Idiopathic Pulmonary Fibrosis
Conditions
Keywords
IPF
Brief summary
The purpose of this study is to determine if study drug (BMS-986020) dose of 600 mg once daily or 600 mg twice daily for 26 weeks compared with placebo will reduce the decline in forced vital capacity (FVC) and will be well tolerated in subjects with idiopathic pulmonary fibrosis (IPF).
Interventions
DRUGBMS-986020
DRUGPlacebo matching with BMS-986020
Sponsors
Bristol-Myers Squibb
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
40 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Are between the ages of 40 and 90 years, inclusive, at randomization. * Have clinical symptoms consistent with IPF. * Have first received a diagnosis of IPF less than 6 years before randomization. The date of diagnosis is defined as the date of the first available imaging or surgical lung biopsy consistent with IPF/UIP. * Have a diagnosis of usual interstitial pulmonary fibrosis (UIP) or IPF by HRCT or surgical lung biopsy (SLB). * Extent of fibrotic changes (honeycombing, reticular changes) greater than the extent of emphysema on HRCT scan. * Have no features supporting an alternative diagnosis on transbronchial biopsy, BAL, or SLB, if performed. * Have percent predicted post-bronchodilator FVC between 45% and 90%, inclusive, at screening. * Have a change in post-bronchodilator FVC (measured in liters) between screening and day 1 that is less than a 10% relative difference, calculated as: the absolute value of 100% \* (screening FVC (L) - day 1 FVC (L)) / screening FVC (L). * Have carbon monoxide diffusing capacity (DLCO) between 30% and 80% (adjusted for hemoglobin and altitude), inclusive, at screening. * Have no evidence of improvement in measures of IPF disease severity over the preceding year, in the investigator's opinion. * Be able to walk 150 meters or more at screening. * Demonstrate an exertional decrease in oxygen saturation of 2 percentage points or greater at screening (may be performed with supplemental oxygen titrating to keep oxygen saturation levels \>88%). * Are able to understand and sign a written informed consent form. * Are able to understand the importance of adherence to study treatment and the study protocol and are willing to comply with all study requirements, including the concomitant medication restrictions, throughout the study. * Women of childbearing potential (WOCBP) and men who are sexually active with WOCBP must use acceptable method(s) of contraception. The individual methods of contraception and duration should be determined in consultation with the investigator. WOCBP must follow instructions for birth control when the half-life of the investigational drug is less than 24 hours, contraception should be continued for a period of 30 days after the last dose of investigational product. 1. Women must have a negative urine pregnancy test within 24 hours prior to the start of investigational product. 2. Women must not be breastfeeding. 3. Men who are sexually active with WOCBP must use any contraceptive method with a failure rate of less than 1% per year. Men that are sexually active with WOCBP must follow instructions for birth control when the half-life of the investigational drug is less than 24 hours, contraception should be continued for a period of 90 days after the last dose of investigational product. 4. Women who are not of childbearing potential (i.e., who are postmenopausal or surgically sterile) and azoospermic men do not require contraception.
