AzTrials
AzTrials

Fibrosing Interstitial Lung DiseasePhase 3NCT07366034

A Study to Find Out How Nerandomilast is Tolerated, Handled by the Body, and if it Helps Children and Adolescents With Interstitial Lung Disease (FIBRONEER-chILD)

A Phase 3 study testing Nerandomilast in people with Fibrosing Interstitial Lung Disease, run by Boehringer Ingelheim at 47 sites in 22 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study is open to children and adolescents aged 2 to 17 years with interstitial lung disease (ILD). Nerandomilast has just been approved in some countries to help adults with a lung condition called idiopathic pulmonary fibrosis. Read more about this study

Who is it for?
Ages 2 to 17 years
Conditions the study is for
Fibrosing Interstitial Lung Disease
What is being tested?
Nerandomilast
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
35 participants
Where
47 sitesin 22 countries
Study dates
21 Jul 2026to 14 Apr 2031
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 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children and adolescents 2 to <18 years old at Visit 2.
  • Participants with evidence of fibrosing ILD on high-resolution computed tomography (HRCT) within 12 months of Visit 1 as assessed by the investigator and confirmed by central review.
  • For children ≥6 years: Participants with forced vital capacity (FVC) % predicted ≥25% at Visit 2.
  • Participants with clinically significant fibrosing ILD at Visit 2, as assessed by the investigator based on any of the following:
  • Fan score ≥3, or
  • Documented evidence of clinical progression over time based on either
Show all 11Show fewer
  • a 5-10% relative decline in FVC % predicted accompanied by worsening symptoms, or
  • a ≥10% relative decline in FVC % predicted, or
  • increased fibrosis on HRCT, or
  • other measures of clinical worsening attributed to progressive lung disease (e.g. increased oxygen requirement, decreased diffusion capacity).
  • Further inclusion criteria apply.

Who cannot join

  • Previous treatment with nerandomilast.
  • Participants treated with other oral/systemic PDE4 and non-selective PDE inhibitors within 30 days before Visit 1.
  • Participants treated with pirfenidone in the 8 weeks prior to Visit 1.
  • Unstable pulmonary arterial hypertension (PAH).
  • Active vasculitis, unstable or uncontrolled within 8 weeks prior to Visit 1 or during the screening period.
  • Any suicidal behaviour (i.e. actual attempt, interrupted attempt, aborted attempt, or preparatory acts or behaviour) in the past (lifetime).
Show all 9Show fewer
  • Any suicidal ideation of type 4 or 5 on the columbia suicidal severity rating scale (C-SSRS) in the past 3 months at Visit 1 or at Visit 2 (i.e. active suicidal thought with method and intent but without specific plan; or active suicidal thought with method, intent, and plan).
  • Participants with clinically significant depression symptoms defined as the short version of mood and feeling questionnaire (SMFQ) score ≥8.
  • Further exclusion criteria apply.

Trial locations and contacts

47 sites in 22 countries. Contact the study team or a site near you to ask about taking part.

47 sites in 22 countries

United States7 sites, 7 recruiting
  • Children's Hospital Colorado

    Aurora, Colorado, 80045

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Not yet recruiting
  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Not yet recruiting
  • Boston Children's Hospital

    Boston, Massachusetts, 02115

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Recruiting
  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Not yet recruiting
  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Not yet recruiting
  • M Health Fairview Masonic Children's Hospital

    Minneapolis, Minnesota, 55454

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Not yet recruiting
  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

    Not yet recruiting

Other trials in United States

France5 sites, 5 recruiting
  • HOP Femme Mère Enfant

    Bron, 69677

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

    Recruiting
  • HOP Intercommunal

    Créteil, 94000

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

    Not yet recruiting
  • HOP Timone

    Marseille, 13387

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

    Not yet recruiting
  • HOP Armand-Trousseau

    Paris, 75012

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

    Not yet recruiting
  • HOP Necker - Enfants Malades

    Paris, 75015

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

    Recruiting

Other trials in France

Brazil4 sites, 4 recruiting
  • Serviços Medicos Respirar Sul Fluminense

    Barra Mansa, 27323240

    Boehringer Ingelheim, 08008919295, brasil@bitrialsupport.com

    Recruiting
  • Associação dos Funcionários Públicos do Estado do Rio Grande do Sul - Hospital Ernesto Dorneles

