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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT04419506
Registration number
NCT04419506
Ethics application status
Date submitted
4/06/2020
Date registered
5/06/2020
Date last updated
1/11/2022
Titles & IDs
Public title
A Study to Test How Taking BI 1015550 for 12 Weeks Affects Lung Function in People With Idiopathic Pulmonary Fibrosis (IPF)
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Scientific title
A Randomised, Double-blind, Placebo-controlled Parallel Group Study in IPF Patients Over 12 Weeks Evaluating Efficacy, Safety and Tolerability of BI 1015550 Taken Orally
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Secondary ID [1]
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2019-004167-45
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Secondary ID [2]
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1305-0013
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Idiopathic Pulmonary Fibrosis
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BI 1015550
Treatment: Drugs - Placebo
Placebo Comparator: Placebo, Antifibrotics at baseline - Idiopathic pulmonary fibrosis (IPF) patients on stable antifibrotic treatment with nintedanib or pirfenidone at baseline were administered placebo matching BI 1015550 taken orally as film-coated tablets (matching the respective BI 1015550 tablets) twice daily, in the morning and in the evening for 12 weeks. During the 12-weeks of administration of BI 1015550 patients stayed on their stable background therapy of nintedanib or prifenidone.
Experimental: BI 1015550, Antifibrotics at baseline - Idiopathic pulmonary fibrosis (IPF) patients on stable antifibrotic treatment with nintedanib or pirfenidone at baseline were administered 18 milligram (mg) BI 1015550 taken orally as film-coated tablets (1x 6mg tablet, 1x 12 mg tablet) twice daily (36 mg daily), in the morning and in the evening for 12 weeks. During the 12-weeks of administration of BI 1015550 patients stayed on their stable background therapy of nintedanib or prifenidone.
Placebo Comparator: Placebo, Non-antifibrotics at baseline - Idiopathic pulmonary fibrosis (IPF) patients not on stable antifibrotic treatment at baseline were administered placebo matching BI 1015550 taken orally as film-coated tablets (matching the respective BI 1015550 tablets) twice daily, in the morning and in the evening for 12 weeks.
Experimental: BI 1015550, Non-antifibrotics at baseline - Idiopathic pulmonary fibrosis (IPF) patients not on stable antifibrotic treatment at baseline were administered 18 milligram (mg) BI 1015550 taken orally as film-coated tablets (1x 6mg tablet, 1x 12 mg tablet) twice daily (36 mg daily), in the morning and in the evening for 12 weeks.
Treatment: Drugs: BI 1015550
18 milligram (mg) BI 1015550 taken orally as film-coated tablets (1x 6mg tablet, 1x 12 mg tablet) twice daily (36 mg daily), in the morning and in the evening for 12 weeks.
Treatment: Drugs: Placebo
placebo matching BI 1015550 taken orally as film-coated tablets (matching the respective BI 1015550 tablets) twice daily, in the morning and in the evening for 12 weeks.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The Change From Baseline in Forced Vital Capacity (FVC) at 12 Weeks
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Assessment method [1]
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The change from baseline in Forced vital capacity (FVC) at 12 weeks. Data were analysed with a restricted maximum likelihood (REML)-based approach using a mixed model with repeated measures (MMRM). The analysis included the fixed, categorical effect of treatment at each visit, and the fixed, continuous effects of baseline FVC at each visit. Visit was treated as the repeated measure, with an unstructured covariance structure used to model the within-patient measurements.
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Timepoint [1]
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Baseline (day 1) and week 12.
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Secondary outcome [1]
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The Number of Patients With Treatment Emergent Adverse Event
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Assessment method [1]
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The number of patients with any adverse event during the on-treatment period.
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Timepoint [1]
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From the start of treatment till the end of treatment + 7 days residual effect period, an average of 87.4 days.
