RecruitingPhase 3NCT05654922

Study to Evaluate ARINA-1 in the Prevention of Bronchiolitis Obliterans Progression in Participants With Bilateral Lung Transplant

A Phase 3, Open-label, Randomized, Standard of Care-controlled, Parallel Study Arm Study to Demonstrate Efficacy and Safety of ARINA-1 in the Prevention of Bronchiolitis Obliterans Syndrome (BOS) Progression in Participants With a Bilateral Lung Transplant


Sponsor

Renovion, Inc.

Enrollment

100 participants

Start Date

Apr 10, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this Phase 3 clinical trial is to compare ARINA-1 (a nebulized immunomodulatory agent) plus Standard of Care vs Standard of Care alone. The main question it aims to answer are: * Evaluate the effectiveness of ARINA-1 in preventing bronchiolitis obliterans syndrome (BOS) progression in participants with a bilateral lung transplant * To evaluate the effectiveness of ARINA-1 on improving quality of life decline and preventing or delaying the use of augmented immunosuppression in participants with pre-BOS relative to SOC. Participants will have clinic visits at screening, randomization (day 1) and weeks 4, 12, 18, and 24. After week 24, participants will have clinic visits at weeks 32, 40, and 48. Participants will also have a telehealth visit on day 2 and phone calls to assess adverse events (AEs), serious adverse events (SAEs), and review patient education will occur during weeks 5, 8, 36, and 44.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This study tests ARINA-1, an inhaled treatment, to see if it can slow or stop the progression of bronchiolitis obliterans syndrome (BOS) in people who have had a bilateral (double) lung transplant. BOS is a form of chronic rejection where the airways gradually scar and narrow, reducing lung function over time. You may be eligible if: - You are 18–75 years old - You received a bilateral lung transplant more than 12 months ago - Your lung function (FEV1) has decreased 10–24% from your post-transplant best in the past year - You are already on a stable azithromycin regimen and a standard 2- or 3-drug immunosuppression regimen - You are able to comply with study visits and home requirements You may NOT be eligible if: - You are pregnant - You have advanced BOS (more than 24% FEV1 decline) - You have severe heart failure, restrictive allograft syndrome, or are on mechanical ventilation - You have advanced kidney disease (stage IV or on dialysis) - You have recently changed or started new maintenance, antibiotic, or immunosuppressive therapies - You have an allergy to azithromycin Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGARINA-1

ARINA-1 (88 mg/mL ascorbic acid, ASC; 150 mg/mL reduced glutathione, GSH)

OTHERStandard of care only

Standard 3-therapy immunosuppression regimen and azithromycin


Locations(20)

Dignity Health - St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States

University of California Los Angeles School of Medicine

Los Angeles, California, United States

University of California San Diego Health

San Diego, California, United States

Advent Health

Orlando, Florida, United States

University of South Florida

Tampa, Florida, United States

Loyola University Medical Center

Maywood, Illinois, United States

University of Iowa Hospital

Iowa City, Iowa, United States

Johns Hopkins Hospital

Baltimore, Maryland, United States

University of Minnesota Medical School

Minneapolis, Minnesota, United States

Washington University School of Medicine

St Louis, Missouri, United States

Columbia University Irving Medical Center

New York, New York, United States

Cleveland Clinic

Cleveland, Ohio, United States

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Temple University Hospital

Philadelphia, Pennsylvania, United States

Medical University of South Carolina

Charleston, South Carolina, United States

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Baylor Scott and White Research Institute

Dallas, Texas, United States

Baylor St. Luke's Medical Center

Houston, Texas, United States

Houston Methodist Hospital

Houston, Texas, United States

Inova Fairfax Hospital

Falls Church, Virginia, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

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NCT05654922