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Trial ยท NCT05321069

A Study to Find Out Whether BI 1015550 Improves Lung Function in People With Idiopathic Pulmonary Fibrosis (IPF)

NCT05321069, Phase 3, Completed, Boehringer Ingelheim; results first posted 2025-09-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Find Out Whether BI 1015550 Improves Lung Function in People With Idiopathic Pulmonary Fibrosis (IPF). Trials, record NCT05321069. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05321069

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Find Out Whether BI 1015550 Improves Lung Function in People With Idiopathic Pulmonary Fibrosis (IPF)
NCT number
NCT05321069
Status
Completed
Phases
Phase 3
Enrollment
1,177 participants, actual
Lead sponsor
Boehringer Ingelheim
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
BI 1015550, Placebo
First posted
2022-04-11
Last updated
2025-10-20
Other registries' IDs
eudract:2022-001091-34
Results first posted
2025-09-12

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAbsolute Change From Baseline in Forced Vital Capacity (FVC) [mL] at Week 52
The MMRM model is a longitudinal analysis, and it incorporated FVC measurements from baseline (Week -8 to Week -1) and Week 2, Week 6, Week 12, Week 18, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52
The absolute change from baseline in Forced Vital Capacity (FVC) \[mL\] at Week 52 is reported. The absolute change from baseline in forced vital capacity (FVC) at Week 52 was analyzed using a restricted maximum likelihood (REML)-based mixed model with repeated measures (MMRM). The model included fixed categorical effects of treatment and baseline antifibrotic use at each visit, as well as the continuous effect of baseline FVC. Visit was treated as a repeated measure, with an unstructured covariance structure for within-patient variability.
Secondary
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
From first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.
Time to the first occurrence of any component of the composite endpoint-acute IPF exacerbation, hospitalization for a respiratory cause, or death (whichever occurred first)-is reported as the number of participants who experienced one or more of these events during the trial. Acute IPF is defined as an acute, clinically significant respiratory deterioration characterized by evidence of new, widespread alveolar abnormality, with all of the following: Acute worsening or development of dyspnea, typically of less than 1 month's duration. Computed tomography showing new bilateral ground-glass opacity and/or consolidation superimposed on a background pattern consistent with IPF. Deterioration not fully explained by cardiac failure or fluid overload. If more than one component occurred on the same day, the patient was counted under the first event according to the following hierarchy: acute IPF exacerbation, hospitalization, death.
SecondaryTime to First Acute IPF Exacerbation or Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.
The time to first acute IPF exacerbation or death during the trial is reported as the number of participants who experienced either event. Acute IPF is defined as an acute, clinically significant respiratory deterioration characterized by evidence of new, widespread alveolar abnormality, with all of the following: Acute worsening or development of dyspnea, typically of less than 1 month's duration. Computed tomography showing new bilateral ground-glass opacity and/or consolidation superimposed on a background pattern consistent with IPF. Deterioration not fully explained by cardiac failure or fluid overload. If more than one component occurred on the same day, the patient was counted under the first event according to the following hierarchy: acute IPF exacerbation followed by death.
SecondaryTime to Hospitalization for Respiratory Cause or Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.
Time to hospitalization for respiratory cause or death over the duration of the trial is reported as the number of participants who experienced either event. Hospitalizations due to respiratory causes were recorded on a specific non-elective hospitalization CRF page. This page captured the hospitalization date, confirmation of a respiratory cause, and the primary admission diagnosis. If more than one component occurred on the same day, the patient was counted under the first event according to the hierarchy: hospitalization for respiratory cause, followed by death.
SecondaryTime to Absolute Decline in Forced Vital Capacity (FVC) % Predicted of >10% From Baseline or Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.
The time to absolute decline of more than 10% from baseline in forced vital capacity (FVC) percent predicted, or death, over the duration of the trial is reported as the number of participants who experienced either event. If more than one component occurred on the same day, the patient was counted under the first event according to the hierarchy; Absolute decline in FVC % predicted of \> 10% followed by death.
SecondaryTime to Absolute Decline in Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO) Percentage Predicted by More Than 15% From Baseline or Death, Measured Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.
The time to absolute decline of more than 15% from baseline in diffusing capacity of the lungs for carbon monoxide (DLCO) percent predicted, or death, over the duration of the trial is reported as the number of participants who experienced either event. Predicted DLCO value was corrected for hemoglobin (Hb). If more than one component occurred on the same day, the patient was counted under the first event according to the hierarchy: Absolute decline in DLCO % predicted of \> 15%, followed by Death.
SecondaryTime to Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.
Time to death over the duration of the trial is reported as the number of participants who died. Time to death will be based either on the date of death on the AE report for patients with AEs leading to death or will be based on the information from the vital status assessment.
