NCT05938920

Brief Summary

The goal of this clinical trial is to learn about INS018\_055 in adults with Idiopathic Pulmonary Fibrosis (IPF). The primary objective is to evaluate the safety and tolerability of INS018\_055 orally administered for up to 12 weeks in adult subjects with IPF compared to placebo.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
71

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Jun 2023

Shorter than P25 for phase_2

Geographic Reach
1 country

22 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 19, 2023

Completed
9 days until next milestone

First Submitted

Initial submission to the registry

June 28, 2023

Completed
13 days until next milestone

First Posted

Study publicly available on registry

July 11, 2023

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 8, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 8, 2024

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

December 2, 2025

Completed
Last Updated

December 11, 2025

Status Verified

December 1, 2025

Enrollment Period

1.1 years

First QC Date

June 28, 2023

Results QC Date

September 29, 2025

Last Update Submit

December 3, 2025

Conditions

Keywords

Pulmonary FibrosisIdiopathic Pulmonary FibrosisFibrosisPathologic ProcessesLung Diseases, InterstitialLung DiseasesRespiratory Tract Diseases

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants Who Had at Least 1 Treatment-emergent Adverse Event (TEAE)

    TEAEs were either events with start date on or after the start of the Treatment Period and up to 17 days after EOT (end of treatment), or events with start date prior to the start of the Treatment Period whose severity worsened on or after the start of the Treatment Period and up to 17 days after EOT. CTCAE=Common Terminology Criteria for Adverse Events

    From first dose of study drug until end of study (EOS) visit i.e. up to 13 weeks (+10 days)

Secondary Outcomes (4)

  • Relative Change From Baseline in Forced Vital Capacity (FVC)

    Week 0/Visit 2 up to Week 12

  • Absolute Change From Baseline in FVC in L

    Week 0/Visit 2 up to Week 12

  • Absolute Change in FVC % Predicted

    Week 0/Visit 2 up to Week 12

  • Relative Change in FVC % Predicted

    Week 0/Visit 2 up to Week 12

Study Arms (4)

INS018_055 30 mg QD

EXPERIMENTAL

Group 1: INS018\_055 once daily up to 12 weeks, low dose

Drug: INS018_055

INS018_055 30 mg BID

EXPERIMENTAL

Group 2: INS018\_055 twice daily up to 12 weeks, low dose

Drug: INS018_055

INS018_055 60 mg QD

EXPERIMENTAL

Group 3: INS018\_055 once daily up to 12 weeks, high dose

Drug: INS018_055

Placebo

PLACEBO COMPARATOR

Group 4: Placebo once or twice daily up to 12 weeks

Drug: Placebo

Interventions

Pharmaceutical formulation: Capsules Mode of Administration: Oral

INS018_055 30 mg BIDINS018_055 30 mg QDINS018_055 60 mg QD

Pharmaceutical formulation: Capsules Mode of Administration: Oral

Placebo

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female patients aged ≥40 years based on the date of the written informed consent form
  • Diagnosis of IPF as defined by American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Association guidelines
  • In a stable condition and suitable for study participation based on the results of medical history, physical examination, vital signs, 12-lead ECG, and laboratory evaluation
  • Subjects with background pirfenidone or nintedanib may be enrolled if their regimen of antifibrotic therapy has been stable for \> 8 weeks prior to Visit 1
  • Meeting all of the following criteria during the screening period:
  • FVC ≥40% predicted of normal
  • DLCO corrected for Hgb ≥25% and \<80% predicted of normal.
  • forced expiratory volume in the first second/FVC (FEV1/FVC) ratio \>0.7 based on pre-bronchodilator value

You may not qualify if:

  • Acute IPF exacerbation within 4 months prior to Visit 1 and/or during the screening period, as determined by the investigator
  • Patients who are unwilling to refrain from smoking within 3 months prior to screening and until the end of the study
  • Female patients who are pregnant or nursing
  • Abnormal ECG findings

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

Anhui Chest Hospital

Hefei, Anhui, 230031, China

Location

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui, 230601, China

Location

Peking University Shougang Hospital

Beijing, Beijing Municipality, 100041, China

Location

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, 100050, China

Location

Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, 100730, China

Location

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, 510080, China

Location

Nanfang Hospital of Southern Medical University

Guangzhou, Guangdong, 510515, China

Location

Hainan General Hospital

Haikou, Hainan, 570311, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, 450052, China

Location

Xiangya Hospital of Central South University

Changsha, Hunan, 410008, China

Location

The Second Xiangya Hospital of Central South University

Changsha, Hunan, 410011, China

Location

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, 210008, China

Location

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, 330006, China

Location

The Shengjing Hospital of China medical university

Shenyang, Liaoning, 110004, China

Location

Qilu Hospital of Shandong University

Jinan, Shandong, 250013, China

Location

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, 200030, China

Location

Zhongshan hospital Fudan University

Shanghai, Shanghai Municipality, 200032, China

Location

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, 201800, China

Location

Shanxi Bethune Hospital

Taiyuan, Shanxi, 030032, China

Location

The West China Hospital of Sichuan University

Chengdu, Sichuan, 610041, China

Location

General Hospital of Tianjin Medical University

Tianjin, Tianjin Municipality, 300052, China

Location

The First Affiliated Hospital - Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310006, China

Location

Related Publications (1)

  • Xu Z, Ren F, Wang P, Cao J, Tan C, Ma D, Zhao L, Dai J, Ding Y, Fang H, Li H, Liu H, Luo F, Meng Y, Pan P, Xiang P, Xiao Z, Rao S, Satler C, Liu S, Lv Y, Zhao H, Chen S, Cui H, Korzinkin M, Gennert D, Zhavoronkov A. A generative AI-discovered TNIK inhibitor for idiopathic pulmonary fibrosis: a randomized phase 2a trial. Nat Med. 2025 Aug;31(8):2602-2610. doi: 10.1038/s41591-025-03743-2. Epub 2025 Jun 3.

MeSH Terms

Conditions

Idiopathic Pulmonary FibrosisPulmonary FibrosisFibrosisPathologic ProcessesLung Diseases, InterstitialLung DiseasesRespiratory Tract Diseases

Condition Hierarchy (Ancestors)

Pathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Yujin Tian
Organization
InSilico Medicine Hong Kong Limited

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 28, 2023

First Posted

July 11, 2023

Study Start

June 19, 2023

Primary Completion

August 8, 2024

Study Completion

August 8, 2024

Last Updated

December 11, 2025

Results First Posted

December 2, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations