• GLPG1690 Clinical Trial

    Posted by Pete Besio on October 22, 2020 at 12:03 pm

    All,

    I have been involved in the Galapegos GPLG1690 “Isabella” clinical trial since late August 2020.  This is a Phase 3 trial, details can be found here:

    https://www.clinicaltrials.gov/ct2/show/NCT03711162?id=NCT03832946+OR+NCT03955146+OR+NCT03538301+OR+NCT03733444+OR+NCT03711162+OR+NCT03727802+OR+NCT03287414+OR+NCT03727451+OR+NCT02019641+OR+NCT03142191&draw=2&rank=6&load=cart

    My purpose in posting this is to encourage anyone interested in clinical trials to see if this trial is a fit for them.  As part of this trial, I receive spirtometry tests (including DLCO 3 times), HiRES CT Scans, and I monthly consultation with an MD that specializes in IPF.  There are 2 iterations of this trial ongoing, and I believe they are both still actively enrolling (one arm is closer to being full than the other).  It is a 52 week trial, last I checked there were still a lot of openings.  My ulterior motive in drawing attention to it is to try to get the trial filled, as the drug won’t make it to market until the trial is over.  While not knowing if I am on the medication or the placebo, when I reported to my clinical nurse how i feel, she indicated that many of the study participants are reporting similar improvements.  The clinic that I am working with if very bullish on this medication.  Unfortunately, I believe this is a US only trial, but there are hundreds of locations enrolling.  Each iteration of the trial can be found at clinicaltrials.gov by searching for IPF studies that are recruiting in the United States. Happy to answer any questions you may have.

    Pete Besio

    Pete Besio replied 3 years, 4 months ago 20 Members · 45 Replies
  • 45 Replies
  • Donald Salzberg MD

    Member
    October 22, 2020 at 2:48 pm

    Hello Pete. I spoke with a research coordinator at Yale University who filled me in on the Galapagos trial. I am currently on OFEV (2 years) and (thank God) I have been very stable at age 65!  I am considering joining the trial but the first two months involves a few visits and I’m planning to finally travel!  If they are still recruiting in February I want to sign up. 2/3 of participants get the drug and 1/3 get placebo. I too hope (if it’s beneficial)!it gets on the market. Likely looking at 2 years from now.  He seemed to think this will be filled up in the next few months. Now that I’ve retired from medicine I should have the time to participate. Thank you for your post. It’s apparently the largest IPF trial to date and bigger than the OFEV/Perfenidone Trials.
    Don Salzberg MD

    • Allan Byron

      Member
      October 29, 2020 at 3:10 pm

      @pbesio

      Hello Pete,

      I am in the UCSF area, and would be interested to enroll as a participant.

      Do u have any idea how i can get hold of anybody to enroll, in the

      Bay Area, where I am?

      Thanks

       

      Allan Byron

       

    • Douglas k Freeman

      Member
      December 4, 2020 at 12:04 pm

      how will this affect your progression of the disease if you are receiving a placebo? I live in Florida and I’m trying to get help paying for Esbtiet it is 1080.00 a script per month the insurance copay that I cannot afford needs help with some guidance. I don’t know what to do because my disease is progressing quickly. I’m scared I don’t want to hurt myself by raking something that may not even be a medication. Please help!

       

      • Charlene Marshall

        Member
        December 4, 2020 at 4:10 pm

        Thats a good question, Douglas! I’m not in the trial, so I wouldn’t have had an opportunity to ask it but I wonder if you have, @pbesio? I don’t imagine a placebo would cause your disease to progress any faster, but I can’t confirm/deny that with any certainty. Regarding Esbriet, have you tried any compassionate care grants or called Genentech to inquire about any patient support options they have for finances? I’m not on Esbriet, so I’m not sure of any but Genentech’s website is a good place to start 🙂
        Char.

      • Pete Besio

        Member
        December 5, 2020 at 2:59 pm

        Doug,

        I feel your pain on the Esbriet expense, my copay is about half yours and it stings for sure.  Regarding the Galapegos study, the clinic that I am attending seems to feel that the study medication is having a positive effect on participants.  I am not an expert on placebos, but i think by definition a placebo should have no effect on you, either positive or negative.  What part of FL are you in? If you are near Clearwater, you can call St. Francis at 727-210-4606.  I believe their phone tree includes an option for clinical trials, select that.  Odds are you will need to leave a message, but they have always been prompt in getting back to me.  The trial allows me to have nearly monthly contact with Dr Averill.  I believe he knows IPF very well.  If you are not sucessful in getting enrolled in the study, I might suggest scheduling an appointment with him anyway, he would provide you with a great second opinion.  I will send you a direct message also, feel free to return it, happy to do what I can to help you.

