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> Record changed: 2026-10-13

# A Study to Evaluate the Efficacy, Safety, and Tolerability of BMS-986278 in Participants With Idiopathic Pulmonary Fibrosis

NCT06003426

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

Recruitment status

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

Participants

1,255

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

Lead sponsor

Bristol-Myers Squibb

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

Start date

2023-09-14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

Number of sites

390

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Title and summary

**Summary**

The purpose of this study is to evaluate the efficacy, safety, and tolerability of BMS-986278 in participants with Idiopathic Pulmonary Fibrosis.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Short title**

A Study to Evaluate the Efficacy, Safety, and Tolerability of BMS-986278 in Participants With Idiopathic Pulmonary Fibrosis

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Official title**

A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy, Safety, and Tolerability of BMS-986278 in Participants With Idiopathic Pulmonary Fibrosis

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Recruitment status**

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Dates

**Completion date**

2027-06-04

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**First posted**

2023-08-22

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Registry last updated**

2026-03-24

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Primary completion date**

2026-10-06

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Start date**

2023-09-14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Size and sites

**Actual participants**

1,255

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Participants**

1,255

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Protocol amendments**

4

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Number of sites**

390

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Lead sponsor**

Bristol-Myers Squibb

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Identifiers

**Registry ID**

NCT06003426

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**ClinicalTrials.gov ID**

NCT06003426

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Outcomes

### Primary outcomes

1. Number of participants that experience spontaneous syncopal events  
Timeframe: At approximately 4 weeks  
Cohort 1
2. Absolute change from baseline in forced vital capacity (FVC) measured in mL  
Timeframe: Up to Week 52  
Cohort 2

### Secondary outcomes

1. Number of participants who discontinued treatment due to any low BP-related Adverse Events  
Timeframe: Up to approximately 3 years  
Cohort 1
2. Disease progression  
Timeframe: Up to approximately 3 years  
Cohort 2 Disease progression will be measured by the time to first disease progression event in at least 1 of the following parameters: \* Absolute percent predicted forced vital capacity (ppFVC) decline of ≥ 10% from baseline \* Acute exacerbation of pulmonary fibrosis \* Respiratory-related hospitalization \* All-cause mortality
3. Change from baseline in Living with Pulmonary Fibrosis Questionnaire (L-PF) cough domain score  
Timeframe: Up to Week 52  
Cohort 2
4. Change from baseline in L-PF dyspnea domain score  
Timeframe: Up to Week 52  
Cohort 2
5. Change from baseline in walking distance measured in 6-minute walk test (6MWT)  
Timeframe: Up to Week 52  
Cohort 2
6. Time to the first occurrence of any of the components of the composite endpoint: time to first acute exacerbation of pulmonary fibrosis, first Respiratory-related hospitalization, or all-cause mortality  
Timeframe: Up to approximately 3 years  
Cohort 2
7. Time to absolute percent ppFVC decline of ≥ 10% from baseline  
Timeframe: Up to approximately 3 years  
Cohort 2
8. Time to first acute exacerbation of pulmonary fibrosis  
Timeframe: Up to approximately 3 years  
Cohort 2
9. Time to first Respiratory-related hospitalization  
Timeframe: Up to approximately 3 years  
Cohort 2
10. Time to first pulmonary fibrosis-related hospitalization  
Timeframe: Up to approximately 3 years  
Cohort 2
11. Time to death  
Timeframe: Up to approximately 3 years  
Cohort 2
12. Change from baseline in L-PF fatigue domain score  
Timeframe: Up to Week 52  
Cohort 2
13. Change from baseline in L-PF impacts module score  
Timeframe: Up to Week 52  
Cohort 2
14. Change from baseline in cough numeric rating scale (NRS)  
Timeframe: Up to Week 52  
Cohort 2
15. Change from baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) health utility index score  
Timeframe: Up to Week 52  
Cohort 2
16. Change from baseline in EQ-5D-5L visual analog scale score  
Timeframe: Up to Week 52  
Cohort 2
17. Rate of decline from baseline in FVC (mL)  
Timeframe: Up to Week 52  
Cohort 2
18. Rate of decline in ppFVC from baseline  
Timeframe: Up to Week 52  
Cohort 2
19. Change in ppFVC from baseline  
Timeframe: Up to Week 52  
Cohort 2
20. Proportion of participants with absolute decline in ppFVC ≥10%  
Timeframe: Up to Week 52  
Cohort 2
21. Proportion of participants with relative decline in ppFVC ≥10%  
Timeframe: Up to Week 52  
Cohort 2
22. Change from baseline in single-breath diffusing capacity of the lung for carbon monoxide (DLCO SB) (corrected for hemoglobin) (mL/min/mm Hg)  
Timeframe: Up to Week 52  
Cohort 2
23. Change in percent predicted single breath diffusing capacity of the lung for carbon monoxide (ppDLCO SB) (corrected for hemoglobin) from baseline  
Timeframe: Up to Week 52  
Cohort 2
24. Change from baseline in quantitative lung fibrosis (QLF) score via high-resolution computed tomography (HRCT)  
Timeframe: Up to Week 52  
Cohort 2
25. Number of participants with Adverse Events (AEs)  
Timeframe: Up to 28 days after last dose  
Cohorts 1 and 2

