AzTrials
AzTrials

Lung Transplant RejectionPhase 3ROCKaspireNCT06082037

A Study to Test How Effective Belumosudil Tablets Are for Treating Adult Participants With Chronic Lung Allograft Dysfunction

A Phase 3 study testing Belumosudil and Azithromycin in people with Lung Transplant Rejection, run by Sanofi at 82 sites in 19 countries.

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

This double-blind, randomized, placebo-controlled, multinational, multicenter, parallel-group, Phase 3, 2-arm, study will investigate the efficacy and safety of belumosudil compared with placebo, both administered on top of azithromycin and standard-of-care regimen of immunosuppression in male or female participants… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lung Transplant Rejection
What is being tested?
Belumosudil and Azithromycin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
82 sitesin 19 countries
Study dates
10 Oct 2023to 1 Oct 2030
Phase
Phase 3
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant ≥1 year post bilateral lung transplantation at the time of screening
  • Participants presenting with CLAD Stage 1 or 2: FEV1 from >50% to 80% of post-transplant baseline at screening and at randomization
  • Participants who have received at least 8 weeks of azithromycin (≥250 mg/day, at least 3 times a week) prior to randomization

Who cannot join

  • FEV1 ≤50% of the post-transplant baseline value (CLAD 3 and 4)
  • Lung function decline that can be explained by non-CLAD causes including but not limited to acute lung allograft rejection (>A1), antibody-mediated rejection, airway stenosis, or tracheobronchomalacia
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

82 sites in 19 countries. Contact the study team or a site near you to ask about taking part.

Trial Transparency email recommended (Toll free number for US & Canada) contact

800-633-1610 ext. option 6

contact-us@sanofi.com

82 sites in 19 countries

United States33 sites, 32 recruiting
  • University of Michigan Health System - Ann Arbor- Site Number : 8400014

    Ann Arbor, Michigan, 48109

    Recruiting
  • Emory University Hospital- Site Number : 8400027

    Atlanta, Georgia, 30324

    Recruiting
  • University of Maryland School of Medicine - Baltimore- Site Number : 8400009

    Baltimore, Maryland, 21201

    Recruiting
  • Johns Hopkins Hospital- Site Number : 8400034

    Baltimore, Maryland, 21287

    Recruiting
  • University of Alabama at Birmingham- Site Number : 8400026

    Birmingham, Alabama, 35233

    Recruiting
  • Brigham & Women's Hospital- Site Number : 8400016

    Boston, Massachusetts, 02115

    Completed
  • Northwestern University- Site Number : 8400003

    Chicago, Illinois, 60611

    Recruiting
  • Cleveland Clinic - Cleveland- Site Number : 8400005

    Cleveland, Ohio, 44195

    Recruiting
  • The Ohio State University- Site Number : 8400028

    Columbus, Ohio, 43210

    Recruiting
  • University of Texas - Southwestern Medical Center- Site Number : 8400013

    Dallas, Texas, 75390

    Recruiting
  • Duke University Medical Center- Site Number : 8400017

    Durham, North Carolina, 27705

    Recruiting
  • Inova Fairfax Hospital- Site Number : 8400004

    Falls Church, Virginia, 22042

    Recruiting
  • Corewell Health - Grand Rapids - Michigan Street Northeast- Site Number : 8400010

    Grand Rapids, Michigan, 49503

    Recruiting
  • Baylor College of Medicine- Site Number : 8400024

    Houston, Texas, 77030

    Recruiting
  • Houston Methodist Hospital- Site Number : 8400021

    Houston, Texas, 77030

    Recruiting
  • University of Iowa- Site Number : 8400032

    Iowa City, Iowa, 52242

    Recruiting
  • Mayo Clinic in Florida- Site Number : 8400031

    Jacksonville, Florida, 32224

    Recruiting
  • University of California Los Angeles Medical Center- Site Number : 8400020

    Los Angeles, California, 90095

    Recruiting
  • Loyola University Medical Center- Site Number : 8400025

    Maywood, Illinois, 60153

    Recruiting
  • Jackson Memorial Hospital- Site Number : 8400030

    Miami, Florida, 33136

    Recruiting
  • Vanderbilt University Medical Center- Site Number : 8400018

    Nashville, Tennessee, 37232

    Recruiting
  • NYU Perlmutter Cancer Center - Energy Building- Site Number : 8400001

