ClinicalTrials.gg
RecruitingNCT05988463SAFE-IPFUpdated Aug 11, 2026

Dose-Escalation Study of Artesunate Patients With IPF

A Phase 1 interventional study of Artesuante and Placebo capsules in Idiopathic Pulmonary Fibrosis, sponsored by Joseph C. Wu. Recruiting at 1 site in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-08-11.

Sponsored by Joseph C. Wu · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

Idiopathic Pulmonary Fibrosis (IPF) is a chronic progressive fibrotic lung disease resulting in increasing shortness of breath, cough, and low oxygen levels as a result of lung tissue scarring . This will be a single-center randomized, double-blinded, placebo-controlled study of 20 weeks including up to 4 weeks for screening, followed by 12 weeks of oral artesunate treatment across 3 dose levels (dose escalation every 4 weeks), and 4 weeks of a washout (follow-up) period in participants with Idiopathic Pulmonary Fibrosis (IPF). The primary objective of the study is to evaluate the safety and tolerability of artesunate at 3 dose levels, and to select the dose(s) to carry forward into additional clinical testing. The secondary objective includes exploring the blood biomarkers present in participants with IPF at baseline and to investigate how those biomarkers change following artesunate treatment. The exploratory objectives include assessing the changes in the K-BILD and Leicester cough questionnaire scores and change in pulmonary function after artesunate administration.

02

Conditions studied

  • Idiopathic Pulmonary Fibrosis

Keywords

  • shortness of breath, fibrosis, cough, hypoxemia
03

In context

Idiopathic Pulmonary Fibrosis

576 studies on the registry are indexed under Idiopathic Pulmonary Fibrosis; 123 are open to participants now.

This study's planned enrollment of 15 is below the median of 55 across 389 interventional studies indexed under Idiopathic Pulmonary Fibrosis.

Browse Idiopathic Pulmonary Fibrosis studies →

Lead sponsor

Joseph C. Wu is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria

Each participant must meet the following criteria to be enrolled in this study:

  1. Age 40 years or older.
  2. Diagnosis of IPF based upon ATS/ERS/JRS/ALAT 2018 guidelines (56)
  3. FVC percent of predicted ≥ 30%; historical FVC for entry in the study is permitted if within 3 months of screening.
  4. Diffusing capacity of lung for carbon monoxide (DLco) (-adjusted) ≥ 25%; historical DLco for entry in the study is permitted if within 3 months of screening.
  5. Participants receiving nintedanib, pirfenidone, and/or nerandomilast for the treatment of idiopathic pulmonary fibrosis (IPF), including combination therapy (e.g., nintedanib plus nerandomilast or pirfenidone plus nerandomilast), are eligible for enrollment. All background IPF therapies must be stable for at least 6 weeks prior to the Screening visit and taken continuously with no or only rare interruptions.
  6. Female participants of (i.e., ovulating, premenopausal, and not surgically sterile) and all male participants with sexual partners of childbearing potential agree to use highly effective methods of during their participation in the study and for 60 days after the last administration of study drug. Women of child-bearing potential are defined as any female who has experienced menarche and who is not permanently sterile or . Postmenopausal is defined as 12 consecutive months with no menses without an alternative medical cause.

    Highly effective methods of birth control are defined as those with 99% or greater efficacy and includes:

    Use of hormonal contraception that inhibits ovulation, administered orally, by injection, implant, transdermal patch, or vaginal ring Vasectomized male partner Sexual abstinence, only if it is the participant's consistent and preferred lifestyle Infertile partner, confirmed by medical evaluation

  7. Participants must agree to abstain from egg or sperm donation through 60 days after administration of the last dose of study drug.
  8. Able to read and sign a written form (ICF).

7.3 Exclusion Criteria Participants who meet any of the following criteria will be excluded from the study.

  1. Receiving any nonapproved agent intended for treatment of fibrosis in IPF or participation in other treatment clinical trials.
  2. Clinical evidence of active infection within 30 days of screening, including but not limited to bronchitis, pneumonia, or sinusitis that can affect FVC measurement during screening.
  3. Known acute IPF exacerbation, or suspicion by the Investigator of such, within 3 months of screening.
  4. The extent of emphysema is greater than the fibrotic changes on the most recent HRCT scan as determined by PI.
  5. Any medical condition, not limited to cardiac, hepatic, renal disease or , in recent months that will make the participants unsuitable for the study, as judged by the PI.
  6. Any of the following liver test results above the listed specified limits: total >2× the (ULN); (AST) or alanine aminotransferase (ALT) >3× ULN; alkaline phosphatase (ALP) > 2.5× ULN, pending PI's discretion.
  7. Hemoglobin \< 10.0 g/dL.
  8. Pregnant or lactating.
  9. Likely to undergo lung transplantation during the study (being on transplantation list is acceptable).
  10. Currently receiving and expected to remain on treatment during the study with drugs interacting with artesunate including amodiaquine, and efavirenz, nevirapine and ritonavir.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Artesunate

    Experimental group

    Drug: Artesuante · Other: Placebo capsules

  • No intervention
    Placebo

    Control

Interventions

  • DrugArtesuante

    Artesunate capsules administered orally twice daily beginning at 20 mg for 4 weeks, followed by 40 mg for 4 weeks, and then 60 mg for 4 weeks.

  • OtherPlacebo capsules

    Placebo capsules

06

What researchers measure

Primary outcomes

  1. Number of participants who experience treatment-related adverse events

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05988463
Lead sponsor
Joseph C. Wu
Responsible party
Joseph C. Wu (Director, Stanford Cardiovascular Institute, Stanford University) — Sponsor-investigator
First posted
Aug 14, 2023
Start date
Aug 1, 2026
Primary completion
Nov 1, 2028 (estimated)
Completion
Nov 1, 2028 (estimated)
Last update
Aug 11, 2026

Study contacts

Joseph Wu, M.D, Ph.D.
Contact
joewu@stanford.edu
(650) 736-2246
Evgenios Neofytou, M.D.
Contact
neofytou@stanford.edu
6507363346
Joshua Mooney, MD
principal investigator · Stanford University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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