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Eligibility
Key inclusion criteria
1. Patients aged =40 years when signing the informed consent.
2. Diagnosis:
1. IPF based on 2018 ATS/ERS/JRS/ALAT Guideline as confirmed by the investigator
based on chest High Resolution Computed Tomography Scan (HRCT) scan taken within
12 months of Visit 1 and if available surgical lung biopsy.
and
2. Usual interstitial pneumonia (UIP) or probable UIP HRCT pattern consistent with
the clinical diagnosis of IPF, as confirmed by central review prior to Visit 2*
- if indeterminate HRCT finding IPF may be confirmed locally by (historical)
biopsy
3. Stable for at least 8 weeks prior to Visit 1. Patients have to be either :
- not on therapy with nintedanib or pirfenidone for at least 8 weeks prior to Visit
1 (combination of nintedanib plus pirfenidone not allowed), or
- on stable* therapy with nintedanib or pirfenidone for at least 8 weeks prior to
Visit 1 and planning to stay stable on this background therapy after
randomisation.
[*stable therapy is defined as the individually and general tolerated regimen of
either pirfenidone or nintedanib]
4. Forced Vital Capacity (FVC) =45% of predicted normal at Visit 1
5. Diffusion capacity of the lung for carbon monoxide (DLCO) (corrected for haemoglobin
[Hb] [Visit 1]) = 25% to < 80% of predicted normal at Visit 1.
6. Signed and dated written informed consent in accordance with ICH-GCP and local
legislation prior to admission to the trial.
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Relevant airways obstruction (pre-bronchodilator Forced Expiratory Volume in one
second (FEV1)/Forced Vital Capacity (FVC) < 0.7) at Visit 1.
2. In the opinion of the Investigator, other clinically significant pulmonary
abnormalities.
3. Acute IPF exacerbation within 4 months prior to screening and/or during the screening
period (investigator-determined).
4. Lower respiratory tract infection requiring antibiotics within 4 weeks prior to Visit
1 and/or during the screening period.
5. Major surgery (major according to the investigator's assessment) performed within 3
months prior to Visit 1 or planned during the course of the trial. (Being on a
transplant list is allowed).
6. Any documented active or suspected malignancy or history of malignancy within 5 years
prior to Visit 1, except appropriately treated basal cell carcinoma of the skin,
"under surveillance" prostate cancer or in situ carcinoma of uterine cervix.
7. Evidence of active infection (chronic or acute) based on clinical exam or laboratory
findings at Visit 1 or at Visit 2.
8. Any suicidal behaviour in the past 2 years (i.e. actual attempt, interrupted attempt,
aborted attempt, or preparatory acts or behavior).
9. The patient has a confirmed infection with SARS-CoV-2 within the 4 weeks prior to
Visit 1 and/or during the screening period.
Further exclusion criteria apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/07/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
15/10/2021
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Sample size
Target
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Accrual to date
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Final
147
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Alfred Hospital - Melbourne
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Recruitment outside Australia
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Bristol
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Boehringer Ingelheim
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is open to adults with idiopathic pulmonary fibrosis (IPF) who are at least 40
years old. People taking standard medicines for IPF, including antifibrotic medicines, can
continue taking them throughout the study.
The purpose of the study is to find out whether a medicine called BI 1015550 can slow down
the worsening of lung function. Participants are in the study for about 4 months. During this
time, they visit the study site about 7 times. At the beginning, they visit the study site
every 2 weeks.
After 1 month of treatment, they visit the study site every 4 weeks.
The participants are put into 2 groups by chance. 1 group gets BI 1015550. The other group
gets placebo. Placebo tablets look like BI 1015550 tablets but contain no medicine. The
participants take BI 1015550 or placebo tablets twice a day.
The participants have lung function tests at study visits. The results of the lung function
tests are compared between the BI 1015550 group and the placebo group. The doctors also
regularly check the general health of the participants.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT04419506
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Trial related presentations / publications
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Contacts
Principal investigator
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT04419506
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