Phase 2 Clinical Trial of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary Fibrosis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Nintedanib Dry Powder Inhalation, Placebo.
- Who it may be relevant to
- Registry conditions: Idiopathic Pulmonary Fibrosis, Idiopathic Pulmonary Fibrosis (IPF). Basic parameters: 40 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Clinical Trial of the Efficacy and Safety of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary Fibrosis Followed by an Open-Label Extension
Overview
This trial is a randomized, double-blind, placebo-controlled study evaluating the safety and preliminary efficacy of inhaled Nintedanib Dry Powder Inhalation (DPI) in adults with idiopathic pulmonary fibrosis (IPF). Participants are randomized to receive either 2 mg QID, 4 mg BID, or matching placebo for 12 weeks, followed by a 24-week open-label extension in which all participants receive active treatment. The primary focus is on safety-particularly bronchospasm events, lung function changes (FEV1, FEV1/FVC), and adverse event rates and assessing the effectiveness of nintedanib DPI in treating IPF.
Interventions
- Drug Nintedanib Dry Powder Inhalation
Nintedanib DPI is a dry powder nintedanib formulation for oral inhalation. - Drug Placebo
Placebo oral inhalation powder
Primary outcome measures
- Safety and Efficacy [Time frame: From enrollment to the end of randomized treatment at 12 weeks]
- Events of clinical bronchospasm [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
- FEV1 change [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
- Spirometry Change [Time frame: enrollment to end of open label at 36 weeks]
- Study Drug Discontinuation [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
- Study Drug Dose Reductions [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
- Adverse Events [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
- Related Adverse Events [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
- Serious Adverse Events [Time frame: From enrollment to the end of open-label treatment at 36 weeks]
Secondary outcome measures (1)
- Efficacy of Nintedanib DPI [Time frame: From enrollment to the end of randomized treatment at 12 weeks]
Eligibility criteria
Inclusion criteria
- 40-80 years old when signing consent and entering screening.
- Diagnosed with IPF based on current ATS/ERS/JRS/ALAT guidelines.
- Either new to treatment or on a stable dose of pirfenidone and/or nerandomilast for at least 3 months before screening.
- Weighs more than 40 kg (88 lb) at screening.
- Women who can become pregnant:
- Must have a negative pregnancy test at screening.
- Must use an approved birth control method from screening until at least 1 month after the last study dose.
- Men who can father a child and are sexually active with women who can become pregnant:
- Must use an approved birth control method during treatment and for at least 3 months after the last study dose.
- Must not donate sperm during treatment and for at least 3 months after the last study dose.
- Willing to follow all study rules and restrictions.
- Willing and able to attend study visits and complete study procedures.
- Able to perform spirometry (lung function testing) as required by the study.
Exclusion criteria
- Has a lung disease caused by something other than IPF.
- Has a connective tissue or autoimmune disease (such as lupus, scleroderma, or rheumatoid arthritis).
- Has another condition that significantly affects breathing.
- Has serious heart or blood vessel disease.
- Has a recent or current infection.
- Was recently hospitalized for COVID-19, an IPF flare-up, or a lung infection.
- Has a history of asthma (except childhood asthma that has resolved).
- Has another medical condition or abnormal test result that may affect study participation or safety.
- Cannot perform high-quality spirometry testing.
- Has obstructive lung disease.
- Has abnormal liver function tests.
- Has moderate to severe liver disease.
- Has severe kidney disease.
- Has recently used high-dose steroids or other immune-suppressing medications.
- Has active cancer or recent cancer treatment.
- Is on, or expected to be added to, a transplant list.
- Had major surgery recently or has planned procedures that could interfere with the study.
- Has had a severe reaction to nintedanib or cannot take nintedanib safely.
- Has recently used certain medications that may interact with the study drug.
- Is currently using, or plans to use, prohibited medications during the study.
- Has recently participated in another clinical trial.
- Has current alcohol or drug abuse issues.
- Donated a significant amount of blood recently.
- Received a live vaccine recently.
- Currently smokes, recently smoked, or quit smoking less than 1 year ago.
- Requires more than 6 L/min of oxygen while at rest.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Treatment
Study locations
Canada · 1 center
- Trial Management Group Inc — Windsor
Identifiers
NCT: NCT07679893 · MKC-NI-003