Extension of inhaled antifibrotic treatment with AP01 for pulmonary fibrosis
Official title: A Multinational, Long-Term, Safety and Tolerability, Open-Label Extension Study of Subjects Who Have Participated in Avalyn Pharma Studies of Inhaled Antifibrotic Agents (AP-LTE-008 [SAIL])
Run by Avalyn Pharma Inc. · NCT06951217 · Data updated 2026-11-12
This open-label extension lets people with progressive pulmonary fibrosis or IPF who finished a prior Avalyn inhaled-drug study continue taking inhaled pirfenidone (AP01) twice daily to see if they can tolerate and stay on treatment.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 340 (estimated) |
| Sponsor | Avalyn Pharma Inc. Industry-sponsored |
| Locations | 92 sites (Birmingham, Alabama and 91 other locations) |
| Status | Recruiting |
| Started | April 17, 2025 |
| Main results expected | December 31, 2031 |
| Study ends | December 31, 2031 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT06951217 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with progressive pulmonary fibrosis (and IPF patients outside the US/Canada) who completed the full-dose treatment period of an Avalyn inhaled-antifibrotic lead-in study and have the Study Physician's approval are ideal candidates.
✕Probably not a fit
People who did not participate in the prior Avalyn lead-in study, cannot use the eFlow nebulizer, or have contraindications to pirfenidone are unlikely to benefit from this extension.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This open-label extension enrolls participants who completed an Avalyn-sponsored inhaled-antifibrotic lead-in study and received the full-dose treatment. Participants will inhale 100 mg pirfenidone solution (AP01) twice daily using the eFlow Nebulizer System during the treatment period. Study procedures include a screening/baseline visit, the open-label treatment period with adherence monitored by a paper dosing diary and return of unused drug, and an end-of-study follow-up phone call about two weeks after the last dose. The extension is intended to continue exposure to AP01 and collect additional safety and tolerability data, with IPF enrollment limited outside the US and Canada per the lead-in criteria.
Why it matters
Potential benefit: If successful, continued AP01 dosing could provide ongoing access to the inhaled medication and offer additional information about tolerability and longer-term use that might help maintain lung function.
How similar studies have gone: Inhaled pirfenidone formulations have been tested in earlier-phase trials showing acceptable tolerability and promising pharmacologic targeting, but large-scale efficacy data remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Previously participated in an Avalyn-sponsored inhaled antifibrotic clinical study for subjects with either idiopathic pulmonary fibrosis (IPF) (IPF subjects are excluded from the US and Canada) or progressive pulmonary fibrosis (PPF) and with the approval of the Study Physician. Previous participation is defined as: Having completed the final visit of the Treatment Period on the full dose of study drug (either active or placebo). * Male subjects and female subjects of childbearing potential (FOCBP) agree to use highly effective contraception measures from the time of first dose of study drug (for the male subject) or the signing of the informed consent form (ICF) (for the female subject), during the study, and until 90 days after the last dose of study drug. Subjects agree not to donate eggs or sperm during the same period. Exclusion Criteria: * Have not previously participated in an Avalyn-sponsored inhaled antifibrotic lead-in study or if the subject was permanently discontinued from the lead-in study for any reason. Subjects who discontinued study drug but continued to attend study visits are ineligible. * Subjects who experienced an exacerbation of asthma or of chronic obstructive pulmonary disease (COPD) requiring oral or systemic corticosteroids within 3 months of Day 1 (Screening/Baseline Visit). * Subjects who experienced an acute exacerbation of IPF (IPF subjects are excluded from the US and Canada) or of PPF within 3 months of Day 1 (Screening/Baseline Visit). * Participation in a concurrent clinical study or in a clinical study in which any other investigational drug product aside from the Avalyn nebulized antifibrotic medication from their lead-in study was administered within the previous 30 days, or 5 half-lives of the previously administered investigational product, whichever is shorter. Subjects may be enrolled in registries. * History of hypersensitivity and/or allergic reaction to pirfenidone or the excipients to be used in this study.
Where it's running
-
University of Alabama at Birmingham
Birmingham, Alabama, United States Recruiting -
University of Southern California
Los Angeles, California, United States Recruiting -
Newport Native MD, Inc.
Newport Beach, California, United States Recruiting -
University of Colorado, Anschutz Medical Campus
Aurora, Colorado, United States Recruiting -
UConn Health
Farmington, Connecticut, United States Recruiting -
Yale University
New Haven, Connecticut, United States Recruiting
Show 44 more locations
-
Renstar Medical Research
Ocala, Florida, United States Recruiting -
Piedmont Healthcare, Inc.
Atlanta, Georgia, United States Recruiting -
The University of Kansas Medical Center
Kansas City, Kansas, United States Recruiting -
University of Maryland
Baltimore, Maryland, United States Recruiting -
Johns Hopkins Asthma and Allergy Center
Baltimore, Maryland, United States Recruiting -
Mayo Clinic Rochester
Rochester, Minnesota, United States Recruiting -
Hannibal Regional Healthcare System, Inc.
