Evidence map›Paper›PMID 42085224›Full record

Trial reportAmerican journal of respiratory and critical care medicine2026

Deupirfenidone compared with pirfenidone and placebo in idiopathic pulmonary fibrosis (ELEVATE-IPF): a phase 2b randomized placebo-controlled trial.

Toby M Maher, Mark J Hamblin, Won-Il Choi, Amy Hajari Case, Ioannis P Tomos, Argyrios E Tzouvelekis, Jessica E Shore, Miguel A Bergna, David Golod, Eric Elenko and 5 more

2 registry-linked trialsAbstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05321420 phase2active not recruitingnot on this map

A Randomized Double-blind, Four-Arm Active and Placebo-controlled Dose-Finding Trial to Evaluate the Efficacy, Tolerability, Safety and Dose Response of LYT-100 in Patients With Idiopathic Pulmonary Fibrosis (IPF)

TypeinterventionalSponsorPureTechRan2022 to 2025Enrolled240ConditionsIdiopathic Pulmonary FibrosisArmsPlacebo, Pirfenidone, Deupirfenidone
NCT07284602 phase3recruitingnot on this map

A Randomized, Double-Blind, Head-to-Head Phase 3 Trial to Evaluate the Efficacy and Safety of LYT-100 (Deupirfenidone) Compared to Pirfenidone at 52 Weeks in Adults With Idiopathic Pulmonary Fibrosis (SURPASS-IPF)

TypeinterventionalSponsorPureTechRan2026 to 2029Enrolled1,100ConditionsIdiopathic Pulmonary Fibrosis (IPF)ArmsDeupirfenidone, Pirfenidone (PFD)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Toby M MaherImperial College, National Heart and Lung Institute, London, United Kingdom.
Mark J HamblinDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States.
Won-Il ChoiDepartment of Internal Medicine, Myongji Hospital, Hanyang University, Goyang-si, Republic of Korea.
Amy Hajari CaseDepartment of Pulmonary, Critical Care, and Sleep, Piedmont Healthcare, Atlanta, GA, United States.
Ioannis P Tomos5th Pulmonary Medicine Department, SOTIRIA Chest Diseases Hospital of Athens, Athens, Greece.
Argyrios E TzouvelekisDepartment of Respiratory Medicine, University of Patras, Patras, Greece.
Jessica E ShorePulmonary Fibrosis Foundation, Chicago, IL, United States.
Miguel A BergnaDepartment of Research, CEMER, Florida, Vicente López, Argentina.
David GolodPureTech Health, Boston, MA, United States.
Eric ElenkoPureTech Health, Boston, MA, United States.
Yanqiong ZhangPureTech Health, Boston, MA, United States.
Camilla S GrahamPureTech Health, Boston, MA, United States.
Jin Woo SongDepartment of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Tejaswini KulkarniDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
and the ELEVATE IPF Investigators

Funding

PureTech Health
6 · The paper itself

Abstract

rationaleDeupirfenidone is a strategically deuterated form of pirfenidone that retains pharmacodynamic activity but has a differentiated pharmacokinetic profile that may enable improved efficacy and favorable tolerability in patients with idiopathic pulmonary fibrosis (IPF).

objectivesTo evaluate the efficacy and safety of deupirfenidone compared with placebo and pirfenidone in patients with IPF.

methodsPatients were randomized 1:1:1:1 to deupirfenidone 550 mg TID, deupirfenidone 825 mg TID, pirfenidone 801 mg TID, or placebo. The primary endpoint was the rate of change in forced vital capacity (FVC) for the combined arms of deupirfenidone versus placebo at 26 weeks. The primary and secondary analyses used Bayesian and frequentist approaches, respectively. MEASUREMENTS AND MAIN

resultsA total of 257 patients with IPF were randomized, and the proportion on treatment at the end of the study was 80.0%, 68.3%, 64.6%, and 78.1% for the placebo, pirfenidone, deupirfenidone 550 mg, and deupirfenidone 825 mg arms, respectively. Posterior mean change in FVC for placebo was -110.71 mL (95% credible interval (CI), -148.75, -70.98), and for the combined deupirfenidone arms was -48.42 mL (95% CI, -87.66, -9.04) with a posterior mean difference of 62.29 mL (95% CI l, -6.13, 115.73; posterior probability, 0.985). Using a frequentist approach, the adjusted mean change in FVC for the placebo arm was -112.5 mL (95% CI, -167.2, -57.8), and for the deupirfenidone 825 mg arm was -21.5 mL (95% CI, -78.2, 35.1); the adjusted mean difference was 91.0 mL (95% CI, 12.2, 169.7; P = .02). The most common adverse events for each active treatment arm were gastrointestinal.

conclusionsIn patients with IPF, treatment with deupirfenidone slowed lung disease progression over 26 weeks.

trial registrationClinicaltrials.gov number NCT05321420.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalIdiopathic Pulmonary FibrosisPyridonesAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeVital CapacityAnti-Inflammatory Agents, Non-SteroidalpirfenidonePyridonesclinical trialdeuterationforced viral capacityinterstitial lung disease

Identifiers

PMID42085224
PMCPMC13424664

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.