- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06806592
A Study to Test Whether Nerandomilast Helps People With Lung Fibrosis Related to Rheumatic Diseases
A Double Blind, Randomised, Placebo-controlled Trial Evaluating the Efficacy and Safety of Nerandomilast Over at Least 26 Weeks in Patients With Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases (SARD-ILD)
Adults 18 years of age and older or above legal age with lung fibrosis related to systemic autoimmune rheumatic disease can participate in this study. People can only take part if they show no improvement in lung function after standard treatment with immunosuppressant medicine. The main purpose of this study is to find out how a medicine called nerandomilast affects the lungs in people with systemic autoimmune rheumatic disease.
Participants are put into 2 groups randomly, which means by chance. One group takes nerandomilast tablets and the other group takes placebo tablets. Placebo tablets look like nerandomilast tablets but do not contain any medicine. Participants take a tablet 2 times a day for at least 26 weeks and up to 1 year. Participants continue immunosuppressant treatment for their underlying rheumatic disease.
Participants are in the study for about 7.5 to 13 months depending on when they join the study. During this time, they visit the study site about 9 to 10 times. At study visits, participants have lung function tests. At select visits, chest imaging is performed. Participants fill in questionnaires about their symptoms and quality of life. The results between the 2 groups are compared to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Camperdown, Sydney, New South Wales, Australia, 2050
- Royal Prince Alfred Hospital
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Darlinghurst, New South Wales, Australia, 2010
- St Vincent's Hospital Sydney
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Queensland
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Chermside, Queensland, Australia, 4032
- The Prince Charles Hospital
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Victoria
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Heidelberg, Victoria, Australia, 3084
- Austin Hospital
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Western Australia
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Murdoch, Western Australia, Australia, 6150
- Fiona Stanley Hospital
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Krems, Austria, 3500
- Krems University Hospital
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Wels, Austria, 4600
- Klinikum Wels - Grieskirchen GmbH
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Beijing, China, 100730
- Peking Union Medical College Hospital
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Beijing, China, 100020
- Beijing Chao-Yang Hospital
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Beijing, China, 100029
- China-Japan Friendship Hospital
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Chengdu, China, 610041
- West China Hospital, Sichuan University
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Chengdu, China, 610072
- Sichuan Provincial People's Hospital
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Guangzhou, China, 510080
- Guangdong Provincial People's Hospital
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Hangzhou, China, 310009
- The Second Affiliated Hospital Zhejiang University School of Medicine
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Hangzhou, China, 310003
- The First Affiliated Hospital, Zhejiang University
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Luoyang, China, 471000
- The First Affiliated Hospital of Henan University of Science and Technology
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Macau, China, 999078
- University Hospital_Macau University of Science and Technology
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Nanchang, China, 330006
- The First Affiliated Hospital of Nanchang University
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Shanghai, China, 200040
- Huashan Hospital, Fudan University
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Tianjin, China, 30052
- Tianjin Medical University General Hospital
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Wuhan, China, 430030
- Tongji Hospital Affiliated Tongji Medical College Huazhong University of S & T
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Wuhan, China, 430022
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Xiamen, China, 361003
- First Affiliated Hospital of Xiamen University
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Zhuzhou, China, 412007
- Zhuzhou Central Hospital
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Angers, France, 49933
- HOP d'Angers
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Bordeaux, France, 33076
- HOP Pellegrin
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Lille, France, 59037
- Hôpital Claude Huriez
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Paris, France, 75014
- Hôpital Cochin
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Paris, France, 75018
- HOP Bichat
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Rennes, France, 35203
