NCT07687459

Brief Summary

This is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of Rentosertib (INS018\_055) administered orally in Patients with Idiopathic Pulmonary Fibrosis. The purpose of this study is to evaluate if Rentosertib (INS018\_055) works to treat patients with Idiopathic Pulmonary Fibrosis in adults. It will also learn about the safety of Rentosertib (INS018\_055). In this study, Rentosertib (INS018\_055) will be compared to a placebo (a look-alike substance that contains no drug) to investigate if Rentosertib (INS018\_055) works to treat Idiopathic Pulmonary Fibrosis.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
320

participants targeted

Target at P50-P75 for phase_3

Timeline
39mo left

Started Aug 2026

Typical duration for phase_3

Geographic Reach
1 country

47 active sites

Status
not yet recruiting

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

First Submitted

Initial submission to the registry

June 22, 2026

Completed
15 days until next milestone

First Posted

Study publicly available on registry

July 7, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

August 30, 2026

Expected
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2029

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2029

Last Updated

July 7, 2026

Status Verified

June 1, 2026

Enrollment Period

3.2 years

First QC Date

June 22, 2026

Last Update Submit

July 1, 2026

Conditions

Keywords

Idiopathic Pulmonary Fibrosis (IPF)serine/threonine kinase TNIK

Outcome Measures

Primary Outcomes (1)

  • the annual rate of forced vital capacity (FVC; mL) decline over 52 weeks.

    Weeks 0,4,12,26,39,52

Secondary Outcomes (5)

  • time to first occurrence of any disease progression

    up to 52 weeks

  • change from baseline to Week 52 in quantitative computed tomography-derived lung fibrosis burden on high-resolution computed tomography(HRCT)

    week 52

  • change from baseline in quality of life (QoL) as measured by the patient-reported outcomes questionnaires using King's Brief Interstitial Lung Disease questionnaire (K BILD)

    Weeks 0,4,12,26,39,52

  • change from baseline in QoL as measured by the patient-reported outcomes questionnaires using Living with Pulmonary Fibrosis(L-PF)

    Weeks 0,4,12,26,39,52

  • change from baseline in hemoglobin-corrected diffusing capacity of the lung for carbon monoxide (DLCO) over 52 weeks

    Weeks 0, 52

Other Outcomes (6)

  • Incidence of treatment-emergent adverse events(Safety and Tolerability), and clinically significant changes in physical examination,vital signs,safety laboratory test

    up to 56 weeks

  • Clinically significant changes in the 12-lead electrocardiogram(ECG) of ECG QTcF Interval

    Weeks 0,2,4,8,12,26,39,52

  • Clinically significant changes in the 12-lead electrocardiogram(ECG) of ECG Heart Rate

    Weeks 0,2,4,8,12,26,39,52

  • +3 more other outcomes

Study Arms (2)

Active

EXPERIMENTAL

Patients assigned will receive ISN018\_055 tablets orally QD for 52 weeks

Drug: INS018_055 tablets

Placebo

PLACEBO COMPARATOR

Patients assigned will receive matching placebo orally QD for 52 weeks

Drug: Placebo

Interventions

Dosage form: Tablets; Frequency of administration: Orally QD. Other Names: Rentosertib

Active

Dosage Form: Tablet; Frequency of administration: Orally QD.

Placebo

Eligibility Criteria

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

You may qualify if:

  • An informed consent form (ICF) signed and dated at screening (Visit 1), prior to initiation of any study related procedures, and in accordance with ICH-GCP and local legislation.
  • Patients aged ≥40 years at time of signing the ICF.
  • Diagnosis of IPF based on the 2022 ATS/ERS/JRS/ALAT Clinical Practice Guideline, confirmed by an HRCT chest scan within 3 months prior to screening visit.
  • UIP or probable UIP with fibrosis extent \>10% at HRCT.
  • Meet all the following criteria during the screening period:
  • FVC ≥45% predicted of normal
  • FEV1/FVC ≥0.7
  • DLCO (corrected for hemoglobin) ≥25% and \<80% predicted of normal.
  • Background antifibrotic therapies are allowed, patients may be either:
  • on a stable therapy with nintedanib or pirfenidone as monotherapy for at least 12 weeks prior to screening visit and during the screening period and are planning to stay on this background treatment after randomization.
  • not on a treatment with nintedanib or pirfenidone for at least 8 weeks prior to screening visit and during the screening period and do not plan to start or restart antifibrotic therapy.
  • Estimated minimum life expectancy of at least 30 months for non-IPF related disease in the opinion of the investigator.
  • Male patients and female patients of childbearing potential agree to use highly effective contraception/preventive exposure measures from the time of the first dose of the study drug (for the male patient) or the signing of the ICF (for the female patient) until 90 days after the last dose of the study drug.

