About this trial
A Phase 2a, Randomized, Double-blind, Placebo-Controlled Study of the Safety and Efficacy of MTX-463 in Participants with Idiopathic Pulmonary Fibrosis (IPF)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants with IPF of any gender ≥ 40 years of age at time of signing the informed consent.
Able to understand the study and provide signed, written informed consent.
Able to read and understand the language of the informed consent and other study-related materials.
Meet the American Thoracic Society, European Respiratory Society, Japanese Respiratory Society, and Latin American Thoracic Association (ATS/ERS/JRS/ALAT) 2019 criteria for the diagnosis of IPF; Diagnosed with IPF within 7 years of screening.
Disqualifiers
Acute exacerbation of IPF within 6 months of Screening or during the Screening Period.
Forced expiratory volume in 1 second (FEV1)/FVC ratio of <0.7 at Screening.
Requirement for continuous supplemental oxygen. Intermittent supplemental oxygen use (e.g., during exercise or sleep) is permitted.
Expected to receive a lung transplant within the study duration.
Trial design
Parallel
Treatments tested in this trial
MTX-463
Biological/VaccineMTX-463 is an immunoglobin G1 (IgG1) monoclonal antibody directed against WNT-inducible signaling pathway protein 1 (WISP1). WISP1 (aka CCN-4) is a matricellular protein that appears to be upregulated locally in response to certain chronic diseases, including IPF, and malignancies.
Placebo
Other interventionPlacebo
Treatment groups
Trial outcomes
Primary outcomes
To assess the effect of MTX-463 on the change from Baseline in forced vital capacity (FVC)
Change from Baseline to Week 24 in Forced Vital Capacity (FVC)
Secondary outcomes
To assess the safety and tolerability of MTX-463 in participants with IPF, as measured by incidence of treatment emergent adverse events
Incidence of treatment-emergent adverse events (TEAEs) from Baseline until Week 28 in each group
To assess the safety and tolerability of MTX-463 in participants with IPF, as measured by incidence of treatment related adverse events
Incidence of treatment related adverse events from Baseline until Week 28 in each group
To assess the safety and tolerability of MTX-463 in participants with IPF, as measured by incidence of serious treatment emergent adverse events
Incidence of serious treatment emergent adverse events from Baseline until Week 28 in each group
To assess the safety and tolerability of MTX-463 in participants with IPF, as measured by incidence of severe treatment emergent adverse events
Incidence of severe treatment emergent adverse events from Baseline until week 28 in each group
Other outcomes
To assess the development of antidrug antibodies (ADA) against MTX-463
Samples will be collected from Baseline until Week 28 to assess the rate at which antibodies develop to the study drug
To assess the effect of MTX-463 on the change from Baseline in FVC in participants on concomitant pirfenidone, nintedanib, or nerandomilast
The change from Baseline to week 24 in the mean FVC (in ML) will be measured in each group in the subset of participants who enter the study on background IPF medications, pirfenidone, nintedanib, or nerandomilast
To assess the effect of MTX-463 on the change from Baseline in FVC in participants not on concomitant pirfenidone, nintedanib, or nerandomilast
The change from baseline to week 24 in the mean FVC (in ML) will be measured in each group in the subset of participants who enter the study not on any background IPF medications, pirfenidone, nintedanib, or nerandomilast
To assess the effect of MTX-463 on the change from Baseline in the Living with Pulmonary Fibrosis (L-PF) Questionnaire total score
Change from Baseline to Week 24 in L-PF total score. The L-PF is scored on a scale of 0-100, with higher numbers indicating greater impairment.
Sponsors and contacts
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