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NCT01619085

Extension Trial of the Long Term Safety of BIBF 1120 in Patients With Idiopathic Pulmonary Fibrosis

Completed Phase 3 Results posted Last updated 25 March 2022
What this trial tests

Phase 3 trial testing Nintedanib in Idiopathic Pulmonary Fibrosis in 752 participants. Completed in 1 February 2021.

Timeline
6 June 2012
Primary endpoint
5 July 2017
1 February 2021

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment752
Start date6 June 2012
Primary completion5 July 2017
Estimated completion1 February 2021
Sites173 locations across Italy, Finland, Japan, Ireland, South Korea, Netherlands, Russia, Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

40 and older, any sex, with Idiopathic Pulmonary Fibrosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Incidence of Adverse Events (AEs) Primary · From first drug administration until end of treatment period + 28 days, in total up to 56.3 months plus 28 days.

This is the measure for percentage of patients with adverse events (AEs) observed during the trial. The incidence of adverse events (% of patients) over the course of the trial, including the incidence of serious AEs, AEs leading to discontinuation, and fatal AEs are presented.

Any AEs
GroupValue95% CI
Total (1199.32/.34)98.5
AEs leading to discontinuation of trial drug
GroupValue95% CI
Total (1199.32/.34)42.6
Serious AEs
GroupValue95% CI
Total (1199.32/.34)68.9
Fatal AEs
GroupValue95% CI
Total (1199.32/.34)23.8

Adverse events — posted to ClinicalTrials.gov

Time frame: From first drug administration in this study until 28 days after the last drug, up to 7.5 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Total (1199.32/.34)
Serious: 509/734 (69%)
Deaths: 182/734
Placebo (1199.32/.34)
Serious: 208/304 (68%)
Deaths: 78/304
Nintedanib 150 Bid (1199.32/.34)
Serious: 301/430 (70%)
Deaths: 104/430
Placebo (1199.187)
Serious: 0/7 (0%)
Deaths: 0/7
Nintedanib 100 Bid (1199.35)
Serious: 0/2 (0%)
Deaths: 0/2
Nintedanib 150 Bid (1199.35/.187)
Serious: 1/8 (13%)
Deaths: 0/8
Total (1199.35/.187)
Serious: 1/17 (6%)
Deaths: 0/17
Total (1199.32/.34/.35/.187)
Serious: 510/751 (68%)
Deaths: 182/751

Serious adverse events (364 terms)

ReactionSystemTotal (1199.32/.34)Placebo (1199.32/.34)Nintedanib 150 Bid (1199.3…Placebo (1199.187)Nintedanib 100 Bid (1199.35)Nintedanib 150 Bid (1199.3…Total (1199.35/.187)Total (1199.32/.34/.35/.187)
Idiopathic pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Respiratory tract infectionInfections and infestations
Lung neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HypoxiaRespiratory, thoracic and mediastinal disorders
Cardiac failureCardiac disorders
BronchitisInfections and infestations
Pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
Chest painGeneral disorders
Pulmonary arterial hypertensionRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
CholelithiasisHepatobiliary disorders
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders
Atrial fibrillationCardiac disorders
Coronary artery diseaseCardiac disorders
Lower respiratory tract infectionInfections and infestations
SyncopeNervous system disorders
Cor pulmonaleCardiac disorders
SepsisInfections and infestations
Other adverse events (34 terms — click to expand)

ReactionSystemTotal (1199.32/.34)Placebo (1199.32/.34)Nintedanib 150 Bid (1199.3…Placebo (1199.187)Nintedanib 100 Bid (1199.35)Nintedanib 150 Bid (1199.3…Total (1199.35/.187)Total (1199.32/.34/.35/.187)
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
NauseaGastrointestinal disorders
BronchitisInfections and infestations
Weight decreasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Upper respiratory tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Idiopathic pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
HypertensionVascular disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Abdominal pain upperGastrointestinal disorders
DizzinessNervous system disorders
Respiratory tract infectionInfections and infestations
PneumoniaInfections and infestations
PyrexiaGeneral disorders
HeadacheNervous system disorders
Lower respiratory tract infectionInfections and infestations
AstheniaGeneral disorders
Chest painGeneral disorders
RhinitisInfections and infestations
InfluenzaInfections and infestations
InsomniaPsychiatric disorders
Productive coughRespiratory, thoracic and mediastinal disorders
CataractEye disorders
AnxietyPsychiatric disorders
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Idiopathic pulmonary fibrosis, Pneumonia, Pulmonary hypertension, Dyspnoea, Respiratory failure, Pulmonary embolism, Acute respiratory failure, Pneumothorax.

Data from ClinicalTrials.gov NCT01619085 adverse events section.

Sponsor's own description

The aim of this extension trial is to assess the long-term safety of BIBF 1120 treatment in patients with Idiopathic Pulmonary Fibrosis who have completed one year treatment and the follow up period in the double-blind phase III placebo controlled parent trials (1199.32 and 1199.34), who wish to continue treatment with BIBF 1120.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Long-term safety and tolerability of nintedanib in patients with idiopathic pulmonary fibrosis: results from the open-label extension study, INPULSIS-ON.
    Crestani B, Huggins JT, Kaye M, Costabel U, et al · · 2019 · cited 169× · PMID 30224318 · DOI 10.1016/s2213-2600(18)30339-4
  2. Safety and survival data in patients with idiopathic pulmonary fibrosis treated with nintedanib: pooled data from six clinical trials.
    Lancaster L, Crestani B, Hernandez P, Inoue Y, et al · · 2019 · cited 135× · PMID 31179001 · DOI 10.1136/bmjresp-2018-000397
  3. First Data on Efficacy and Safety of Nintedanib in Patients with Idiopathic Pulmonary Fibrosis and Forced Vital Capacity of ≤50 % of Predicted Value.
    Wuyts WA, Kolb M, Stowasser S, Stansen W, et al · · 2016 · cited 83× · PMID 27377558 · DOI 10.1007/s00408-016-9912-1
  4. Idiopathic pulmonary fibrosis: current treatment options and critical appraisal of nintedanib.
    Bonella F, Stowasser S, Wollin L. · · 2015 · cited 38× · PMID 26715838 · DOI 10.2147/dddt.s76648
  5. Long-term treatment with nintedanib in Asian patients with idiopathic pulmonary fibrosis: Results from INPULSIS®-ON.
    Song JW, Ogura T, Inoue Y, Xu Z, et al · · 2020 · cited 30× · PMID 31329360 · DOI 10.1111/resp.13647
  6. Using Data on Survival with Idiopathic Pulmonary Fibrosis to Estimate Survival with Other Types of Progressive Fibrosis Interstitial Lung Disease: A Bayesian Framework.
    Langford B, Diamantopoulos A, Maher TM, Inoue Y, et al · · 2022 · cited 7× · PMID 34957531 · DOI 10.1007/s12325-021-02014-z
  7. Patient Profile-Based Management with Nintedanib in Patients with Idiopathic Pulmonary Fibrosis.
    Viswanathan VK, Ghoshal AG, Mohan A, Patil K, et al · · 2024 · cited 3× · PMID 39340742 · DOI 10.1007/s41030-024-00271-1
  8. An adjudication algorithm for respiratory-related hospitalisation in idiopathic pulmonary fibrosis.
    Ford P, Kreuter M, Brown KK, Wuyts WA, et al · · 2024 · cited 3× · PMID 38288082 · DOI 10.1183/23120541.00636-2023

Verify or expand the search:

Other trials of Nintedanib

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Other Boehringer Ingelheim trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing