Status:

ACTIVE_NOT_RECRUITING

Prospective Treatment Efficacy in IPF Using Genotype for Nac Selection (PRECISIONS) Trial

Lead Sponsor:

Fernando J Martinez

Collaborating Sponsors:

University of Virginia

University of Michigan

Conditions:

Idiopathic Pulmonary Fibrosis

Eligibility:

All Genders

40+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to compare the effect of n-acetylcysteine (NAC) plus standard care with matched placebo plus standard of care in patients diagnosed with idiopathic pulmonary fibrosis (IPF...

Detailed Description

This is a multi-center, randomized, double-blind, placebo-controlled trial of NAC or placebo in about 200 participants with IPF with a TOLLIP rs3750920 TT genotype. Eligible participants will be rand...

Eligibility Criteria

Inclusion

  • ≥ 40 years of age
  • Diagnosed with IPF according to 2018 ATS/ERS/JRS/ALAT, confirmed by enrolling investigator
  • Signed informed consent
  • If taking pirfenidone or nintedanib, must be on stable dose for at least 6 weeks prior to enrollment visit
  • Confirmed rs3570920 TT TOLLIP genotype

Exclusion

  • Pregnancy or planning to become pregnant
  • Women of childbearing potential not willing to remain abstinent (refrain from heterosexual intercourse) or use two adequate methods of contraception, including at least one method with a failure rate of \<1% per year during study participation
  • Significant medical, surgical or psychiatric illness that in the opinion of the investigator would affect subject safety, including liver and renal failure
  • Receipt of an investigational drug or biological agent within the previous 4 weeks of the screening visit or 5 times the half-life, if longer
  • Supplemental or prescribed NAC therapy within 60 days of enrollment
  • Listed for lung transplantation at the time of screening
  • History of lung cancer
  • Inability to perform spirometry
  • Forced vital capacity (FVC) less than 45% predicted, using the global lung function index (GLI) equation at Visit 1
  • Active respiratory infection requiring treatment with antibiotics within 4 weeks of Visit 1

Key Trial Info

Start Date :

December 17 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 27 2026

Estimated Enrollment :

202 Patients enrolled

Trial Details

Trial ID

NCT04300920

Start Date

December 17 2020

End Date

February 27 2026

Last Update

May 29 2025

Active Locations (25)

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Page 1 of 7 (25 locations)

1

University of Arizona

Tucson, Arizona, United States, 85724

2

University of Southern California

Los Angeles, California, United States, 90033

3

Stanford University

Stanford, California, United States, 94305

4

University of Colorado

Aurora, Colorado, United States, 80045