NCT06968845RecruitingPhase 2
A Phase 2 Study of LTI-03 in Patients With Idiopathic Pulmonary Fibrosis
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study of the Safety, Tolerability and Efficacy of Caveolin-1-Scaffolding-Protein-Derived Peptide (LTI-03) in Patients With Idiopathic Pulmonary Fibrosis
Source: ClinicalTrials.gov · Last updated 3 Nov 2026
Brief summary (registry, in English)
Rationale: LTI-03 is an experimental medication breathed into the lungs using an inhaler. It is being studied for the treatment of Idiopathic Pulmonary Fibrosis (IPF). IPF is a progressive, fatal lung disease caused by the death of lung cells involved in oxygen uptake and by progressive fibrosis (scarring) of the lungs. As the disease progresses, patients experience loss of lung function and increased breathing problems. LTI-03 is hypothesized to treat IPF by protecting and restoring the function of the oxygen uptake cells and by controlling lung fibrosis which may result in improving lung scarring. The purpose of this research is to evaluate LTI-03 including: its safety, whether it causes side effects, whether it improves lung scarring, and whether it improves IPF symptoms. LTI-03 will be compared to placebo in patients diagnosed with IPF within the last 5 years. Patients on a stable dose of nintedanib, pirfenidone, or nerandomilast (if available by prescription) may participate. Trial Design: This is a Phase 2, randomized, double-blind, placebo-controlled, multi-center study that includes a 28-day Screening Period, a 24-week Treatment Period, and 4-week Follow-up Period. Study Assessments: Up to 9 visits to the study clinic will be required. Safety and tolerability will be evaluated with the following assessments: physical examination; collection of vital sign data (heart rate, blood pressure, respiratory rate and peripheral oxygen saturation \[SpO2\] via pulse oximetry); heart data collected by 12-lead electrocardiogram; and collection of blood samples for safety laboratory tests. In addition, participants will be asked about any adverse events (side effects) they have experienced between clinic visits, if they have changed any medications, and if they are able to properly use their study drug inhaler. Participants will undergo a lung function test (spirometry) at every visit, which will be used to evaluate both safety and efficacy. Another test measuring the diffusion capacity of the lungs for carbon monoxide (DLCO) will be required at Screening only. Blood samples will also be collected at each visit to measure disease biomarkers. At select visits patients will be asked to complete the Living with Pulmonary Fibrosis questionnaire to evaluate their IPF symptoms. Participants will also undergo a specialized lung scan (HRCT) at Baseline and at the End of Treatment to measure changes in lung fibrosis. Interventions: LTI-03 and placebo are provided in powder-filled capsules that participants will self- administer using an inhaler. Placebo capsules look like LTI-03 capsules but have no active ingredients. Approximately 120 participants will be randomly assigned in a blinded manner to one of study drug treatment groups.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 120 (estimated)
- First submitted
- 28 Apr 2025
- Start date
- 2 Feb 2026
- Primary completion date
- 30 Sept 2027
- Lead sponsor
- Rein Therapeutics
- Diseases
- Idiopathic pulmonary fibrosis
- NCT number
- NCT06968845
- EU CT number
- 2025-520715-13-00
What you commit to
- Study type: Interventional · Phase 2
- Planned participants: 120
- From 2 Feb 2026 to the primary completion date, 30 Sept 2027
- 49 sites in 7 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Use of N-acetyl cysteine or other supplements including but not limited to quercetin, omega-3 fatty acids, dehydroepiandrosterone, polyphenols, and phytochemicals within 7 days prior to Randomization and through Week 24.
- Use of systemic corticosteroids at doses \> 10 mg/day of prednisone or equivalent within 28 days prior to Randomization.
- Pulmonary exacerbation within 3 months prior to Screening.
- Febrile pulmonary illness requiring antibiotic treatment within 28 days prior to Randomization.
- Participation in a clinical study or treatment with an investigational drug or device within 28 days of the Screening Visit (or 5 half-lives of the investigational agent, whichever is longer).
