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PLN-74809

Phase 2

Idiopathic Pulmonary Fibrosis | Small molecule | Respiratory |Pliant Therapeutics, Inc.|Last Updated: Jan 23, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment139

FDA Designations

No designations recorded

Clinical trial landscape

PLN-74809 · 4 trials · 2 indications

Phase 2 4
NCT05621252Imaging Evaluation of PLN-74809 in Participants With IPF (PLN-74809)Idiopathic Pulmonary Fibrosis
COMPLETED10 Analytics
NCT04480840Phase 2a Evaluation of Safety, Tolerability, and Pharmacokinetics of PLN-74809 in Patients With Primary Sclerosing Cholangitis (PSC)Primary Sclerosing Cholangitis
COMPLETED121 Analytics
NCT04396756Evaluation of Efficacy and Safety of PLN-74809 in Patients With Idiopathic Pulmonary FibrosisIdiopathic Pulmonary Fibrosis
COMPLETED120 Analytics
NCT04072315Phase 2a Evaluation of PLN-74809 on αvβ6 Receptor Occupancy Using PET Imaging in Participants With IPF/Idiopathic Pulmonary Fibrosis
COMPLETED9 Analytics
PHASE2COMPLETED
Imaging Evaluation of PLN-74809 in Participants With IPF (PLN-74809)
Idiopathic Pulmonary FibrosisUnlock trial analytics
PHASE2COMPLETED
Phase 2a Evaluation of Safety, Tolerability, and Pharmacokinetics of PLN-74809 in Patients With Primary Sclerosing Cholangitis (PSC)
Primary Sclerosing CholangitisUnlock trial analytics
PHASE2COMPLETED
Evaluation of Efficacy and Safety of PLN-74809 in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary FibrosisUnlock trial analytics
PHASE2COMPLETED
Phase 2a Evaluation of PLN-74809 on αvβ6 Receptor Occupancy Using PET Imaging in Participants With IPF/
Idiopathic Pulmonary FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Primary Outcome
12 weeks

Change from Baseline in top quartile whole lung PET standardized uptake value (SUV) following 12 weeks of treatment with PLN-74809. The whole lung SUV measures the intensity of the uptake of the radiotracer, 68GA-CBP8: peptide-based collagen binding probe 8 tagged with Gallium-68 radioisotope, in lung tissue. A negative change from baseline is a positive outcome and represents a decrease in the whole lung SUV corresponding to a decrease in collagen deposition in the lung. A positive change from baseline is a negative outcome and represents an increase in the whole lung SUV corresponding to an increase in collagen deposition in the lung.

Number of Participants With Treatment Emergent Adverse Events
Up to 40 weeks

Nature and proportion of TEAEs between PLN-74809 and placebo groups. Treatment-emergent adverse events (TEAEs) are defined as AEs that emerged or worsened in severity after the first administration of study drug

Number of Participants With Serious Treatment Emergent Adverse Events
Up to 40 weeks

Nature and proportion of Serious TEAEs between PLN-74809 and placebo groups. An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Part A - Number of Participants With Treatment-Emergent Adverse Events
Up to 4 weeks

An AE was any untoward medical occurrence in a clinical study participant administered a study drug that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a study drug, whether or not the AE is considered related to the study drug. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 14 days after permanent discontinuation of study drug.

Part B, C, D - Number of Participants With Treatment-Emergent Adverse Events
Up to 12 weeks

An AE was any untoward medical occurrence in a clinical study participant administered a study drug that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a study drug, whether or not the AE is considered related to the study drug. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 14 days after permanent discontinuation of study drug.

Part D - Number of Participants With Treatment-Emergent Adverse Events
Up to 48 weeks

An AE was any untoward medical occurrence in a clinical study participant administered a study drug that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a study drug, whether or not the AE is considered related to the study drug. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 14 days after permanent discontinuation of study drug.

Part A - Number of Participants With Serious Treatment-Emergent Adverse Events
Up to 4 weeks

An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Part B, C, D - Number of Participants With Serious Treatment-Emergent Adverse Events
Up to 12 weeks

An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Part D - Number of Participants With Serious Treatment-Emergent Adverse Events
Up to 48 weeks

An SAE was defined as an event that, at any dose, results in the following: death, a life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect or a medically important event or reaction.

Number of Participants With a Predicted Effect on αVβ6 PET ( Positron Emission Tomography) in Lungs After Administration of Drug.
Following 1 day of dosing

Assessment of the primary endpoint was made using standard methods for quantifying the amount to PET tracer bound to the αvβ6 integrin receptor in the lungs before and after administration of study drug and PK/PD modeling.

