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    Summary
    EudraCT Number:2022-000498-15
    Sponsor's Protocol Code Number:RXC007/0002
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2022-07-14
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2022-000498-15
    A.3Full title of the trial
    A Multi-Cohort, Randomised, Placebo-Controlled Phase 2a Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of Ascending Doses of RXC007 in Patients with Idiopathic Pulmonary Fibrosis
    Un estudio de fase 2a controlado con placebo, aleatorizado y de múltiples cohortes para evaluar la seguridad, la farmacocinética, la farmacodinámica y la actividad clínica de dosis ascendentes de RXC007 en pacientes con fibrosis pulmonar idiopática
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study to investigate the safety, tolerability, and potential effect of RXC007 in patients with IPF.
    Un estudio para evaluar la seguridad, tolerabilidad y efecto potencial de RXC007 en pacientes con fibrosis pulmonar idiopática.
    A.3.2Name or abbreviated title of the trial where available
    A Phase 2 study of RXC007 in patients with IPF.
    Estudio de fase 2 con RXC007 en pacientes con fibrosis pulmonar idiopática.
    A.4.1Sponsor's protocol code numberRXC007/0002
    A.5.1ISRCTN (International Standard Randomised Controlled Trial) NumberISRCTN60385283
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorRedx Pharma Plc
    B.1.3.4CountryUnited Kingdom
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportRedx Pharma PLC
    B.4.2CountryUnited Kingdom
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationRedx Pharma Plc
    B.5.2Functional name of contact pointChief Medical Officer
    B.5.3 Address:
    B.5.3.1Street AddressRedx Pharma Plc, Block 33, Mereside, Alderley Park
    B.5.3.2Town/ cityCheshire
    B.5.3.3Post codeSK10 4TG
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number+447765282736
    B.5.6E-mailj.robertson@redxpharma.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRXC007 20 mg Capsule
    D.3.2Product code NA
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRXC007
    D.3.9.1CAS number 2365193-22-0
    D.3.9.2Current sponsor codeRXC007
    D.3.9.3Other descriptive nameRXC007
    D.3.9.4EV Substance CodeSUB272060
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRXC007 50 mg Capsule
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRXC007
    D.3.9.1CAS number 2365193-22-0
    D.3.9.2Current sponsor codeRXC007
    D.3.9.3Other descriptive nameRXC007
    D.3.9.4EV Substance CodeSUB272060
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCapsule, hard
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Idiopathic Pulmonary Fibrosis (IPF)
    FIbrosis pulmonar ideopática (FPI)
    E.1.1.1Medical condition in easily understood language
    Lung condition associated with fibrosis and inflammation
    Situación pulmonar con fibrosis e inflamación
    E.1.1.2Therapeutic area Body processes [G] - Physiological processes [G07]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10067761
    E.1.2Term Exacerbation of idiopathic pulmonary fibrosis
    E.1.2System Organ Class 100000004855
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    - To assess the safety and tolerability of RXC007 when given for 12 weeks (84 days), alone and in combination with nintedanib or pirfenidone.
    Evaluar la seguridad y la tolerabilidad de RXC007 cuando se administra durante 12 semanas (84 días), solo y en combinación con nintedanib o pirfenidona.
    E.2.2Secondary objectives of the trial
    The secondary objectives of the study are:
    - To assess the PK profile of RXC007, alone and in combination with nintedanib or pirfenidone.
    - To assess the PK profile of nintedanib and pirfenidone at baseline and at steady state in combination with RXC007.
    - To assess the potential of RXC007 to demonstrate clinical activity in patients with IPF.
    Los objectivos secundarios del estudio son:
    - Evaluar los perfiles de FC de RXC007, solo y en combinación con nintedanib o pirfenidona.
    - Evaluar los perfiles de FC de nintedanib y pirfenidona al inicio y en situación de equilibrio en combinación con RXC007.
    - Evaluar la capacidad de RXC007 para demostrar actividad clínica en pacientes con FPI.
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    Translation Science Sub-Study Cohorts - Cohort 1B & Cohort 3B - Integrated Cohorts as part of the overall main study to run in parallel and at the same dose levels and dose regimen as Cohort 1 and Cohort 3 of the main study respectively.