Hannibal, Missouri, United States Recruiting -
Weill Cornell
New York, New York, United States Recruiting -
Icahn School of Medicine at Mount Sinai
New York, New York, United States Recruiting -
Columbia University
New York, New York, United States Recruiting -
Piedmont HealthCare, PA
Statesville, North Carolina, United States Recruiting -
Southeastern Research Center
Winston-Salem, North Carolina, United States Recruiting -
University of Cincinnati
Cincinnati, Ohio, United States Recruiting -
Summit Health
Bend, Oregon, United States Recruiting -
The Oregon Clinic Pulmonary East
Portland, Oregon, United States Recruiting -
Thomas Jefferson University
Philadelphia, Pennsylvania, United States Recruiting -
Temple University Hospital
Philadelphia, Pennsylvania, United States Recruiting -
Lowcountry Lung and Critical Care, PA
Charleston, South Carolina, United States Recruiting -
Medical University of South Carolina
Charleston, South Carolina, United States Recruiting -
Vanderbilt University Medical Center
Nashville, Tennessee, United States Recruiting -
El Paso Pulmonary Association, P.A.
El Paso, Texas, United States Recruiting -
Baylor College of Medicine
Houston, Texas, United States Recruiting -
Intermountain Medical Center
Murray, Utah, United States Recruiting -
University of Utah
Salt Lake City, Utah, United States Recruiting -
Inova Healthcare
Falls Church, Virginia, United States Recruiting -
University of Washington
Seattle, Washington, United States Recruiting -
CIMER Centro Integral de Medicina Respiratoria
San Miguel de Tucumán, Tucumán Province, Argentina Recruiting -
Investigaciones En Patologias Respiratorias
San Miguel de Tucumán, Tucumán Province, Argentina Recruiting -
Fundación Respirar
Buenos Aires, Argentina Recruiting -
Clinica Monte Grande
Buenos Aires, Argentina Recruiting -
Instituto Ave Pulmo, Fundacion Enfisema
Buenos Aires, Argentina Recruiting -
Centro Respiratorio Quilmes
Buenos Aires, Argentina Recruiting -
Cinme
Buenos Aires, Argentina Recruiting -
Hospital Italiano de Buenos Aires
Buenos Aires, Argentina Recruiting -
Royal Prince Alfred Hospital
Camperdown, New South Wales, Australia Recruiting -
Macquarie University Clinical Trials Unit
Macquarie Park, New South Wales, Australia Recruiting -
Westmead Hospital
Westmead, New South Wales, Australia Recruiting -
Wallace Street Specialist Centre/Lung Research QLD Pty Ltd
Brisbane, Queensland, Australia Recruiting -
Alfred Health
Melbourne, Victoria, Australia Recruiting -
The Prince Charles Hospital (TPCH)
Chermside, Australia Recruiting -
Lung & Sleep Victoria
Footscray, Australia Recruiting -
Respiratory Clinical Trials PTY Ltd
Kent Town, Australia Recruiting -
Nepean Lung & Sleep
Kingston, Australia Recruiting -
Univ of Western Australia / Institute for Respiratory Health
Nedlands, Australia Recruiting
+42 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Dr. Felix Woodhead, MB BChir,PhD
- Email: fwoodhead@avalynpharma.com
- Phone: +44 7999 885973
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Nerandomilast in IPF and Progressive Fibrosis: Real-World Data
This study tests whether nerandomilast helps slow lung function decline in adults with IPF or progressive fibrotic lung disease in routine clinical care.
-
Finger vs. Earlobe Pulse Oximetry During a 6-Minute Walk Test in ILD
This study tests whether finger or earlobe pulse oximetry gives the same oxygen saturation readings during a 6-minute walk in people with interstitial lung disease.
-
Quercetin supplementation for people with fibrotic interstitial lung disease
This research will try whether taking 500 mg/day of quercetin in two 12-week cycles can change telomere length, reduce signs of cellular aging, and affect lung function in people with IPF and other fibrotic interstitial lung diseases.
-
Measuring body fat and thigh muscle in people with pulmonary fibrosis starting anti-fibrotic drugs
This project will test whether quick bioelectrical impedance measurements and thigh muscle ultrasound can detect changes in body fat and muscle in adults with IPF or progressive pulmonary fibrosis who are starting anti-fibrotic medications.
-
Inspiratory Flow Rate Capability in Pulmonary Fibrosis Patients
This observational study tests how fast patients with IPF or PPF can inhale through dry powder inhalers with different resistances.
-
Treprostinil Palmitil Inhalation Powder for Progressive Pulmonary Fibrosis
A 52-week study will test whether once-daily Treprostinil Palmitil Inhalation Powder helps lung function in adults with progressive pulmonary fibrosis compared to placebo.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.