Idiopathic Pulmonary FibrosisPhase 2NCT03142191
A Study to Evaluate the Efficacy and Safety of CC-90001 in Subjects With Idiopathic Pulmonary Fibrosis
A Phase 2 study testing CC-90001 in people with Idiopathic Pulmonary Fibrosis and Fibrosis, run by Celgene at 112 sites in 13 countries.
Trial summary
This is a Phase 2, multicenter, multinational, randomized, double-blind, placebo-controlled study evaluating the efficacy, safety, pharmacokinetics (PK), quality of life and exploratory pharmacodynamics (PD) of two treatment doses of CC-90001, 200 mg and 400 mg, compared with placebo, when delivered once daily per os… Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Idiopathic Pulmonary Fibrosis, Fibrosis, Idiopathic Interstitial Pneumonias
- What is being tested?
- CC-90001
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 138 participants
- Where
- 112 sitesin 13 countries
- Study dates
- 26 Jul 2017to 24 Dec 2021
- 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
- Subject understands and has voluntarily signed and dated an informed consent form
- Subject is male or female ≥ 40 years of age
- Diagnosis of IPF is supported by HRCT and historical lung biopsy (surgical lung biopsy [SLB] or cryobiopsy) if available according to guidelines.
- No features supporting an alternative diagnosis on transbronchial biopsy, bronchoalveolar lavage (BAL), or SLB, if performed.
- Percent predicted forced vital capacity (% FVC) ≥ 45% and ≤ 95% at Screening
- Percent predicted diffusion capacity of the lung for carbon monoxide (DLCO) ≥ 25% and ≤ 90% predicted at Screening.
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- Able to walk ≥ 150 meters during the 6-minute walk test (6MWT) at Screening
- Females of childbearing potential (FCBP) must commit to true abstinence or agree to use two effective birth control methods.
- Male subjects must practice true abstinence or use a barrier method of contraception.
- Additional inclusion criteria apply.
- Progressive Pulmonary Fibrosis (PPF) Sub-Study:
- Met all inclusion criteria described for IPF subjects other than Inclusion Criterion 5.
- Features of diffuse fibrosing lung disease of > 10% on HRCT by central reading.
- Investigator-documented ≥ 5% annualized relative decline in FVC in past 24 months from Screening Visit 1
Who cannot join
- The presence of any of the following will exclude a subject from enrollment:
- Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
- Subject with a QTcF > 450 msec.
- Evidence of clinically relevant airways obstruction at Screening.
- Subjects using therapy targeted to treat IPF.
- History of latent or active TB, unless there is medical record documentation of successful completion of a standard course of treatment
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- History of hepatitis B and/or hepatitis C, including those considered successfully treated/cured
- Pregnancy or lactation.
- Additional exclusion criteria apply.
Trial locations and contacts
112 sites in 13 countries.
112 sites in 13 countries
United States21 sites
University of Vermont
Burlington, Vermont, 05405
Medical University of South Carolina
Charleston, South Carolina, 29425
The Lung and Research Center, LLC
Chesterfield, Missouri, 63017
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44121
Baylor University Medical Center
Dallas, Texas, 75246
Local Institution - 502
Dallas, Texas, 75246
Duke University Health System - Duke Pulmonary Transplant Clinic
Durham, North Carolina, 27710
University of Florida
Gainesville, Florida, 32610
Loma Linda Univ Medical Center
Loma Linda, California, 92354
Cedars Sinai Medical Center Rheumatology
Los Angeles, California, 90048
University of Louisville
Louisville, Kentucky, 40202
University of Miami and Sylvester Cancer Center
Miami, Florida, 33136
Vanderbilt University Medical Center
Nashville, Tennessee, 37212
Mt. Sinai School of Medicine
New York, New York, 10029
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Local Institution - 514
Sacramento, California, 95817
University of California Davis Health System
Sacramento, California, 95817
University of Utah Health Care
Salt Lake City, Utah, 84132
Stanford University Pulmonary and Critical Care Clinic
Stanford, California, 94305
Pulmonary & Sleep Center of Oklahoma
Tulsa, Oklahoma, 74137
Russia17 sites
City clinical hospital No 9
Izhevsk, 426063
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascul
Kemerovo, 650002
TSBIH Territorial Clinical Hospital
Krasnoyarsk, 660022
Russian Academy of Medical Sciences RAMS - Central Scientific Research Institute of Tuberculosis CTR
Moscow, 107564
Federal Medico-Biological Agency FMBA - Federal Research Clinical Center FGUZ Clinical Hospital No.