    Porto Alegre, 90160-093

    Boehringer Ingelheim, 08008919295, brasil@bitrialsupport.com

    Recruiting
  • IMIP Pernambuco

    Recife, 50070-550

    Boehringer Ingelheim, 08008919295, brasil@bitrialsupport.com

    Recruiting
  • Centro de Pesquisa Clinica do Instituto da Crianca - HCFMUSP

    São Paulo, 5403-900

    Boehringer Ingelheim, 08008919295, brasil@bitrialsupport.com

    Recruiting

Other trials in Brazil

China3 sites, 3 recruiting
  • Beijing Children's Hospital, Capital Medical University

    Beijing, 100045

    Boehringer Ingelheim, 4001200553, china@bitrialsupport.com

    Recruiting
  • Hunan Provincial People's Hospital

    Changsha, 410005

    Boehringer Ingelheim, 4001200553, china@bitrialsupport.com

    Recruiting
  • The Children's Hospital of Fudan University

    Shanghai, 201102

    Boehringer Ingelheim, 4001200553, china@bitrialsupport.com

    Recruiting

Other trials in China

Germany3 sites, 3 recruiting
  • Charité - Universitätsmedizin Berlin

    Berlin, 13353

    Boehringer Ingelheim, 08007234742, deutschland@bitrialsupport.com

    Recruiting
  • Hamburger Zentrum für Kinder- und Jugendrheumatologie

    Hamburg, 22081

    Boehringer Ingelheim, 08007234742, deutschland@bitrialsupport.com

    Not yet recruiting
  • Medizinische Hochschule Hannover

    Hanover, 30625

    Boehringer Ingelheim, 08007234742, deutschland@bitrialsupport.com

    Recruiting

Other trials in Germany

Japan3 sites, 3 recruiting
  • Fukuoka Children's Hospital

    Fukuoka, Fukuoka, 813-0017

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

    Not yet recruiting
  • Osaka Women's and Children's Hospital

    Osaka, Izumi, 594-1101

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

    Not yet recruiting
  • National Center for Child Health and Development

    Tokyo, Setagaya-ku, 157-8535

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

    Recruiting

Other trials in Japan

Canada2 sites, 2 recruiting
  • Alberta Children's Hospital

    Calgary, Alberta, T3B 6A8

    Boehringer Ingelheim, 18336022346, canada@bitrialsupport.com

    Not yet recruiting
  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

    Boehringer Ingelheim, 18336022346, canada@bitrialsupport.com

    Not yet recruiting

Other trials in Canada

Finland2 sites, 2 recruiting
  • HUS Lasten ja nuorten sairaudet, Kliinisen tutkimuksen yksikkö

    Helsinki, PL 281, 00029

    Not yet recruiting
  • Tampere University Hospital

    Tampere, 33520

    Boehringer Ingelheim, 0800918118, suomi@bitrialsupport.com

    Recruiting

Other trials in Finland

Italy2 sites, 2 recruiting
  • Istituto G. Gaslini

    Genova, 16147

    Boehringer Ingelheim, 800977373, italia@bitrialsupport.com

    Recruiting
  • Ospedale Pediatrico Bambino Gesù

    Roma, 00165

    Boehringer Ingelheim, 800977373, italia@bitrialsupport.com

    Not yet recruiting

Other trials in Italy

Mexico2 sites, 2 recruiting
  • Centro de Investigacion Clinica y Medicina Traslacional (CIMeT)

    Guadalajara, 44340

    Boehringer Ingelheim, 018000623749, mexico@bitrialsupport.com

    Not yet recruiting
  • Clinical Research Institute S.C.

