ClinicalTrials.gg
CompletedNCT03313180Updated Feb 20, 2024Results posted

A Trial to Evaluate the Safety of Long Term Treatment With Nintedanib in Patients With Scleroderma Related Lung Fibrosis

A Phase 3 interventional study of Nintedanib in Lung Diseases, Interstitial, sponsored by Boehringer Ingelheim. Completed at 159 sites in 30 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-20.

Sponsored by Boehringer Ingelheim · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
444
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 11 studies testing nintedanib in Lung Diseases, Interstitial — 1 open to participants now, 1 under way, 1 of them phase 3. nintedanib · Lung Diseases, Interstitial.

Enrollment
2nd of 11
444 · median 81
Started
2017
with 1 other
Phase 3
8 of 11
1 open now
Registered
2nd of 11
by date
Lead sponsor
6 of 11
Boehringer Ingelheim

Among the 11 studies testing nintedanib in Lung Diseases, Interstitial, this one is the 2nd largest by enrollment, is one of 2 that started in 2017, is one of 8 in phase 3, and was the 2nd registered.

Lung Diseases, Interstitial

681 studies on the registry are indexed under Lung Diseases, Interstitial; 245 are open to participants now.

Browse Lung Diseases, Interstitial studies →

Open to participants now

1 of the 11 studies testing nintedanib in Lung Diseases, Interstitial is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About nintedanib

nintedanib: first FDA approval 2014 (OFEV), first EMA approval 2014. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 172 Lung Diseases, Interstitial studies recruiting now, 108 (63%) set no upper age limit and 25 (15%) stop at 75 or younger; 13 take children under 18; 21 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Get alerts for this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies testing nintedanib in Lung Diseases, Interstitial, or all of them as a file.
02

Study summary

The main objective is to assess long term safety of treatment with oral nintedanib in patients with Systemic Sclerosis associated Interstitial Lung Disease (SSc-ILD).

03

Conditions studied

  • Lung Diseases, Interstitial
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients who completed the parent trial 1199.214/1199-0340 per protocol and did not permanently discontinue study treatment
  • Signed and dated written in accordance with International Conference on Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial
  • Women of must be ready and able to use highly effective methods of per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly as well as one barrier method for 28 days prior to nintedanib treatment initiation, during the trial and for 3 months after last intake of nintedanib.
  • Further inclusion criteria apply

Exclusion criteria

Exclusion Criteria:

  • (AST), Alanine Aminotransferase (ALT) > 3 x (ULN)
  • > 2 x ULN
  • \<30 mL/min calculated by Cockcroft-Gault formula.
  • anaemia at investigators discretion.
  • Bleeding risk, any of the following

    • Known genetic predisposition to bleeding according to the judgement of the investigator
    • Patients who require

      • Fibrinolysis, full-dose therapeutic anticoagulation
      • High dose antiplatelet therapy.
    • Hemorrhagic central nervous system (CNS) event after completion of the parent trial 1199.214/1199-0340
    • Any of the following after last treatment of 1199.214/1199-0340:

      • Haemoptysis or haematuria
      • Active gastro-intestinal bleeding or Gastrointestinal (GI) - ulcers
      • Gastric antral vascular ectasia (GAVE)
      • Major injury or surgery
    • Coagulation parameters: (INR) >2, prolongation of prothrombin time (PT) and partial thromboplastin time (PTT) by >1.5 x ULN at Visit 1.
  • New major thrombo-embolic events developed after completion of the parent trial 1199.214/1199-0340:

    • Stroke;
    • Deep vein thrombosis;
    • Pulmonary embolism;
    • Myocardial infarction.
  • Major surgery performed within the next 3 months
  • Time period > 12 weeks between last drug intake in 1199.214 or > 1 week between last nintedanib intake in trial 1199-0340 and Visit 2 of this trial
  • Usage of any drug after completion of 1199.214/1199-0340 or planned usage of an investigational drug during the course of this trial.
  • A disease or condition which may put the patient at risk because of participation in this trial (e.g. clinically relevant intestinal pseudoobstruction) or limit the patient's ability to participate in this trial
  • Chronic alcohol or drug abuse or any condition that, in the investigator's opinion, makes them an unreliable trial subject or unlikely to complete the trial
  • Known to the trial medication or its components (i.e. soya lecithin).
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial
  • Previous enrolment in this trial
  • Further exclusion criteria apply
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorized to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
444 participants (actual)

