A 2-Part, Phase 2 Open-label and Crossover Study of Belumosudil for Treatment of Idiopathic Pulmonary Fibrosis
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ClinicalTrials.gov Identifier: NCT02688647 |
Recruitment Status :
Completed
First Posted : February 23, 2016
Results First Posted : September 8, 2022
Last Update Posted : September 8, 2022
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Sponsor:
Kadmon Corporation, LLC
Information provided by (Responsible Party):
Kadmon Corporation, LLC
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Idiopathic Pulmonary Fibrosis |
Interventions |
Drug: Belumosudil Other: BSC |
Enrollment | 76 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | A total of 76 unique subjects were randomized in this study. Subjects were randomized to belumosudil 400 mg PO QD or Best Standard of Care (BSC) for first 24 weeks. Subjects were randomized to belumosudil had the option of continuing treatment with belumosudil. No subject in either randomized group were permitted > 96 weeks of treatment. After 24 weeks, subjects randomized to BSC were permitted to crossover to belumosudil; 17 subjects crossed over. |
Arm/Group Title | Belumosudil-R | BSC-R |
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Arm/Group Description | Subjects randomized to treatment with belumosudil 400 mg orally (PO) once daily 9QD). | Subjects randomized to treatment with best supportive care (BSC) for 24 weeks. |
Period Title: Initial Treatment Period (24 Weeks) | ||
Started | 52 | 24 |
Treated | 51 [1] | 24 |
Completed | 51 | 18 |
Not Completed | 1 | 6 |
Reason Not Completed | ||
Death | 0 | 1 |
Cross-overed before Initial Treatment Period (24 Weeks) | 0 | 5 |
Subject was randomized but did not receive treatment | 1 | 0 |
[1]
1 subject was randomized but did not receive treatment.
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Period Title: Post Switch Treatment Period (72 Weeks) | ||
Started | 51 [1] | 17 [2] |
Completed | 23 | 3 |
Not Completed | 28 | 14 |
Reason Not Completed | ||
Death | 7 | 2 |
Lost to Follow-up | 1 | 0 |
Other | 10 | 6 |
Withdrawal by Subject | 10 | 6 |
[1]
51 subjects originally randomized to treatment with belumosudil 400 mg PO QD continued receiving belumosudil 400 mg PO QD.
[2]
17 subjects randomized to treatment with BSC-R cross-overed to treatment with belumosudil 400 mg PO QD.
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Baseline Characteristics
Arm/Group Title | Belumosudil 400 mg PO QD | BSC-R | Total | |
---|---|---|---|---|
Arm/Group Description | Randomized to treatment with belumosudil 400 mg (two 200-mg tablets) orally once daily. | Subjects randomized to treatment with best supportive care for 24 weeks. | Total of all reporting groups | |
Overall Number of Baseline Participants | 51 | 24 | 75 | |
Baseline Analysis Population Description |
One subject randomized to belumosudil 400 mg PO QD did not receive study medication.
Analysis was performed using the safety population that consisted of all subjects who were randomized and received ≥ 1 dose of belumosudil-R or, for subjects who had BSC, week 1 assessments. Available data at baseline have been reported.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 51 participants | 24 participants | 75 participants | |
72.5 (7.0) | 74.9 (5.9) | 73.3 (6.7) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 51 participants | 24 participants | 75 participants | |
Female |
13 25.5%
|
6 25.0%
|
19 25.3%
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Male |
38 74.5%
|
18 75.0%
|
56 74.7%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 51 participants | 24 participants | 75 participants | |
Hispanic or Latino |
6 11.8%
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0 0.0%
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6 8.0%
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Not Hispanic or Latino |
45 88.2%
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24 100.0%
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69 92.0%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 51 participants | 24 participants | 75 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
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0 0.0%
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|
Asian |
0 0.0%
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0 0.0%
|
0 0.0%
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|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
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|
Black or African American |
2 3.9%
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0 0.0%
|
2 2.7%
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White |
49 96.1%
|
24 100.0%
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73 97.3%
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More than one race |
0 0.0%
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0 0.0%
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0 0.0%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Prior Use of Pirfenidone
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Yes |
13 25.5%
|
4 16.7%
|
17 22.7%
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No |
38 74.5%
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20 83.3%
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58 77.3%
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Prior Use of Nintedanib
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Yes |
10 19.6%
|
4 16.7%
|
14 18.7%
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No |
41 80.4%
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20 83.3%
|
61 81.3%
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Prior Use of Pirfenidone or Nintedanib
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Yes |
19 37.3%
|
6 25.0%
|
25 33.3%
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No |
32 62.7%
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18 75.0%
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50 66.7%
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GAP Stage
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Stage I |
11 21.6%
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7 29.2%
|
18 24.0%
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Stage II |
31 60.8%
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12 50.0%
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43 57.3%
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Stage III |
9 17.6%
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5 20.8%
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14 18.7%
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[1]
Measure Description:
GAP = Gender/Age/Physiology. Stage based on total points. G: Gender Points: female = 0 points; male = 1 points A: Age Points: ≤ 60 years = 0 points; 61-65 years = 1 point; > 65 years = 2 points P: Physiology-- FVC% Predicted: > 75% = 0 points; 50-75% = 1 point; ≤ 50% = 2 points DLCO% Predicted: > 55% = 0 points; 36-55% = 1 point; ≤ 35% = 2 points; cannot perform = 3 points STAGE Stage I Index: 0 to 3 points Stage II Index: 4 to 5 points Stage III Index: 6 to 8 points |
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Presence of Aggravated Dyspnea Within 6 Months Prior to Informed Consent
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Yes |
18 35.3%
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11 45.8%
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29 38.7%
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No |
33 64.7%
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13 54.2%
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46 61.3%
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Presence of Chest Interstitial Lung Abnormalities Within 6 Months Prior to Informed Consent
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Yes |
23 45.1%
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11 45.8%
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34 45.3%
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No |
28 54.9%
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13 54.2%
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41 54.7%
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SpO2 < 88% Within 6 Months Prior to Informed Consent
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 51 participants | 24 participants | 75 participants |
Yes |
7 13.7%
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4 16.7%
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11 14.7%
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|
No |
44 86.3%
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20 83.3%
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64 85.3%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Karin Herrera, Vice President, Clinical Operations |
Organization: | Kadmon Corporation |
Phone: | 1-724-778-6134 |
EMail: | karin.herrera@kadmon.com |
Responsible Party: | Kadmon Corporation, LLC |
ClinicalTrials.gov Identifier: | NCT02688647 |
Other Study ID Numbers: |
KD025-207 |
First Submitted: | February 18, 2016 |
First Posted: | February 23, 2016 |
Results First Submitted: | April 13, 2022 |
Results First Posted: | September 8, 2022 |
Last Update Posted: | September 8, 2022 |