ClinicalTrials.gg
RecruitingNCT07540988Updated Oct 28, 2026

FIBRONEER-ACT: A Study to Test Whether Nerandomilast Helps People With Fibrosing Interstitial Lung Disease at Risk for Disease Progression

A Phase 3 interventional study of Nerandomilast and Placebo matching nerandomilast in Interstitial Lung Diseases, sponsored by Boehringer Ingelheim. Recruiting at 162 sites in 20 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

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

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 28, 2026Site recruiting status changedStart date moved+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
466
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 24 studies in Lung Diseases, Interstitial by Boehringer Ingelheim — 4 open to participants now, 6 under way, 4 of them phase 3. Lung Diseases, Interstitial · Boehringer Ingelheim.

Planned enrollment
3rd of 12
466 · median 248
Started
2026
with 2 others
Phase 3
11 of 24
3 open now
Registered
24th of 24
by date

Among the 24 studies in Lung Diseases, Interstitial by Boehringer Ingelheim, this one is the 3rd largest by planned enrollment of the 12 interventional ones, is one of 3 that started in 2026, is one of 11 in phase 3, and was the 24th registered.

By phase

24 studies; the count open now beside each. This study's row is marked.

Phase 3this study11 · 3 open
Observational10 · 1 open
Other kind2 · 0 open
No phase1 · 0 open

By the year they started

First in 2017; this study’s year is marked. 3 started in 2026.

What they test

Size and results

Median enrollment 248 across the 12 interventional studies, 506 across the 10 observational. Of the 16 that completed or were terminated, 11 (69%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 24 studies in Lung Diseases, Interstitial by Boehringer Ingelheim, or all of them as a file.
02

Study summary

This study is open to adults with fibrosing interstitial lung disease (ILD) other than idiopathic pulmonary fibrosis (IPF). People can join the study if they have been diagnosed with this condition within the last 3 years and are at risk of developing progressive pulmonary fibrosis (PPF). The purpose of this study is to find out whether a medicine called nerandomilast helps people with fibrosing interstitial lung disease who may be at risk for their disease getting worse.

Participants are put into 2 groups randomly, which means by chance. One group takes nerandomilast tablets, and the other group takes placebo tablets. Placebo tablets look like nerandomilast tablets but do not contain any medicine. Nerandomilast is a type of medicine that may help reduce lung function decline and slow disease progression.

Participants are in the study for up to about 2 years and 4 months. During this time, they visit the study site regularly. Doctors regularly test lung function using methods like spirometry to measure forced vital capacity (FVC, maximum amount of air a participant can blow out after taking a deep breath) and DLCO (diffusing capacity of the lungs for carbon monoxide; it estimates how well oxygen moves from the lungs into the blood). Additionally, high-resolution computed tomography (HRCT) is performed to monitor how the lung condition is changing over time. The results are compared between the groups to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.

03

Conditions studied

  • Interstitial Lung Diseases
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

  1. Male and female individuals ≥18 years of age at the time of first signed at Visit 1a
  2. Signed and dated written informed consent in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) - Good Clinical Practice (GCP) and local legislation prior to admission to the trial
  3. Diagnosis of fibrosing interstitial lung disease (ILD) other than idiopathic pulmonary fibrosis (IPF) as established by the investigator
  4. Presence of fibrotic lung disease on high resolution computed tomography (HRCT), defined as reticulation with traction bronchiectasis/ bronchiolectasis and/or honeycombing, and extent of fibrosis ≥10%, as assessed by central review prior to randomization
  5. Time since ILD diagnosis ≤3 years before randomization
  6. FVC ≥45% of predicted normal at Visit 1
  7. Diffusing capacity of the lungs for carbon monoxide (DLCO) ≥25% of predicted normal corrected for (Hb) at Visit 1
  8. Patients treated with permitted /immunomodulatory agents for an underlying systemic disease (e.g. methotrexate (MTX), azathioprine (AZA)) need to be on stable treatment for at least 12 weeks prior to Visit 1 and during screening period
  9. Further inclusion criteria apply.