    Tlalnepantla, 54055

    Boehringer Ingelheim, 018000623749, mexico@bitrialsupport.com

    Not yet recruiting

Other trials in Mexico

Spain2 sites, 2 recruiting
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

    Boehringer Ingelheim, 900876092, espana@bitrialsupport.com

    Recruiting
  • Hospital Virgen del Rocio

    Seville, 41013

    Boehringer Ingelheim, 900876092, espana@bitrialsupport.com

    Recruiting

Other trials in Spain

United Kingdom2 sites, 2 recruiting
  • Birmingham Children's Hospital

    Birmingham, B4 6NH

    Boehringer Ingelheim, 08000514022, unitedkingdom@bitrialsupport.com

    Not yet recruiting
  • King's College Hospital

    London, SE5 9RS

    Boehringer Ingelheim, 08000514022, unitedkingdom@bitrialsupport.com

    Not yet recruiting

Other trials in United Kingdom

Argentina1 site, 1 recruiting
  • Fundacion Respirar

    CABA, 1426

    Boehringer Ingelheim, 08002667801, argentina@bitrialsupport.com

    Recruiting

Other trials in Argentina

Australia1 site, 1 recruiting
  • Women's and Children's Hospital

    North Adelaide, South Australia, 5006

    Boehringer Ingelheim, 1800271035, australia@bitrialsupport.com

    Recruiting

Other trials in Australia

Belgium1 site, 1 recruiting
  • Brussels - UNIV HUDERF

    Brussels, 1020

    Boehringer Ingelheim, 080049616, belgique@bitrialsupport.com

    Recruiting

Other trials in Belgium

Czechia1 site, 1 recruiting
  • University Hospital Motol

    Prague, 150 00

    Boehringer Ingelheim, 800142046, cesko@bitrialsupport.com

    Not yet recruiting

Other trials in Czechia

Denmark1 site, 1 recruiting
  • Aarhus University Hospital

    Aarhus N, 8200

    Boehringer Ingelheim, 80711822, danmark@bitrialsupport.com

    Not yet recruiting

Other trials in Denmark

Greece1 site, 1 recruiting
  • Aristotle University, Thessaloniki

    Thessaloniki, 54642

    Boehringer Ingelheim, 008000000092, hellas@bitrialsupport.com

    Not yet recruiting

Other trials in Greece

Netherlands1 site, 1 recruiting
  • Amsterdam University Medical Center

    Amsterdam, 1105 AZ

    Boehringer Ingelheim, 08000204613, nederland@bitrialsupport.com

    Not yet recruiting

Other trials in Netherlands

Poland1 site, 1 recruiting
  • University Clinical Center of the Medical University of Warsaw

    Warsaw, 02 091

    Boehringer Ingelheim, 008001218830, polska@bitrialsupport.com

    Not yet recruiting

Other trials in Poland

Portugal1 site, 1 recruiting
  • ULS de Santa Maria, E.P.E

    Lisbon, 1649-035

    Boehringer Ingelheim, 800856070, portugal@bitrialsupport.com

    Not yet recruiting

Other trials in Portugal

South Korea1 site, 1 recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Boehringer Ingelheim, 0808802084, namhan@bitrialsupport.com

    Recruiting

Other trials in South Korea

About this study

Official title: A Study to Evaluate the Dose-exposure, Safety, and Exploratory Efficacy of Nerandomilast in Children and Adolescents From 2 Years to Less Than 18 Years of Age With Fibrosing Interstitial Lung Disease (Part A: Double-blind, Placebo-controlled in Children From 6 to Less Than 18 Years of Age and Open-label Active Treatment in Children From 2 to Less Than 6 Years of Age), Followed by an Open-label Phase With Active Treatment (Part B)

This study is open to children and adolescents aged 2 to 17 years with interstitial lung disease (ILD). Nerandomilast has just been approved in some countries to help adults with a lung condition called idiopathic pulmonary fibrosis. The purpose of this study is to understand how nerandomilast is tolerated and handled by the body and whether nerandomilast also helps children and adolescents with ILD.

For participants aged 6 to 17 years when joining, the study has 2 parts. In the first part, participants are put into 1 of 2 groups randomly, which means by chance. One group gets nerandomilast and the other group placebo. Placebo looks like nerandomilast but does not contain any medicine.

Read more

Participants are twice as likely to be in the nerandomilast group. They take tablets twice a day for 6 months. After these 6 months, in the second part of this study, they get nerandomilast for at least 2 years regardless of what they got in the first part.

Young participants aged 2 to 5 years when joining get nerandomilast from the start. They receive tablets twice a day for at least 2 and a half years.

