About this trial
A Phase 2, Randomized, Double-Blind, Multi-Dose, Placebo-Controlled Study to Evaluate the Efficacy and Safety of LAM-001 in Adults with Pulmonary Hypertension Associated with Interstitial Lung Disease (PH-ILD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-80 years (>70 y/o requires medical monitor approval)
Idiopathic pulmonary fibrosis (IPF)
Idiopathic nonspecific interstitial pneumonia
Respiratory bronchiolitis-associated interstitial lung disease (RB-ILD)
Disqualifiers
Clinical and/or radiologic evidence of moderate to severe emphysema
Clinical diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH), supported by imaging study (e.g. ventilation-perfusion (VQ) scan, CT pulmonary angiogram (CTPA) or pulmonary angiography with findings that establish CTEPH. In the absence of a clinical diagnosis of CTEPH, an imaging study is not required.
Received IV inotropes (e.g., dobutamine, dopamine, norepinephrine, vasopressin) within 30 days prior to Week 0 Visit
History of more than moderate obstructive sleep apnea that is untreated
Trial design
Parallel
Treatments tested in this trial
Placebo
DrugMatching placebo administered via dry powder inhalation
LAM-001
DrugLAM-001 administered via dry powder inhaler
Treatment groups
Trial outcomes
Primary outcomes
To determine the change in PVR at 24 weeks
Change in PVR at 24 weeks
Secondary outcomes
To assess the effect of LAM-001 as an add-on therapy in adults with PH-ILD on exercise tolerance as assessed by the placebo-corrected change in 6MWD after 24 weeks
Placebo-corrected change in 6MWD at 24 weeks
To assess the effect of LAM-001 on Clinical Worsening at 24 weeks
Incidence of Clinical Worsening and time to first event through 24 Weeks. Clinical Worsening is defined as one of the following: * Death * Lung transplantation or Heart-Lung transplantation * Hospitalization related to worsening respiratory status/respiratory decompensation (\>24 hours) * Worsened WHO functional class * \>15% decline in 6MWD from baseline directly related to the disease at 2 consecutive visits at least 24 hours apart * \>10% decline from baseline FVC confirmed with repeat testing
To assess the effect of LAM-001 as measured by change from baseline in WHO Functional Class at 24 weeks
Percent of patients maintaining or improving Functional Class at 24 weeks
To characterize the dose-response relationship of LAM-001 to identify the optimal therapeutic dose for Phase 3
PK analysis of LAM-001
Sponsors and contacts
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