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Active, not recruitingNCT05846230Updated Aug 21, 2026

Clairleafᵀᴹ: A Study to Test Long-term Treatment With BI 1291583 in People With Bronchiectasis Who Took Part in a Previous Study With This Medicine

A Phase 2 interventional study of BI 1291583 and Placebo matching BI 1291583 in Bronchiectasis, sponsored by Boehringer Ingelheim. Active, not recruiting at 102 sites in 22 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
268
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is open to adults aged 18 years and older with bronchiectasis. People can join the study if they were previously enrolled in another study with BI 1291583 (1397-0012: Airleafᵀᴹ or 1397-0013 Clairaflyᵀᴹ). The purpose of this study is to find out whether a medicine called BI 1291583 helps people with bronchiectasis, an inflammatory lung condition. The investigators also want to know how well people with this condition can tolerate BI 1291583 in the long term.

Participants take a low, medium, or high dose of BI 1291583 as a tablet once a day for up to 1 year. Participants who were taking placebo in the AirleafTM or ClairaflyTM study are put into the BI 1291583 dosage groups randomly, which means by chance. Placebo tablets look like BI1291583 but do not contain any medicine. Participants who were taking BI 1291583 in the AirleafTM or ClairaflyTM study continue to take the same dose.

Participants visit the study site 10 times and get 4 phone calls from the site staff. During the visits, the doctors collect information on any health problems of the participants. The doctors also check whether BI 1291583 helps reduce the symptoms of bronchiectasis.

02

Conditions studied

  • Bronchiectasis

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03

In context

Bronchiectasis

368 studies on the registry are indexed under Bronchiectasis; 104 are open to participants now.

This study's enrollment of 268 is above the median of 60 across 233 interventional studies indexed under Bronchiectasis.

Browse Bronchiectasis 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.

04

Who can participate

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

Inclusion criteria

  • Patients who completed the treatment period in Phase II trials (1397-0012 or 1397-0013) as planned per protocol.
  • Male or female patients. Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control 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. A list of contraception methods meeting these criteria is provided in the patient information.
  • Signed and dated written informed consent prior to admission to the trial, in accordance with Good Clinical Practice (GCP) and local legislation.

Exclusion criteria

Exclusion Criteria:

Laboratory and medical examination

  • Moderate or severe liver disease (defined by Child-Pugh score B or C hepatic impairment) or aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >3.0x Upper limit of normal (ULN) at Visit 1 (or at the last safety assessment in the parent trial, if no more than 6 weeks passed since then).
  • Estimated glomerular filtration rate (eGFR) according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula \<30 mL/min at Visit 1 (or at the last safety assessment in the parent trial, if no more than 6 weeks passed since then).
  • An absolute blood neutrophil count \<1,000/mm\^3 (equivalent to \<1,000 cells/μL or \<10\^9 cells/L) at Visit 1 (or at the last safety assessment in the parent trial, if no more than 6 weeks passed since then).
  • Any findings in the medical examination and/or laboratory value assessed at Visit 1 (or at the last safety assessment in the parent trial, concerning the lab tests, if no more than 6 weeks passed since then), that in the opinion of the investigator may put the patient at risk by participating in the trial.

