New antibody drug aims to slow lung scarring in IPF
NCT ID NCT06967805
First seen Jun 26, 2026 · Last updated Aug 11, 2026 · Updated 3 times
Summary
This phase 2 trial tests whether MTX-463, an antibody that blocks a protein linked to scarring, can slow lung function decline in people with idiopathic pulmonary fibrosis (IPF). About 164 adults with IPF will receive either the drug or a placebo for 24 weeks. The main goal is to see if the drug improves forced vital capacity, a measure of lung function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MTX-463 (a monoclonal antibody)
- What this could lead to
- If successful, this could point toward a new treatment to slow lung function decline in people with idiopathic pulmonary fibrosis.
- What could go wrong
- This is an early phase 2 trial with only 164 participants, so results may not confirm effectiveness. The drug may cause side effects or fail to improve breathing.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 164 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- 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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40 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: * Participants with IPF of any gender ≥ 40 years of age at time of signing the informed consent. * Able to understand the study and provide signed, written informed consent. * Able to read and understand the language of the informed consent and other study-related materials. * Meet the American Thoracic Society, European Respiratory Society, Japanese Respiratory Society, and Latin American Thoracic Association (ATS/ERS/JRS/ALAT) 2019 criteria for the diagnosis of IPF; Diagnosed with IPF within 7 years of screening. * If a participant is on treatment with pirfenidone, nintedanib, or nerandomilast, the dose of the medication must be stable for ≥ 90 days prior to Screening with plans to maintain the same dose throughout the study. Use of any of these 3 agents in combination with each other is not permitted. * If a participant was on treatment with pirfenidone, nintedanib, or nerandomilast, and the agent has been discontinued, this must have occurred ≥ 30 days prior to Screening. At Screening, there must also be no plan to start either of these medications for the duration of the study. Participants newly diagnosed with IPF who, in the judgment of the treating physician, are considered in need of treatment with nintedanib, pirfenidone, or nerandomilast should not defer standard of care treatment and should be excluded from the study. * FVC of ≥ 45 percent predicted (pp) at screening. * DLCO of ≥ 25pp at screening. * Willing and able to complete all protocol required study visits and procedures. * Female participants of childbearing potential must have a negative serum pregnancy test at Screening. * Participants with reproductive potential must agree to use and follow medically approved highly effective methods of contraception during treatment and until 5 half-lives or 125 days after the last dose of study drug, whichever is longer. * Male participants with female partners of childbearing potential must use condoms during the treatment and until 5 half-lives or 125 days after the last dose of study drug, whichever is longer. Exclusion Criteria: * Acute exacerbation of IPF within 6 months of Screening or during the Screening Period. * Forced expiratory volume in 1 second (FEV1)/FVC ratio of \<0.7 at Screening. * Requirement for continuous supplemental oxygen. Intermittent supplemental oxygen use (e.g., during exercise or sleep) is permitted. * Expected to receive a lung transplant within the study duration. * Current active bacterial infection or use of antibiotics for suspected lung infection in the 30 days prior to Screening. * Planned surgery within the study duration. * Clinically significant pulmonary hypertension. * Use of immunosuppressive therapy (excluding corticosteroids). If previously on such agents, they should have been discontinued for at least 5 half-lives or 90 days, whichever is longer, prior to Screening. * Use of systemic corticosteroids (prednisone or equivalent) at a dose \> 10 mg once daily within 30 days of Screening. * Currently smoking or vaping. * Current known malignancy, or history of cancer, or lymphoproliferative disorder other than non-melanomatous skin cancers, within 2 years of Screening. * Current infection with hepatitis B, hepatitis C, or human immunodeficiency virus (HIV). * Currently pregnant, breast feeding, or planning to conceive for the length of the study. * History of severe depression, psychosis, or suicidal ideation, as determined by the Investigator, within 2 years of Screening. * Any clinically significant disease or laboratory abnormality detected at Screening that might interfere with a participant's ability to complete the study, on-study evaluations, or participant safety. * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 2× upper limit of normal (ULN) at Screening. * Presence of interstitial lung disease due to any cause other than IPF, clinically significant cardiovascular disease, or any other concurrent active medical condition determined by the Investigator to interfere with the participant's ability to complete the trial. * Known allergy to MTX-463 or any of its excipients, or a history of a prior allergic reaction to a monoclonal antibody therapeutic. * Any prior use of MTX-463 or other therapy targeting WISP1. * Any other concurrent experimental agent or an active part of any other clinical study, unless they have stopped taking the investigational product at least 5 half-lives or 30 days before Screening, whichever is longer.