Depending on when a person joins, the study lasts between 2 and a half years and up to 5 years. During this time, participants may visit the study site about 18 to 30 times. Study doctors collect blood samples to check participants' health and to find out how their body handles the study medicine. Doctors also check the function of the lungs, body growth, and how participants feel. The study doctors also regularly check participants' health and take note of any changes. For participants aged 6 to 17 years, the results are compared between the groups to see whether nerandomilast treatment helps children and adolescents.

Being tested
Nerandomilast, Placebo

What participants receive

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

  • NerandomilastDrug

    Also called JASCAYD®

    Nerandomilast

  • PlaceboDrug

    Placebo

Study groups in NCT07366034
Study groupRoleWhat they receive
Participants aged 2 to <6 yearsExperimentalPart A and Part B: Nerandomilast (open-label)
Receives: Drug: Nerandomilast
Participants aged 6 to <18 years, group 1ExperimentalPart A: Nerandomilast (blinded), Part B: Nerandomilast (open-label)
Receives: Drug: Nerandomilast
Participants aged 6 to <18 years, group 2ExperimentalPart A: Placebo (blinded), Part B: Nerandomilast (open-label)
Receives: Drug: Placebo

What is being measured

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

  1. Area under the concentration curve (AUC) T,SS based on sampling at steady state using rich sampling in participants from 6 years to less than 18 years and sparse sampling in participants younger than 6 years

    Measured: At week 2 in Part A and Week 28 in Part B

  2. Occurrence of a treatment-emergent adverse event

    Measured: up to Week 26

Secondary outcomes (11)
  1. Absolute change from baseline in oxygen saturation (SpO2) [%] on room air at rest

    Measured: at Week 26 and Week 52

  2. Absolute change from baseline in height [cm]

    Measured: at Week 26 and Week 52

  3. Absolute change from baseline in pediatric quality of life inventory (PedsQL™)

    Health-related quality of life will be assessed in children using the PedsQL™ questionnaire. For younger children who are unable to perform self-assessment, a parent proxy may be required. The score ranges from 0-100, a higher score indicates a better health related quality of life.

    Measured: at Week 26 and Week 52

  4. Occurrence of a treatment-emergent adverse event (Yes/No) over the whole trial

    Measured: up to 5 years

  5. Time to first respiratory-related hospitalisation [days] over the whole trial

    Measured: up to 5 years

  6. Time to first acute interstitial lung disease (ILD) exacerbation or death [days] over the whole trial

    Measured: up to 5 years

  7. Time to death [days] over the whole trial

    Measured: up to 5 years

  8. Acceptability based on number/size of tablets

    Acceptability is defined as the overall ability and willingness of the participant to use the medicinal product as intended.

    Assessment of acceptability will be performed by the participant using the acceptability questionnaire.

    Measured: at Week 2 and Week 26

  9. Acceptability based on the use of the dispenser

    Measured: at Week 2 and Week 26

  10. Absolute change from baseline in FVC [% predicted] (applicable to participants ≥6 years)

    Measured: at Week 26 and Week 52

  11. Absolute change from baseline in 6-min walk distance [m] (applicable to participants ≥6 years)

    Measured: at Week 26 and Week 52

Timeline

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

  1. First posted26 Jan 2026
  2. Study start21 Jul 2026
  3. Primary completion27 Apr 2029 (estimated)
  4. Study completion14 Apr 2031 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Part A: * double-blind, placebo-controlled in children from 6 to less than 18 years of age * and open-label active treatment in children from 2 to less than 6 years of age Part B: \- open-label phase with active treatment
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07366034
Sponsor's protocol ID
1305-0022
Other IDs
2025-523369-32-00, 1111-1326-6351, 2025
Status last verified
Oct 2026
First submitted
23 Jan 2026
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nerandomilast in people with Fibrosing Interstitial Lung Disease, run by Boehringer Ingelheim at 47 sites in 22 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 11 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: looking for participants now, as of the sponsor's last update on 13 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 47 sites in United States, France, Brazil, China, Germany and 17 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. 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?

Contact Boehringer Ingelheim (1-800-243-0127, clintriage.rdg@boehringer-ingelheim.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area under the concentration curve (AUC) T,SS based on sampling at steady state using rich sampling in participants from 6 years to less than 18 years and sparse sampling in participants younger than 6 years (time frame: At week 2 in Part A and Week 28 in Part B). The study lists 2 primary outcomes in all. 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 13 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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