Idiopathic Pulmonary FibrosisPhase 3ISABELA1NCT03711162
A Clinical Study to Test How Effective and Safe GLPG1690 is for Subjects With Idiopathic Pulmonary Fibrosis (IPF) When Used Together With Standard of Care
A Phase 3 study testing GLPG1690 in people with Idiopathic Pulmonary Fibrosis, run by Lakefront Biotherapeutics NV at 132 sites in 15 countries.
Trial summary
The main purpose of this study was to see how GLPG1690 works together with your current standard treatment on your lung function and IPF disease in general. The study also investigated how well GLPG1690 is tolerated (for example if you got any side effects while on study drug). 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?
- GLPG1690
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 525 participants
- Where
- 132 sitesin 15 countries
- Study dates
- 28 Nov 2018to 30 Mar 2021
- Phase
- Phase 3
- 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
- Male or female subject aged ≥40 years on the day of signing the Informed Consent Form (ICF).
- A diagnosis of IPF within 5 years prior to the screening visit, as per applicable American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Association (ALAT) guidelines at the time of diagnosis.
- Chest high-resolution computed tomography (HRCT) historically performed within 12 months prior to the screening visit and according to the minimum requirements for IPF diagnosis by central review based on subject's HRCT only (if no lung biopsy (LB) available), or based on both HRCT and LB (with application of the different criteria in either situation). If an evaluable HRCT <12 months prior to screening is not available, an HRCT can be performed at screening to determine eligibility, according to the same requirements as the historical HRCT.
- Subjects receiving local standard of care for the treatment of IPF, defined as either pirfenidone or nintedanib at a stable dose for at least two months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). A stable dose is defined as the highest dose tolerated by the subject during those two months.
- The extent of fibrotic changes is greater than the extent of emphysema on the most recent HRCT scan (investigator-determined).
- Meeting all of the following criteria during the screening period: FVC ≥45% predicted of normal, Forced expiratory volume in 1 second (FEV1)/FVC ≥0.7, diffusing capacity of the lung for carbon monoxide (DLCO) corrected for Hb ≥30% predicted of normal.
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- Estimated minimum life expectancy of at least 30 months for non IPF related disease in the opinion of the investigator.
- Male subjects and female subjects of childbearing potential agree to use highly effective contraception/preventive exposure measures from the time of first dose of investigational medicinal product (IMP) (for the male subject) or the signing of the ICF (for the female subject), during the study, and until 90 days (male) or 30 days (female) after the last dose of IMP.
- Able to walk at least 150 meters during the 6-Minute Walk Test (6MWT) at screening Visit 1; without having a contraindication to perform the 6MWT or without a condition putting the subject at risk of falling during the test (investigator's discretion). The use of a cane is allowed, the use of a stroller is not allowed at all for any condition. At Visit 2, for the oxygen titration test, resting oxygen saturation (SpO2) should be ≥88% with maximum 6 L O2/minute; during the walk, SpO2 should be ≥83% with 6 L O2/minute or ≥88% with 0, 2 or 4 L O2/minute.
Who cannot join
- History of malignancy within the past 5 years (except for carcinoma in situ of the uterine cervix, basal cell carcinoma of the skin that has been treated with no evidence of recurrence, prostate cancer that has been medically managed through active surveillance or watchful waiting, squamous cell carcinoma of the skin if fully resected, and Ductal Carcinoma In Situ).
- Clinically significant abnormalities detected on ECG of either rhythm or conduction, a QT interval corrected for heart rate using Fridericia's formula (QTcF) >450 ms, or a known long QT syndrome. Patients with implantable cardiovascular devices (e.g. pacemaker) affecting the QT interval time may be enrolled in the study based upon investigator judgment following cardiologist consultation if deemed necessary, and only after discussion with the medical monitor.
- Acute IPF exacerbation within 6 months prior to screening and/or during the screening period. The definition of an acute IPF exacerbation is as follows: Previous or concurrent diagnosis of IPF; Acute worsening or development of dyspnea typically < 1 month duration; Computed tomography with new bilateral ground-glass opacity and/or consolidation superimposed on a background pattern consistent with usual interstitial pneumonia pattern and deterioration not fully explained by cardiac failure or fluid overload.
- Lower respiratory tract infection requiring treatment within 4 weeks prior to screening and/or during the screening period.
- Interstitial lung disease associated with known primary diseases (e.g. sarcoidosis and amyloidosis), exposures (e.g. radiation, silica, asbestos, and coal dust), or drugs (e.g. amiodarone).
- Diagnosis of severe pulmonary hypertension (investigator- determined).
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- Unstable cardiovascular, pulmonary (other than IPF), or other disease within 6 months prior to screening or during the screening period (e.g. acute coronary disease, heart failure, and stroke).
- Had gastric perforation within 3 months prior to screening or during screening, and/or underwent major surgery within 3 months prior to screening, during screening or have major surgery planned during the study period.