Exclusion criteria

Exclusion criteria :

  1. Known diagnosis of idiopathic pulmonary fibrosis (IPF) based on multidisciplinary discussion (MDD) and according to the American Thoracic Society (ATS)/European Respiratory Society (ERS) 2022 guidelines
  2. Known diagnosis of -ILDs other than rheumatoid arthritis-associated ILD (RA-ILD)
  3. Known diagnosis of sarcoidosis
  4. Patients with predominant features of organizing pneumonia on HRCT, as assessed by central review
  5. Patients who developed ILD due to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection/Coronavirus Disease 2019 (COVID-19) (based on investigators judgement)
  6. Meeting criteria for progressive pulmonary fibrosis (PPF), as assessed by investigator
  7. Meeting criteria for treatment with currently approved therapies for the fibrosing ILD (e.g. PPF), as assessed by investigator
  8. Prior or current use of nerandomilast, nintedanib, or pirfenidone
  9. Further exclusion criteria apply.
Terms in these criteria, in plain language(4)

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 authorised 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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
466 participants (estimated)

Study arms

  • Experimental
    Nerandomilast arm

    Drug: Nerandomilast

  • Placebo comparator
    Placebo arm

    Drug: Placebo matching nerandomilast

Interventions

  • Nerandomilast

  • DrugPlacebo matching nerandomilast

    Placebo matching nerandomilast

06

What researchers measure

Primary outcomes

  1. Absolute change from baseline in forced vital capacity (FVC) (mL) at Week 52

    Time frame: at baseline, at week 52

Secondary outcomes

  1. Absolute change from baseline in total disease extent (TDE [%]), as measured by e-Lung quantitative high resolution computed tomography (HRCT) scoring at Week 52

    Time frame: at baseline, at week 52

  2. Absolute change from baseline in reticulovascular score (RVS [%]), as measured by e-Lung quantitative high resolution computed tomography (HRCT) scoring at Week 52

    Time frame: at baseline, at week 52

  3. Absolute change from baseline in FVC (% predicted) at Week 52

    Time frame: at baseline, at week 52

  4. Time to development of incident progressive pulmonary fibrosis (PPF) (as assessed and documented by investigator) or death over the duration of the trial

    Time frame: up to 28 months

  5. Time to absolute decline from baseline in FVC (% predicted) of >5% or death over the duration of the trial

    Time frame: up to 28 months

  6. Time to relative decline from baseline in FVC (% predicted) of >10% or death over the duration of the trial

    Time frame: up to 28 months

  7. Absolute change from baseline in diffusing capacity of the lungs for carbon monoxide (DLCO [% predicted]) at Week 52

    Time frame: at baseline, at week 52

  8. Time to absolute decline from baseline in diffusing capacity of the lungs for carbon monoxide (DLCO [% predicted]) of >10% or death over the duration of the trial

    Time frame: up to 28 months

07

Study locations

7 of 162 sites recruiting

Showing the first 100 of 162 sites across 20 countries. Choose a country and city above to see the rest.

08

References and documents

Related links

Individual participant data

Plan to share: Yes — Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing

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

Time frame: One year after the approval has been granted by major Regulatory Authorities and after the primary manuscript has been accepted for publication, or after termination of the development program.

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 the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.

Data sharing details ↗ · www.clinicalstudies.boehringer-ingelheim.com

09

Timeline

3 registry updates 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

Started Sep 2026 (actual). Primary completion is estimated for Dec 2028, 26 months after the start.

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 planned 26 months is below that.

