Evidence map›Paper›PMID 41345848›Full record

ArticleBMC pulmonary medicine2025

Design of an open-label extension trial of nerandomilast (BI 1015550) in patients with idiopathic pulmonary fibrosis and progressive pulmonary fibrosis (FIBRONEER™-ON).

Wim A Wuyts, Luca Richeldi, Shervin Assassi, Arata Azuma, Vincent Cottin, Anna-Maria Hoffmann-Vold, Michael Kreuter, Justin M Oldham, Fernando J Martinez, Claudia Valenzuela and 7 more

3 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05321069 phase3completednot on this map

A Double Blind, Randomized, Placebo-controlled Trial Evaluating the Efficacy and Safety of BI 1015550 Over at Least 52 Weeks in Patients With Idiopathic Pulmonary Fibrosis (IPF)

TypeinterventionalSponsorBoehringer IngelheimRan2022 to 2024Enrolled1,177ConditionsIdiopathic Pulmonary FibrosisArmsBI 1015550, Placebo
NCT05321082 phase3completednot on this map

A Double Blind, Randomized, Placebo-controlled Trial Evaluating the Efficacy and Safety of BI 1015550 Over at Least 52 Weeks in Patients With Progressive Fibrosing Interstitial Lung Diseases (PF-ILDs)

TypeinterventionalSponsorBoehringer IngelheimRan2022 to 2025Enrolled1,178ConditionsLung Diseases, InterstitialArmsBI 1015550, Placebo
NCT06238622 phase3recruitingnot on this map

An Open-label Extension Trial of the Long-term Safety and Efficacy of BI 1015550 Taken Orally in Patients With Idiopathic Pulmonary Fibrosis (IPF) and Progressive Pulmonary Fibrosis (PPF) (FIBRONEER™-ON)

TypeinterventionalSponsorBoehringer IngelheimRan2024 to 2027Enrolled1,700ConditionsIdiopathic Pulmonary Fibrosis, Progressive Pulmonary FibrosisArmsNerandomilast
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
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

17 authors.

Wim A WuytsDepartment of Respiratory Medicine, Unit for Interstitial Lung Diseases, University Hospitals Leuven, Herestraat 49, Leuven, 3000, Belgium. wim.wuyts@uzleuven.be.
Luca RicheldiUnità Operativa Complessa di Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Shervin AssassiDivision of Rheumatology, McGovern Medical School, University of Texas, Houston, TX, USA.
Arata AzumaPulmonary Medicine and Oncology, Nippon Medical School, Tokyo, Japan.
Vincent CottinHôpital Louis Pradel, Centre de Référence des Maladies Pulmonaires Rares, Hospices Civils de Lyon, UMR 754, INRAE, ERN-LUNG, Université Claude Bernard Lyon 1, Lyon, France.
Anna-Maria Hoffmann-VoldDepartment of Rheumatology, Oslo University Hospital, Oslo, Norway.
Michael KreuterDepartment of Pneumology, Mainz Center for Pulmonary Medicine, Mainz University Medical Center, Mainz, Germany.
Justin M OldhamDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Abor, MI, USA.
Fernando J MartinezDepartment of Medicine, Cornell University, New York City, NY, USA.
Claudia ValenzuelaILD Unit, Pulmonology Department, Hospital Universitario de la Princesa, University Autonomade Madrid, Madrid, Spain.
Marlies S WijsenbeekDepartment of Respiratory Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Madhu KanakapuraBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany.
Alexandra JamesElderbrook Solutions GmbH, Bietigheim-Bissingen, Germany.
Gerrit WeimannBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Cyril DrzewuskiBoehringer Ingelheim, Reims, France.
Carl CoeckBoehringer Ingelheim SComm, Brussels, Belgium.
Toby M MaherKeck Medicine of USC, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a need for more effective treatments for idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF). Nerandomilast (BI 1015550), an oral preferential inhibitor of phosphodiesterase 4B, is being evaluated in two randomized Phase III trials: FIBRONEER™-IPF (NCT05321069) and FIBRONEER™-ILD (NCT05321082). FIBRONEER™-ON is an open-label extension (OLE) of these studies that will evaluate the long-term safety and efficacy of nerandomilast. Here, we describe the study design of the OLE.

methodsThis prospective 98-week OLE will follow the Phase III parent trials, which are currently underway with 1177 patients enrolled in FIBRONEER™-IPF and 1178 patients enrolled in FIBRONEER™-ILD. Approximately 1700 patients from 44 countries are expected to complete the parent trials and will be eligible for continuing into the OLE; this estimate assumes that there will be a discontinuation rate of ~25% over the duration of the parent trials and > 90% of eligible patients will agree to participate in the OLE. Irrespective of whether previously on active treatment or placebo, all patients in the OLE will be treated with nerandomilast at either 9 mg or 18 mg twice daily, depending on which dose demonstrates the most favorable benefit-risk profile in the parent trials. The primary endpoint will be the occurrence of any adverse event over the course of the OLE. This trial will also monitor long-term efficacy outcomes, including forced vital capacity change, and time to first exacerbation, disease progression, hospitalization and death. DISCUSSION: This trial will provide information on the long-term safety, tolerability and efficacy of nerandomilast in patients with IPF and PPF.

trial registrationFIBRONEER™-ON: ClinicalTrials.gov: NCT06238622, registered 2 February 2024. Protocol version and date: version 3.0, 29 Apr 2024. FIBRONEER™-IPF: ClinicalTrials.gov: NCT05321069, registered 11 March 2022.FIBRONEER™-ILD: ClinicalTrials.gov: NCT05321082, registered 11 March 2022.

Indexed as

Idiopathic Pulmonary FibrosisPhosphodiesterase 4 InhibitorsAgedClinical Trials, Phase III as TopicCyclobutanesCyclopropanesDisease ProgressionFemaleHumansMaleMiddle AgedOrganic ChemicalsPiperidinesProspective StudiesPyridinesRandomized Controlled Trials as Topic6-(5-((cyclopropylamino)carbonyl)-3-fluoro-2-methylphenyl)-N-(2,2-dimethylprpyl)-3-pyridinecarboxamideCyclobutanesCyclopropanesnerandomilastOrganic ChemicalsPhosphodiesterase 4 InhibitorsPiperidinesPyridinesAutoimmune disease interstitial lung diseaseIdiopathic pulmonary fibrosisNonspecific interstitial pneumoniaOpen-label extensionProgressive pulmonary fibrosis

Identifiers

PMID41345848
PMCPMC12797674

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.