Clinical trial • Phase II|Phase IV • Respiratory
SENICAPOC for Progressive fibrotic interstitial lung disease | Idiopathic pulmonary fibrosis
Phase II|Phase IV trial of SENICAPOC for Progressive fibrotic interstitial lung disease | Idiopathic pulmonary fibrosis.
Overview
- Trial Therapeutic Area
- Respiratory
- Trial Disease
- Progressive fibrotic interstitial lung disease | Idiopathic pulmonary fibrosis
- Trial Stage
- Phase II|Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 14-05-2024
- First CTIS Authorization Date
- 30-08-2024
Trial design
Randomised, placebo (tablet, oral, max daily dose 0 mg) compared to senicapoc (tablet, oral, max daily dose 30 mg).-controlled Phase II|Phase IV trial across 4 sites in Denmark, Estonia.
- Randomised
- Yes
- Comparator
- Placebo (tablet, oral, max daily dose 0 mg) compared to Senicapoc (tablet, oral, max daily dose 30 mg).
- Target Sample Size
- 100
- Trial Duration For Participant
- 182
Eligibility
Recruits 100 No vulnerable populations selected. Participants must be adults (Male or female subject aged ≥18 years on the day of signing the ICF). Informed consent must be signed by the participant prior to any screening evaluations..
- Vulnerable Population
- No vulnerable populations selected. Participants must be adults (Male or female subject aged ≥18 years on the day of signing the ICF). Informed consent must be signed by the participant prior to any screening evaluations.
Inclusion criteria
- {"criterion_text":"-A diagnosis of F-ILD as per applicable ATS/ERS/JRS/ALAT guideline at the time of diagnosis\n-Able and willing to comply with the protocol requirements and signed the informed consent form (ICF) as approved by the Independent Ethics Committee (IEC)/Institutional Review Board (IRB), prior to any screening evaluations.\n-Male or female subject aged ≥18 years on the day of signing the ICF\n-Chest HRCT historically performed within 24 months prior to inclusion\n-FVC > 45 %, FEV1/FVC >0,7 or > LLN\n-An annual FVC decline of at least 5%, based on at least three FVC measurements within 6–24 months before enrolment"}
Exclusion criteria
- {"criterion_text":"-History of malignancy within the past 5 years\n-Lower respiratory tract infection requiring treatment within 4 weeks prior to screening and/or during the screening period.\n-Clinically significant abnormalities detected on ECG of either rhythm or conduction, a QTcF >450 ms, or a known long QT syndrome.\n-A current immunosuppressive condition\n-Diagnosed with Sickle cell disease\n-Abnormal renal function defined as estimated creatinine clearance, adjusted to body surface area <30 mL/min.\n-Current alcohol or substance abuse\n-Moderate to severe hepatic impairment (Child-Pugh B or C); and/or abnormal LFT at screening, defined as AST, and/or ALT, and/or total bilirubin ≥1.5xULN, and/or GGT ≥3xULN\n-Unstable cardiovascular, pulmonary (other than IPF), or other disease within 6 months prior to screening or during the screening period\n-Diagnosis of severe pulmonary hypertension\n-History of lung volume reduction surgery or lung transplant."}
Endpoints
Primary endpoints
- {"endpoint_text":"-Rate of decline of FVC (in mL) over a period of 26 weeks","definition_or_measurement_approach":"Evaluated by the rate of decline of forced vital capacity (FVC) in mL of predicted over a period of 26 weeks."}
Secondary endpoints
- {"endpoint_text":"-Absolute decline in percent predicted forced vital capacity (%FVC) over 13 and 26 weeks","definition_or_measurement_approach":"Absolute decline in percent predicted FVC measured at 13 and 26 weeks."}
- {"endpoint_text":"-All-cause mortality.","definition_or_measurement_approach":"All-cause mortality assessed until the end of the study."}
- {"endpoint_text":"-Chance in Vas of dyspnea","definition_or_measurement_approach":"Change in VAS (visual analogue scale) of dyspnea measured (timepoints not further specified in available text)."}
- {"endpoint_text":"-All-cause non-elective hospitalizations","definition_or_measurement_approach":"Time to or occurrence of all-cause non-elective hospitalizations (assessment until end of study)."}
- {"endpoint_text":"-Respiratory-related mortality","definition_or_measurement_approach":"Respiratory-related mortality assessed until the end of the study."}
- {"endpoint_text":"-Acute exacerbations (as evaluated by the investigator)","definition_or_measurement_approach":"Investigator-evaluated acute exacerbations recorded until the end of study."}
- {"endpoint_text":"-Changes in quality of life, assessed by the EQ-5D","definition_or_measurement_approach":"Quality of life measured using the EQ-5D instrument."}
- {"endpoint_text":"-Amount and type of adverse events.","definition_or_measurement_approach":"Recording and categorisation of adverse events over study duration."}
- {"endpoint_text":"-Changes in quality of life, assessed by the SGRQ-I and K-BILD total score. (Danish and UK sites only)","definition_or_measurement_approach":"Quality of life changes measured by SGRQ-I and K-BILD total scores at specified sites (Danish and UK sites only)."}
Other endpoints
- {"endpoint_text":"-To evaluate the efficacy of Senicapoc on disease progression −Disease progression defined as the composite endpoint of ≥5% absolute decline in percent predicted forced vital capacity (%FVC) or all-cause mortality at 26 weeks.","definition_or_measurement_approach":"Composite endpoint defined as ≥5% absolute decline in %FVC or all-cause mortality at 26 weeks."}