Secondary Endpoints

Secondary Safety and Tolerability
From screening period (up to 28 days) to treatment period of 12 weeks, to 2 weeks after last dose
Assessment of PLN-74809 Total Plasma Concentrations at Week 12
Up to 12 weeks
Assessment of PLN-74809 Total Plasma Concentrations at Week 24
Up to 24 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PLN-74809EXPERIMENTAL160 mg PLN-74809
PlaceboPLACEBO_COMPARATORPlacebo
PLN-74809 Dose Level 1EXPERIMENTALPart 1, Cohort 1 Dose: 40 mg, up to 12 weeks
PLN-74809 Dose Level 2EXPERIMENTALPart 2, Cohort 2 Dose: 80 mg, up to 12 weeks; PLN-74809 Dose Level 2 following PLN-74809 Dose Level 1
PLN-74809 Dose Level 3EXPERIMENTALPart 2, Cohort 3 Dose: 160 mg, up to 12 weeks; PLN-74809 Dose Level 3 following PLN-74809 Dose Level 1
PLN-74809 Dose Level 4EXPERIMENTALPart 3, Cohort 4 Dose: 320 mg, for at least 24 weeks and up to 48 weeks; PLN-74809 Dose Level 4 following PLN-74809 Dose Levels 2 and 3
PLN-74809 Dose Level 1 (Part A)EXPERIMENTALPLN-74809 Dose Level 1 (Part A) - 4 weeks
PLN-74809 Dose Level 2 (Part A)EXPERIMENTALPLN-74809 Dose Level 2 (Part A) - 4 weeks
PLN-74809 Dose Level 2 (Part B)EXPERIMENTALPLN-74809 Dose Level 2 (Part B) - 12 weeks
PLN-74809 - Dose Level 3 (Part C)EXPERIMENTALPLN-74809 Dose Level 3 (Part C) - 12 weeks
PLN-74809 - Dose Level 4 (Part C)EXPERIMENTALPLN-74809 Dose Level 4 (Part C) - 12 weeks
PLN-74809 - Dose Level 5 (Part D)EXPERIMENTALPLN-74809 Dose Level 5 (Part D) - ≥ 24 weeks
PLN-74809 Dose Level 1 (60 mg)EXPERIMENTALPLN-74809 Dose Level 1 (60mg)
PLN-74809 Dose Level 2 (80 mg)EXPERIMENTALPLN-74809 Dose Level 2 (80 mg)
PLN-74809 Dose Level 3 (120 mg)EXPERIMENTALPLN-74809 Dose Level 3 (120 mg)
PLN-74809 Dose Level 4 (240 mg)EXPERIMENTALPLN-74809 Dose Level 4 (240 mg)
PLN-74809 Dose Level 4 (320 mg)EXPERIMENTALPLN-74809 Dose Level 4 (320 mg)

Interventions

NameTypeDescription
PLN-74809DRUG160 mg PLN-74809
PlaceboDRUGMatching placebo
Knottin tracerRADIATIONRadiotracer
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Participants, aged 40 years or older * Diagnosis of IPF, within 8 years prior to Screening * FVC % predicted ≥45%; historical FVC for entry in the study is permitted if within 1 month of screening * Diffusing capacity for carbon monoxide DLco (hemoglobin-adjusted) ≥30%; histor...

Countries:United StatesAustraliaAustriaBelgiumCanadaFranceGermanyNetherlandsUnited KingdomItalyNew Zealand
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Frequently asked questions about PLN-74809

What is PLN-74809 used for?

PLN-74809 is an investigational small molecule being developed for idiopathic pulmonary fibrosis (IPF) and primary sclerosing cholangitis (PSC). It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

Who makes PLN-74809?

PLN-74809 is being developed by Pliant Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol PLRX. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with fibrotic diseases.

What phase is PLN-74809 in?

PLN-74809 is in Phase 2 clinical development. It has completed multiple Phase 2 trials, including studies in idiopathic pulmonary fibrosis and primary sclerosing cholangitis. The drug remains investigational and is not yet approved for any indication.

What clinical trials is PLN-74809 in?

PLN-74809 has completed several Phase 2 trials, including NCT04072315, a PET imaging study in IPF; NCT04396756, an efficacy and safety study in IPF; NCT04480840, a safety and pharmacokinetics study in PSC; and NCT05621252, an imaging study in IPF. All trials are completed.

Is PLN-74809 the same as bexotegrast?

PLN-74809 is also known as bexotegrast. This investigational small molecule is being studied for the treatment of idiopathic pulmonary fibrosis and primary sclerosing cholangitis. It is currently in Phase 2 clinical trials and has not been approved.