- Females of childbearing potential (FOCBP) and men with partners of childbearing potential who do not agree to use an acceptable form of contraception for the duration of study treatment and for at least 90 days after the last dose of study drug. Male participants who do not agree to refrain from donating sperm during this same period.
Other illness
- Active or history of malignancies within 5 years prior to Randomization, with the exception of localized nonmetastatic basal or squamous cell carcinoma of the skin, in situ carcinoma of the cervix, or prostate cancer.
- Serious or active medical or psychiatric condition which, in the opinion of the Investigator, may interfere with treatment, assessment, or compliance with the protocol; or an expected survival of less than 24 weeks.
- Contraception and Pregnancy
Lab values
- History or evidence at Screening of significant renal impairment with estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73m2.
- History or evidence at Screening of significant hepatic impairment with bilirubin \> 3 mg/dL (\> 51.3 μmol/L) and albumin \< 2.8 g/dL (\<28 g/L) and PT prolongation \> 6 sec or INR \> 2.3 while not on anticoagulant medication.
Other
- Forced expiratory volume in 1 second (FEV1)/FVC \< 0.7 at Screening.
- Active smoker.
- Positive pregnancy test in female participants of childbearing potential (defined below).
- Female participants who are lactating.
Who the study is looking for
- Male or female age 40 years or older.
- Willing and able to provide written informed consent.
- Diagnosis of IPF within 5 years of Screening as confirmed by a centrally read HRCT of the chest as defined by the ATS/ERS/JRS/ALAT guideline. HRCT lung fibrosis by central read during screening must involve ≥ 10% of the lung and be greater than emphysema involvement of the lung.
- Forced vital capacity (FVC) percent predicted ≥ 45% at Screening.
- Diffusion capacity of the lungs for carbon monoxide (DLCO), hemoglobin-corrected percent predicted ≥ 30% within 8 weeks prior to Randomization.
- Participants receiving nintedanib, pirfenidone, or nerandomilast (where approved for marketing) for IPF treatment must have been on a stable prescribed dose for at least 12 weeks prior to Randomization.
- Participants who previously received nintedanib, pirfenidone, or nerandomilast must have discontinued treatment at least 8 weeks prior to Randomization.
- Able to adequately self-administer study drug using the protocol-specified inhaler device.
Age in the registry: 40 years to - · Sex: All · Does not accept healthy volunteers
Sites (49)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Box Hill Hospital Coordinator of this site? Confirm its status | Box Hill | Australia | Recruiting |
| Royal Prince Alfred Hospital Coordinator of this site? Confirm its status | Camperdown | Australia | Recruiting |
| Launceston Respiratory and Sleep Centre Coordinator of this site? Confirm its status | Launceston | Australia | Recruiting |
| Lung Research Victoria Coordinator of this site? Confirm its status | Melbourne | Australia | Recruiting |
| Westmead Hospital Coordinator of this site? Confirm its status | Westmead | Australia | Recruiting |
| Medical Center Pulmo - 2018 EOOD Coordinator of this site? Confirm its status | Haskovo | Bulgaria | Recruiting |
| Diagnostics And Consultation Center Convex Ltd. Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Recruiting |
| Ruhrlandklinik Westdeutsches Lungenzentrum Am Universitaetsklinikum Essen gGmbH Coordinator of this site? Confirm its status | Essen | Germany | Recruiting |
| Agaplesion Evangelisches Krankenhaus Mittelhessen gGmbH Coordinator of this site? Confirm its status | Giessen | Germany | Recruiting |
| University Medical Center Hamburg-Eppendorf Coordinator of this site? Confirm its status | Hamburg | Germany | Recruiting |
| Thoraxklinik Heidelberg gGmbH Coordinator of this site? Confirm its status | Heidelberg | Germany | Recruiting |
| Birmingham Chest Clinic Coordinator of this site? Confirm its status | Birmingham | United Kingdom | Recruiting |
| Queen Elizabeth Hospital Birmingham Coordinator of this site? Confirm its status | Edgbaston | United Kingdom | Recruiting |
| Royal Infirmary of Edinburgh Coordinator of this site? Confirm its status | Edinburgh | United Kingdom | Recruiting |
