RecruitingPhase 3NCT06082037

A Study to Test How Effective Belumosudil Tablets Are for Treating Adult Participants With Chronic Lung Allograft Dysfunction

A Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Study, Followed by Open-label Extensions, to Evaluate the Efficacy of Oral Belumosudil in Adult Participants With Chronic Lung Allograft Dysfunction (CLAD) Following Bilateral Lung Transplantation


Sponsor

Sanofi

Enrollment

180 participants

Start Date

Oct 10, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This double-blind, randomized, placebo-controlled, multinational, multicenter, parallel-group, Phase 3, 2-arm, study will investigate the efficacy and safety of belumosudil compared with placebo, both administered on top of azithromycin and standard-of-care regimen of immunosuppression in male or female participants at least 1 year after bilateral lung transplant, who are at least 18 years of age and who have evidence of progressive CLAD despite azithromycin therapy. Study details include: The study duration will be up to 31 weeks for participants not entering the open-label extension (OLE) period and up to 57 weeks for participants entering the OLE period but not the long-term OLE. The treatment duration will be up to 26 weeks for participants not entering the OLE period and up to 52 weeks for participants entering the OLE period but not the long-term OLE. The number of visits will be up to 10 visits for participants not entering the OLE period and up to 16 visits for participants entering the OLE period but not the long-term OLE. For participants who enter the long-term OLE, treatment and study participation will continue with visits every 12 weeks per protocol specifications.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Participant ≥1 year post bilateral lung transplantation at the time of screening
  • Participants presenting with CLAD Stage 1 or 2: FEV1 from \>50% to 80% of post-transplant baseline at screening and at randomization
  • Participants who have received at least 8 weeks of azithromycin (≥250 mg/day, at least 3 times a week) prior to randomization

Exclusion Criteria3

  • FEV1 ≤50% of the post-transplant baseline value (CLAD 3 and 4)
  • Lung function decline that can be explained by non-CLAD causes including but not limited to acute lung allograft rejection (\>A1), antibody-mediated rejection, airway stenosis, or tracheobronchomalacia
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

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Interventions

DRUGBelumosudil

Tablet, Oral

DRUGAzithromycin

Depends on pharmaceutical presentation, Oral

DRUGPlacebo

Tablet, Oral


Locations(80)

University of Alabama at Birmingham- Site Number : 8400026

Birmingham, Alabama, United States

St. Joseph's Hospital and Medical Center- Site Number : 8400019

Phoenix, Arizona, United States

University of California Los Angeles Medical Center- Site Number : 8400020

Los Angeles, California, United States

Stanford University Medical Center- Site Number : 8400008

Stanford, California, United States

Mayo Clinic in Florida- Site Number : 8400031

Jacksonville, Florida, United States

Jackson Memorial Hospital- Site Number : 8400030

Miami, Florida, United States

AdventHealth Orlando- Site Number : 8400023

Orlando, Florida, United States

Tampa General Hospital - Tampa - General Circle- Site Number : 8400015

Tampa, Florida, United States

Emory University Hospital- Site Number : 8400027

Atlanta, Georgia, United States

Northwestern University- Site Number : 8400003

Chicago, Illinois, United States

Loyola University Medical Center- Site Number : 8400025

Maywood, Illinois, United States

University of Iowa- Site Number : 8400032

Iowa City, Iowa, United States

University of Maryland School of Medicine - Baltimore- Site Number : 8400009

Baltimore, Maryland, United States

Johns Hopkins Hospital- Site Number : 8400034

Baltimore, Maryland, United States

University of Michigan Health System - Ann Arbor- Site Number : 8400014

Ann Arbor, Michigan, United States

Corewell Health - Grand Rapids - Michigan Street Northeast- Site Number : 8400010

