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NCT Number: NCT05975983

Study Evaluating INS018_055 Administered Orally to Subjects With Idiopathic Pulmonary Fibrosis

The purpose of this revised Phase IIa study is to demonstrate safety of INS018_055 over 12 weeks in adults with Idiopathic Pulmonary Fibrosis (IPF).

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Key information

Age range

40 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

University of Alabama at Birmingham, Birmingham, Alabama, United States

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About this study

Idiopathic pulmonary fibrosis is a fatal lung disease characterized by reduced quality of life (QoL) and a median survival of 3 to 4 years. While current standard of care (SoC) treatments including pirfenidone and nintedanib slow disease progression, they are not curative and poorly tolerated due to their toxicity profiles. To address the need for new treatments in IPF, InSilico Medicine is developing INS018_055, a potent inhibitor of the serine/threonine kinase Traf2- and Nckinteracting kinase (TNIK).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patients aged ≥40 years based on the date of the written informed consent form
  • Diagnosis of IPF as defined by American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Association guidelines
  • In a stable condition and suitable for study participation based on the results of medical history, physical examination, vital signs, 12-lead ECG, and laboratory evaluation
  • Meeting all of the following criteria during the screening period:
  • FVC ≥40% predicted normal
  • DLCO corrected for Hgb ≥25% and <80% predicted normal
  • Forced Expiratory Volume in the first second/FVC (FEV1/FVC) ratio >0.7 based on pre-bronchodilator value

Exclusion criteria

  • Acute IPF exacerbation within 4 months prior to Visit 1 and/or Day 1, as determined by the investigator
  • Patients who are unwilling to refrain from smoking within 3 months prior to screening and until the end of the study
  • Female patients who are pregnant or nursing
  • Abnormal ECG findings

Treatment and study plan

INS018_055

Drug

Pharmaceutical formulation: Tablet

Mode of Administration: Oral

Placebo

Drug

Pharmaceutical formulation: Tablet

Mode of Administration: Oral

Primary outcomes

  1. Percentage of subjects who have at least 1 treatment-emergent adverse event (TEAE)

    Time frame: Day 1 (Visit 2) up to Week 12 (End of Treatment (EOT))

Secondary outcomes

  1. Maximum plasma concentration (Cmax) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  2. Time to reach maximum plasma concentration (Tmax) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  3. Area under the plasma concentration-time curve from time zero to dosing interval τ (AUC0-τ) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  4. Area under the plasma concentration-time curve from time zero to time with last measurable concentration t (AUC0-t) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  5. Area under the plasma concentration-time curve from time zero to infinity (∞) (AUC0-∞) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  6. Terminal elimination half-life (t1/2) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  7. Terminal elimination rate constant (λz) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  8. Apparent clearance (CL/F) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  9. Apparent volume of distribution (Vz/F) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  10. Accumulation ratio (Rac) for Cmax and AUC of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  11. Trough plasma concentration (Ctrough) of INS018_055 and its major metabolites (INS018_063 and INS018_095)

    Time frame: Following the first dose on Day 1 (Visit 2) and the last dose during Week 12 (Visit 8, End of Treatment (EOT))

  12. Relative change in Forced Vital Capacity (FVC) in mL

    Time frame: Week 0/Visit 2 up to Week 12

  13. Percentage change in FVC in mL

    Time frame: Week 0/Visit 2 up to Week 12

  14. Absolute and relative change in FVC % predicted

    Time frame: Week 0/Visit 2 up to Week 12

  15. Change in Diffusion Capacity of the lung for Carbon Monoxide (DLCO) % predicted

    Time frame: Week 0/Visit 2 to Week 12

  16. Change in Leicester Cough Questionnaire (LCQ)

    Time frame: Week 0 to Week 4, 8 and 12

  17. Change in 6-Minute Walk Distance (6MWD) in meters

    Time frame: Week 0 to Week 12

  18. Number of acute IPF exacerbations

    Time frame: Week 0 up to Week 12

  19. Number of days hospitalized for acute IPF exacerbations

    Time frame: Week 0 to up Week 12

Study contacts

Contact information is provided by the study sponsor or research team.

Carol Salter, MD, PhD

CONTACT

[email protected]

Monique Duncan

CONTACT

[email protected]

+86 18817554306

Sponsors and collaborators

Lead sponsor

InSilico Medicine Hong Kong Limited

Industry

Registry information

Official study title

A Phase IIa, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of INS018_055 Administered Orally to Subjects With Idiopathic Pulmonary Fibrosis (IPF)

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Aug 4, 2023
Registry last updated
Nov 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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