Exclusion criteria
Target Disease Exclusions 1. Has significant clinical worsening of IPF between screening and day 1 (during the screening process), in the opinion of the investigator. 2. Has forced expiratory volume in 1 second (FEV1)/FVC ratio less than 0.8 after administration of bronchodilator at screening. 3. Has bronchodilator response, defined by an absolute increase of 12% or greater and an increase of 200 mL in FEV1 or FVC or both after bronchodilator use compared with the values before bronchodilator use at screening. Medical History and Concurrent Diseases 1. Has a history of clinically significant environmental exposure known to cause pulmonary fibrosis, including, but not limited to, drugs (such as amiodarone), asbestos, beryllium, radiation, and domestic birds. 2. Has a known explanation for interstitial lung disease, including, but not limited to, radiation, drug toxicity, sarcoidosis, hypersensitivity, pneumonitis, bronchiolitis, obliterans, organizing pneumonia, human immunodeficiency virus (HIV), viral hepatitis, and cancer. 3. Has a clinical diagnosis of any connective tissue disease, including, but not limited to, scleroderma, polymyositis/dermatomyositis, systemic lupus erythematosus, rheumatoid arthritis, and undifferentiated connective tissue disease. 4. Currently has clinically significant asthma or chronic obstructive pulmonary disease. 5. Has clinical evidence of active infection, including, but not limited to, bronchitis, pneumonia, sinusitis, urinary tract infection, and cellulitis. 6. Has any history of malignancy likely to result in significant disability or likely to require significant medical or surgical intervention within the next 2 years. This does not include minor surgical procedures for localized cancer (e.g., basal cell carcinoma). 7. Has any condition other than IPF that, in the opinion of the investigator, is likely to result in the death of the subject within the next 2 years. 8. Has a history of end-stage liver disease. 9. Has a history of end-stage renal disease requiring dialysis. 10. Has a history of unstable or deteriorating cardiac or pulmonary disease (other than IPF) within the previous 6 months, including, but not limited to, the following: i. Unstable angina pectoris or myocardial infarction ii. Congestive heart failure requiring hospitalization iii. Uncontrolled clinically significant arrhythmias 11. Has any condition that, in the opinion of the investigator, might be significantly exacerbated by the known side effects associated with the administration of BMS-986020. 12. Has a history of alcohol or substance abuse in the past 2 years. 13. Has a family or personal history of long QT syndrome and/or Torsades de Pointes (polymorphic ventricular tachycardia). 14. Has used any of the excluded medications per Appendix 1 of the Protocol, which includes, but is not limited to: * current treatment with pirfenidone or nintedanib * use of over-the-counter medications and herbal preparations, within 4 weeks before study drug administration except those medications cleared by the BMS medical monitor * For subjects taking statins, there are restrictions on the maximum allowable doses for statins listed below. If subjects are currently taking statins and their doses are higher than those mentioned below, please reduce the dose to the maximum allowable dose. Additionally, if subjects are on statins and ready to start dosing, these subjects should limit statin doses by maximal allowable dose or lower for at least 5 days prior to the first BMS-986020 dosing. Shorter durations may be considered in select cases after discussion with the medical monitor. Maximum allowable dose for statins: * Simvastatin 20 mg QD * Pitavastatin 2 mg QD * Atorvastatin 40 mg QD * Pravastatin 40 mg QD * Rosuvastatin 20 mg QD * Lovastatin 40 mg QD * Fluvastatin 40 mg QD * Prednisone is allowed up to a maximum of 15 mg po daily * Pirfenidone or nintedanib dosing for a maximum of 3 months in the prior 12 months is permitted with a 4 week washout period prior to dosing with BMS-986020. Physical and Laboratory Test Findings 1. Has any of the following liver-function test criteria above the specified limits: total bilirubin \>1.5 x ULN, excluding subjects with Gilbert's syndrome; aspartate or alanine aminotransferase (AST/SGOT or ALT/SGPT) greater than 3 x ULN; alkaline phosphatase greater than 2.5 x ULN. 2. Has creatinine clearance less than 30 mL/minute, calculated using the Cockcroft-Gault formula. 3. Has ECG result with a QT interval by Fridericia's correction (QTcF) of 500 msec or greater or an uncorrected QT of 500 msec or greater at screening. Note: For subjects with a machine read QT interval of \>500 msec, if their heart rate is \> 100 bpm, the machine read QT interval (either corrected or not) may not be accurate. If the investigator is uncertain about the QT abnormality, it is recommended that ECGs be over-read by a cardiologist. The manually read QT interval by a cardiologist should be used for assessment of eligibility whenever possible. Allergies and Adverse Drug Reaction Has had prior use of BMS-986020 or has known hypersensitivity to any of the components of study treatment. Other