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Get notified about this study
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
71 sites in 12 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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WISP Site in São Bernardo Do Campo, Brazil
RECRUITINGSão Bernardo do Campo, 09715, Brazil
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WISPer Site in Abbotstown, Ireland
RECRUITINGAbbotstown, D15 X40D, Ireland
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WISPer Site in Ann Arbor, MI
RECRUITINGAnn Arbor, Michigan, 48209, United States
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WISPer Site in Atlanta, GA
RECRUITINGAtlanta, Georgia, 30322, United States
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WISPer Site in Baltimore, MD
RECRUITINGBaltimore, Maryland, 21224, United States
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WISPer Site in Barcelona, Spain
RECRUITINGBarcelona, 08017, Spain
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WISPer Site in Barcelona, Spain
RECRUITINGBarcelona, 08036, Spain
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WISPer Site in Barcelona, Spain
RECRUITINGBarcelona, 08908, Spain
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WISPer Site in Belo Horizonte, Brazil
RECRUITINGBelo Horizonte, 30110, Brazil
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WISPer Site in Birmingham, AL
RECRUITINGBirmingham, Alabama, 35233, United States
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WISPer Site in Birmingham, UK
RECRUITINGBirmingham, B15 2GW, United Kingdom
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WISPer Site in Boston, MA
RECRUITINGBoston, Massachusetts, 02114, United States
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WISPer Site in Brussels, Belgium
RECRUITINGBrussels, 1200, Belgium
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WISPer Site in Buenos Aires, Argentina
RECRUITINGBuenos Aires, B1602DQD, Argentina
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WISPer Site in Calgary, Alberta
RECRUITINGCalgary, Alberta, T2N 4Z5, Canada
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WISPer Site in Cambridge, UK
RECRUITINGCambridge, CB2 0BB, United Kingdom
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WISPer Site in Charleston, SC
RECRUITINGCharleston, South Carolina, 29425, United States
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WISPer Site in Cordoba, Argentina
RECRUITINGCórdoba, X5003DCE, Argentina
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WISPer Site in Curitiba, Brazil
RECRUITINGCuritiba, 80060, Brazil
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WISPer Site in Denver, CO
RECRUITINGDenver, Colorado, 80206, United States
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WISPer Site in Detroit, MI
RECRUITINGDetroit, Michigan, 48202, United States
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WISPer Site in Drogheda, Ireland
RECRUITINGDrogheda, F92VW28, Ireland
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WISPer Site in Dublin, Ireland
RECRUITINGDublin, D24 NR0A, Ireland
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WISPer Site in Durham, NC
RECRUITINGDurham, North Carolina, 27710, United States
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WISPer Site in Edegem, Belgium
RECRUITINGEdegem, 2650, Belgium
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WISPer Site in Edinburgh, UK
RECRUITINGEdinburgh, EH16 4SA, United Kingdom
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WISPer Site in Letterkenny, Ireland
RECRUITINGLetterkenny, F92 AE81, Ireland
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WISPer Site in Los Angeles, CA
RECRUITINGLos Angeles, California, 90033, United States
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WISPer Site in Louisville, KY
RECRUITINGLouisville, Kentucky, 40202, United States
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WISPer Site in Lugo, Spain
RECRUITINGLugo, 27003, Spain
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WISPer Site in Madrid, Spain
RECRUITINGMadrid, 28223, Spain
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WISPer Site in Madrid, Spain 2
RECRUITINGMadrid, 28050, Spain
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WISPer Site in Mendoza, Argentina
RECRUITINGMendoza, M5500, Argentina
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WISPer Site in Nantes, France
RECRUITINGNantes, 44800, France
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WISPer Site in Nashville, TN
RECRUITINGNashville, Tennessee, 37204, United States
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WISPer Site in Nice, France
