A Phase 1 interventional study of CHF10067 starting dose -- 1000mg (Cohort A) and CHF10067 intermediate dose -- 2000mg (Cohort B) in Idiopathic Pulmonary Fibrosis, sponsored by Chiesi Farmaceutici S.p.A.. Completed at 9 sites in 3 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2025-08-14.
Sponsored by Chiesi Farmaceutici S.p.A. · Phase 1, Interventional, and Treatment
Assess the safety of CHF10067 (study drug) and any side effects that might be associated with it. The study also evaluated how much of the study drug gets into the bloodstream and how long the body takes to remove it. The body's immune response to the study drug was evaluated.
Chiesi conducted this study in patients affected by idiopathic pulmonary fibrosis (IPF, a progressive and chronic lung disease). Chiesi performed this study to establish the drug doses that would be suitable for future studies (a dose finding study).
The principal aim of this study was to obtain safety and tolerability data when CHF10067 was administered intravenously as single ascending doses to subjects with IPF (a progressive and chronic lung disease). This information, together with the pharmacokinetic (PK) and immunogenicity data is part of a dose finding efforts, for future clinical studies. The effect of CHF10067 on transglutaminase 2 (TG2) levels was also investigated as an exploratory endpoint.
A sequential group, single ascending dose design has been chosen for safety reasons because CHF10067 is in the early stages of clinical development and no data in the IPF population has been collected so far. In addition, sentinel dosing was used so that in each cohort 2 subjects (1 CHF10067 and 1 placebo) was administered at least 24 hours, before the remaining 6 subjects.
The study was double-blind and placebo-controlled to avoid bias in the collection and evaluation of data during its conduct. Placebo was chosen as the comparison treatment to assess whether any observed effects are treatment-related or reflect the study conditions.
551 studies on the registry are indexed under Idiopathic Pulmonary Fibrosis; 117 are open to participants now.
This study's enrollment of 52 is close to the median of 54 across 376 interventional studies indexed under Idiopathic Pulmonary Fibrosis.
Browse Idiopathic Pulmonary Fibrosis studies →Chiesi Farmaceutici S.p.A. is the lead sponsor of 182 studies on the registry; 22 are open to participants now.
Of its 17 completed or terminated interventional studies of FDA-regulated products, 11 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
A single intravenous (IV) dose of CHF10067
Biological: CHF10067 starting dose -- 1000mg (Cohort A) · Biological: CHF10067 intermediate dose -- 2000mg (Cohort B) · Biological: CHF10067 high dose -- 3000mg (Cohort C)
A single dose of placebo (commercial source of 0.9% sodium chloride aqueous solution)
Drug: Placebo
Intravenous administration of a starting dose of the monoclonal antibody
Intravenous administration of an intermediate dose of the monoclonal antibody
Intravenous administration of a high dose of the monoclonal antibody
Intravenous administration of a physiological solution as placebo
1_Subjects With Adverse Event (AE); Non-Serious AEs and Serious AEs
Evaluate reported adverse events (AEs) and serious adverse events (SAEs). The number of subjects affected by AEs or SAEs is presented below. Please note: comprehensive summaries of AEs and SAEs are presented in section 'Adverse Events'; these include the preferred term of the AE or SAE, the number of subjects affected, and the number of events for a each preferred term.
Time frame: From pre-dose (baseline) up to day 84.
2_Systemic Exposure [Area Under the Concentration-time Curve From Zero to Time (AUC0-t)]
Evaluate the area under the concentration-time curve (AUC) from zero to the last quantifiable concentration (AUC0-t) of CHF10067 after a single dose.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion, 2, 4, 8, and 20 h after the end of infusion and 5, 7, 14, 28, 56, and 84 days post-dose.
3_Area Under the Concentration-time Curve (AUC) From Zero to Infinity (AUC0-∞)
Evaluate the area under the concentration-time curve (AUC) from zero to infinity (AUC0-∞) of CHF10067 after a single dose.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion, 2, 4, 8, and 20 h after the end of infusion and 5, 7, 14, 28, 56, and 84 days post-dose.
4_Pharmacokinetics -- Maximum Plasma Concentration (Cmax)
Evaluate the Cmax (maximum observed concentration) after a single dose of CHF10067.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion, 2, 4, 8, and 20 h after the end of infusion and 5, 7, 14, 28, 56, and 84 days post-dose.
5_Pharmacokinetics -- Time to Maximum Observed Concentration (Tmax)
Evaluate the time to maximum observed concentration (tmax).
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion, 2, 4, 8, and 20 h after the end of infusion and 5, 7, 14, 28, 56, and 84 days post-dose.
6_Pharmacokinetics -- Serum Concentration at the End of Infusion (Cinf)
Evaluate serum concentration at the end of infusion (Cinf) of CHF10067.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion (up to 6 hours from the start of infusion).