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26 | Baseline, Week 26 | FVC is the is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which is used to dilate participant's bronchial (breathing) tubes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline | Baseline, Week 26 | The QLF score itself ranges from 0 to 100%, where greater values represent a greater amount of lung fibrosis and are considered a worse health status. Hence smaller geometric mean ratios to baseline were considered favorable. Baseline included all testing done on Day -1 as well as predose on Day 1. |
| Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26 | Baseline, Week 26 | The 6MWT measures the distance (in meters), a participant is able to walk in 6 minutes. This test measures the distance a person can walk quickly on a flat, hard surface in 6 minutes and reflects an individual's ability to perform daily physical activities. Baseline included all testing done on Day -1 as well as predose on Day 1 |
| Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26 | Baseline, Week 26 | The UCSD SOBQ is a 24-item questionnaire developed to measure breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. Baseline included all testing done on Day -1 as well as predose on Day 1. The total score ranges from 0 to 120, with higher scores indicating worse dyspnea. |
| Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26 | Baseline, Week 26 | FVC is is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of lungs after taking an inhaled bronchodilator medicine which is used to dilate bronchial (breathing) tubes. Baseline included all testing done on Day -1 as well as predose on Day 1 |
| Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Baseline, Week 26 | The SF-36 determines participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 primarily contribute to the Aggregate Physical score of the SF-36. Items 5-8 primarily contribute to the Aggregate mental score of the SF-36. Scores on each item are summed and averaged. Range for Aggregate Physical Score : 0=worst to 100=best; and for Aggregate Mental Score: 0=worst to 100=best. Increases from baseline indicate improvement. Baseline included all testing done on Day -1 as well as predose on Day 1 |
| Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD) | Upto Day 210 | Number of participants with death or respiratory hospitalization or 10% decline in absolute volume of FVC or 25 meter loss in 6MWD over time were reported. |
| Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Baseline, Week 26 | DLCO is a measurement of the ability of the lungs to transfer gases from the air to the blood. Participant breathe in (inhale) air containing a very small, harmless amount of a tracer gas, such as carbon monoxide. Participant hold the breath for 10 seconds, then rapidly blow it out (exhale). The exhaled gas was tested to determine how much of the tracer gas was absorbed during the breath. DLCO, both uncorrected and corrected for hemoglobin in milliliter per minute per millimeter of mercury (mL/min/mmHg) was assessed. |
| Number of Participants With Death or Non-Elective Hospitalization | Upto Day 210 | Time to death or non-elective hospitalization was defined as the elapsed time (days) from randomization to the date of death or the first non-elective hospitalization. |
| Maximum Observed Plasma Concentration (Cmax) BMS-986020 | Day 1 and Day 7 | Cmax is defined as the maximum observed plasma concentration. |
| Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020 | Day 1 and Day 7 | Tmax is defined as the maximum observed plasma concentration. |
| Accumulation Index (AI) of BMS-986020 | Day 7 | AI is the ratio of area under the concentration time curve in one dosing interval in (AUC\[TAU\]) at steady-state to AUC(TAU) after the first dose. |
| Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state | Day 1 and Day 7 | AUC(TAU) is the area under the concentration time curve in one dosing interval in at steady-state. |
| Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020 | Day 1 and Day 7 | AUC(0-12) is the area under the plasma concentration time curve over 12 hours post-dose. |
| Apparent Oral Clearance (CLF/F) of BMS -986020 | Day 1 and Day 7 | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. |
| Average Concentration of BMS -986020 at Steady State (Css[Avg]) | Day 7 | Css (avg) is the average concentration at steady state. |
| Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Upto Day 210 | Acute IPF exacerbations is defined as a clinically significant deterioration of unidentifiable cause in a participant with underlying IPF. Exacerbations of IPF were adjudicated as definite (\>=1 AEx) and Probable. Investigators were asked to make the diagnosis of acute exacerbation of IPF on the basis of subjective worsening over 30 days or less, new bilateral radiographic opacities, and the absence of infection or another identifiable etiology. The final diagnosis, however, was confirmed by the study medical monitor. |
