A Study to Test Whether Nerandomilast Helps People With Lung Fibrosis Related to Rheumatic Diseases
全身性自己免疫性リウマチ性疾患に関連する間質性肺疾患(SARD-ILD)の患者における26週間にわたるネルンドミラストの有効性と安全性を評価する二重盲検無作為化、プラセボ対照試験
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.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
研究の種類
研究の種類
入学 (実際)
入学
段階
段階
- フェーズ 3
連絡先と場所
研究場所
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Alabama
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Birmingham、Alabama、アメリカ、35205
- University of Alabama at Birmingham
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Arizona
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Scottsdale、Arizona、アメリカ、85259
- Mayo Clinic-Arizona
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California
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Los Angeles、California、アメリカ、90095
- University of California Los Angeles
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San Diego、California、アメリカ、92108
- Paradigm Clinical Research - San Diego
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Colorado
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Denver、Colorado、アメリカ、80206
- National Jewish Health
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Connecticut
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New Haven、Connecticut、アメリカ、06510
- Yale University School of Medicine
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Florida
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Brandon、Florida、アメリカ、33511
- Meris Clinical Research-Brandon-69466
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Miami、Florida、アメリカ、33125
- Miami VA Healthcare System
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Georgia
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Atlanta、Georgia、アメリカ、30309
- Piedmont Physicians Pulmonary & Sleep Medicine of Buckhead
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Augusta、Georgia、アメリカ、30912
- Augusta University
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Illinois
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Chicago、Illinois、アメリカ、60611
- Northwestern University
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Chicago、Illinois、アメリカ、60637
- The University of Chicago Medical Center
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Evanston、Illinois、アメリカ、60201
- Northshore University Health System
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Kansas
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Kansas City、Kansas、アメリカ、66160
- University of Kansas Medical Center
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Massachusetts
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Boston、Massachusetts、アメリカ、02115
- Brigham and Women's Hospital
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Boston、Massachusetts、アメリカ、02114
- Massachusetts General Hospital
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Minnesota
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Minneapolis、Minnesota、アメリカ、55455
- University of Minnesota
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Rochester、Minnesota、アメリカ、55902
- Mayo Clinic, Rochester
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Nebraska
-
Omaha、Nebraska、アメリカ、68198-1230
- University of Nebraska Medical Center
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New York
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Great Neck、New York、アメリカ、11021
- Northwell Health
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New York、New York、アメリカ、10017
- NYU Langone Health
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New York、New York、アメリカ、10032
- New York Presbyterian Hospital -Columbia University
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North Carolina
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Salisbury、North Carolina、アメリカ、28144
- Onsite Clinical Solutions
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Winston-Salem、North Carolina、アメリカ、27103
- Southeastern Research Center-Winston Salem-69289
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Pennsylvania
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Philadelphia、Pennsylvania、アメリカ、19140
- Temple Lung Center
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Pittsburgh、Pennsylvania、アメリカ、15213
- University of Pittsburgh Medical Center
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Texas
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Houston、Texas、アメリカ、77030
- The University of Texas Health Science Center at Houston
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San Antonio、Texas、アメリカ、78229
- University of Texas Health Science Center at San Antonio
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Utah
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Salt Lake City、Utah、アメリカ、84108
- University of Utah Health Sciences Center
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West Virginia
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Beckley、West Virginia、アメリカ、25801
- Rheumatology and Pulmonary Clinic
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Wisconsin
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Madison、Wisconsin、アメリカ、53792
- University of Wisconsin
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-
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Antrim、イギリス、BT41 2RL
- Antrim Area Hospital
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Bath、イギリス、BA1 3NG
- Royal United Hospital, Bath
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Birmingham、イギリス、B9 5SS
- Heartlands Hospital
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Leeds、イギリス、LS7 4SA
- Chapel Allerton Hospital
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London、イギリス、NW3 2QG
- Royal Free Hospital
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London、イギリス、SW17 0QT
- St George's Hospital
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London、イギリス、WC1E 6BT
- University College Hospital
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Londonderry、イギリス、BT47 6SB
- Altnagelvin Area Hospital
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Luton、イギリス、LU4 8RB
- Luton & Dunstable University Hospital
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Preston、イギリス、PR2 9HT
- NIHR Lancashire Clinical Research Facility
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Sheffield、イギリス、S5 7AU
- Northern General Hospital
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Truro、イギリス、TR1 3LJ
- Royal Cornwall Hospital
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Westcliffe-on-Sea、イギリス、SS0 0RY
- Southend University Hospital
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-
-
-
-
Brescia、イタリア、25123
- ASST degli Spedali Civili di Brescia
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Florence、イタリア、50134
- A. O. Universitaria Careggi
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Milan、イタリア、20132
- Ospedale San Raffaele S.r.l.