- HOP Sud
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Strasbourg, France, 67091
- HOP Civil
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Toulouse, France, 31059
- Hôpital Rangueil - CHU de Toulouse
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Berlin, Germany, 10117
- Charité - Universitätsmedizin Berlin
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Berlin, Germany, 13125
- Immanuel-Krankenhaus GmbH
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Bonn, Germany, 53127
- Universitätsklinikum Bonn AöR
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Braunschweig, Germany, 38126
- Städtisches Klinikum Braunschweig gGmbH
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Bremen, Germany, 28325
- Gesundheit Nord gGmbH | Klinikverbund Bremen
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Cologne, Germany, 51149
- Krankenhaus Porz am Rhein gGmbH
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Düsseldorf, Germany, 40225
- Universitätsklinikum Düsseldorf
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Essen, Germany, 45239
- Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
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Freiburg im Breisgau, Germany, 79106
- Universitätsklinikum Freiburg
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Gommern, Germany, 39245
- Helios Fachklinik Vogelsang-Gommern GmbH
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Hanover, Germany, 30625
- Medizinische Hochschule Hannover
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Herne, Germany, 44649
- St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
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Kirchheim unter Teck, Germany, 73230
- medius Kliniken gGmbH
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Konstanz, Germany, 78464
- Klinikum Konstanz
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Lübeck, Germany, 23538
- Universitätsklinikum Schleswig-Holstein, Campus Lübeck
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Minden, Germany, 32429
- Johannes Wesling Klinikum Minden
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München, Germany, 80336
- Klinikum der Universität München AÖR
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Regensburg, Germany, 93049
- Krankenhaus Barmherzige Brüder Regensburg
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Brescia, Italy, 25123
- ASST degli Spedali Civili di Brescia
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Florence, Italy, 50134
- A. O. Universitaria Careggi
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Milan, Italy, 20132
- Ospedale San Raffaele S.r.l.
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Milan, Italy, 20122
- Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico
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Padova, Italy, 35128
- Azienda Ospedaliera Universitaria di Padova
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Pavia, Italy, 27100
- Fondazione IRCCS Policlinico S. Matteo
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Roma, Italy, 00161
- AOU Policlinico Umberto I
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Aichi, Toyoake, Japan, 470-1192
- Fujita Health University Hospital
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Fukuoka, Kitakyushu, Japan, 807-8556
- Hospital of the University of Occupational and Environmental Health
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Hiroshima, Hiroshima, Japan, 734-8551
- Hiroshima University Hospital
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Hokkaido, Sapporo, Japan, 060-8543
- Sapporo Medical University Hospital
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Hokkaido, Sapporo, Japan, 060-8648
- Hokkaido University Hospital
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Kagawa, Kita-gun, Japan, 761-0793
- Kagawa University Hospital
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Kanagawa, Kawasaki, Japan, 216-8511
- St. Marianna University Hospital
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Kanagawa, Sagamihara, Japan, 252-0375
- Kitasato University Hospital
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Kyoto, Kyoto, Japan, 606-8507
- Kyoto University Hospital
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Nagasaki, Nagasaki, Japan, 852-8501
- Nagasaki University Hospital
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Osaka, Takatsuki, Japan, 569-8686
- Osaka Medical and Pharmaceutical University Hospital
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Saitama, Iruma-gun, Japan, 350-0495
- Saitama Medical University Hospital
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Tokyo, Bunkyo-Ku, Japan, 113-8431
- Juntendo University Hospital
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Tokyo, Bunkyo-ku, Japan, 113-8603
- Nippon Medical School Hospital
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Tokyo, Shinjuku-ku, Japan, 160-8582
- Keio University Hospital
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Chihuahua City, Mexico, 31020
- Investigacion y Biomedicina de Chihuahua S.C.
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Guadalajara, Mexico, 44160
- Centro Integral en Reumatologia, SA. de CV.