Countries
Australia, Chile, Colombia, Mexico, Peru, United States
Participant flow
Pre-assignment details
Total 325 participants were enrolled,out of which 143 participants were randomized and treated. Reasons for not being treated were:Screening HRCT or Pulmonary function tests did not meet study criteria and Other reasons
Participants by arm
| Arm | Count |
|---|---|
| BMS-986020 600 mg Once Daily Participants received a dose of BMS-986020 300 milligram (mg) as oral tablets (each tablet of 300 mg\*2) once daily (QD), for 26 weeks. | 48 |
| BMS-986020 600 mg Twice Daily Participants received a dose of BMS-986020 300 mg as oral tablets (each tablet of 300 mg\*2) twice daily (BID), for 26 weeks. | 48 |
| Placebo Participants received placebo matched with BMS-986020 as oral tablets either QD or BID for 26 weeks. | 47 |
| Total | 143 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Death | 1 | 1 | 0 |
| Overall Study | Drug-related adverse event | 1 | 2 | 1 |
| Overall Study | Drug-unrelated adverse event | 3 | 3 | 3 |
| Overall Study | Other | 1 | 0 | 0 |
| Overall Study | Physician Decision | 3 | 3 | 4 |
| Overall Study | Subject non-compliance | 0 | 1 | 2 |
| Overall Study | Unable to take study drug | 0 | 1 | 0 |
| Overall Study | Withdrawal by Subject | 2 | 0 | 3 |
Baseline characteristics
| Characteristic | BMS-986020 600 mg Once Daily | BMS-986020 600 mg Twice Daily | Placebo | Total |
|---|---|---|---|---|
| Age, Continuous | 68.4 years STANDARD_DEVIATION 6.53 | 69.1 years STANDARD_DEVIATION 8.35 | 69.3 years STANDARD_DEVIATION 7.57 | 68.9 years STANDARD_DEVIATION 7.47 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 24 Participants | 21 Participants | 25 Participants | 70 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 24 Participants | 27 Participants | 22 Participants | 73 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 3 Participants | 5 Participants | 2 Participants | 10 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) More than one race | 1 Participants | 1 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 8 Participants | 5 Participants | 14 Participants | 27 Participants |
| Race (NIH/OMB) White | 34 Participants | 37 Participants | 30 Participants | 101 Participants |
| Sex: Female, Male Female | 15 Participants | 12 Participants | 14 Participants | 41 Participants |
| Sex: Female, Male Male | 33 Participants | 36 Participants | 33 Participants | 102 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 2 / 48 | 2 / 48 | 1 / 47 |
| other Total, other adverse events | 21 / 48 | 40 / 48 | 25 / 47 |
| serious Total, serious adverse events | 9 / 48 | 16 / 48 | 12 / 47 |
Outcome results
Primary
Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26
FVC is the is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which is used to dilate participant's bronchial (breathing) tubes.
Time frame: Baseline, Week 26
Population: Intent-to-treat (ITT) population included all randomized participants. Here 'N' 'number of participants analyzed' signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26 | -0.076 liters (L) | Standard Deviation 0.2238 |
| BMS-986020 600 mg Twice Daily | Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26 | -0.050 liters (L) | Standard Deviation 0.244 |
| Placebo | Change From Baseline in Forced Vital Capacity (FVC) Rate to Week 26 | -0.136 liters (L) | Standard Deviation 0.1804 |
Secondary
Accumulation Index (AI) of BMS-986020
AI is the ratio of area under the concentration time curve in one dosing interval in (AUC\[TAU\]) at steady-state to AUC(TAU) after the first dose.
Time frame: Day 7
Population: Evaluable PK population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable this outcome measure.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Accumulation Index (AI) of BMS-986020 | 1.2329 Ratio | Geometric Coefficient of Variation 80 |
| BMS-986020 600 mg Twice Daily | Accumulation Index (AI) of BMS-986020 | 1.9386 Ratio | Geometric Coefficient of Variation 97 |
Secondary
Apparent Oral Clearance (CLF/F) of BMS -986020
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
Time frame: Day 1 and Day 7
Population: Evaluable PK population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable at each time point.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| BMS-986020 600 mg Once Daily | Apparent Oral Clearance (CLF/F) of BMS -986020 | Day 1 | 20.272 Liter per hour (L/h) | Geometric Coefficient of Variation 79 |
| BMS-986020 600 mg Once Daily | Apparent Oral Clearance (CLF/F) of BMS -986020 | Day 7 | 20.566 Liter per hour (L/h) | Geometric Coefficient of Variation 41 |
| BMS-986020 600 mg Twice Daily | Apparent Oral Clearance (CLF/F) of BMS -986020 | Day 1 | 43.846 Liter per hour (L/h) | Geometric Coefficient of Variation 94 |
| BMS-986020 600 mg Twice Daily | Apparent Oral Clearance (CLF/F) of BMS -986020 | Day 7 | 26.476 Liter per hour (L/h) | Geometric Coefficient of Variation 60 |
Secondary
Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state
AUC(TAU) is the area under the concentration time curve in one dosing interval in at steady-state.
