Interstitial Lung DiseasesPhase 3NCT06806592
A Study to Test Whether Nerandomilast Helps People With Lung Fibrosis Related to Rheumatic Diseases
A Phase 3 study testing Nerandomilast in people with Interstitial Lung Diseases and Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases, run by Boehringer Ingelheim at 153 sites in 16 countries.
Trial summary
Adults 18 years of age and older or above legal age with lung fibrosis related to systemic autoimmune rheumatic disease can participate in this study. People can only take part if they show no improvement in lung function after standard treatment with immunosuppressant medicine. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Interstitial Lung Diseases, Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases
- What is being tested?
- Nerandomilast
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 414 participants
- Where
- 153 sitesin 16 countries
- Study dates
- 13 Sep 2025to 28 Apr 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant has systemic autoimmune rheumatic diseases associated interstitial lung diseases (SARD-ILD), defined as
- Diagnosis by a rheumatologist (or equally qualified medical physician) with at least 1 of the following SARDs: Rheumatoid arthritis (RA), systemic sclerosis (SSc) (participants must be anticentromere auto-antibody negative), idiopathic inflammatory myopathy (IIM), Sjögren's disease, or mixed connective tissue disease (MCTD) (participants must be anti-U1-ribonucleoprotein particle (RNP) auto-antibody positive)
- Presence of fibrotic interstitial lung disease (ILD) on high-resolution computed tomography (HRCT), defined as presence of reticular abnormality with traction bronchiectasis with or without honeycombing (HC), with disease extent >10% on HRCT performed within 12 months of Visit 1 or, if historical scan is not available, on baseline HRCT taken prior to Visit 2, as confirmed by central review
- No lung function improvement and no clinically significant ILD improvement as a treatment response to immunosuppressant (IS) therapy according to both criteria:
- No improvement in absolute forced vital capacity (FVC) % predicted >5% within the 15 months prior to Visit 1, as measured by 2 spirometry assessments that must be ≥3 months apart. (Note: 1: In the case of multiple PFTs over the 15 months prior to screening, exceptional values of absolute change in FVC % predicted >5% are acceptable if the overall trend of FVC % predicted is declining or stable; note 2: Visit 1 spirometry may be used to fulfill the inclusion criterion if there is only 1 spirometry reading in the 15 months prior to Visit 1)
- No clinically significant improvement in ILD based on clinician's judgement (including symptoms, imaging/HRCT, or other assessments as considered relevant and documented by the Investigator)
Show all 14Show fewer
- FVC ≥45% of predicted normal at Visit 1
- Diffusing capacity of the lungs for carbon monoxide (DLCO) ≥25% of predicted normal corrected for haemoglobin (Hb) within 3 months prior to or at Visit 1
- Participants must be on stable treatment with any IS agent for ≥6 months (or ≥3 months for participants with IIM-ILD) prior to visit 2, with the following specifications:
- If using prednisone, participants must be on stable dose for ≥4 weeks prior to Visit 2
- If using rituximab, participants must have completed their first cycle >6 months prior to Visit 2
- If using nintedanib, participants must be on a stable dose for ≥12 weeks prior to Visit 2
- In the opinion of the Investigator, no change in background standard of care (SoC) treatment with immunosuppressant (IS), immunomodulator (IM), or nintedanib is planned
- Further inclusion criteria apply
Who cannot join
- Organising pneumonia as predominant pattern in the HRCT
- Prebronchodilator forced expiratory volume in 1 second (FEV1)/ forced vital capacity (FVC) <0.7 at Visit 1
- Acute ILD exacerbation within 3 months prior to Visit 1 and/or during the screening period, based on Investigator judgement
- Active vasculitis, unstable or uncontrolled within 8 weeks prior to Visit 1 or during the screening period
- Any suicidal behaviour in the past 2 years
- Any suicidal ideation of type 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS) in the past 3 months or at Visit 1, and/or at Visit 2
- Use of any of the following medications: cyclophosphamide within 6 months of Visit 1, pirfenidone within 8 weeks of Visit 1
- Further exclusion criteria apply
Trial locations and contacts
153 sites in 16 countries.