Moscow
Local Institution - 666
Nizhny Novgorod, 603011
Nizhny Novgorod Research Institute of Hygiene and Occupational Pathology
Nizhny Novgorod, 603011
Republican Hospital
Petrozavodsk, 185019
FSBHI Clincial Research Institute of Phithisioplulmonoloyg
Saint Petersburg, 191036
Local Institution - 667
Saint Petersburg, 191180
Vvedenskaya Hospital
Saint Petersburg, 191180
Saint-Petersburg State Institution of Healthcare
Saint Petersburg, 193312
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, 197022
Local Institution - 675
Saratov, 410053
Saratov Regional Clinical Hospital
Saratov, 410053
SAIH of Yaroslavl region Clinical Hospital for Emergency Medical Care n.a. N.V.Solovyev
Yaroslavl, 150003
Ural State Medical Academy - Medical Association Novaya Bolnitsa
Yekaterinburg, 620109
United Kingdom17 sites
Birmingham Chest Clinic
Birmingham, B3 3HX
Hull and East Yorkshire Hospitals NHS Trust - Castle Hill Hospital
Cottingham, HU16 5JQ
Hinchingbrooke Hospital
Huntingdon, PE29 6NT
The Leeds Teaching Hospitals NHS Trust - St James's University Hospital
Leeds, LS9 7TF
University Hospitals of Leicester NHS Trust - Glenfield Hospital - Institute for Lung Health ILH
Leicester, LE3 9QP
Aintree University Hospital
Liverpool (Walton Centre), L9 7LJ
University Hospital Llandough
Llandough, CF64 2XX
University College London Hospitals
London, NW1 2PG
Local Institution - 598
Newcastle, NE1 4LP
Royal Victoria Infirmary
Newcastle, NE1 4LP
Local Institution - 697
Norwich, NR4 7UY
Norfolk and Norwich University Hospital
Norwich, NR4 7UY
The University of Nottingham - Nottingham Respiratory Research Unit NRRU
Nottingham, NG5 1PB
Salford Royal
Salford, M6 8HD
Southampton General Hospital
Southhampton, SO01 6YD
Local Institution - 694
Westbury-on-Trym/ Bristol, BS10 5NB
Southmead Hospital
Westbury-on-Trym/ Bristol, BS10 5NB
Australia12 sites
Local Institution - 601
Adelaide, South Australia, 5000
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Flinders Medical Centre
Bedford Park, South Australia, 5042
Local Institution - 608
Camperdown, New South Wales, 2050
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050
Concord Repatriation General Hospital
Concord, New South Wales, 2139
St Vincent Hospital - Sydney
Darlinghurst, 2010
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Institute for Respiratory Health Inc
Nedlands, Western Australia, 6009
Local Institution - 605
Parkville, Victoria, 3050
Royal Melbourne Hospital
Parkville, Victoria, 3050
Mater Medical Centre
South Brisbane, Queensland, 4101
Brazil7 sites
Clinica de Pneumologia S/S
Goiânia, Goiás, 74110-030
Irmandade da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90085-074
Hospital Nossa Senhora da Conceicao
Porto Alegre, Rio Grande do Sul, 91350-200
Hospital Ernesto Dornelles
Porto Alegre, 90610-093
Universidade Federal do Rio de Janeiro (UFRJ)-Hospital Universitario Clementino Fraga Filho (HUCFF)
Rio de Janeiro, 21941
Faculdade de Medicina do ABC
Santo André, 09060-650
Incor - Instituto do Coracao HCFMUSP
São Paulo, 01414-001
Canada6 sites
Kelowna & Respiratory Allergy Clinic
Kelowna, British Columbia, V1W 1V3
Local Institution - 621
Kelowna, British Columbia, V1W 1V3
Local Institution - 620
Vancouver, British Columbia, V5Z 1M9
The Lung Centre Respiratory Clinic - Vancouver General Hospital Location
Vancouver, British Columbia, V5Z 1M9
Dr. Syed Anees Medicine Professional Corporation
Windsor, Ontario, N8X 1T3
Local Institution - 623
Windsor, Ontario, N8X 1T3
Germany6 sites
Helios Klinikum Emil Von Behring
Berlin, 14165
Ruhrlandklinik University Hospital
Essen, 45239
AGAPLESION EV. KRANKENHAUS MITTELHESSEN gGmbH
Giessen, 35398
Local Institution - 642
Giessen, 35398
