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A Phase 2, Multicenter, Multinational, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-ranging Study Evaluating the Efficacy and Safety of CNTO 888 Administered Intravenously in Subjects With Idiopathic Pulmonary Fibrosis


Phase 2
40 Years
80 Years
Not Enrolling
Both
Pulmonary Fibrosis

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Trial Information

A Phase 2, Multicenter, Multinational, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-ranging Study Evaluating the Efficacy and Safety of CNTO 888 Administered Intravenously in Subjects With Idiopathic Pulmonary Fibrosis


This study tests the safety and effectiveness of an experimental drug, CNTO 888, compared to
placebo. The purpose of this research study is to determine if CNTO 888 is safe and to
determine its effects on patients with idiopathic pulmonary fibrosis (IPF). CNTO 888 has not
been approved by any regulatory authority for use in patients with any condition. The
screening phase of the study, where the study doctor will determine if a patient is eligible
for the study will last for 1 to 4 weeks. The study will enroll and treat the first 20
patients as part of a safety evaluation, at selected sites. The patients will be randomized
to placebo or 1 mg/kg or 5 mg/kg or 15 mg/kg CNTO 888. The study drug will be given through
a needle inserted into the patient's vein (IV). A Data Monitoring Committee will be
responsible to review this portion of the study, and the study in general. They will review
all of the information from patients in this portion of the study, after patients have
received three infusions of study agent, or 3 months have passed since the first patient was
enrolled. After their review, they will recommend whether to continue enrolling additional
patients for the remainder of the study, or require some modification to the study. Patients
will receive study agent until Week 48 and will continue to be followed through Week 72 for
assessment of safety and any other effects after discontinuation of therapy. Patients will
be in the study for about 74 weeks. The end of the study is defined as the last visit of the
last patient. Patients will be randomly assigned to 1 of 4 treatment groups. Group 1,
placebo IV infusion administered over 90 minutes every 4 weeks, from Week 0 through Week 48.
Group 2, CNTO 888 1 mg/kg IV infusion administered over 90 minutes every 4 weeks, from Week
0 through Week 48. Group 3, CNTO 888 5 mg/kg IV infusion administered over 90 minutes every
4 weeks, from Week 0 through Week 48. Group 4, CNTO 888 15 mg/kg IV infusion administered
over 90 minutes every 4 weeks, from Week 0 through Week 48. Enrollment completed as planned.
Dosing terminated after interim DMC (Data Monitoring Committee) review. Subjects followed
until trial completed.


Inclusion Criteria:



- Forced Vital Capacity (FVC) >= (greater than or equal to) 50% of the predicted value
at screening

- Abnormal lung function test results that include evidence of restriction and impaired
gas exchange, or evidence of desaturation at rest or exercise or decreased diffusing
capacity of the lung for carbon monoxide (DLCO)

- Bibasilar reticular abnormalities with minimal ground-glass opacities on
high-resolution computed tomography (HRCT) scans

- Have surgical lung biopsy evidence of usual interstitial pneumonia (UIP) and/or HRCT
scan-based diagnosis of IPF

- Relative decrease of >= 10% in forced vital capacity (FVC), or relative decrease of
>= 15% in DLCO, or evidence of clinically significant worsening on HRCT (eg,
development of honeycombing, increase in opacities), or significant worsening of
dyspnea at rest or with exertion.

Exclusion Criteria:

- Have evidence of interstitial pneumonia other than IPF

- Diagnosis of IPF is not confirmed by HRCT or lung biopsy results

- Partial pressure of oxygen in arterial blood (PaO2) < 55 mmHg (sea level) or 50 mmHg
(altitude) at rest on room air

- Have a diagnosis of other significant respiratory disorder (eg, asthma, tuberculosis
(TB), sarcoidosis, aspergillosis, chronic obstructive pulmonary disease [COPD], or
cystic fibrosis)

- Have obstruction on prebronchodilator pulmonary function tests (PFTs) (defined as
FEV1/FVC < 0.7) at screening or demonstrate an increase in FEV1 >= 12%
postbronchodilator.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

Outcome Measure:

The primary objective is to determine the efficacy (as measured by pulmonary function) and safety of CNTO 888 in subjects with IPF.

Principal Investigator

Centocor, Inc. Clinical Trial

Investigator Role:

Study Director

Investigator Affiliation:

Centocor, Inc.

Authority:

United States: Food and Drug Administration

Study ID:

CR015235

NCT ID:

NCT00786201

Start Date:

December 2008

Completion Date:

January 2012

Related Keywords:

  • Pulmonary Fibrosis
  • CNTO 888
  • Idiopathic Pulmonary Fibrosis
  • IPF
  • Fibrosis
  • Pulmonary Fibrosis
  • Idiopathic Pulmonary Fibrosis

Name

Location

Hinsdale, Illinois  60521
Alexandria, Minnesota  56308
Birmingham, Alabama  35294
Phoenix, Arizona  85012
Miami, Florida  33176
Cleveland, Ohio  44195
Philadelphia, Pennsylvania  19104
Nashville, Tennessee  37203-1632
Flint, Michigan  48532
Kansas City, Kansas  66160
Metairie, Louisiana  70006
South Burlington, Vermont  
Charleston, South Carolina  
Salt Lake City, Utah  84112