Fact CheckerSign in

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
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

Full criteria on ClinicalTrials.gov

Sites (49)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Box Hill Hospital
Coordinator of this site? Confirm its status
Box HillAustraliaRecruiting
Royal Prince Alfred Hospital
Coordinator of this site? Confirm its status
CamperdownAustraliaRecruiting
Launceston Respiratory and Sleep Centre
Coordinator of this site? Confirm its status
LauncestonAustraliaRecruiting
Lung Research Victoria
Coordinator of this site? Confirm its status
MelbourneAustraliaRecruiting
Westmead Hospital
Coordinator of this site? Confirm its status
WestmeadAustraliaRecruiting
Medical Center Pulmo - 2018 EOOD
Coordinator of this site? Confirm its status
HaskovoBulgariaRecruiting
Diagnostics And Consultation Center Convex Ltd.
Coordinator of this site? Confirm its status
SofiyaBulgariaRecruiting
Ruhrlandklinik Westdeutsches Lungenzentrum Am Universitaetsklinikum Essen gGmbH
Coordinator of this site? Confirm its status
EssenGermanyRecruiting
Agaplesion Evangelisches Krankenhaus Mittelhessen gGmbH
Coordinator of this site? Confirm its status
GiessenGermanyRecruiting
University Medical Center Hamburg-Eppendorf
Coordinator of this site? Confirm its status
HamburgGermanyRecruiting
Thoraxklinik Heidelberg gGmbH
Coordinator of this site? Confirm its status
HeidelbergGermanyRecruiting
Birmingham Chest Clinic
Coordinator of this site? Confirm its status
BirminghamUnited KingdomRecruiting
Queen Elizabeth Hospital Birmingham
Coordinator of this site? Confirm its status
EdgbastonUnited KingdomRecruiting
Royal Infirmary of Edinburgh
Coordinator of this site? Confirm its status
EdinburghUnited KingdomRecruiting
Royal Devon and Exeter Hospital
Coordinator of this site? Confirm its status
ExeterUnited KingdomRecruiting
Royal Brompton Hospital
Coordinator of this site? Confirm its status
LondonUnited KingdomRecruiting
University College Hospital - PPDS
Coordinator of this site? Confirm its status
LondonUnited KingdomRecruiting
Churchill Hospital
Coordinator of this site? Confirm its status
OxfordUnited KingdomRecruiting
Royal Papworth Hospital
Coordinator of this site? Confirm its status
TrumpingtonUnited KingdomRecruiting
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 Im. Norberta Barlickiego Uniwersytetu Medycznego W Lodzi
Coordinator of this site? Confirm its status
LodzPolandRecruiting
Prywatny Gabinet Lekarski Ginekologia i Położnictwo Ultrasonografia Prof. Dr hab. Med. Jacek Suzin
Coordinator of this site? Confirm its status
ŁódźPolandRecruiting
Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o.
Coordinator of this site? Confirm its status
Nowa SolPolandRecruiting
EMED Centrum Usług Medycznych Ewa Śmiałek
Coordinator of this site? Confirm its status
RzeszówPolandRecruiting
PULMAG s.c.
Coordinator of this site? Confirm its status
SosnowiecPolandRecruiting
National Institute Of Tuberculosis And Lung Diseases
Coordinator of this site? Confirm its status
WarsawPolandRecruiting
Futuremeds S.R.L.
Coordinator of this site? Confirm its status
BucharestRomaniaRecruiting
Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie "Victor Babeș" Craiova
Coordinator of this site? Confirm its status
CraiovaRomaniaRecruiting
Ai Clinical Research S.R.L.
Coordinator of this site? Confirm its status
SibiuRomaniaRecruiting
Spitalul Judetean de Urgenta "Sfantul Ioan cel Nou" Suceava
Coordinator of this site? Confirm its status
SuceavaRomaniaRecruiting
UAB Lung Health Center
Coordinator of this site? Confirm its status
BirminghamUnited StatesRecruiting
University of North Carolina at Chapel Hill
Coordinator of this site? Confirm its status
Chapel HillUnited StatesRecruiting
Medical University of South Carolina
Coordinator of this site? Confirm its status
CharlestonUnited StatesRecruiting
The Lung Research Center, LLC
Coordinator of this site? Confirm its status
ChesterfieldUnited StatesRecruiting
University of Cincinnati Medical Center
Coordinator of this site? Confirm its status
CincinnatiUnited StatesRecruiting
National Jewish Health
Coordinator of this site? Confirm its status
DenverUnited StatesRecruiting
Henry Ford Health
Coordinator of this site? Confirm its status
DetroitUnited StatesRecruiting
El Paso Pulmonary Association
Coordinator of this site? Confirm its status
El PasoUnited StatesRecruiting
Baylor College of Medicine
Coordinator of this site? Confirm its status
HoustonUnited StatesRecruiting
Indiana University
Coordinator of this site? Confirm its status
IndianapolisUnited StatesRecruiting
University of Kansas Medical Center
Coordinator of this site? Confirm its status
Kansas CityUnited StatesRecruiting
University of Southern California
Coordinator of this site? Confirm its status
Los AngelesUnited StatesRecruiting
Cedars-Sinai Medical Center
Coordinator of this site? Confirm its status
Los AngelesUnited StatesRecruiting
Yale University School Of Medicine
Coordinator of this site? Confirm its status
New HavenUnited StatesRecruiting
Icahn School of Medicine at Mount Sinai
Coordinator of this site? Confirm its status
New YorkUnited StatesRecruiting
University of Utah
Coordinator of this site? Confirm its status
Salt Lake CityUnited StatesRecruiting
Paradigm Clinical Research Centers, LLC
Coordinator of this site? Confirm its status
San DiegoUnited StatesRecruiting
Baylor Scott and White Health
Coordinator of this site? Confirm its status
TempleUnited StatesRecruiting
Cleveland Clinic Florida
Coordinator of this site? Confirm its status
WestonUnited StatesRecruiting
Atrium Health Wake Forest School of Medicine
Coordinator of this site? Confirm its status
Winston-SalemUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.