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CompletedNCT05151640Updated Oct 28, 2025

INCHANGE - Nintedanib for Changes in Cough and Dyspnea in Patients Suffering From Chronic Fibrosing Interstitial Lung Disease With a Progressive Phenotype in Everyday Clinical Practice: a Real-world Evaluation

An observational study in Lung Diseases, Interstitial, sponsored by Boehringer Ingelheim. Completed at 31 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-28.

Sponsored by Boehringer Ingelheim · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
158
Ages
18 Years and older
Sex
All
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Study summary

The primary objective of this study is to investigate the correlation between changes from baseline to 52 weeks in Forced Vital Capacity (FVC) [% pred.] and changes from baseline to 52 weeks in dyspnea score [points] or cough score [points] as measured with the living with pulmonary fibrosis (L-PF) questionnaire over 52 weeks of nintedanib treatment in patients suffering from chronic fibrosing Interstitial lung disease (ILD) with a progressive phenotype (excluding idiopathic pulmonary fibrosis (IPF)).

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Conditions studied

  • Lung Diseases, Interstitial
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In context

Lung Diseases, Interstitial

646 studies on the registry are indexed under Lung Diseases, Interstitial; 237 are open to participants now.

This study's enrollment of 158 is close to the median of 150 across 270 observational studies indexed under Lung Diseases, Interstitial.

Browse Lung Diseases, Interstitial studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with chronic fibrosing Interstitial lung disease (ILD) with a progressive phenotype excluding Idiopathic Pulmonary Fibrosis (IPF) patients.

Inclusion criteria

  • Adults ≥ 18 years at Visit 1
  • Subjects must be contractually capable and mentally able to understand and follow the instructions of the study personnel
  • Physician's diagnosis of chronic fibrosing Interstitial lung disease (ILD) with a progressive phenotype, except Idiopathic pulmonary fibrosis (IPF)
  • Initiation of nintedanib as first antifibrotic therapy according to physician´s decision which has been made as part of routine care prior to and independent of study inclusion
  • Outpatients not currently hospitalized with a life expectancy > 12 months per investigator's assessment
  • Written informed consent prior to study participation
  • Current Forced vital capacity (FVC) measurement (taken within the last 3 months) available in the patient file
  • Women of childbearing potential must take appropriate precautions against getting pregnant during the intake of nintedanib.

Exclusion criteria

Exclusion Criteria:

  • Patients with contraindications according to Summary of product characteristics (SmPC)
  • Prior use of any antifibrotic treatment
  • Lack of informed consent
  • Pregnant or lactating females
  • Any physician diagnosed exacerbation of Interstitial lung disease (ILD) in the patient's history file, irrespective of time since event
  • Current diagnosis of lung cancer
  • Respiratory failure (pH \< 7,35 and/ or respiratory rate > 30/min) in the patient's history
  • Participation in a parallel interventional clinical trial
  • Patients being spouse or lateral relatives to the second degree or economically dependent from the investigator
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
158 participants (actual)
Patient registry
No

Groups and cohorts

  • Nintedanib treatment group

    Drug: Nintedanib

Interventions

  • DrugNintedanib

    Nintedanib

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What researchers measure

Primary outcomes

  1. Correlation between change from baseline to week 52 in Forced vital capacity (FVC) [% pred.] and change from baseline to week 52 in dyspnea symptom score

    The "living with pulmonary fibrosis" (L-PF) questionnaire for dyspnea/cough symptom score consists of 44 items divided into two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module assesses shortness of breath (dyspnea), cough and fatigue over the last 24 hours. The Impacts module assesses multiple aspects of health related quality of life (HRQoL) over the last 7 days. Symptoms and Impacts scores are used to calculate a total score. •Items in both modules have response options on a five-option numeric rating score with an anchor of 0 "Not at all" to 4 "Extremely". Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Time frame: Up to week 52

  2. Correlation between change from baseline to week 52 in Forced vital capacity (FVC) [% pred.] and change from baseline to week 52 in cough symptom score

    The "living with pulmonary fibrosis" (L-PF) questionnaire for dyspnea/cough symptom score consists of 44 items divided into two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module assesses shortness of breath (dyspnea), cough and fatigue over the last 24 hours. The Impacts module assesses multiple aspects of HRQoL over the last 7 days. Symptoms and Impacts scores are used to calculate a total score. •Items in both modules have response options on a five-option numeric rating score with an anchor of 0 "Not at all" to 4 "Extremely". Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Time frame: Up to week 52

Secondary outcomes

  1. Correlation between change from baseline to week 52 in Forced vital capacity (FVC) [millilitres mL] and change from baseline to week 52 in dyspnea symptom score

    The "living with pulmonary fibrosis" (L-PF) questionnaire for dyspnea/cough symptom score consists of 44 items divided into two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module assesses shortness of breath (dyspnea), cough and fatigue over the last 24 hours. The Impacts module assesses multiple aspects of HRQoL over the last 7 days. Symptoms and Impacts scores are used to calculate a total score. •Items in both modules have response options on a five-option numeric rating score with an anchor of 0 "Not at all" to 4 "Extremely". Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Time frame: Up to week 52

