MTX-463 in Idiopathic Pulmonary Fibrosis: NCT06967805 Clinical Landscape Report 2026

18 September 2026
9 min read

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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.

Data snapshot: 18 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.

Phase 2

Clinical phase

Recruiting

Recruitment status

164

Planned enrollment

2027-08-01

Primary-completion proxy

Executive view

NCT06967805 evaluates MTX-463 in Idiopathic Pulmonary Fibrosis. The disclosed sponsor is Mediar Therapeutics, Inc., the design is Interventional, and the geographic footprint is Canada, Netherlands, Argentina, Belgium, United States, Ireland, Brazil, United Kingdom, France, Australia, Spain, Croatia. The first listed primary endpoint is To assess the effect of MTX-463 on the change from Baseline in forced vital capacity (FVC), assessed over 24 Weeks.

The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.

PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.

How the MCP evidence stack was assembled

Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for NCT06967805 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Idiopathic Pulmonary Fibrosis landscape. Drug & Asset MCP drug_fetch was queried for MTX-463, while Company & Deal Intelligence MCP organization_fetch was queried for Mediar Therapeutics, Inc..

This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.

Trial landscape table

TrialAsset / interventionPhase / statusSponsorGeographyPrimary endpointReadout proxy
NCT06967805MTX-463Phase 2 / RecruitingMediar Therapeutics, Inc.Canada, Netherlands, Argentina, Belgium, United States, Ireland, Brazil, United Kingdom, France, Australia, Spain, CroatiaTo assess the effect of MTX-463 on the change from Baseline in forced vital capacity (FVC)
24 Weeks
2027-08-01
NCT07201922NerandomilastPhase 3 / RecruitingBoehringer Ingelheim GmbHCanada, South Korea, Netherlands, Argentina, Belgium, United States, Japan, United Kingdom, Italy, France, Australia, Germany, SpainTime to physiologic or radiologic worsening of ILA/ILD over the whole trial
up to 164 weeks
2029-05-14
NCT07194382Nintedanib esylatePhase 2 / RecruitingAvalyn Pharma, Inc.New Zealand, Canada, United Kingdom, Australia, Germany, SpainChange from baseline in the morning pre-dose forced vital capacity at Week 12
From enrollment to the end of treatment at 12 weeks
2026-12-01
NCT07192939HRS-9813Phase 2 / RecruitingGuangdong Hengrui Pharmaceutical Co., Ltd.ChinaFVC as a percentage of the predicted value
The baseline period lasted until 26weeks after administration
2028-06-01
NCT07179380Treprostinil palmitilPhase 3 / RecruitingInsmed, Inc.Czechia, United States, Malaysia, Portugal, Greece, South Korea, Austria, Turkey, Brazil, Serbia, France, Argentina, Romania, Philippines, Japan, United Kingdom, Switzerland, Spain, New Zealand, Belgium, Taiwan Province, Denmark, Italy, Israel, Australia, GermanyChange in 6MWD Measured at Peak Exposure From Baseline to Week 24
Baseline, Week 24
2028-12-30

The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.

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Protocol design and endpoint interpretation

NCT06967805 is a Phase 2, recruiting study with 164 planned participants. Allocation is Randomized, masking is Quadruple, and the intervention model is Parallel Assignment.

The primary endpoint is “To assess the effect of MTX-463 on the change from Baseline in forced vital capacity (FVC)” over “24 Weeks.” The retrieved endpoint description is: Change from Baseline to Week 24 in Forced Vital Capacity (FVC).

Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 164 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.

No named control drug was returned in the protocol field set. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.

Indexed readouts in the surrounding landscape

5 recent result records were selected as contextual evidence for Idiopathic Pulmonary Fibrosis. These records do not establish direct evidence for NCT06967805 unless the registration number matches.

A Randomized, Double-blind, Dose-ranging, Placebo-controlled Study to Evaluate the Efficacy and Safety of Bexotegrast (PLN-74809) for the Treatment of Idiopathic Pulmonary Fibrosi…

Phase 2; n=320; Change From Baseline in Forced Vital Capacity at Week 52(Mean) = 38.0 mL (Standard Deviation, NA); Change From Baseline in Forced Vital Capacity at Week 52(Mean) = 176.0 mL (Standard Deviation, NA) Source: https://clinicaltrials.gov/ct2/show/results/NCT06097260

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

Phase 2; n=257; FVC(change in) = -110.71 mL ( -148.75 to -70.98); FVC(change in) = -48.42 mL ( -87.66 to -9.04) Source: https://pubmed-ncbi-nlm-nih-gov.libproxy1.nus.edu.sg/42085224/

Inhaled Treprostinil for Idiopathic Pulmonary Fibrosis

Phase 3; n=593; FVC = -136.4 ml ( -172.5 to -104.0); FVC = -49.9 ml ( -79.2 to -19.5) Source: https://pubmed-ncbi-nlm-nih-gov.libproxy1.nus.edu.sg/41812190/

Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.

Asset and sponsor context

MTX-463 is indexed as Monoclonal antibody with CCN4 biology and a global stage of Phase 2. The asset profile lists Mediar Therapeutics, Inc. as an originator or developer.

Mediar Therapeutics, Inc. is indexed in United States with the website http://www.mediartx.com. Mediar is a pre-clinical stage biotechnology company developing therapeutics for the treatment of fibrosis. The record lists 6 development-stage drug assets.

For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.

Development white space

  1. Endpoint white space. Determine whether a more patient-relevant outcome, longer durability window or blinded central assessment would resolve uncertainty left by the current endpoint.
  2. Population white space. Test biomarker-defined, treatment-line or risk-stratified subgroups where effect size and unmet need could be clearer.
  3. Comparator white space. Identify whether the study can support differentiation against the current standard of care rather than only activity against baseline or placebo.
  4. Geographic white space. Assess whether the disclosed footprint supports recruitment, regulatory transferability and commercial generalizability.
  5. Sequencing white space. Clarify whether MTX-463 is intended for monotherapy, combination, maintenance, rescue or an earlier treatment line.

White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.

Strategic implications and next readouts

For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.

For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.

Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.

Source trail and bottom line

Anchor trial: NCT06967805
Protocol source: https://clinicaltrials.gov/study/NCT06967805
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 18 September 2026.

MTX-463 in Idiopathic Pulmonary Fibrosis is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes To assess the effect of MTX-463 on the change from Baseline in forced vital capacity (FVC) and 2027-08-01 the leading decision points.

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