Trial Outcomes & Findings for GKT137831 in IPF Patients With Idiopathic Pulmonary Fibrosis (NCT NCT03865927)

NCT ID: NCT03865927

Last Updated: 2026-05-11

Results Overview

Changes in concentrations of circulating o,o'-dityrosine, as determined by mass spectroscopy in plasma, in terms of absolute concentrations and percentages of baseline, will be compared within and between treatment arm participants.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

58 participants

Primary outcome timeframe

From baseline thru week 24

Results posted on

2026-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
GKT137831
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Placebo Oral Tablet
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
Overall Study
STARTED
30
28
Overall Study
COMPLETED
22
22
Overall Study
NOT COMPLETED
8
6

Reasons for withdrawal

Reasons for withdrawal
Measure
GKT137831
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Placebo Oral Tablet
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
Overall Study
Withdrawal by Subject
4
4
Overall Study
Unacceptable side effects
4
1
Overall Study
Subject did not want to take study medicine
0
1

Baseline Characteristics

GKT137831 in IPF Patients With Idiopathic Pulmonary Fibrosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
GKT137831
n=30 Participants
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Placebo Oral Tablet
n=28 Participants
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
Total
n=58 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=44 Participants
6 Participants
n=10 Participants
12 Participants
n=30 Participants
Age, Categorical
>=65 years
24 Participants
n=44 Participants
22 Participants
n=10 Participants
46 Participants
n=30 Participants
Age, Continuous
71 years
STANDARD_DEVIATION 6.5 • n=44 Participants
70 years
STANDARD_DEVIATION 6.3 • n=10 Participants
70 years
STANDARD_DEVIATION 6.4 • n=30 Participants
Sex: Female, Male
Female
7 Participants
n=44 Participants
7 Participants
n=10 Participants
14 Participants
n=30 Participants
Sex: Female, Male
Male
23 Participants
n=44 Participants
21 Participants
n=10 Participants
44 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=44 Participants
28 Participants
n=10 Participants
58 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Asian
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=44 Participants
1 Participants
n=10 Participants
2 Participants
n=30 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=44 Participants
1 Participants
n=10 Participants
2 Participants
n=30 Participants
Race (NIH/OMB)
White
28 Participants
n=44 Participants
26 Participants
n=10 Participants
54 Participants
n=30 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=44 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Region of Enrollment
United States
30 participants
n=44 Participants
28 participants
n=10 Participants
58 participants
n=30 Participants

PRIMARY outcome

Timeframe: From baseline thru week 24

Changes in concentrations of circulating o,o'-dityrosine, as determined by mass spectroscopy in plasma, in terms of absolute concentrations and percentages of baseline, will be compared within and between treatment arm participants.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=22 plasma
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
GKT137831
n=21 plasma
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Surrogate Biomarker of Oxidative Stress by Mass Spectroscopy
13.3 micromole/M tyrosine
Standard Deviation 39.3
-79.9 micromole/M tyrosine
Standard Deviation 255.5

SECONDARY outcome

Timeframe: Baseline to week 24

Population: There are no remaining funds to perform these assays and these results will not be available.

Changes in concentrations of the collagen degradation product, serum C1M measured by enzyme linked immunsorbent assays will be compared between baseline values and those at 24 weeks, and between experimental arm and control participants.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to week 24

Population: Drop out of subjects (discontinued) by participant or PI

Forced vital capacity (FVC), measured by spirometer at baseline, will be compared to values at the conclusion of the study and between the two treatment arms.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=27 Participants
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
GKT137831
n=29 Participants
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Pulmonary Function by Spirometry
Baseline
2.7 Liters
Standard Deviation 0.8
2.8 Liters
Standard Deviation 0.9
Pulmonary Function by Spirometry
24 week
2.6 Liters
Standard Deviation 0.9
2.8 Liters
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Baseline to week 24

Population: Drop out due to discontinuations.

