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Completed

NCT Number: NCT05537025

Study of ARO-MMP7 Inhalation Solution in Healthy Participants and Participants With Idiopathic Pulmonary Fibrosis

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of ARO-MMP7 in normal healthy volunteers (NHVs) and in participants with idiopathic pulmonary fibrosis (IPF). The study will initiate with NHVs receiving single ascending doses of ARO-MMP7. Following evaluation of safety and pharmacodynamic (PD) data, participants will receive multiple doses of ARO-MMP7.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Research Site 1, Copenhagen, Denmark

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

(NHVs):

  • Normal pulmonary function tests at Screening
  • Normal electrocardiogram (ECG) at Screening
  • Non-smoking
  • Female participants cannot be pregnant or lactating
  • Male and female participants of childbearing potential must agree to use highly effective contraception and must not donate eggs/sperm during the study and for at least 90 days following end of study or last dose of study drug, whichever is later.

Inclusion criteria

(IPF Participants):

  • Age ≥ 45 years at Screening
  • Clinical diagnosis consistent with IPF based upon established criteria confirmed by review of high-resolution computed tomography (HRCT) and surgical lung biopsy findings (if available)
  • Safely able to undergo bronchoscopy
  • Stable IPF disease at Screening with minimum life expectancy of ≥ 12 months from Screening
  • Female participants cannot be pregnant or lactating
  • Male and female participants of childbearing potential must agree to use highly effective contraception and must not donate eggs/sperm during the study and for at least 90 days following end of study or last dose of study drug, whichever is later.

Exclusion criteria

(NHVs):

  • Acute lower respiratory infection within 30 days prior to first dose or acute upper respiratory infection within 7 days prior to first dose
  • Positive coronavirus disease (COVID-19) test during Screening window
  • Any history of chronic pulmonary disease or anaphylaxis
  • Human immunodeficiency virus (HIV) infection, seropositive for hepatitis B virus (HBV), seropositive for hepatitis C virus (HCV)
  • Uncontrolled hypertension
  • History of significant cardiac disease
  • History of major surgery within 12 weeks prior to first dose
  • Unwilling to limit alcohol consumption to within moderate limits for the duration of the study
  • Use of illicit drugs
  • Use of an investigational agent or device within 30 days prior to first dose

Exclusion criteria

(IPF Participants):

  • Interstitial lung disease (ILD) associated with known primary cause
  • Positive COVID-19 test during Screening window
  • IPF exacerbation within 6 weeks prior to first dose
  • Lower respiratory tract infection requiring antibiotics or antivirals within 30 days prior to first dose
  • Smoking cigarettes or e-cigarettes within 3 months prior to first dose
  • Use of systemic corticosteroid therapy within 30 days prior to first dose
  • Initiation or cessation of antifibrotic therapy or change of antifibrotic dose regimen within 10 weeks prior to first dose
  • Any history of lung transplant or plan to undergo transplant during the course of the study
  • Any concomitant pulmonary disease that could interfere with the evaluation of the study drug or interpretation of patient safety or study results
  • HIV infection, seropositive for HBV, seropositive for HCV
  • Uncontrolled hypertension
  • History of significant cardiac disease
  • History of major surgery within 12 weeks prior to first dose
  • Unwilling to limit alcohol consumption to within moderate limits for the duration of the study
  • Use of illicit drugs
  • Use of an investigational agent or device within 30 days prior to first dose

Note: additional inclusion/exclusion criteria may apply per protocol

Treatment and study plan

ARO-MMP7 Inhalation Solution

Drug

ARO-MMP7 by inhalation of nebulized solution

Placebo

Drug

Calculated volume of normal saline (0.9% NaCl) to match active treatment by inhalation of nebulized solution

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Day 1 up to Day 85

    An adverse event (AE) was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to study drug. TEAEs were defined as AEs with onset after administration of the study drug, or when a pre-existing medical condition increases in severity or frequency after study drug administration. A summary of all Serious Adverse Events (SAEs) and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Secondary outcomes

  1. Change From Baseline to the End of Study (EOS) in Forced Expiratory Volume in One Second (FEV1)

    Time frame: Baseline, EOS (up to Day 85)

    FEV1 was measured using Spirometry.

  2. Change From Baseline to the EOS in Forced Vital Capacity (FVC)

    Time frame: Baseline, EOS (up to Day 85)

    FVC was measured using Spirometry.

  3. Change From Baseline to the EOS in Diffusing Capacity for Carbon Monoxide (DLCO)

    Time frame: Baseline, EOS (up to Day 85)

    DLCO measures gas diffusion from the alveoli to the blood and is impaired by alveolar filling processes, interstitial lung diseases (ILDs), and emphysema. DLCO was measured in milliliters (mL)/minute (min)/millimeters of mercury (mmHG).

  4. SAD Cohorts: Maximum Observed Plasma Concentration (Cmax) of ARO-MMP7

    Time frame: Pre-dose (Day 1) up to 168 hours post-dose (Day 8)

  5. MAD Cohorts: Cmax of ARO-MMP7

    Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29

  6. IPF Cohorts: Cmax of ARO-MMP7

    Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29

  7. SAD Cohorts: Area Under the Plasma Concentration Versus Time Curve From Zero to 24 Hours (AUC0-24) of ARO-MMP7

    Time frame: Pre-dose up to 24 hours post-dose (Day 2)

  8. MAD Cohorts: AUC0-24 of ARO-MMP7

    Time frame: Pre-dose up to 24 hours post-dose on Days 1, 15, and 29

  9. IPF Cohorts: AUC0-24 of ARO-MMP7

    Time frame: Pre-dose up to 24 hours post-dose on Days 1, 15, and 29

  10. SAD Cohorts: Time to Reach Cmax (Tmax) of ARO-MMP7

    Time frame: Pre-dose (Day 1) up to 168 hours post-dose (Day 8)

  11. MAD Cohorts: Tmax of ARO-MMP7

    Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29

  12. IPF Cohorts: Tmax of ARO-MMP7

    Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29

  13. Urine PK of ARO-MMP7: Recovery of Unchanged Drug in Urine Over 0 to 24 Hours (Amount Excreted; Ae) in NHVs Enrolled in SAD Cohorts

    Time frame: Pre-dose up to 24 hours post-dose on Day 1

  14. Urine PK of ARO-MMP7: Percentage of Administered Drug Recovered in Urine Over 0 to 24 Hours (Fraction Excreted; fe) in NHVs Enrolled in SAD Cohorts

    Time frame: Pre-dose up to 24 hours post-dose on Day 1

  15. Urine PK of ARO-MMP7: Renal Clearance (CLr) in NHVs Enrolled in SAD Cohorts

    Time frame: Pre-dose up to 24 hours post-dose on Day 1

Sponsors and collaborators

Lead sponsor

Arrowhead Pharmaceuticals

Industry

Registry information

Official study title

A Phase 1/2a Study Evaluating the Effects of ARO-MMP7 Inhalation Solution in Healthy Subjects and Patients With Idiopathic Pulmonary Fibrosis

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Sep 13, 2022
Registry last updated
Aug 5, 2026

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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