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Mexico City, Mexico, 14080
- Inst Nac de Ciencias Medicas y Nutricion Salvador Zubiran
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Mexico City, Mexico, 03650
- Soltmed Smo
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Mexico City, Mexico, 06700
- CITER Centro de Investigación y Tratamiento de las Enfermedades Reumaticas SA de CV
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Monterrey, Mexico, 64460
- Hospital Universitario Dr Jose Eleuterio Gonzalez
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Mérida, Mexico, 97070
- Medical Care & Research SA de CV
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Heerlen, Netherlands, 6419 PC
- Zuyderland Medisch Centrum
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Nieuwegein, Netherlands, 3435 CM
- St. Antonius Ziekenhuis
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Rotterdam, Netherlands, 3015
- Erasmus Medisch Centrum-ROTTERDAM-50697
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Nordbyhagen, Norway, 1478
- Akershus Universitetssykehus HF
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Skien, Norway, N-3710
- Sykehuset Telemark HF, Avd. Skien
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San Juan, Puerto Rico, 00917
- GCM Medical Group, PSC
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Seongnam, South Korea, 13620
- Seoul National University Bundang Hospital
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Seoul, South Korea, 03080
- Seoul National University Hospital
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Seoul, South Korea, 04401
- Soonchunhyang University Hospital Seoul
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Seoul, South Korea, 02447
- Kyung Hee University Hospital
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Barcelona, Spain, 08026
- Hospital Santa Creu i Sant Pau
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Bilbao, Spain, 48013
- Hospital de Basurto
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Córdoba, Spain, 14004
- Hospital Universitario Reina Sofía
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Huelva, Spain, 21005
- Hospital Juan Ramón Jimenez
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L'Hospitalet de Llobregat, Spain, 08907
- Hospital Universitari de Bellvitge
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Madrid, Spain, 28040
- Fundación Jiménez Díaz
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spain, 28034
- Hospital Universitario Ramon Y Cajal
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Santiago de Compostela, Spain, 15706
- Hospital Clínico de Santiago
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Seville, Spain, 41009
- Hospital Universitario Virgen De La Macarena
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Seville, Spain, 41013
- Hospital Virgen del Rocio
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Valencia, Spain, 46017
- Hospital Dr. Peset
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Vigo, Spain, 36312
- Complejo Hospitalario Universitario de Vigo
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Aarau, Switzerland, CH-5001
- Cantonal Hospital of Aarau
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Basel, Switzerland, 4031
- Universitätsspital Basel
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Geneva, Switzerland, 1205
- Hopitaux Universitaires de Geneve (HUG)
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Neuchâtel, Switzerland, 2000
- Neuchatel Hospital Network
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Sankt Gallen, Switzerland, 9007
- Kantonsspital St.Gallen
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Zurich, Switzerland, 8091
- University Hospital Zurich
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Antrim, United Kingdom, BT41 2RL
- Antrim Area Hospital
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Bath, United Kingdom, BA1 3NG
- Royal United Hospital, Bath
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Birmingham, United Kingdom, B9 5SS
- Heartlands Hospital
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Leeds, United Kingdom, LS7 4SA
- Chapel Allerton Hospital
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London, United Kingdom, NW3 2QG
- Royal Free Hospital
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London, United Kingdom, SW17 0QT
- St George's Hospital
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London, United Kingdom, WC1E 6BT
- University College Hospital
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Londonderry, United Kingdom, BT47 6SB
- Altnagelvin Area Hospital
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Luton, United Kingdom, LU4 8RB
- Luton & Dunstable University Hospital
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Preston, United Kingdom, PR2 9HT
- NIHR Lancashire Clinical Research Facility
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Sheffield, United Kingdom, S5 7AU
- Northern General Hospital
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Truro, United Kingdom, TR1 3LJ
- Royal Cornwall Hospital
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Westcliffe-on-Sea, United Kingdom, SS0 0RY
- Southend University Hospital
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Alabama
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Birmingham, Alabama, United States, 35205
- University of Alabama at Birmingham
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Arizona
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Scottsdale, Arizona, United States, 85259
- Mayo Clinic-Arizona
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California
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Los Angeles, California, United States, 90095
- University of California Los Angeles
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San Diego, California, United States, 92108
- Paradigm Clinical Research - San Diego
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Colorado
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Denver, Colorado, United States, 80206
- National Jewish Health
