Idiopathic pulmonary fibrosis (IPF) MedDRA version: 21.1 Level: PT Classification code 10021240 Term: Idiopathic pulmonary fibrosis System Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Taken part in a previous study of PRM-151, as follows: o Participated in Study PRM-151-202, and tolerated the study drug in the opinion of the investigator OR Completed study treatment in Study WA42293 OR Participated in Study WA42293 but have discontinued from study treatment • For women of childbearing potential: agreement to remain abstinent or use contraception, women must remain abstinent or use contraceptive methods with a failure rate of =65 years) yes F.1.3.1 Number of subjects for this age range 500
Exclusion criteria
Exclusion criteria: ? Received any experimental treatment other than PRM-151 within 4 weeks or five half-lives of the experimental drug, whichever is longer, prior to the first dose in the OLE study ? Receiving strong inhibitor or inducer of CYP1A2 in patients taking pirfenidone ? Receiving potent inhibitor or inducer of P-gp in patients taking nintedanib ? Acute respiratory or systemic bacterial, viral, or fungal infection at the first visit of the OLE, or within 2 weeks of the first visit for patients joining Cohort A (from Study PRM-151-202) ? History of smoking within 3 months prior to the first visit in the OLE ? History of alcohol or substance use disorder within 2 years prior to the first visit of the OLE or known or suspected active alcohol or substance-use disorder ? History of severe allergic reaction or anaphylactic reaction to PRM-151 ? Clinically significant abnormality on ECG during screening including prolonged corrected QT interval > 450 ms (for men) or > 470 ms (for women) based on the Fridericia correction formula; or laboratory tests (hematology, serum chemistry, and urinalysis) that, in the opinion of the investigator, may pose an additional risk in administering study drug to the patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To confirm long-term safety and tolerability of 10 mg/kg PRM-151 administered every 4 weeks (Q4W) via intravenous infusion plus standard of care (SOC) treatment;Secondary Objective: ? To assess the long-term efficacy of 10 mg/kg PRM-151 plus SOC administered Q4W via IV infusion ? To characterize pharmacokinetics of PRM-151 in patients with IPF ? To evaluate the immune response to PRM-151 ;Primary end point(s): 1. Incidence and severity of adverse events (AE), with severity determined according to the 5-point severity scale (National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 [NCI CTCAE, v.5.0]) 2. Incidence and severity of IRRs and other AEs of special interest 3. Proportion of patients permanently discontinuing study treatment due to AEs 4. Change from baseline in targeted clinical laboratory test results ;Timepoint(s) of evaluation of this end point: 1-3. Approximately 8 weeks after the last dose of study drug 4. From baseline (Day 1) to 8 weeks after the last dose of study drug | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Annual rate of decline in forced vital capacity (FVC) (mL) 2. Annual rate of change in 6-minute walk distance 3. Annual rate of decline in FVC% predicted 4. Progression-free survival 5. Change from baseline in University of California, San Diego-Shortness of Breath Questionnaire 6. Change from baseline in St. George Respiratory Questionnaire Total Score 7. Change from baseline in carbon monoxide diffusing capacity 8. Survival 9. Plasma concentrations of PRM-151 at specified timepoints for a subset of patients 10. Prevalence of anti-drug antibodies (ADAs) to PRM-151 at baseline and incidence of ADAs during the study ;Timepoint(s) of evaluation of this end point: 1. End of study 2. End of study. 3. End of study 4. Time to first occurrence of >= 10% absolute decline in % predicted FVC, >= 15% relative decline in 6MWD, or death 5-7. Day 1, Week 24 and then every 24 weeks thereafter and at treatment discontinuation 8. Every 6 months and at study completion or discontinuation 9. Day 1, 3, 5. Week 4, 12, 24 and at unscheduled visit 10. Baseline (Day 1), Week 4, 12, 24 and at unscheduled visit | — |
Countries
Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Czechia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hong Kong, Hungary, Israel, Italy, Korea, Republic of, Mexico, Netherlands, New Zealand, Norway, Peru, Poland, Portugal, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Turkey, Ukraine, United Kingdom, United States
Contacts
F. Hoffmann-La Roche Ltd