Six-minute walk distance (6MWD) will be compared at baseline and as changes from baseline among experimental arm participants and control subjects

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=25 Participants
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
GKT137831
n=29 Participants
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Ambulatory Ability by Measuring Walk Distance in Six Minutes
Baseline
1191 feet
Standard Deviation 425
1190 feet
Standard Deviation 440
Ambulatory Ability by Measuring Walk Distance in Six Minutes
24 week
1249 feet
Standard Deviation 355
1168 feet
Standard Deviation 440

SECONDARY outcome

Timeframe: Up to week 24

The number of participants who had adverse events will be compared between experimental arm participants and those in the control arm.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=28 Participants
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
GKT137831
n=30 Participants
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Evaluation of Safety by Adverse Events
17 participants
19 participants

Adverse Events

GKT137831

Serious events: 7 serious events
Other events: 19 other events
Deaths: 0 deaths

Placebo Oral Tablet

Serious events: 3 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
GKT137831
n=30 participants at risk
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Placebo Oral Tablet
n=28 participants at risk
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
Nervous system disorders
Neurologic Complications (syncope, lighteadedness)
3.3%
1/30 • Number of events 1 • 24 weeks
0.00%
0/28 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Dysfunction
16.7%
5/30 • Number of events 5 • 24 weeks
3.6%
1/28 • Number of events 1 • 24 weeks
Blood and lymphatic system disorders
Prolongation of Prothrombin Time
3.3%
1/30 • Number of events 1 • 24 weeks
0.00%
0/28 • 24 weeks
Surgical and medical procedures
Hospitalization for elective surgery
0.00%
0/30 • 24 weeks
7.1%
2/28 • Number of events 2 • 24 weeks

Other adverse events

Other adverse events
Measure
GKT137831
n=30 participants at risk
GKT137831 will be administered orally, at a dose of 400 mg twice daily, for a total of 24 weeks. GKT137831: GKT137831 is a NOX enzyme inhibitor
Placebo Oral Tablet
n=28 participants at risk
Identically-appearing placebo oral tablets will be administered orally, twice daily, for a total of 24 weeks. Placebo Oral Tablet: see Arm/Group description
Nervous system disorders
Agitation
3.3%
1/30 • Number of events 1 • 24 weeks
7.1%
2/28 • Number of events 2 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Cough
23.3%
7/30 • Number of events 10 • 24 weeks
25.0%
7/28 • Number of events 9 • 24 weeks
Gastrointestinal disorders
Diarrhea
30.0%
9/30 • Number of events 14 • 24 weeks
28.6%
8/28 • Number of events 10 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
40.0%
12/30 • Number of events 18 • 24 weeks
21.4%
6/28 • Number of events 6 • 24 weeks
General disorders
fatigue
13.3%
4/30 • Number of events 4 • 24 weeks
10.7%
3/28 • Number of events 3 • 24 weeks
Nervous system disorders
Headache
13.3%
4/30 • Number of events 6 • 24 weeks
7.1%
2/28 • Number of events 3 • 24 weeks
Metabolism and nutrition disorders
Hypokalemia
6.7%
2/30 • Number of events 4 • 24 weeks
7.1%
2/28 • Number of events 2 • 24 weeks
Hepatobiliary disorders
Liver enzyme elevation
10.0%
3/30 • Number of events 5 • 24 weeks
0.00%
0/28 • 24 weeks
Skin and subcutaneous tissue disorders
Pruritis
10.0%
3/30 • Number of events 3 • 24 weeks
0.00%
0/28 • 24 weeks
Skin and subcutaneous tissue disorders
Rash
10.0%
3/30 • Number of events 3 • 24 weeks
7.1%
2/28 • Number of events 2 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Infection
13.3%
4/30 • Number of events 4 • 24 weeks
3.6%
1/28 • Number of events 1 • 24 weeks
Gastrointestinal disorders
Vomiting
3.3%
1/30 • Number of events 1 • 24 weeks
7.1%
2/28 • Number of events 2 • 24 weeks
Gastrointestinal disorders
Anorexia
10.0%
3/30 • Number of events 3 • 24 weeks
0.00%
0/28 • 24 weeks
Nervous system disorders
Dizziness
16.7%
5/30 • Number of events 5 • 24 weeks
3.6%
1/28 • Number of events 1 • 24 weeks
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/30 • 24 weeks
7.1%
2/28 • Number of events 3 • 24 weeks
Gastrointestinal disorders
Nausea
20.0%
6/30 • Number of events 6 • 24 weeks
21.4%
6/28 • Number of events 6 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Sinusitis
6.7%
2/30 • Number of events 3 • 24 weeks
7.1%
2/28 • Number of events 2 • 24 weeks
Gastrointestinal disorders
Abdominal Pain
3.3%
1/30 • Number of events 1 • 24 weeks
17.9%
5/28 • Number of events 5 • 24 weeks

Additional Information

Dr. Steve Duncan

University of Alabama at Birmingham

Phone: 205-934-5017

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place