    Same schedule of assessments as main study cohorts with the exception of the addition of two bronchoalveolar lavage (BAL) procedures with epithelial brushings
    on Day 1 of Dosing Cycles 1 & 2.
    Objectives are as follows:
    - To explore potential biomarker changes in paired samples of bronchial absorption, BAL-derived fluid and cells, and epithelial brushings, obtained at Screening and 28 days post-dosing, that may be indicative of target engagement or disease modification.
    - To explore feasibility of determination of RXC007 concentration in BAL fluid.
    Cohortes del subestudio de investigación traslacional - Cohorte 1B y cohorte 3B - cohortes integradas como parte del estudio principal que se realizaran en paralelo y en los mismos nivleles de dosis y régimen que la cohorte 1 y la cohorte 3 del estudio principal respectivamente.
    Mismo programa de evaluaciones que las cohortes del estudio principal con la excepción de la adición de dos procedimientos de lavado broncoalveolar (LBA) con cepillados epiteliares obtenidos en el momento de la selección y a los 28 días después de la dosificación.
    Los objetivos son los siguientes:
    - Estudiar los posibles cambios en los biomarcadores de muestras emparejadas de absorción bronquial, líquido y células derivadas del lavado broncoalveolar (LBA) y cepillados epiteliales, obtenidos en el momento de la selección y a los 28 días después de la dosificación, que puedan ser indicativos de interacción con la diana o de modificación de la enfermedad.
    - Estudiar la viabilidad de la determinación de la concentración de RXC007 en el líquido del LBA.
    E.3Principal inclusion criteria
    1. Ability to provide signed and dated informed consent.
    2. Aged ≥40 to 80 years at the time of signing the informed consent.
    3. Diagnosis of IPF within 5 years of Screening based on the modified IPF guidelines for diagnosis and management of IPF and confirmed on independent central imaging review.
    4. Combination of HRCT pattern, as assessed by central reviewers, consistent with diagnosis of IPF.
    5. FVC % predicted ≥50% predicted of normal at Screening, with no clinically significant deterioration between the Screening Visit and randomisation, as determined by the Investigator.
    6. DLco (Hb-adjusted) at screening ≥30%.
    7. In the main study, participants receiving treatment for IPF with nintedanib or pirfenidone are allowed if on treatment for at least 3 months and on a stable dose for at least 4 weeks prior to Screening and during Screening.
    8. In patients who are not on any treatment for IPF but have previously received nintedanib or pirfenidone, there needs to be a washout period ≥4 weeks prior to
    Screening.
    9. No clinically significant history of previous allergy/ sensitivity to RXC007 or any of the excipients contained within the Investigational Medicinal Product (IMP).
    10. Blood cell parameters within the following limits:
    o Haemoglobin >10 g/dL
    o WBC count >3.00 × 103/μL
    o Neutrophils >1.50 × 103/μL
    o Platelets >80 × 103/μL
    11. Alanine transaminase (ALT) and aspartate transaminase (AST) <2x upper limit of normal (ULN). Total bilirubin <1.5 ULN.
    12. Negative human immunodeficiency virus (HIV), hepatitis B surface antigen (HbsAg) and hepatitis C virus antibody (HCV Ab) test results at Screening.
    13. No clinically significant abnormalities in 12-lead ECG determined within 28 days before first dose of IMP including a QTcF interval >470 ms.
    14. No clinically significant abnormalities, in the opinion of the investigator, in vital signs (e.g., blood pressure, pulse rate, respiration rate, oral temperature) within
    28 days before first dose of IMP.
    15. Patients must be willing to comply with institutional COVID-19 testing policy.
    16. Female patients must be surgically sterile, (hysterectomy, bilateral salpingectomy or bilateral oophorectomy), post-menopausal (minimum 1 year without menses), or agree to use two or more of the following forms of highly effective contraception with all male sexual partners from the time of signing the Patient Informed Consent Document (PICD) until 36 months after the last dose of study medication: hormonal (i.e., oral, transdermal, implant, or injection); intrauterine device (IUD), Intrauterine system (IUS) (e.g., Mirena), or bilateral tubal occlusion; vasectomised partner (with appropriate post-vasectomy documentation of the absence of sperm in the ejaculate); or abstinence. Note: Two hormonal methods are not to be used concomitantly.