7_Pharmacokinetics -- Time at the End of Infusion (Tinf)
Evaluate the time of serum concentration at the end of infusion (Tinf). Time at the end of the infusion.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion (up to 6 hours from the start of infusion).
8_Pharmacokinetics -- Clearance (CL)
Evaluate clearance (CL) of CHF10067.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion, 2, 4, 8, and 20 h after the end of infusion and 5, 7, 14, 28, 56, and 84 days post-dose.
9_Pharmacokinetics -- Volume of Distribution (Vz)
Evaluate volume of distribution (Vz) CHF10067.
Time frame: Pre-dose (within 75 min from start of infusion, baseline), at the end of infusion, 2, 4, 8, and 20 h after the end of infusion and 5, 7, 14, 28, 56, and 84 days post-dose.
10_Pharmacokinetics -- Terminal Half-life (t1/2)
Evaluate the terminal half-life (t1/2) of CHF10067.
Time frame: From pre-dose (baseline) up to day 84.
11_Spirometry -- Forced Expiratory Volume in the First Second (FEV1) -- Percent Predicted -- Change From Baseline
Forced expiratory volume in the first second (FEV1) parameters, summarised using descriptive statistics at each analysis time point by treatment. Summary results show the change from baseline of the percent predicted.
Time frame: Pre-dose (baseline), and on 7, 28, 56, and 84 day post-dose.
12_Spirometry -- Forced Vital Capacity (FVC) -- Percent Predicted -- Change From Baseline
Forced vital capacity (FVC) parameters will be summarised using descriptive statistics at each analysis time point by treatment. Summary results show the change from baseline of the percent predicted.
Time frame: Text adjusted Pre-dose (baseline), and on 7, 28, 56, and 84 day post-dose.
13_Vital Signs -- Abnormal Changes in Systolic and Diastolic Blood Pressure
Evaluate abnormal changes in systolic and diastolic blood pressure from baseline at any post-baseline time point.
Time frame: From pre-dose (baseline) up to day 84.
14_Immunogenicity Profile -- Anti-drug Antibody (ADA) and Neutralising Antibody (nAb).
Evaluate the immunogenicity profile of CHF 10067 in serum, with respect to the development of anti-drug antibody (ADA) and neutralising antibody (nAb). A robust immunogenicity profile indicates the potential for the drug to trigger an immune response in patients, leading to the formation of ADAs. These antibodies can affect the drug's efficacy, safety, and pharmacokinetics. Detecting the presence of ADAs in serum samples was performed using an enzyme linked immunosorbent assay (ELISA), a validated assay method. Neutralizing Antibody (nAb) are a subset of ADAs that can interfere with the drug's therapeutic activity by blocking its binding to the target or inhibiting its downstream effects. The presence of ADAs and nAbs can affect the drug's pharmacokinetics (PK) by altering its absorption, distribution, metabolism, and excretion. This can lead to changes in drug exposure and potentially impact efficacy and safety.
Time frame: Pre-dose (baseline), at day 14, 28, 56, 84, and in case of early termination.
For the study, 52 male and female subjects were screened 3-28 days before randomization; of these, 27 subjects were screening failures. Overall, 25 subjects were randomized; of these 1 subject (CHF 10067 3000 mg) did not receive the study medication due to technical reasons.
| Milestone | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| Started | 6 | 6 | 7 | 6 |
| Completed | 6 | 6 | 6 | 6 |
| Not completed | 0 | 0 | 1 | 0 |
| Withdrew: Not treated due to technical reasons | 0 | 0 | 1 | 0 |
Evaluate reported adverse events (AEs) and serious adverse events (SAEs). The number of subjects affected by AEs or SAEs is presented below. Please note: comprehensive summaries of AEs and SAEs are presented in section 'Adverse Events'; these include the preferred term of the AE or SAE, the number of subjects affected, and the number of events for a each preferred term.
| Participants | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| Serious TEAE | 0 | 0 | 1 | 0 |
| Non-serious TEAE | 4 | 3 | 5 | 4 |
| AE leading to study treatment discontinuation | 0 | 0 | 0 | 0 |
| AE leading to death | 0 | 0 | 0 | 0 |
Evaluate the area under the concentration-time curve (AUC) from zero to the last quantifiable concentration (AUC0-t) of CHF10067 after a single dose.
| day.μg/mL | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 2_Systemic Exposure [Area Under the Concentration-time Curve From Zero to Time (AUC0-t)] | 3424 ± 647 | 7902 ± 1001 | 15592 ± 3027 |
Evaluate the area under the concentration-time curve (AUC) from zero to infinity (AUC0-∞) of CHF10067 after a single dose.