And 7 more, listed on the interactive page.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

40 Years

**Healthy volunteers**

No

### Inclusion criteria

- Subjects with IPF aged ≥ 40 years at the time of signing the informed consent.
- Diagnosis of IPF within 7 years prior to screening that is supported by centrally read chest high-resolution computed tomography (HRCT) obtained at screening and verification of usual interstitial pneumonia.
- If on pirfenidone or nintedanib, participants must have been on a stable dose for at least 90 days prior to screening.
- If not currently on pirfenidone or nintedanib, participants must not have received either of these medications within 28 days prior to screening.
- Women who are of childbearing potential must have a highly effective form of contraception and must provide a negative urine/serum pregnancy test.
- Men who are sexually active with women of childbearing potential agree to use male barrier contraception.

### Exclusion criteria

- History of stroke or transient ischemic attack within 3 months prior to screening.
- Participants who exhibit symptoms of heart failure at rest.
- Participants who have a current malignancy or a previous malignancy with less than 2 years free of recurrence or a biopsy that is suspicious for malignancy and the possibility of malignancy cannot be reasonably excluded following additional clinical, laboratory, or other diagnostic evaluations.
- Other protocol-defined Inclusion/Exclusion criteria apply

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Sites

- Local Institution - 0189Birmingham, United States
- Local Institution - 0361Phoenix, United States
- Local Institution - 0396La Jolla, United States
- Local Institution - 0193Los Angeles, United States
- Local Institution - 0398Los Angeles, United States
- Local Institution - 0389Orange, United States
- Local Institution - 0405Sacramento, United States
- Local Institution - 0185San Francisco, United States
- Local Institution - 0186Stanford, United States
- Local Institution - 0363Aurora, United States
- Local Institution - 0194Denver, United States
- Local Institution - 0175New Haven, United States
- Local Institution - 0151Newark, United States
- Local Institution - 0367Washington D.C., United States
- Local Institution - 0101Brandon, United States
- Local Institution - 0436Clearwater, United States
- Local Institution - 0425DeBary, United States
- Local Institution - 0079Gainesville, United States
- Local Institution - 0352Hialeah, United States
- Local Institution - 0370Kissimmee, United States
- Local Institution - 0502Leesburg, United States
- Local Institution - 0153Loxahatchee Groves, United States
- Local Institution - 0187Ocala, United States
- Local Institution - 0418Pensacola, United States
- Local Institution - 0206St. Petersburg, United States

And 365 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## References

- Related resource (www.bms.com)  
Source: [www.bms.com](https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html)
- Related resource (www.bmsclinicaltrials.com)  
Source: [www.bmsclinicaltrials.com](https://www.bmsclinicaltrials.com/us/en/clinical-trials/NCT06003426.html)

### Other registry identifiers (2)

- 2023
- 2023-503697-21

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06003426)

## Related records

### Drugs (1)

- [Admilparant](https://trialight.com/data/asset/admilparant-c1bef0e8-811f-4442-9156-e70d2959785c.md)

### Lead sponsors (1)

- [Bristol-Myers Squibb](https://trialight.com/data/company/bristol-myers-squibb-e9b1eacf-c52c-4760-86b1-1586d4344101.md)

### Conditions (2)

- [Idiopathic pulmonary fibrosis](https://trialight.com/data/condition/idiopathic-pulmonary-fibrosis-9d400b0a-ada5-55c8-96c1-87bddcdf6913.md) Primary condition
- [Pulmonary fibrosis](https://trialight.com/data/condition/pulmonary-fibrosis-bc07081b-8a87-523b-80ff-c58435a000f3.md)

---

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