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Milan、イタリア、20122
- Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico
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Padova、イタリア、35128
- Azienda Ospedaliera Universitaria di Padova
-
Pavia、イタリア、27100
- Fondazione IRCCS Policlinico S. Matteo
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Roma、イタリア、00161
- AOU Policlinico Umberto I
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-
-
-
-
Heerlen、オランダ、6419 PC
- Zuyderland Medisch Centrum
-
Nieuwegein、オランダ、3435 CM
- St. Antonius Ziekenhuis
-
Rotterdam、オランダ、3015
- Erasmus Medisch Centrum-ROTTERDAM-50697
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-
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New South Wales
-
Camperdown, Sydney、New South Wales、オーストラリア、2050
- Royal Prince Alfred Hospital
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Darlinghurst、New South Wales、オーストラリア、2010
- St Vincent's Hospital Sydney
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Queensland
-
Chermside、Queensland、オーストラリア、4032
- The Prince Charles Hospital
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Victoria
-
Heidelberg、Victoria、オーストラリア、3084
- Austin Hospital
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Western Australia
-
Murdoch、Western Australia、オーストラリア、6150
- Fiona Stanley Hospital
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-
-
-
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Krems、オーストリア、3500
- Krems University Hospital
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Wels、オーストリア、4600
- Klinikum Wels - Grieskirchen GmbH
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-
-
-
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Aarau、スイス、CH-5001
- Cantonal Hospital of Aarau
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Basel、スイス、4031
- Universitätsspital Basel
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Geneva、スイス、1205
- Hopitaux Universitaires de Geneve (HUG)
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Neuchâtel、スイス、2000
- Neuchatel Hospital Network
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Sankt Gallen、スイス、9007
- Kantonsspital St.Gallen
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Zurich、スイス、8091
- University Hospital Zurich
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-
-
-
-
Barcelona、スペイン、08035
- Hospital Universitari Vall d'Hebron
-
Barcelona、スペイン、08026
- Hospital Santa Creu i Sant Pau
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Bilbao、スペイン、48013
- Hospital de Basurto
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Córdoba、スペイン、14004
- Hospital Universitario Reina Sofía
-
Huelva、スペイン、21005
- Hospital Juan Ramón Jimenez
-
L'Hospitalet de Llobregat、スペイン、08907
- Hospital Universitari de Bellvitge
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Madrid、スペイン、28040
- Fundación Jiménez Díaz
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Madrid、スペイン、28041
- Hospital Universitario 12 de Octubre
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Madrid、スペイン、28034
- Hospital Universitario Ramon Y Cajal
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Santiago de Compostela、スペイン、15706
- Hospital Clínico de Santiago
-
Seville、スペイン、41009
- Hospital Universitario Virgen De La Macarena
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Seville、スペイン、41013
- Hospital Virgen del Rocio
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Valencia、スペイン、46017
- Hospital Dr. Peset
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Vigo、スペイン、36312
- Complejo Hospitalario Universitario de Vigo
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-
-
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Berlin、ドイツ、10117
- Charité - Universitätsmedizin Berlin
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Berlin、ドイツ、13125
- Immanuel-Krankenhaus GmbH
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Bonn、ドイツ、53127
- Universitätsklinikum Bonn AöR
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Braunschweig、ドイツ、38126
- Städtisches Klinikum Braunschweig gGmbH
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Bremen、ドイツ、28325
- Gesundheit Nord gGmbH | Klinikverbund Bremen
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Cologne、ドイツ、51149
- Krankenhaus Porz am Rhein gGmbH
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Düsseldorf、ドイツ、40225
- Universitätsklinikum Düsseldorf
-
Essen、ドイツ、45239
- Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
-
Freiburg im Breisgau、ドイツ、79106
- Universitätsklinikum Freiburg
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Gommern、ドイツ、39245
- Helios Fachklinik Vogelsang-Gommern GmbH
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Hanover、ドイツ、30625
- Medizinische Hochschule Hannover
