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Idiopathic Pulmonary FibrosisPhase 2NCT05571059

Oral Ifetroban in Patients With Idiopathic Pulmonary Fibrosis (IPF)

A Phase 2 study testing Ifetroban Sodium in people with Idiopathic Pulmonary Fibrosis, run by Cumberland Pharmaceuticals at 20 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Ifetroban prevents and treats lung fibrosis due to multiple causes (bleomycin, genetic, radiation). The safety and efficacy of oral ifetroban will be assessed in patients with IPF. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Idiopathic Pulmonary Fibrosis
What is being tested?
Ifetroban Sodium
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
128 participants
Where
20 sitesUnited States
Study dates
31 Jan 2024to Jan 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 age 40 years or older
  • IPF Diagnosis:
  • Satisfying the 2022 American Thoracic Society/European Respiratory Society /Japanese Respiratory Society/Latin American Thoracic Association (ATS/ERS/JRS/ALAT) diagnostic criteria (Raghu 2022) confirmed by the investigator
  • UIP or probable UIP based on chest HRCT obtained within 2 months of Day 0, or historical lung biopsy consistent with UIP.
  • If receiving antifibrotic therapy, patients must be receiving a stable dose for ≥ 4 months prior to Day 0 and planning to stay on stable background therapy. Allowable antifibrotic therapy includes: pirfenidone, nintedanib, nerandomilast, pirfenidone with nerandomilast, or nintedanib with nerandomilast (combination of pirfenidone and nintedanib not allowed). If not receiving antifibrotic therapy, patients must be naive to each drug (pirfenidone, nintedanib, nerandomilast) or not have received either for at least 4 weeks prior to Day 0 and remain off background therapy with no intention to start or re-start. Changes in antifibrotic therapy are not allowed on study.
  • If receiving monotherapy for the treatment of pulmonary hypertension (e.g. phosphodiesterase 5 inhibitors, endothelin receptor antagonists or inhaled or oral prostanoid therapy), patients must be receiving a stable dose for ≥ 4 weeks prior to Day 0 and planning to remain on a stable dose throughout the study.
  • FVC ≥ 40% of predicted normal according to Global Lung Initiative (GLI)
  • Diffusion Capacity of Carbon Monoxide (DLCO) [corrected for hemoglobin] ≥ 25% to <80% of predicted normal

Who cannot join

  • Relevant airways obstruction (pre-bronchodilator Forced Expiratory Volume in one second to forced vital capacity ratio less than 70% (FEV1/FVC < 0.7))
  • In the opinion of the Investigator, other clinically significant pulmonary abnormalities.
  • Known significant PAH, defined as previous clinical or echocardiographic evidence of significant right heart failure, history of right heart catheterization showing a cardiac index < 2 L/min/m2, or PAH requiring combination of PAH-specific therapies or any PAH parenteral therapy.
  • Emphysema ≥ 50% on HRCT assessed by the investigator, or the extent of emphysema is greater than the extent of fibrosis according to reported results from the most recent chest HRCT.
  • Acute IPF exacerbation within 6 weeks prior to screening and/or during the screening period (investigator-determined).
  • ILD associated with other known causes
Show all 37Show fewer
  • Lower respiratory tract infection requiring antibiotics within 4 weeks prior to Day 0 and/or during the screening period.
  • Major surgery (major according to the investigator's assessment) performed within six weeks prior to Day 0 or planned during the course of the trial. (Being on a transplant list is allowed).