Grand Rapids, Michigan, United States

NYU Perlmutter Cancer Center - Energy Building- Site Number : 8400001

New York, New York, United States

Icahn School of Medicine at Mount Sinai- Site Number : 8400037

New York, New York, United States

Columbia University Irving Medical Center- Site Number : 8400002

New York, New York, United States

Montefiore Medical Center - Moses Campus- Site Number : 8400036

The Bronx, New York, United States

Duke University Medical Center- Site Number : 8400017

Durham, North Carolina, United States

Cleveland Clinic - Cleveland- Site Number : 8400005

Cleveland, Ohio, United States

The Ohio State University- Site Number : 8400028

Columbus, Ohio, United States

Penn Medicine: University of Pennsylvania Health System- Site Number : 8400006

Philadelphia, Pennsylvania, United States

Temple University Hospital- Site Number : 8400007

Philadelphia, Pennsylvania, United States

Vanderbilt University Medical Center- Site Number : 8400018

Nashville, Tennessee, United States

Baylor University Medical Center- Site Number : 8400011

Dallas, Texas, United States

University of Texas - Southwestern Medical Center- Site Number : 8400013

Dallas, Texas, United States

Baylor College of Medicine- Site Number : 8400024

Houston, Texas, United States

Houston Methodist Hospital- Site Number : 8400021

Houston, Texas, United States

University Health System - San Antonio- Site Number : 8400035

San Antonio, Texas, United States

Inova Fairfax Hospital- Site Number : 8400004

Falls Church, Virginia, United States

Investigational Site Number : 0360003

Darlinghurst, New South Wales, Australia

Investigational Site Number : 0360001

Brisbane, Queensland, Australia

Investigational Site Number : 0360002

Murdoch, Western Australia, Australia

Investigational Site Number : 0400001

Vienna, Austria

Investigational Site Number : 0560001

Leuven, Belgium

Investigational Site Number : 0560002

Yvoir, Belgium

Investigational Site Number : 1240002

Edmonton, Alberta, Canada

Investigational Site Number : 1240001

Vancouver, British Columbia, Canada

Investigational Site Number : 1240004

Toronto, Ontario, Canada

Investigational Site Number : 1560004

Beijing, China

Investigational Site Number : 1560002

Chengdu, China

Investigational Site Number : 1560008

Fuzhou, China

Investigational Site Number : 1560007

Guangzhou, China

Investigational Site Number : 1560001

Hangzhou, China

Investigational Site Number : 1560005

Hefei, China

Investigational Site Number : 1560009

Shanghai, China

Investigational Site Number : 1560003

Wuxi, China

Investigational Site Number : 1560006

Zhengzhou, China

Investigational Site Number : 2030002

Olomouc, Czechia

Investigational Site Number : 2030001

Prague, Czechia

Investigational Site Number : 2080001

Copenhagen, Denmark

Investigational Site Number : 2460001

Helsinki, Finland

Investigational Site Number : 2500005

Le Plessis-Robinson, France

Investigational Site Number : 2500006

Marseille, France

Investigational Site Number : 2500002

Pessac, France

Investigational Site Number : 2500003

Saint-Herblain, France

Investigational Site Number : 2500001

Suresnes, France

Investigational Site Number : 2760003

Munich, Germany

Investigational Site Number : 3480001

Budapest, Hungary

Investigational Site Number : 2500004

Mumbai, India

Investigational Site Number : 3760001

Petah Tikva, Israel

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano-Site Number : 3800001

Milan, Milano, Italy

Investigational Site Number : 3800005

Padua, Padova, Italy

IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione)-Site Number : 3800004

Palermo, Italy

Fondazione IRCCS Policlinico San Matteo-Site Number : 3800003

Pavia, Italy

Azienda Ospedaliera Universitaria Senese UOC Malattie Respiratorie e Trapianto Polmonare-Site Number : 3800002

Siena, Italy

Brigham & Women's Hospital- Site Number : 8400016

Joso-Shi, Massachusetts, Japan

Investigational Site Number : 5280001

Groningen, Netherlands

Investigational Site Number : 5780001

Oslo, Norway

Investigational Site Number : 4100004

Yangsan, Gyeongsangnam-do, South Korea

Investigational Site Number : 4100002

Seoul, Seoul-teukbyeolsi, South Korea

Investigational Site Number : 4100001

Seoul, Seoul-teukbyeolsi, South Korea

Investigational Site Number : 4100003

Seoul, Seoul-teukbyeolsi, South Korea

Investigational Site Number : 7240002

A Coruña, A Coruña [La Coruña], Spain

Investigational Site Number : 7240003

Barcelona, Barcelona [Barcelona], Spain

Investigational Site Number : 7240001

Santander, Cantabria, Spain

Investigational Site Number : 7240004

Valencia, Spain

Investigational Site Number : 7520001

Gothenburg, Sweden

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NCT06082037


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