Study in Subjects With PAH and PH Secondary to IPF Using Inhaled GeNOsyl.

Completed · Phase 2 · Has a placebo group

Conditions studied: Pulmonary Arterial Hypertension, Idiopathic Pulmonary Fibrosis

In brief

A Phase 2 open label, dose escalation study to find the minimally and maximum effective dose (dose beyond which no further effect on PVR is seen) of inhaled nitric oxide generated by the GeNOsyl® System compared to placebo.

Key facts

Study ID

NCT01265888

Run by

Geno LLC

People needed

31

Starts

2011-03-01

Expected to finish

2016-09-01

Last updated by the study team

2016-09-19

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• PAH and PH-IPF
• WHO Functional Class (or equivalent classification) II - IV.
• Subjects using supplemental oxygen must be receiving a stable course of therapy for a minimum of 14 days prior to study drug administration.
• All subjects' oxygen saturation must be > or = to 88% at time of treatment
• Echocardiogram within 6 months of baseline showing no signs of clinically significant left sided heart disease
• Females of child-bearing potential with a negative urine pregnancy test, or a documented surgical sterilization, or is post-menopausal prior to administration of investigational product. Females of childbearing potential must be practicing adequate birth control.
• PAH (WHO Group 1) ONLY-Inclusion
• Documented diagnosis of WHO Group 1 PAH, (limited to, idiopathic, heritable, drug and toxin induced, associated with connective tissue disease, portal hypertension, repaired congenital heart disease, HIV); documented by a previous RHC and hemodynamics consistent with PAH, WHO Group 1
• Pulmonary Function Testing within 6 months prior to screening/enrollment shows no evidence of interstitial lung disease (TLC<70%) or obstructive lung disease (FEV1/FVC ratio <50%)
• Receiving a stable course of approved PAH oral mono therapies for a minimum of 14 days prior to treatment period
• Must be 18-80 year of age
• PH-IPF (WHO Group 3) ONLY-Inclusion
• Documented diagnosis of probable or definite IPF using ATS/ERS criteria
• Previous transbronchial biopsy, if performed, shows no features to support a definitive alternative diagnosis
• Previous bronchoalveolar lavage, if performed, shows no features that provides an alternative diagnosis
• FVC > or = 40% within 6 months of baseline visit
• Diagnosis of PH based on hemodynamic requirements
• Age 40-85.
• Diagnosis of IPF > or = 3 months prior to study drug administration
• Diagnosis of PH based on the following hemodynamic criteria (PAPm > or = 25 mmHg (at rest) / PCWP or LVED < or =15 mmHg and / PVR >3 Wood Units)

You may not qualify if…

• PAH and PH-IPF
• Have any other disease associated with pulmonary hypertension (i.e. Group II, IV or V).
• Documented uncontrolled systemic hypertension.
• Left ventricular ejection fraction (LVEF) < 40%.
• Have chronic kidney disease stage IV or worse, or requires dialysis.
• Be receiving an investigational drug, have in place an investigational device, or have participated in an investigational drug study within past 30 days.
• Have had an atrial septostomy.
• Have anemia or any other ongoing condition that would interfere with the interpretation of study assessments.
• Have any serious or life-threatening disease other than conditions associated with PAH or PH-IPF (e.g. malignancy requiring aggressive chemotherapy, renal dialysis, etc.)
• Significant, ongoing alcohol or drug abuse, or unstable psychiatric status.
• Receiving inhaled or parenteral prostacyclins or a non-approved combination of approved oral PAH therapy.
• Pregnant or lactating subjects
• PAH (WHO Group 1) ONLY-Exclusion
• Have had any changes to chronic therapy (including but not limited to oxygen, a different category of vasodilator, a diuretic, digoxin) for PAH added within 14 days of study drug administration. Anticoagulants are allowed to be discontinued per institutional standard of care.
• History of untreated sleep apnea within three months of study drug administration.
• History of hemodynamically significant left-sided heart disease or evidence of left-sided heart disease.
• PH-IPF (WHO Group 3) ONLY-Exclusion
• Diagnosis of PH primarily due to etiology other than IPF.
• FEV/FVC ratio < 60% documented within 6 months of baseline visit.
• Hospitalization for acute exacerbation of IPF within 30 days of baseline visit.
• Recent active pulmonary or upper respiratory tract infection.
• Receiving any approved PAH therapy within 30 days of study drug administration.

Where it is running

• University of Alabama @ Birmingham — Birmingham, Alabama, United States
• VA Greater LA Health Care System-UCLA — Los Angeles, California, United States
• University of California- Davis Medical Center — Sacramento, California, United States
• National Jewish Health — Denver, Colorado, United States
• Kentuckiana Pulmonary Associates — Louisville, Kentucky, United States
• Washington University School of Medicine — St Louis, Missouri, United States
• University of Medicine and Dentistry of New Jersey — Newark, New Jersey, United States
• Ohio State University, Martha Morehouse Medical Plaza — Columbus, Ohio, United States
• UT Southwestern Medical Center — Dallas, Texas, United States
• University of Utah — Salt Lake City, Utah, United States

Full record on ClinicalTrials.gov

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