- History of nintedanib-related increase in ALT and/or AST of >5 x upper limit of the normal range (ULN) and increased susceptibility to elevated LFT; moderate to severe hepatic impairment (Child-Pugh B or C) and/or abnormal liver function test (LFT) at screening, defined as aspartate aminotransferase (AST), and/or alanine aminotransferase (ALT), and/or total bilirubin ≥1.5 x upper limit of the normal range (ULN), and/or gamma glutamyl transferase (GGT) ≥3 x ULN. Retesting is allowed once for abnormal LFT.
- Abnormal renal function defined as estimated creatinine clearance, calculated according to Cockcroft-Gault calculation (CCr) <30 mL/min. Retesting is allowed once.
- Use of any of the following therapies within 4 weeks prior to screening and during the screening period, or planned during the study: warfarin, imatinib, ambrisentan, azathioprine, cyclophosphamide, cyclosporine A, bosentan, methotrexate, sildenafil (except for occasional use), prednisone at steady dose >10 mg/day or equivalent.
Trial locations and contacts
132 sites in 15 countries.
132 sites in 15 countries
United States47 sites
University of Colorado
Aurora, Colorado, 80045
University of Maryland Medical Center
Baltimore, Maryland, 21201
Massachusetts General Hospital, Division of Pulmonary and Critical Care Medicine
Boston, Massachusetts, 02114
Caritas St. Elizabeth's Medical Center
Boston, Massachusetts, 02135
PAB Clinical Research - ClinEdge - PPDS
Brandon, Florida, 33511
University of Virginia
Charlottesville, Virginia, 22908
Northwestern Memorial Hospital
Chicago, Illinois, 60611
UC Health Department of Internal Medicine, Pulmonary, Critical Care & Sleep Medicine
Cincinnati, Ohio, 45267
St. Francis Medical Institute - BTC - PPDS
Clearwater, Florida, 33765
Cleveland Clinic
Cleveland, Ohio, 44195-0001
Pulmonary and Infections Disease Associates
Council Bluffs, Iowa, 51503
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Western Connecticut Medical Group
Danbury, Connecticut, 06810
Henry Ford Health System
Dearborn, Michigan, 48124
National Jewish Health
Denver, Colorado, 80206
Western Washington Medical Group
Everett, Washington, 98208
North Florida/South Georgia Veterans Health System-NAVREF-PPDS
Gainesville, Florida, 32608
University of Florida
Gainesville, Florida, 32610
PulmonIx LLC
Greensboro, North Carolina, 27403
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033
Houston Methodist Hospital
Houston, Texas, 77030
Atria Clinical Research - BTC - PPDS
Little Rock, Arkansas, 72209
David Geffen School of Medicine at UCLA
Los Angeles, California, 90095
University of Louisville
Louisville, Kentucky, 40202
Advanced Pulmonary Research Institute
Loxahatchee Groves, Florida, 33470
University of Wisconsin
Madison, Wisconsin, 53792
Metroplex Pulmonary and Sleep Medicine Center
McKinney, Texas, 75069
Minnesota Lung Center
Minneapolis, Minnesota, 55407
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Yale University School of Medicine
New Haven, Connecticut, 06510
Tulane Medical Center
New Orleans, Louisiana, 70112
Creighton University
Omaha, Nebraska, 68131
Respire Research
Palm Springs, California, 92262
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Pulmonary Associates
Phoenix, Arizona, 85006
The Oregon Clinic
Portland, Oregon, 97220
Rhode Island Hospital
Providence, Rhode Island, 02903
Mayo Clinic - PPDS
Rochester, Minnesota, 55905
University of Rochester Medical Center - PPDS
Rochester, New York, 14642
University of Utah Medical Care
Salt Lake City, Utah, 84108
University of Texas Health Science Center San Antonio
San Antonio, Texas, 78229
University of California San Diego
San Diego, California, 92037
Mayo Clinic Arizona - PPDS
Scottsdale, Arizona, 85259
University of Washington Medical Center
Seattle, Washington, 98195
Washington University School of Medicine
St Louis, Missouri, 63110
Stanford University Medical Center
Stanford, California, 94305
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
United Kingdom11 sites
Birmingham Heartlands Hospital
Birmingham, B9 5SS
Southmead Hospital
Bristol, BS10 5NB
Papworth Hospital
Cambridge, CB233RE
Castle Hill Hospital
Cottingham, HU16 5JQ
Royal Devon and Exeter Hospital NHS Trust
Exeter, EX2 5DW
Aintree University Hospital NHS Foundation Trust
Liverpool, L9 7AL
Royal Brompton Hospital
London, SW3 6NP
Wythenshawe Hospital - PPDS
Manchester, M23 9LT
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
Newcastle, NE14LP
Nottingham City Hospital
Nottingham, NG5 1PB
Northern General Hospital
Sheffield, S5 7AU
Australia10 sites
Royal Adelaide Hospital
Adelaide, 5000