Universitatsklinikum Heidelberg
Heidelberg, 69120
Waldburg-Zeil Kliniken -Fachkliniken Wangen
Wangen, 88239
Ukraine6 sites
Communal Institution Dnipropetrovsk City Clinical Hospital #6 of Dnipropetrovsk Regional Council
Dnipro, 49023
Regional Phthisiopulmonological Center
Ivano-Frankivsk, 76018
Kharkiv City Clinical Hospital #13
Kharkiv, 61124
CI of Healthcare RCH - Center of Medical Emergency and Accident Medicine
Kharkiv, 61204
State Institution National Scientific Center of Radiation Medicine of NAMS of Ukraine
Kyiv, 03115
SI F.H.Yanovskyi National Institute of Phthisiatry and Pulmonology of Academy of Medical Sciences
Kyiv, 03680
Greece5 sites
Democritus University of Thrace
Alexandroupoli, 68100
University General Hospital of Alexandroupolis
Alexandroupoli, 68100
University General Hospital Attikon
Haidari, 12462
University of Crete - University General Hospital of Heraklion
Heraklion, 711 10
General Hospital of Heraklion Benizeleio Pananeio
Heraklion, 71409
Turkey (Türkiye)5 sites
Ege Universitesi Tip Fakultesi Hastanesi Ege University Medical Faculty Hospital
Bornova, 35100
Local Institution - 681
Bornova, 35100
Uludag Universitesi Tip Fakultesi
Bursa, 16059
Istanbul Universitesi - Cerrahpasa Tip Fakultesi Cerrahpasa Medical Faculty
Istanbul, 34098
Izmir Dr.Suat Seren Chest Diseases Hospital
Izmir, 35100
Colombia4 sites
Centro de Reumatologia y Ortopedia SAS
Barranquilla, 080020
Local Institution - 631
Bogotá, 0
Centro Especializado en Enfermedades Pulmonares
Bogotá
Centro Medico Imbanaco
Cali
Taiwan4 sites
Buddhist Dalin Tzu Chi General Hospital
Dalin, 62247
Kaohsiung Medical University Hospital
Kaohsiung City, 807
China Medical University Hospital
Taichung, 40447
National Taiwan University Hospital
Taipei, Zhongzheng Dist., 10002
Romania2 sites
Spitalul Clinic de Pneumoftiziologie Leon Daniello Cluj Napoca
Cluj-Napoca
Spitalul Clinic de Boli Infectioase si Pneumoftiziologie Dr. Victor Babes Timisoara
Timișoara, 300312
About this study
Official title: A Phase 2, 24-Week, Randomized, Double-blind, Placebo-controlled, Multicenter Study, With an 80-Week Active Treatment Extension, to Evaluate the Efficacy and Safety of CC-90001 in Subjects With Idiopathic Pulmonary Fibrosis
This is a Phase 2, multicenter, multinational, randomized, double-blind, placebo-controlled study evaluating the efficacy, safety, pharmacokinetics (PK), quality of life and exploratory pharmacodynamics (PD) of two treatment doses of CC-90001, 200 mg and 400 mg, compared with placebo, when delivered once daily per os (PO) in subjects with idiopathic pulmonary fibrosis (IPF). This study is designed to assess response to treatment by using measures of lung function, disease progression, fibrosis on radiography, and patient-reported outcomes. It will also assess dose response.
Read the detailed description
Approximately 165 adult male and female subjects with a confirmed diagnosis of Idiopathic pulmonary fibrosis (IPF) (according to the most recent IPF guideline for diagnosis and management) will be randomized 1:1:1 (55 subjects per arm) to treatment with oral CC-90001or matching placebo for an initial 24 weeks.
The randomization will be stratified based on the concurrent administration of SOC (Yes/No). Subjects completing the 24-week Double-blind Treatment Phase will continue onto the 80-week Active Treatment Extension Phase. At Week 24, all subjects originally randomized to receive placebo will be re-randomized 1:1 to blinded CC-90001 (200 mg or 400 mg PO QD). During the 80-week Active Treatment Extension Phase, all subjects not on concurrent SOC therapy will have the opportunity, if deemed appropriate by the Investigator, to receive allowed standard of care (SOC).
