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Idiopathic Pulmonary FibrosisPhase 2NCT01136174

Safety and PK Study of BIBF 1120 in Japanese Patients With IPF

A Phase 2 study testing BIBF 1120 in people with Idiopathic Pulmonary Fibrosis, run by Boehringer Ingelheim at 8 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To investigate safety of BIBF 1120 in Japanese patients with idiopathic pulmonary fibrosis (IPF), with and without pirfenidone background treatment. To assess pharmacokinetics of BIBF 1120 in Japanese patients, with and without pirfenidone background treatment. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Idiopathic Pulmonary Fibrosis
What is being tested?
BIBF 1120
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
8 sitesJapan
Study dates
May 2010to Mar 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of idiopathic pulmonary fibrosis (IPF) according to American Thoracic Society (ATS) /European Respiratory Society (ERS) guideline
  • Forced vital capacity (FVC) 50-90%
  • Diffusing capacity for carbon monoxide (DLCO) 30-79%
  • For patients on pirfenidone, have been on a steady dose for at least 3 months

Who cannot join

  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT) > 1.5 x upper limit of normal range (ULN) at screening.
  • Bilirubin > 1.5 x ULN at screening.
  • Relevant airways obstruction (i.e. pre-bronchodilator FEV1/FVC <0.7) at screening.
  • Continuous oxygen supplementation.
  • Active infection at screening or randomisation.
  • Being treated with any of the following concomitant medications.
Show all 9Show fewer
  • Oral corticosteroid medication at unstable dose
  • ketoconazole or atazanavir
  • Patients who are expected to go on to lung transplantation, have rapidly deteriorating disease, or have a life expectancy less than 3 months from screening

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Japan8 sites
  • 1199.31.002 Boehringer Ingelheim Investigational Site

    Bunkyo-ku,Tokyo

  • 1199.31.004 Boehringer Ingelheim Investigational Site

    Hamamatsu, Shizuoka

  • 1199.31.008 Boehringer Ingelheim Investigational Site

    Himeji, Hyogo

  • 1199.31.006 Boehringer Ingelheim Investigational Site

    Nagoya, Aichi

  • 1199.31.007 Boehringer Ingelheim Investigational Site

    Sakai, Osaka

  • 1199.31.005 Boehringer Ingelheim Investigational Site

    Seto, Aichi

  • 1199.31.001 Boehringer Ingelheim Investigational Site

    Shimotsuke,Tochigi

  • 1199.31.003 Boehringer Ingelheim Investigational Site

    Yokohama, Kanagawa

Other trials in Japan

About this study

Official title: A Double-blind, Randomised, Placebo-controlled (Within a Dose Group) Study to Evaluate Safety and Pharmacokinetics of Multiple Rising Doses of BIBF 1120 at 50 mg Bid (14 Days), 100 mg Bid (14 Days), and 150 mg Bid (28 Days) p.o., on Top of Standard Medical Care With Stratification According to Pirfenidone Use, in Japanese Patients With Idiopathic Pulmonary Fibrosis.

To investigate safety of BIBF 1120 in Japanese patients with idiopathic pulmonary fibrosis (IPF), with and without pirfenidone background treatment.

To assess pharmacokinetics of BIBF 1120 in Japanese patients, with and without pirfenidone background treatment.

To assess pharmacokinetics of pirfenidone in Japanese patients, alone and in combination with BIBF 1120 treatment.

Being tested
Placebo, BIBF 1120
Medical subject headings
Idiopathic Pulmonary Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo BID for cohort 1,2,3

  • BIBF 1120Drug

    50 mg, 100 mg, 150 mg BID will be used for Cohort 1, 2, and 3 respectively

  • BIBF 1120Drug

    50 mg, 100 mg, 150 mg BID will be used for Cohort 1, 2, and 3 respectively

  • BIBF 1120Drug

    50 mg, 100 mg, 150 mg BID will be used for Cohort 1, 2, and 3 respectively

Study groups in NCT01136174
Study groupRoleWhat they receive
BIBF 1120 50 mgExperimentalLow dose for cohort 1
Receives: Drug: BIBF 1120
BIBF 1120 100 mgExperimentalMiddle dose for cohort 2
Receives: Drug: BIBF 1120
BIBF 1120 150 mgExperimentalHigh dose for cohort 3
Receives: Drug: BIBF 1120
PlaceboPlacebo comparatorPlacebo for cohort 1,2,3
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Drug-related Adverse Events

    The number of patients with drug-related adverse events stratified according to pirfenidone use in each group

    Measured: after the first drug intake until 28 days from the last treatment administration, up to 60 days

Secondary outcomes (22)
  1. AUCτ,ss After Multiple Doses of BIBF 1120 Without Pirfenidone

    AUCτ,ss was calculated as the area under the concentration-time curve of the concentration-time profile of the analyte in plasma at steady state over a uniform dosing interval τ after multiple doses of BIBF 1120 without pirfenidone in the time frame mentioned.