Flinders Medical Centre
Bedford Park, 5042
Box Hill Hospital
Box Hill, VIC 3128
Corte Royal Prince Alfred Hospital
Camperdown, NSW 2050
Lung Research Queensland
Chermside, QLD 4060
Concord Repatriation General Hospital
Concord, NSW 2139
St Vincent's Hospital Sydney
Darlinghurst, NSW 2010
Austin Health
Heidelberg, 3084
Respiratory Clinical Trials Pty Ltd
Kent Town, SA 5067
The Alfred Hospital
Melbourne, VIC 3004
Chile9 sites
Hospital Clínico Regional de Concepción Dr Guillermo Grant Benavente
Concepción, 4070038
Centro de Investigación Curico
Curicó, 3341643
Centro Respiratorio Integral LTDA. (CENRESIN)
Quillota, 2260000
Instituto Nacional Torax
Santiago, 7500691
Centro de Investigaciones Medicas Respiratorias CIMER
Santiago, 7500692
Hospital Dr Sotero Del Rio
Santiago, 8207257
Centro de Investigacion del Maule
Talca, 3465584
Hospital Carlos Van Buren
Valparaíso, 2352499
CINVEC- Estudos Clínicos Quinta Región Limitada
Viña del Mar, 2520024
Spain8 sites
Hospital Clinical de Barcelona
Barcelona, 03036
Hospital Universitario de Bellvitge, Hospitalet De Llobregat
Barcelona, 08097
Hospital Universitario de La Princesa
Madrid, 28006
Hospital Clinico San Carlos
Madrid, 28040
Clinica Universidad Navarra
Pamplona, 31008
Hospital Universitario Marques de Valdecilla
Santander, 39008
Consorcio Hospital General Universitario de Valencia
Valencia, 46014
CHUVI - H.U. Alvaro Cunquerio
Vigo, Pontevedra, 36312
Germany7 sites
Zentralklinik Bad Berka GmbH
Bad Berka, 99437
Evangelische Lungenklinik
Berlin, 13125
Fachkrankenhaus Coswig
Coswig, 01640
Medizinische Hochschule Hannover
Hanover, 30625
Thorax Klinik
Heidelberg, 69126
Universitatsklinikum Leipzig
Leipzig, 04103
Klinikum Rosenheim
Rosenheim, 83022
Japan7 sites
Tenryu Hospital
Hamamatsu, 434-8511
Saiseikai Kumamoto Hospital
Kumamoto, 861-4193
National Hospital Organization Kinki-Chuo Chest Medical Center
Sakai, 591-8555
Tosei General Hospital
Seto, 489-0065
Center Hospital of the National Center for Global Health and Medicine
Tokyo, 162-0052
National Hospital Organization Kyushu Medical Center
Tokyo, 810-8563
Kanagawa Cardiovascular and Respiratory Center
Yokohama, 236-0051
Peru6 sites
Hospital Chancay y Servicios Basicos de Salud
Chancay, 15131
Hospital Nacional Guillermo Almenara Irigoyen ESSALUD
Lima
Clinica Internacional - PPDS
Lima Cercado
Clinica Ricardo Palma - PPDS
San Isidro
Clinica Providencia (Inverconsult Sociedad Anonima)
San Miguel
Clinica San Pablo
Santiago de Surco
Belgium5 sites
ZNA Middelheim
Antwerp, 2020
Hôpital Erasme
Brussels, 1070
Cliniques Universitaires Saint-Luc
Brussels, 1200
UZ Leuven
Leuven, 3000
CHU UCL Namur asbl - Site Godinne
Yvoir, 5530
Greece5 sites
Sotiria Chest Hospital of Athens
Athens, 11527
Attikon University General Hospital
Athens, 12464
University General Hospital of Heraklion
Heraklion, 71110
University General Hospital of Larissa
Larissa, 41110
Georgios Papanikolaou General Hospital of Thessaloniki
Thessaloniki, 57010
Czechia4 sites
Fakultni nemocnice Brno
Brno, 62500
Fakultni nemocnice Ostrava
Ostrava, 708 52
Thomayerova nemocnice
Prague, 14059
Nemocnice Na Bulovce
Prague, 180 81
Taiwan4 sites
Kaohsiung Medical University Hospital
Kaohsiung City, 807
Far Eastern Memorial Hospital
New Taipei City, 220
Taipei Medical University Shuang Ho Hospital
New Taipei City, 23561
National Taiwan University Hospital
Taipei, 10002
Turkey (Türkiye)4 sites
Süreyyapaşa Göğüs Hastalıkları Ve Göğüs Cerrahisi Eğitim Ve Araştırma Hastanesi
Istanbul, 34854
Ege Universitesi Tıp Fakultesi Hastanesi Gögus Hastalıkları Anabilim Dalı
Izmir, 35100
Uludag Universitesi Tıp Fakultesi Hastanesi Gögüs Hastalıkları Anabilim Dalı
Izmir, 35100
Mersin Üniversitesi Tıp Fakültesi Hastanesi Göğüs Hastalıkları Polikinliği
Mersin, 33169
Denmark3 sites
Aarhus Universitetshospital
Aarhus, 8200
Gentofte Hospital
Hellerup, 2900
Odense Universitetshospital
Odense, 5000
Brazil2 sites
Irmandade Da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90035-074
Faculdade de Medicina Do ABC
Santo André, 09060-870
About this study
Official title: A Phase 3, Randomized, Double-blind, Parallel-group, Placebo-controlled Multicenter Study to Evaluate the Efficacy and Safety of Two Doses of GLPG1690 in Addition to Local Standard of Care for Minimum 52 Weeks in Subjects With Idiopathic Pulmonary Fibrosis
The main purpose of this study was to see how GLPG1690 works together with your current standard treatment on your lung function and IPF disease in general. The study also investigated how well GLPG1690 is tolerated (for example if you got any side effects while on study drug).