The exploratory Progressive Pulmonary Fibrosis (PPF) sub study will evaluate the efficacy, safety, PK, quality of life and exploratory PD of one PO treatment dose regimen of CC-90001, compared with placebo, for an initial 24 weeks of treatment, in subjects with PPF and long-term safety in the 80-week Active Treatment Extension Phase when all PPF subjects will receive CC-90001. Approximately 45 non-SOC subjects will be randomized in this sub study.
All subjects who complete the study treatment phases and those subjects who discontinue investigational product (IP) prior to the completion of the study will participate in the 4-week Post-treatment Observational Follow-up Phase.
The study will be conducted in compliance with the International Council Harmonisation (ICH) of Technical Requirements for Registration of Pharmaceuticals for Human Use/Good Clinical Practice (GCP) and applicable regulatory requirements.
An external DMC, comprised of independent physician experts and a statistician who are not affiliated with the Sponsor and for whom there is no identified conflict of interest will be responsible for safeguarding study participants' interests and for monitoring the overall conduct of the study.
- Conditions
- Idiopathic Pulmonary Fibrosis, Fibrosis, Idiopathic Interstitial Pneumonias, Pathologic Processes, Lung Diseases, Interstitial, Lung Diseases
- Being tested
- CC-90001, Placebo
- Keywords
- Idiopathic Pulmonary Fibrosis (IPF), Pulmonary Fibrosis, CC-90001, Safety, Efficacy, IPF, idiopathic pulmonary fibrosis
- Medical subject headings
- Idiopathic Pulmonary Fibrosis, Fibrosis, Idiopathic Interstitial Pneumonias, Pathologic Processes, Lung Diseases, Interstitial, Lung Diseases, Respiratory Tract Diseases, Pulmonary Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CC-90001Drug
CC-90001 is a potent, selective inhibitor of JNK.
PlaceboOther
Placebo
| Study group | Role | What they receive |
|---|---|---|
| CC-90001 400 mg PO QD | Experimental | 55 subjects will be randomized to CC-90001 400mg Receives: Drug: CC-90001 |
| CC-90001 200 mg PO QD | Experimental | 55 subjects will be randomized to CC-90001 200mg Receives: Drug: CC-90001 |
| Placebo PO QD | Placebo comparator | 55 subjects will be randomized to placebo Receives: Other: Placebo |
| CC-90001 400 mg PO QD- Sub-Study | Experimental | 30 subjects will be randomized to CC-90001 400mg Receives: Drug: CC-90001 |
| Placebo PO QD- Sub-Study | Placebo comparator | 15 subjects will be randomized to placebo Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage Point Difference in % Predicted Forced Vital Capacity (FVC).
Mean change from baseline in percentage point difference in % predicted forced vital capacity (FVC)
FAS population is defined as all randomized participants who received at least one dose of the investigational product.
Baseline is defined as day 1 of treatment.
Measured: from baseline to week 24
Secondary outcomes (16)
Mean Change From Baseline in Absolute Forced Vital Capacity (FVC).
Mean change from baseline in absolute FVC in the full analysis set (FAS) population.
FAS population is defined as all randomized participants who received at least one dose of the investigational product.
Baseline is defined as day 1 of treatment.
Measured: from baseline to week 24
Mean Change in Distance Walked in the 6-minute Walk Test (6MWT)
Mean change in distance walked in the 6-minute Walk Test (6MWT)
The 6MWT measures the distance a participant is able to walk on a hard, flat surface, over a total of six minutes.
The time points which will be measured are from baseline to Week 24, Extension Week 52, Extension Week 76, Extension Week 104, Week 24 to extension (Ext) Week 52 and Week 24 to Ext Week 104
FAS population is defined as all randomized participants who received at least one dose of the investigational product.
Baseline is defined as day 1 of treatment. Week 24 is the start of baseline of the active treatment extension period.
Measured: From baseline up to week 104
Mean Change From Baseline in Dyspnea Rating on Borg Scale
Mean change from baseline in dyspnea rating on Borg Scale after the 6MWT.
The Borg scale ranges from 0 to 10. Where 0 is no dyspnea and a 10 is extremely strong dyspnea. The lower the number the better.
The time points which will be measured are from baseline to Week 24, Extension Week 52, Extension Week 76, Extension Week 104, Week 24 to extension (Ext) Week 52 and Week 24 to Ext Week 104
FAS population is defined as all randomized participants who received at least one dose of the investigational product.
Baseline is defined as day 1 of treatment. Week 24 is the start of baseline of the active treatment extension period.
Measured: From baseline up to week 104
Percentage of Participants Who Had Disease Progression
Disease progression is defined as one or more of the following:
- Death from respiratory failure,
- Absolute decrease of ≥ 10% from baseline in % predicted FVC at two consecutive evaluations at a minimum of 4 weeks between evaluations
- Decrease from baseline of ≥ 50 meters in 6MWT distance (in the absence of a readily explainable cause, such as injury or trauma).
- Unexplained worsening hypoxemia (an absolute decrease from baseline of 4% or more in arterial oxygen saturation by pulse oximetry [SpO2]).
FAS population is defined as all randomized participants who received at least one dose of the investigational product.
Baseline is defined as day 1 of treatment.
Measured: From Baseline up to week 24
Mean Change From Baseline in Total Score and Domains on the Saint George's Respiratory Questionnaire (SGRQ)
The SGRQ is a quality of life health questionnaire that has been validated in IPF. It consists of 76 items in three domains:
- Symptoms
- Activity
- Impact of disease on daily life
A total score is calculated from 0 (no health impairment) to 100 (maximum health impairment). In addition to the total score, there is also a score for each domain: symptoms, activity, and impact which are scored 0-100. Each component score is derived by dividing the summed weights, unique for all questions, by the maximum possible weight.
Measured: From Baseline up to week 24
Mean Change From Baseline in The University of California San Diego Shortness of Breath Questionnaire (UCSD-SOBQ)
The UCSD-SOBQ is a 24-item dyspnea questionnaire that asks participants to rate themselves from 0 ("Not at all") to 5 ("Maximally or unable to do because of breathlessness") in two areas: 1) how short of breath they are while performing various activities (21 items); and 2) how much shortness of breath, fear of hurting themselves by overexerting, and fear of shortness of breath limit them in their daily lives (3 items). If the subject does not routinely perform the activity, they are asked to estimate the degree of shortness of breath anticipated. The UCSD-SOBQ is scored by summing responses across all 24 items to form a total score. Scores range from 0 to 120. The lower the score the better.
Measured: From Baseline up to week 24
Number of Participants With Adverse Events at the End of the Active Treatment Phase
Number of participants with Adverse events at the end of the active treatment phase
Measured: From re-randomization to end of treatment (approximately 84 weeks)
Number of Participants With Adverse Events in the Placebo Controlled Period
Number of participants with Adverse events
Measured: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Number of Participants With Worst Changes in Hematology Laboratory Parameters During the Active Treatment Extension Period
Number of participants with worst changes in hematology laboratory parameters including: basophils, hemoglobin, lymphocytes, neutrophils and platelets.
Measured: From re-randomization to end of treatment (approximately 84 weeks)
Number of Participants With Worst Changes in Hematology Laboratory Parameters During the in the Placebo Controlled Period
Number of participants with worst changes in hematology laboratory parameters including: basophils, hemoglobin, lymphocytes, neutrophils and platelets.
Measured: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Number of Participants With a Change From Worst Post-baseline in Urinalysis Laboratory Analysis in the Active Treatment Extension Period
Number of participants who had a change from worst post- baseline in urinalysis laboratory analysis for the following measures:
Erythrocytes, Leukocytes, Tubular Epithelial Cells
Measured: From re-randomization to end of treatment (approximately 84 weeks)
Number of Participants With a Change From Worst Post-baseline in Urinalysis Laboratory Analysis in the Placebo Controlled Period
Number of participants who had a change from worst post- baseline in urinalysis laboratory analysis for the following measures:
Erythrocytes, Leukocytes, Tubular Epithelial Cells
Measured: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Mean Change From Baseline in Electrocardiogram Measurements in the Active Treatment Extension Period
Mean change from baseline in Electrocardiogram readings for the following measures: QT interval, QTcF interval, QTcB interval, PR interval, QRS duration and RR interval
Measured: From re-randomization to 4 week follow up after end of treatment (approximately 84 weeks)
Mean Change From Baseline in Electrocardiogram Measurements in the Placebo Controlled Period
Mean change from baseline in Electrocardiogram readings for the following measures: QT interval, QTcF interval, QTcB interval, PR interval, QRS duration and RR interval
Measured: from baseline to week 24
Number of Participants With Worst Increase From Baseline in Blood Pressure in the Active Extension Period
Number of participants with worst increase from baseline in systolic and diastolic blood pressure.
