Skip to main content

Table 2 Clinical trials of targeted lipid-mediated pathways for pulmonary fibrosis

From: Ectopic and visceral fat deposition in aging, obesity, and idiopathic pulmonary fibrosis: an interconnected role

NCT

Target Specificity

Interventions

Phase

Primary outcome Measures

Enrollment

Allocation

Ref

01462006

mTOR inhibitor

Drug: Sirolimus

Other: Placebo

1

Change in peripheral blood concentration of the CXCR4 + fibrocytes up to 22 weeks

Number of subjects with drug side-effects up to 22 weeks

32

Randomized

Crossover Assignment

Quadruple

Primary Purpose: Treatment

[140]

01725139

PI3K/mTOR inhibitor

Drug: Omipalisib

Other: Placebo

1

PD endpoints pAKT/AKT

AUC in blood for GSK2126458

Cmax in blood for GSK2126458

Pre-dose concentration at the end of the dosing interval in blood for GSK2126458

Concentration of GSK2126458 in BALF

17

Randomized

Parallel Assignment

Double

Primary Purpose: Treatment

[141]

03502902

PI3K/mTOR inhibitor

Drug: HEC68498

Other: Placebo

1

Adverse event up to 4 weeks: to assess the safety and tolerability of single dose administered

55

Randomized

Parallel Assignment

Quadruple

Primary Purpose: Treatment

-

01766817

LPA1 receptor antagonist

Drug: BMS-986020

Other: Placebo matching with BMS-986020

2

Change from baseline in FVC rate to week 26

325

Randomized

Parallel Assignment

Triple

Primary Purpose: Treatment

[142]

04308681

LPA1 receptor antagonist

Drug:

BMS-986278

Other:

BMS-986278 placebo

2

Rate of change in ppFVC in IPF participants up to week 26

278

Randomized

Parallel Assignment

Triple

Primary Purpose: Treatment

[143]

04069143

LPA1 ligand for PET

Diagnostic test:

18F-BMS-986327

1

Incidence of AEs up to 3d after participation

Incidence of SAEs up to 30d after participation

Radiation dosimetry calculated from PET-CT images 30d after participation

Test–retest repeatability 30d after participation

Biodistribution and lung uptake calculated from the PET-CT images 30d after participation

14

Non-Randomized

Parallel Assignment

Open Label

Primary Purpose: Diagnostic

-

03711162

ATX inhibitor

Drug: GLPG1690

(ISABELA1)

Other: Placebo

3

Annual rate of decline in FVC up to week 52

525

Randomized

Parallel Assignment

Quadruple

Primary Purpose: Treatment

[144]

03733444

ATX inhibitor

Drug: GLPG1690

(ISABELA2)

Other: Placebo

3

Annual rate of decline in FVC up to week 52

781

Randomized

Parallel Assignment

Quadruple

Primary Purpose: Treatment

[144]

05483907

ATX inhibitor

Drug: BBT-877

Other: Placebo

2

Reduction in FVC (ml) decline compared to the placebo after 24 weeks of treatment

120

Randomized

Parallel Assignment

Triple

Primary Purpose: Treatment

-

05373914

ATX inhibitor

Drug: BLD-0409

Other: Matching placebo

2

Changes in FVC (L) from Baseline to week 26

200

Randomized

Parallel Assignment

Quadruple

Primary Purpose: Treatment

-

02538536

GPR40 agonist/GPR84 antagonist

Drug: PBI-4050

2

Number of subjects with abnormal laboratory values and/or adverse events that are related to treatment (time Frame: 4 months)

41

N/A

Single group Assignment

Open Label

Primary Purpose: Treatment

[145]

03725852

GPR84 antagonist

Drug: GLPG1205

Other: Placebo

2

Change from baseline in FVC at week 26

68

Randomized

Parallel Assignment

Quadruple

Primary Purpose: Treatment

[146]

  1. NCT Number from https://clinicaltrials.gov/; PI3K Phosphoinositide 3-kinase, Mtor Mammalian target of rapamycin, LPA1 Lysophosphatidic acid receptor type1, ATX Autotaxin, GPR G-protein-coupled receptor, PD Pharmacodynamic, AKT Protein kinase B,pAKT Phosphorylated Akt, AUC Area under the curve, Cmax Maximum observed concentration, BALF bronchoalveolar lavage fluid, FVC Forced vital capacity, ppFVC Percent predicted forced vital capacity, AEs Adverse events, SAEs Serious adverse events, PET-CT Positron emission tomography-computed tomography