A Phase 2 interventional study of Simtuzumab and Simtuzumab placebo in Idiopathic Pulmonary Fibrosis, sponsored by Gilead Sciences. Terminated at 175 sites in 14 countries. Open to participants aged 45 Years to 85 Years. Per ClinicalTrials.gov, last updated 2017-05-30.
Sponsored by Gilead Sciences · Phase 2, Interventional, and Treatment
The primary objectives of this study are to determine the effect of simtuzumab (GS-6624) on progression-free survival (PFS) as determined by either a categorical decline in forced vital capacity (FVC) or all-cause mortality, in all participants enrolled or in a subset of participants who are classified as lysyl oxidase-like-2 (LOXL2) high based on a prespecified level in serum at baseline.
680 studies on the registry are indexed under Pulmonary Fibrosis; 119 are open to participants now.
This study's enrollment of 544 is above the median of 50 across 419 interventional studies indexed under Pulmonary Fibrosis.
Browse Pulmonary Fibrosis studies →Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.
Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
Treatment with immunosuppressive, cytotoxic, or antifibrotic drugs \< 28 days prior to randomization are not permitted.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Participants will receive simtuzumab for up to 254 weeks.
Drug: Simtuzumab
Participants will receive simtuzumab placebo for up to 254 weeks.
Drug: Simtuzumab placebo
125 mg/mL single-dose vials administered subcutaneously once a week
Also known as: GS-6624
Simtuzumab placebo single-dose vials administered subcutaneously once a week
Progression Free Survival
Progression free survival (PFS) was defined as the categorical decrease in forced vital capacity (FVC) % predicted (≥ 10% relative decrease in FVC and ≥ 5% absolute decrease in FVC from baseline) with confirmation at a consecutive visit at least 2 weeks later using the same criteria.
Time frame: Up to 148 weeks
PFS Among the Participants With sLOXL2 ≥ 50th Percentile
Time frame: Up to 148 weeks
PFS Among the Participants With sLOXL2 ≥ 75th Percentile
Time frame: Up to 148 weeks
Overall Survival (OS)
Overall survival was defined as the time from randomization date to death that occurred prior to the last dose date plus 30 days.
Time frame: Up to 151 weeks
Overall Survival Among the Participants With sLOXL2 ≥ 50th Percentile
Time frame: Up to 151 weeks
Overall Survival Among the Participants With sLOXL2 ≥ 75th Percentile
Time frame: Up to 151 weeks
Relative Change From Baseline in FVC % Predicted
* FVC was defined as the volume of air (liters) that can forcibly be blown out after taking a full breath. FVC % predicted was defined as FVC % of the participant divided by the average FVC % in the population for any person of similar age, sex, and body composition. * Adjusted means were from mixed model repeated measures (MMRM) model with baseline FVC % predicted, sLOXL2 level, concomitant pirfenidone/nintedanib use (never vs. ever), treatment, visit, and treatment-by-visit interaction terms, including all data up to Week 130 * The relative change was calculated as 100% \* ( value at later time point minus value at baseline ) / value at baseline, with lower values indicating a decrease and higher values indicating an increase.
Time frame: Weeks 54, 106, and 130
Definite Acute Exacerbations of IPF Among Adjudicated Respiratory Hospitalizations
Time frame: Up to 148 weeks
Number of Adjudicated Respiratory Hospitalizations (ARP) Among Total Hospitalizations
Time frame: Up to 148 weeks
Number of Participants Experiencing Adjudicated Respiratory Deaths Among Those With Adjudicated Death
Time frame: Up to 148 weeks
Absolute Change From Baseline in 6 Minute Walk Distance (6MWD)
* Adjusted means were from MMRM model with baseline 6MWD, FVC % predicted, sLOXL2 level, concomitant pirfenidone/nintedanib use (never vs. ever), treatment, visit, and treatment-by-visit interaction terms, including all data up to Week 130. * The absolute change was calculated as value at later time point minus value at baseline, with lower values indicating a decrease and higher values indicating an increase.
Time frame: Weeks 58, 106, and 130
Absolute Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Score
* The SGRQ is a disease-specific questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Patients respond to questions about symptoms (frequency \& severity) and impact components (social functioning and psychological disturbances resulting from airways disease). Scores range from 0 to 100, with higher scores indicating more limitations. * The absolute change was calculated as value at later time point minus value at baseline, with lower values indicating a decrease and higher values indicating an increase.
