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Idiopathic Pulmonary FibrosisPhase 2NCT07869147

Study of ORJ-001 for the Treatment of IPF

A Phase 2 study testing ORJ-001 in people with Idiopathic Pulmonary Fibrosis, run by Oorja Bio, Inc. at 2 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
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Trial summary

ORJ-001 is a new class of drugs intended for the treatment of patients with idiopathic pulmonary fibrosis (IPF). This is a Phase 2 study in two parts; the objective of Part A will determine if ORJ-001 is well-tolerated by patients and how long the drug stays in the body. 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?
ORJ-001
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
95 participants
Where
2 sitesUnited States
Study dates
Oct 2026to Mar 2029
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 participants aged ≥ 40 years when signing informed consent
  • Non-smoker or ex-smoker who has stopped smoking for > 6 months prior to signing informed consent
  • Diagnosis of IPF, as defined by 2022 international guidelines and confirmed by centrally adjudicated finding of a definite or probable UIP pattern on HRCT of the chest. The HRCT may be performed at screening or, if available, a historical HRCT obtained within 12 months from screening may be submitted for central review
  • FVC of at least 45% of the predicted value and a DLCO, corrected for the hemoglobin level, of at least 25% and no greater than 90% of the predicted value. Note: Each test (FVC and DLCO) may be repeated once after a minimum of 24 hours if the initial result is deemed unreliable by the investigator
  • If receiving SOC antifibrotic therapy, participants must be on a stable regimen of a single approved therapy for at least 60 days prior to the screening visit. Participants who have discontinued SOC antifibrotic therapy due to tolerability or lack of response may be enrolled after at least 30 days of discontinuing the SOC antifibrotic therapy.
  • Negative serum pregnancy test in women of childbearing potential at the screening visit

Who cannot join

  • Participants who are treatment-naïve with respect to SOC antifibrotic therapies
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial
  • Major surgery (including joint surgery) within 8 weeks from screening, or planned major surgery within 4 months following randomization
  • Presence of one or more significant concurrent medical conditions that may affect the outcome of the study per investigator judgement
  • Participants with relevant airway obstruction, defined as pre bronchodilator forced expiratory volume in 1 second (FEV1)/ forced vital capacity (FVC) ratio < 0.7 at screening
  • Lower respiratory tract infection requiring antibiotics within 4 weeks from screening, or during the screening period (may be rescreened following recovery)
  • Acute IPF exacerbation within 3 months from screening, or during the screening period
  • Receiving more than 15 mg per day of prednisone during screening

Trial locations and contacts

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

United States2 sites, 2 recruiting
  • Innova Pharma Research, LLC

    Doral, Florida, 33172

    Recruiting
  • Clinical Research Associates of Central PA

    DuBois, Pennsylvania, 15801

    Recruiting

Other trials in United States

About this study

Official title: A Phase 2a/2b, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Safety and Tolerability (Part A), and Efficacy (Part B), of ORJ-001 in Patients With Idiopathic Pulmonary Fibrosis (ORBIT-IPF)

ORJ-001 is a new class of drugs intended for the treatment of patients with idiopathic pulmonary fibrosis (IPF). This is a Phase 2 study in two parts; the objective of Part A will determine if ORJ-001 is well-tolerated by patients and how long the drug stays in the body. Part B will test how well the drug affects lung function. Animal models of IPF have shown that ORJ-001 can repair damaged lung tissue and improve markers of lung function.

Read the detailed description

This Phase 2a/2b, randomized, double-blind, placebo-controlled, multicenter study will evaluate the safety, tolerability, and efficacy of ORJ-001 administered subcutaneously twice weekly in adults with IPF. The study consists of two parts. Part A will assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of two dose levels of ORJ-001 compared with placebo over 12 weeks of treatment. Data from Part A will be reviewed by an independent Data Monitoring Committee to select the dose for Part B. Participants in Part A will not continue into Part B; Part B will enroll a separate cohort of participants. Part B will evaluate the efficacy of the selected ORJ-001 dose compared with placebo, with the primary efficacy endpoint being change from baseline in forced vital capacity (FVC) at Week 12. Secondary and exploratory assessments include percent predicted FVC, time to acute IPF exacerbation, respiratory hospitalization or death, patient-reported outcomes, pharmacokinetics, and biomarkers of fibrosis. Adults aged 40 years or older with confirmed IPF and adequate pulmonary function who are receiving stable antifibrotic standard-of-care therapy, or who have previously discontinued such therapy due to tolerability or lack of response, may be eligible to participate.

Being tested
ORJ-001, Placebo
Keywords
Idiopathic Pulmonary Fibrosis, IPF, ORBIT, Fibrosing Interstitial Pneumonia, UIP
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.

  • ORJ-001Drug

    ORJ-001 is a peptide agonist of β1 integrin administered by subcutaneous injection twice weekly. In Part A, dose levels are 200 mg and 400 mg. In Part B, a single dose level selected from Part A will be evaluated.

  • PlaceboOther

    Matching placebo administered by subcutaneous injection twice weekly.