- Conditions
- Idiopathic Pulmonary Fibrosis
- Being tested
- GLPG1690, 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.
GLPG1690Drug
Also called ziritaxestat
GLPG1690, film-coated tablets for oral use.
PlaceboDrug
Matching placebo, film-coated tablets for oral use.
| Study group | Role | What they receive |
|---|---|---|
| GLPG1690 600 mg | Experimental | Participants received GLPG1690 (ziritaxestat) 600 mg, film-coated tablets orally once daily (mean GLPG1690 exposure was up to 325.3 days) in addition to local standard of care. Standard of care included either pirfenidone or nintedanib at a stable dose for at least 2 months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). Receives: Drug: GLPG1690 |
| GLPG1690 200 mg | Experimental | Participants received GLPG1690 (ziritaxestat) 200 mg as film-coated tablet for oral use once daily (mean GLPG1690 exposure was up to 356.0 days) in addition to local standard of care. Standard of care included either pirfenidone or nintedanib at a stable dose for at least 2 months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). Receives: Drug: GLPG1690 |
| Placebo | Placebo comparator | Participants received GLPG1690 (ziritaxestat) matching placebo tablets for oral use once daily (mean GLPG1690 exposure was up to 353.4 days) in addition to local standard of care. Standard of care included either pirfenidone or nintedanib at a stable dose for at least 2 months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annual Rate of Decline in FVC up to Week 52
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline up to week 52
Secondary outcomes (34)
Percentage of Participants With Disease Progression up to Week 52
Disease progression was defined as the composite occurrence of more than or equal to (>=)10 percent (%) absolute decline in percent predicted forced vital capacity (%FVC) or all-cause mortality. FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Up to week 52
Percentage of Participants With Respiratory-Related Hospitalization Until End of Study (EoS)
Percentage of participants with respiratory related hospitalization were reported in this measure.
Measured: Up to EoS (week 121)
Change From Baseline in St.George's Respiratory Questionnaire (SGRQ) Total Score at Week 52
SGRQ is a 50-item paper questionnaire designed to measure and quantify the impact of chronic respiratory disease on health-related quality of life (QOL) and well-being, split into 3 domains: symptoms score assessing the frequency and severity of respiratory symptoms (Items 1-8), activity score assessing the effects of breathlessness on mobility and physical activity (Items 11-17 and 36 to 44), and impacts score assessing the psychosocial impact of the disease (Items 9-10, 18-35 and 45-50). Each item has a specific weight.
Domain scores = 100 * summed weights from positive items in that component/sum of maximum weights for all non-missing items in that component
Total score = 100 * summed weights from positive items in the questionnaire/sum of maximum weights for all non-missing items in the questionnaire
Scores were weighted such that each domain score ranged from 0 to 100 and the total score ranged from 0 to 100, with higher scores indicating the poorer health-related QOL.
Measured: Baseline, week 52
Annual Rate of Decline in FVC Until EoS
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline up to EoS (week 121)
Percentage of Participants With Disease Progression Until EoS
Disease progression was defined as the composite occurrence of >=10% absolute decline in percent predicted %FVC or all-cause mortality. FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Up to EoS (week 121)
Change From Baseline in St.George's Respiratory Questionnaire (SGRQ) Total Score at Week 100
SGRQ is a 50-item paper questionnaire designed to measure and quantify the impact of chronic respiratory disease on health-related quality of life (QOL) and well-being, split into 3 domains: symptoms score assessing the frequency and severity of respiratory symptoms (Items 1-8), activity score assessing the effects of breathlessness on mobility and physical activity (Items 11-17 and 36 to 44), and impacts score assessing the psychosocial impact of the disease (Items 9-10, 18-35 and 45-50). Each item has a specific weight.
Domain scores = 100 * summed weights from positive items in that component/sum of maximum weights for all non-missing items in that component Total score = 100 * summed weights from positive items in the questionnaire/sum of maximum weights for all non-missing items in the questionnaire Scores were weighted such that each domain score ranged from 0 to 100 and the total score ranged from 0 to 100, with higher scores indicating the poorer health-related QOL.
Measured: Baseline, week 100
Percentage of Participants With All Cause Hospitalization Until EoS
Percentage of participants with all cause hospitalization was reported for this measure.
