A Study to Evaluate the Efficacy and Safety of CC-90001 in Subjects With Idiopathic Pulmonary Fibrosis
Condition: Idiopathic Pulmonary Fibrosis; Fibrosis; Idiopathic Interstitial Pneumonias; Pathologic Processes; Lung Diseases, Interstitial; Lung Diseases; Respiratory Tract Diseases
MeSH terms: Lung Diseases; Pulmonary Fibrosis; Idiopathic Pulmonary Fibrosis; Respiratory Tract Diseases; Lung Diseases, Interstitial; Idiopathic Interstitial Pneumonias; Hamman-Rich Syndrome; Fibrosis; Pathologic Processes
Intervention: CC-90001; Placebo
Intervention description: CC-90001 is a potent, selective inhibitor of JNK.; Placebo
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Enrollment: 138.0
Sex: All
Minimum age: 40 Years
Healthy volunteers: No
Keywords: Idiopathic Pulmonary Fibrosis (IPF); Pulmonary Fibrosis; CC-90001; Safety; Efficacy; IPF; idiopathic pulmonary fibrosis

Summary:

      This is a Phase 2, multicenter, multinational, randomized, double-blind, placebo-controlled
      study evaluating the efficacy, safety, pharmacokinetics (PK), quality of life and exploratory
      pharmacodynamics (PD) of two treatment doses of CC-90001, 200 mg and 400 mg, compared with
      placebo, when delivered once daily per os (PO) in subjects with idiopathic pulmonary fibrosis
      (IPF). This study is designed to assess response to treatment by using measures of lung
      function, disease progression, fibrosis on radiography, and patient-reported outcomes. It
      will also assess dose response.
    

Eligibility criteria:

        Inclusion Criteria:

        Subject understands and has voluntarily signed and dated an informed consent form

          1. Subject is male or female ≥ 40 years of age

          2. Diagnosis of IPF is supported by HRCT and historical lung biopsy (surgical lung biopsy
             [SLB] or cryobiopsy) if available according to guidelines.

          3. No features supporting an alternative diagnosis on transbronchial biopsy,
             bronchoalveolar lavage (BAL), or SLB, if performed.

          4. Percent predicted forced vital capacity (% FVC) ≥ 45% and ≤ 95% at Screening

          5. Percent predicted diffusion capacity of the lung for carbon monoxide (DLCO) ≥ 25% and
             ≤ 90% predicted at Screening.

          6. Able to walk ≥ 150 meters during the 6-minute walk test (6MWT) at Screening

          7. Females of childbearing potential (FCBP) must commit to true abstinence or agree to
             use two effective birth control methods.

          8. Male subjects must practice true abstinence or use a barrier method of contraception.

          9. Additional inclusion criteria apply.

        Progressive Pulmonary Fibrosis (PPF) Sub-Study:

          1. Met all inclusion criteria described for IPF subjects other than Inclusion Criterion
             5.

          2. Features of diffuse fibrosing lung disease of > 10% on HRCT by central reading.

          3. Investigator-documented ≥ 5% annualized relative decline in FVC in past 24 months from
             Screening Visit 1

        Exclusion Criteria:

        The presence of any of the following will exclude a subject from enrollment:

          1. Subject has any significant medical condition, laboratory abnormality, or psychiatric
             illness that would prevent the subject from participating in the study.

          2. Subject with a QTcF > 450 msec.

          3. Evidence of clinically relevant airways obstruction at Screening.

          4. Subjects using therapy targeted to treat IPF.

          5. History of latent or active TB, unless there is medical record documentation of
             successful completion of a standard course of treatment

          6. History of hepatitis B and/or hepatitis C, including those considered successfully
             treated/cured

          7. Pregnancy or lactation.

          8. Additional exclusion criteria apply.