  • AST or ALT > 1.5 x ULN, Bilirubin > 1.5 x ULN, Creatinine clearance < 30 mL/min calculated by Cockcroft-Gault formula.
  • Underlying chronic liver disease (Child Pugh A, B or C hepatic impairment).
  • Cardiovascular diseases, any of the following:
  • Severe hypertension, uncontrolled despite treatment (≥160/100 mmHg)
  • Myocardial infarction within 6 months of Day 0
  • Unstable cardiac angina
  • Bleeding risk, any of the following:
  • Known genetic predisposition to bleeding.
  • Patients who require:
  • Fibrinolysis, full-dose therapeutic anticoagulation (e.g. vitamin K antagonists, direct thrombin inhibitors, direct oral anticoagulants, heparin, hirudin) ii. High dose antiplatelet therapy (> 325 mg/day of aspirin; > 75 mg/day ticlodipine or clopidogrel; any dose of other 2b3a anti-platelet agents)
  • History of hemorrhagic central nervous system (CNS) event within 12 months of Day 0
  • Any of the following within 3 months of Day 0:
  • Hemoptysis or hematuria
  • Active gastro-intestinal (GI) bleeding needing hospitalization/intervention or peptic ulcer disease
  • Coagulation parameters: International normalized ratio (INR) >2, prolongation of prothrombin time (PT) and activated partial thromboplastin time (aPTT) by >1.5 x ULN
  • Note: Prophylactic low dose heparin or heparin flush as needed for maintenance of an indwelling intravenous device (e.g. less than or equal to enoxaparin 40 mg subcutaneously (SC) per day or heparin 5000 units SC every eight hours), low-dose FXa inhibitors (rivaroxaban/apixaban: 2.5mg twice daily (max 5mg/day), edoxaban: 15mg/day), as well as prophylactic use of antiplatelet therapy (e.g. acetyl salicylic acid [ASA] up to 325 mg/day, or clopidogrel at 75 mg/day, or equivalent doses of other antiplatelet therapy) are not prohibited.
  • History of thrombotic event (including stroke and transient ischemic attack) within 12 months of Day 0
  • Use of disease-modifying antirheumatic drugs, B-cell depleting therapies or immunosuppressive medications, within 6 months of Day 0.
  • Use of systemic corticosteroids equivalent to prednisone >15mg/day within 2 weeks of Day 0.
  • Simultaneous use of pirfenidone and nintedanib at screening.
  • Other disease that may interfere with testing procedures or in the judgment of the Investigator may interfere with trial participation or may put the patient at risk when participating in this trial.
  • Any documented active or suspected malignancy within 5 years prior to Day 0, except appropriately treated basal cell carcinoma of the skin, in situ squamous cell carcinoma of the skin or "under surveillance" prostate cancer.
  • Evidence of active infection (chronic or acute) based on clinical exam or laboratory findings.
  • The patient has a confirmed infection with Severe Acute Respiratory Syndrome- Coronvirus-2 (SARS-CoV-2) within the four weeks prior to Day 0 or during the screening period.
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial.
  • Women of childbearing potential not willing or able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently for 28 days prior to and three months after Investigational Medicinal Product (IMP) administration.
  • Note: A woman is considered of childbearing potential, i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy
  • In the opinion of the Investigator, active alcohol or drug abuse.
  • Patients not able to understand or follow trial procedures including completion of self- administered questionnaires without help.