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Herne、ドイツ、44649
- St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
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Kirchheim unter Teck、ドイツ、73230
- medius Kliniken gGmbH
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Konstanz、ドイツ、78464
- Klinikum Konstanz
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Lübeck、ドイツ、23538
- Universitätsklinikum Schleswig-Holstein, Campus Lübeck
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Minden、ドイツ、32429
- Johannes Wesling Klinikum Minden
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München、ドイツ、80336
- Klinikum der Universität München AÖR
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Regensburg、ドイツ、93049
- Krankenhaus Barmherzige Brüder Regensburg
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-
-
-
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Nordbyhagen、ノルウェー、1478
- Akershus Universitetssykehus HF
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Skien、ノルウェー、N-3710
- Sykehuset Telemark HF, Avd. Skien
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-
-
-
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Angers、フランス、49933
- HOP d'Angers
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Bordeaux、フランス、33076
- HOP Pellegrin
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Lille、フランス、59037
- Hôpital Claude Huriez
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Paris、フランス、75014
- Hôpital Cochin
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Paris、フランス、75018
- HOP Bichat
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Rennes、フランス、35203
- HOP Sud
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Strasbourg、フランス、67091
- HOP Civil
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Toulouse、フランス、31059
- Hôpital Rangueil - CHU de Toulouse
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-
-
-
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San Juan、プエルトリコ、00917
- GCM Medical Group, PSC
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-
-
-
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Chihuahua City、メキシコ、31020
- Investigacion y Biomedicina de Chihuahua S.C.
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Guadalajara、メキシコ、44160
- Centro Integral en Reumatologia, SA. de CV.
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Mexico City、メキシコ、14080
- Inst Nac de Ciencias Medicas y Nutricion Salvador Zubiran
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Mexico City、メキシコ、03650
- Soltmed Smo
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Mexico City、メキシコ、06700
- CITER Centro de Investigación y Tratamiento de las Enfermedades Reumaticas SA de CV
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Monterrey、メキシコ、64460
- Hospital Universitario Dr Jose Eleuterio Gonzalez
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Mérida、メキシコ、97070
- Medical Care & Research SA de CV
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-
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-
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Beijing、中国、100730
- Peking Union Medical College Hospital
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Beijing、中国、100020
- Beijing Chao-Yang Hospital
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Beijing、中国、100029
- China-Japan Friendship Hospital
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Chengdu、中国、610041
- West China Hospital, Sichuan University
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Chengdu、中国、610072
- Sichuan Provincial People's Hospital
-
Guangzhou、中国、510080
- Guangdong Provincial People's Hospital
-
Hangzhou、中国、310009
- The Second Affiliated Hospital Zhejiang University School of Medicine
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Hangzhou、中国、310003
- The First Affiliated Hospital, Zhejiang University
-
Luoyang、中国、471000
- The First Affiliated Hospital of Henan University of Science and Technology
-
Macau、中国、999078
- University Hospital_Macau University of Science and Technology
-
Nanchang、中国、330006
- The First Affiliated Hospital of Nanchang University
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Shanghai、中国、200040
- Huashan Hospital, Fudan University
-
Tianjin、中国、30052
- Tianjin Medical University General Hospital
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Wuhan、中国、430030
- Tongji Hospital Affiliated Tongji Medical College Huazhong University of S & T
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Wuhan、中国、430022
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Xiamen、中国、361003
- First Affiliated Hospital of Xiamen University
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Zhuzhou、中国、412007
- Zhuzhou Central Hospital