153 sites in 16 countries
United States31 sites
Piedmont Physicians Pulmonary & Sleep Medicine of Buckhead
Atlanta, Georgia, 30309
Augusta University
Augusta, Georgia, 30912
Rheumatology and Pulmonary Clinic
Beckley, West Virginia, 25801
University of Alabama at Birmingham
Birmingham, Alabama, 35205
Massachusetts General Hospital
Boston, Massachusetts, 02114
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Meris Clinical Research-Brandon-69466
Brandon, Florida, 33511
Northwestern University
Chicago, Illinois, 60611
The University of Chicago Medical Center
Chicago, Illinois, 60637
National Jewish Health
Denver, Colorado, 80206
Northshore University Health System
Evanston, Illinois, 60201
Northwell Health
Great Neck, New York, 11021
The University of Texas Health Science Center at Houston
Houston, Texas, 77030
University of Kansas Medical Center
Kansas City, Kansas, 66160
University of California Los Angeles
Los Angeles, California, 90095
University of Wisconsin
Madison, Wisconsin, 53792
Miami VA Healthcare System
Miami, Florida, 33125
University of Minnesota
Minneapolis, Minnesota, 55455
Yale University School of Medicine
New Haven, Connecticut, 06510
NYU Langone Health
New York, New York, 10017
Columbia University Medical Center-New York Presbyterian Hospital
New York, New York, 10032
University of Nebraska Medical Center
Omaha, Nebraska, 68198-1230
Temple Lung Center
Philadelphia, Pennsylvania, 19140
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Mayo Clinic, Rochester
Rochester, Minnesota, 55902
Onsite Clinical Solutions
Salisbury, North Carolina, 28144
University of Utah Health Sciences Center
Salt Lake City, Utah, 84108
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
Paradigm Clinical Research - San Diego
San Diego, California, 92108
Mayo Clinic-Arizona
Scottsdale, Arizona, 85259
Southeastern Research Center-Winston Salem-69289
Winston-Salem, North Carolina, 27103
Germany18 sites
Charité - Universitätsmedizin Berlin
Berlin, 10117
Immanuel-Krankenhaus GmbH
Berlin, 13125
Universitätsklinikum Bonn AöR
Bonn, 53127
Städtisches Klinikum Braunschweig gGmbH
Braunschweig, 38126
Gesundheit Nord gGmbH | Klinikverbund Bremen
Bremen, 28325
Krankenhaus Porz am Rhein gGmbH
Cologne, 51149
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
Essen, 45239
Universitätsklinikum Freiburg
Freiburg im Breisgau, 79106
Helios Fachklinik Vogelsang-Gommern GmbH
Gommern, 39245
Medizinische Hochschule Hannover
Hanover, 30625
St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
Herne, 44649
medius Kliniken gGmbH
Kirchheim unter Teck, 73230
Klinikum Konstanz
Konstanz, 78464
Universitätsklinikum Schleswig-Holstein, Campus Lübeck
Lübeck, 23538
Johannes Wesling Klinikum Minden
Minden, 32429
Klinikum der Universität München AÖR
München, 80336
Krankenhaus Barmherzige Brüder Regensburg
Regensburg, 93049
China17 sites
Beijing Chao-Yang Hospital
Beijing, 100020
China-Japan Friendship Hospital
Beijing, 100029
Peking Union Medical College Hospital
Beijing, 100730
West China Hospital, Sichuan University
Chengdu, 610041
Sichuan Provincial People's Hospital
Chengdu, 610072
Guangdong Provincial People's Hospital
Guangzhou, 510080
The First Affiliated Hospital, Zhejiang University
Hangzhou, 310003
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, 310009
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, 471000
University Hospital_Macau University of Science and Technology