    17. Men must agree to use a condom (with spermicide) during the study, and for 6 months after the last dose of study drug, with all sexual partners. Men must agree not to donate
    sperm for 6 months after the last dose of study drug.
    1. Habilidad oara proporcionar consentimiento informado fechado y escrito
    2. Edad>40 a 80 años en el momento de firmar el consentimiento informado
    3. Diagnostico de FPI en los últimos 5 años desde la selección basado en lsa guías de FPI para el diagnostico y tratamiento de FPI y confirmado por diagnóstico por imágen central e independiente
    4. Combinación del patrón de TCAR, según la evaluación de los revisores centrales, compatible con el diagnóstico de FPI.
    5. % de FVC previsto ≥50 % del valor teórico normal en la selección, sin deterioro clínicamente significativo entre la visita de selección y la aleatorización, según lo determine el investigador.
    6. DLco (Hb-ajustada) en la selección ≥30%.
    7. en el estudio principal, los participantes que reciban tratamiento para FPI con nintedanib o pirfenidone estan permitidos si están en tratamiento de al menos 3 meses y con una dosis estable por al menos 4 semanas antes de la selección y durante la selección.
    8. En pacientes que no están en ningún tratamiento para la FPI pero han recibido previamente nintedanib o pirfenidona, debe haber un período de lavado ≥4 semanas antes de
    Poner en pantalla.
    9. Sin antecedentes clínicamente significativos de alergia/sensibilidad previa a RXC007 o a cualquiera de los excipientes contenidos en el medicamento en investigación (IMP).
    10. Parámetros de células sanguíneas dentro de los siguientes límites:
    o Hemoglobina >10 g/dL
    o Recuento de glóbulos blancos >3,00 × 103/μL
    o Neutrófilos >1,50 × 103/μL
    o Plaquetas >80 × 103/μL
    11. Alanina transaminasa (ALT) y aspartato transaminasa (AST) <2 veces el límite superior normal (ULN). Bilirrubina total <1,5 ULN.
    12. Resultados negativos de la prueba del virus de la inmunodeficiencia humana (VIH), del antígeno de superficie de la hepatitis B (HbsAg) y del anticuerpo del virus de la hepatitis C (HCV Ab) en la selección.
    13. Sin anomalías clínicamente significativas en el ECG de 12 derivaciones determinadas dentro de los 28 días anteriores a la primera dosis de IMP, incluido un intervalo QTcF >470 ms.
    14. Sin anomalías clínicamente significativas, en opinión del investigador, en los signos vitales (p. ej., presión arterial, frecuencia del pulso, frecuencia respiratoria, temperatura oral) dentro de
    28 días antes de la primera dosis de IMP.
    15. Los pacientes deben estar dispuestos a cumplir con la política institucional de pruebas de COVID-19.
    16. Las pacientes deben ser quirúrgicamente estériles (histerectomía, salpingectomía bilateral u ovariectomía bilateral), posmenopáusicas (mínimo 1 año sin menstruación) o aceptar usar dos o más de las siguientes formas de anticoncepción altamente efectiva con todas las parejas sexuales masculinas desde el momento de la firma del Documento de consentimiento informado del paciente (PICD) hasta 36 meses después de la última dosis del medicamento del estudio: hormonal (es decir, oral, transdérmico, implante o inyección); dispositivo intrauterino (DIU), sistema intrauterino (IUS) (p. ej., Mirena) u oclusión tubárica bilateral; pareja vasectomizada (con la documentación adecuada posterior a la vasectomía de la ausencia de espermatozoides en el eyaculado); o abstinencia. Nota: No se deben utilizar dos métodos hormonales de forma concomitante.
    17. Los hombres deben aceptar usar un condón (con espermicida) durante el estudio y durante los 6 meses posteriores a la última dosis del fármaco del estudio, con todas sus parejas sexuales. Los hombres deben aceptar no donar esperma durante 6 meses después de la última dosis del fármaco del estudio.