Time frame: Week 58, 106, and 130
Participants were enrolled at study sites in North America, Europe, and Asia Pacific. The first participant was screened on 31 January 2013. The last study visit occurred on 23 February 2016.
| Milestone | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Started | 272 | 272 |
| Completed | 0 | 0 |
| Not completed | 272 | 272 |
| Withdrew: Adverse event | 24 | 20 |
| Withdrew: Death | 21 | 26 |
| Withdrew: Investigator discretion | 7 | 3 |
| Withdrew: Lack of efficacy | 3 | 2 |
| Withdrew: Progressive disease | 11 | 6 |
| Withdrew: Protocol defined criteria for withdrawal | 9 | 11 |
| Withdrew: Protocol violation | 0 | 3 |
| Withdrew: Study terminated by sponsor | 160 | 161 |
| Withdrew: Participant never dosed with study drug | 1 | 0 |
| Withdrew: Withdrew consent | 36 | 40 |
Progression free survival (PFS) was defined as the categorical decrease in forced vital capacity (FVC) % predicted (≥ 10% relative decrease in FVC and ≥ 5% absolute decrease in FVC from baseline) with confirmation at a consecutive visit at least 2 weeks later using the same criteria.
| months | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Progression Free Survival | 12.6 (11.3 to 14.4) | 15.4 (12.6 to 19.1) |
| months | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| PFS Among the Participants With sLOXL2 ≥ 50th Percentile | 11.7 (9.9 to 15.9) | 14.3 (10.4 to 19.1) |
| months | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| PFS Among the Participants With sLOXL2 ≥ 75th Percentile | 11.6 (9.0 to 15.0) | 16.9 (7.7 to 21.7) |
Overall survival was defined as the time from randomization date to death that occurred prior to the last dose date plus 30 days.
| months | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Overall Survival (OS) | NA (NA to NA) | NA (NA to NA) |
| months | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Overall Survival Among the Participants With sLOXL2 ≥ 50th Percentile | NA (NA to NA) | NA (NA to NA) |
| months | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Overall Survival Among the Participants With sLOXL2 ≥ 75th Percentile | NA (19.2 to NA) | NA (NA to NA) |
* FVC was defined as the volume of air (liters) that can forcibly be blown out after taking a full breath. FVC % predicted was defined as FVC % of the participant divided by the average FVC % in the population for any person of similar age, sex, and body composition. * Adjusted means were from mixed model repeated measures (MMRM) model with baseline FVC % predicted, sLOXL2 level, concomitant pirfenidone/nintedanib use (never vs. ever), treatment, visit, and treatment-by-visit interaction terms, including all data up to Week 130 * The relative change was calculated as 100% \* ( value at later time point minus value at baseline ) / value at baseline, with lower values indicating a decrease and higher values indicating an increase.
| Percent change in FVC % predicted | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Week 54 | -9.20 ± 0.643 | -8.88 ± 0.658 |
| Week 106 | -13.70 ± 0.883 | -12.16 ± 0.908 |
| Week 130 | -18.09 ± 1.712 | -11.83 ± 1.600 |
| Participants | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Definite Acute Exacerbations of IPF Among Adjudicated Respiratory Hospitalizations | 5 | 5 |
| Participants | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Number of Adjudicated Respiratory Hospitalizations (ARP) Among Total Hospitalizations | 99 | 84 |
| Participants | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Number of Participants Experiencing Adjudicated Respiratory Deaths Among Those With Adjudicated Death | 17 | 13 |
* Adjusted means were from MMRM model with baseline 6MWD, FVC % predicted, sLOXL2 level, concomitant pirfenidone/nintedanib use (never vs. ever), treatment, visit, and treatment-by-visit interaction terms, including all data up to Week 130. * The absolute change was calculated as value at later time point minus value at baseline, with lower values indicating a decrease and higher values indicating an increase.
| Meters | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Week 58 | -33.76 ± 6.617 | -14.70 ± 6.596 |
| Week 106 | -37.43 ± 9.710 | -24.30 ± 10.318 |
| Week 130 | -71.20 ± 19.140 | -31.65 ± 18.458 |
* The SGRQ is a disease-specific questionnaire designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Patients respond to questions about symptoms (frequency \& severity) and impact components (social functioning and psychological disturbances resulting from airways disease). Scores range from 0 to 100, with higher scores indicating more limitations. * The absolute change was calculated as value at later time point minus value at baseline, with lower values indicating a decrease and higher values indicating an increase.
