous drip infusion in addition to standard of care steroid therapy | Drug | ART-123 |
| PlaceboPlacebo by intravenous drip infusion in addition to standard of care steroid therapy | Drug | Placebo |
Primary outcome
Survival rate on Day 90
Time frame: 90 days
4 secondary outcomes
Overall survival
Time frame: 180 days after the start of investigational product administration in the last subject
Survival time up to Day 90
Time frame: 90days
P/F ratio
Time frame: 4 days, 7 days, 15 days, 28 days, 60 days, 90 days
Coagulation tests
Time frame: 4 days, 7 days, 15days, 28 days, 60 days, 90 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2019.
- Derived from this study: PubMed 31917621Kondoh Y, Azuma A, Inoue Y, Ogura T, Sakamoto S, Tsushima K, Johkoh T, Fujimoto K, Ichikado K, Matsuzawa Y, Saito T, Kishi K, Tomii K, Sakamoto N, Aoshima M, Araya J, Izumi S, Arita M, Abe M, Yamauchi H, Shindoh J, Suda T, Okamoto M, Ebina M, Yamada Y, Tohda Y, Kawamura T, Taguchi Y, Ishii H, Hashimoto N, Abe S, Taniguchi H, Tagawa J, Bessho K, Yamamori N, Homma S. Thrombomodulin Alfa for Acute Exacerbation of Idiopathic Pulmonary Fibrosis. A Randomized, Double-Blind Placebo-controlled Trial. Am J Respir Crit Care Med. 2020 May 1;201(9):1110-1119. doi: 10.1164/rccm.201909-1818OC.
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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.
Asahi Kasei Pharma Corporation study chair
Asahi Kasei Therapeutics Corporation
26 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ART-123 in people with Idiopathic Pulmonary Fibrosis, run by Asahi Kasei Therapeutics Corporation at 26 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 18 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in Japan. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Survival rate on Day 90 (time frame: 90 days). 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 NCT02739165, 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 18 Jan 2019; AzTrials last refreshed its copy on 8 Nov 2026.