Measured: Up to EoS (week 121)
Percentage of Participants With Respiratory Related Mortality Until EoS
Percentage of participants with respiratory related mortality until EoS were reported for this study.
Measured: Up to EoS (week 121)
Percentage of Participants Hospitalized for Non-elective Lung Transplant Until EoS
Percentage of Participants who were hospitalized for Non-elective lung transplant were reported for this measure.
Measured: Up to EoS (week 121)
Percentage of Participants With Acute Idiopathic Pulmonary Fibrosis (IPF) Exacerbation Until EoS
Percentage of participants with acute IPF exacerbation until EoS were reported for this measure.
Measured: Up to EoS (week 121)
Percentage of Participants With All Cause Mortality or Hospitalization for Non-elective Lung Transplant Until EoS
Percentage of participants with all-cause mortality or hospitalization for non-elective lung transplant were reported for this measure.
Measured: Up to EoS (week 121)
Percentage of Participants With All Cause Mortality, Hospitalization for Non-elective Lung Transplant or Hospitalization for Qualifying for Lung Transplant Until EoS
Percentage of participants with all-cause mortality or hospitalization for non-elective lung transplant or hospitalization for qualifying for lung transplant were reported for this measure.
Measured: Up to EoS (week 121)
Percentage of Participants With All-Cause Mortality or Hospitalization That Meets >=10% Absolute Decline in %FVC or Respiratory-Related Hospitalization Until EoS
Percentage of participants with all-cause mortality or respiratory related hospitalization that meets >=10% absolute decline in %FVC or respiratory-related hospitalization were reported for this measure.
Measured: Up to EoS (week 121)
Percentage of Participants With All-Cause Mortality or Respiratory-Related Hospitalizations Until EoS
Percentage of participants with all-cause mortality or respiratory related hospitalization were reported for this measure.
Measured: Up to EoS (week 121)
FVC at Week 52
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Week 52
Change From Baseline in FVC at Week 52
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 52
Percent Change From Baseline in FVC at Week 52
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 52
FVC at Week 112
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Week 112
Change From Baseline in FVC at Week 112
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 112
Percent Change From Baseline in FVC at Week 112
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 112
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 52: FVC Change Within ≤5
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 52
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 112: FVC Change Within ≤5
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 112
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 52: FVC Change Within ≤10
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 52
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 112: FVC Change Within ≤10
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
Measured: Baseline, week 112
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Safety was assessed by AEs, which included abnormalities identified during a medical test (example, laboratory tests, vital signs, electrocardiogram, etc.) if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study drug or was clinically significant. A Treatment emergent AE (TEAE) was defined as any AE that started or worsened after the first dose of study drug up to 30 days after the last dose of study drug. AEs were considered serious (SAEs) if the AE resulted in death, was life-threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly, or birth defect or required inpatient hospitalization or led to prolongation of hospitalization.
Measured: Baseline up to 30 days after the last dose (up to week 121)
Changes From Baseline Leicester Cough Questionnaire (LCQ) Total Score and Individual Domain Score at Week 52 and Week 100
Cough was evaluated using the LCQ. The LCQ was a 19-item questionnaire split into three domains: physical, psychological, and social. Scores were calculated by domain (range from 1 to 7, higher scores indicated a better health status) and then the total score was calculated by adding the individual domain score. Total score ranged from 3 to 21, with higher scores indicated a better health status.
Measured: Baseline, week 52, week 100
Change From Baseline in Visual Analogue Score (VAS): Cough at Week 52 and Week 100
Cough was assessed using VAS score, ranged from 0 (no cough) to 100 millimeter (mm) (worst possible cough).
Measured: Baseline, week 52, week 100
Change From Baseline in Visual Analogue Score (VAS): Urge to Cough at Week 52 and Week 100
Urge to Cough was assessed using VAS score, ranged from 0 (no urge to cough) to 100 mm (highest urge to cough).
Measured: Baseline, week 52, week 100
Change From Baseline in European Quality Of Life (EQ) VAS at Week 52 and Week 100
EuroQol outcome measurements is a printed 20 cm VAS that appears somewhat like a thermometer, on which a score from 0 (worst imaginable health state or death) to 100 (best imaginable health state) was marked by the participant (or, when necessary, their proxy) with the scale in view.
Measured: Baseline, week 52, week 100
Change From Baseline in King's Brief Interstitial Lung Disease (K-BILD) at Week 52 and Week 100
The K-BILD questionnaire was specifically developed to analyze the health status of participants with ILD. The questionnaire consists of 15 items (assessed by the participants on a scale ranging from 1 to 7, where 1 and 7 represent worst and best health status). Items are compiled into 3 domains: breathlessness and activities (range: 0-21), psychological (range: 0-34) , and chest symptoms (range: 0-8). To score the K-BILD, the Likert response scale weightings for individual items are combined and scores are transformed to a range of 0-100 by using logit values (higher scores indicate better health status).
Measured: Baseline, week 52, week 100
Area Under The Concentration Time Curve (AUC) of Ziritaxtestat
Area under the concentration time curve of ziritaxtestat was reported.
