340 Participants Needed

AP01 for Idiopathic Pulmonary Fibrosis

(SAIL Trial)

Recruiting at 19 trial locations
DF
Overseen ByDr. Felix Woodhead, MA, MB, BChir, FRCP, PhD
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Avalyn Pharma Inc.
Must be taking: Inhaled antifibrotics
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the long-term safety and tolerability of an inhaled medication called AP01 for individuals with lung conditions such as idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF). Participants will inhale AP01, a solution, twice daily to assess its tolerability over time. The trial is open to those who have completed a previous Avalyn-sponsored inhaled antifibrotic study. Ideal candidates have managed their condition without recent severe flare-ups or additional study medications. Participants will receive training on using the nebulizer device for the medication. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Do I have to stop taking my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications. However, you cannot participate if you are in another clinical study or have taken another investigational drug recently.

Is there any evidence suggesting that AP01 is likely to be safe for humans?

Research has shown that AP01, an inhaled medication for treating fibrosis, has been safe in long-term studies. Patients have tolerated AP01 well for up to 240 weeks. While the oral form of a similar drug, pirfenidone, has been linked to some side effects, the inhaled AP01 appears safer. Ongoing studies continue to demonstrate AP01's safety and effectiveness compared to past data on the oral version. These findings suggest that the inhaled form might offer a gentler option for patients, with fewer side effects.12345

Why do researchers think this study treatment might be promising for idiopathic pulmonary fibrosis?

Unlike the standard treatments for Idiopathic Pulmonary Fibrosis (IPF), which include antifibrotic drugs like pirfenidone and nintedanib, AP01 offers a unique approach by potentially targeting the underlying mechanisms of the disease. Researchers are excited about AP01 because it may offer improved safety and tolerability over existing options, which often have challenging side effects. Additionally, AP01 is being explored for its long-term effects, which could provide sustained benefits for patients with this chronic condition.

What evidence suggests that AP01 might be an effective treatment for idiopathic pulmonary fibrosis?

Research has shown that AP01, an inhaled version of the drug pirfenidone, may help treat idiopathic pulmonary fibrosis (IPF), a lung disease. In earlier studies, AP01 proved more effective and easier to tolerate than the pill form of pirfenidone. Patients using AP01 experienced slower lung function decline and possibly lower death rates. The inhaled form also limits the drug's impact on the rest of the body, leading to fewer side effects outside the lungs. These findings suggest that AP01 could be an effective treatment option for people with IPF, with potentially fewer side effects.16789

Are You a Good Fit for This Trial?

This trial is for people who have already completed an Avalyn-sponsored study for idiopathic or progressive pulmonary fibrosis. They must have taken their last dose of the previous study drug at full strength and agree to use effective contraception during the trial and for 90 days after.

Inclusion Criteria

I completed a previous Avalyn study for IPF or PPF on the full dose.
I agree to use effective birth control during and up to 90 days after the study.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 100 mg inhaled pirfenidone inhalation solution (AP01) twice daily using the eFlow Nebulizer System

Until drug approval, participant withdrawal, or study termination
First treatment visit includes training and oversight by clinic personnel

Follow-up

Participants are monitored for safety and effectiveness after treatment

Approximately 2 weeks after the last dose

Open-label extension

Participants continue receiving AP01 for long-term safety and tolerability evaluation

Average of 6 years

What Are the Treatments Tested in This Trial?

Interventions

  • AP01
Trial Overview Participants will inhale a solution called AP01, which contains pirfenidone, twice daily using an eFlow Nebulizer System. The treatment continues until drug approval, withdrawal from the study, or if the study ends. Training on nebulizer use is provided.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Open-label AP01 treatment armExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Avalyn Pharma Inc.

Lead Sponsor

Trials
1
Recruited
300+

Citations

American Journal of Respiratory and Critical Care MedicineIts safety, tolerability and efficacy is being evaluated in clinical trials for progressive pulmonary fibrosis (PPF) and idiopathic pulmonary fibrosis (IPF).
Inhaled pirfenidone solution (AP01) for IPFThe ATLAS study assessed the safety, tolerability and efficacy of two AP01 doses in patients with IPF. We present results for week 24, the primary endpoint and ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/36948586/
Inhaled pirfenidone solution (AP01) for IPF: a randomised ...Oral pirfenidone reduces lung function decline and mortality in patients with idiopathic pulmonary fibrosis (IPF). Systemic exposure can have significant side ...
Avalyn Presents Clinical Data on AP01 for Pulmonary ...AP01 (Inhaled Pirfenidone) treatment demonstrated substantially improved efficacy and tolerability out to 3.5 years compared to historical data with oral ...
A Study Evaluating the Safety and Efficacy of Inhaled AP01 ...This is a randomized, double-blind, placebo-controlled clinical study to evaluate the safety and efficacy of 2 doses of AP01 (pirfenidone solution for ...
Long-term Safety Data of Inhaled Pirfenidone (AP01) in ...Oral pirfenidone reduces FVC decline compared to placebo in Idiopathic Pulmonary Fibrosis. (IPF), albeit with side effects[1]. AP01 is an aqueous ...
An Extension Study of Subjects Who Received an Avalyn ...To evaluate the long-term safety and tolerability outcomes of subjects receiving Avalyn nebulized antifibrotic medications (AP01). The incidence of adverse ...
Avalyn Showcases Clinical Data Across Multiple ...AP01 continues to demonstrate long-term safety and efficacy in the ongoing open label extension trial, outperforming historical data of oral ...
Inhaled pirfenidone solution (AP01) for IPF: a randomised ...The target sample size of 100 patients (50 per dose group) was selected to provide adequate data to assess the safety and tolerability of AP01 given once or two ...
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