Macau, 999078
The First Affiliated Hospital of Nanchang University
Nanchang, 330006
Huashan Hospital, Fudan University
Shanghai, 200040
Tianjin Medical University General Hospital
Tianjin, 30052
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430022
Tongji Hospital Affiliated Tongji Medical College Huazhong University of S & T
Wuhan, 430030
First Affiliated Hospital of Xiamen University
Xiamen, 361003
Zhuzhou Central Hospital
Zhuzhou, 412007
Japan15 sites
Fujita Health University Hospital
Aichi, Toyoake, 470-1192
Hospital of the University of Occupational and Environmental Health
Fukuoka, Kitakyushu, 807-8556
Hiroshima University Hospital
Hiroshima, Hiroshima, 734-8551
Sapporo Medical University Hospital
Hokkaido, Sapporo, 060-8543
Hokkaido University Hospital
Hokkaido, Sapporo, 060-8648
Kagawa University Hospital
Kagawa, Kita-gun, 761-0793
St. Marianna University Hospital
Kanagawa, Kawasaki, 216-8511
Kitasato University Hospital
Kanagawa, Sagamihara, 252-0375
Kyoto University Hospital
Kyoto, Kyoto, 606-8507
Nagasaki University Hospital
Nagasaki, Nagasaki, 852-8501
Osaka Medical and Pharmaceutical University Hospital
Osaka, Takatsuki, 569-8686
Saitama Medical University Hospital
Saitama, Iruma-gun, 350-0495
Nippon Medical School Hospital
Tokyo, Bunkyo-ku, 113-8603
Juntendo University Hospital
Tokyo, Bunkyo-Ku, 113-8431
Keio University Hospital
Tokyo, Shinjuku-ku, 160-8582
Spain14 sites
Hospital Santa Creu i Sant Pau
Barcelona, 08026
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital de Basurto
Bilbao, 48013
Hospital Universitario Reina Sofía
Córdoba, 14004
Hospital Juan Ramón Jimenez
Huelva, 21005
Hospital Universitari de Bellvitge
L'Hospitalet de Llobregat, 08907
Hospital Universitario Ramon Y Cajal
Madrid, 28034
Fundación Jiménez Díaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Clínico de Santiago
Santiago de Compostela, 15706
Hospital Universitario Virgen De La Macarena
Seville, 41009
Hospital Virgen del Rocio
Seville, 41013
Hospital Dr. Peset
Valencia, 46017
Complejo Hospitalario Universitario de Vigo
Vigo, 36312
United Kingdom13 sites
Antrim Area Hospital
Antrim, BT41 2RL
Royal United Hospital, Bath
Bath, BA1 3NG
Heartlands Hospital
Birmingham, B9 5SS
Chapel Allerton Hospital
Leeds, LS7 4SA
Royal Free Hospital
London, NW3 2QG
St George's Hospital
London, SW17 0QT
University College Hospital
London, WC1E 6BT
Altnagelvin Area Hospital
Londonderry, BT47 6SB
Luton & Dunstable University Hospital
Luton, LU4 8RB
NIHR Lancashire Clinical Research Facility
Preston, PR2 9HT
Northern General Hospital
Sheffield, S5 7AU
Royal Cornwall Hospital
Truro, TR1 3LJ
Southend University Hospital
Westcliffe-on-Sea, SS0 0RY
France8 sites
HOP d'Angers
Angers, 49933
HOP Pellegrin
Bordeaux, 33076
Hôpital Claude Huriez
Lille, 59037
Hôpital Cochin
Paris, 75014
HOP Bichat
Paris, 75018
HOP Sud
Rennes, 35203
HOP Civil
Strasbourg, 67091
Hôpital Rangueil - CHU de Toulouse
Toulouse, 31059
Italy7 sites
ASST degli Spedali Civili di Brescia
Brescia, 25123
A. O. Universitaria Careggi
Florence, 50134
Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico
Milan, 20122
Ospedale San Raffaele S.r.l.
Milan, 20132
Azienda Ospedaliera Universitaria di Padova
Padova, 35128
Fondazione IRCCS Policlinico S. Matteo
Pavia, 27100
AOU Policlinico Umberto I
Roma, 00161
Mexico7 sites
Investigacion y Biomedicina de Chihuahua S.C.
Chihuahua City, 31020
Centro Integral en Reumatologia, SA. de CV.
