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FG-3019

Phase 2

Idiopathic Pulmonary Fibrosis | Small molecule | Respiratory |Kyntra Bio, Inc.|Last Updated: Jul 12, 2023

Success Probability

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Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment111

FDA Designations

No designations recorded

Clinical trial landscape

FG-3019 · 6 trials · 5 indications

Phase 2 1Phase 1 5
NCT01262001Safety, Tolerability, and Efficacy Study of Idiopathic Pulmonary FibrosisIdiopathic Pulmonary Fibrosis
COMPLETED90 Analytics
PHASE2COMPLETED
Safety, Tolerability, and Efficacy Study of Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

To determine the safety and tolerability of FG-3019 administered at doses of 15 mg/kg (Cohort 1 and Cohort 1-EX) and 30 mg/kg (Cohort 2 and Cohort 2-EX) every 3 wks for 45 weeks, and every 3 weeks thereafter for three additional treatment years.
Cohort 1: Up to 60 weeks, Cohort 1-EX (original subjects): up to 109 weeks, Cohort 1-EX (subjects who complete Week 48-EX and continue in the trial): up to 151 weeks, Cohort 2: up to 58 weeks, Cohort 2-EX: up to 202 weeks
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From first infusion of any study drug (Day 1) up to 28 days after last infusion of study drug or the day before surgery (up to Day 196)

An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A TEAE was defined as a new or worsening AE that occurred in the window of first infusion of any study drug (Day 1) and within 28 days of the last infusion of study drug or the day before surgery, whichever occurred first. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'.

Number of Participants Who Had Surgical Complications Post-Resection
30 days following discharge after surgery (up to Day 198)

Number of participants who had surgical complications (for example; surgical site infection, intra-abdominal abscess, or perioperative leak during surgery) has been reported

To evaluate the safety and tolerability of FG-3019 in combination with gemcitabine and erlotinib
Through the end of the study
Safety and tolerability of FG-3019
34 weeks
Safety
Tolerability
Pharmacokinetics
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Baseline up to 12 months
Area Under the Plasma Concentration Vs Time Curve (AUC) of FG-3019
Through 30 hours postdose
Number of Participants With Human Anti-human Antibody (HAHA)
Baseline up to 12 months

Secondary Endpoints

To evaluate the effect of FG-3019 on the extent of pulmonary fibrosis in subjects with IPF.
Cohort 1: Up to 60 weeks, Cohort 1-EX (original subjects): up to 109 weeks, Cohort 1-EX (subjects who complete Week 48-EX and continue in the trial): up to 151 weeks, Cohort 2: up to 58 weeks, Cohort 2-EX: up to 202 weeks
To evaluate the effect of FG-3019 on pulmonary function in subjects with IPF.
Cohort 1: Up to 60 weeks, Cohort 1-EX (original subjects): up to 109 weeks, Cohort 1-EX (subjects who complete Week 48-EX and continue in the trial): up to 151 weeks, Cohort 2: up to 58 weeks, Cohort 2-EX: up to 202 weeks
To evaluate the effect of FG-3019 on dyspnea in subjects with IPF.
Cohort 1: Up to 60 weeks, Cohort 1-EX (original subjects): up to 109 weeks, Cohort 1-EX (subjects who complete Week 48-EX and continue in the trial): up to 151 weeks, Cohort 2: up to 58 weeks, Cohort 2-EX: up to 202 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1/1-EXEXPERIMENTALSubjects with moderate to severe idiopathic pulmonary fibrosis (IPF) who have evidence of disease progression
Cohort 2/2-EXEXPERIMENTALSubjects with mild to moderate idiopathic pulmonary fibrosis (IPF) who have evidence of disease progression
FG-3019 + Gemcitabine + Nab-paclitaxelEXPERIMENTALParticipants will receive FG-3019 35 milligrams (mg)/kilogram (kg) by intravenous (IV) infusion on Days 1 and 15 of each treatment cycle and on Day 8 of the first cycle, gemcitabine 1000 mg/square meter (m\^2) and nab-paclitaxel 125 mg/m\^2 by IV infusion on Days 1, 8, and 15 of each treatment cycle. Treatment will be administered over a 28-day cycle, for up to 6 cycles.
Gemcitabine + Nab-paclitaxelACTIVE_COMPARATORParticipants will receive gemcitabine 1000 mg/ meter squared (m\^2) and nab-paclitaxel 125 mg/m\^2 by IV infusion on Days 1, 8, and 15 of each treatment cycle. Treatment will be administered over a 28-day cycle, for up to 6 cycles.
FG-3019EXPERIMENTALAll subjects are treated with FG-3019
APLACEBO_COMPARATORPlacebo
BEXPERIMENTALFG-3019 5 mg/kg
CEXPERIMENTALFG-3019 10 mg/kg
FG-3019 Low DoseEXPERIMENTALParticipants will receive a single intravenous (IV) infusion of FG-3019 low dose on Day 0.
FG-3019 Medium DoseEXPERIMENTALParticipants will receive a single IV infusion of FG-3019 medium dose on Day 0.
FG-3019 High DoseEXPERIMENTALParticipants will receive a single IV infusion of FG-3019 high dose on Day 0.

Interventions

NameTypeDescription
FG-3019DRUGCohort 1 and Cohort 1-EX: 15 mg/kg by infusion every 3 weeks for 45 weeks in the target population (first treatment year and first extended treatment year and every 3 weeks thereafter for three additional extended treatment years).
GemcitabineDRUGGemcitabine will be administered per dose and schedule specified in the arm group description.
Nab-paclitaxelDRUGNab-paclitaxel will be administered per dose and schedule specified in the arm group description.
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Eligibility Criteria

Age Range35 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites18

Main Inclusion Criteria: 1. Age 35 to 80 years, inclusive. 2. Clinical diagnosis of IPF by high resolution computed tomography (HRCT) scan (and in some cases by surgical lung biopsy) and reduced lung function (forced vital capacity). 3. History of IPF of 5 years duration or less. 4. Evidence of pro...

Countries:United States
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Frequently asked questions about FG-3019

What is FG-3019 used for?

FG-3019 is an investigational small molecule being studied for idiopathic pulmonary fibrosis, pancreatic cancer, and diabetes mellitus. Clinical trials have evaluated it in patients with unresectable pancreatic cancer and in diabetic nephropathy related to type 1 or type 2 diabetes. It is not approved and remains in clinical development.

Who makes FG-3019?

FG-3019 is being developed by Kyntra Bio, Inc., a biopharmaceutical company. Kyntra Bio trades on the stock market under the ticker symbol KYNB. The company is conducting clinical research to evaluate the safety and tolerability of FG-3019 in several patient populations.

What phase is FG-3019 in?

FG-3019 is in Phase 1 clinical development. All completed trials of FG-3019 were Phase 1 studies. These trials have finished, and no active trials are currently listed. FG-3019 is investigational and has not been approved by regulatory authorities.

What clinical trials is FG-3019 in?

FG-3019 has been studied in four completed Phase 1 trials. NCT00074698 tested it in idiopathic pulmonary fibrosis, NCT00102297 and NCT00754143 in diabetic nephropathy, and NCT02210559 in unresectable pancreatic cancer. The trials were conducted in the United States and enrolled a total of 111 participants.

Is FG-3019 a small molecule?

Yes, FG-3019 is a small molecule therapeutic. It is being developed as a metabolic treatment, though it has also been studied in oncology and pulmonary conditions. The trials were randomized, double-blind, and placebo-controlled, indicating a rigorous study design.