    New York, New York, 10016

    Recruiting
  • Icahn School of Medicine at Mount Sinai- Site Number : 8400037

    New York, New York, 10029

    Recruiting
  • Columbia University Irving Medical Center- Site Number : 8400002

    New York, New York, 10032

    Recruiting
  • AdventHealth Orlando- Site Number : 8400023

    Orlando, Florida, 32803

    Recruiting
  • Penn Medicine: University of Pennsylvania Health System- Site Number : 8400006

    Philadelphia, Pennsylvania, 19104

    Recruiting
  • Temple University Hospital- Site Number : 8400007

    Philadelphia, Pennsylvania, 19140

    Recruiting
  • St. Joseph's Hospital and Medical Center- Site Number : 8400019

    Phoenix, Arizona, 85013

    Recruiting
  • University of Utah Medical Group- Site Number : 8400039

    Salt Lake City, Utah, 84102

    Recruiting
  • University Health System - San Antonio- Site Number : 8400035

    San Antonio, Texas, 78229

    Recruiting
  • Stanford University Medical Center- Site Number : 8400008

    Stanford, California, 94305

    Recruiting
  • Tampa General Hospital - Tampa - General Circle- Site Number : 8400015

    Tampa, Florida, 33606

    Recruiting
  • Montefiore Medical Center - Moses Campus- Site Number : 8400036

    The Bronx, New York, 10467

    Recruiting

Other trials in United States

China9 sites, 9 recruiting
  • Investigational Site Number : 1560004

    Beijing, 100029

    Recruiting
  • Investigational Site Number : 1560002

    Chengdu, 610072

    Recruiting
  • Investigational Site Number : 1560008

    Fuzhou, 350001

    Recruiting
  • Investigational Site Number : 1560007

    Guangzhou, 510163

    Recruiting
  • Investigational Site Number : 1560001

    Hangzhou, 310009

    Recruiting
  • Investigational Site Number : 1560005

    Hefei, 230001

    Recruiting
  • Investigational Site Number : 1560009

    Shanghai, 200433

    Recruiting
  • Investigational Site Number : 1560003

    Wuxi, 214023

    Recruiting
  • Investigational Site Number : 1560006

    Zhengzhou, 450052

    Recruiting

Other trials in China

France7 sites, 7 recruiting
  • Investigational Site Number : 2500005

    Le Plessis-Robinson, 92350

    Recruiting
  • Investigational Site Number : 2500006

    Marseille, 13915

    Recruiting
  • Investigational Site Number : 2500004

    Paris, 75018

    Recruiting
  • Investigational Site Number : 2500002

    Pessac, 33604

    Recruiting
  • Investigational Site Number : 2500003

    Saint-Herblain, 44800

    Recruiting
  • Investigational Site Number : 2500007

    Strasbourg, 67000

    Recruiting
  • Investigational Site Number : 2500001

    Suresnes, 92151

    Recruiting

Other trials in France

Italy5 sites, 5 recruiting
  • Investigational Site Number : 3800001

    Milan, Milano, 20122

    Recruiting
  • Investigational Site Number : 3800005

    Padua, Padova, 35128

    Recruiting
  • Investigational Site Number : 3800004

    Palermo, 90133

    Recruiting
  • Investigational Site Number : 3800003

    Pavia, 27100

    Recruiting
  • Investigational Site Number : 3800002

    Siena, 53100

    Recruiting

Other trials in Italy

Spain5 sites, 5 recruiting
  • Investigational Site Number : 7240002

    A Coruña, Galicia [Galicia], 15006

    Recruiting
  • Investigational Site Number : 7240003

    Barcelona, Catalunya [Cataluña], 08035

    Recruiting
  • Investigational Site Number : 7240005

    Majadahonda, Madrid, 28222

    Recruiting
  • Investigational Site Number : 7240001

    Santander, Cantabria, 39008

    Recruiting
  • Investigational Site Number : 7240004

    Valencia, 46026

    Recruiting

Other trials in Spain

South Korea4 sites, 4 recruiting
  • Investigational Site Number : 4100002

    Seoul, Seoul-teukbyeolsi, 03080