Guadalajara, 44160
Medical Care & Research SA de CV
Mérida, 97070
Soltmed Smo
Mexico City, 03650
CITER Centro de Investigación y Tratamiento de las Enfermedades Reumaticas SA de CV
Mexico City, 06700
Inst Nac de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, 14080
Hospital Universitario Dr Jose Eleuterio Gonzalez
Monterrey, 64460
Switzerland6 sites
Cantonal Hospital of Aarau
Aarau, CH-5001
Universitätsspital Basel
Basel, 4031
Hopitaux Universitaires de Geneve (HUG)
Geneva, 1205
Neuchatel Hospital Network
Neuchâtel, 2000
Kantonsspital St.Gallen
Sankt Gallen, 9007
University Hospital Zurich
Zurich, 8091
Australia5 sites
Royal Prince Alfred Hospital
Camperdown, Sydney, New South Wales, 2050
The Prince Charles Hospital
Chermside, Queensland, 4032
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Austin Hospital
Heidelberg, Victoria, 3084
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
South Korea4 sites
Seoul National University Bundang Hospital
Seongnam, 13620
Kyung Hee University Hospital
Seoul, 02447
Seoul National University Hospital
Seoul, 03080
Soonchunhyang University Hospital Seoul
Seoul, 04401
Netherlands3 sites
Zuyderland Medisch Centrum
Heerlen, 6419 PC
St. Antonius Ziekenhuis
Nieuwegein, 3435 CM
Erasmus Medisch Centrum-ROTTERDAM-50697
Rotterdam, 3015
Austria2 sites
Krems University Hospital
Krems, 3500
Klinikum Wels - Grieskirchen GmbH
Wels, 4600
Norway2 sites
Akershus Universitetssykehus HF
Nordbyhagen, 1478
Sykehuset Telemark HF, Avd. Skien
Skien, N-3710
About this study
Official title: A Double Blind, Randomised, Placebo-controlled Trial Evaluating the Efficacy and Safety of Nerandomilast Over at Least 26 Weeks in Patients With Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases (SARD-ILD)
Adults 18 years of age and older or above legal age with lung fibrosis related to systemic autoimmune rheumatic disease can participate in this study. People can only take part if they show no improvement in lung function after standard treatment with immunosuppressant medicine. The main purpose of this study is to find out how a medicine called nerandomilast affects the lungs in people with systemic autoimmune rheumatic disease.
Participants are put into 2 groups randomly, which means by chance. One group takes nerandomilast tablets and the other group takes placebo tablets. Placebo tablets look like nerandomilast tablets but do not contain any medicine. Participants take a tablet 2 times a day for at least 26 weeks and up to 1 year. Participants continue immunosuppressant treatment for their underlying rheumatic disease.
Participants are in the study for about 7.5 to 13 months depending on when they join the study. During this time, they visit the study site about 9 to 10 times. At study visits, participants have lung function tests. At select visits, chest imaging is performed. Participants fill in questionnaires about their symptoms and quality of life. The results between the 2 groups are compared to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.
- Conditions
- Interstitial Lung Diseases, Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases
- Being tested
- Nerandomilast, Placebo matching nerandomilast
- Medical subject headings
- Lung Diseases, Interstitial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NerandomilastDrug
Also called JASCAYD®
Nerandomilast
Placebo matching nerandomilastDrug
Placebo matching nerandomilast
| Study group | Role | What they receive |
|---|---|---|
| Nerandomilast | Experimental | Participants with SARD-ILDs will receive nerandomilast. Receives: Drug: Nerandomilast |
| Placebo | Placebo comparator | Participants with SARD-ILDs will receive placebo. Receives: Drug: Placebo matching nerandomilast |
What is being measured
The primary outcome is the main question the study is designed to answer.
Absolute change from baseline in quantitative interstitial lung disease (QILD) score [%] on high-resolution computed tomography (HRCT) at Week 26
QILD will be assessed via quantitative high-resolution computed tomography (qHRCT). QILD are quantitative measures of different radiological patterns associated with lung fibrosis. QLF is a measure of reticulation with architectural distortion. QGGO is a measure of ground glass opacities (i.e. hazy or cloudy areas) within the lung. QHC is a measure of HC within the lung. QILD is the sum of QLF, QGGO, and QHC.
Quantification of HRCT scans will be performed centrally via a machine learning algorithm. QILD [%] is the QILD volume [mL] as a percent of the total lung volume.
