Long-term Safety and Effects of Oral Nerandomilast in Adults With Idiopathic or Progressive Pulmonary Fibrosis Who Completed Previous Nerandomilast Treatment
Led by Boehringer Ingelheim · Updated on 2026-08-06
1700
Participants Needed
373
Research Sites
1 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying people with idiopathic pulmonary fibrosis IPF or progressive pulmonary fibrosis PPF who have previously taken nerandomilast in another study. The aim is to assess how well patients tolerate long-term treatment with nerandomilast and to evaluate whether it improves lung function and delays worsening symptoms, hospital visits, or death. This open-label extension trial is sponsored by Boehringer Ingelheim and focuses on treatment over an extended period.
Participants take nerandomilast tablets for up to 1 year and 10 months while continuing their usual pulmonary fibrosis treatments. The study involves a single treatment group receiving the drug, and no placebo or comparison groups. Regular visits with doctors help monitor health and collect data during this extended treatment phase.
Throughout the study, participants undergo regular lung function tests and health assessments to track any adverse events and changes in lung capacity. The main outcome measured is the occurrence of any adverse events for up to about 99 weeks. Secondary outcomes include changes in forced vital capacity and time to worsening of disease symptoms or hospitalization. The study includes ongoing safety monitoring with a total participation time of up to nearly two years.
CONDITIONS
Brief Title
A Follow-up Study to Test Long-term Treatment With Nerandomilast in People With Pulmonary Fibrosis Who Took Part in a Previous Study With Nerandomilast
Research Team
B
Boehringer Ingelheim
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Nerandomilast (BI 1015550) continued
Nintedanib or Pirfenidone (standard care)
What it is
An ongoing open‑label extension study offering long‑term continued nerandomilast treatment for participants who completed parent trials
Approved antifibrotic drugs (nintedanib or pirfenidone) are established treatments for slowing lung function decline in IPF/PPF
Role in the trial
Participants receive nerandomilast as continued treatment in a single‑group extension
Not part of the trial; serves as external reference for how antifibrotic care is currently delivered outside the study
Primary use
Maintain antifibrotic therapy exposure to assess long‑term safety and tolerability
Standard option used to slow progression of IPF or PPF
How it is given or performed
Oral nerandomilast tablets continued twice daily for up to approximately 99 weeks
Oral antifibrotic drugs taken as prescribed per approved dosing regimens
Evidence status
Long‑term safety and efficacy data are being collected but final results are not yet available
Nintedanib and pirfenidone have demonstrated efficacy in slowing lung function decline in randomized trials and are guideline‑recommended
Important risks
Long‑term safety still under evaluation; risks not fully characterized
Approved antifibrotic drugs have known side effects such as gastrointestinal symptoms and liver enzyme elevations
Important limitations
This study lacks a comparator arm and cannot establish comparative effectiveness versus standard care
Real‑world tolerability varies and not all patients benefit; side effects can limit adherence
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Completed treatment in previous nerandomilast parent trials without permanent early discontinuation
Provided signed and dated informed consent before joining the trial
Women of childbearing potential must agree to use highly effective birth control and barrier methods during sexual activity
Fertile males in France must agree to use acceptable birth control methods
You will not qualify if you...
Any disease that may put the patient at risk when participating, as judged by the investigator
Suicidal behavior or active suicidal thoughts at screening
Severe depression or high scores on Hospital Anxiety and Depression Scale at screening
Recent malignant neoplasm except certain skin or uterine cervix cancers
Planned lung transplantation surgery
Body Mass Index under 18.5 kg/m² with significant unexplained weight loss during prior trial
Ongoing special adverse events from previous trial, except latent tuberculosis
Use or need of restricted medications that could interfere with trial safety
Other exclusion criteria as determined by the study team
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Up to 1 year and 10 months
Participants take nerandomilast tablets daily for up to 1 year and 10 months, continuing their usual pulmonary fibrosis treatments.
Regular visits with doctors for health assessments and lung function tests
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
Design of an open-label extension trial of nerandomilast (BI 1015550) in patients with idiopathic pulmonary fibrosis and progressive pulmonary fibrosis (FIBRONEER™-ON).