About this trial
ORJ-001 is a new class of drugs intended for the treatment of patients with idiopathic pulmonary fibrosis (IPF). This is a Phase 2 study in two parts; the objective of Part A will determine if ORJ-001 is well-tolerated by patients and how long the drug stays in the body. Part B will test how well the drug affects lung function. Animal models of IPF have shown that ORJ-001 can repair damaged lung tissue and improve markers of lung function.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female participants aged ≥ 40 years when signing informed consent
Non-smoker or ex-smoker who has stopped smoking for > 6 months prior to signing informed consent
Diagnosis of IPF, as defined by 2022 international guidelines and confirmed by centrally adjudicated finding of a definite or probable UIP pattern on HRCT of the chest. The HRCT may be performed at screening or, if available, a historical HRCT obtained within 12 months from screening may be submitted for central review
FVC of at least 45% of the predicted value and a DLCO, corrected for the hemoglobin level, of at least 25% and no greater than 90% of the predicted value. Note: Each test (FVC and DLCO) may be repeated once after a minimum of 24 hours if the initial result is deemed unreliable by the investigator
Disqualifiers
Participants who are treatment-naïve with respect to SOC antifibrotic therapies
Women who are pregnant, nursing, or who plan to become pregnant while in the trial
Major surgery (including joint surgery) within 8 weeks from screening, or planned major surgery within 4 months following randomization
Presence of one or more significant concurrent medical conditions that may affect the outcome of the study per investigator judgement
Trial design
Parallel
Treatments tested in this trial
ORJ-001
DrugORJ-001 is a peptide agonist of β1 integrin administered by subcutaneous injection twice weekly. In Part A, dose levels are 200 mg and 400 mg. In Part B, a single dose level selected from Part A will be evaluated.
Placebo
Other interventionMatching placebo administered by subcutaneous injection twice weekly.
Treatment groups
Trial outcomes
Primary outcomes
Part A: Safety and Tolerability of ORJ-001: Number of Participants with Treatment-Related Adverse Events (TEAEs)
Number of participants experiencing at least one treatment-emergent adverse event.
Part A: Safety and Tolerability of ORJ-001: Severity of Treatment-Emergent Adverse Events (TEAEs)
Severity of treatment-emergent adverse events as graded according to CTCAE v6.0.
Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Systolic Blood Pressure
Change from baseline in systolic blood pressure measured in millimeters of mercury (mmHg).
Part A: Safety and Tolerability of ORJ-001: Change from Baseline in Body Temperature
Change from baseline in body temperature measured in degrees Celsius (°C).
Secondary outcomes
Part B: Change From Baseline in Percent Predicted Forced Vital Capacity (FVC%)
Change from baseline in percentage of predicted FVC measured by spirometry at Week 12.
Part B: Time to Acute Exacerbation of IPF, Hospitalization for a Respiratory Cause, or Death
Time, in days, to first occurrence of acute IPF exacerbation, hospitalization for a respiratory cause, or death.
Sponsors and contacts
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