A higher QILD percentage or volume indicates a higher extent of disease.
Measured: At baseline and at Week 26
Secondary outcomes (7)
Absolute change from baseline in quantitative lung fibrosis (QLF) score [%] on HRCT at Week 26
QLF will be assessed via qHRCT. QLF are quantitative measures of different radiological patterns associated with lung fibrosis. QLF is a measure of reticulation with architectural distortion.
Quantification of HRCT scans will be performed centrally via a machine learning algorithm. QILD [%] is the QILD volume [mL] as a percent of the total lung volume.
A higher QILD percentage or volume indicates a higher extent of disease.
Measured: At baseline and at Week 26
Absolute change from baseline in quantitative ground glass opacity (QGGO) score [%] on HRCT at Week 26
QGGO will be assessed via qHRCT. QGGO are quantitative measures of different radiological patterns associated with lung fibrosis. QGGO is a measure of ground glass opacities (i.e. hazy or cloudy areas) within the lung.
Quantification of HRCT scans will be performed centrally via a machine learning algorithm.
A higher QGGO percentage or volume indicates a higher extent of disease.
Measured: At baseline and at Week 26
Absolute change from baseline in vascular volume [%] on HRCT at Week 26
Measured: At baseline and at Week 26
Absolute change from baseline in forced vital capacity (FVC) [mL] at Week 26
FVC will be assessed using standardised spirometry equipment which will be provided centrally with supplies of precalibrated disposable flow sensors. Spirometry will be conducted with the participant in a seated position. It is preferable that the same trained individual (i.e. PFT specialist or pulmonologist) performs the PFTs for a given participant. The best of 3 efforts will be defined as the highest FVC obtained on any of three blows meeting the 2019 American Thoracic Society/European Respiratory Society (ATS/ERS) criteria (with a maximum of eight attempts). Predicted normal values will be calculated according to global lung function initiative (GLI).
Measured: At baseline and at Week 26
Absolute change from baseline in supplemental oxygen use over the whole trial for oxygen users at baseline
Measured: At baseline and at Week 52
Time to first supplemental oxygen use during the trial for oxygen non-users at baseline
Measured: Up to Week 52
Occurrence of infection-related adverse events (AEs) from baseline over the duration of the trial
Measured: Up to 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2025
- Study start13 Sep 2025
- Primary completion15 Apr 2027 (estimated)
- Study completion28 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Interstitial Lung DiseasesStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 414 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06806592
- Sponsor's protocol ID
- 1305-0046
- Other IDs
- 2024-512849-17-00, U1111-1305-5857
- Status last verified
- Oct 2026
- First submitted
- 28 Jan 2025
- Last updated
- 14 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Once the criteria in section "time frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double Blind, Randomised, Placebo-controlled Trial Evaluating the Efficacy and Safety of Nerandomilast Over at Least 26 Weeks in Patients With Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases (SARD-ILD)
- ClinicalTrials.gov ID
- NCT06806592
- Acronym / sponsor ID
- 1305-0046
- Conditions
- Interstitial Lung Diseases, Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 414 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 13 Sep 2025 (actual)
- Primary completion
- 15 Apr 2027 (estimated)
- Study completion
- 28 Apr 2027 (estimated)
- First posted
- 4 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Adults 18 years of age and older or above legal age with lung fibrosis related to systemic autoimmune rheumatic disease can participate in this study. People can only take part if they show no improvement in lung function after standard treatment with immunosuppressant medicine. The main purpose of this study is to find out how a medicine called nerandomilast affects the lungs in people with systemic autoimmune rheumatic disease.
Participants are put into 2 groups randomly, which means by chance. One group takes nerandomilast tablets and the other group takes placebo tablets. Placebo tablets look like nerandomilast tablets but do not contain any medicine. Participants take a tablet 2 times a day for at least 26 weeks and up to 1 year. Participants continue immunosuppressant treatment for their underlying rheumatic disease.