        Pete Besio

      • Ron

        Member
        March 20, 2021 at 3:43 am

        Need help paying for Esbriet (pirfenidone) or Ofev (nintedanib)? Consider contacting Healthwell Foundation http://www.healthwellfoundation.org. Perhaps you are like me. My Social Security payout disqualified me for any state or federal assistance. If your insurance plan (Medicare, private insurance, etc.) doesn’t cover all of your drug costs then Healthwell may come to the rescue.

        Healthwell paid 100% of my drug expense beyond what was covered in my Medicare Advantage plan. They provided a grant which would cover my drug expense for a year. The foundation administered the grant so I didn’t have to handle the money nor did I have any bill to pay. An added benefit: I quickly passed through the Medicare gap without paying a cent and into Medicare’s “Catastrophic” category. While in the catastrophic category until the end of the year I didn’t have to pay for any of my other drugs as well.

        You can apply anytime throughout the year, and your grant will have you covered for a year. After that, you will have to reapply each year. Grants are subject to funds available. I was insured in a Kaiser Medicare Advantage program at the time and a Kaiser patient advocate set up a conference call between herself, me, and the Healthwell call taker. We were on the phone less than 10 minutes in the morning. Healthwell called back that same afternoon to tell me I was approved for the grant. It was a surprisingly simple and fast process.

        I check the Healthwell website today 3/19/2021 and it states they are currently accepting applications for grants.

  • Frank Loeffler

    Member
    October 22, 2020 at 3:11 pm

    @pbesio

    I was diagnosed IPF 4/19 and immediately started OFEV.  In November I was offered the trial GLPG1690-CL-304 so in a month+ it will be a year on both.  I do strictly follow the routine of taking each drug and designated intervals with literally no exception whatsoever.  If the trial Rx is designed to work in conjunction with OFEV, I am hopeful to continue this Rx.  Hopefully the Belgium Rx company will provide information and advice.

    Personally I have little to report.  All of my tests have be stable since 4/19 and I literally do not know how either Rx has impacted me.  I am very thankful that to date I personally have no adverse breathing issues.  For about six weeks starting last March I had diarrhea issues but could not link directly to either Rx (Understanding that the trial Rx may have been placebo).  I do exercise and walk (2-5 miles) daily with no significant change in my breathing or other sensations.

    Pete, at this point, since each individual is different, I am not sure about what to expect in the future.  I am 75 years of age and do tend to my office away from the home daily which may help with sanity.

  • john sliwinski

    Member
    October 22, 2020 at 6:11 pm

    I was selected for the Galapegos trial in Philadelphia and on my first visit they did a cat scan of my lungs and put me through lung function tests. After they got the cat scan results I was disqualified since my lungs were in not that bad of shape for my age (72 years old). I was totally disappointed that I could no longer participate but one has to abide by their rules. However once the trial is over and the drug is approved I will be able to get that Rx.

     

    Good luck to all the participants in their  trial. Please keep us posted on your progress and results.

     

    John S.

  • Charlene Marshall

    Member
    October 26, 2020 at 10:48 am

    Thank you for sharing John, sorry to hear you were disqualified from the trial but glad it was because your lungs were in good shape vs. the alternative. Still hard to accept though, hopefully the trial yields good results and the Rx will benefit those of us needing it. Like you, I’m curious to hear the results of this trial and other patient’s experiences with it, so I do hope others report back as well 🙂

    Sincerely,
    Charlene.

  • Wayne Nelson

    Member
    October 27, 2020 at 3:12 pm

    I signed up April and now 6 months later never got in and dr dragged his feet and my EKG wasn’t approved! Pray a trial will open up even in another country as desperate at this point!

  • Charlene Marshall

    Member
    October 28, 2020 at 12:30 pm

    Hi Wayne,

    Ah sorry to hear that, so frustrating when we can’t be enrolled in a trial we are optimistic will help! I will also keep my fingers crossed that another trial opens up you can participate in. You’ve likely already heard of this, but did you check out: https://clinicaltrials.gov/ yet? You can filter by disease or location, it might give you some further information about IPF/PF related trials.

    Hang in there!
    Charlene.

  • Denny

    Member
    October 28, 2020 at 12:34 pm

    Thought I would reply here. I was also disqualified at the U of M study of 1690 since my scarring was not bad enough. Watching for other clinical studies too…

     

     

  • Charlene Marshall

    Member
    October 28, 2020 at 8:47 pm

    Thanks so much @pbesio ! I know others will benefit from your experience, and to know you’re there to answer questions. Best wishes on this trial!
    Char.