Time frame: Day 1 and Day 7
Population: Evaluable PK population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable at each time point.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| BMS-986020 600 mg Once Daily | Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state | Day 1 | 26921.6 ug*h/L | Geometric Coefficient of Variation 69 |
| BMS-986020 600 mg Once Daily | Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state | Day 7 | 29174.1 ug*h/L | Geometric Coefficient of Variation 46 |
| BMS-986020 600 mg Twice Daily | Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state | Day 1 | 11689.5 ug*h/L | Geometric Coefficient of Variation 83 |
| BMS-986020 600 mg Twice Daily | Area Under the Concentration Time Curve in One Dosing Interval of BMS -986020 in at Steady-state | Day 7 | 22661.8 ug*h/L | Geometric Coefficient of Variation 51 |
Secondary
Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020
AUC(0-12) is the area under the plasma concentration time curve over 12 hours post-dose.
Time frame: Day 1 and Day 7
Population: Evaluable PK population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable at each time point.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| BMS-986020 600 mg Once Daily | Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020 | Day 1 | 21014.1 ug*h/L | Geometric Coefficient of Variation 60 |
| BMS-986020 600 mg Once Daily | Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020 | Day 7 | 24242.3 ug*h/L | Geometric Coefficient of Variation 51 |
| BMS-986020 600 mg Twice Daily | Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020 | Day 1 | 11689.5 ug*h/L | Geometric Coefficient of Variation 83 |
| BMS-986020 600 mg Twice Daily | Area Under the Plasma Concentration-time Curve Over 12 Hours Post-dose AUC(0-12) of BMS -986020 | Day 7 | 22661.8 ug*h/L | Geometric Coefficient of Variation 51 |
Secondary
Average Concentration of BMS -986020 at Steady State (Css[Avg])
Css (avg) is the average concentration at steady state.
Time frame: Day 7
Population: Evaluable PK population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable at this time point.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Average Concentration of BMS -986020 at Steady State (Css[Avg]) | 1215.6 ug/L | Geometric Coefficient of Variation 46 |
| BMS-986020 600 mg Twice Daily | Average Concentration of BMS -986020 at Steady State (Css[Avg]) | 1888.5 ug/L | Geometric Coefficient of Variation 51 |
Secondary
Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline
The QLF score itself ranges from 0 to 100%, where greater values represent a greater amount of lung fibrosis and are considered a worse health status. Hence smaller geometric mean ratios to baseline were considered favorable. Baseline included all testing done on Day -1 as well as predose on Day 1.
Time frame: Baseline, Week 26
Population: ITT population included all randomized participants. Here 'N' 'number of participants analyzed' signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| BMS-986020 600 mg Once Daily | Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline | 1.14 Ratio |
| BMS-986020 600 mg Twice Daily | Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline | 1.09 Ratio |
| Placebo | Geometric Mean Ratio (GMR) of Quantitative Lung Fibrosis (QLF) Score at Week 26 to Baseline | 1.11 Ratio |
Secondary
Maximum Observed Plasma Concentration (Cmax) BMS-986020
Cmax is defined as the maximum observed plasma concentration.