SecondaryAbsolute Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Symptoms Dyspnea Domain Score at Week 52
The MMRM model is a longitudinal analysis and it incorporated L-PF measurements from baseline (Week -8 to Week -1) and Week 12, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52.
The absolute change from baseline in the Living with Pulmonary Fibrosis (L-PF) Symptoms Dyspnea domain score at Week 52 is reported. This endpoint was analyzed using a Mixed Model for Repeated Measures (MMRM). The model included fixed effects for treatment, baseline use of antifibrotic therapy, and baseline dyspnea score at each visit, with an unstructured covariance structure to model repeated measures. The Living with Pulmonary Fibrosis (L-PF) questionnaire is a 44-item tool consisting of two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module yields three domain scores: Dyspnea, Cough, and Fatigue, as well as a Total Symptoms score. Scoring is based on the mean of item ratings within each domain, multiplied by 100. Scores range from 0 to 100, with higher scores indicating greater impairment.
SecondaryAbsolute Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Symptoms Cough Domain Score at Week 52
The MMRM model is a longitudinal analysis and it incorporated L-PF measurements from baseline (Week -8 to Week -1) and Week 12, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52.
The absolute change from baseline in the L-PF Cough domain score at Week 52 is reported. This endpoint was analyzed using a Mixed Model for Repeated Measures (MMRM). The model included fixed effects for treatment, baseline antifibrotic therapy, and baseline L-PF Cough score at each visit, with an unstructured covariance matrix for repeated measures. The Living with Pulmonary Fibrosis (L-PF) questionnaire is a 44-item tool consisting of two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module yields three domain scores: Dyspnea, Cough, and Fatigue, as well as a Total Symptoms score. Scoring is based on the mean of item ratings within each domain, multiplied by 100. Scores range from 0 to 100, with higher scores indicating greater impairment.
SecondaryAbsolute Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Symptoms Fatigue Domain Score at Week 52
The MMRM model is a longitudinal analysis and it incorporated L-PF measurements from baseline (Week -8 to Week -1) and Week 12, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52.
The absolute change from baseline in the Living with Pulmonary Fibrosis (L-PF) Fatigue domain score at Week 52 is reported. The analysis used a mixed model for repeated measures (MMRM) with fixed categorical effects for treatment, baseline antifibrotic (AF) therapy, and the fixed continuous effect of baseline L-PF score. Covariance was unstructured. Baseline AF therapy was a covariate. The Living with Pulmonary Fibrosis (L-PF) questionnaire is a 44-item tool consisting of two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module yields three domain scores: Dyspnea, Cough, and Fatigue, as well as a Total Symptoms score. Scoring is based on the mean of item ratings within each domain, multiplied by 100. Scores range from 0 to 100, with higher scores indicating greater impairment.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAbsolute Change From Baseline in Forced Vital Capacity (FVC) [mL] at Week 52
The MMRM model is a longitudinal analysis, and it incorporated FVC measurements from baseline (Week -8 to Week -1) and Week 2, Week 6, Week 12, Week 18, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52
Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug. only patients with baseline measurement and at least one post-baseline measurement are included.
Milliliters (mL)LEAST_SQUARES_MEAN
SECONDARY
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
From first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to First Acute IPF Exacerbation or Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Hospitalization for Respiratory Cause or Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Absolute Decline in Forced Vital Capacity (FVC) % Predicted of >10% From Baseline or Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Absolute Decline in Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO) Percentage Predicted by More Than 15% From Baseline or Death, Measured Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Death Over the Duration of the TrialFrom first administration of any trial drug (Nerandomilast or Placebo) up to 22.9 months.Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAbsolute Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Symptoms Dyspnea Domain Score at Week 52
The MMRM model is a longitudinal analysis and it incorporated L-PF measurements from baseline (Week -8 to Week -1) and Week 12, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52.
Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug. Only patients with baseline measurement and at least one post-baseline measurement are included.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYAbsolute Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Symptoms Cough Domain Score at Week 52
The MMRM model is a longitudinal analysis and it incorporated L-PF measurements from baseline (Week -8 to Week -1) and Week 12, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52.
Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug. Only patients with baseline measurement and at least one post-baseline measurement are included.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYAbsolute Change From Baseline in Living With Pulmonary Fibrosis (L-PF) Symptoms Fatigue Domain Score at Week 52
The MMRM model is a longitudinal analysis and it incorporated L-PF measurements from baseline (Week -8 to Week -1) and Week 12, Week 26, Week 36, Week 44 and Week 52. The data represent the Least Squares Mean at Week 52.
Full Analysis Set (FAS): This patient set includes all randomized patients who received at least one dose of study drug. Only patients with baseline measurement and at least one post-baseline measurement are included.
Score on a scaleLEAST_SQUARES_MEAN