You may not qualify if:

  • Interstitial lung disease associated with known primary diseases (eg, autoimmune disease-related interstitial lung diseases, sarcoidosis and amyloidosis), exposures (eg, radiation, silica, asbestos, and coal dust), or drugs (eg, amiodarone).
  • Previous participation in a clinical study with rentosertib (active or placebo).
  • Concurrent participation in another interventional drug, device, or biological investigational research study, or use of an investigational agent within 5 half-lives of the agent (or within 8 weeks when half-life is unknown) prior to screening is not allowed.
  • Pulmonary hypertension that is clinically relevant or severe as deemed by the investigator, or other clinically significant pulmonary abnormalities.
  • Unstable cardiovascular or other disease within 6 months prior to the screening visit or during the screening period.
  • Presence of other clinically significant airway disease that may, in the opinion of the investigator, impact the study safety or efficacy objectives, such as asthma, bronchiectasis, cystic fibrosis, active aspergillosis, active tuberculosis, or other serious concomitant respiratory disorder other than pulmonary fibrosis.
  • Acute exacerbation of IPF within 6 months prior to screening visit and/or during the screening period.
  • Patients with underlying chronic liver disease (Child Pugh A, B, or C hepatic impairment), hepatic steatosis (including non-alcoholic steatohepatitis and/or other types of fatty liver diseases).
  • Patients with Gilbert's disease
  • Relevant chronic or acute infections including human immunodeficiency virus (HIV) and clinically significant viral hepatitis.
  • Aspartate aminotransferase or alanine aminotransferase ≥1.5 × upper limit of normal (ULN), and/or total bilirubin ≥1.5 × ULN, and/or gamma glutamyl transferase ≥3 × ULN, and/or alkaline phosphatase ≥1.5 × ULN at screening.
  • Estimated glomerular filtration rate \<60 mL/min/1.73m2 at screening.
  • Patient with 12-lead ECG demonstrating corrected QT interval by Fridericia (QTcF) \>450 ms for males and \>470 ms for females at screening (Visit 1).
  • Patient with a history of lung volume reduction surgery or lung transplant.
  • Current smoker and/or cotinine (smoking) test positive.
  • +13 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (47)

Anhui Chest Hospital

Hefei, Anhui, China

Location

Anhui Provincial Hospital

Hefei, Anhui, China

Location

Beijing Chaoyang Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Location

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Location

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Location

Fuzhou University Affiliated Provincial Hospital

Fuzhou, Fujian, China

Location

The Second Affiliated Hospital of Xiamen Medical College

Xiamen, Fujian, China

Location

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Location

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Location

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Location

Hainan General Hospital

Haikou, Hainan, China

Location

Hebei Medical University Third Hospital

Shijiazhuang, Hebei, China

Location

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Location

The People's Hospital of Anyang City

Anyang, Henan, China

Location

Nanyang First People's Hospital

Nanyang, Henan, China

Location

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Location

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Location

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Location

Yichang Central People's Hospital

Yichang, Hubei, China

Location

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Location

The Xiangya Hospital of Central South University

Changsha, Hunan, China

Location

The Affiliated Hospital of Inner Mongolia Medical University

Hohhot, Inner Mongolia, China

Location

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Location

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

Location

Jiangxi Provincial People' Hospital

Nanchang, Jiangxi, China

Location

The Second Hospital of Jilin University

Changchun, Jilin, China

Location

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Location

The First Affiliated Hospital of Xi'an Medical College

Xi'an, Shaanxi, China

Location

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Location

Introduction of the First Affiliated Hospital of Shandong First Medical University

Jinan, Shandong, China

Location

Qilu Hospital of Shandong University

Jinan, Shandong, China

Location

Shanghai Pulmonary Hospital Affiliated to Tongji University

Shanghai, Shanghai Municipality, China

Location

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

Location

Yuncheng Central Hospital

Yuncheng, Shanxi, China

Location

Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Location

Tianjin Chest Hospital

Tianjin, Tianjin Municipality, China

Location

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Location

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Location

The First People Hospital of Yunnan Province

Kunming, Yunnan, China

Location

Affiliated Hangzhou First People's Hospital,School of Medicine, Westlake University

Hangzhou, Zhejiang, China

Location

Sir Run Run Shaw Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Location

The First Hospital of Jiaxing

Jiaxing, Zhejiang, China

Location

Ningbo Medical Center Lihuili Hospital

Ningbo, Zhejiang, China

Location

The First Affiliated Hospital of Ningbo University

Ningbo, Zhejiang, China

Location

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Location

MeSH Terms

Conditions

Idiopathic Pulmonary Fibrosis

Condition Hierarchy (Ancestors)

Pulmonary FibrosisLung Diseases, InterstitialLung DiseasesRespiratory Tract Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 22, 2026

First Posted

July 7, 2026

Study Start (Estimated)

August 30, 2026

Primary Completion (Estimated)

October 30, 2029

Study Completion (Estimated)

October 30, 2029

Last Updated

July 7, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will not share

Locations