Study arms

  • Experimental
    Nintedanib

    Patients with Systemic Sclerosis associated Interstitial Lung Disease (SSc-ILD) who took part in the parent trials 1199.214 (Nintedanib or Placebo) or 1199-0340 (Nintedanib). Patients continued in this trial and received Nintedanib 150 mg (milligram) twice daily (bid) unless they had reduced their dose to 100 mg bid trial medication (Nintedanib or Placebo) in the parent trial. Patients receiving 100 mg bid trial medication at the end of the parent trial could receive either Nintedanib 100 mg bid or 150 mg bid at the discretion of the investigator.

    Drug: Nintedanib

Interventions

  • Administered twice daily

    Also known as: OVEF

06

What researchers measure

Primary outcomes

  1. Number of Patients With Any Adverse Event (AE) Over the Course of the Trial

    Number of patients with any adverse event (AE) over the course of the trial.

    Time frame: First trial medication intake up to last trial drug intake, plus 7 days residual effect period, up to approximate 60 months.

07

Results

Posted Feb 20, 2024

Participant flow

This was a prospective, open-label extension trial to assess long-term safety and tolerability of nintedanib in patients with Systemic Sclerosis associated Interstitial Lung Disease (SSc-ILD) who had completed treatment (including the follow-up visit or end of treatment/study visit, respectively) of the randomised, double-blind, placebo-controlled parent trial 1199.214 or trial 1199-0340.

Participant flow — Overall Study
MilestoneNintedanib
Started444
Completed265
Not completed179
Withdrew: Adverse event120
Withdrew: Lost to follow-up3
Withdrew: Withdrawal by subject39
Withdrew: Other than listed above15
Withdrew: Covid-19 related2

Outcome measures

PrimaryNumber of Patients With Any Adverse Event (AE) Over the Course of the Trial

Number of patients with any adverse event (AE) over the course of the trial.

Time frame:
First trial medication intake up to last trial drug intake, plus 7 days residual effect period, up to approximate 60 months.
Reported as:
Count of participants · Participants
Number of Patients With Any Adverse Event (AE) Over the Course of the Trial
ParticipantsNintedanib
Number of Patients With Any Adverse Event (AE) Over the Course of the Trial441

Adverse events

Collected over First trial medication intake up to last trial drug intake, plus 7 days residual effect period, up to ~59.9 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nintedanib23/444 (5.2%)198/444 (44.6%)425/444 (95.7%)
Most frequent serious events
Showing 10 of 216
Most frequent serious events
EventNintedanib
PneumoniaInfections and infestations26/444
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders17/444
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders13/444
COVID-19Infections and infestations9/444
DyspnoeaRespiratory, thoracic and mediastinal disorders9/444
Pulmonary arterial hypertensionRespiratory, thoracic and mediastinal disorders9/444
Pulmonary embolismRespiratory, thoracic and mediastinal disorders8/444
Skin ulcerSkin and subcutaneous tissue disorders8/444
Cardiac failureCardiac disorders7/444
Pulmonary fibrosisRespiratory, thoracic and mediastinal disorders7/444
Most frequent other events
Showing 10 of 30
Most frequent other events
EventNintedanib
DiarrhoeaGastrointestinal disorders338/444
NauseaGastrointestinal disorders122/444
Skin ulcerSkin and subcutaneous tissue disorders110/444
VomitingGastrointestinal disorders100/444
CoughRespiratory, thoracic and mediastinal disorders83/444
NasopharyngitisInfections and infestations82/444
Upper respiratory tract infectionInfections and infestations76/444
ArthralgiaMusculoskeletal and connective tissue disorders75/444
COVID-19Infections and infestations68/444
Weight decreasedInvestigations63/444

