Clinical trial Recruiting at 88 sites Phase 2 Interventional Ages 18 and up

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.

More Idiopathic Pulmonary Fibrosis (IPF) trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment340 (estimated)
SponsorAvalyn Pharma Inc.
Industry-sponsored
Locations92 sites (Birmingham, Alabama and 91 other locations)
StatusRecruiting
StartedApril 17, 2025
Main results expectedDecember 31, 2031
Study endsDecember 31, 2031
Registry record updatedNovember 5, 2026
Trial IDNCT06951217 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.