    Detailed outcome measure time frame:

    In 50 mg and 100 mg dose group:

    BIBF 1120:

    days 14 (-1, +3) to 17 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    In 150 mg dose group:

    BIBF 1120:

    days 28 (-1, +3) to 31 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    Measured: pre-dose, then 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose on days 14 to 17 (BIBF 1120 50 mg and 100 mg) or on days 28 to 31 (BIBF 1120 150 mg)

  2. Cmax,ss After Multiple Doses of BIBF 1120 Without Pirfenidone

    Maximum measured concentration of the analyte in plasma at steady state was identified from measurements obtained at multiple time points over a uniform dosing interval τ after multiple doses of BIBF 1120 without pirfenidone.

    Detailed outcome measure time frame:

    In 50 mg and 100 mg dose group:

    BIBF 1120:

    days 14 (-1, +3) to 17 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    In 150 mg dose group:

    BIBF 1120:

    days 28 (-1, +3) to 31 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    Measured: pre-dose, then 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose on days 14 to 17 (BIBF 1120 50 mg and 100 mg) or on days 28 to 31 (BIBF 1120 150 mg)

  3. AUCτ,ss After Multiple Doses of BIBF 1120 With Pirfenidone

    AUCτ,ss was calculated as the area under the concentration-time curve of the concentration-time profile of the analyte in plasma at steady state over a uniform dosing interval τ after multiple doses of BIBF 1120 with pirfenidone in the time frame mentioned.

    Detailed outcome measure time frame:

    In 50 mg and 100 mg dose group:

    BIBF 1120:

    days 14 (-1, +3) to 17 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    In 150 mg dose group:

    BIBF 1120:

    days 28 (-1, +3) to 31 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    Measured: pre-dose, then 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose on days 14 to 17 (BIBF 1120 50 mg and 100 mg) or on days 28 to 31 (BIBF 1120 150 mg)

  4. Cmax,ss After Multiple Doses of BIBF 1120 With Pirfenidone

    Maximum measured concentration of the analyte in plasma at steady state was identified from measurements obtained at multiple time points over a uniform dosing interval τ after multiple doses of BIBF 1120 with pirfenidone

    Detailed outcome measure time frame:

    In 50 mg and 100 mg dose group:

    BIBF 1120:

    days 14 (-1, +3) to 17 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    In 150 mg dose group:

    BIBF 1120:

    days 28 (-1, +3) to 31 at Visit 5: At pre-dose and 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose

    Measured: pre-dose, then 0.5 h, 1 h, 2 h, 3 h, 3.92 h, 6 h, 8 h, 12 h, 24 h, 48 h, 72 h after morning dose on days 14 to 17 (BIBF 1120 50 mg and 100 mg) or on days 28 to 31 (BIBF 1120 150 mg)

  5. AUC0-4,ss After Multiple Doses of Pirfenidone 600 mg Without BIBF 1120 (After Breakfast)

    AUC0-4,ss was calculated as the area under the curve of the concentration-time profile of the analyte in plasma at steady state over the time interval from 0 to 4 hours after multiple doses of Pirfenidone 600 mg without BIBF 1120 (after breakfast) in the time frame mentioned.

    Measured: Day -1 at Visit 1: At pre-dose and 0.5 h, 1 h, 2 h, 3 h after morning dose and pre-dose after lunch dose

  6. Cmax,ss After Multiple Doses of Pirfenidone 600 mg Without BIBF 1120 (After Breakfast)

    Maximum measured concentration of the analyte in plasma at steady state was identified from measurements obtained at multiple time points after multiple doses of Pirfenidone 600 mg without BIBF 1120 (after breakfast)

    Measured: Day -1 at Visit 1: At pre-dose and 0.5 h, 1 h, 2 h, 3 h after morning dose and pre-dose after lunch dose

  7. AUC0-4,ss After Multiple Doses of Pirfenidone 600 mg With BIBF 1120 (After Breakfast)

    AUC0-4,ss was calculated as the area under the concentration-time curve of the concentration-time profile of the analyte in plasma at steady state over the time interval from 0 to 4 hours after multiple doses of Pirfenidone 600 mg with BIBF 1120 (after breakfast) in the time frame mentioned.

    Measured: Day 14 at Visit 5 (BIBF 1120 50mg and 100mg) and day 28 (visit 7) (BIBF 1120 150mg): At pre-dose and 0.5 h, 1 h, 2 h, 3 h after morning dose and pre-dose after lunch dose

  8. Cmax,ss After Multiple Doses of Pirfenidone 600 mg With BIBF 1120 (After Breakfast)

    Maximum measured concentration of the analyte in plasma at steady state was identified from measurements obtained at multiple time points after multiple doses of Pirfenidone 600 mg with BIBF 1120 (after breakfast)

    Measured: Day 14 at Visit 5 (BIBF 1120 50mg and 100mg) and day 28 (visit 7) (BIBF 1120 150mg): At pre-dose and 0.5 h, 1 h, 2 h, 3 h after morning dose and pre-dose after lunch dose

  9. AUC0-8,ss After Multiple Doses of Pirfenidone 600 mg Without BIBF 1120 (After Lunch)

    AUC0-8,ss was calculated as the area under the concentration-time curve of the concentration-time profile of the analyte in plasma at steady state over the time interval from 0 to 8 hours after multiple doses of Pirfenidone 600 mg without BIBF 1120 (after lunch) in the time frame mentioned.

