Clinical trial Recruiting at 81 sites Phase 3 Interventional Ages 18 and up

Testing the effectiveness of belumosudil for treating lung transplant rejection

Official title: A Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Study, Followed by Open-label Extensions, to Evaluate the Efficacy of Oral Belumosudil in Adult Participants With Chronic Lung Allograft Dysfunction (CLAD) Following Bilateral Lung Transplantation

Run by Sanofi · NCT06082037 · Data updated 2026-11-12

This study is testing if belumosudil can help improve lung function in adults who have had a lung transplant and are experiencing ongoing issues with their new lungs.

More Kidney Transplant Rejection trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment180 (estimated)
SponsorSanofi
Industry-sponsored
Locations85 sites (Birmingham, Alabama and 84 other locations)
StatusRecruiting
StartedOctober 10, 2023
Main results expectedJanuary 29, 2029
Study endsOctober 1, 2030
Registry record updatedOctober 28, 2026
Trial IDNCT06082037 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who are at least one year post bilateral lung transplantation and have evidence of progressive CLAD despite azithromycin therapy.

Probably not a fit

Patients with severe lung function decline (FEV1 ≤50% of post-transplant baseline) or those whose lung function issues are due to non-CLAD causes will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 clinical trial is a double-blind, randomized, placebo-controlled study designed to evaluate the efficacy and safety of belumosudil tablets in adult participants with chronic lung allograft dysfunction (CLAD) who are at least one year post bilateral lung transplant. Participants will receive either belumosudil or a placebo, alongside azithromycin and standard immunosuppressive therapy. The study will last up to 31 weeks for those not entering the open-label extension period, with multiple visits scheduled throughout the trial. The goal is to determine if belumosudil can improve lung function in patients experiencing progressive CLAD despite existing treatment.

Why it matters

Potential benefit: If successful, this treatment could significantly improve lung function and quality of life for patients suffering from chronic lung allograft dysfunction.

How similar studies have gone: While this approach is novel in the context of CLAD treatment, similar studies have shown promise in evaluating new therapies for lung transplant rejection.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participant ≥1 year post bilateral lung transplantation at the time of screening
* Participants presenting with CLAD Stage 1 or 2: FEV1 from \>50% to 80% of post-transplant baseline at screening and at randomization
* Participants who have received at least 8 weeks of azithromycin (≥250 mg/day, at least 3 times a week) prior to randomization

Exclusion Criteria:

* FEV1 ≤50% of the post-transplant baseline value (CLAD 3 and 4)
* Lung function decline that can be explained by non-CLAD causes including but not limited to acute lung allograft rejection (\>A1), antibody-mediated rejection, airway stenosis, or tracheobronchomalacia