| day.μg/mL | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 3_Area Under the Concentration-time Curve (AUC) From Zero to Infinity (AUC0-∞) | 3450 ± 660 | 8141 ± 1112 | 16328 ± 3245 |
Evaluate the Cmax (maximum observed concentration) after a single dose of CHF10067.
| μg/mL | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 4_Pharmacokinetics -- Maximum Plasma Concentration (Cmax) | 307 ± 43.9 | 668 ± 126 | 1067 ± 173 |
Evaluate the time to maximum observed concentration (tmax).
| hour | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 5_Pharmacokinetics -- Time to Maximum Observed Concentration (Tmax) | 1.69 (1.67 to 3.67) | 3.78 (3.58 to 11.67) | 5.39 (5.35 to 7.43) |
Evaluate serum concentration at the end of infusion (Cinf) of CHF10067.
| μg/mL | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 6_Pharmacokinetics -- Serum Concentration at the End of Infusion (Cinf) | 304 ± 44.6 | 658 ± 138 | 1065 ± 174 |
Evaluate the time of serum concentration at the end of infusion (Tinf). Time at the end of the infusion.
| hour | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 7_Pharmacokinetics -- Time at the End of Infusion (Tinf) | 1.68 (1.67 to 1.72) | 3.69 (3.58 to 3.85) | 5.38 (5.35 to 5.50) |
Evaluate clearance (CL) of CHF10067.
| liter/day | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 8_Pharmacokinetics -- Clearance (CL) | 0.295 ± 0.0489 | 0.250 ± 0.0357 | 0.190 ± 0.0363 |
Evaluate volume of distribution (Vz) CHF10067.
| liter | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 9_Pharmacokinetics -- Volume of Distribution (Vz) | 4.93 ± 0.969 | 5.99 ± 0.716 | 5.21 ± 1.03 |
Evaluate the terminal half-life (t1/2) of CHF10067.
| days | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) |
|---|---|---|---|
| 10_Pharmacokinetics -- Terminal Half-life (t1/2) | 11.7 ± 2.20 | 16.8 ± 2.32 | 19.1 ± 1.93 |
Forced expiratory volume in the first second (FEV1) parameters, summarised using descriptive statistics at each analysis time point by treatment. Summary results show the change from baseline of the percent predicted.
| percent predicted FEV1 | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| Day 7 | 3.93 ± 3.35 | 0.50 ± 2.74 | -0.20 ± 1.34 | -0.43 ± 2.60 |
| Day 28 | 3.76 ± 3.66 | -0.55 ± 3.06 | -2.93 ± 2.81 | -0.55 ± 3.37 |
| Day 56 | 3.18 ± 3.58 | -0.68 ± 3.54 | -0.75 ± 5.68 | -1.35 ± 2.93 |
| Day 84 | 0.13 ± 5.57 | 0.36 ± 4.30 | -2.70 ± 2.93 | -1.40 ± 3.62 |
Forced vital capacity (FVC) parameters will be summarised using descriptive statistics at each analysis time point by treatment. Summary results show the change from baseline of the percent predicted.
| percent predicted FVC | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| Day 7 | 3.12 ± 2.24 | -0.90 ± 3.31 | -0.50 ± 2.89 | -0.92 ± 3.80 |
| Day 28 | 2.70 ± 3.74 | -0.50 ± 2.58 | -3.23 ± 2.76 | -0.13 ± 4.10 |
| Day 56 | 2.50 ± 1.87 | -1.17 ± 3.12 | -1.42 ± 6.55 | -0.90 ± 2.84 |
| Day 84 | -0.72 ± 4.02 | -0.36 ± 3.56 | -1.98 ± 3.79 | -1.97 ± 3.22 |
Evaluate abnormal changes in systolic and diastolic blood pressure from baseline at any post-baseline time point.
| Participants | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| Systolic Blood Pressure Decrease From Baseline >20 mmHg | 3 | 0 | 1 | 2 |
| Systolic Blood Pressure Increase From Baseline >20 mmHg | 1 | 0 | 1 | 2 |
| Diastolic Blood Pressure Decrease From Baseline >10 mmHg | 3 | 5 | 5 | 4 |
| Diastolic Blood Pressure Increase From Baseline >10 mmHg | 2 | 2 | 2 | 3 |
Evaluate the immunogenicity profile of CHF 10067 in serum, with respect to the development of anti-drug antibody (ADA) and neutralising antibody (nAb). A robust immunogenicity profile indicates the potential for the drug to trigger an immune response in patients, leading to the formation of ADAs. These antibodies can affect the drug's efficacy, safety, and pharmacokinetics. Detecting the presence of ADAs in serum samples was performed using an enzyme linked immunosorbent assay (ELISA), a validated assay method. Neutralizing Antibody (nAb) are a subset of ADAs that can interfere with the drug's therapeutic activity by blocking its binding to the target or inhibiting its downstream effects. The presence of ADAs and nAbs can affect the drug's pharmacokinetics (PK) by altering its absorption, distribution, metabolism, and excretion. This can lead to changes in drug exposure and potentially impact efficacy and safety.
