Phase 2 Clinical Trial of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary Fibrosis

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age40-80
SponsorMannkind Corporation

About this trial

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 BID, 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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

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.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Nintedanib Dry Powder Inhalation

    Drug

    Nintedanib DPI is a dry powder nintedanib formulation for oral inhalation.

  • Placebo

    Drug

    Placebo oral inhalation powder

Treatment groups

153 Participants
are divided into 4 treatment groups
Group A: Nintedanib DPI 2X day 1st doseExperimental treatment 1 intervention
Group B: Placebo 2X day 1st dosePlacebo comparator 1 intervention
Group C: Nintedanib DPI 2X day 2nd doseExperimental treatment 1 intervention
Group D: Placebo 2X day 2nd dosePlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Safety and Efficacy

Safety and tolerability of different doses and to confirm an optimal dose of Nintedanib Dry Powder Inhalation (DPI)

Time frame
From enrollment to the end of randomized treatment at 12 weeks
2

Events of clinical bronchospasm

Events of clinical bronchospasm (e.g., treatment-emergent adverse event \[TEAE\] of wheezing or chest tightness immediately after inhalation)

Time frame
From enrollment to the end of open-label treatment at 36 weeks
3

FEV1 change

Change in forced expiratory volume in 1 second (FEV1) (mL)

Time frame
From enrollment to the end of open-label treatment at 36 weeks
4

Spirometry Change

Change in FEV1/forced vital capacity (FVC) ratio

Time frame
enrollment to end of open label at 36 weeks

Secondary outcomes

1

Efficacy of Nintedanib DPI

To assess a potential efficacy signal of different doses of Nintedanib DPI over 12 weeks in patients with IPF.

Time frame
From enrollment to the end of randomized treatment at 12 weeks

Other outcomes

Sponsors and contacts

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