A Study to Assess Pulsed Inhaled Nitric Oxide in Subjects With Pulmonary Fibrosis at Risk for Pulmonary Hypertension

Overview

About this study

The purpose of this study is to assess the safety and efffectiveness of pulsed inhaled nitric oxide (iNO) in subjects at risk for pulmonary hypertension associated with pulmonary fibrosis on long term oxygen therapy.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion criteria:

- A high resolution CT scan performed in the 6 months prior to screening associated with
one of the following conditions and confirmed using guidelines, as per American
Thoracic Society (ATS) / European Respiratory Society (ERS) / Japanese Respiratory
Society (JRS) / Latin American Thoracic Association (ALAT):

- Major IIPs (idiopathic interstitial pneumonias) diagnosis or suspected as one of
the following:

- Idiopathic pulmonary fibrosis

- Idiopathic nonspecific interstitial pneumonia

- Respiratory bronchiolitis-interstitial lung disease

- Desquamative interstitial pneumonia

- Cryptogenic organizing pneumonia

- Acute interstitial pneumonia

- Rare IIPs diagnosis by one of the following:

- Idiopathic lymphoid interstitial pneumonia

- Idiopathic pleuroparenchymal fibroelastosis

- Unclassifiable idiopathic interstitial pneumonias

- Chronic hypersensitivity pneumonitis

- Occupational lung disease

- Connective Tissue Disease associated with IPF (CTD-ILD)

- Interstitial Pneumonia with Autoimmune Features (IPAF)

- Have been using oxygen therapy by nasal cannula for at least 4 weeks (including use
limited to exertion)

- 6MWD ≥ 100 meters and ≤ 400 meters at screening and Baseline/Randomization visits.

- World Health Organization (WHO) Functional Class II-IV

- Forced Vital Capacity ≥ 40% predicted within the 60 day Screening period

- Age between 18 and 80 years (inclusive) at screening

Exclusion criteria:

- For women of child-bearing potential: Pregnant or breastfeeding females at Screening,
or planning to get pregnant, or unwilling to use appropriate contraception if sexually
active to avoid pregnancy during the study and for at least 30 days after
discontinuation of the study drug.

- Heart failure with reduced ejection fraction (HFrEF; systolic heart failure) with an
ejection fraction of < 40%; or severe HF with preserved EF (HFpEF; diastolic HF)

- History of sarcoidosis

- History of chronic thrombo-embolic pulmonary hypertension (CTEPH; WHO group 4 PH)

- Smoking within 3 months of Screening and/or unwilling to avoid smoking throughout the
study

- Body mass index (BMI) >40 kg/m2 at screening

- Intermittent uncontrolled atrial fibrillation, in the opinion of the Principal
Investigator

- Known severe hepatic impairment, in the opinion of the Principal Investigator

- Known severe renal impairment (Chronic Kidney Disease Epidemiology Collaboration
(CKDEPI) 2009 equation [Levy 2009] calculated creatinine clearance <30 ml/min) at
screening

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eligibility last updated 8/22/22. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Hector Cajigas, M.D.

Contact us for the latest status

Contact information:

Samantha Fatis CCRP

(507) 266-1026

Fatis.Samantha@mayo.edu

Jacksonville, Fla.

Mayo Clinic principal investigator

Hassan Baig, M.B.B.S., B.M.B.S.

Contact us for the latest status

Contact information:

Inna Abrea CCRP

Abrea.Inna@mayo.edu

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Ana Zamora Martinez, M.D.

Contact us for the latest status

Contact information:

Clinical Studies Unit

(904) 953-2255

More information

Publications

Publications are currently not available