- {"endpoint_text":"-Time to first respiratory-related hospitalization until the end of the study.","definition_or_measurement_approach":"Time-to-event measure until end of study for first respiratory-related hospitalization."}
- {"endpoint_text":"-Time to first all-cause non-elective hospitalization until the end of the study.","definition_or_measurement_approach":"Time-to-event measure until end of study for first all-cause non-elective hospitalization."}
- {"endpoint_text":"-Time to respiratory-related mortality until the end of the study.","definition_or_measurement_approach":"Time-to-event measure until end of study for respiratory-related mortality."}
- {"endpoint_text":"-Time to lung transplant until the end of the study","definition_or_measurement_approach":"Time-to-event measure until end of study for lung transplant."}
- {"endpoint_text":"-Time to first acute exacerbation (as evaluated by the investigator) until the end of the study.","definition_or_measurement_approach":"Investigator-evaluated time to first acute exacerbation measured until end of study."}
- {"endpoint_text":"-Time to all-cause mortality or respiratory-related hospitalizations until the end of the study.","definition_or_measurement_approach":"Composite time-to-event of all-cause mortality or respiratory-related hospitalizations until end of study."}
- {"endpoint_text":"-Change from baseline in the VAS of dyspnea total score at 26 weeks.","definition_or_measurement_approach":"Change from baseline in VAS dyspnea total score measured at 26 weeks."}
- {"endpoint_text":"-Changes from baseline in quality of life","definition_or_measurement_approach":"Changes from baseline in QoL assessed by specified QoL instruments (e.g., EQ-5D, SGRQ-I, K-BILD where applicable)."}
- {"endpoint_text":"-Safety and tolerability of senicapoc over time until the end of the study.","definition_or_measurement_approach":"Safety and tolerability assessed by adverse event reporting and other safety measures over study duration."}
- {"endpoint_text":"-ICA-17043 levels in plasma in the group receiving active treatment.","definition_or_measurement_approach":"Measurement of plasma ICA-17043 (senicapoc) levels in participants receiving active treatment."}
- {"endpoint_text":"-Registration of adverse events.","definition_or_measurement_approach":"Recording and registration of adverse events during the study."}
Recruitment
- Planned Sample Size
- 100
- Recruitment Window Months
- 42
- Consent Approach
- Informed consent must be signed by the participant prior to any screening evaluations. Participants are adults (≥18 years). Country-specific subject information and informed consent forms are provided (documents present: L1_ SIS and ICF_dk for Denmark and L1_ SIS and ICF adult_ee for Estonia). No assent procedure is indicated.
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 100
Denmark
- Earliest CTIS Part Ii Submission Date
- 04-08-2024
- Latest Decision Or Authorization Date
- 26-02-2026
- Processing Time Days
- 571
- Number Of Sites
- 3
- Number Of Participants
- 75
Sites
- Site Name
- Rigshospitalet
- Department Name
- Section for lung transplantation
- Contact Person Name
- Hans Henrik Lawaretz Schultz
- Contact Person Email
- hans.henrik.lawaetz.schultz.01@regionh.dk
- Site Name
- Odense University Hospital
- Department Name
- Department of Respiratory Diseases
- Contact Person Name
- Jesper Rømhild Davidsen
- Contact Person Email
- Jesper.Roemhild.Davidsen@rsyd.dk
- Site Name
- Aarhus Universitetshospital
- Department Name
- Department of Respiratory Diseases
- Contact Person Name
- Elisabeth Bendstrup
- Contact Person Email
- kabends@rm.dk
Estonia
- Earliest CTIS Part Ii Submission Date
- 15-08-2024
- Latest Decision Or Authorization Date
- 02-03-2026
- Processing Time Days
- 564
- Number Of Sites
- 1
- Number Of Participants
- 25
Sites
- Site Name
- Tartu University Hospital
- Department Name
- Department of Pulmonology
- Contact Person Name
- Alan Altraja
- Contact Person Email
- alan.altraja@ut.ee
Sponsor
Primary sponsor
- Full Name
- Lillebaelt Hospital
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Solural Pharma ApS","duties_or_roles":"['14']","organisation_type":"Pharmaceutical company"}
- {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"['6','7']","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"['1','8']","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Senicapoc
- Active Substance
- SENICAPOC
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- prodAuthStatus:1
- Frequency
- Daily
- Maximum Dose
- 30 mg per day
- Investigational Product Name
- PLACEBO
- Active Substance
- PLACEBO
- Modality
- Other
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- prodAuthStatus:2
- Maximum Dose
- 0 mg
- Combination Treatment
- Yes
Related trials
Other published trials that may interest you.
- phospholipid fraction, bovine lung for Idiopathic pulmonary fibrosis
- Allogeneic bone marrow-derived mesenchymal adult stromal cells, ex-vivo expanded for Chronic lung allograft dysfunction (CLAD) | Bronchiolitis obliterans syndrome (BOS) in lung transplant recipients
- IVX-121; HUMAN METAPNEUMOVIRUS, VIRUS-LIKE PROTEIN for Respiratory syncytial virus infection | Human metapneumovirus infection
- Lyophilized bacterial lysates of: Haemophilus influenzae, Streptococcus (Diplococcus) pneumoniae, Klebsiella pneumoniae and ozaenae, Staphylococcus aureus, Streptococcus pyogenes and viridans, Moraxella (Branhamella/Neisseria) catarrhalis (OM-85) for Respiratory tract infections with wheezing lower respiratory illness
- Roginolisib for Advanced non-squamous non-small cell lung cancer