Phase 2
Completed N=505
A Study of Lebrikizumab in Participants With Idiopathic Pulmonary Fibrosis (IPF)
Source: ClinicalTrials.gov NCT01872689 ↗Enrolled (actual)
505
Serious AEs
28.7%
Results posted
Aug 2018
Primary outcomePrimary: Annualized Rate of Decrease in Percent Predicted Forced Vital Capacity (FVC) Over 52 Weeks — -6.1876; -5.2065; -6.0430; -5.5430 percent predicted FVC/year — p=0.4555
Summary
This randomized, multicenter, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of lebrikizumab as monotherapy in the absence of background IPF therapy and as combination therapy with pirfenidone background therapy in participants with IPF. Participants will be randomized to receive either lebrikizumab or placebo subcutaneously every 4 weeks.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Annualized Rate of Decrease in Percent Predicted Forced Vital Capacity (FVC) Over 52 Weeks |
-6.1876; -5.2065; -6.0430; -5.5430 | 0.4555 |
| SECONDARY Annualized Rate of Decline in 6-Minute Walk Test (6MWT) Distance Over 52 Weeks |
-44.6512; -22.7209; -25.5683; -46.9810 | 0.3129 |
| SECONDARY Percentage of Participants With Event of Greater Than or Equal to (>/=) 10% Absolute Decline in Percent Predicted FVC or Death From Any Cause |
34.2; 27.6; 30.3; 26.6 | — |
| SECONDARY Time to First Occurrence of a >/=10% Absolute Decline in Percent Predicted FVC or Death From Any Cause |
53.1; NA; NA; NA | 0.4299 |
| SECONDARY Annualized Rate of Decrease in Diffusion Capacity of the Lung for Carbon Monoxide (DLco) Over 52 Weeks |
-4.7818; -4.2400; -5.7552; -5.5732 | 0.6075 |
| SECONDARY Percentage of Participants With Event of Death, All Cause Hospitalization, or a Decrease From Baseline of >/=10% in FVC |
47.4; 32.9; 39.4; 39.9 | — |
| SECONDARY Progression-Free Survival (PFS) |
52.6; NA; NA; NA | 0.0972 |
| SECONDARY Annualized Rate of Decrease in FVC Over 52 Weeks |
-221.029; -192.906; -231.167; -209.437 | 0.5707 |
| SECONDARY Annualized Rate of Decrease in A Tool to Assess Quality of Life in IPF (ATAQ-IPF) Questionnaire Total Score Over 52 Weeks |
6.8907; 4.7886; 5.6189; 5.4558 | 0.3854 |
| SECONDARY Percentage of Participants With an Event of St. George's Respiratory Questionnaire (SGRQ) Total Score Worsening or Death From Any Cause |
57.9; 48.7 | — |
| SECONDARY Time to First Occurrence of SGRQ Total Score Worsening or Death From Any Cause |
51.7; 52.3 | 0.4433 |
| SECONDARY Percentage of Participants With an Event of Acute Idiopathic Pulmonary Fibrosis (IPF) Exacerbation |
3.9; 3.9; 6.3; 2.9 | — |
| SECONDARY Time to First Event of Acute IPF Exacerbation |
NA; NA; NA; NA | 0.9366 |
| SECONDARY Percentage of Participants With Respiratory-Related Hospitalization |
15.4; 14.5 | — |
| SECONDARY Time to Respiratory-Related Hospitalization |
NA; NA | 0.6815 |
| SECONDARY Percentage of Participants With an Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause |
9.2; 6.6; 14.9; 11.0 | — |
| SECONDARY Time to First Event of >/=15% Absolute Decrease in Percentage of Predicted DLco or Death From Any Cause |
NA; NA; NA; NA | 0.5685 |
| SECONDARY Percentage of Participants With Anti-therapeutic Antibody (ATA) to Lebrikizumab |
5.3; 1.8; 6.7; 5.2 | — |
| SECONDARY Minimum Observed Serum Concentration (Cmin) of Lebrikizumab at Week 52 |
29.6; 25.2 | — |
| SECONDARY Minimum Observed Serum Concentration (Cmin) of Lebrikizumab |
14.0; 14.9; 24.4; 25.0; 28.5; 25.7 | — |
| SECONDARY Elimination Half-Life (t1/2) of Lebrikizumab |
23.5; 21.9 | — |
Eligibility Criteria
Inclusion Criteria
- Have a diagnosis of IPF within the previous 5 years from time of screening and confirmed at baseline
- FVC >/=40 percent (%) and /=25% and /=100 meters unassisted in 6 minutes
- Cohort A: No background IPF therapy for >/=4 weeks allowed prior to randomization and throughout the placebo-controlled study period
- Cohort B: Tolerated dose of pirfenidone /=4 weeks required prior to randomization and throughout the placebo-controlled study period
Exclusion Criteria
- History of severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
- Evidence of other known causes of interstitial lung disease
- Lung transplant expected within 12 months of screening
- Evidence of clinically significant lung disease other than IPF
- Post-bronchodilator forced expiratory volume in 1 second (FEV1)/FVC ratio /=12% predicted and 200 milliliters increase in FEV1 or FVC
- Class IV New York Heart Association chronic heart failure or historical evidence of left ventricular ejection fraction <35%
- Hospitalization due to an exacerbation of IPF within 4 weeks prior to or during screening
- Known current malignancy or current evaluation for potential malignancy
- Listeria monocytogenes infection or active parasitic infection within 6 months prior to Day 1, Visit 2
- Active tuberculosis requiring treatment within 12 months of screening
- Known immunodeficiency, including but not limited to human immunodeficiency virus infection
- Past use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
- Evidence of acute or chronic hepatitis or known liver cirrhosis
Exclusions Criteria Limited to Cohort B:
- Known achalasia, esophageal stricture, or esophageal dysfunction sufficient to limit the ability to swallow oral medication
- Tobacco smoking or use of tobacco-related products within 3 months of screening or unwillingness to avoid smoking throughout the study period
- Known or suspected peptic ulcer
- Any condition that, as assessed by the investigator, might be significantly exacerbated by the known side effects associated with pirfenidone
- Creatinine clearance <40 milliliters/minute, calculated using the Cockcroft-Gault formula
- Use of following therapies within 4 weeks of randomization (Day 1, Visit 2) or during the study: Strong inhibitors of CYP1A2 (Cytochrome P450 Family 1 Subfamily A Member 2) (example: fluvoxamine or enoxacin); Moderate inducers of CYP1A2 (limited to tobacco smoking and tobacco-related products)
Data sourced from ClinicalTrials.gov (NCT01872689). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.