Time frame: Day 1 and Day 7
Population: Evaluable pharamcokinetic (PK) population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable at each time point.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| BMS-986020 600 mg Once Daily | Maximum Observed Plasma Concentration (Cmax) BMS-986020 | Day 1 | 5963.7 microgram per liter (ug/L) | Geometric Coefficient of Variation 65 |
| BMS-986020 600 mg Once Daily | Maximum Observed Plasma Concentration (Cmax) BMS-986020 | Day 7 | 6535.4 microgram per liter (ug/L) | Geometric Coefficient of Variation 68 |
| BMS-986020 600 mg Twice Daily | Maximum Observed Plasma Concentration (Cmax) BMS-986020 | Day 1 | 3005.8 microgram per liter (ug/L) | Geometric Coefficient of Variation 104 |
| BMS-986020 600 mg Twice Daily | Maximum Observed Plasma Concentration (Cmax) BMS-986020 | Day 7 | 7266.2 microgram per liter (ug/L) | Geometric Coefficient of Variation 51 |
Secondary
Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26
DLCO is a measurement of the ability of the lungs to transfer gases from the air to the blood. Participant breathe in (inhale) air containing a very small, harmless amount of a tracer gas, such as carbon monoxide. Participant hold the breath for 10 seconds, then rapidly blow it out (exhale). The exhaled gas was tested to determine how much of the tracer gas was absorbed during the breath. DLCO, both uncorrected and corrected for hemoglobin in milliliter per minute per millimeter of mercury (mL/min/mmHg) was assessed.
Time frame: Baseline, Week 26
Population: ITT population included all randomized participants.Here 'n' 'number analyzed' signifies number of participants who were evaluable for each category.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Uncorrected for hemoglobin | -1.1 mL/min/mmHg | Standard Error 0.7 |
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Corrected for hemoglobin | -1.2 mL/min/mmHg | Standard Error 0.7 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Uncorrected for hemoglobin | -0.2 mL/min/mmHg | Standard Error 0.7 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Corrected for hemoglobin | -0.2 mL/min/mmHg | Standard Error 0.7 |
| Placebo | Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Uncorrected for hemoglobin | -1.1 mL/min/mmHg | Standard Error 0.7 |
| Placebo | Mean Change From Baseline in Carbon Monoxide Diffusing Capacity (DLCO) to Week 26 | Corrected for hemoglobin | -1.1 mL/min/mmHg | Standard Error 0.7 |
Secondary
Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26
FVC is is the total amount of air exhaled during the forced expiratory volume test that is measured during spirometry; and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of lungs after taking an inhaled bronchodilator medicine which is used to dilate bronchial (breathing) tubes. Baseline included all testing done on Day -1 as well as predose on Day 1
Time frame: Baseline, Week 26
Population: ITT population included all randomized participants. Here 'N' 'number of participants analyzed' signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26 | -0.076 liters | Standard Deviation 0.2238 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26 | -0.050 liters | Standard Deviation 0.244 |
| Placebo | Mean Change From Baseline in Forced Vital Capacity (FVC) to Week 26 | -0.136 liters | Standard Deviation 0.1804 |
Secondary
Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26
The SF-36 determines participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 primarily contribute to the Aggregate Physical score of the SF-36. Items 5-8 primarily contribute to the Aggregate mental score of the SF-36. Scores on each item are summed and averaged. Range for Aggregate Physical Score : 0=worst to 100=best; and for Aggregate Mental Score: 0=worst to 100=best. Increases from baseline indicate improvement. Baseline included all testing done on Day -1 as well as predose on Day 1
Time frame: Baseline, Week 26
Population: ITT population included all randomized participants. Here 'N' 'number of participants analyzed' signifies number of participants who were evaluable for each category.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Aggregate Mental Score | 0.1 Units on a scale | Standard Error 1.3 |
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Aggregate Physical Score | -3.4 Units on a scale | Standard Error 1 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Aggregate Physical Score | -1.0 Units on a scale | Standard Error 1 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Aggregate Mental Score | 1.7 Units on a scale | Standard Error 1.3 |
| Placebo | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Aggregate Physical Score | -2.1 Units on a scale | Standard Error 1.1 |
| Placebo | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36) to Week 26 | Aggregate Mental Score | -1.1 Units on a scale | Standard Error 1.3 |
Secondary
Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26
The 6MWT measures the distance (in meters), a participant is able to walk in 6 minutes. This test measures the distance a person can walk quickly on a flat, hard surface in 6 minutes and reflects an individual's ability to perform daily physical activities. Baseline included all testing done on Day -1 as well as predose on Day 1
Time frame: Baseline, Week 26
Population: ITT population included all randomized participants. Here 'N' 'number of participants analyzed' signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26 | -14.2 meters (m) | Standard Deviation 47.85 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26 | 6.1 meters (m) | Standard Deviation 53.87 |
| Placebo | Mean Change From Baseline in Six-minute Walk Test (6MWT) Distance to Week 26 | 10.3 meters (m) | Standard Deviation 54.73 |
Secondary
Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26
The UCSD SOBQ is a 24-item questionnaire developed to measure breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. Baseline included all testing done on Day -1 as well as predose on Day 1. The total score ranges from 0 to 120, with higher scores indicating worse dyspnea.