Participants are in the study for about 7.5 to 13 months depending on when they join the study. During this time, they visit the study site about 9 to 10 times. At study visits, participants have lung function tests. At select visits, chest imaging is performed. Participants fill in questionnaires about their symptoms and quality of life. The results between the 2 groups are compared to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Nerandomilast | Experimental | Drug: NerandomilastParticipants with SARD-ILDs will receive nerandomilast. |
| Placebo | Placebo comparator | Drug: Placebo matching nerandomilastParticipants with SARD-ILDs will receive placebo. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Participant has systemic autoimmune rheumatic diseases associated interstitial lung diseases (SARD-ILD), defined as
- No lung function improvement and no clinically significant ILD improvement as a treatment response to immunosuppressant (IS) therapy according to both criteria:
- FVC ≥45% of predicted normal at Visit 1
- Diffusing capacity of the lungs for carbon monoxide (DLCO) ≥25% of predicted normal corrected for haemoglobin (Hb) within 3 months prior to or at Visit 1
- Participants must be on stable treatment with any IS agent for ≥6 months (or ≥3 months for participants with IIM-ILD) prior to visit 2, with the following specifications:
Key exclusion criteria (8 listed)
- Organising pneumonia as predominant pattern in the HRCT
- Prebronchodilator forced expiratory volume in 1 second (FEV1)/ forced vital capacity (FVC) <0.7 at Visit 1
- Acute ILD exacerbation within 3 months prior to Visit 1 and/or during the screening period, based on Investigator judgement
- Active vasculitis, unstable or uncontrolled within 8 weeks prior to Visit 1 or during the screening period
- Any suicidal behaviour in the past 2 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NerandomilastAlso: JASCAYD®Nerandomilast | Drug | Nerandomilast |
| Placebo matching nerandomilastPlacebo matching nerandomilast | Drug | Placebo |
Primary outcome
Absolute change from baseline in quantitative interstitial lung disease (QILD) score [%] on high-resolution computed tomography (HRCT) at Week 26
Time frame: At baseline and at Week 26
QILD will be assessed via quantitative high-resolution computed tomography (qHRCT). QILD are quantitative measures of different radiological patterns associated with lung fibrosis. QLF is a measure of reticulation with architectural distortion. QGGO is a measure of ground glass opacities (i.e. hazy or cloudy areas) within the lung. QHC is a measure of HC within the lung. QILD is the sum of QLF, QGGO, and QHC. Quantification of HRCT scans will be performed centrally via a machine learning algorithm. QILD [%] is the QILD volume [mL] as a percent of the total lung volume. A higher QILD percentage or volume indicates a higher extent of disease.
7 secondary outcomes
Absolute change from baseline in quantitative lung fibrosis (QLF) score [%] on HRCT at Week 26
Time frame: At baseline and at Week 26
Absolute change from baseline in quantitative ground glass opacity (QGGO) score [%] on HRCT at Week 26
Time frame: At baseline and at Week 26
Absolute change from baseline in vascular volume [%] on HRCT at Week 26
Time frame: At baseline and at Week 26
Absolute change from baseline in forced vital capacity (FVC) [mL] at Week 26
Time frame: At baseline and at Week 26
Absolute change from baseline in supplemental oxygen use over the whole trial for oxygen users at baseline
Time frame: At baseline and at Week 52
Time to first supplemental oxygen use during the trial for oxygen non-users at baseline
Time frame: Up to Week 52
Occurrence of infection-related adverse events (AEs) from baseline over the duration of the trial
Time frame: Up to 1 year
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2026.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Once the criteria in section "time frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
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RecruitingPhase 3
Fibrotic Disease Activity in Cardiopulmonary Disorders Using 18F-Fibroblast Activation Protein Inhibitor (18F-FAPI-74) PET/CT Imaging
Allogeneic Stem Cell Transplantation, Lung Allograft Transplantation
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
153 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nerandomilast in people with Interstitial Lung Diseases and Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases, run by Boehringer Ingelheim at 153 sites in 16 countries.
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 14 inclusion and 8 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: under way, not looking for participants, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States, Germany, China, Japan, Spain and 11 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Absolute change from baseline in quantitative interstitial lung disease (QILD) score [%] on high-resolution computed tomography (HRCT) at Week 26 (time frame: At baseline and at Week 26). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Oct 2026.