Measured: Sparse samples collected on day 1 pre-dose, day 85 post-dose, day 237 post-dose, day 183 pre-dose, day 365 pre-dose
Maximum Observed Plasma Concentration (Cmax) of Ziritaxtestat
Maximum Observed Plasma Concentration of Ziritaxtestat was reported.
Measured: Sparse samples collected on day 1 pre-dose, day 85 post-dose, day 237 post-dose, day 183 pre-dose, day 365 pre-dose
Change From Baseline in Total Distance Walked in Six-minute Walk Test (6MWT) at Week 52 and Week 100
The 6-MWT depicted the total distance covered by a participant during 6 minutes of walking.
Measured: Baseline, week 52, week 100
Change From Baseline in Diffusing Capacity of Lung for Carbon Monoxide (DLCO) (Corrected for Hemoglobin [Hb]) at Week 52 and Week 100
Change from baseline in DLCO (percent predicted hemoglobin level corrected) was reported for this measure.mmol/min/kPa: Millimole per minute per kilopascal
Measured: Baseline, week 52, week 100
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2018
- Study start28 Nov 2018
- Primary completion30 Mar 2021
- Study completion30 Mar 2021
Why it stopped: The benefit-risk profile no longer supports continuing the study
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.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 525 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lakefront Biotherapeutics NV
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Galapagos Study Director, MD, Study director, Lakefront Biotherapeutics NV
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03711162
- Sponsor's protocol ID
- GLPG1690-CL-303
- Other IDs
- 2018-001405-87, 2018
- Acronym
- ISABELA1
- Status last verified
- Jul 2022
- First submitted
- 15 Oct 2018
- Last updated
- 29 Jul 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Ford P, Kreuter M, Brown KK, Wuyts WA, Wijsenbeek M, Israel-Biet D, Hubbard R, Nathan SD, Nunes H, Penninckx B, Prasad N, Seghers I, Spagnolo P, Verbruggen N, Hirani N, Behr J, Kaner RJ, Maher TM. An adjudication algorithm for respiratory-related hospitalisation in idiopathic pulmonary fibrosis. ERJ Open Res. 2024 Jan 29;10(1):00636-2023. doi: 10.1183/23120541.00636-2023. eCollection 2024 Jan.
PubMed 38288082Maher TM, Ford P, Brown KK, Costabel U, Cottin V, Danoff SK, Groenveld I, Helmer E, Jenkins RG, Milner J, Molenberghs G, Penninckx B, Randall MJ, Van Den Blink B, Fieuw A, Vandenrijn C, Rocak S, Seghers I, Shao L, Taneja A, Jentsch G, Watkins TR, Wuyts WA, Kreuter M, Verbruggen N, Prasad N, Wijsenbeek MS; ISABELA 1 and 2 Investigators. Ziritaxestat, a Novel Autotaxin Inhibitor, and Lung Function in Idiopathic Pulmonary Fibrosis: The ISABELA 1 and 2 Randomized Clinical Trials. JAMA. 2023 May 9;329(18):1567-1578. doi: 10.1001/jama.2023.5355.
PubMed 37159034Maher TM, Kreuter M, Lederer DJ, Brown KK, Wuyts W, Verbruggen N, Stutvoet S, Fieuw A, Ford P, Abi-Saab W, Wijsenbeek M. Rationale, design and objectives of two phase III, randomised, placebo-controlled studies of GLPG1690, a novel autotaxin inhibitor, in idiopathic pulmonary fibrosis (ISABELA 1 and 2). BMJ Open Respir Res. 2019 May 21;6(1):e000422. doi: 10.1136/bmjresp-2019-000422. eCollection 2019.
PubMed 31179008
Study at a glance
From the registry record, last updated by the sponsor on 29 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Parallel-group, Placebo-controlled Multicenter Study to Evaluate the Efficacy and Safety of Two Doses of GLPG1690 in Addition to Local Standard of Care for Minimum 52 Weeks in Subjects With Idiopathic Pulmonary Fibrosis
- ClinicalTrials.gov ID
- NCT03711162
- Acronym / sponsor ID
- ISABELA1 / GLPG1690-CL-303
- Conditions
- Idiopathic Pulmonary Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The benefit-risk profile no longer supports continuing the study
- Enrolment
- 525 participants (actual)
- Lead sponsor
- Lakefront Biotherapeutics NVIndustry (pharma, biotech, devices)
- Study start
- 28 Nov 2018 (actual)
- Primary completion
- 30 Mar 2021 (actual)
- Study completion
- 30 Mar 2021 (actual)
- First posted
- 18 Oct 2018 (actual)
- Results
- Posted 29 Jul 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study was to see how GLPG1690 works together with your current standard treatment on your lung function and IPF disease in general. The study also investigated how well GLPG1690 is tolerated (for example if you got any side effects while on study drug).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| GLPG1690 600 mg | Experimental | Drug: GLPG1690Participants received GLPG1690 (ziritaxestat) 600 mg, film-coated tablets orally once daily (mean GLPG1690 exposure was up to 325.3 days) in addition to local standard of care. Standard of care included either pirfenidone or nintedanib at a stable dose for at least 2 months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). |
| GLPG1690 200 mg | Experimental | Drug: GLPG1690Participants received GLPG1690 (ziritaxestat) 200 mg as film-coated tablet for oral use once daily (mean GLPG1690 exposure was up to 356.0 days) in addition to local standard of care. Standard of care included either pirfenidone or nintedanib at a stable dose for at least 2 months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). |
| Placebo | Placebo comparator | Drug: PlaceboParticipants received GLPG1690 (ziritaxestat) matching placebo tablets for oral use once daily (mean GLPG1690 exposure was up to 353.4 days) in addition to local standard of care. Standard of care included either pirfenidone or nintedanib at a stable dose for at least 2 months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female subject aged ≥40 years on the day of signing the Informed Consent Form (ICF).
