Zileuton for the Treatment of Idiopathic Pulmonary Fibrosis
Study Details
Study Description
Brief Summary
Open label trial of zileuton compared to azathioprine/prednisone for patients with idiopathic pulmonary fibrosis. Study subjects will undergo a detailed clinical, radiographic, and physiologic assessment at baseline. Subjects will be monitored off treatment for three months for changes in symptoms and physiology. Subjects will then be randomized to six months of treatment with zileuton or azathioprine/prednisone. The primary endpoint of this trial is change in LTB4 levels in bronchoalveolar lavage fluid following six months of treatment. Secondary endpoints are progression free survival, change in dyspnea, change in quality of life, and change in physiology.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: zileuton Zileuton |
Drug: zileuton
|
Active Comparator: azathioprine/prednisone azathioprine/prednisone |
Drug: azathioprine/prednisone
|
Outcome Measures
Primary Outcome Measures
- LTB4 level in BAL [6 months]
Secondary Outcome Measures
- CRP score [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosis of idiopathic pulmonary fibrosis
-
Taking < 15 mg prednisone for at least 30 days prior to screening
-
Age 35-80, inclusive
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Able to understand a written informed consent and comply with the study protocol
Exclusion Criteria:
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Significant environmental exposure
-
Diagnosis of collagen vascular disease
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Evidence of active infection
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Clinically significant cardiac disease Myocardial infarction, coronary artery bypass or angioplasty within 6mo Unstable angina pectoris Congestive heart failure requiring hospitalization within 6 months Uncontrolled arrhythmia
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Poorly controlled or severe diabetes mellitus
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Pregnancy or lactation
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Women of childbearing potential not using a medically approved means of contraception (i.e. oral contraceptives, intrauterine devices, diaphragm, Norplant)
-
Current enrollment in another experimental protocol
Physiologic Criteria:
- FEV1/FVC < 0.60
Laboratory Criteria:
-
Total bilirubin > 1.5 X upper limit normal
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AST or ALT > 3X upper limit normal
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Alkaline phosphatase > 3X upper limit normal
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White blood cell count < 2,500/mm3
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Hematocrit < 30%
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Platelets < 100,000/mm3
-
Prothrombin time INR > 1.5
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Michigan | Ann Arbor | Michigan | United States | 48109 |
Sponsors and Collaborators
- University of Michigan
- National Institutes of Health (NIH)
Investigators
- Principal Investigator: Galen B Toews, MD, University of Michigan
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1995-0304
- P50HL056402-06