Study groups in NCT07869147
Study groupRoleWhat they receive
Part A: ORJ-001 400 mgExperimentalParticipants receive ORJ-001 400 mg administered subcutaneously (SC) twice weekly (BIW) for 12 weeks. Randomization ratio: 3:1:1 (400 mg:200 mg:placebo).
Receives: Drug: ORJ-001; Other: Placebo
Part A: ORJ-001 200 mgExperimentalParticipants receive ORJ-001 200 mg administered subcutaneously (SC) twice weekly (BIW) for 12 weeks. Randomization ratio: 3:1:1 (active:active:placebo).
Receives: Drug: ORJ-001; Other: Placebo
Part A: PlaceboPlacebo comparatorParticipants receive matching placebo administered subcutaneously (SC) twice weekly (BIW) for 12 weeks.
Receives: Other: Placebo
Part B: ORJ-001 (Selected Dose)ExperimentalParticipants receive the ORJ-001 dose selected based on Part A safety, tolerability, pharmacokinetic, pharmacodynamic, and efficacy data, administered subcutaneously (SC) twice weekly (BIW) for 12 weeks. Participants are randomized 1:1 to ORJ-001 or placebo.
Receives: Drug: ORJ-001; Other: Placebo
Part B: PlaceboPlacebo comparatorParticipants receive matching placebo administered subcutaneously (SC) twice weekly (BIW) for 12 weeks.
Receives: Other: Placebo

What is being measured

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

  1. Part A: Safety and Tolerability of ORJ-001: Number of Participants with Treatment-Related Adverse Events (TEAEs)

    Number of participants experiencing at least one treatment-emergent adverse event.

    Measured: From first dose through Safety Follow-up Visit, up to 12 weeks.

  2. Part A: Safety and Tolerability of ORJ-001: Severity of Treatment-Emergent Adverse Events (TEAEs)

    Severity of treatment-emergent adverse events as graded according to CTCAE v6.0.

    Measured: From first dose through Safety Follow-up Visit, up to 12 weeks.

  3. Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Systolic Blood Pressure

    Change from baseline in systolic blood pressure measured in millimeters of mercury (mmHg).

    Measured: Baseline and each study visit through Safety Follow-up Visit, up to 12 weeks.

  4. Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Body Temperature

    Change from baseline in body temperature measured in degrees Celsius (°C).

    Measured: Baseline and each study visit through Safety Follow-up Visit, up to 12 weeks.

  5. Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Heart Rate

    Change from baseline in heart rate measured in beats per minute (bpm).

    Measured: Baseline and each study visit through Safety Follow-up Visit, up to 12 weeks.

  6. Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Respiratory Rate

    Change from baseline in respiratory rate measured in breaths per minute.

    Measured: Baseline and each study visit through Safety Follow-up Visit, up to 12 weeks.

  7. Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Oxygen Saturation

    Change from baseline in oxygen saturation measured as percentage (% SpO₂).

    Measured: Baseline and each study visit through Safety Follow-up Visit, up to 12 weeks.

  8. Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Corrected QT Interval

    Change from baseline in corrected QT interval (QTc) measured by electrocardiogram (ECG) in milliseconds (ms).

    Measured: Baseline, Week 4, Week 12, and Safety Follow-up Visit up to 12 weeks.

  9. Part B: Change from Baseline in Forced Vital Capacity (FVC)

    Change from baseline in FVC measured by spirometry at Week 12.

    Measured: Baseline to Week 12

Secondary outcomes (2)
  1. Part B: Change From Baseline in Percent Predicted Forced Vital Capacity (FVC%)

    Change from baseline in percentage of predicted FVC measured by spirometry at Week 12.

    Measured: Baseline to Week 12.

  2. Part B: Time to Acute Exacerbation of IPF, Hospitalization for a Respiratory Cause, or Death

    Time, in days, to first occurrence of acute IPF exacerbation, hospitalization for a respiratory cause, or death.

    Measured: Up to Week 12.

Timeline

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

  1. First posted9 Oct 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionJan 2029 (estimated)
  4. Study completionMar 2029 (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
Participants are randomized to one treatment arm and remain in that assigned arm throughout the treatment period. In Part A, participants are assigned to ORJ-001 400 mg, ORJ-001 200 mg, or placebo. In Part B, participants are assigned to the selected ORJ-001 dose or placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
95 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07869147
Sponsor's protocol ID
ORJ-001-01
Status last verified
Oct 2026
First submitted
21 Sep 2026
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ORJ-001 in people with Idiopathic Pulmonary Fibrosis, run by Oorja Bio, Inc. at 2 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 6 inclusion and 8 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 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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 Clinical Trials (1 (832) 400-6140, clinicaltrials@oorjabio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part A: Safety and Tolerability of ORJ-001: Number of Participants with Treatment-Related Adverse Events (TEAEs) (time frame: From first dose through Safety Follow-up Visit, up to 12 weeks.). The study lists 9 primary outcomes in all. 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 15 Oct 2026.

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