| Royal Devon and Exeter Hospital Coordinator of this site? Confirm its status | Exeter | United Kingdom | Recruiting |
| Royal Brompton Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Recruiting |
| University College Hospital - PPDS Coordinator of this site? Confirm its status | London | United Kingdom | Recruiting |
| Churchill Hospital Coordinator of this site? Confirm its status | Oxford | United Kingdom | Recruiting |
| Royal Papworth Hospital Coordinator of this site? Confirm its status | Trumpington | United Kingdom | Recruiting |
| Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 Im. Norberta Barlickiego Uniwersytetu Medycznego W Lodzi Coordinator of this site? Confirm its status | Lodz | Poland | Recruiting |
| Prywatny Gabinet Lekarski Ginekologia i Położnictwo Ultrasonografia Prof. Dr hab. Med. Jacek Suzin Coordinator of this site? Confirm its status | Łódź | Poland | Recruiting |
| Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o. Coordinator of this site? Confirm its status | Nowa Sol | Poland | Recruiting |
| EMED Centrum Usług Medycznych Ewa Śmiałek Coordinator of this site? Confirm its status | Rzeszów | Poland | Recruiting |
| PULMAG s.c. Coordinator of this site? Confirm its status | Sosnowiec | Poland | Recruiting |
| National Institute Of Tuberculosis And Lung Diseases Coordinator of this site? Confirm its status | Warsaw | Poland | Recruiting |
| Futuremeds S.R.L. Coordinator of this site? Confirm its status | Bucharest | Romania | Recruiting |
| Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie "Victor Babeș" Craiova Coordinator of this site? Confirm its status | Craiova | Romania | Recruiting |
| Ai Clinical Research S.R.L. Coordinator of this site? Confirm its status | Sibiu | Romania | Recruiting |
| Spitalul Judetean de Urgenta "Sfantul Ioan cel Nou" Suceava Coordinator of this site? Confirm its status | Suceava | Romania | Recruiting |
| UAB Lung Health Center Coordinator of this site? Confirm its status | Birmingham | United States | Recruiting |
| University of North Carolina at Chapel Hill Coordinator of this site? Confirm its status | Chapel Hill | United States | Recruiting |
| Medical University of South Carolina Coordinator of this site? Confirm its status | Charleston | United States | Recruiting |
| The Lung Research Center, LLC Coordinator of this site? Confirm its status | Chesterfield | United States | Recruiting |
| University of Cincinnati Medical Center Coordinator of this site? Confirm its status | Cincinnati | United States | Recruiting |
| National Jewish Health Coordinator of this site? Confirm its status | Denver | United States | Recruiting |
| Henry Ford Health Coordinator of this site? Confirm its status | Detroit | United States | Recruiting |
| El Paso Pulmonary Association Coordinator of this site? Confirm its status | El Paso | United States | Recruiting |
| Baylor College of Medicine Coordinator of this site? Confirm its status | Houston | United States | Recruiting |
| Indiana University Coordinator of this site? Confirm its status | Indianapolis | United States | Recruiting |
| University of Kansas Medical Center Coordinator of this site? Confirm its status | Kansas City | United States | Recruiting |
| University of Southern California Coordinator of this site? Confirm its status | Los Angeles | United States | Recruiting |
| Cedars-Sinai Medical Center Coordinator of this site? Confirm its status | Los Angeles | United States | Recruiting |
| Yale University School Of Medicine Coordinator of this site? Confirm its status | New Haven | United States | Recruiting |
| Icahn School of Medicine at Mount Sinai Coordinator of this site? Confirm its status | New York | United States | Recruiting |
| University of Utah Coordinator of this site? Confirm its status | Salt Lake City | United States | Recruiting |
| Paradigm Clinical Research Centers, LLC Coordinator of this site? Confirm its status | San Diego | United States | Recruiting |
| Baylor Scott and White Health Coordinator of this site? Confirm its status | Temple | United States | Recruiting |
| Cleveland Clinic Florida Coordinator of this site? Confirm its status | Weston | United States | Recruiting |
| Atrium Health Wake Forest School of Medicine Coordinator of this site? Confirm its status | Winston-Salem | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.