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Ines Macias-Perez, PhD contact

6159795778

imaciasperez@cumberlandpharma.com

Ingrid Anderson, PhD, CCRP contact

615-627-4121

ianderson@cumberlandpharma.com

20 sites in 1 country

United States20 sites, 18 recruiting
  • Bend Memorial Hospital

    Bend, Oregon, 97701

    Natanya Hernandez, 541-706-2302, nahernandez@summithealth.com

    Jeremy Feldman, MD

    Recruiting
  • UNC Chapel Hill

    Chapel Hill, North Carolina, 27514

    Jackson Pettee, 919-843-4450, jackson.pettee@med.unc.edu

    Recruiting
  • Northwestern Medicine

    Chicago, Illinois, 60611

    Aaron Gundersheimer, 312-503-7475, aaron.gundersheimer@northwestern.edu

    Krishnan Warrior, MD

    Recruiting
  • Baylor University Medical Center

    Dallas, Texas, 75246

    Jordan Brown, (214) 820-1737, jordan.brown1@BSWHealth.org

    Susan Mathai, MD

    Recruiting
  • Premier Pulmonary Critical Care and Sleep Medicine

    Denison, Texas, 75020

    Muhammad (Mo) Butt, 469-714-9864, crc@premierpsm.com

    Sanober Kable, MD

    Recruiting
  • Pulmonary & Sleep Specialists

    Dickson, Tennessee, 37055

    Active, not recruiting
  • UConn Health

    Farmington, Connecticut, 06030

    Nicole Glidden, (860) 679-4647, nglidden@uchc.edu

    Recruiting
  • Indiana University Health

    Indianapolis, Indiana, 46202

    Kim McPeak, 317-962-1138, kmcpeak@iuhealth.org

    Damien Patel, MD

    Recruiting
  • Mayo Clinic Jacksonville

    Jacksonville, Florida, 32224

    Jhozia Duncan, 904-953-4991, duncan.jhozia@mayo.edu

    Augustine Lee, MD

    Recruiting
  • University of Kansas

    Kansas City, Kansas, 66160

    Amber Okunrinboye, 913-945-9253, aokunrinboye@kumc.edu

    Mark Hamblin, MD

    Recruiting
  • Biosolutions Clinical Research

    La Mesa, California, 91942

    Active, not recruiting
  • University of Louisville

    Louisville, Kentucky, 40202

    Joan Hamlyn, 502-852-0560, joan.hamlyn@louisville.edu

    Mohamed Saad, MD

    Recruiting
  • UW Health University Hospital

    Madison, Wisconsin, 53792

    Yuliya Henes, 608-262-1789, yhenes@clinicaltrials.wisc.edu

    Recruiting
  • Miami VA Health System

    Miami, Florida, 33125

    Carol Ramos, 305-310-2614, carol.ramos@va.gov

    Robert Jackson, MD

    Recruiting
  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

    Olia Ali, 347-393-6217, olia.ali@mssm.edu

    Maria Padilla, MD

    Recruiting
  • Temple University Hospital

    Philadelphia, Pennsylvania, 19140

    Debasree Sana Boral, (215) 707-7249, debasree.sanaboral@tuhs.temple.edu

    Gerard Criner, MD

    Recruiting
  • University of Rochester

    Rochester, New York, 14642

    Karen McCarthy, 585-276-7294, karen_mccarthy@urmc.rochester.edu

    David Nagel, MD, PhD

    Recruiting
  • Beaumont Hospital, Royal Oak

    Royal Oak, Michigan, 48073

    Coleen Tessmar, 248-551-0312, coleen.tessmar@beaumont.org

    Enrique Calvo-Ayala, MD

    Recruiting
  • University of California San Francisco

    San Francisco, California, 94143

    Sheyla Yamato, 415-353-2296, sheyla.yamato@ucsf.edu

    Jeffrey Golden, MD

    Recruiting
  • Avera Research Institute

    Sioux Falls, South Dakota, 57108

    Nicholas Sorensen, 605-504-3151, nicholas.sorensen@avera.org

    Fady Jamous, MD

    Recruiting

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Phase II Study to Determine the Safety and Efficacy of Oral Ifetroban in Patients With Idiopathic Pulmonary Fibrosis (IPF)

Ifetroban prevents and treats lung fibrosis due to multiple causes (bleomycin, genetic, radiation). The safety and efficacy of oral ifetroban will be assessed in patients with IPF.

Read the detailed description

This is a multicenter, prospective, randomized, placebo-controlled, phase II study to determine the safety and efficacy of oral ifetroban compared to placebo in subjects with IPF. Patients who meet the inclusion criteria and none of the exclusion criteria will receive oral ifetroban or placebo once daily for 12 months. Subjects will be randomly assigned to one of two oral treatment groups: ifetroban or placebo and block randomized by background therapy. All subjects who receive treatment will be assessed for safety. All subjects with at least one efficacy assessment post-baseline will be evaluated for efficacy. Blood and urine will be collected for standard and novel PPF biomarkers.

Being tested
Ifetroban Sodium, 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.

  • Ifetroban SodiumDrug

    Also called ifetroban

    Once daily oral ifetroban

  • PlaceboDrug

    Matching oral placebo

Study groups in NCT05571059
Study groupRoleWhat they receive
Ifetroban SodiumExperimentalDrug: Ifetroban Oral capsule, 250 mg, once daily for 12 months
Receives: Drug: Ifetroban Sodium
PlaceboPlacebo comparatorDrug: Placebo Matching placebo, oral capsule, once daily for 12 months
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in Forced Vital Capacity (FVC) in mL

    To demonstrate a reduction in lung function decline for ifetroban compared to placebo over 52 weeks.

    Measured: Baseline through 12 months

Secondary outcomes (10)
  1. Time to the first occurrence of any of the components of the composite endpoint: time to first acute IPF exacerbation, first hospitalization for respiratory cause, or death

    Time to the first occurrence of any of the components of the composite endpoint: time to first acute IPF exacerbation, first hospitalization for respiratory cause, or death over 52 weeks

    Measured: Baseline through 12 months

  2. Time to first acute IPF exacerbation or death

    Time to first acute IPF exacerbation or death over 52 weeks

    Measured: Baseline through 12 months

  3. Proportion of patients with acute exacerbations of lung fibrosis

    Proportion of patients with acute exacerbations of lung fibrosis, defined as an acute, clinically significant, respiratory deterioration characterized by evidence of new widespread alveolar abnormality, as deemed by the investigator, for the following:

    • Acute worsening or development of dyspnea (<1-month duration).
    • Imaging with new bilateral ground-glass opacity and/or consolidation superimposed on a background pattern of lung fibrosis.
    • Respiratory deterioration not fully explained by cardiac failure or fluid overload.

