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NCT05285982

A Study to Evaluate Long-term Safety of Nintedanib in Children and Adolescents With Interstitial Lung Disease (InPedILD®-ON)

Completed Phase 3 Results posted Last updated 4 March 2026
What this trial tests

Phase 3 trial testing Nintedanib (Ofev®) in Lung Diseases, Interstitial in 54 participants. Completed in 13 August 2025.

Timeline
6 April 2022
Primary endpoint
13 August 2025
13 August 2025

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment54
Start date6 April 2022
Primary completion13 August 2025
Estimated completion13 August 2025
Sites28 locations across France, Italy, Finland, Greece, Belgium, United Kingdom, Germany, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

Adults 6 to 17, any sex, with Lung Diseases, Interstitial. 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.

Number of Patients With Treatment-emergent Adverse Events (AEs) Over the Whole Trial Primary · From first drug administration until end of residual effect period (REP) 28 days after the last dose of trial medication, up to 1127 days.

Number of patients with treatment-emergent adverse events (AEs) over the whole trial.

GroupValue95% CI
Nintedanib53

Adverse events — posted to ClinicalTrials.gov

Time frame: From first drug administration until end of residual effect period (REP) 28 days after the last dose of trial medication, up to 1127 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nintedanib
Serious: 24/54 (44%)
Deaths: 3/54

Serious adverse events (36 terms)

ReactionSystemNintedanib
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders
Respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Sickle cell anaemia with crisisBlood and lymphatic system disorders
Atrial thrombosisCardiac disorders
Right ventricular failureCardiac disorders
Sickle cell anaemiaCongenital, familial and genetic disorders
Optic atrophyEye disorders
Abdominal painGastrointestinal disorders
Gastric fistulaGastrointestinal disorders
Lower gastrointestinal haemorrhageGastrointestinal disorders
Oesophageal hypomotilityGastrointestinal disorders
Tooth development disorderGastrointestinal disorders
VomitingGastrointestinal disorders
Drug-induced liver injuryHepatobiliary disorders
Gallbladder ruptureHepatobiliary disorders
HepatitisHepatobiliary disorders
Transplant rejectionImmune system disorders
InfectionInfections and infestations
Pelvic abscessInfections and infestations
PneumoniaInfections and infestations
Pneumonia bacterialInfections and infestations
Other adverse events (40 terms — click to expand)

ReactionSystemNintedanib
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
NauseaGastrointestinal disorders
Dental cariesGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
NasopharyngitisInfections and infestations
Abdominal painGastrointestinal disorders
Respiratory tract infectionInfections and infestations
Weight decreasedInvestigations
PyrexiaGeneral disorders
BronchitisInfections and infestations
COVID-19Infections and infestations
Nasal congestionRespiratory, thoracic and mediastinal disorders
InfluenzaInfections and infestations
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Hepatic enzyme increasedInvestigations
ConstipationGastrointestinal disorders
GastroenteritisInfections and infestations
Gastroenteritis viralInfections and infestations
Viral infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
Abdominal pain upperGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Chest painGeneral disorders
FatigueGeneral disorders
CholelithiasisHepatobiliary disorders
PneumoniaInfections and infestations
RhinitisInfections and infestations
Aspartate aminotransferase increasedInvestigations
AnxietyPsychiatric disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Interstitial lung disease, Respiratory tract infection, Headache, Dyspnoea, Pneumothorax, Respiratory failure, Sickle cell anaemia with crisis, Atrial thrombosis.

Data from ClinicalTrials.gov NCT05285982 adverse events section.

Sponsor's own description

This study is open to children and adolescents with interstitial lung disease (ILD) that causes lung fibrosis. This is a study for people who took part in a previous study called InPedILD (study 1199-0337) and for people who are between 6 and 17 years old (in France, between 12 and 17 years old) and have fibrosing ILD. This study tests a medicine called nintedanib. Nintedanib is already used to treat different types of lung fibrosis in adults. The purpose of the study is to find out how well long-term treatment with nintedanib is tolerated in children and adolescents. All participants take nintedanib capsules twice a day. Participants coming from the previous study are in this study for at least 3 years or until nintedanib or other treatment options become available outside of this study. New participants are in the study until the overall end of study meaning for at least 1.5 years. Participants visit the study site about 15 times for a study participation of 3 years. Afterwards, they visit the study site every 3 months. The doctors collect information on any health problems of the participants.

Publications & conference data

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

  1. Meaningful Endpoints for Idiopathic Pulmonary Fibrosis (IPF) Clinical Trials: Emphasis on 'Feels, Functions, Survives'. Report of a Collaborative Discussion in a Symposium with Direct Engagement from Representatives of Patients, Investigators, the National Institutes of Health, a
    Raghu G, Ghazipura M, Fleming TR, Aronson KI, et al · · 2024 · cited 69× · PMID 38174955 · DOI 10.1164/rccm.202312-2213so
  2. Nintedanib in children and adolescents with fibrosing interstitial lung diseases.
    Deterding R, Young LR, DeBoer EM, Warburton D, et al · · 2023 · cited 50× · PMID 36041751 · DOI 10.1183/13993003.01512-2022
  3. Emerging Treatments for Childhood Interstitial Lung Disease.
    Bernardinello N, Griese M, Borie R, Spagnolo P. · · 2024 · cited 10× · PMID 37948041 · DOI 10.1007/s40272-023-00603-9
  4. An update on diagnosis and treatments of childhood interstitial lung diseases.
    Marczak H, Krenke K, Griese M, Carlens J, et al · · 2025 · cited 4× · PMID 40365093 · DOI 10.1183/20734735.0004-2025
  5. Old and emerging therapies for childhood interstitial lung disease (chILD): a systematic review.
    Tonazzo V, Castaldo RJ, Zanconato S, Carraro S, et al · · 2026 · PMID 41813010 · DOI 10.1183/16000617.0062-2025

Verify or expand the search:

Other recruiting trials for Lung Diseases, Interstitial

Currently open trials in the same condition.

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