  2. Correlation between change from baseline to week 52 in Forced vital capacity (FVC) [millilitres mL] and change from baseline to week 52 in cough symptom score

    The "living with pulmonary fibrosis" (L-PF) questionnaire for dyspnea/cough symptom score consists of 44 items divided into two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module assesses shortness of breath (dyspnea), cough and fatigue over the last 24 hours. The Impacts module assesses multiple aspects of HRQoL over the last 7 days. Symptoms and Impacts scores are used to calculate a total score. •Items in both modules have response options on a five-option numeric rating score with an anchor of 0 "Not at all" to 4 "Extremely". Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Time frame: Up to week 52

  3. Absolute change from baseline in living with pulmonary fibrosis (L-PF) cough symptom score [points] at week 52

    The "living with pulmonary fibrosis" (L-PF) questionnaire for dyspnea/cough symptom score consists of 44 items divided into two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module assesses shortness of breath (dyspnea), cough and fatigue over the last 24 hours. The Impacts module assesses multiple aspects of HRQoL over the last 7 days. Symptoms and Impacts scores are used to calculate a total score. •Items in both modules have response options on a five-option numeric rating score with an anchor of 0 "Not at all" to 4 "Extremely". Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Time frame: At week 52

  4. Absolute change from baseline in living with pulmonary fibrosis (L-PF) dyspnea symptom score [points] at week 52

    The "living with pulmonary fibrosis" (L-PF) questionnaire for dyspnea/cough symptom score consists of 44 items divided into two modules: Symptoms (23 items) and Impacts (21 items). The Symptoms module assesses shortness of breath (dyspnea), cough and fatigue over the last 24 hours. The Impacts module assesses multiple aspects of HRQoL over the last 7 days. Symptoms and Impacts scores are used to calculate a total score. •Items in both modules have response options on a five-option numeric rating score with an anchor of 0 "Not at all" to 4 "Extremely". Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Time frame: At week 52

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Study locations

31 sites
  • Acibadem City Clinic Tokuda University Hospital EAD
    Sofia, 1407, Bulgaria
  • Medical Military Academy MHAT Sofia
    Sofia, 1606, Bulgaria
  • University Hospital Brno
    Brno, 625 00, Czechia
  • University Hospital Brno
    Brno, 62500, Czechia
  • Nemocnice AGEL Novy Jicin a.s.
    Nový Jičín, 74101, Czechia
  • University Hospital Ostrava
    Ostrava-Poruba, 708 52, Czechia
  • Fakultni Nemocnice Plzen
    Pilsen, 30100, Czechia
  • Thomayer University Hospital
    Prague, 140 59, Czechia
  • Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
    Bydgoszcz, 85-168, Poland
  • Mirosław Nęcki SPL
    Krakow, 31-618, Poland
  • Somed Cr Sp. z o.o. sp.k.
    Lodz, 90-368, Poland
  • IPL Michał Krawczyk
    Lodz, 94-053, Poland
  • Indywidualna SPL Małgorzata Noceń-Piskorowska
    Szczecin, 70-205, Poland
  • Biomedical Centers Sp. z o.o.
    Warsaw, 00-844, Poland
  • Prywatna Praktyka Lekarska Paweł Piesiak
    Wroclaw, 50-521, Poland
  • Hanna Jagielska Len IPL
    Zielona Góra, 65-101, Poland
  • Dr. Ion Cantacuzino Clinical Hospital
    Bucharest, 020475, Romania
  • Strambu I. Irina-Ruxandra - Activitate Medicala
    Bucharest, 10991, Romania
  • Dr. Belaconi I. Ionela-Nicoleta - Medic Specialist Pneumologie
    Bucharest, 32582, Romania
  • Dr. Toma Claudia Lucia - Medic Primar Pneumologie
    Bucharest, 41651, Romania
  • Bronz Media SRL
    Cluj-Napoca, 400015, Romania
  • Doctor 4 Sim Srl
    Cluj-Napoca, 400428, Romania
  • PFI Ramazan Ana-Maria
    Constanța, 900377, Romania
  • Sc Pneumo Clinic Dantes Srl
    Constanța, 900629, Romania
  • Pneumo Research Srl
    Moşniţa Nouă, 307285, Romania
  • Spital De Pneumologie Dr. Lavinia Davidescu S.R.L.
    Oradea, 410155, Romania
  • Dr. Fira-Mladinescu SRL
    Timișoara, 300451, Romania
  • Iasis Srl
    Timișoara, 300708, Romania
  • Universitätsspital Basel
    Basel, CH - 4031, Switzerland
  • Centre Hospitalier Universitaire Vaudois (CHUV)
    Lausanne, 1011, Switzerland
  • HOCH Health Ostschweiz
    Sankt Gallen, CH-9007, Switzerland
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References and documents

Related links

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, Sap, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05151640
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Dec 9, 2021
Start date
Feb 8, 2023
Primary completion
Sep 5, 2025
Completion
Sep 5, 2025
Last update
Oct 28, 2025

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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