Evidence map›Paper›PMID 39789408›Full record

Trial reportLung2025

Continued Treatment with Nintedanib in Patients with Progressive Pulmonary Fibrosis: Data from INBUILD-ON.

Wim A Wuyts, Francesco Bonella, Nazia Chaudhuri, Francesco Varone, Danielle Antin-Ozerkis, Jin Woo Song, Corinna Miede, Mihaela Dumistracel, Carl Coeck, Vincent Cottin

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Lung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03820726 (An Open-label Extension Trial of the Long Term Safety of Nintedanib in Patients With Progressive Fibrosing Interstitial Lung Disease), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03820726 phase3completednot on this map

An Open-label Extension Trial of the Long Term Safety of Nintedanib in Patients With Progressive Fibrosing Interstitial Lung Disease (PF-ILD)

TypeinterventionalSponsorBoehringer IngelheimRan2019 to 2022Enrolled435ConditionsLung Diseases, InterstitialArmsNintedanib
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Fibroneer Trials: More than Meets the Eye.Tuberculosis and respiratory diseases · 2026
    Article
  3. Article
  4. Progressive pulmonary fibrosis: the importance of identification and intervention.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Wim A WuytsUnit for Interstitial Lung Diseases, Department of Pulmonary Medicine, University Hospitals Leuven, Leuven, Belgium. wim.wuyts@uzleuven.be.ORCID 0000-0001-9648-3497
Francesco BonellaCenter for Interstitial and Rare Lung Diseases, Pneumology Department, University Hospital Essen, Ruhrlandklinik, Essen, Germany.
Nazia ChaudhuriDepartment of Life and Health Sciences, School of Medicine, Ulster University, Coleraine, UK.
Francesco VaroneFondazione Policlinico A Gemelli IRCCS, Rome, Italy.
Danielle Antin-OzerkisYale University School of Medicine, New Haven, CT, USA.
Jin Woo SongUniversity of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Corinna Miedemainanalytics GmbH, Sulzbach (Taunus), Germany.
Mihaela DumistracelBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany.
Carl CoeckBoehringer Ingelheim SComm., Brussels, Belgium.
Vincent CottinNational Reference Center for Rare Pulmonary Diseases, Louis Pradel Hospital, Hospices Civils de Lyon, Claude Bernard University Lyon 1, UMR 754, ERN-LUNG, Lyon, France.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

purposeIn the INBUILD trial in patients with progressive pulmonary fibrosis (PPF), nintedanib slowed the decline in forced vital capacity (FVC) versus placebo, with a safety profile characterised mainly by gastrointestinal events. INBUILD-ON, the open-label extension of INBUILD, assessed the safety of nintedanib during longer-term treatment. Data on FVC were collected. STUDY DESIGN AND

methodsAdverse events and changes in FVC in INBUILD-ON were assessed descriptively in all patients and in two subgroups: patients who received nintedanib in INBUILD and continued nintedanib in INBUILD-ON ("continued nintedanib" group) (n = 212) and patients who received placebo in INBUILD and initiated nintedanib in INBUILD-ON ("initiated nintedanib" group) (n = 222). Changes in FVC were based on observed values.

resultsMedian exposure to nintedanib in INBUILD-ON was 22.0 months. Diarrhoea was the most frequent adverse event. Amongst patients who had diarrhoea, 90.0% experienced only events of mild or moderate severity. Adverse events led to discontinuation of nintedanib at a rate of 16.7 per 100 patient-years. Serious and fatal adverse events were reported at rates of 37.2 and 9.5 per 100 patient-years. Mean (SE) changes in FVC from baseline to week 48 were - 71.6 (16.1) mL [- 128.5 (25.5) mL in continued nintedanib group (n = 106), - 14.8 (18.2) mL in initiated nintedanib group (n = 106)].

conclusionThe safety profile of nintedanib in INBUILD-ON was consistent with that in INBUILD. Change in FVC in INBUILD-ON was consistent with decline in FVC in the nintedanib group of INBUILD. These results support the use of nintedanib in the long-term treatment of PPF. CLINICAL

trial registrationClinicalTrials.gov; NCT03820726; registered January 29, 2019.

Indexed as

Disease ProgressionIndolesProtein Kinase InhibitorsPulmonary FibrosisAgedAntifibrotic AgentsDiarrheaFemaleHumansIdiopathic Pulmonary FibrosisLungMaleMiddle AgedTime FactorsTreatment OutcomeVital CapacityAntifibrotic AgentsIndolesnintedanibProtein Kinase InhibitorsClinical trialDrug toleranceInterstitial lung diseasePulmonary function testsVital capacity

Identifiers

PMID39789408
PMCPMC11717875

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.