    E.4Principal exclusion criteria
    1. Currently receiving or planning to initiate treatment for IPF with agents not approved for that indication.
    2. FEV1/FVC ratio <0.7 at Screening, pre-bronchodilator use.
    3. Lower respiratory tract infection requiring antibiotics within 4 weeks of Screening or during Screening.
    4. The extent of emphysema in the lungs exceeds fibrosis, based on central review of HRCT scans.
    5. Need for continuous oxygen supplementation, defined as >15 hours/day.
    6. Acute IPF exacerbation within 6 months of Screening or during Screening.
    7. History of ongoing malignant disease, including solid tumours and hematologic malignancies, with the exception of basal-cell carcinoma, squamous-cell
    carcinoma, and carcinoma in situ of the cervix that have been completely excised and considered cured >2 years prior to Screening.
    8. Significant cardiac disease (e.g., New York Heart Association Class 3 or 4; myocardial infarction within the past 6 months; unstable angina; coronary angioplasty
    or coronary artery bypass graft within the past 6 months; uncontrolled atrial or ventricular cardiac arrhythmias; or pulmonary hypertension requiring pharmacologic
    treatment).
    9. Clinical diagnosis of any connective-tissue disease (including, but not limited to, scleroderma, polymyositis/dermatomyositis, systemic lupus erythematosus, and
    rheumatoid arthritis) or a diagnosis of interstitial pneumonia with autoimmune features as determined by the Investigator applying the recent ERS/ATS research
    statement. Note: Serological testing is not needed if not clinically indicated.
    10. Creatinine clearance <60 mL/min according to Cockcroft Gault equation.
    11. A clinically significant history of GI disorder likely to influence IMP absorption.
    12. A clinically significant history of infection in the last 3 months.
    13. Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular, or metabolic dysfunction.
    14. A clinically significant history of drug or alcohol abuse within the past 3 months prior to Screening.
    15. Disease other than IPF with a life expectancy of less than 12 weeks.
    16. Inability to communicate well with the Investigators (i.e., language problem, poor mental development, or impaired cerebral function).
    17. Participation in a New chemical entity (NCE) clinical study within the previous 3 months or five half-lives, whichever is longer, or a marketed drug clinical study
    within the 30 days or five half-lives, whichever is longer.
    18. Female who is pregnant or breastfeeding.
    19. Patients who are currently receiving prohibited medications and are unable to stop.
    20. Patients who are currently receiving steroids or formal anticoagulants (anti-platelet agents are permitted) and are unable to stop.
    21. Participants who have received a COVID-19 vaccine injection within 72 hours prior to the first dose of IMP.
    1. Actualmente recibe o planea iniciar un tratamiento para la FPI con agentes no aprobados para esa indicación.
    2. Relación FEV1/FVC <0,7 en la selección, antes del uso de broncodilatadores.
    3. Infección del tracto respiratorio inferior que requiera antibióticos dentro de las 4 semanas previas a la selección o durante la selección.
    4. La extensión del enfisema en los pulmones excede la fibrosis, según la revisión central de las tomografías computarizadas de alta resolución.
    5. Necesidad de suplemento continuo de oxígeno, definido como >15 horas/día.
    6. Exacerbación aguda de la FPI dentro de los 6 meses posteriores a la selección o durante la selección.
    7. Antecedentes de enfermedad maligna en curso, incluidos tumores sólidos y neoplasias malignas hematológicas, con la excepción de carcinoma de células basales, carcinoma de células escamosas
    carcinoma y carcinoma in situ del cuello uterino que se extirparon por completo y se consideraron curados >2 años antes de la selección.
    8. Enfermedad cardíaca significativa (p. ej., clase 3 o 4 de la New York Heart Association; infarto de miocardio en los últimos 6 meses; angina inestable; angioplastia coronaria
    o injerto de derivación de arteria coronaria en los últimos 6 meses; arritmias cardíacas auriculares o ventriculares no controladas; o hipertensión pulmonar que requiere tratamiento farmacológico
    tratamiento).
    9. Diagnóstico clínico de cualquier enfermedad del tejido conectivo (incluidas, entre otras, esclerodermia, polimiositis/dermatomiositis, lupus eritematoso sistémico y
    artritis reumatoide) o un diagnóstico de neumonía intersticial con características autoinmunes según lo determinado por el investigador aplicando la investigación reciente de ERS/ATS
    declaración. Nota: No se necesitan pruebas serológicas si no están clínicamente indicadas.