Measured: From re-randomization to 4 week follow up after end of treatment (approximately 84 weeks)
Number of Participants With Worst Increase From Baseline in Blood Pressure in the Placebo-controlled Period
Number of participants with worst increase from baseline in systolic and diastolic blood pressure.
Measured: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2017
- Study start26 Jul 2017
- Primary completion24 Dec 2021
- Study completion24 Dec 2021
Why it stopped: Business objectives have changed.
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 (3)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 CelgeneThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 138 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03142191
- Sponsor's protocol ID
- CC-90001-IPF-001
- Other IDs
- 2016-003473-17, U1111-1192-8549, 2016
- Status last verified
- Jun 2023
- First submitted
- 24 Apr 2017
- Last updated
- 28 Jun 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Mattos WLLD, Khalil N, Spencer LG, Bonella F, Folz RJ, Rolf JD, Mogulkoc N, Lancaster LH, Jenkins RG, Lynch DA, Noble PW, Maher TM, Cottin V, Senger S, Horan GS, Greenberg S, Popmihajlov Z. Phase 2, Double-Blind, Placebo-controlled Trial of a c-Jun N-Terminal Kinase Inhibitor in Idiopathic Pulmonary Fibrosis. Am J Respir Crit Care Med. 2024 Aug 15;210(4):435-443. doi: 10.1164/rccm.202310-1907OC.
PubMed 38484130Popmihajlov Z, Sutherland DJ, Horan GS, Ghosh A, Lynch DA, Noble PW, Richeldi L, Reiss TF, Greenberg S. CC-90001, a c-Jun N-terminal kinase (JNK) inhibitor, in patients with pulmonary fibrosis: design of a phase 2, randomised, placebo-controlled trial. BMJ Open Respir Res. 2022 Jan;9(1):e001060. doi: 10.1136/bmjresp-2021-001060.
PubMed 35058236Nagy MA, Hilgraf R, Mortensen DS, Elsner J, Norris S, Tikhe J, Yoon W, Paisner D, Delgado M, Erdman P, Haelewyn J, Khambatta G, Xu L, Romanow WJ, Condroski K, Bahmanyar S, McCarrick M, Benish B, Blease K, LeBrun L, Moghaddam MF, Apuy J, Canan SS, Bennett BL, Satoh Y. Discovery of the c-Jun N-Terminal Kinase Inhibitor CC-90001. J Med Chem. 2021 Dec 23;64(24):18193-18208. doi: 10.1021/acs.jmedchem.1c01716. Epub 2021 Dec 13.
PubMed 34894681
Study at a glance
From the registry record, last updated by the sponsor on 28 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, 24-Week, Randomized, Double-blind, Placebo-controlled, Multicenter Study, With an 80-Week Active Treatment Extension, to Evaluate the Efficacy and Safety of CC-90001 in Subjects With Idiopathic Pulmonary Fibrosis
- ClinicalTrials.gov ID
- NCT03142191
- Acronym / sponsor ID
- CC-90001-IPF-001
- Conditions
- Idiopathic Pulmonary Fibrosis, Fibrosis, Idiopathic Interstitial Pneumonias, Pathologic Processes, Lung Diseases, Interstitial, Lung Diseases
- Keywords
- Idiopathic Pulmonary Fibrosis (IPF), Pulmonary Fibrosis, CC-90001, Safety, Efficacy, IPF, idiopathic pulmonary fibrosis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Business objectives have changed.
- Enrolment
- 138 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 26 Jul 2017 (actual)
- Primary completion
- 24 Dec 2021 (actual)
- Study completion
- 24 Dec 2021 (actual)
- First posted
- 5 May 2017 (actual)
- Results
- Posted 28 Jun 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 2, multicenter, multinational, randomized, double-blind, placebo-controlled study evaluating the efficacy, safety, pharmacokinetics (PK), quality of life and exploratory pharmacodynamics (PD) of two treatment doses of CC-90001, 200 mg and 400 mg, compared with placebo, when delivered once daily per os (PO) in subjects with idiopathic pulmonary fibrosis (IPF). This study is designed to assess response to treatment by using measures of lung function, disease progression, fibrosis on radiography, and patient-reported outcomes. It will also assess dose response.