New concomitant diagnosis and therapy

  • A new diagnosis of

    • Hypogammaglobulinemia
    • Common variable immunodeficiency
    • α1-antitrypsin deficiency being treated augmentation therapy
    • Allergic bronchopulmonary aspergillosis being treated or requiring treatment
    • Tuberculosis or non-tuberculous mycobacterial infection being treated or requiring treatment according to local guidelines
    • Palmoplantar keratosis; or keratoderma climactericum
    • Hypothyroidism, myxedema, chronic lymphedema with associated hyperkeratosis of the skin, acrocyanosis. If a subject has hypothyroidism but is treated and compensated, the subject is allowed into the trial
    • Psoriasis affecting palms and soles; or body surface area for psoriasis ≥10%
    • Reactive arthritis (Reiter's syndrome); keratoderma blennorrhagicum
    • Pityriasis rubra pilaris
    • Atopic dermatitis affecting palms and soles; or body surface area for atopic dermatitis ≥10%
    • Active extensive verruca vulgaris, as per investigator's discretion
    • Active fungal infection of hand and/or feet not adequately treated and responsive to antifungal therapy, as per investigator's discretion.
  • Any clinically relevant respiratory infection within 4 weeks prior Visit 2, unless recovered in the opinion of the investigator by Visit 2.
  • Any acute infection requiring systemic or inhaled anti-infective therapy within 4 weeks prior Visit 2.
  • Positive serological tests for hepatitis B, hepatitis C (also confirmed with ( Hepatitis C Virus ribonucleic acid test (HCV RNA))), or human immunodeficiency virus (HIV) infection, or known infection status at Visit 2. (The test results will be available after randomisation. In case the results no longer satisfy the entry criteria, these patients will be discontinued.)
  • Any new evidence of a concomitant disease, such as Papillon-Lefèvre Syndrome (PLS), relevant pulmonary, gastrointestinal, hepatic, renal, cardiovascular, metabolic, immunological, hormonal disorders, or patients who are immunocompromised with a higher risk of invasive pneumococcal disease or other invasive opportunistic infections (such as histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis), that in the opinion of the investigator, may put the patient at risk by participating in the trial.
  • Received any live attenuated vaccine within 4 weeks prior to Visit 1.
  • Further exclusion criteria apply
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
268 participants (actual)

Study arms

  • Experimental
    BI 1291583 low dose arm

    Drug: BI 1291583 · Drug: Placebo matching BI 1291583

  • Experimental
    BI 1291583 medium dose arm

    Drug: BI 1291583 · Drug: Placebo matching BI 1291583

  • Experimental
    BI 1291583 high dose arm

    Drug: BI 1291583 · Drug: Placebo matching BI 1291583

Interventions

  • DrugBI 1291583

    Tablet

    Also known as: Verducatib

  • DrugPlacebo matching BI 1291583

    Tablet

06

What researchers measure

Primary outcomes

  1. Occurrence of treatment-emergent adverse events (TEAEs)

    Time frame: up to 12 months

Secondary outcomes

  1. Time to first pulmonary exacerbation from first drug administration in this trial to the end of the trial

    A pulmonary exacerbation in this trial is defined as having three or more of the following symptoms for at least 48 hours resulting in a physician's decision to prescribe antibiotics (oral or intravenous): * Increased cough * Increased sputum volume or change in sputum consistency * Increased sputum purulence * Increased breathlessness and/or decreased exercise tolerance * Fatigue and/or malaise * Hemoptysis

