A Study to Test How Taking BI 1015550 for 12 Weeks Affects Lung Function in People With Idiopathic Pulmonary Fibrosis (IPF)
Idiopathic Pulmonary Fibrosis
About this trial
This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis
Eligibility Criteria
Inclusion Criteria:
- Patients aged ≥40 years when signing the informed consent.
Diagnosis:
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
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
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]
- Forced Vital Capacity (FVC) ≥45% of predicted normal at Visit 1
- Diffusion capacity of the lung for carbon monoxide (DLCO) (corrected for haemoglobin [Hb] [Visit 1]) ≥ 25% to < 80% of predicted normal at Visit 1.
- Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
Exclusion Criteria:
- Relevant airways obstruction (pre-bronchodilator Forced Expiratory Volume in one second (FEV1)/Forced Vital Capacity (FVC) < 0.7) at Visit 1.
- In the opinion of the Investigator, other clinically significant pulmonary abnormalities.
- Acute IPF exacerbation within 4 months prior to screening and/or during the screening period (investigator-determined).
- Lower respiratory tract infection requiring antibiotics within 4 weeks prior to Visit 1 and/or during the screening period.
- 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).
- 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.
- Evidence of active infection (chronic or acute) based on clinical exam or laboratory findings at Visit 1 or at Visit 2.
- Any suicidal behaviour in the past 2 years (i.e. actual attempt, interrupted attempt, aborted attempt, or preparatory acts or behavior).
- 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.
Sites / Locations
- St. Francis Medical Institute
- University of Florida
- University of Kansas Medical Center
- Mayo Clinic, Rochester
- The Lung Research Center, LLC
- Creighton University
- Southeastern Research Center
- The Ohio State University Wexner Medical Center
- Temple University Hospital
- Diagnostics Research Group
- University of Utah Health Sciences Center
- Centro de Investigaciones Metabólicas (CINME)
- The Alfred Hospital
- LKH-Univ. Hospital Graz
- St. Paul's Hospital
- Dr. Georges-L.-Dumont University Hospital Centre
- Queen's University
- Dr. Syed Anees Medicine Professional Corporation
- Centre Hospitalier de l'Universite de Montreal (CHUM)
- Instituto Nacional del Tórax
- Centro de Investigación del Maule
- Peking Union Medical College Hospital
- The Second Hospital of Jilin University
- West China Hospital
- Zhongshan Hospital Fudan University
- Shanghai Pulmonary Hospital
- University Thomayer's Hospital
- University Hospital Na Bulovce, Prague
- Aarhus University Hospital
- Herlev and Gentofte Hospital
- Odense University Hospital
- HYKS Keuhkosairauksien tutkimusyksikkö
- KYS, Keuhkosairauksien
- Oulun yliopistollinen keskussairaala
- Tampere University Hospital
- TYKS
- Fachkrankenhaus Coswig GmbH
- Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
- Thoraxklinik-Heidelberg gGmbH am Universitätsklinikum Heidelberg
- Lungenfachklinik Immenhausen
- Universitätsklinikum Münster
- Athens Medical Center
- University General Hospital of Heraklion
- Univ. Gen. Hosp. of Patras
- Semmelweis University
- Ospedale Colonnello D Avanzo
- Azienda Ospedaliera Universitaria di Padova
- Poli Univ A. Gemelli
- A.O.U. Senese Policlinico Santa Maria alle Scotte
- Tosei General Hospital
- National Hospital Organization Kyushu Medical Center
- Kanagawa Cardiovascular and Respiratory Center
- National Hospital Organization Kinki-Chuo Chest Medical Center
- Hamamatsu University Hospital
- Center Hospital of the National Center for Global Health and Medicine
- The Catholic University of Korea, Bucheon St.Mary's Hospital
- Seoul National University Hospital
- Asan Medical Center
- Zuyderland Medisch Centrum
- St. Antonius ziekenhuis, locatie Nieuwegein
- Erasmus Medisch Centrum
- University Clinical Center, Gdansk
- Federal state budgetary scientific institution "Research Institute of occupational medicine named after academician N. F. Izmerov
- Moscow 1st State Med.Univ.n.a.I.M.Sechenov
- Emergency Clinical Hospital n. a. N. V. Solovyev, Yaroslavl
- Policlínica Barcelona
- Hospital Clínic de Barcelona
- Hospital de Bellvitge
- Hospital La Princesa
- Hospital Central de Asturias
- Hospital Son Espases
- Dnyepropyetrovsk Medical Academy, Clinical Hospital No. 6
- Instit.Phthisiology&Pulmon.na Yanovskiy,Non-Specif.Lung,Kyiv
- Southmead Hospital
- Royal Brompton Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Placebo, Antifibrotics at baseline
BI 1015550, Antifibrotics at baseline
Placebo, Non-antifibrotics at baseline
BI 1015550, Non-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.
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.
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.
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.