Results by group54

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Absolute Change From Baseline in Forced Vital Capacity (FVC) [mL] at Week 52Placebo-183.4895% Confidence Interval -210.86 to -156.10Milliliters (mL)
Absolute Change From Baseline in Forced Vital Capacity (FVC) [mL] at Week 52Nerandomilast 9 mg BID-138.6095% Confidence Interval -165.59 to -111.61Milliliters (mL)
Absolute Change From Baseline in Forced Vital Capacity (FVC) [mL] at Week 52Nerandomilast 18 mg BID-114.6595% Confidence Interval -141.81 to -87.50Milliliters (mL)
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
PlaceboAcute IPF exacerbation as the first event38Participants
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
Nerandomilast 9 mg BIDAcute IPF exacerbation as the first event32Participants
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
Nerandomilast 18 mg BIDAcute IPF exacerbation as the first event38Participants
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
PlaceboHospitalisation for respiratory cause as the first event49Participants
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
Nerandomilast 9 mg BIDHospitalisation for respiratory cause as the first event45Participants
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
Nerandomilast 18 mg BIDHospitalisation for respiratory cause as the first event47Participants
Key Secondary Endpoint: Time to the First Occurrence of Any of the Components of the Composite Endpoint: Time to First Acute IPF Exacerbation, First Hospitalization for Respiratory Cause, or Death (Whichever Occurs First) Over the Duration of the Trial
PlaceboDeath as the first event16Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo393
Overall StudySTARTEDNerandomilast 9 mg BID392
Overall StudySTARTEDNerandomilast 18 mg BID392
Overall StudyCompleted Treatment Period A (52 Weeks)Placebo320
Overall StudyCompleted Treatment Period A (52 Weeks)Nerandomilast 9 mg BID324
Overall StudyCompleted Treatment Period A (52 Weeks)Nerandomilast 18 mg BID318
Overall StudyCOMPLETEDPlacebo292
Overall StudyCOMPLETEDNerandomilast 9 mg BID298
Overall StudyCOMPLETEDNerandomilast 18 mg BID299
Overall StudyNOT COMPLETEDPlacebo101

Adverse events1,140

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersPlacebo75393
otherDiarrhoeaGastrointestinal disordersNera 9 mg BID130392
otherDiarrhoeaGastrointestinal disordersNera 18 mg BID166392
otherNauseaGastrointestinal disordersPlacebo28393
otherNauseaGastrointestinal disordersNera 9 mg BID39392
otherNauseaGastrointestinal disordersNera 18 mg BID33392
otherVomitingGastrointestinal disordersPlacebo19393
otherVomitingGastrointestinal disordersNera 9 mg BID19392
otherVomitingGastrointestinal disordersNera 18 mg BID21392
otherCondition aggravatedGeneral disordersPlacebo27393

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo42393
Total, all-cause mortalityNera 9 mg BID36392
Total, all-cause mortalityNera 18 mg BID26392
Total, other adverse eventsPlacebo316393
Total, other adverse eventsNera 9 mg BID319392
Total, other adverse eventsNera 18 mg BID337392
Total, serious adverse eventsPlacebo181393
Total, serious adverse eventsNera 9 mg BID159392
Total, serious adverse eventsNera 18 mg BID165392

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37597969DERIVEDPubMed
40387033DERIVEDPubMed
41345848DERIVEDPubMed
42890786DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05321069

GET https://conductscience.org/api/trials/v1/NCT05321069/results?page=2