    Measured: Baseline through 12 months

  4. Time to hospitalization for respiratory cause or death

    Time to hospitalization for respiratory cause or death over 52 weeks

    Measured: Baseline through 12 months

  5. Change from baseline in quality of life (SOBQ)

    The University of California, San Diego (UCSD) Medical Center Shortness of Breath Questionnaire (SOBQ) assesses the impact of a subject's lung disease on their quality of life. The assessment scale asks the patient to rate their breathlessness while performing a specific task using a numeric scale from 0 - 5, with 0 being "none at all" and 5 being "maximal or unable to do because of breathlessness". Lower scores = low impact; higher scores = higher impact. Scores from the survey will be evaluated at each timepoint and compared to baseline to assess for changes.

    Measured: Baseline through 12 months

  6. Change from baseline in Living with Pulmonary Fibrosis (L-PF) Symptoms Dyspnea domain score

    The Living with Pulmonary Fibrosis (L-PF) Impacts Questionnaire assesses the impact of a subject's lung disease on their quality of life in three areas: dyspnea, cough and fatigue. The assessment scale asks the patient several questions in each domain. In the dyspnea domain, the patient is to rate each question based on how they have been feeling over the last 7 days using a numeric scale from 0 - 4, with 0 being "not at all" or "extremely poor" and 4 being "extremely" or "excellent". Lower scores = low impact; higher scores = higher impact. Scores from the survey will be evaluated at each timepoint and compared to baseline to assess for changes.

    Measured: Baseline through 12 months

  7. Change from baseline in Living with Pulmonary Fibrosis (L-PF) Symptoms Cough domain score

    The Living with Pulmonary Fibrosis (L-PF) Impacts Questionnaire assesses the impact of a subject's lung disease on their quality of life in three areas: dyspnea, cough and fatigue. The assessment scale asks the patient several questions in each domain. In the Cough domain, the patient is to rate each question based on how they have been feeling over the last 7 days using a numeric scale from 0 - 4, with 0 being "never" or "none at all" or "none" or "Not at all" or very little time" and 4 being "extremely" or "all of the time" or "A lot" or "extremely long time". Lower scores = low impact; higher scores = higher impact. Scores from the survey will be evaluated at each timepoint and compared to baseline to assess for changes.

    Measured: Baseline through 12 months

  8. Change from baseline in Living with Pulmonary Fibrosis (L-PF) Symptoms Fatigue domain score

    The Living with Pulmonary Fibrosis (L-PF) Impacts Questionnaire assesses the impact of a subject's lung disease on their quality of life in three areas: dyspnea, cough and fatigue. The assessment scale asks the patient several questions in each domain. In the Fatigue domain, the patient is to rate each question based on how they have been feeling over the last 7 days using a numeric scale from 0 - 4, with 0 being "Made my quality of life extremely poor" or "Extremely poor" and 4 being "No negative effect" or "Excellent". Lower scores = high impact; higher scores = low impact. Scores from the survey will be evaluated at each timepoint and compared to baseline to assess for changes.

    Measured: Baseline through 12 months

  9. Time to death

    Time to death over 52 weeks

    Measured: Baseline through 12 months

  10. Incidence of Treatment Emergent Adverse Events (safety & tolerability)

    Percentage of subjects with one or more treatment emergent adverse event

    Measured: Baseline through 12 months

Timeline

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

  1. First posted7 Oct 2022
  2. Study start31 Jan 2024
  3. Primary completionJan 2028 (estimated)
  4. Study completionJan 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, Double-Blind, Placebo-Controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
128 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05571059
Sponsor's protocol ID
CPI-IFE-008
Status last verified
Aug 2026
First submitted
27 Sep 2022
Last updated
2 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Suzuki T, Kropski JA, Chen J, Carrier EJ, Chen X, Sherrill TP, Winters NI, Camarata JE, Polosukhin VV, Han W, Rathinasabapathy A, Gutor S, Gulleman P, Sabusap C, Banovich NE, Tanjore H, Freeman ML, Tada Y, Young LR, Gokey JJ, Blackwell TS, West JD. Thromboxane-Prostanoid Receptor Signaling Drives Persistent Fibroblast Activation in Pulmonary Fibrosis. Am J Respir Crit Care Med. 2022 Sep 1;206(5):596-607. doi: 10.1164/rccm.202106-1503OC.

    PubMed 35728047

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ifetroban Sodium in people with Idiopathic Pulmonary Fibrosis, run by Cumberland Pharmaceuticals at 20 sites in United States.

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 8 inclusion and 37 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: looking for participants now, as of the sponsor's last update on 2 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ines Macias-Perez, PhD (6159795778, imaciasperez@cumberlandpharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in Forced Vital Capacity (FVC) in mL (time frame: Baseline through 12 months). 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 NCT05571059, 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 2 Sep 2026.

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