IPF
Conditions
Keywords
Idiopathic Pulmonary Fibrosis, IPF
Brief summary
AMB-053-01 is a randomized, placebo controlled, multicenter study which will enroll approximately 36 subjects ages 40 and older with IPF for 6 doses over a 24-week dosing period.
Interventions
A fully human monoclonal immunoglobulin (IgG2) directed against c-fms
Saline/D5W
Sponsors
Study design
Masking description
IRT and unblinded pharmacists
Intervention model description
2:1 randomization of active to placebo
Eligibility
Inclusion criteria
1. Subjects ≥40 years old. 2. History of confirmed diagnosis of IPF 3. Chest HRCT at Screening 4. Subjects who are either: * Not being treated with approved IPF therapies (i.e., nintedanib or pirfenidone) or * Being treated with approved IPF therapies (i.e., nintedanib or pirfenidone) 5. Has FVC ≥45% predicted of normal AND DLCO ≥25% and ≤90% predicted 6. Has a FEV1/FVC ratio (Tiffeneau-Pinelli Index) ≥ 0.70 7. Has adequate hematologic, hepatic, and renal function
Exclusion criteria
1. Prior investigational drug use within 30 days or 5 half-lives 2. Presence of emphysema exceeding the extent of fibrosis 3. Active or anticipated need for lung transplant 4. Treatment with prednisone 5. Active cancer 6. Active or chronic infection with HCV, HBV, or HIV 7. Known active tuberculosis 8. History of or current immunosuppressive condition 9. IPF exacerbation within 12 weeks 10. Lower respiratory-tract infection requiring antibiotic therapy 11. Smoking 12. Other forms of interstitial lung disease 13. History of lung volume reduction surgery or lung transplant 14. Contraindications for forced expiratory maneuvers during spirometry 15. Unstable cardiac or pulmonary disease (other than IPF) 16. Fridericia-corrected QT interval (QTcF) ≥ 450 ms (men) or ≥ 470 ms (women) 17. History of drug or alcohol abuse -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment-emergent adverse events | Week 24 | Frequency and severity of reported treatment-emergent adverse events will be graded per CTCAE 5-point scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| AUC | Week 24 | Area under the plasma concentration versus time curve (AUC) measurement |
| ST GEORGE'S RESPIRATORY QUESTIONNAIRE IDIOPATHIC PULMONARY FIBROSIS (SGRQ-I) | Week 28 | Change in health-related quality of life, as measured by St. George's Respiratory Questionnaire (SGRQ-I) |
| Cmax | Week 24 | Peak Plasma Concentration (Cmax) measurement |
| Pulmonary Function | Week 28 | Change in forced vital (FVC) capacity in liters |
| Pharmacodynamics via CSF1 | Week 28 | Plasma CSF1 assessment and other exploratory biomarkers |