    Recruiting
  • Investigational Site Number : 4100001

    Seoul, Seoul-teukbyeolsi, 03722

    Recruiting
  • Investigational Site Number : 4100003

    Seoul, Seoul-teukbyeolsi, 06351

    Recruiting
  • Investigational Site Number : 4100004

    Yangsan, Gyeongsangnam-do, 50612

    Recruiting

Other trials in South Korea

Australia3 sites, 3 recruiting
  • Investigational Site Number : 0360001

    Brisbane, Queensland, 4032

    Recruiting
  • Investigational Site Number : 0360003

    Darlinghurst, New South Wales, 2010

    Recruiting
  • Investigational Site Number : 0360002

    Murdoch, Western Australia, 6150

    Recruiting

Other trials in Australia

Canada3 sites, 3 recruiting
  • Investigational Site Number : 1240002

    Edmonton, Alberta, T6G 2B7

    Recruiting
  • Investigational Site Number : 1240004

    Toronto, Ontario, M5G 2C4

    Recruiting
  • Investigational Site Number : 1240001

    Vancouver, British Columbia, V5Z 1M9

    Recruiting

Other trials in Canada

Belgium2 sites, 2 recruiting
  • Investigational Site Number : 0560001

    Leuven, 3000

    Recruiting
  • Investigational Site Number : 0560002

    Yvoir, 5530

    Recruiting

Other trials in Belgium

Czechia2 sites, 2 recruiting
  • Investigational Site Number : 2030002

    Olomouc, 779 00

    Recruiting
  • Investigational Site Number : 2030001

    Prague, 150 06

    Recruiting

Other trials in Czechia

Austria1 site, 1 recruiting
  • Investigational Site Number : 0400001

    Vienna, 1090

    Recruiting

Other trials in Austria

Denmark1 site, 1 recruiting
  • Investigational Site Number : 2080001

    Copenhagen, 2100

    Recruiting

Other trials in Denmark

Finland1 site, 1 recruiting
  • Investigational Site Number : 2460001

    Helsinki, 00029

    Recruiting

Other trials in Finland

Germany1 site, 1 recruiting
  • Investigational Site Number : 2760003

    Munich, 81337

    Recruiting

Other trials in Germany

Hungary1 site, 1 recruiting
  • Investigational Site Number : 3480001

    Budapest, 1085

    Recruiting

Other trials in Hungary

Israel1 site, 1 recruiting
  • Investigational Site Number : 3760001

    Petah Tikva, 4941492

    Recruiting

Other trials in Israel

Japan1 site, 1 recruiting
  • Investigational Site Number : 3920001

    Tokyo, 113-8654

    Recruiting

Other trials in Japan

Netherlands1 site, 1 recruiting
  • Investigational Site Number : 5280001

    Groningen, 9713 GR

    Recruiting

Other trials in Netherlands

Sweden1 site, 1 recruiting
  • Investigational Site Number : 7520001

    Gothenburg, 413 45

    Recruiting

Other trials in Sweden

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Study, Followed by Open-label Extensions, to Evaluate the Efficacy of Oral Belumosudil in Adult Participants With Chronic Lung Allograft Dysfunction (CLAD) Following Bilateral Lung Transplantation

This double-blind, randomized, placebo-controlled, multinational, multicenter, parallel-group, Phase 3, 2-arm, study will investigate the efficacy and safety of belumosudil compared with placebo, both administered on top of azithromycin and standard-of-care regimen of immunosuppression in male or female participants at least 1 year after bilateral lung transplant, who are at least 18 years of age and who have evidence of progressive CLAD despite azithromycin therapy.

Study details include:

Read more

The study duration will be up to 31 weeks for participants not entering the open-label extension (OLE) period and up to 57 weeks for participants entering the OLE period but not the long-term OLE.

The treatment duration will be up to 26 weeks for participants not entering the OLE period and up to 52 weeks for participants entering the OLE period but not the long-term OLE.