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Where it's running

  • University of Alabama at Birmingham- Site Number : 8400026
    Birmingham, Alabama, United States
    Recruiting
  • St. Joseph's Hospital and Medical Center- Site Number : 8400019
    Phoenix, Arizona, United States
    Recruiting
  • University of California Los Angeles Medical Center- Site Number : 8400020
    Los Angeles, California, United States
    Recruiting
  • Stanford University Medical Center- Site Number : 8400008
    Stanford, California, United States
    Recruiting
  • Mayo Clinic in Florida- Site Number : 8400031
    Jacksonville, Florida, United States
    Recruiting
  • Jackson Memorial Hospital- Site Number : 8400030
    Miami, Florida, United States
    Recruiting
Show 44 more locations
  • Tampa General Hospital - Tampa - General Circle- Site Number : 8400015
    Tampa, Florida, United States
    Recruiting
  • Emory University Hospital- Site Number : 8400027
    Atlanta, Georgia, United States
    Recruiting
  • Northwestern University- Site Number : 8400003
    Chicago, Illinois, United States
    Recruiting
  • Loyola University Medical Center- Site Number : 8400025
    Maywood, Illinois, United States
    Recruiting
  • University of Iowa- Site Number : 8400032
    Iowa City, Iowa, United States
    Recruiting
  • University of Maryland School of Medicine - Baltimore- Site Number : 8400009
    Baltimore, Maryland, United States
    Recruiting
  • Johns Hopkins Hospital- Site Number : 8400034
    Baltimore, Maryland, United States
    Recruiting
  • University of Michigan Health System - Ann Arbor- Site Number : 8400014
    Ann Arbor, Michigan, United States
    Recruiting
  • Corewell Health - Grand Rapids - Michigan Street Northeast- Site Number : 8400010
    Grand Rapids, Michigan, United States
    Recruiting
  • Mayo Clinic in Rochester - Minnesota- Site Number : 8400038
    Rochester, Minnesota, United States
    Recruiting
  • NYU Perlmutter Cancer Center - Energy Building- Site Number : 8400001
    New York, New York, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai- Site Number : 8400037
    New York, New York, United States
    Recruiting
  • Columbia University Irving Medical Center- Site Number : 8400002
    New York, New York, United States
    Recruiting
  • Montefiore Medical Center - Moses Campus- Site Number : 8400036
    The Bronx, New York, United States
    Recruiting
  • Duke University Medical Center- Site Number : 8400017
    Durham, North Carolina, United States
    Recruiting
  • Cleveland Clinic - Cleveland- Site Number : 8400005
    Cleveland, Ohio, United States
    Recruiting
  • The Ohio State University- Site Number : 8400028
    Columbus, Ohio, United States
    Recruiting
  • Penn Medicine: University of Pennsylvania Health System- Site Number : 8400006
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Temple University Hospital- Site Number : 8400007
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Vanderbilt University Medical Center- Site Number : 8400018
    Nashville, Tennessee, United States
    Recruiting
  • University of Texas - Southwestern Medical Center- Site Number : 8400013
    Dallas, Texas, United States
    Recruiting
  • Baylor College of Medicine- Site Number : 8400024
    Houston, Texas, United States
    Recruiting
  • Houston Methodist Hospital- Site Number : 8400021
    Houston, Texas, United States
    Recruiting
  • University Health System - San Antonio- Site Number : 8400035
    San Antonio, Texas, United States
    Recruiting
  • University of Utah Medical Group- Site Number : 8400039
    Salt Lake City, Utah, United States
    Recruiting
  • Inova Fairfax Hospital- Site Number : 8400004
    Falls Church, Virginia, United States
    Recruiting
  • Investigational Site Number : 0360003
    Darlinghurst, New South Wales, Australia
    Recruiting
  • Investigational Site Number : 0360001
    Brisbane, Queensland, Australia
    Recruiting
  • Investigational Site Number : 0360002
    Murdoch, Western Australia, Australia
    Recruiting
  • Investigational Site Number : 0400001
    Vienna, Austria
    Recruiting
  • Investigational Site Number : 0560001
    Leuven, Belgium
    Recruiting
  • Investigational Site Number : 0560002
    Yvoir, Belgium
    Recruiting
  • Investigational Site Number : 1240002
    Edmonton, Alberta, Canada
    Recruiting
  • Investigational Site Number : 1240001
    Vancouver, British Columbia, Canada
    Recruiting
  • Investigational Site Number : 1240004
    Toronto, Ontario, Canada
    Recruiting
  • Investigational Site Number : 1560004
    Beijing, China
    Recruiting
  • Investigational Site Number : 1560002
    Chengdu, China
    Recruiting
  • Investigational Site Number : 1560008
    Fuzhou, China
    Recruiting
  • Investigational Site Number : 1560007
    Guangzhou, China
    Recruiting
  • Investigational Site Number : 1560001
    Hangzhou, China
    Recruiting
  • Investigational Site Number : 1560005
    Hefei, China
    Recruiting
  • Investigational Site Number : 1560009
    Shanghai, China
    Recruiting
  • Investigational Site Number : 1560003
    Wuxi, China
    Recruiting
  • Investigational Site Number : 1560006
    Zhengzhou, China
    Recruiting

+35 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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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.