- A diagnosis of IPF within 5 years prior to the screening visit, as per applicable American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Association (ALAT) guidelines at the time of diagnosis.
- Chest high-resolution computed tomography (HRCT) historically performed within 12 months prior to the screening visit and according to the minimum requirements for IPF diagnosis by central review based on subject's HRCT only (if no lung biopsy (LB) available), or based on both HRCT and LB (with application of the different criteria in either situation). If an evaluable HRCT <12 months prior to screening is not available, an HRCT can be performed at screening to determine eligibility, according to the same requirements as the historical HRCT.
- Subjects receiving local standard of care for the treatment of IPF, defined as either pirfenidone or nintedanib at a stable dose for at least two months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). A stable dose is defined as the highest dose tolerated by the subject during those two months.
- The extent of fibrotic changes is greater than the extent of emphysema on the most recent HRCT scan (investigator-determined).
Key exclusion criteria (11 listed)
- History of malignancy within the past 5 years (except for carcinoma in situ of the uterine cervix, basal cell carcinoma of the skin that has been treated with no evidence of recurrence, prostate cancer that has been medically managed through active surveillance or watchful waiting, squamous cell carcinoma of the skin if fully resected, and Ductal Carcinoma In Situ).
- Clinically significant abnormalities detected on ECG of either rhythm or conduction, a QT interval corrected for heart rate using Fridericia's formula (QTcF) >450 ms, or a known long QT syndrome. Patients with implantable cardiovascular devices (e.g. pacemaker) affecting the QT interval time may be enrolled in the study based upon investigator judgment following cardiologist consultation if deemed necessary, and only after discussion with the medical monitor.
- Acute IPF exacerbation within 6 months prior to screening and/or during the screening period. The definition of an acute IPF exacerbation is as follows: Previous or concurrent diagnosis of IPF; Acute worsening or development of dyspnea typically < 1 month duration; Computed tomography with new bilateral ground-glass opacity and/or consolidation superimposed on a background pattern consistent with usual interstitial pneumonia pattern and deterioration not fully explained by cardiac failure or fluid overload.
- Lower respiratory tract infection requiring treatment within 4 weeks prior to screening and/or during the screening period.
- Interstitial lung disease associated with known primary diseases (e.g. sarcoidosis and amyloidosis), exposures (e.g. radiation, silica, asbestos, and coal dust), or drugs (e.g. amiodarone).
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 |
|---|---|---|
| GLPG1690Also: ziritaxestatGLPG1690, film-coated tablets for oral use. | Drug | GLPG1690 200 mg, GLPG1690 600 mg |
| PlaceboMatching placebo, film-coated tablets for oral use. | Drug | Placebo |
Primary outcome
Annual Rate of Decline in FVC up to Week 52
Time frame: Baseline up to week 52
FVC (in mL) is the maximum amount of air exhaled from lungs by a participant after taking their deepest possible breath, as measured by spirometry.