| Participants | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| 1_Baseline ADA positive | 0 | 0 | 0 | 0 |
| 2_ADA prevalence | 1 | 0 | 0 | 0 |
| 3_ADA incidence (ADA+) | 1 | 0 | 0 | 0 |
| 4_Duration of ADA Persistently positive ADA | 0 | 0 | 0 | 0 |
| 5_Duration of ADA Transiently positive ADA | 1 | 0 | 0 | 0 |
| 6_Treatment-boosted ADA | 0 | 0 | 0 | 0 |
| 7_nAb positive at any visit | 1 | 0 | 0 | 0 |
Collected over Adverse events (AE) were reported from the time of patient informed consent signature until subject's study participation ended (day 84 or early withdrawal).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| CHF 10067 1000 mg (Test Treatment) | 0/6 (0%) | 0/6 (0%) | 4/6 (66.7%) |
| CHF 10067 2000 mg (Test Treatment) | 0/6 (0%) | 0/6 (0%) | 3/6 (50%) |
| CHF 10067 3000 mg (Test Treatment) | 0/6 (0%) | 1/6 (16.7%) | 5/6 (83.3%) |
| Placebo | 0/6 (0%) | 0/6 (0%) | 4/6 (66.7%) |
| Event | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| InfluenzaInfections and infestations | 0/6 | 0/6 | 1/6 | 0/6 |
| Event | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo |
|---|---|---|---|---|
| Lower Respiratory Tract InfectionInfections and infestations | 2/6 | 0/6 | 0/6 | 0/6 |
| NasopharyngitisInfections and infestations | 0/6 | 2/6 | 0/6 | 1/6 |
| DizzinessNervous system disorders | 2/6 | 0/6 | 0/6 | 0/6 |
| HeadacheNervous system disorders | 0/6 | 0/6 | 2/6 | 1/6 |
| HypertensionVascular disorders | 1/6 | 0/6 | 2/6 | 0/6 |
| Supraventricular ExtrasystolesCardiac disorders | 0/6 | 0/6 | 0/6 | 1/6 |
| Periorbital OedemaEye disorders | 1/6 | 0/6 | 0/6 | 0/6 |
| DiarrhoeaGastrointestinal disorders | 0/6 | 0/6 | 1/6 | 1/6 |
| NauseaGastrointestinal disorders | 0/6 | 0/6 | 0/6 | 1/6 |
| VomitingGastrointestinal disorders | 0/6 | 0/6 | 1/6 | 1/6 |
| Age, Continuous(years) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Mean | 60.7 ± 7.3 | 61.8 ± 8.0 | 58.7 ± 8.2 | 70.7 ± 4.1 | 63.0 ± 8.1 |
| Sex: Female, Male(Participants) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Female | 1 | 2 | 5 | 0 | 8 |
| Male | 5 | 4 | 1 | 6 | 16 |
| Race (NIH/OMB)(Participants) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 |
| White | 6 | 6 | 6 | 6 | 24 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Body Mass Index (BMI)(kg/m^2) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Mean | 25.98 ± 2.17 | 30.23 ± 3.66 | 30.02 ± 4.18 | 27.80 ± 1.90 | 28.51 ± 3.42 |
| Smoking status at screening(Participants) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Tobacco: Ex-smoker | 3 | 3 | 3 | 4 | 13 |
| Tobacco: Non-smoker | 3 | 3 | 3 | 2 | 11 |
| E-cigarettes: Ex-smoker | 0 | 0 | 0 | 0 | 0 |
| E-cigarettes: Non-smoker | 6 | 6 | 6 | 6 | 24 |
| Duration of smoking(years) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Mean | 40.3 ± 7.8 | 33.7 ± 16.3 | 21.7 ± 5.7 | 24.5 ± 16.3 | 29.6 ± 13.5 |
| Number of pack-years(pack-years) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Mean | 18.60 ± 8.79 | 22.43 ± 18.60 | 20.00 ± 7.00 | 18.00 ± 13.98 | 19.62 ± 11.43 |
| Time since diagnosis(years) | CHF 10067 1000 mg (Test Treatment) | CHF 10067 2000 mg (Test Treatment) | CHF 10067 3000 mg (Test Treatment) | Placebo | Total |
|---|---|---|---|---|---|
| Median | 1.25 (0.6 to 4.1) | 0.79 (0.3 to 4.1) | 1.21 (0.0 to 4.4) | 1.40 (0.2 to 4.6) | 1.00 (0.0 to 4.6) |
7 further baseline measures are reported on the registry.
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Idiopathic Pulmonary Fibrosis→
Chiesi Farmaceutici S.p.A.