    Measured: Day -1 at Visit 1: at pre-dose and 0.5 h, 1 h, 2 h, 3 h, 4 h, 6 h, 8 h after lunch dose

  10. Cmax,ss After Multiple Doses of Pirfenidone 600 mg Without BIBF 1120 (After Lunch)

    Maximum measured concentration of the analyte in plasma at steady state was identified from measurements obtained at multiple time points after multiple doses of Pirfenidone 600 mg Without BIBF 1120 (after lunch)

    Measured: Day -1 at Visit 1: at pre-dose and 0.5 h, 1 h, 2 h, 3 h, 4 h, 6 h, 8 h after lunch dose

  11. AUC0-8,ss After Multiple Doses of Pirfenidone 600 mg With BIBF 1120 (After Lunch)

    AUC0-8,ss was calculated as the area under the concentration-time curve of the concentration-time profile of the analyte in plasma at steady state over the time interval from 0 to 8 hours after multiple doses of Pirfenidone 600 mg with BIBF 1120 (after lunch) in the time frame mentioned.

    Measured: Day 14 at Visit 5 (BIBF 1120 50mg and 100mg) and day 28 (visit 7) (BIBF 1120 150mg): at pre-dose and 0.5 h, 1 h, 2 h, 3 h, 4 h, 6 h, 8 h after lunch dose

  12. Cmax,ss After Multiple Doses of Pirfenidone 600 mg With BIBF 1120 (After Lunch)

    Maximum measured concentration of the analyte in plasma at steady state was identified from measurements obtained at multiple time points after multiple doses of Pirfenidone 600 mg with BIBF 1120 (after lunch)

    Measured: Day 14 at Visit 5 (BIBF 1120 50mg and 100mg) and day 28 (visit 7) (BIBF 1120 150mg): at pre-dose and 0.5 h, 1 h, 2 h, 3 h, 4 h, 6 h, 8 h after lunch dose

  13. Withdrawal Due to Adverse Event

    Number of patients prematurely discontinued from trial medication due to adverse event.

    Measured: after the first drug intake until 28 days from the last treatment administration, up to 60 days

  14. Clinical Relevant Abnormalities in Laboratory Parameters- No Pirfenidone Background

    Number of patients with Clinical Relevant Abnormalities in laboratory parameters reported as adverse events - No pirfenidone background

    Measured: after the first drug intake until 28 days from the last treatment administration, up to 60 days

  15. Clinical Relevant Abnormalities in Laboratory Parameters- With Pirfenidone Background

    Number of patients with Clinical Relevant Abnormalities in laboratory parameters reported as adverse events - With pirfenidone background

    Measured: after the first drug intake until 28 days from the last treatment administration, up to 60 days

  16. Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    Change from baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

  17. Change From Baseline in Pulse Rate

    Change from baseline in pulse rate at day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

  18. Lung Function Measurement: Diffusing Capacity for Carbon Monoxide (DLco)

    Change in diffusing capacity for carbon monoxide (DLco) from baseline to day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

  19. Lung Function Measurement: Diffusing Capacity for Carbon Monoxide Percent of Predicted (%DLco)

    Change in Diffusing Capacity for Carbon Monoxide percent of predicted (%DLco) from baseline to day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

  20. Lung Function Measurement: Forced Expiratory Volume in 1 Second (FEV1)

    Change in forced expiratory volume in 1 second (FEV1) from baseline to day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

  21. Lung Function Measurement: Forced Vital Capacity (FVC)

    Change in forced vital capacity (FVC) from baseline to day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

  22. Lung Function Measurement: Forced Vital Capacity Percent of Predicted (%FVC)

    Change in Forced Vital Capacity percent of predicted (%FVC) from baseline to day 35. Only the results for placebo and Nintedanib 150mg arm were reported for this endpoint as nintedanib 150mg is the target dose.

    Measured: baseline and day 35

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jun 2010 (estimated)
  2. Study startMay 2010
  3. Primary completionMar 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01136174
Sponsor's protocol ID
1199.31
Status last verified
Dec 2014
First submitted
31 May 2010
Last updated
6 Jan 2015

Publications

  • Ogura T, Taniguchi H, Azuma A, Inoue Y, Kondoh Y, Hasegawa Y, Bando M, Abe S, Mochizuki Y, Chida K, Kluglich M, Fujimoto T, Okazaki K, Tadayasu Y, Sakamoto W, Sugiyama Y. Safety and pharmacokinetics of nintedanib and pirfenidone in idiopathic pulmonary fibrosis. Eur Respir J. 2015 May;45(5):1382-92. doi: 10.1183/09031936.00198013. Epub 2014 Dec 10.

    PubMed 25504994

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BIBF 1120 in people with Idiopathic Pulmonary Fibrosis, run by Boehringer Ingelheim at 8 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jan 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jan 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Drug-related Adverse Events (time frame: after the first drug intake until 28 days from the last treatment administration, up to 60 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01136174, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2015.

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