E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Idiopathic Pulmonary Fibrosis |
Fibrosis pulmonar idiopática |
|
E.1.1.1 | Medical condition in easily understood language |
Idiopathic Pulmonary Fibrosis |
Fibrosis pulmonar idiopática |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10021240 |
E.1.2 | Term | Idiopathic pulmonary fibrosis |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective is to demonstrate a reduction of lung function decline, as measured by a change of the yearly rate of decline of forced vital capacity (FVC). |
Demostrar la reducción del deterioro de la función pulmonar, medida a través del cambio de la tasa anual de descenso de la capacidad vital forzada (FVC). |
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E.2.2 | Secondary objectives of the trial |
To assess the patient?s perception of his/her disease, and the time to IPF exacerbation. To investigate respiratory and overall survival, as well as causes of mortality. To assess safety and tolerability. |
Evaluar la percepción del paciente de su enfermedad, y el tiempo hasta la exacerbación de la FPI. Investigar la supervivencia respiratoria y global, así como las causas de mortalidad. Evaluar la seguridad y la tolerabilidad |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patient aged ? 40 years IPF diagnosed, according to most recent ATS/ERS/JRS/ALAT IPF guideline (in press) for diagnosis and management, within 5 years of visit 2. Combination of HRCT pattern, and if available surgical lung biopsy pattern, as assessed by central reviewers, are consistent with diagnosis of IPF Dlco (corrected for Hb [visit 1]): 30%-79% predicted of normal FVC ? 50% predicted of normal |
Edad del paciente > o = 40 años FPI diagnosticada, según las directrices ATS/ERS/JRS/ALAT IPF más recientes para el diagnóstico y el tratamiento, en los 5 años previos a visita 2. La combinación del patrón del HRCT, y si está disponible el patrón de la biopsia pulmonar quirúrgica, según la evaluación de los examinadores centrales, es concordante con el diagnóstico de FPI Dlco (corregida por la Hb): 30%-79% del normal teórico FVC > o = 50% del normal teórico |
|
E.4 | Principal exclusion criteria |
Laboratory parameters AST, ALT > 1.5 x ULN; Bilirubin > 1.5 x ULN. Relevant airways obstruction (i.e. pre-bronchodilator FEV1/FVC < 0.7). In the opinion of the Investigator, patient is likely to have lung transplantation during study (but being on transplantation list is acceptable for participation). Myocardial infarction within 6 months of visit 2. Unstable angina within 1 month of visit 2. Bleeding risk (Known genetic predisposition, fibrinolysis, full-dose therapeutic anticoagulation or high dose antiplatelet therapy, history of hemorrhagic CNS event within 12 months; haemoptysis or haematuria or active gastro-intestinal bleeding or ulcers or major injury or surgery. Thrombotic risk (known inherited predisposition to thrombosis, history of thrombotic event (including stroke and transient ischemic attacks) within 12 months, International normalised ratio (INR) > 2, prolongation of prothrombin time (PT) and partial thromboplastin time (PTT) by > 50% of institutional ULN. NAC, prednisone > 15mg/day or equivalent received within 2 weeks of visit 1. Pirfenidone, azathioprine, cyclophosphamide, cyclosporine A received within 8 weeks of visit 1. |
Parámetros de laboratorio: AST, ALT > 1,5 x LSN.; Bilirrubina > 1,5 x LSN. Obstrucción relevante de las vías respiratorias (FEV1/FVC < 0,7 prebroncodilatador). A juicio del investigador, es posible que el paciente se someta a un transplante de pulmón durante el estudio (pero figurar en la lista de trasplantes es aceptable para la participación). Infarto de miocardio durante los 6 meses previos a Visita 2 Angina inestable durante el mes previo a Visita 2 Riesgo de hemorragia (predisposición genética, fibrinólisis o anticoagulación terapéutica a dosis completa o tratamiento de antiagregación plaquetaria a dosis altas; antecedente de episodio hemorrágico del SNC en los 12 meses; hemoptisis o hematuria o hemorragia gastrointestinal activa o úlceras o lesión o cirugía mayor en los 3 meses previos Riesgo trombótico (predisposición hereditaria, antecedente de episodio trombótico (incluido ictus y accidente isquémico transitorio) antes de 12 meses, índice internacional normalizado (INR) > 2, prolongación del tiempo de protrombina (TP) y tiempo de tromboplastina parcial (TTP) en > 50% del LSN institucional. N-Acetil Cisteina, prednisona > 15mg/día o equivalente recibido en las 2 semanas previas a la visita 1 Pirfenidona, azatioprina, ciclofosfamida, ciclosporina A recibida en las últimas 8 semanas desde la visita 1 |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The annual rate of decline in FVC (expressed in ml during 52 weeks) |
Tasa anual de descenso en la FVC (expresada en ml durante 52 semanas) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | Yes |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 42 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Canada |
Chile |
China |
Finland |
France |
Germany |
Greece |
India |
Japan |
Korea, Republic of |
Mexico |
Netherlands |
Portugal |
Russian Federation |
Spain |
Turkey |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The study will end when the last patient has completed the 52 weeks of treatment and the follow-up period of 28 days |
El estudio finalizará cuando el último paciente haya completado sus 52 semanas de tratamiento y el período de seguimiento de 28 días. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |