The purpose of this revised Phase IIa study is to demonstrate safety of INS018\_055 over 12 weeks in adults with Idiopathic Pulmonary Fibrosis (IPF).
Idiopathic pulmonary fibrosis is a fatal lung disease characterized by reduced quality of life (QoL) and a median survival of 3 to 4 years. While current standard of care (SoC) treatments including pirfenidone and nintedanib slow disease progression, they are not curative and poorly tolerated due to their toxicity profiles. To address the need for new treatments in IPF, InSilico Medicine is developing INS018\_055, a potent inhibitor of the serine/threonine kinase Traf2- and Nckinteracting kinase (TNIK).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
Pharmaceutical formulation: Tablet Mode of Administration: Oral
Pharmaceutical formulation: Tablet Mode of Administration: Oral
University of Alabama at Birmingham
Birmingham, Alabama, United States
RECRUITINGHonorHealth Research Institute
Scottsdale, Arizona, United States
Percentage of subjects who have at least 1 treatment-emergent adverse event (TEAE)
Time frame: Day 1 (Visit 2) up to Week 12 (End of Treatment (EOT))
Maximum plasma concentration (Cmax) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Time to reach maximum plasma concentration (Tmax) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Area under the plasma concentration-time curve from time zero to dosing interval τ (AUC0-τ) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Area under the plasma concentration-time curve from time zero to time with last measurable concentration t (AUC0-t) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Area under the plasma concentration-time curve from time zero to infinity (∞) (AUC0-∞) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Terminal elimination half-life (t1/2) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
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Keck School of Medicine of USC
Los Angeles, California, United States
RECRUITINGFlorida Lung Asthma and Sleep Specialist
Celebration, Florida, United States
RECRUITINGCentral Florida Pulmonary Group, P.A. (CFPG) - Downtown Orlando
Orlando, Florida, United States
RECRUITINGSoutheastern Research Center
Winston-Salem, North Carolina, United States
RECRUITINGUniversity of Oklahoma Health Sciences Center (OUHSC)
Oklahoma City, Oklahoma, United States
RECRUITINGTemple University Hospital-Temple Lung Center
Philadelphia, Pennsylvania, United States
RECRUITINGBogan Sleep Consultants, LLC
Columbia, South Carolina, United States
RECRUITINGUniversity of Texas Southwestern Medical Center
Dallas, Texas, United States
RECRUITING...and 2 more locations
Terminal elimination rate constant (λz) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Apparent clearance (CL/F) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Apparent volume of distribution (Vz/F) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Accumulation ratio (Rac) for Cmax and AUC of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Trough plasma concentration (Ctrough) of INS018_055 and its major metabolites (INS018_063 and INS018_095)
Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))
Relative change in Forced Vital Capacity (FVC) in mL
Time frame: Week 0/Visit 2 up to Week 12
Percentage change in FVC in mL
Time frame: Week 0/Visit 2 up to Week 12
Absolute and relative change in FVC % predicted
Time frame: Week 0/Visit 2 up to Week 12
Change in Diffusion Capacity of the lung for Carbon Monoxide (DLCO) % predicted
Time frame: Week 0/Visit 2 to Week 12
Change in Leicester Cough Questionnaire (LCQ)
Time frame: Week 0 to Week 4, 8 and 12
Change in 6-Minute Walk Distance (6MWD) in meters
Time frame: Week 0 to Week 12
Number of acute IPF exacerbations
Time frame: Week 0 up to Week 12
Number of days hospitalized for acute IPF exacerbations
Time frame: Week 0 to up Week 12