Pirfenidone for Progressive Fibrotic Sarcoidosis

Study Purpose

Study comparing pirfenidone versus placebo for patients with advanced fibrotic sarcoidosis

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.

An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.

Searching Both is inclusive of interventional and observational studies.

Eligible Ages 18 Years - 90 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Diagnosis of sarcoidosis - Pulmonary function testing with a Composite Physiologic Index (CPI) score of greater than 40 - Patient must have evidence of >20% fibrosis on high resolution cat scan - Patients must be on a stable prednisone therapy for sarcoidosis for at least two months and no change in other immunosuppressives in the two months prior to entry into study - Age greater than 18 and less than 90.
  • - Able to provide written informed consent for participation in the study

    Exclusion Criteria:

    - Patients receiving therapy for precapillary pulmonary hypertension.
  • - Patients with liver disease Childs class 3 or 4 - Patients with a left ventricular ejection fraction of less than 40% - Patients receiving more than 20 mg prednisone daily or its equivalent - Patients with massive hemoptysis within prior three months.
Patients with mycetomas are eligible as long as no massive hemoptysis in prior three months. - Patients with clinically important co-existing disease which in the opinion of the investigator is likely to affect patient's chance for survival during the course of the study - Patient who is pregnant, lactating, intending to become pregnant during the study, or child bearing capacity who is not willing to use appropriate birth control methods approved by investigator

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.


Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 4
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

University of Cincinnati
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Robert P Baughman, MD
Principal Investigator Affiliation University of Cincinnati
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Overall Status Recruiting
Countries United States

The disease, disorder, syndrome, illness, or injury that is being studied.

Sarcoidosis, Pulmonary
Additional Details

Patients who meet the inclusion and exclusion criteria will be randomized to be treated with either placebo or pirfenidone at the current approved dosage for idiopathic pulmonary fibrosis at a 2:1 pirfenidone to placebo ratio. Patients treated with pirfenidone will be titrated using the following schedule: One 267 mg capsules three times a day for two weeks. Two 267 mg capsules three times a day for two weeks Three 267 mg capsules three times a day thereafter Patients will be instructed to take all doses of medication with food. Dosage will be titrated on an individual basis depending on patient tolerance of medication. Those randomized to placebo will receive the same schedule using placebo tablets. Block randomization will be done at each site. Liver function tests will be evaluated as listed above. If the patient has an abnormal liver function test, then the dose will be adjusted per the company's protocol for commercial drug.

Arms & Interventions


Active Comparator: Pirfenidone

Pirfenidone titrated to three 267 mg tablets three times a day

Placebo Comparator: Placebos

Placebo titrated to three tablets three times a day


Drug: - Pirfenidone

Increasing doses

Drug: - Placebos

Increasing doses

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

University of Cincinnati, Cincinnati, Ohio




University of Cincinnati

Cincinnati, Ohio, 45267

Site Contact

Robert P Baughman, MD



Terms of Service

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