Actively Recruiting
A Randomized, Double-Blind, Placebo-Controlled, Phase 2b Study Evaluating the Safety and Efficacy of Pirfenidone Solution for Inhalation AP01 in Participants With Progressive Pulmonary Fibrosis
Led by Avalyn Pharma Inc. · Updated on 2026-04-06
375
Participants Needed
152
Research Sites
N/A
Total Duration
On this page
Sponsors
A
Avalyn Pharma Inc.
Lead Sponsor
D
DevPro Biopharma
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and effectiveness of two doses of inhaled pirfenidone AP01 compared to a placebo, alongside standard care, in people with progressive pulmonary fibrosis PPF over a 52-week period. This randomized, double-blind, placebo-controlled Phase 2b study aims to better understand treatment options for individuals with PPF, a condition characterized by worsening lung fibrosis despite existing therapies. Participants will be randomly assigned to one of three groups a high dose of AP01 twice daily, a low dose of AP01 twice daily, or a placebo inhalation twice daily. The study involves taking inhaled treatments using a pirfenidone solution or placebo, with the goal to evaluate the impact of these treatments on lung function and disease progression over one year. Throughout the study, participants will undergo regular assessments including lung function tests, imaging scans, and quality of life evaluations. Researchers will monitor the effect of the treatments on lung fibrosis, respiratory symptoms, and safety measures. The total participation lasts for 52 weeks, during which participants will attend scheduled visits and complete various tests to track their health and response to the study treatments.
CONDITIONS
Brief Title
A Study Evaluating the Safety and Efficacy of Inhaled AP01 in Participants With Progressive Pulmonary Fibrosis
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Participant meets criteria for progressive pulmonary fibrosis (PPF) defined by lung function decline and/or worsening symptoms despite treatment
- Adults aged 18 years or older
- Radiological evidence of pulmonary fibrosis on HRCT
- Forced vital capacity (FVC) at least 45% of predicted normal at screening
- Forced expiratory volume in 1 second (FEV1)/FVC ratio at least 0.7 or above age-adjusted lower limit of normal at screening
- Diffusing capacity of lung for carbon monoxide (DLCO) at least 30% of predicted, corrected for hemoglobin at screening
- Able to perform acceptable spirometry meeting ATS/ERS criteria
- If on nintedanib, must have been on treatment for at least 6 months prior to screening or off for at least 12 weeks if discontinued
You will not qualify if you...
- Current or recent (within 3 months) treatment with oral pirfenidone
- Elevated liver enzymes (ALT or AST) greater than 3 times the upper limit of normal
- Bilirubin level greater than 2 times the upper limit of normal
- Severe renal disease with creatinine clearance less than 30 mL/min
- Diagnosis of idiopathic pulmonary fibrosis (IPF) according to ATS criteria
- Greater extent of emphysema than fibrotic interstitial lung disease on HRCT
- Significant clinical worsening of PPF during screening
- Unable to meet baseline stability criteria for lung function prior to randomization
Research Team
C
Craig S. Conoscenti, MD
D
Daniele Tompkins
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