Time frame: Baseline, Week 26
Population: ITT population included all randomized participants. Here 'N' 'number of participants analyzed' signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26 | 3.8 Unit on a scale | Standard Deviation 17.84 |
| BMS-986020 600 mg Twice Daily | Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26 | -1.7 Unit on a scale | Standard Deviation 21.29 |
| Placebo | Mean Change From Baseline in the University of California at San Diego Shortness of Breath Questionnaire (UCSD SOBQ) Total Score as a Measure of Dyspnea to Week 26 | 3.9 Unit on a scale | Standard Deviation 18.24 |
Secondary
Number of Participants With Death or Non-Elective Hospitalization
Time to death or non-elective hospitalization was defined as the elapsed time (days) from randomization to the date of death or the first non-elective hospitalization.
Time frame: Upto Day 210
Population: Safety population included all enrolled participants who received at least 1 dose of study drug.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| BMS-986020 600 mg Once Daily | Number of Participants With Death or Non-Elective Hospitalization | 5 Participants |
| BMS-986020 600 mg Twice Daily | Number of Participants With Death or Non-Elective Hospitalization | 4 Participants |
| Placebo | Number of Participants With Death or Non-Elective Hospitalization | 2 Participants |
Secondary
Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD)
Number of participants with death or respiratory hospitalization or 10% decline in absolute volume of FVC or 25 meter loss in 6MWD over time were reported.
Time frame: Upto Day 210
Population: Safety Population included all enrolled participants who received at least 1 dose of study drug.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| BMS-986020 600 mg Once Daily | Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD) | 24 Participants |
| BMS-986020 600 mg Twice Daily | Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD) | 28 Participants |
| Placebo | Number of Participants With Death or Respiratory Hospitalization or 10 Percent (%) Decline in Absolute Volume of FVC or 25-Meter Loss in 6-Minute Walk Distance (6MWD) | 26 Participants |
Secondary
Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF)
Acute IPF exacerbations is defined as a clinically significant deterioration of unidentifiable cause in a participant with underlying IPF. Exacerbations of IPF were adjudicated as definite (\>=1 AEx) and Probable. Investigators were asked to make the diagnosis of acute exacerbation of IPF on the basis of subjective worsening over 30 days or less, new bilateral radiographic opacities, and the absence of infection or another identifiable etiology. The final diagnosis, however, was confirmed by the study medical monitor.
Time frame: Upto Day 210
Population: ITT population included all randomized participants.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Probable | 1 Participants |
| BMS-986020 600 mg Once Daily | Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Definite | 0 Participants |
| BMS-986020 600 mg Twice Daily | Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Definite | 2 Participants |
| BMS-986020 600 mg Twice Daily | Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Probable | 1 Participants |
| Placebo | Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Definite | 0 Participants |
| Placebo | Number of Participants With Definite or Probable Acute Exacerbation (AEx) of Idiopathic Pulmonary Fibrosis (IPF) | Probable | 0 Participants |
Secondary
Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020
Tmax is defined as the maximum observed plasma concentration.
Time frame: Day 1 and Day 7
Population: Evaluable PK population included all participants who have adequate PK profiles. Here 'n' 'number analyzed' signifies number of participants evaluable at each time point.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| BMS-986020 600 mg Once Daily | Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020 | Day 1 | 3.110 hours (h) |
| BMS-986020 600 mg Once Daily | Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020 | Day 7 | 3.000 hours (h) |
| BMS-986020 600 mg Twice Daily | Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020 | Day 1 | 2.030 hours (h) |
| BMS-986020 600 mg Twice Daily | Time of Maximum Observed Plasma Concentration (Tmax) of BMS-986020 | Day 7 | 2.000 hours (h) |