Experimental drug vixarelimab tested for two scarring lung diseases
NCT ID NCT05785624
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested the drug vixarelimab against a placebo in people with idiopathic pulmonary fibrosis (IPF) or systemic sclerosis-associated interstitial lung disease (SSc-ILD). The goal was to see if it could preserve lung function over 52 weeks. The trial was terminated early, but some participants had already enrolled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vixarelimab
- What this could lead to
- If successful, vixarelimab could offer a new treatment option to slow lung function decline in people with IPF or SSc-ILD.
- What could go wrong
- This is an early-phase (Phase 2) trial that was terminated, so results may be incomplete. The drug may not improve lung function or could cause side effects.
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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286 people
The number who actually took part.
- Started
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May 2023
- Finished
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Jan 2026
- 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 to 85 years
- 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 for all Participants: * FVC ≥45% predicted during screening as determined by the over-reader * Forced expiratory volume in 1 second (FEV1)/FVC ratio \>0.70 during screening as determined by the over-reader * DLco ≥30% and ≤90% of predicted during screening (Hgb corrected) as determined by the over-reader * Minimum 6-MWT distance of 150 m with maximum use of 6 liters per minute (L/min) at sea-level and up to 8 L/min at altitude (\> 5000 feet \[1524 m\] above sea level) of supplemental oxygen while maintaining oxygen saturation of \>83% during the 6MWT during screening * Participant and investigator consideration of all medicinal treatment options and/or possibly lung transplantation prior to consideration of participation in the study Inclusion Criteria for Cohort 1: * Age 40-85 years * Documented diagnosis of IPF or IPF (likely) * HRCT pattern consistent with the diagnosis of IPF, confirmed by central review of chest HRCT and central review of any available lung biopsy * For participants receiving pirfenidone or nintedanib treatment for IPF: treatment for ≥3 months with a stable dose for ≥4 weeks prior to screening and during screening, with plans to continue treatment during the study period Inclusion Criteria for Cohort 2: * Age 18-85 years * Diagnosis of SSc as defined using the American College of Rheumatology/European Alliance of Associations for Rheumatology (EULAR) criteria * HRCT demonstrating ≥10% extent of fibrosis, confirmed by central review of Chest HRCT * Evidence of progression of pulmonary fibrosis * For participants receiving tocilizumab treatment for SSc-ILD: treatment for ≥3 months with a stable dose for ≥4 weeks prior to screening and during screening, with no contraindications according to local prescribing information, and no intention to change or modify their treatment regimen for the duration of the study * For participants receiving nintedanib treatment for SSc-ILD: treatment for ≥ 3 months with a stable dose for ≥ 4 weeks prior to screening and during screening, with no contraindications according to local prescribing information, and no intention to change or modify their treatment regimen for the duration of the study * Availability of skin for biopsy preferably on proximal forearms having Modified Rodnan Skin Score (mRSS) ≥2 at the biopsy location Inclusion Criteria for OLE Period: * Completion of 52 weeks of treatment in the double-blinded treatment period * Investigator determination of a favorable benefit-risk for the individual participant, i.e., the expectation of reasonable likelihood for therapeutic benefit and tolerability of the study drug after evaluation of the preceding 52 weeks of double-blinded treatment Exclusion Criteria for all Participants: * Percentage of predicted FVC value showing improvement in the 6-month period prior to screening and including screening value * Known post-bronchodilator response in FEV1 and/or FVC (defined as an increase in percent predicted values by ≥ 10) * Resting oxygen saturation of \<89% using up to 4 L/min of supplemental oxygen at sea level and up to 6 L/min at altitude (5000 feet \[1524 m\] above sea level) during screening * History of lung transplant * Previous treatment with vixarelimab * Acute respiratory or systemic bacterial, viral, or fungal infection either during screening or prior to screening not successfully resolved by 4 weeks prior to screening visit * Presence of pulmonary hypertension requiring treatment * History of malignancy within the 5 years prior to screening * Positive hepatitis C virus (HCV) antibody test result accompanied by a positive HCV ribonucleic acid (RNA) test at screening * Known immunodeficiency * Known evidence of active or untreated latent tuberculosis Exclusion Criteria for Cohort 1: * Evidence of other known causes of ILD * Emphysema present on ≥50% of the HRCT, or the extent of emphysema is greater than the extent of fibrosis, according to central review of the HRCT Exclusion Criteria for Cohort 2: * Evidence of other known causes of ILD * Rheumatic autoimmune disease other than SSc * Receiving pirfenidone treatment within 4 weeks prior to screening * Receipt of nintedanib in combination with tocilizumab Exclusion Criteria for OLE Period: * Significant non-compliance in the double-blinded treatment period, per investigator's judgment * Any new clinically significant pulmonary disease other than IPF or SSc-ILD since enrolling in the double-blinded treatment period
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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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AZORG Campus Aalst-Moorselbaan
Aalst, 9300, Belgium
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Arcispedale Santa Maria Nuova
Reggio Emilia, Emilia-Romagna, 42100, Italy
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Asan Medical Center - PPDS
Seoul, 05505, South Korea
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Azienda Ospedaliera Città della Salute e della Scienza di Torino
Turin, Piedmont, 10126, Italy
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Azienda Ospedaliera Universitaria "Policlinico - Vittorio Emanuele" (Presidio Gaspare Rodolico)
Catania, Sicily, 95123, Italy
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Azienda Ospedaliera Universitaria Careggi
