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A Study to Test How Effective Belumosudil Tablets Are for Treating Adult Participants With Chronic Lung Allograft Dysfunction

RecruitingPhase 3

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

Who can join

Ages 18 and older · All sexes

Full eligibility 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.

About the study

This double-blind, randomized, placebo-controlled, multinational, multicenter, parallel-group, Phase 3, 2-arm, study will investigate the efficacy and safety of belumosudil compared with placebo, both administered on top of azithromycin and standard-of-care regimen of immunosuppression in male or female participants at least 1 year after bilateral lung transplant, who are at least 18 years of age and who have evidence of progressive CLAD despite azithromycin therapy.

Study details include:

The study duration will be up to 31 weeks for participants not entering the open-label extension (OLE) period and up to 57 weeks for participants entering the OLE period but not the long-term OLE.

The treatment duration will be up to 26 weeks for participants not entering the OLE period and up to 52 weeks for participants entering the OLE period but not the long-term OLE.

The number of visits will be up to 10 visits for participants not entering the OLE period and up to 16 visits for participants entering the OLE period but not the long-term OLE.

For participants who enter the long-term OLE, treatment and study participation will continue with visits every 12 weeks per protocol specifications.

What is being tested

Sponsor: Sanofi · Participants: 180 · Started: Oct 10, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT06082037

Locations in the U.S.

AlabamaUniversity of Alabama at Birmingham- Site Number : 8400026, Birmingham
ArizonaSt. Joseph's Hospital and Medical Center- Site Number : 8400019, Phoenix
CaliforniaUniversity of California Los Angeles Medical Center- Site Number : 8400020, Los Angeles
Stanford University Medical Center- Site Number : 8400008, Stanford
FloridaMayo Clinic in Florida- Site Number : 8400031, Jacksonville
Jackson Memorial Hospital- Site Number : 8400030, Miami
AdventHealth Orlando- Site Number : 8400023, Orlando
Tampa General Hospital - Tampa - General Circle- Site Number : 8400015, Tampa
GeorgiaEmory University Hospital- Site Number : 8400027, Atlanta
IllinoisNorthwestern University- Site Number : 8400003, Chicago
Loyola University Medical Center- Site Number : 8400025, Maywood
IowaUniversity of Iowa- Site Number : 8400032, Iowa City
MarylandJohns Hopkins Hospital- Site Number : 8400034, Baltimore
University of Maryland School of Medicine - Baltimore- Site Number : 8400009, Baltimore
MichiganUniversity of Michigan Health System - Ann Arbor- Site Number : 8400014, Ann Arbor
Corewell Health - Grand Rapids - Michigan Street Northeast- Site Number : 8400010, Grand Rapids
New YorkColumbia University Irving Medical Center- Site Number : 8400002, New York
Icahn School of Medicine at Mount Sinai- Site Number : 8400037, New York
NYU Perlmutter Cancer Center - Energy Building- Site Number : 8400001, New York
Montefiore Medical Center - Moses Campus- Site Number : 8400036, The Bronx
North CarolinaDuke University Medical Center- Site Number : 8400017, Durham
OhioCleveland Clinic - Cleveland- Site Number : 8400005, Cleveland
The Ohio State University- Site Number : 8400028, Columbus
PennsylvaniaPenn Medicine: University of Pennsylvania Health System- Site Number : 8400006, Philadelphia
Temple University Hospital- Site Number : 8400007, Philadelphia
TennesseeVanderbilt University Medical Center- Site Number : 8400018, Nashville
TexasUniversity of Texas - Southwestern Medical Center- Site Number : 8400013, Dallas
Baylor College of Medicine- Site Number : 8400024, Houston
Houston Methodist Hospital- Site Number : 8400021, Houston
University Health System - San Antonio- Site Number : 8400035, San Antonio
UtahUniversity of Utah Medical Group- Site Number : 8400039, Salt Lake City
VirginiaInova Fairfax Hospital- Site Number : 8400004, Falls Church

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.