Baseline characteristics

Treated Set (TS): all patients who signed informed consent and received at least 1 dose of trial medication

Age, Continuous
Age, Continuous(years)Nintedanib
Mean55.0 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Nintedanib
Female335
Male109
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Nintedanib
Hispanic or Latino38
Not Hispanic or Latino406
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Nintedanib
American Indian or Alaska Native4
Asian110
Native Hawaiian or Other Pacific Islander2
Black or African American18
White308
More than one race2
Unknown or Not Reported0
08

Study locations

159 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
  • University of California Los Angeles
    Los Angeles, California 90095, United States
  • University of California Davis
    Sacramento, California 95817, United States
  • University of California San Francisco
    San Francisco, California 94143, United States
  • Stanford University Medical Center
    Stanford, California 94305, United States
  • University of Colorado Denver
    Aurora, Colorado 80045, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06510, United States
  • Georgetown University
    Washington, District of Columbia 20007, United States
  • University of Florida College of Medicine
    Jacksonville, Florida 32209, United States
  • University of Miami
    Miami, Florida 33125, United States
  • The Emory Clinic
    Atlanta, Georgia 30322, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Tulane University Hospital and Clinic
    New Orleans, Louisiana 70112, United States
  • Johns Hopkins Hospital
    Baltimore, Maryland 21224, United States
  • Boston University School of Medicine
    Boston, Massachusetts 02118, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic, Rochester
    Rochester, Minnesota 55905, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Hospital for Special Surgery
    New York, New York 10021, United States
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • Columbia University Medical Center-New York Presbyterian Hospital
    New York, New York 10032, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • University of Toledo
    Toledo, Ohio 43614, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Temple University Hospital
    Philadelphia, Pennsylvania 19140, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Vanderbilt University Medical Center - Vanderbilt Lung Institute at 100 Oaks
    Nashville, Tennessee 37204, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • The University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
  • University of Utah Health Sciences Center
    Salt Lake City, Utah 84108, United States
  • Inova Fairfax Medical Campus
    Falls Church, Virginia 22042, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
  • University of Washington
    Seattle, Washington 98195, United States
  • Froedtert and The Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich
    Buenos Aires, C1426BOR, Argentina
  • APRILLUS-Asistencia e Investigación
    Ciudad Autonoma Buenos Aires, C1046AAQ, Argentina
  • CEMER-Centro Medico De Enfermedades Respiratorias
    Florida, B1602DQD, Argentina
  • Royal Prince Alfred Hospital
    Camperdown, New South Wales 2050, Australia
  • Liverpool Hospital
    Sydney, New South Wales 2170, Australia
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
  • St Vincent's Hospital Melbourne
    Fitzroy, Victoria 3065, Australia
  • Medical University of Innsbruck
    Innsbruck, A-6020, Austria
  • UNIV UZ Gent
    Gent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • Centre Hospitalier Universitaire de Liège
    Liège, 4000, Belgium
  • Edumed - Educacao e Saude SA
    Curitiba, 80440-080, Brazil
  • HSCM
    Montreal, Quebec H4J 1C5, Canada
  • Hospital Clínico Reg. de Concepción "Dr. G. Grant Benavente"
    Concepción, 4070038, Chile
  • Centro de Investigación del Maule
    Talca, 3465586, Chile
  • Peking Union Medical College Hospital
    Beijing, 100032, China
  • The First Hospital of Jilin University
    Changchun, 130021, China
  • West China Hospital