The number of visits will be up to 10 visits for participants not entering the OLE period and up to 16 visits for participants entering the OLE period but not the long-term OLE.

For participants who enter the long-term OLE, treatment and study participation will continue with visits every 12 weeks per protocol specifications.

Being tested
Belumosudil, Azithromycin, Placebo

What participants receive

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

  • BelumosudilDrug

    Also called REZUROCK

    Tablet, Oral

  • AzithromycinDrug

    Depends on pharmaceutical presentation, Oral

  • PlaceboDrug

    Tablet, Oral

Study groups in NCT06082037
Study groupRoleWhat they receive
Belumosudil + AzithromycinExperimentalParticipants will receive 200 mg belumosudil orally once daily
Receives: Drug: Belumosudil; Drug: Azithromycin
Placebo + AzithromycinPlacebo comparatorParticipants will receive placebo orally once daily
Receives: Drug: Azithromycin; Drug: Placebo

What is being measured

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

  1. Percent change from baseline to Week 26 in forced expiratory volume in 1 second (FEV1)

    Measured: Baseline to Week 26

Secondary outcomes (14)
  1. Response rate at Week 26

    Defined as the proportion of participants with ≤10% decline in FEV1 at Week 26 compared with baseline

    Measured: Baseline to Week 26

  2. Absolute change from baseline to Week 26 in FEV1

    Measured: Baseline to Week 26

  3. Absolute change from baseline to Week 26 in percent predicted FEV1

    Measured: Baseline to Week 26

  4. Percent change from baseline to Week 26 in forced vital capacity (FVC)

    Measured: Baseline to Week 26

  5. Absolute change from baseline to Week 26 in FVC

    Measured: Baseline to Week 26

  6. Absolute change from baseline to Week 26 in percent predicted FVC

    Measured: Baseline to Week 26

  7. Time to CLAD progression during the double-blind treatment period

    Defined as the first of the following events: >10% decline in FEV1 compared with baseline, or change in CLAD stage, or re-transplantation, or death

    Measured: Baseline to Week 26

  8. Time to re-transplantation or death

    Measured: Up to 7 days after the administration of last dose of study drug

  9. Percent change from baseline to Week 26 in 6-minute walk distance

    Measured: Baseline to Week 26

  10. Absolute change from baseline to Week 26 in 6-minute walk distance

    Measured: Baseline to Week 26

  11. Change from baseline to Week 26 in Saint George Respiratory Questionnaire (SGRQ)

    Total score and scores by domain

    Measured: Baseline to Week 26

  12. Change from baseline to Week 26 in EQ-5D-5L

    Visual analogue scale and individual dimensions

    Measured: Baseline to Week 26

  13. Change from baseline to Week 26 in Patient-Reported Outcomes Measurement Information System-29 profile version 2.1

    Patient-Reported Outcomes Measurement Information System-29 (PROMIS-29) profile V2.1 (domain scores)

    Measured: Baseline to Week 26

  14. Number of participants with adverse events (AEs) and serious adverse events (SAEs)

    Treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interest (AESIs), as well as laboratory abnormalities during the double-blind treatment period and the open-label extensions

    Measured: Up to 7 days after the administration of last dose of study drug

Timeline

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

  1. First posted13 Oct 2023
  2. Study start10 Oct 2023
  3. Primary completion29 Jan 2029 (estimated)
  4. Study completion1 Oct 2030 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06082037
Sponsor's protocol ID
EFC17801
Other IDs
U1111-1280-6777, 2023-503462-23, 2023
Acronym
ROCKaspire
Status last verified
Sep 2026
First submitted
7 Oct 2023
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Belumosudil and Azithromycin in people with Lung Transplant Rejection, run by Sanofi at 82 sites in 19 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 3 inclusion and 3 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 23 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 82 sites in United States, China, France, Italy, Spain and 14 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?

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 Trial Transparency email recommended (Toll free number for US & Canada) (800-633-1610 ext. option 6, contact-us@sanofi.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent change from baseline to Week 26 in forced expiratory volume in 1 second (FEV1) (time frame: Baseline to Week 26). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Sep 2026.

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