    Time frame: up to 12 months

  2. Rate of pulmonary exacerbations (number of events per person-time) over the course of this trial

    Time frame: up to 12 months

07

Study locations

102 sites
  • Newport Native MD, Inc
    Newport Beach, California 92663, United States
  • University of California Davis
    Sacramento, California 95817, United States
  • Malcom Randall VA Medical Center
    Gainesville, Florida 32608, United States
  • University of Florida Health Jacksonville
    Jacksonville, Florida 32209, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • New York University Langone Medical Center
    New York, New York 10016, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Metroplex Pulmonary & Sleep Center
    McKinney, Texas 75069, United States
  • IMA Clinical Research San Antonio
    San Antonio, Texas 78229, United States
  • University of Texas Health Science Center at Tyler
    Tyler, Texas 75708, United States
  • Macquarie University
    Macquarie Park, New South Wales 2109, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Lung Research Queensland
    Chermside, Queensland 4032, Australia
  • Mater Research Institute
    South Brisbane, Queensland 4101, Australia
  • Institute for Respiratory Health
    Nedlands, Western Australia 6009, Australia
  • Trialswest
    Spearwood, Western Australia 6163, Australia
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • Medical Center Zdrave-1 OOD
    Kozloduy, 3320, Bulgaria
  • Medical Center Hera - Montana Branch
    Montana, 3400, Bulgaria
  • Medical Center ReSpiro Ltd
    Razgrad, 7200, Bulgaria
  • SHATPPD "Dr. Dimitar Gramatikov"
    Rousse, 7002, Bulgaria
  • Medical Center Hera EOOD
    Sofia, 1510, Bulgaria
  • Centre Hospitalier de l'Universite de Montreal (CHUM)
    Montreal, Quebec H2X 0A9, Canada
  • Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ)
    Québec, G1V 4G5, Canada
  • Pulmonary Private Practice Kralupy
    Kralupy nad Vltavou, 27801, Czechia
  • The First Pulmonary Private Practice
    Prague, 19000, Czechia
  • Aalborg Sygehus Syd
    Aalborg, 9000, Denmark
  • Hvidovre Hospital
    Hvidovre, 2650, Denmark
  • Copenhagen University Hospital, Rigshospitalet
    København Ø, 2100, Denmark
  • Odense University Hospital
    Odense, 5000 C, Denmark
  • Sjællands Universitetshospital
    Roskilde, 4000, Denmark
  • Vejle University Hospital
    Vejle, 7100, Denmark
  • CHU Amiens-Picardie
    Amiens, 80054, France
  • HOP Arnaud de Villeneuve
    Montpellier, 34295, France
  • HOP Pontchaillou
    Rennes, 35000, France
  • Charité - Universitätsmedizin Berlin
    Berlin, 13353, Germany
  • Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
    Essen, 45239, Germany
  • IKF Pneumologie GmbH & Co. KG
    Frankfurt, 60596, Germany
  • Velocity Clinical Research Germany GmbH, Ahrensburg
    Großhansdorf, 22927, Germany
  • Medizinische Hochschule Hannover
    Hanover, 30625, Germany
  • Lungenfachklinik Immenhausen
    Immenhausen, 34376, Germany
  • Universitätsklinikum Jena
    Jena, 07747, Germany
  • Klinikum Konstanz
    Konstanz, 78464, Germany
  • Velocity Clinical Research Germany GmbH, Lübeck
    Lübeck, 23552, Germany
  • Klinikum der Universität München AÖR
    München, 80336, Germany
  • Velocity Clinical Research Germany GmbH, Wiesbaden
    Wiesbaden, 65189, Germany
  • Semmelweis University
    Budapest, 1083, Hungary
  • Da Vinci Private Clinic
    Pécs, 7635, Hungary
  • Soroka Univ. Medical Center
    Beersheba, 8410101, Israel
  • Lady Davis Carmel Medical Center
    Haifa, 3436212, Israel
  • Hadassah Medical Center, Ein-Karem
    Jerusalem, 9112001, Israel
  • Sourasky Medical Center
    Tel Aviv, 6423906, Israel
  • Azienda Ospedaliera Meyer
    Florence, 50139, Italy
  • Policlinico "Paolo Giaccone"
    Palermo, 90127, Italy
  • Fondazione IRCCS Policlinico S. Matteo
    Pavia, 27100, Italy
  • Istituto Clinico Humanitas