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Connecticut
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New Haven, Connecticut, United States, 06510
- Yale University School of Medicine
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Florida
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Brandon, Florida, United States, 33511
- Meris Clinical Research-Brandon-69466
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Miami, Florida, United States, 33125
- Miami VA Healthcare System
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Georgia
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Atlanta, Georgia, United States, 30309
- Piedmont Physicians Pulmonary & Sleep Medicine of Buckhead
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Augusta, Georgia, United States, 30912
- Augusta University
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Chicago, Illinois, United States, 60637
- The University of Chicago Medical Center
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Evanston, Illinois, United States, 60201
- Northshore University Health System
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota
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Rochester, Minnesota, United States, 55902
- Mayo Clinic, Rochester
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Nebraska
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Omaha, Nebraska, United States, 68198-1230
- University of Nebraska Medical Center
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New York
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Great Neck, New York, United States, 11021
- Northwell Health
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New York, New York, United States, 10017
- NYU Langone Health
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New York, New York, United States, 10032
- New York Presbyterian Hospital -Columbia University
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North Carolina
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Salisbury, North Carolina, United States, 28144
- Onsite Clinical Solutions
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Winston-Salem, North Carolina, United States, 27103
- Southeastern Research Center-Winston Salem-69289
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- Temple Lung Center
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center
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Texas
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Houston, Texas, United States, 77030
- The University of Texas Health Science Center at Houston
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San Antonio, Texas, United States, 78229
- University of Texas Health Science Center at San Antonio
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Utah
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Salt Lake City, Utah, United States, 84108
- University of Utah Health Sciences Center
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West Virginia
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Beckley, West Virginia, United States, 25801
- Rheumatology and Pulmonary Clinic
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Wisconsin
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Madison, Wisconsin, United States, 53792
- University of Wisconsin
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
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Participant has systemic autoimmune rheumatic diseases associated interstitial lung diseases (SARD-ILD), defined as
- Diagnosis by a rheumatologist (or equally qualified medical physician) with at least 1 of the following SARDs: Rheumatoid arthritis (RA), systemic sclerosis (SSc) (participants must be anticentromere auto-antibody negative), idiopathic inflammatory myopathy (IIM), Sjögren's disease, or mixed connective tissue disease (MCTD) (participants must be anti-U1-ribonucleoprotein particle (RNP) auto-antibody positive)
- Presence of fibrotic interstitial lung disease (ILD) on high-resolution computed tomography (HRCT), defined as presence of reticular abnormality with traction bronchiectasis with or without honeycombing (HC), with disease extent >10% on HRCT performed within 12 months of Visit 1 or, if historical scan is not available, on baseline HRCT taken prior to Visit 2, as confirmed by central review
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No lung function improvement and no clinically significant ILD improvement as a treatment response to immunosuppressant (IS) therapy according to both criteria:
- No improvement in absolute forced vital capacity (FVC) % predicted >5% within the 15 months prior to Visit 1, as measured by 2 spirometry assessments that must be ≥3 months apart. (Note: 1: In the case of multiple PFTs over the 15 months prior to screening, exceptional values of absolute change in FVC % predicted >5% are acceptable if the overall trend of FVC % predicted is declining or stable; note 2: Visit 1 spirometry may be used to fulfill the inclusion criterion if there is only 1 spirometry reading in the 15 months prior to Visit 1)
- No clinically significant improvement in ILD based on clinician's judgement (including symptoms, imaging/HRCT, or other assessments as considered relevant and documented by the Investigator)
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FVC ≥45% of predicted normal at Visit 1
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Diffusing capacity of the lungs for carbon monoxide (DLCO) ≥25% of predicted normal corrected for haemoglobin (Hb) within 3 months prior to or at Visit 1
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Participants must be on stable treatment with any IS agent for ≥6 months (or ≥3 months for participants with IIM-ILD) prior to visit 2, with the following specifications:
- If using prednisone, participants must be on stable dose for ≥4 weeks prior to Visit 2
- If using rituximab, participants must have completed their first cycle >6 months prior to Visit 2
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If using nintedanib, participants must be on a stable dose for ≥12 weeks prior to Visit 2