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-
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Aichi, Toyoake、日本、470-1192
- Fujita Health University Hospital
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Fukuoka, Kitakyushu、日本、807-8556
- Hospital of the University of Occupational and Environmental Health
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Hiroshima, Hiroshima、日本、734-8551
- Hiroshima University Hospital
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Hokkaido, Sapporo、日本、060-8543
- Sapporo Medical University Hospital
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Hokkaido, Sapporo、日本、060-8648
- Hokkaido University Hospital
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Kagawa, Kita-gun、日本、761-0793
- Kagawa University Hospital
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Kanagawa, Kawasaki、日本、216-8511
- St. Marianna University Hospital
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Kanagawa, Sagamihara、日本、252-0375
- Kitasato University Hospital
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Kyoto, Kyoto、日本、606-8507
- Kyoto University Hospital
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Nagasaki, Nagasaki、日本、852-8501
- Nagasaki University Hospital
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Osaka, Takatsuki、日本、569-8686
- Osaka Medical and Pharmaceutical University Hospital
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Saitama, Iruma-gun、日本、350-0495
- Saitama Medical University Hospital
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Tokyo, Bunkyo-Ku、日本、113-8431
- Juntendo University Hospital
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Tokyo, Bunkyo-ku、日本、113-8603
- Nippon Medical School Hospital
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Tokyo, Shinjuku-ku、日本、160-8582
- Keio University Hospital
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-
-
-
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Seongnam、韓国、13620
- Seoul National University Bundang Hospital
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Seoul、韓国、03080
- Seoul National University Hospital
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Seoul、韓国、04401
- Soonchunhyang University Hospital Seoul
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Seoul、韓国、02447
- Kyung Hee University Hospital
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
-
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
-
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)
-
FVC ≥45% of predicted normal at Visit 1
-
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
-
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
-
If using nintedanib, participants must be on a stable dose for ≥12 weeks prior to Visit 2
-
In the opinion of the Investigator, no change in background standard of care (SoC) treatment with immunosuppressant (IS), immunomodulator (IM), or nintedanib is planned
-
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
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Nerandomilast
Participants with SARD-ILDs will receive nerandomilast. |
Nerandomilast
他の名前:
|
|
プラセボコンパレーター:Placebo
Participants with SARD-ILDs will receive placebo. |
Placebo matching nerandomilast |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Absolute change from baseline in quantitative interstitial lung disease (QILD) score [%] on high-resolution computed tomography (HRCT) at Week 26
時間枠: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
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
26週目のHRCTの血管容量[%]のベースラインからの絶対的な変化
時間枠:ベースラインおよび26週目
|
ベースラインおよび26週目
|
|
|
ベースラインでの酸素ユーザーの試験全体にわたる補助酸素使用におけるベースラインからの絶対的な変化
時間枠:ベースラインおよび52週目
|
ベースラインおよび52週目
|
|
|
ベースラインでの酸素非ユーザーの試験中に最初の補足酸素使用をする時間
時間枠:52週目まで
|
52週目まで
|
|
|
試験期間中のベースラインからの感染関連の有害事象(AE)の発生
時間枠:最大1年
|
最大1年
|
|
|
Absolute change from baseline in quantitative lung fibrosis (QLF) score [%] on HRCT at Week 26
時間枠: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
|
|
Absolute change from baseline in quantitative ground glass opacity (QGGO) score [%] on HRCT at Week 26
時間枠: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
時間枠: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
|
協力者と研究者
出版物と役立つリンク
便利なリンク
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
その他の研究ID番号
- 1305-0046
- U1111-1305-5857 (レジストリ識別子:WHO International Clinical Trials Registry Platform (ICTRP))
- 2024-512849-17-00 (レジストリ識別子:CTIS (EU))
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
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 共有時間枠
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 共有アクセス基準
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 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
- CSR
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。