Florence, Tuscany, 50134, Italy
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Azienda Ospedaliera Universitaria Senese
Siena, Abruzzo, 53100, Italy
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Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona-Umberto I G.M. Lancisi G. Salesi
Ancona, The Marches, 60020, Italy
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Banner University Medicine Lung Institute
Phoenix, Arizona, 85006-2506, United States
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Barzilai Medical Center
Ashkelon, 7830604, Israel
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Baylor College of Medicine
Houston, Texas, 77030, United States
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Baylor Scott and White Health - Advanced Lung Disease Specialists - Dallas
Dallas, Texas, 75246-2073, United States
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Bioclinica - Centro Integral En Reumatologia Sociedad Anónima de Capital Variable - PPDS
Guadalajara, Jalisco, CP 44160, Mexico
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CEC SpA
Ñuñoa, 7750495, Chile
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CHU de Liège
Liège, 4000, Belgium
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CHU de Reims
Reims, 51100, France
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CHUS H Clinico U de Santiago
Santiago de Compostela, LA Coruna, 15706, Spain
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CICUM San Miguel
Americana, Jalisco, 44160, Mexico
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Centro Médico Dra de Salvo
Buenos Aires, C1426ABP, Argentina
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Centro de Investigacion del Maule
Talca, 3481349, Chile
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Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, T4000AXL, Argentina
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Centro de Investigaciones Reumatologicas
San Miguel de Tucumán, T4000AXL, Argentina
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Christchurch Hospital
Christchurch, 8011, New Zealand
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Coastal Pulmonary and Critical Care PLC
St. Petersburg, Florida, 33704-2733, United States
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Consultorios Médicos Dr. Doreski
Ciudad Autonoma Buenos Aires, C1426ABP, Argentina
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Dr Anil Dhar Professional Medicine Corporation
Windsor, Ontario, N8X 5A6, Canada
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Dr JM Engelbrecht Trial site
Cape Town, 7130, South Africa
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Dunedin Hospital
Dunedin, New Zealand
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Dynamic Drug Advancement Ltd.
Ajax, Ontario, L1S 2J5, Canada
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EMED Centrum Uslug Medycznych Ewa Smialek
Rzeszów, 35-205, Poland
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El Paso Pulmonary Association Elligo PPDS
El Paso, Texas, 79902-1124, United States
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Emory Clinic
Atlanta, Georgia, 30322, United States
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Enroll SpA - PPDS
Providencia, 7500587, Chile
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Evangelische Lungenklinik Berlin
Berlin, 13125, Germany
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Far East Memorial Hospital
New Taipei City, 220, Taiwan
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Fondazione Policlinico Universitario A Gemelli
Rome, Lazio, 00168, Italy
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Fundacion Scherbovsky
Mendoza, 5500, Argentina
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Gachon University Gil Medical Center
Incheon, 21565, South Korea
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GenHarp Clinical Solutions
Evergreen Park, Illinois, 60805-2758, United States
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Groupe Hospitalier Bichat Claude Bernard
Paris, 75018, France
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Hadassah Medical Center
Jerusalem, 9112001, Israel
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Hannibal Regional Healthcare System HRMG Hannibal
Hannibal, Missouri, 63401-6890, United States
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Hanyang University Medical Center
Seoul, 04763, South Korea
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Hopital Avicenne
Bobigny, 93000, France
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Hopital Louis Pradel
Bron, 69677, France
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Hopital Nord AP-HM
Marseille, 13015, France
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Hopital Pasteur 2
Nice, 06001, France
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Hospital Brasilia
Brasília, Federal District, 71635580, Brazil
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Hospital Clinic de Barcelona
Barcelona, 8036, Spain
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Hospital Clinico San Carlos
Madrid, 28040, Spain
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Hospital Dia do Pulmao
Blumenau, Santa Catarina, 89030-101, Brazil
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Hospital General Universitario Gregorio Maranon
Madrid, 28007, Spain
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Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario Dr. Jose Eleuterio Gonzalez
Monterrey, Nuevo León, Mexico
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Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008, Spain
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Hospital Universitario Son Espases
Palma de Mallorca, 07120, Spain
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Hospital Universitario Virgen de la Victoria
Málaga, 29010, Spain
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Hospital Universitario de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
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Hospital de Clinicas de Porto Alegre HCPA PPDS
Porto Alegre, Pará, 90035-903, Brazil
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Hôpital Arnaud de Villeneuve
Montpellier, 34295, France
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INSARES
Mendoza, Mendoza City, M5500CCG, Argentina
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IU Health Ball Memorial Physicians Pulmonary and Critical Care Medicine
