A Phase IIa/IIb, randomised, double blind, placebo-controlled, parallel-group dose-finding study to examine the efficacy and safety of BI 1839100 administered orally over a 12-week treatment period in patients with idiopathic pulmonary fibrosis or progressive pulmonary fibrosis with clinically meaningful cough
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 100
- 试验地点
- 71
- 主要终点
- IPF cohort - Phase IIa: Change from baseline in 24-h cough frequency (CC/h) at Week 4
研究概览
简要总结
Phase IIa: To demonstrate a meaningful reduction from baseline in 24-h cough frequency in the highest dose group of BI 1839100 compared with placebo after 4 weeks of treatment. Phase IIb: To demonstrate a non-flat dose-response curve with respect to change from baseline in 24-h cough frequency after 12 weeks of treatment and characterize the dose-response relationship within the therapeutic range of BI 1839100 regarding efficacy and safety.
入排标准
- 年龄范围
- 18 years 至 65+ years(65+ Years, 18-64 Years)
- 接受健康志愿者
- 否
入选标准
- •IPF cohort: Diagnosis of IPF.
- •PPF cohort: Cough Severity VAS ≥30 mm at Visit 1 and Visit 2B.
- •PPF cohort: FVC ≥45% of predicted normal at Visit 1
- •PPF cohort: DLCO ≥25% of predicted normal at Visit 1
- •PPF cohort:If receiving immunomodulatory therapy for ILD, allowed medications include tacrolimus, mycophenolate mofetil, or azathioprine (stable dose for 12 weeks prior to Visit 1)
- •PPF cohort: Patients may be either: - On a stable therapy with nintedanib for ≥12 weeks prior to Visit 1 and are planning to stay on this background treatment for the whole trial duration - Not on a therapy with nintedanib for ≥12 weeks prior to Visit 1 (either AF-treatment naïve or previously discontinued) and do not plan to start or re-start AF treatment during the trial. It is not permitted to delay nintedanib therapy for the purpose of participating in this trial
- •PPF cohort: Patients aged >18 years when signing the informed consent
- •Further inclusion criteria apply.
- •IPF cohort: Chronic cough (>8 weeks prior to Visit 1) attributed to IPF and refractory to treatment for known causes (Principal Investigator (PI) assessment).
- •IPF cohort: Cough Severity VAS ≥30 mm at Visit 1 and Visit 2B.
- •IPF cohort: FVC ≥45% of predicted normal at Visit
- •IPF cohort: Diffusing capacity of the lungs for carbon monoxide (DLCO) >25% of predicted normal at Visit
- •IPF cohort: Patients may be either: - On stable therapy with nintedanib or pirfenidone for ≥12 weeks prior to Visit 1 and are planning to stay on this background treatment for the whole trial duration. Combination of nintedanib plus pirfenidone will not be allowed. - Not on therapy with nintedanib or pirfenidone for ≥12 weeks prior to Visit 1 (either AFtreatment naïve or previously discontinued) and do not plan to start or re-start antifibrotic (AF) treatment during the trial. It is not permitted to delay nintedanib or pirfenidone therapy for the purpose of participating in this trial.
- •IPF cohort: Patients aged ≥40 years when signing the informed consent.
- •PPF cohort: Diagnosis of PPF.
- •PPF cohort: Chronic cough (>8 weeks prior to Visit 1) attributed to PPF, refractory to treatment for known causes (PI assessment).
排除标准
- •IPF and PPF cohorts: Acute exacerbation of IPF/PPF within 12 weeks prior to Visit 1
- •IPF and PPF cohorts: Forced expiratory volume in 1 second (FEV1)/FVC <0.7 at Visit 1
- •IPF and PPF cohorts: Known reversible airflow obstruction/response to bronchodilators
- •IPF and PPF cohorts: In the opinion of the Investigator, other clinically significant pulmonary abnormalities, including primary bronchitic or bronchiectatic disorder
- •IPF and PPF cohorts: Upper or lower respiratory tract infection within 4 weeks prior to Visit 1
- •IPF and PPF cohorts: Ongoing chronic pulmonary infection (e.g. mycobacterial or fungal disease)
- •IPF and PPF cohorts: Current smokers (tobacco use within the 6 months prior to Visit 1)
- •IPF and PPF cohorts: Initiation or change in supplemental oxygen requirement during 4 weeks prior to Visit 1
- •Further exclusion criteria apply.
结局指标
主要结局
IPF cohort - Phase IIa: Change from baseline in 24-h cough frequency (CC/h) at Week 4
IPF cohort - Phase IIa: Change from baseline in 24-h cough frequency (CC/h) at Week 4
IPF cohort - Phase IIa: Change from baseline in 24-h cough frequency (CC/h) at Week 12
IPF cohort - Phase IIa: Change from baseline in 24-h cough frequency (CC/h) at Week 12
次要结局
- IPF cohort - Phase IIa: Absolute change from baseline in Cough Severity NRS score at Week 4
- IPF cohort - Phase IIa: Absolute change from baseline in Cough Severity VAS score (mm) at Week 4
- IPF cohort - Phase IIb: Absolute change from baseline in FVC (mL) at Week 12
- IPF cohort - Phase IIb: Cough responder status, defined as a ≥30% 24-h cough frequency reduction (CC/h) from baseline at Week 12
- IPF cohort - Phase IIb: Absolute change from baseline in Cough Severity NRS score at Week 12
研究者
CT Disclosure & Data Transparency
Scientific
Boehringer Ingelheim International GmbH