  • Pete

    Member
    October 29, 2020 at 2:51 pm

    I also did not qualify for this trial because of my CT Scan did not the show the radiologists what they were looking for. I was looking forward to this trial too.

  • Richard Phillips

    Member
    October 29, 2020 at 4:48 pm

    Just a note, I was diagnosed in Nov of 2016 stated on Ofev the same month. I enrolled GPLG study last Nov 2019. My numbers are quite stable. I am also enrolled in the

    University of Florida’s transplant program, to healthy for transplant right now, I am 74

    years old. Cannot tell if I am taking a placebo or not. Only on Oxygen when actually

    real active.

     

  • Jackie Kalina

    Member
    October 29, 2020 at 6:15 pm

    Oh how I hope they come out with a drug that does not make one sick. I’ve only just started on OFEV. Hoping it gets better. I have good days (not normal like old days) and some “(this is a help?)” days. I am still in a “questioning” phase. Why me? Which is exactly what my mother said when she was diagnosed with lung cancer as she was a non-smoker.
    Are you on the trial that is a drug used as an inhalant? Bypassing the digestive tract would be SO great.

  • Carol Richards

    Member
    October 30, 2020 at 5:27 pm

    First, I want to thank Charlene and Mark, our keymasters, for all their help and support on this forum!  I enrolled to be a participant in the GPLG study back in March.  Covid made U of M close enrollment before they could consider me.  When it opened again in August, I was told that the company was no longer enrolling people who were taking OFEV or Esbriet.  They are only taking those that are not on a “Standard of Care” treatment.  I was really looking forward to participating.

    On the subject of side effects of OFEV, I have pretty much tried everything I can to overcome the debilitating diarrhea.  I have seen a Gastroenterologist, a Nutritionist, and contacted OFEV’s very helpful 24/7 helpline.  I have had tests to make sure there is nothing else going on, gone on a strict FODMAP diet, changed my dosage to 1, 150 mg pill, and avoid any dairy at all. I still have problems, but I can function better.  I also have noticed hair loss, and dental sensitivity.  Until I read about those side effects on this forum, I did not connect the dots.  Oh joy.  I am just hoping for some help for all of us, and I am more than willing to be on a clinical trial.  We need to help each other.  Diagnosed in 10/ 2019, and I am 69.

  • Charlene Marshall

    Member
    October 30, 2020 at 8:57 pm

    Sorry to hear that Pete! I know it can be so discouraging… hang in there!
    Char.

  • Charlene Marshall

    Member
    October 30, 2020 at 9:00 pm

    Thanks for sharing with us @richard-phillips! Are you currently listed for transplant at UoF? If so, keeping you in my thoughts! Thanks for sharing your experience with Ofev with us.

  • Charlene Marshall

    Member
    October 30, 2020 at 9:10 pm

    @jackie-leko-kalina,

    Hi Jackie,
    I couldn’t agree more in hoping that a drug could be developed with few (or none at all!) side effects to help manage this disease. Ofev is a really tough drug to be on, Esbriet too I’ve heard though I have no personal experience with it. I had to go off Ofev twice and titrate back on it (at 100mg vs 150mg/dose) before my body would tolerate it, and then I brought Imodium around with me everywhere. I actually didn’t find the oral Imodium helpful, only the sublingual dose (under the tongue) effective. Just a bit of information that might be helpful!

  • Jofac O'Handlin

    Member
    October 30, 2020 at 9:11 pm

    Hello All,

    I can join the list of those rejected from the Galzpagos trial …. but in my case a failure because I could not achieve several of the threshold values.

    This is being done in Liverpool, UK. I attended in November 2019, just ahead of the 5 years cut off time from initial diagnosis.

    First reason was a degree of arrythmia. I have had it from time to time over the years, and as a runner more obvious when fitter. Hadn’t had it for months, but did on the test day.

    Second was the ‘blow out’ test, which required 6 seconds (I think). All of mine gone in 3 or 4, couldn’t hang on till 6.

    Third was the 6 minute walk test. I went into that brim full of confidence. I had practiced outdoors and able, without apparant problems, to do about 600 metres, a short 4 mph. That at a rate that, on the flat, that I felt OK to carry on. In fact where I was testing myself involved a half mile walk there and back. In the test they stopped me at about 100 mtrs as my O2 had dropped below their ‘worry’ value. I felt perfectly happy to go on.

    So I never made it onto the trial. I was extremely disappointed, but seeing the preliminary findings with general improvements for those receiving the treatment, even more galling. Might have been given the placebo!

    As a result I was prescribed oxygen, which was delivered last December, tried the walking pack, a couple of times but decided to leave it till I felt it essential.