Muncie, Indiana, 47303-3432, United States
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Instituto Ave Pulmo
Mar del Plata, B7602DCK, Argentina
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Instituto De Patologias Respiratorias
San Miguel de Tucumán, 4000, Argentina
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Instituto Del Buen Aire
Santa Fe, 3000, Argentina
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Instituto Medico Rio Cuarto
Río Cuarto, 5800, Argentina
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Instituto Medico de la Fundacion Estudios Clinicos
Rosario, S2013DTC, Argentina
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IntraCare Health Center ? Prestige
Dallas, Texas, 75254, United States
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Kaplan Medical Center
Rehovot, 7610001, Israel
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Kelowna Allergy and Respiratory Health Clinic
Kelowna, British Columbia, V1W 1V3, Canada
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L2 Ip - Instituto de Pesquisas Clinicas Ltda - ME
Brasília, Federal District, 70200-730, Brazil
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Lady Davis Carmel Medical Center
Haifa, 34362, Israel
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McGovern Medical School
Houston, Texas, 77030-1501, United States
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Monash Health Monash Medical Centre
Clayton, Victoria, 3168, Australia
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Northwestern Medicine - Northwestern Medicine Glen
Glenview, Illinois, 60026-8039, United States
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Ospedale S. Giuseppe Multimedica
Milan, Lombardy, 20123, Italy
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PULMAG Grzegorz Gasior Marzena Kociolek Spolka Cywilna
Sosnowiec, 41-208, Poland
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Piedmont Pulmonary and Sleep Medicine Buckhead
Atlanta, Georgia, 30309-1740, United States
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Presidio Ospedaliero GB Morgagni L Pierantoni
Forlì, Emilia-Romagna, 47121, Italy
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Pulmonix LLC
Greensboro, North Carolina, 27403-4443, United States
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Rabin Medical Center
Petah Tikva, 52621, Israel
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Rambam Medical Center
Haifa, 3109601, Israel
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Renstar Medical Research
Ocala, Florida, 34470, United States
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Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050, Australia
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Ruhrlandklinik
Essen, 45239, Germany
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SPZOZ Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego Uniwersytetu Medycznego w Lodzi
Lodz, 90-153, Poland
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Samsung Medical Center - PPDS
Seoul, 06351, South Korea
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Shamir Medical Center Assaf Harofeh
Beer Jacob, 0073100, Israel
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Southeastern Research Center
Winston-Salem, North Carolina, 27103-4029, United States
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Southern Arizona VA Health Care System NAVREF PPDS
Tucson, Arizona, 85723-0001, United States
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St Augustines Hospital
Durban, 4001, South Africa
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St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010, Australia
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Taichung Veterans General Hospital
Taichung, 40705, Taiwan
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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Tel Aviv Sourasky Medical Center PPDS
Tel Aviv, 6423906, Israel
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The Catholic University of Korea Eunpyeong St. Mary's Hospital
Seoul, 03312, South Korea
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The Chaim Sheba Medical Center
Ramat Gan, 5262100, Israel
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The Lundquist Institute for BioMedical Innovation at Harbor-UCLA Medical Cente
Torrance, California, 90502, United States
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The University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104-5417, United States
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UCLA Rheumatology
Los Angeles, California, 90095-8344, United States
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Universitaetsklinikum Duesseldorf
Düsseldorf, 40225, Germany
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University General Hospital of Heraklion
Heraklion, 711 10, Greece
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University General Hospital of Larissa
Larissa, 412 21, Greece
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University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
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University of California, San Francisco Medical Center
San Francisco, California, 94143-2204, United States
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University of California, San Francisco-Fresno
Fresno, California, 93701-2302, United States
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University of Cape Town Lung Institute UCTLI
Cape Town, 7700, South Africa
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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University of Michigan Hospital
Ann Arbor, Michigan, 48109, United States
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University of Southern California Keck School of Medicine
Los Angeles, California, 90033-1036, United States
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University of Utah - PPDS
Salt Lake City, Utah, 84108-1287, United States
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Waikato Hospital
Hamilton, 3248, New Zealand
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Weston Hospital
Weston, Florida, 33331-3609, United States
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Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Warsaw, 04-141, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Patients and families build a living database of pulmonary fibrosis
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