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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Locations | 85 sites (Birmingham, Alabama and 84 other locations) |
| Status | Recruiting |
| Started | October 10, 2023 |
| Main results expected | January 29, 2029 |
| Study ends | October 1, 2030 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT06082037 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
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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
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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
- Study coordinator: Trial Transparency email recommended (Toll free number for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Hyperpolarized xenon-129 MRI signatures to detect and manage acute cellular rejection after lung transplant
We will see if hyperpolarized xenon-129 MRI can detect early acute cellular rejection in recent lung transplant recipients and guide targeted bronchoscopic sampling.
-
Comparing biopsy methods for lung transplant rejection diagnosis
This study tests which of two methods for taking lung tissue samples works better for diagnosing rejection in lung transplant patients.
-
Research on improving outcomes for lung transplant donors and recipients
This study is trying to see how different donor and medical practices affect the health of lung transplant patients and donors, while also looking for blood markers that might predict complications after the surgery.
-
Evaluating extracorporeal photopheresis for subclinical lung transplant rejection
This study is testing if a light-based treatment called extracorporeal photopheresis can help lung transplant patients who have early signs of rejection feel better and improve their health.
-
Identifying biomarkers for lung transplant dysfunction
This study is trying to find specific markers in the body that can help doctors understand and manage problems after lung transplants for patients at Foch Hospital.
-
Evaluating new diagnostic methods for lung transplant rejection
This study is testing a new diagnostic tool to see if it can better identify lung transplant rejection in patients who are having problems with their transplanted lungs.
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.