Trial Of IW001 in Patients With Idiopathic Pulmonary Fibrosis
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Purpose
This is an open label, Phase One, multicenter study, designed to evaluate the safety, tolerability, to explore the biologic effects, and to explore the clinical effects of the following doses of IW001: 0.1mg/day, 0.5 mg/day, and 1.0 mg/day, when administered once a day orally for 24 weeks in patients with IPF.
| Condition | Intervention | Phase |
|---|---|---|
|
Idiopathic Pulmonary Fibrosis |
Drug: IW001 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase One, Open Label, Multi-Dose Study to Evaluate the Safety, Tolerability, and Biologic Effects of Three Doses of IW001 in Patients With Idiopathic Pulmonary Fibrosis (IPF) |
- To evaluate the safety and tolerability of three doses of IW001 (0.1 mg/day, 0.5 mg/day, and 1.0 mg/day orally) in patients with IPF patients over a 24 week treatment period. [ Time Frame: Monthly during the 24 week treatment period. ] [ Designated as safety issue: Yes ]
- To explore the biologic effects of IW001 on T-cell and B-cell reactivity. To explore relationships between Col V reactivity and clinical measures of lung function in patients with IPF. [ Time Frame: Monthly during the 24 week treatment period. ] [ Designated as safety issue: No ]
| Enrollment: | 30 |
| Study Start Date: | September 2010 |
| Study Completion Date: | October 2012 |
| Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: IW001
Three dose cohorts, 0.1 mg, 0.5 mg, 1.0 mg
|
Drug: IW001
IW001, 0.1 mg, 0.5 mg, 1.0 mg PO daily for 24 weeks.
|
Detailed Description:
IW001 is a therapeutic designed to treat anti-Col (V)-mediated autoimmune diseases via oral tolerance. With the identification of the specific antigen involved in the autoimmune disease process in IPF, IW001 induced oral tolerance may be an effective treatment. IW001 is taken orally, introduced into the mucosal immune system at the Peyer's Patches in the distal small intestine, where antigen-presenting cells present the antigen to regulatory T cells (Tregs). These antigen-specific Tregs enter the blood stream and traffic to areas where the specific antigen has generated an autoimmune response. Thus, IW001 may produce selective suppression of immune responses against Col (V).
Eligibility| Ages Eligible for Study: | 35 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients must meet all of the following to be included in the study:
- Diagnosis of IPF (ATS criteria) prior to the Baseline visit.
- Forced Vital Capacity (FVC) ≥ 50% of predicted.
- Lung Diffusion Capacity (DLCO) ≥ 35% of predicted.
- Ages 35-75 years inclusive.
- Positive for anti-Col (V) antibodies.
- White blood cell count (WBC) ≥ 2500 mm3.
- Hematocrit ≥ 25% and ≤ 59%.
- Platelets ≥ 100,000 mm3.
- Creatinine ≤ 1.5x Upper Limits of Normal (ULN).
- Bilirubin ≤ 1.5x ULN.
- Aspartate aminotransferase (AST, SGOT) ≤ 1.5x ULN.
- Females of child-bearing potential (defined as less than one year post-menopausal or not surgically sterile) must be using an acceptable method of birth control or practicing abstinence from the time consent is signed until 30 days after treatment discontinuation. If sexually active, female patients must use a double barrier method of birth control, such as a condom and spermicidal. Patient must have a negative pregnancy test at the Screening and Baseline visits.
Willing and able to provide adequate written informed consent.
Exclusion Criteria:
Patients will be excluded from the study for any of the following:
- Concurrent use of systemic corticosteroids or immunosuppressives within 30 days of the Baseline visit.
- Chronic NSAID use (limited, i.e., up to 72 hours continuous use of NSAIDs will be permitted during the study), (see Section 9, concomitant medications).
- N-acetyl cysteine (NAC) use within 14 days of the Baseline visit.
- Any disease, condition or surgery (e.g. inflammatory bowel disease, surgical resection) that may cause malabsorption of IW001.
- Known or suspected allergy to bovine products.
- Concurrent or prior use of any experimental medication within 30 days of the Baseline visit.
- History of smoking within three months prior to the Baseline visit.
- Known Hepatitis C or Human Immunodeficiency Virus (HIV) infections.
- Evidence of active infection at the Baseline visit.
- History of unstable or deteriorating cardiac disease.
- Myocardial infarction, coronary artery bypass, or angioplasty within 6 months of the Baseline visit.
- Unstable angina pectoris or congestive heart failure requiring hospitalization within 6 months of the Baseline visit.
- Uncontrolled arrhythmia.
- Patient has a history of illicit drug or alcohol abuse in the past year or current evidence of such abuse or addiction in the opinion of the Investigator.
- Patient has positive findings on urine drug screen.
- Any other clinically significant illness, that, in the opinion of the Investigator, might put the patient at risk of harm during the study or might adversely affect the interpretation of the study data.
- Females who are pregnant and/or lactating.
Contacts and Locations| United States, Alabama | |
| University of Alabama at Birmingham | |
| Birmingham, Alabama, United States, 35294 | |
| United States, Florida | |
| University of Miami | |
| Miami, Florida, United States, 33136 | |
| United States, Illinois | |
| University of Chicago | |
| Chicago, Illinois, United States, 60637 | |
| United States, Indiana | |
| IUPUI | |
| Indianapolis, Indiana, United States, 46202 | |
| United States, Kentucky | |
| University of Louisville | |
| Louisville, Kentucky, United States, 40202 | |
| United States, Michigan | |
| University of Michigan | |
| Ann Arbor, Michigan, United States, 48109 | |
| United States, New Jersey | |
| Newark Beth Israel Hospital | |
| Newark, New Jersey, United States, 07112 | |
| United States, Ohio | |
| Ohio State University | |
| Columbus, Ohio, United States, 43221 | |
| United States, South Carolina | |
| Medical University of South Carolina | |
| Charleston, South Carolina, United States, 29425 | |
| United States, Tennessee | |
| Vanderbilt University | |
| Nashville, Tennessee, United States, 37232 | |
| United States, Vermont | |
| University of Vermont | |
| Burlington, Vermont, United States, 05401 | |
| Study Director: | Terrence Chew, MD | ImmuneWorks, Medical Consultant |
More Information
Publications:
| Responsible Party: | ImmuneWorks |
| ClinicalTrials.gov Identifier: | NCT01199887 History of Changes |
| Other Study ID Numbers: | IW001-01 |
| Study First Received: | September 9, 2010 |
| Last Updated: | November 7, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by ImmuneWorks:
|
safety, biologic effects, IPF, autoimmune |
Additional relevant MeSH terms:
|
Fibrosis Pulmonary Fibrosis Idiopathic Pulmonary Fibrosis Pathologic Processes |
Lung Diseases Respiratory Tract Diseases Idiopathic Interstitial Pneumonias Lung Diseases, Interstitial |
ClinicalTrials.gov processed this record on May 16, 2013