34 secondary outcomes
Percentage of Participants With Disease Progression up to Week 52
Time frame: Up to week 52
Percentage of Participants With Respiratory-Related Hospitalization Until End of Study (EoS)
Time frame: Up to EoS (week 121)
Change From Baseline in St.George's Respiratory Questionnaire (SGRQ) Total Score at Week 52
Time frame: Baseline, week 52
Annual Rate of Decline in FVC Until EoS
Time frame: Baseline up to EoS (week 121)
Percentage of Participants With Disease Progression Until EoS
Time frame: Up to EoS (week 121)
Change From Baseline in St.George's Respiratory Questionnaire (SGRQ) Total Score at Week 100
Time frame: Baseline, week 100
Percentage of Participants With All Cause Hospitalization Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants With Respiratory Related Mortality Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants Hospitalized for Non-elective Lung Transplant Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants With Acute Idiopathic Pulmonary Fibrosis (IPF) Exacerbation Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants With All Cause Mortality or Hospitalization for Non-elective Lung Transplant Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants With All Cause Mortality, Hospitalization for Non-elective Lung Transplant or Hospitalization for Qualifying for Lung Transplant Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants With All-Cause Mortality or Hospitalization That Meets >=10% Absolute Decline in %FVC or Respiratory-Related Hospitalization Until EoS
Time frame: Up to EoS (week 121)
Percentage of Participants With All-Cause Mortality or Respiratory-Related Hospitalizations Until EoS
Time frame: Up to EoS (week 121)
FVC at Week 52
Time frame: Week 52
Change From Baseline in FVC at Week 52
Time frame: Baseline, week 52
Percent Change From Baseline in FVC at Week 52
Time frame: Baseline, week 52
FVC at Week 112
Time frame: Week 112
Change From Baseline in FVC at Week 112
Time frame: Baseline, week 112
Percent Change From Baseline in FVC at Week 112
Time frame: Baseline, week 112
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 52: FVC Change Within ≤5
Time frame: Baseline, week 52
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 112: FVC Change Within ≤5
Time frame: Baseline, week 112
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 52: FVC Change Within ≤10
Time frame: Baseline, week 52
Percentage of Participants With Absolute Categorical Change From Baseline in Percent FVC at Week 112: FVC Change Within ≤10
Time frame: Baseline, week 112
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Time frame: Baseline up to 30 days after the last dose (up to week 121)
Changes From Baseline Leicester Cough Questionnaire (LCQ) Total Score and Individual Domain Score at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Change From Baseline in Visual Analogue Score (VAS): Cough at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Change From Baseline in Visual Analogue Score (VAS): Urge to Cough at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Change From Baseline in European Quality Of Life (EQ) VAS at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Change From Baseline in King's Brief Interstitial Lung Disease (K-BILD) at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Area Under The Concentration Time Curve (AUC) of Ziritaxtestat
Time frame: Sparse samples collected on day 1 pre-dose, day 85 post-dose, day 237 post-dose, day 183 pre-dose, day 365 pre-dose
Maximum Observed Plasma Concentration (Cmax) of Ziritaxtestat
Time frame: Sparse samples collected on day 1 pre-dose, day 85 post-dose, day 237 post-dose, day 183 pre-dose, day 365 pre-dose
Change From Baseline in Total Distance Walked in Six-minute Walk Test (6MWT) at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Change From Baseline in Diffusing Capacity of Lung for Carbon Monoxide (DLCO) (Corrected for Hemoglobin [Hb]) at Week 52 and Week 100
Time frame: Baseline, week 52, week 100
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jul 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38288082Ford P, Kreuter M, Brown KK, Wuyts WA, Wijsenbeek M, Israel-Biet D, Hubbard R, Nathan SD, Nunes H, Penninckx B, Prasad N, Seghers I, Spagnolo P, Verbruggen N, Hirani N, Behr J, Kaner RJ, Maher TM. An adjudication algorithm for respiratory-related hospitalisation in idiopathic pulmonary fibrosis. ERJ Open Res. 2024 Jan 29;10(1):00636-2023. doi: 10.1183/23120541.00636-2023. eCollection 2024 Jan.
- Derived from this study: PubMed 37159034Maher TM, Ford P, Brown KK, Costabel U, Cottin V, Danoff SK, Groenveld I, Helmer E, Jenkins RG, Milner J, Molenberghs G, Penninckx B, Randall MJ, Van Den Blink B, Fieuw A, Vandenrijn C, Rocak S, Seghers I, Shao L, Taneja A, Jentsch G, Watkins TR, Wuyts WA, Kreuter M, Verbruggen N, Prasad N, Wijsenbeek MS; ISABELA 1 and 2 Investigators. Ziritaxestat, a Novel Autotaxin Inhibitor, and Lung Function in Idiopathic Pulmonary Fibrosis: The ISABELA 1 and 2 Randomized Clinical Trials. JAMA. 2023 May 9;329(18):1567-1578. doi: 10.1001/jama.2023.5355.
- Derived from this study: PubMed 31179008Maher TM, Kreuter M, Lederer DJ, Brown KK, Wuyts W, Verbruggen N, Stutvoet S, Fieuw A, Ford P, Abi-Saab W, Wijsenbeek M. Rationale, design and objectives of two phase III, randomised, placebo-controlled studies of GLPG1690, a novel autotaxin inhibitor, in idiopathic pulmonary fibrosis (ISABELA 1 and 2). BMJ Open Respir Res. 2019 May 21;6(1):e000422. doi: 10.1136/bmjresp-2019-000422. eCollection 2019.
- Individual participant dataSharing planned: No
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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.
Galapagos Study Director, MD study director
Lakefront Biotherapeutics NV
132 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GLPG1690 in people with Idiopathic Pulmonary Fibrosis, run by Lakefront Biotherapeutics NV at 132 sites in 15 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 9 inclusion and 11 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 29 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 132 sites in United States, United Kingdom, Australia, Chile, Spain and 10 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 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?
Yes. Results are posted in the registry (first posted 29 Jul 2022). 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?
Annual Rate of Decline in FVC up to Week 52 (time frame: Baseline up to week 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 NCT03711162, 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 29 Jul 2022; AzTrials last refreshed its copy on 27 Oct 2026.