Experimental drug itacitinib tested for lung transplant complication – study stopped early
NCT ID NCT03978637
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tested the drug itacitinib in 23 people who developed bronchiolitis obliterans syndrome (a type of chronic lung rejection) after a double lung transplant. The goal was to see if itacitinib could safely improve lung function. However, the study was terminated early, so the full results are not available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- itacitinib
- What this could lead to
- If it works, this could point toward a treatment to slow lung function decline in transplant patients with bronchiolitis obliterans syndrome.
- What could go wrong
- This was a very early, small study (23 people) that was terminated, so results are limited. Itacitinib may not improve lung function and could cause side effects like infections.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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23 people
The number who actually took part.
- Started
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Feb 2020
- Finished
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Oct 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Double lung transplantation ≥ 1 year before informed consent. Confirmed BOS progression to Grade 1, 2, or 3 diagnosed within 1 year of screening \*Confirmed BOS progression to Grade 1, 2, or 3 diagnosed within 2 years of screening AND: * A ≥ 200 mL decrease in FEV1 in the previous 12 months OR \*A ≥ 50 mL decrease in FEV1 in the last 2 measurements. • Willingness to avoid pregnancy or fathering children. Exclusion Criteria: * History of a single lung transplant * FEV1 decline attributable to cause(s) other than BOS. * Participants who have had any significant change (eg, addition of new agents) in an immunosuppressive regimen in the 4 weeks before screening. * Untreated and/or symptomatic gastroesophageal reflux disease. * Significant infectious comorbidities including invasive fungal disease, B. Cepacia, non TB mycobacteria, or TB. * Receipt of JAK inhibitor therapy after lung transplant for any indication. Treatment with a JAK inhibitor before lung transplant is permitted. * Laboratory values at screening outside the protocol-defined ranges. * Active HBV or HCV infection that requires treatment, or at risk for HBV reactivation (ie, positive HBsAg). * Known HIV infection. * History of active malignancy within 3 years of screening. * Women who are pregnant or breastfeeding. * Treatment with an investigational agent, procedure, or device within 30 days of enrollment, or within 5 half-lives of the investigational product, whichever is longer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Brigham and Women'S Faulkner Hospitals Inc
Boston, Massachusetts, 02115, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Duke University Health System
Durham, North Carolina, 27710, United States
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Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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Temple University Department of Thoracic Medicine and Surgery
Philadelphia, Pennsylvania, 19140, United States
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UPMC
Pittsburgh, Pennsylvania, 15213, United States
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Universitaire Ziekenhuis Leuven - Gasthuisberg
Leuven, 03000, Belgium
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University Health Network Toronto General Hospital
Toronto, Ontario, M5G 2N2, Canada
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University of California, Los Angeles - David Geffen School of Medicine
Los Angeles, California, 90095, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can medical records reveal how fast lung function fades after transplant?
- Can lung MRI replace CT scans for detecting a serious Post-Transplant lung condition?
- New inhaled therapy aims to slow lung transplant rejection
- Inhaled drug aims to save transplanted lungs from silent threat
- New xenon MRI could spot lung damage in kids after transplant
- New hope for lung scarring after transplant: belumosudil trial launches