RECRUITINGNice, 06001, France
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WISPer Site in Nieuwegein, Netherlands
RECRUITINGNieuwegein, 3435CM, Netherlands
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WISPer Site in Oxford, UK
RECRUITINGOxford, OX3 7LE, United Kingdom
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WISPer Site in Palm Springs, CA
RECRUITINGPalm Springs, California, 92203, United States
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WISPer Site in Paris, France
RECRUITINGParis, 75015, France
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WISPer Site in Passo Fundo, Brazil
RECRUITINGPasso Fundo, 99010, Brazil
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WISPer Site in Pittsburg, PA
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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WISPer Site in Porto Alegre, Brazil
RECRUITINGPorto Alegre, 90035, Brazil
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WISPer Site in Porto Alegre, Brazil
RECRUITINGPorto Alegre, 90410, Brazil
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WISPer Site in Rennes, France
RECRUITINGRennes, 35033, France
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WISPer Site in Rosario, Argentina
RECRUITINGRosario, S2000DBS, Argentina
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WISPer Site in Rotterdam, Netherlands
RECRUITINGRotterdam, 3015, Netherlands
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WISPer Site in Salt Lake City, UT
RECRUITINGSalt Lake City, Utah, 84103, United States
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WISPer Site in San Miguel De Tucumán, Argentina
RECRUITINGSan Miguel de Tucumán, T4000IAI, Argentina
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WISPer Site in Santa Fe, Argentina
RECRUITINGSanta Fe, S2000DBS, Argentina
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WISPer Site in Santa Fe, Argentina
RECRUITINGSanta Fe, S3000ASF, Argentina
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WISPer Site in Santander, Spain
RECRUITINGSantander, 39008, Spain
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WISPer Site in Sao Paulo, Brazil
RECRUITINGSão Paulo, 05403, Brazil
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WISPer Site in Split
RECRUITINGSplit, 21000, Croatia
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WISPer Site in Wilwaukee, WI
RECRUITINGMilwaukee, Wisconsin, 52226, United States
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WISPer site in Ajax, ON
RECRUITINGAjax, Ontario, L1S 2J5, Canada
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WISPer site in Champaign, IL
RECRUITINGChampaign, Illinois, 61822, United States
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WISPer site in Dallas, TX
RECRUITINGDallas, Texas, 75204, United States
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WISPer site in Greensboro, NC
RECRUITINGGreensboro, North Carolina, 27403, United States
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WISPer site in Greenslopes, Australia
RECRUITINGGreenslopes, 4120, Australia
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WISPer site in Kansas City, KS
RECRUITINGKansas City, Kansas, 66160, United States
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WISPer site in Loxahatchee, FL
RECRUITINGLoxahatchee Groves, Florida, 33470, United States
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WISPer site in Melbourne, Australia
RECRUITINGMelbourne, 3004, Australia
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WISPer site in Midland, Australia
RECRUITINGMidland, 6056, Australia
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WISPer site in New York, NY
RECRUITINGNew York, New York, 10032, United States
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WISPer site in Newport Beach, CA
RECRUITINGNewport Beach, California, 92663, United States
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WISPer site in Oklahoma City, OK
RECRUITINGOklahoma City, Oklahoma, 73104, United States
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WISPer site in Phoenix, AZ
RECRUITINGPhoenix, Arizona, 85032, United States
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WISPer site in Shreveport, LA
RECRUITINGShreveport, Louisiana, 71103, United States
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WISPer site in Trois-Rivières, Quebec
RECRUITINGTrois-Rivières, Quebec, G8T 7A1, Canada
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WISPer site in Westmead, Australia
RECRUITINGWestmead, 2145, Australia
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Other studies related to the condition(s) this trial covers.
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