    Chengdu, 610041, China
  • The First Affiliated Hospital of Anhui Medical University
    Hefei, 230022, China
  • Huashan Hospital, Fudan University
    Shanghai, 200040, China
  • The First Hospital of China Medical University
    Shenyang, 110001, China
  • Institute of Rheumathology Prague
    Prague, 12850, Czechia
  • Aarhus University Hospital
    Aarhus N, 8200, Denmark
  • Odense University Hospital
    Odense, 5000 C, Denmark
  • HYKS Keuhkosairauksien tutkimusyksikkö
    Helsinki, 00290, Finland
  • TYKS
    Turku, 20521, Finland
  • HOP Avicenne
    Bobigny, 93009, France
  • HOP Louis Pradel
    Bron, 69677, France
  • CHRU Lille
    Lille, 59037, France
  • HOP Claude Huriez
    Lille, 59037, France
  • HOP Arnaud de Villeneuve
    Montpellier, 34295, France
  • HOP Hôtel-Dieu
    Nantes, 44093, France
  • HOP Pasteur
    Nice, 06001, France
  • HOP Bichat
    Paris, 75877, France
  • HOP Pontchaillou
    Rennes, 35033, France
  • HOP Charles Nicolle
    Rouen, 76000, France
  • HOP Larrey
    Toulouse, 31059, France
  • HOP Bretonneau
    Tours, 37044, France
  • Klinik Donaustauf
    Donaustauf, 93093, Germany
  • Universitätsklinikum Carl Gustav Carus Dresden
    Dresden, 01307, Germany
  • Universitätsklinikum Erlangen
    Erlangen, 91054, Germany
  • Universitätsmedizin Greifswald
    Greifswald, 17475, Germany
  • Asklepios Klinik Altona
    Hamburg, 22763, Germany
  • Medizinische Hochschule Hannover
    Hannover, 30625, Germany
  • Thoraxklinik-Heidelberg gGmbH am Universitätsklinikum Heidelberg
    Heidelberg, 69126, Germany
  • Universitätsklinikum Schleswig-Holstein, Campus Kiel
    Kiel, 24105, Germany
  • Universitätsklinikum Münster
    Münster, 48149, Germany
  • Universitätsklinikum Tübingen
    Tübingen, 72076, Germany
  • General Hospital of Athens "Laiko"
    Athens, 11527, Greece
  • Ramaiah Medical College and Hospitals
    Bangalore, 560054, India
  • Post Graduate Institute of Medical Education and Research
    Chandigarh, 160012, India
  • Sir Gangaram Hospital
    Delhi, 110060, India
  • Care Hospital
    Hyderabad, 500034, India
  • Nizam's Institute of Medical Sciences
    Hyderabad, 500082, India
  • Asthma Bhawan
    Jaipur, 302039, India
  • Getwell Hospital & Research Institute
    Nagpur, 440012, India
  • All India Institute of Medical Sciences
    New Delhi, 110029, India
  • B.J. Medical College and Sasoon General Hospital
    Pune, 411001, India
  • Bnei Zion Medical Center, Haifa
    Haifa, 31048, Israel
  • Rambam Medical Center
    Haifa, 3109601, Israel
  • Rabin Medical Center Beilinson
    Petah Tiqwa, 49100, Israel

Showing the first 100 of 159 sites across 30 countries. Choose a country and city above to see the rest.

09

References and documents

Related links

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: After all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication.

Access criteria: For study documents - upon signing of a 'Document Sharing Agreement'. For study data - 1. after the submission and approval of the research proposal (checks will be performed by both the independent review panel and the sponsor, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a 'Data Sharing Agreement'.

Data sharing details ↗ · www.mystudywindow.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Jan 2023, 61 months.

Results were first posted in Feb 2024, 1 year after primary completion.

Of 36 phase 3 interventional studies under Lung Diseases, Interstitial, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 61. This study's 61 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 13, 2017
First posted
Oct 18, 2017
StartActual
Nov 27, 2017
Primary completionActual
Jan 25, 2023
CompletionActual
Jan 25, 2023
Results first posted
Feb 20, 2024
Last update
Feb 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03313180
Responsible party
Sponsor
First posted
Oct 18, 2017
Start date
Nov 27, 2017
Primary completion
Jan 25, 2023
Completion
Jan 25, 2023
Results posted
Feb 20, 2024
Last update
Feb 20, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Nintedanib

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