| units on a scale | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Week 58 | 6.07 ± 1.015 | 3.62 ± 1.010 |
| Week 106 | 10.34 ± 1.425 | 6.54 ± 1.559 |
| Week 130 | 18.10 ± 2.424 | 1.08 ± 2.473 |
Collected over 30 days post last study treatment (up to 148 weeks). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Simtuzumab | 31/271 (11.4%) | 101/271 (37.3%) | 237/271 (87.5%) |
| Simtuzumab Placebo | 32/272 (11.8%) | 97/272 (35.7%) | 246/272 (90.4%) |
| Event | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| Idiopathic pulmonary fibrosisRespiratory, thoracic and mediastinal disorders | 31/271 | 35/272 |
| PneumoniaInfections and infestations | 16/271 | 18/272 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 10/271 | 7/272 |
| Atrial fibrillationCardiac disorders | 6/271 | 1/272 |
| Acute respiratory failureRespiratory, thoracic and mediastinal disorders | 6/271 | 1/272 |
| Respiratory failureRespiratory, thoracic and mediastinal disorders | 5/271 | 4/272 |
| Acute myocardial infarctionCardiac disorders | 3/271 | 5/272 |
| Cholecystitis acuteHepatobiliary disorders | 4/271 | 1/272 |
| Lower respiratory tract infectionInfections and infestations | 0/271 | 4/272 |
| Urinary tract infectionInfections and infestations | 3/271 | 0/272 |
| Event | Simtuzumab | Simtuzumab Placebo |
|---|---|---|
| CoughRespiratory, thoracic and mediastinal disorders | 102/271 | 93/272 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 98/271 | 73/272 |
| Upper respiratory tract infectionInfections and infestations | 57/271 | 57/272 |
| FatigueGeneral disorders | 49/271 | 48/272 |
| DiarrhoeaGastrointestinal disorders | 44/271 | 47/272 |
| NasopharyngitisInfections and infestations | 36/271 | 43/272 |
| BronchitisInfections and infestations | 32/271 | 39/272 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 35/271 | 22/272 |
| NauseaGastrointestinal disorders | 33/271 | 35/272 |
| HeadacheNervous system disorders | 32/271 | 35/272 |
Intent-to-Treat (ITT) Analysis Set included all participants who were randomized into the study, and were analyzed according to treatment randomized.
| Age, Continuous(years) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Mean | 67.7 ± 7.60 | 68.5 ± 7.07 | 68.1 ± 7.34 |
| Sex: Female, Male(Participants) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Female | 45 | 47 | 92 |
| Male | 227 | 225 | 452 |
| Race/Ethnicity, Customized(Participants) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Asian | 35 | 36 | 71 |
| Black | 3 | 3 | 6 |
| White | 231 | 229 | 460 |
| Other | 3 | 4 | 7 |
| Race/Ethnicity, Customized(Participants) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Hispanic or Latino | 5 | 7 | 12 |
| Not Hispanic or Latino | 267 | 264 | 531 |
| Not Permitted | 0 | 1 | 1 |
| Region of Enrollment(Participants) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| United States | 102 | 106 | 208 |
| Korea, Republic of | 34 | 35 | 69 |
| Spain | 11 | 13 | 24 |
| Canada | 10 | 14 | 24 |
| Czech Republic | 6 | 6 | 12 |
| Belgium | 10 | 4 | 14 |
| United Kingdom | 12 | 21 | 33 |
| Poland | 15 | 13 | 28 |
| Italy | 8 | 6 | 14 |
| Israel | 7 | 5 | 12 |
| Australia | 11 | 18 | 29 |
| France | 24 | 12 | 36 |
| Germany | 22 | 18 | 40 |
| Switzerland | 0 | 1 | 1 |
| Forced vital capacity (FVC) Percent Predicted(FVC % predicted) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Mean | 61.4 ± 12.17 | 62.3 ± 12.22 | 61.8 ± 12.19 |
| FVC % Predicted Category(Participants) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Mild | 37 | 46 | 83 |
| Moderate | 152 | 150 | 302 |
| Severe | 83 | 76 | 159 |
| Baseline Serum LOXL2(pg/mL) | Simtuzumab | Simtuzumab Placebo | Total |
|---|---|---|---|
| Mean | 89.8 ± 70.06 | 86.7 ± 51.99 | 88.2 ± 61.48 |
Showing the first 100 of 175 sites across 14 countries.
This study is terminated, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.
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