FDA Lifts Hold on Rein Pulmonary Fibrosis Trial

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FDA has lifted a clinical hold against a Rein Therapeutics Phase 2 (RENEW) trial evaluating LTI-03 in patients with idiopathic pulmonary fibrosis, allowing the company to resume enrollment in the U.S. The FDA action follows a review of Rein’s complete response submission, which addressed all outstanding regulatory concerns, according to the company.

“This is a major milestone for us,” Brian Windsor, Rein’s chief executive officer, is quoted in a release as saying. “We believe LTI-03 has the potential to meaningfully shift how IPF is treated by not only slowing fibrosis but also supporting lung repair.”

Rein expects to restart U.S. patient recruitment in late 2025 or early 2026 across roughly 20 sites across the U.S. The U.S. trial will complement the broader RENEW program, which encompasses an additional 30 sites in the United Kingdom, Germany, Poland, and Australia.

The Phase 2 study is designed to evaluate the safety, tolerability, and efficacy of LTI-03 in up to 120 patients with IPF. Key secondary endpoints include changes in lung function as measured by forced vital capacity and imaging-based assessments of fibrosis progression, according to the company. Topline data are anticipated in the third quarter of 2026.

LTI-03 is described as an inhaled peptide therapy derived from Caveolin-1 biology, a regulator of fibrotic signaling. It is designed to both inhibit lung scarring and preserve alveolar progenitor cells critical for tissue repair, the company says. Early data suggest the therapy may offer a dual benefit: slowing fibrosis while promoting lung healing, it adds.

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