    To conclude, have just returned from a 50 minute walk with my wife, about 2.75 miles, including a slow down going up the hill, still without O2. But, I do know that my FVC is declining. So maybe O2 soon …damnation!

    Cheers all,

    Joe.

  • Allan Byron

    Member
    November 1, 2020 at 2:10 pm

    Also called UCSF and they said they are no longer enrolling.

    They said they have two more studies coming. I will inform

    the group, as soon as they notify me.

     

    Allan Byron

  • Charlene Marshall

    Member
    November 1, 2020 at 8:44 pm

    Thank you @abyron888 , much appreciated. Thanks in advance for sharing any information with us that you come across. Char.

  • Pete Besio

    Member
    November 3, 2020 at 6:34 pm

    @abyron888

    There are two arms to this study, UCSF is on the same arm that my clinic is on.  If your interested, there is another arm:

    https://www.clinicaltrials.gov/ct2/show/NCT03711162?id=NCT03832946+OR+NCT03955146+OR+NCT03538301+OR+NCT03733444+OR+NCT03711162+OR+NCT03727802+OR+NCT03287414+OR+NCT03727451+OR+NCT02019641+OR+NCT03142191&draw=2&rank=6&load=cart

    Not sure where your located, assuming CA.  This arm of the study has locations in LA, San Diego, Stanford, and Palm Springs.

    Thanks for posting about the upcoming trials, be interesting to hear of their progress.

     

  • William Kracke

    Member
    November 4, 2020 at 7:28 pm

    I enrolled in the 1690 trial in August 2019 at Yale New Haven. After COVID hit Connecticut mid March of this year they had to stop enrollment and all trial visits until they got COVID under some sort of control. I just had my first trial visit since February. During the no visit period they arranged for local lab blood draws and other safety measurements locally so that they could send trial drug by courier to my home. The drug sponsor modified the study to take COVID into account.  The down side is that they have not completed recruiting yet and the study has participants continue in the study until the last subject completes the year long main portion of the study.  They have committed to offering all successful completers an open label trial with 1690 until drug approval if the study is successful. So it will be another year to year and a half before we find out what we were on and get or continue with the study drug. I am planning on continuing as I am satisfied that Yale is taking all appropriate measures to keep us safe from COVID.

    Before my retirement I worked at Pfizer analyzing drug trials and gained a real appreciation for how important it was to have these trials conducted and the importance that the drug companies place on patient safety.

    Bill K

     

  • Richard Phillips

    Member
    November 5, 2020 at 5:20 pm

    >Charlene, I am not on the waiting list for transplant, still to healthy. I made my one year visit to for the study yesterday. I am going to continue in the study until the last enrollee finishes his last pills. They told me it could be
    another 2 years maybe sooner. My numbers are staying pretty steady. Don’t know
    if I am taking the placebo or the real thing. I am also taking Ofev my understanding is they are no longer taking people are taking the two medicines
    that on the market at this time.
    I was diagnosed 4 years ago this month. Only use oxygen when exercising or
    outside working went on Ofev the first month I was diagnosed. So with 4 years
    of Ofev and one year in the trial study seems like something is working. I don’t
    post must but check in weekly and have gained much info from this site. Keep
    up the good work I sometimes think I have more info than my Dr lol just from
    Reading the pulmonary fibrosis news site.

  • Pete Besio

    Member
    November 5, 2020 at 5:56 pm

    I just checked the enrollment criteria for the Galapagos study, on of the criteria:

    “Subjects receiving local standard of care for the treatment of IPF, defined as either pirfenidone or nintedanib, at a stable dose for at least two months before screening, and during screening; or neither pirfenidone or nintedanib (for any reason). A stable dose is defined as the highest dose tolerated by the subject during those two months”.

    So it seems to me that the arm that is still open for enrollment will accept patiens on either Esbriet or Ofev.  My understanding is that the study drug is designed to work in conjunction with Esbriet or Ofev, which is a little disapointing given the side effects we seem to exerience with either of these drugs.

    I am trying to get a feel for how many slots are still open, will post if and when I do.

  • Geoff

    Member
    November 5, 2020 at 6:09 pm

    G’day I’m in Sydney Australia.On this trial for over a year.No side effects. I think that we are still recruiting in Oz.

    Have been on Esbriet/Pirfenidone for 5+ years. No supp.02.Recent HRCT etc reports say very little progression from initial diagnosis.

    I have every confidence in the drugs.

    Best wishes to all from Geoff.

  • Charlene Marshall

    Member
    November 6, 2020 at 12:45 pm

    Thanks @pbesio, that would be great. We appreciate your efforts on this!

    Sincerely,
    Charlene.

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