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In the opinion of the Investigator, no change in background standard of care (SoC) treatment with immunosuppressant (IS), immunomodulator (IM), or nintedanib is planned
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Further inclusion criteria apply
Exclusion Criteria:
- Organising pneumonia as predominant pattern in the HRCT
- Prebronchodilator forced expiratory volume in 1 second (FEV1)/ forced vital capacity (FVC) <0.7 at Visit 1
- Acute ILD exacerbation within 3 months prior to Visit 1 and/or during the screening period, based on Investigator judgement
- Active vasculitis, unstable or uncontrolled within 8 weeks prior to Visit 1 or during the screening period
- Any suicidal behaviour in the past 2 years
- Any suicidal ideation of type 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS) in the past 3 months or at Visit 1, and/or at Visit 2
- Use of any of the following medications: cyclophosphamide within 6 months of Visit 1, pirfenidone within 8 weeks of Visit 1
- Further exclusion criteria apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Nerandomilast
Participants with SARD-ILDs will receive nerandomilast. |
Nerandomilast
Other Names:
|
|
Placebo Comparator: Placebo
Participants with SARD-ILDs will receive placebo. |
Placebo matching nerandomilast |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Absolute change from baseline in quantitative interstitial lung disease (QILD) score [%] on high-resolution computed tomography (HRCT) at Week 26
Time Frame: At baseline and at Week 26
|
QILD will be assessed via quantitative high-resolution computed tomography (qHRCT). QILD are quantitative measures of different radiological patterns associated with lung fibrosis. QLF is a measure of reticulation with architectural distortion. QGGO is a measure of ground glass opacities (i.e. hazy or cloudy areas) within the lung. QHC is a measure of HC within the lung. QILD is the sum of QLF, QGGO, and QHC. Quantification of HRCT scans will be performed centrally via a machine learning algorithm. QILD [%] is the QILD volume [mL] as a percent of the total lung volume. A higher QILD percentage or volume indicates a higher extent of disease. |
At baseline and at Week 26
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Absolute change from baseline in vascular volume [%] on HRCT at Week 26
Time Frame: At baseline and at Week 26
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At baseline and at Week 26
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Absolute change from baseline in supplemental oxygen use over the whole trial for oxygen users at baseline
Time Frame: At baseline and at Week 52
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At baseline and at Week 52
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Time to first supplemental oxygen use during the trial for oxygen non-users at baseline
Time Frame: Up to Week 52
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Up to Week 52
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Occurrence of infection-related adverse events (AEs) from baseline over the duration of the trial
Time Frame: Up to 1 year
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Up to 1 year
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Absolute change from baseline in quantitative lung fibrosis (QLF) score [%] on HRCT at Week 26
Time Frame: At baseline and at Week 26
|
QLF will be assessed via qHRCT. QLF are quantitative measures of different radiological patterns associated with lung fibrosis. QLF is a measure of reticulation with architectural distortion. Quantification of HRCT scans will be performed centrally via a machine learning algorithm. QILD [%] is the QILD volume [mL] as a percent of the total lung volume. A higher QILD percentage or volume indicates a higher extent of disease. |
At baseline and at Week 26
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|
Absolute change from baseline in quantitative ground glass opacity (QGGO) score [%] on HRCT at Week 26
Time Frame: At baseline and at Week 26
|
QGGO will be assessed via qHRCT. QGGO are quantitative measures of different radiological patterns associated with lung fibrosis. QGGO is a measure of ground glass opacities (i.e. hazy or cloudy areas) within the lung. Quantification of HRCT scans will be performed centrally via a machine learning algorithm. A higher QGGO percentage or volume indicates a higher extent of disease. |
At baseline and at Week 26
|
|
Absolute change from baseline in forced vital capacity (FVC) [mL] at Week 26
Time Frame: At baseline and at Week 26
|
FVC will be assessed using standardised spirometry equipment which will be provided centrally with supplies of precalibrated disposable flow sensors. Spirometry will be conducted with the participant in a seated position. It is preferable that the same trained individual (i.e. PFT specialist or pulmonologist) performs the PFTs for a given participant. The best of 3 efforts will be defined as the highest FVC obtained on any of three blows meeting the 2019 American Thoracic Society/European Respiratory Society (ATS/ERS) criteria (with a maximum of eight attempts). Predicted normal values will be calculated according to global lung function initiative (GLI). |
At baseline and at Week 26
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1305-0046
- U1111-1305-5857 (Registry Identifier: WHO International Clinical Trials Registry Platform (ICTRP))
- 2024-512849-17-00 (Registry Identifier: CTIS (EU))
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Once the criteria in section "time frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
IPD Sharing Time Frame
One year after the approval has been granted by major Regulatory Authorities and after the primary manuscript has been accepted for publication, or after termination of the development program.
IPD Sharing Access Criteria
For study documents -upon signing of a "Document Sharing Agreement". For study data -1. after the submission and approval of the research proposal (checks will be performed by the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.