    Rozzano (MI), 20089, Italy
  • Azienda Ospedaliera Universitaria Integrata Verona
    Verona, 37126, Italy
  • Nagoya University Hospital
    Aichi, Nagoya, 466-8560, Japan
  • Hirosaki University Hospital
    Aomori, Hirosaki, 036-8563, Japan
  • Kameda Clinic
    Chiba, Kamogawa, 296-0041, Japan
  • Kyushu University Hospital
    Fukuoka, Fukuoka, 812-8582, Japan
  • Ibarakihigashi National Hospial
    Ibaraki, Naka-gun, 319-1113, Japan
  • Kagoshima University Hospital
    Kagoshima, Kagoshima, 890-8520, Japan
  • Matsusaka City Hospital
    Mie, Matsusaka, 515-8544, Japan
  • Osaka Toneyama Medical Center
    Osaka, Toyonaka, 560-8552, Japan
  • Saga University Hospital
    Saga, Saga, 849-8501, Japan
  • Fukujuji Hospital
    Tokyo, Kiyose, 204-8522, Japan
  • Kitasato Institute Hospital
    Tokyo, Minato-ku, 108-8642, Japan
  • Veselibas centru apvieniba AS
    Daugavpils, 5410, Latvia
  • Daugavpils regionala slimnica SIA
    Daugavpils, 5417, Latvia
  • VCA Dubultu Medical center
    Jūrmala, 2015, Latvia
  • Rigas 1. slimnica SIA
    Riga, 1001, Latvia
  • Pauls Stradins Clinical University Hospital
    Riga, 1002, Latvia
  • Mediciniskas pecdiploma izglitibas instituts SIA
    Riga, 1011, Latvia
  • Mediadvance Clinical S.A.P.I de C.V.
    Chihuahua City, 31203, Mexico
  • Hospital Universitario Dr Jose Eleuterio Gonzalez
    Monterrey, 64460, Mexico
  • Hospital Universitario Nuevo de Nuevo León - CEPREP
    Monterrey, Nuevo León, C.P. 64460, Mexico
  • Oaxaca Site Management Organization, S.C.
    Oaxaca City, 68000, Mexico
  • Clinical Research Institute S.C.
    Tlalnepantla, 54055, Mexico
  • Amsterdam UMC, location VUMC
    Amsterdam, 1081 HV, Netherlands
  • Universitair Medisch Centrum Utrecht
    Utrecht, 3584 EA, Netherlands
  • Gelre Ziekenhuis Zutphen
    Zutphen, 7207 EA, Netherlands
  • Respiratory Medicine Centre, private prac., Bialystok
    Bialystok, 15044, Poland
  • Screenmed Sp. z o.o.
    Piaseczno, 05500, Poland
  • Przychodnia Alergologiczno-Pulmonologiczna Alergopneuma Sp. z o.o.
    Świdnik, 21040, Poland
  • Altamed Specjalistyczna Praktyka Lekarska Pawel Sliwinski
    Warsaw, 01-456, Poland
  • Dr. Piotr Napora, Center of Clinical Research
    Wroclaw, 51162, Poland
  • ULS de Santa Maria, E.P.E
    Lisbon, 1649-035, Portugal
  • Chungbuk National University Hospital
    Cheongju-si, 28644, South Korea
  • Asan Medical Center
    Seoul, 05505, South Korea
  • SMG-SNU Boramae Medical Center
    Seoul, 07071, South Korea
  • Korea University Guro Hospital
    Seoul, 08308, South Korea
  • The Catholic University of Korea, Eunpyeong St. Mary's Hospital
    Seoul, 22711, South Korea
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Clínic de Barcelona
    Barcelona, 08036, Spain
  • Hospital Universitari de Bellvitge
    L'Hospitalet de Llobregat, 08907, Spain
  • Hospital de Mérida
    Mérida, 06800, Spain
  • Hospital Quirónsalud Madrid
    Pozuelo de Alarcón, 28223, Spain

Showing the first 100 of 102 sites across 22 countries.

08

References and documents

Publications

  • Badorrek P, Diefenbach C, Kogler H, Eleftheraki A, Seitz F, Hohlfeld JM. Novel cathepsin C inhibitor, BI 1291583, intended for treatment of bronchiectasis: Phase I characterization in healthy volunteers. Clin Transl Sci. 2024 Aug;17(8):e13891. doi: 10.1111/cts.13891. PubMed 39175217 ↗

Related links

Individual participant data

Plan to share: Yes — Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can 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.

Supporting information: Study protocol, Sap, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05846230
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
May 6, 2023
Start date
Sep 8, 2023
Primary completion
Mar 31, 2027 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Aug 21, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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