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Clinical Trials in the UK / NCT07366034
Recruiting Phase 3

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)

NCT07366034 · tracked via the Priya Life Science UK tracker
Sponsor
Boehringer Ingelheim
Phase
Phase 3
Started
2026-07-21
Last updated
2026-09-15

Condition(s) studied

Fibrosing Interstitial Lung Disease

Investigational drug(s) / intervention(s)

NerandomilastPlacebo

Nerandomilast: Nerandomilast

Placebo: Placebo

Study 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. 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.

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.

Eligibility

Sex
ALL
Min age
2 Years
Max age
17 Years
Healthy volunteers
No
Inclusion Criteria: * 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 * 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. Exclusion Criteria: * 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). * 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.

Primary outcome measure(s)

Trial sites (47)

FacilityCityRegionStatus
Children's Hospital Los Angeles Los Angeles California Not Yet Recruiting
Children's Hospital Colorado Aurora Colorado Not Yet Recruiting
Johns Hopkins Hospital Baltimore Maryland Not Yet Recruiting
Boston Children's Hospital Boston Massachusetts Not Yet Recruiting
M Health Fairview Masonic Children's Hospital Minneapolis Minnesota Not Yet Recruiting
Nationwide Children's Hospital Columbus Ohio Not Yet Recruiting
Children's Hospital of Philadelphia Philadelphia Pennsylvania Not Yet Recruiting
Fundacion Respirar CABA Argentina Recruiting
Women's and Children's Hospital North Adelaide South Australia Not Yet Recruiting
Brussels - UNIV HUDERF Brussels Belgium Not Yet Recruiting
Serviços Medicos Respirar Sul Fluminense Barra Mansa Brazil Recruiting
Associação dos Funcionários Públicos do Estado do Rio Grande do Sul - Hospital Ernesto Dorneles Porto Alegre Brazil Not Yet Recruiting
IMIP Pernambuco Recife Brazil Not Yet Recruiting
Centro de Pesquisa Clinica do Instituto da Crianca - HCFMUSP São Paulo Brazil Recruiting
Alberta Children's Hospital Calgary Alberta Not Yet Recruiting
The Hospital for Sick Children Toronto Ontario Not Yet Recruiting
Beijing Children's Hospital, Capital Medical University Beijing China Recruiting
Hunan Provincial People's Hospital Changsha China Recruiting
The Children's Hospital of Fudan University Shanghai China Recruiting
University Hospital Motol Prague Czechia Not Yet Recruiting
Aarhus University Hospital Aarhus N Denmark Not Yet Recruiting
HUS Lasten ja nuorten sairaudet, Kliinisen tutkimuksen yksikkö Helsinki Finland Not Yet Recruiting
Tampere University Hospital Tampere Finland Recruiting
HOP Femme Mère Enfant Bron France Not Yet Recruiting
HOP Intercommunal Créteil France Not Yet Recruiting
HOP Timone Marseille France Not Yet Recruiting
HOP Armand-Trousseau Paris France Not Yet Recruiting
HOP Necker - Enfants Malades Paris France Recruiting
Charité - Universitätsmedizin Berlin Berlin Germany Not Yet Recruiting
Hamburger Zentrum für Kinder- und Jugendrheumatologie Hamburg Germany Not Yet Recruiting
Medizinische Hochschule Hannover Hanover Germany Recruiting
Aristotle University, Thessaloniki Thessaloniki Greece Not Yet Recruiting
Istituto G. Gaslini Genova Italy Recruiting
Ospedale Pediatrico Bambino Gesù Roma Italy Not Yet Recruiting
Fukuoka Children's Hospital Fukuoka, Fukuoka Japan Not Yet Recruiting
Osaka Women's and Children's Hospital Osaka, Izumi Japan Not Yet Recruiting
National Center for Child Health and Development Tokyo, Setagaya-ku Japan Not Yet Recruiting
Centro de Investigacion Clinica y Medicina Traslacional (CIMeT) Guadalajara Mexico Not Yet Recruiting
Clinical Research Institute S.C. Tlalnepantla Mexico Not Yet Recruiting
Amsterdam University Medical Center Amsterdam Netherlands Not Yet Recruiting

+ 7 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07366034 on ClinicalTrials.gov ↗ ← All trials in the UK