    10. Aclaramiento de creatinina <60 ml/min según la ecuación de Cockcroft Gault.
    11. Una historia clínicamente significativa de trastorno GI que probablemente influya en la absorción de IMP.
    12. Antecedentes clínicamente significativos de infección en los últimos 3 meses.
    13. Evidencia de disfunción renal, hepática, del sistema nervioso central, respiratoria, cardiovascular o metabólica.
    14. Un historial clínicamente significativo de abuso de drogas o alcohol en los últimos 3 meses antes de la selección.
    15. Enfermedad distinta de la FPI con una esperanza de vida inferior a 12 semanas.
    16. Incapacidad para comunicarse bien con los Investigadores (es decir, problemas de lenguaje, desarrollo mental deficiente o deterioro de la función cerebral).
    17. Participación en un estudio clínico de una nueva entidad química (NCE) dentro de los 3 meses anteriores o cinco vidas medias, lo que sea más largo, o un estudio clínico de un fármaco comercializado
    dentro de los 30 días o cinco vidas medias, lo que sea más largo.
    18. Mujer que está embarazada o amamantando.
    19. Pacientes que actualmente están recibiendo medicamentos prohibidos y no pueden dejar de hacerlo.
    20. Pacientes que actualmente están recibiendo esteroides o anticoagulantes formales (se permiten agentes antiplaquetarios) y no pueden parar.
    21. Participantes que hayan recibido una inyección de la vacuna COVID-19 dentro de las 72 horas anteriores a la primera dosis de IMP.
    E.5 End points
    E.5.1Primary end point(s)
    • The incidence and severity of AEs and serious adverse events (SAEs),
    • Changes in safety laboratory parameters, vital signs and ECGs.
    • La incidencia y la gravedad de los EA y los eventos adversos graves (SAE),
    • Cambios en parámetros de laboratorio de seguridad, signos vitales y ECG.
    E.5.1.1Timepoint(s) of evaluation of this end point
    AEs & SAEs will be recorded from the time of signature of informed consent until 30 days after the last of RXC007/placebo.
    Laboratory Safety Testing
    Main Study: Screening, Cycle 1: Days 1, 8, 15, 22, Cycles 2 & 3: Days 1, 15 & 28 (Cycle 3 only) & Follow Up
    Extended: Cycles 1-3: Day 1 & 15
    Vital Signs
    Main Study: Screening, Cycle 1: Days 1, 8, 15, 22, Cycles 2 & 3: Days 1, 15 & 28 (Cycle 3 only) & Follow Up
    Extended: Cycles 1-3: Day 1 & 15
    ECG (in triplicate)
    Main Study: Screening, Cycle 1: Days 1, 8, 15, 22, Cycles 2 & 3: Day 1, Day 28 (Cycle 3 only) & Follow Up
    Extended: Cycles 1-3: Day 1
    All timepoints for assessments are pre-dose timepoints (relative to the morning dose of RXC007).
    Los AE y SAE se registrarán desde el momento de la firma del consentimiento informado hasta 30 días después del último RXC007/placebo.
    Pruebas de seguridad de laboratorio
    Estudio principal: detección, ciclo 1: días 1, 8, 15, 22, ciclos 2 y 3: días 1, 15 y 28 (solo ciclo 3) y seguimiento
    Extendido: Ciclos 1-3: Día 1 y 15
    Signos vitales
    Estudio principal: detección, ciclo 1: días 1, 8, 15, 22, ciclos 2 y 3: días 1, 15 y 28 (solo ciclo 3) y seguimiento
    Extendido: Ciclos 1-3: Día 1 y 15
    ECG (por triplicado)
    Estudio principal: detección, ciclo 1: días 1, 8, 15, 22, ciclos 2 y 3: día 1, día 28 (solo ciclo 3) y seguimiento
    Extendido: Ciclos 1-3: Día 1
    Todos los puntos de tiempo para las evaluaciones son puntos de tiempo previos a la dosis (en relación con la dosis matutina de RXC007).
    E.5.2Secondary end point(s)
    The secondary endpoints for this study are:
    - Derived PK parameters calculated from measurement of plasma concentrations of RXC007
    - Efficacy parameters derived from measured outcomes of lung function testing (spirometry and carbon monoxide diffusion capacity (DLCO)
    Parameters for PK are as follows:
    • Maximum plasma concentration (Cmax) after Dose 1, Cmax at steady state, minimum observed plasma concentration (Cmin) at steady state as well as other
    relevant parameters (e.g., tmax, t½, λz, AUC0-∞, CL/F, Vz/F, Css, AUCss).
    Parameters for Lung Function Testing are as follows:
    • % predicted and absolute volume change from baseline in FVC at 12 weeks (central review),
    • % predicted and absolute change from baseline in DLCO at 12 weeks.
    Los criterios de valoración secundarios de este estudio son:
    - Parámetros farmacocinéticos derivados calculados a partir de la medición de concentraciones plasmáticas de RXC007
    - Parámetros de eficacia derivados de los resultados medidos de las pruebas de función pulmonar (espirometría y capacidad de difusión de monóxido de carbono (DLCO)
    Los parámetros para PK son los siguientes:
    • Concentración plasmática máxima (Cmax) después de la dosis 1, Cmax en estado estacionario, concentración plasmática mínima observada (Cmin) en estado estacionario, así como otros
    parámetros relevantes (por ejemplo, tmax, t½, λz, AUC0-∞, CL/F, Vz/F, Css, AUCss).
    Los parámetros para las pruebas de función pulmonar son los siguientes:
    • % de cambio de volumen previsto y absoluto desde el valor inicial en FVC a las 12 semanas (revisión central),
    • % de cambio absoluto y previsto desde el inicio en DLCO a las 12 semanas.
    E.5.2.1Timepoint(s) of evaluation of this end point
    PK
    Main Study Dosing Cycle 1: Days 1 & 8 (pre-dose, 1, 2, 3, 4, 8 hr post dose), Dosing Cycle 2: Day 1
    Extended: Cycles 1-3: Day 1
    Spirometry
    Main Study Dosing Cycle 1: Days 1, 8, 15, 22 (pre-dose relative to morning dose of RXC007)
    Main Study Dosing Cycle 2: Days 1 & 15 (pre-dose relative to morning dose of RXC007)
    Main Study Dosing Cycle 3: Days 1, 15 & 28 (pre-dose relative to morning dose of RXC007)
    Extended: Cycles 1-3: Days 1 & 15 (pre-dose relative to morning dose of RXC007)
    DLCO
    Dosing Cycle 1: Days 1 & 15 (pre-dose relative to morning dose of RXC007)
    Dosing Cycle 2: Day 1 (pre-dose relative to morning dose of RXC007)
    Dosing Cycle 3: Day 28 (pre-dose relative to morning dose of RXC007)
    Extended: Cycles 1-3: Day 1 (pre-dose relative to morning dose of RXC007)
    Farmacocinetica; Estudio principal Ciclo de dosificación 1: Días 1 y 8 (antes de la dosis, 1, 2, 3, 4, 8 h después de la dosis), Ciclo de dosificación 2: Día 1
    Extendido: Ciclos 1-3: Día 1; Espirometría; Ciclo de dosificación del estudio principal 1: Días 1, 8, 15, 22 (antes de la dosis en relación con la dosis matutina de RXC007); Ciclo de dosificación del estudio principal 2: Días 1 y 15 (antes de la dosis en relación con la dosis matutina de RXC007)
    Ciclo de dosificación del estudio principal 3: Días 1, 15 y 28 (antes de la dosis en relación con la dosis matutina de RXC007)

    Hacemos referencia al protocolo para el texto ausente por falta de caracteres
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial5
    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.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA27
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    United States
    France
    Poland
    Spain
    Czechia
    Germany
    Italy
    Belgium
    United Kingdom
    E.8.7Trial has a data monitoring committee No
    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
    LVLS
    Ultima visita del ultimo paciente
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 40
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 24
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state10
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 38
    F.4.2.2In the whole clinical trial 64
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Not applicable - following completion of the post-study follow up visit, all patients will be
    discharged from the study provided that the Investigator deems it appropriate to do so.
    Patients may then maintain their standard of care treatment regimens for IPF.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2022-09-22
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-09-20
    P. End of Trial
    P.End of Trial StatusOngoing
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