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
Site Name
Odense University Hospital
Department Name
Department of Respiratory Diseases
Contact Person Name
Jesper Rømhild Davidsen
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

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