Detailed description
Approximately 165 adult male and female subjects with a confirmed diagnosis of Idiopathic pulmonary fibrosis (IPF) (according to the most recent IPF guideline for diagnosis and management) will be randomized 1:1:1 (55 subjects per arm) to treatment with oral CC-90001or matching placebo for an initial 24 weeks.
The randomization will be stratified based on the concurrent administration of SOC (Yes/No). Subjects completing the 24-week Double-blind Treatment Phase will continue onto the 80-week Active Treatment Extension Phase. At Week 24, all subjects originally randomized to receive placebo will be re-randomized 1:1 to blinded CC-90001 (200 mg or 400 mg PO QD). During the 80-week Active Treatment Extension Phase, all subjects not on concurrent SOC therapy will have the opportunity, if deemed appropriate by the Investigator, to receive allowed standard of care (SOC).
The exploratory Progressive Pulmonary Fibrosis (PPF) sub study will evaluate the efficacy, safety, PK, quality of life and exploratory PD of one PO treatment dose regimen of CC-90001, compared with placebo, for an initial 24 weeks of treatment, in subjects with PPF and long-term safety in the 80-week Active Treatment Extension Phase when all PPF subjects will receive CC-90001. Approximately 45 non-SOC subjects will be randomized in this sub study.
All subjects who complete the study treatment phases and those subjects who discontinue investigational product (IP) prior to the completion of the study will participate in the 4-week Post-treatment Observational Follow-up Phase.
The study will be conducted in compliance with the International Council Harmonisation (ICH) of Technical Requirements for Registration of Pharmaceuticals for Human Use/Good Clinical Practice (GCP) and applicable regulatory requirements.
An external DMC, comprised of independent physician experts and a statistician who are not affiliated with the Sponsor and for whom there is no identified conflict of interest will be responsible for safeguarding study participants' interests and for monitoring the overall conduct of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| CC-90001 400 mg PO QD | Experimental | Drug: CC-9000155 subjects will be randomized to CC-90001 400mg |
| CC-90001 200 mg PO QD | Experimental | Drug: CC-9000155 subjects will be randomized to CC-90001 200mg |
| Placebo PO QD | Placebo comparator | Other: Placebo55 subjects will be randomized to placebo |
| CC-90001 400 mg PO QD- Sub-Study | Experimental | Drug: CC-9000130 subjects will be randomized to CC-90001 400mg |
| Placebo PO QD- Sub-Study | Placebo comparator | Other: Placebo15 subjects will be randomized to placebo |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Subject understands and has voluntarily signed and dated an informed consent form
- Subject is male or female ≥ 40 years of age
- Diagnosis of IPF is supported by HRCT and historical lung biopsy (surgical lung biopsy [SLB] or cryobiopsy) if available according to guidelines.
- No features supporting an alternative diagnosis on transbronchial biopsy, bronchoalveolar lavage (BAL), or SLB, if performed.
- Percent predicted forced vital capacity (% FVC) ≥ 45% and ≤ 95% at Screening
Key exclusion criteria (9 listed)
- Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
- Subject with a QTcF > 450 msec.
- Evidence of clinically relevant airways obstruction at Screening.
- Subjects using therapy targeted to treat IPF.
- History of latent or active TB, unless there is medical record documentation of successful completion of a standard course of treatment
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 |
|---|---|---|
| CC-90001CC-90001 is a potent, selective inhibitor of JNK. | Drug | CC-90001 200 mg PO QD, CC-90001 400 mg PO QD, CC-90001 400 mg PO QD- Sub-Study |
| PlaceboPlacebo | Other | Placebo PO QD, Placebo PO QD- Sub-Study |
Primary outcome
Percentage Point Difference in % Predicted Forced Vital Capacity (FVC).
Time frame: from baseline to week 24
Mean change from baseline in percentage point difference in % predicted forced vital capacity (FVC) FAS population is defined as all randomized participants who received at least one dose of the investigational product. Baseline is defined as day 1 of treatment.
16 secondary outcomes
Mean Change From Baseline in Absolute Forced Vital Capacity (FVC).
