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NCT01759511: ATLAS

Long-Term Safety Study of GS-6624 in Adults With Idiopathic Pulmonary Fibrosis (IPF)

Terminated Phase 2 Results posted Last updated 4 April 2017
What this trial tests

Phase 2 trial testing Simtuzumab in Idiopathic Pulmonary Fibrosis in 34 participants. Terminated before completion.

Timeline
18 October 2012
Primary endpoint
19 February 2016
19 February 2016

Quick facts

Lead sponsorGilead Sciences
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment34
Start date18 October 2012
Primary completion19 February 2016
Estimated completion19 February 2016
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

18 and older, any sex, with Idiopathic Pulmonary Fibrosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Overall Safety Profile of Simtuzumab Primary · 30 days post last study treatment (up to 165 weeks)

The overall safety of simtuzumab was assessed as the percentage of participants experiencing adverse events (AEs; Serious AEs, Grade 3 or 4 AEs, AEs related to simtuzumab, and AEs leading to discontinuation of simtuzumab), treatment-emergent chemistry and hematology abnormality.

Adverse Events (AEs)
GroupValue95% CI
Simtuzumab97.1
Grade 3 or 4 AEs
GroupValue95% CI
Simtuzumab47.1
Serious Adverse Events
GroupValue95% CI
Simtuzumab35.3
SAEs Related to simtuzumab
GroupValue95% CI
Simtuzumab5.9
AEs leading to discontinuation of simtuzumab
GroupValue95% CI
Simtuzumab29.4
Relative Change From Baseline in FVC % Predicted at Weeks 72 and 144 Secondary · Weeks 72 and 144

* FVC was a pulmonary function test, and was defined as the volume of air that can forcibly be blown out after taking a full breath. * Least square means were from mixed model for repeated measures (MMRM) model including baseline FVC % predicted and visit including all data up to Week 144.

Week 72
GroupValue95% CI
Simtuzumab-8.05± 1.829
Week 144
GroupValue95% CI
Simtuzumab-12.04± 2.086
Relative Change From Baseline in DLCO % Predicted at Weeks 72 and 144 Secondary · Weeks 72 and 144

* DLCO was a measurement to determine the extent to which oxygen passes from the air sacs of the lungs into the blood. * Least square means were from MMRM model including baseline DLCO % predicted and visit including all data up to Week 144.

Week 72
GroupValue95% CI
Simtuzumab-7.41± 3.062
Week 144
GroupValue95% CI
Simtuzumab-22.80± 3.475
All-cause Mortality Secondary · Up to 165 weeks

All-cause mortality was assessed as a number of participants who died from any cause.

GroupValue95% CI
Simtuzumab3
Relative Change From Baseline in Serum Lysyl Oxidase-like 2 (sLOXL2) Levels at Weeks 72 and 120 Secondary · Weeks 72 and 120
Week 72
GroupValue95% CI
Simtuzumab5.93± 5.937
Week 120
GroupValue95% CI
Simtuzumab-0.69± 6.032

Adverse events — posted to ClinicalTrials.gov

Time frame: 30 days post last study treatment (up to 165 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Simtuzumab
Serious: 12/34 (35%)
Deaths: 3/34

Serious adverse events (20 terms)

ReactionSystemSimtuzumab
PneumoniaInfections and infestations
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
LeukocytosisBlood and lymphatic system disorders
Arteriosclerosis coronary arteryCardiac disorders
Coronary artery diseaseCardiac disorders
Coronary artery occlusionCardiac disorders
Myocardial infarctionCardiac disorders
Hiatus herniaGastrointestinal disorders
Chest painGeneral disorders
InfluenzaInfections and infestations
Urinary tract infectionInfections and infestations
Chondrocalcinosis pyrophosphateMusculoskeletal and connective tissue disorders
Lung adenocarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DyspnoeaRespiratory, thoracic and mediastinal disorders
Idiopathic pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Aortic stenosisVascular disorders
HypertensionVascular disorders
Other adverse events (69 terms — click to expand)

ReactionSystemSimtuzumab
CoughRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Oedema peripheralGeneral disorders
ConstipationGastrointestinal disorders
BronchitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Dyspnoea exertionalRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
NasopharyngitisInfections and infestations
SinusitisInfections and infestations
Procedural painInjury, poisoning and procedural complications
Decreased appetiteMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Urinary tract infectionInfections and infestations
HyponatraemiaMetabolism and nutrition disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
DepressionPsychiatric disorders
Idiopathic pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Sinus congestionRespiratory, thoracic and mediastinal disorders
Upper-airway cough syndromeRespiratory, thoracic and mediastinal disorders
TachycardiaCardiac disorders
CataractEye disorders
Dry eyeEye disorders
Abdominal discomfortGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders

Most-reported serious reactions: Pneumonia, Acute respiratory failure, Leukocytosis, Arteriosclerosis coronary artery, Coronary artery disease, Coronary artery occlusion, Myocardial infarction, Hiatus hernia.

Data from ClinicalTrials.gov NCT01759511 adverse events section.

Sponsor's own description

The primary objective of this study is to evaluate the long term safety and tolerability of simtuzumab (GS-6624) in participants with idiopathic pulmonary fibrosis (IPF) who had previously participated in Gilead clinical trial AB0024-201.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Hypoxia and the extracellular matrix: drivers of tumour metastasis.
    Gilkes DM, Semenza GL, Wirtz D. · · 2014 · cited 1152× · PMID 24827502 · DOI 10.1038/nrc3726
  2. Research progress on drugs targeting the TGF-β signaling pathway in fibrotic diseases.
    Shi N, Wang Z, Zhu H, Liu W, et al · · 2022 · cited 49× · PMID 35147920 · DOI 10.1007/s12026-022-09267-y
  3. Targeting Alveolar Repair in Idiopathic Pulmonary Fibrosis.
    Ptasinski VA, Stegmayr J, Belvisi MG, Wagner DE, et al · · 2021 · cited 43× · PMID 34129811 · DOI 10.1165/rcmb.2020-0476tr
  4. New therapeutics based on emerging concepts in pulmonary fibrosis.
    Sontake V, Gajjala PR, Kasam RK, Madala SK. · · 2019 · cited 32× · PMID 30468628 · DOI 10.1080/14728222.2019.1552262
  5. Modelling and targeting mechanical forces in organ fibrosis.
    Mascharak S, Guo JL, Griffin M, Berry CE, et al · · 2024 · cited 23× · PMID 39552705 · DOI 10.1038/s44222-023-00144-3
  6. Fibrosis in Mesothelioma: Potential Role of Lysyl Oxidases.
    Perryman L, Gray SG. · · 2022 · cited 9× · PMID 35205728 · DOI 10.3390/cancers14040981
  7. Persistent microbial infections and idiopathic pulmonary fibrosis - an insight into <i>non-typeable Haemophilus influenza</i> pathogenesis.
    Shadid A, Rich HE, DeVaughn H, Domozhirov A, et al · · 2024 · cited 3× · PMID 39760094 · DOI 10.3389/fcimb.2024.1479801
  8. Mechanosensing Pathways in the Progression of Pulmonary Fibrosis.
    Nieves EB, García AJ. · · 2025 · cited 1× · PMID 40895343 · DOI 10.1016/j.cobme.2025.100598

Verify or expand the search:

Other trials of Simtuzumab

Trials testing the same drug.

Other recruiting trials for Idiopathic Pulmonary Fibrosis

Currently open trials in the same condition.

Other Gilead Sciences trials

Trials by the same sponsor.

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