Time frame: from baseline to week 24
Mean Change in Distance Walked in the 6-minute Walk Test (6MWT)
Time frame: From baseline up to week 104
Mean Change From Baseline in Dyspnea Rating on Borg Scale
Time frame: From baseline up to week 104
Percentage of Participants Who Had Disease Progression
Time frame: From Baseline up to week 24
Mean Change From Baseline in Total Score and Domains on the Saint George's Respiratory Questionnaire (SGRQ)
Time frame: From Baseline up to week 24
Mean Change From Baseline in The University of California San Diego Shortness of Breath Questionnaire (UCSD-SOBQ)
Time frame: From Baseline up to week 24
Number of Participants With Adverse Events at the End of the Active Treatment Phase
Time frame: From re-randomization to end of treatment (approximately 84 weeks)
Number of Participants With Adverse Events in the Placebo Controlled Period
Time frame: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Number of Participants With Worst Changes in Hematology Laboratory Parameters During the Active Treatment Extension Period
Time frame: From re-randomization to end of treatment (approximately 84 weeks)
Number of Participants With Worst Changes in Hematology Laboratory Parameters During the in the Placebo Controlled Period
Time frame: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Number of Participants With a Change From Worst Post-baseline in Urinalysis Laboratory Analysis in the Active Treatment Extension Period
Time frame: From re-randomization to end of treatment (approximately 84 weeks)
Number of Participants With a Change From Worst Post-baseline in Urinalysis Laboratory Analysis in the Placebo Controlled Period
Time frame: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Mean Change From Baseline in Electrocardiogram Measurements in the Active Treatment Extension Period
Time frame: From re-randomization to 4 week follow up after end of treatment (approximately 84 weeks)
Mean Change From Baseline in Electrocardiogram Measurements in the Placebo Controlled Period
Time frame: from baseline to week 24
Number of Participants With Worst Increase From Baseline in Blood Pressure in the Active Extension Period
Time frame: From re-randomization to 4 week follow up after end of treatment (approximately 84 weeks)
Number of Participants With Worst Increase From Baseline in Blood Pressure in the Placebo-controlled Period
Time frame: from baseline to re-randomization (approximately 56 weeks for the IPF cohort and 28 weeks for the PPF cohort)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jun 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38484130Mattos WLLD, Khalil N, Spencer LG, Bonella F, Folz RJ, Rolf JD, Mogulkoc N, Lancaster LH, Jenkins RG, Lynch DA, Noble PW, Maher TM, Cottin V, Senger S, Horan GS, Greenberg S, Popmihajlov Z. Phase 2, Double-Blind, Placebo-controlled Trial of a c-Jun N-Terminal Kinase Inhibitor in Idiopathic Pulmonary Fibrosis. Am J Respir Crit Care Med. 2024 Aug 15;210(4):435-443. doi: 10.1164/rccm.202310-1907OC.
- Derived from this study: PubMed 35058236Popmihajlov Z, Sutherland DJ, Horan GS, Ghosh A, Lynch DA, Noble PW, Richeldi L, Reiss TF, Greenberg S. CC-90001, a c-Jun N-terminal kinase (JNK) inhibitor, in patients with pulmonary fibrosis: design of a phase 2, randomised, placebo-controlled trial. BMJ Open Respir Res. 2022 Jan;9(1):e001060. doi: 10.1136/bmjresp-2021-001060.
- Derived from this study: PubMed 34894681Nagy MA, Hilgraf R, Mortensen DS, Elsner J, Norris S, Tikhe J, Yoon W, Paisner D, Delgado M, Erdman P, Haelewyn J, Khambatta G, Xu L, Romanow WJ, Condroski K, Bahmanyar S, McCarrick M, Benish B, Blease K, LeBrun L, Moghaddam MF, Apuy J, Canan SS, Bennett BL, Satoh Y. Discovery of the c-Jun N-Terminal Kinase Inhibitor CC-90001. J Med Chem. 2021 Dec 23;64(24):18193-18208. doi: 10.1021/acs.jmedchem.1c01716. Epub 2021 Dec 13.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
112 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CC-90001 in people with Idiopathic Pulmonary Fibrosis and Fibrosis, run by Celgene 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 14 inclusion and 9 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 28 Jun 2023. 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, Russia, United Kingdom, Australia, Brazil 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 28 Jun 2023). 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?
Percentage Point Difference in % Predicted Forced Vital Capacity (FVC). (time frame: from baseline to week 24). 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 NCT03142191, which also lists 3 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 28 Jun 2023.