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

Registered
Apr 15, 2026
First posted
Apr 21, 2026
StartActual
Sep 17, 2026
Primary completionEst.
Dec 5, 2028
CompletionEst.
Dec 12, 2028
Last update
Oct 28, 2026
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.
Sites
5 sites added, 9 sites removed. 5 sites changed recruiting status (5 now recruiting)
Show 5 sites
  • CIC Mauricie (Trois Rivieres) · Trois-Rivières, CanadaNot yet recruiting→Recruiting
  • Soon Chun Hyang University Hospital Bucheon · Bucheon-si, Gyeonggi-do, South KoreaNot yet recruiting→Recruiting
  • National Taiwan University Hospital · Taipei, TaiwanNot yet recruiting→Recruiting
  • Heartlands Hospital · Birmingham, United KingdomNot yet recruiting→Recruiting
  • Wythenshawe Hospital · Manchester, United KingdomNot yet recruiting→Recruiting
Show 5 added (1 Brazil, 1 China, 1 United Kingdom, 1 United States, 1 Argentina)
  • Fundaçao Faculdade Regional de Medicina de Sao Jose do Rio Preto · São José do Rio Preto, Brazil
  • Sichuan Provincial People's Hospital · Chengdu, China
  • Royal Lancaster Infirmary · Lancaster, United Kingdom
  • New York Presbyterian Hospital -Columbia University · New York, United States
  • Hospital Aleman · Capital Federal, Argentina
Show 9 removed
  • Fundação Faculdade Regional de Medicina de São José do Rio Preto · São José do Rio Preto, Brazil
  • People's Hospital of Sichuan Province · Chengdu, China
  • Clinical Trials Center of Middle Tennessee, LLC · Franklin, United States
  • Lungenfachklinik Immenhausen · Immenhausen, Germany
  • Ospedale Classificato San Giuseppe · Milan, Italy
  • Columbia University Medical Center-New York Presbyterian Hospital · New York, United States
  • Hospital Aleman · CABA, Argentina
  • Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu · Poznan, Poland
  • National Institute Of Tuberculosis And Lung Diseases · Warsaw, Poland
across 3 updates, Oct 1, 2026 – Oct 28, 2026
Start date
Sep 14, 2026→Sep 17, 2026 (actual)
Oct 1, 2026
Show all 3 updates
  1. Oct 28, 2026
    2 sites added, 4 sites removed. 4 sites changed recruiting status (4 now recruiting)
    Show 4 sites
    • Soon Chun Hyang University Hospital Bucheon · Bucheon-si, Gyeonggi-do, South KoreaNot yet recruiting→Recruiting
    • National Taiwan University Hospital · Taipei, TaiwanNot yet recruiting→Recruiting
    • Heartlands Hospital · Birmingham, United KingdomNot yet recruiting→Recruiting
    • Wythenshawe Hospital · Manchester, United KingdomNot yet recruiting→Recruiting
    Show 2 added (1 United States, 1 Argentina)
    • New York Presbyterian Hospital -Columbia University · New York, United States
    • Hospital Aleman · Capital Federal, Argentina
    Show 4 removed
    • Columbia University Medical Center-New York Presbyterian Hospital · New York, United States
    • Hospital Aleman · CABA, Argentina
    • Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu · Poznan, Poland
    • National Institute Of Tuberculosis And Lung Diseases · Warsaw, Poland
  2. Oct 14, 2026
    3 sites removed. CIC Mauricie (Trois Rivieres) is now Recruiting
    Show 3 removed
    • Clinical Trials Center of Middle Tennessee, LLC · Franklin, United States
    • Lungenfachklinik Immenhausen · Immenhausen, Germany
    • Ospedale Classificato San Giuseppe · Milan, Italy
    + 1 other change: verification date
  3. Oct 1, 2026
    3 sites added, 2 sites removed
    Show 3 added (1 Brazil, 1 China, 1 United Kingdom)
    • Fundaçao Faculdade Regional de Medicina de Sao Jose do Rio Preto · São José do Rio Preto, Brazil
    • Sichuan Provincial People's Hospital · Chengdu, China
    • Royal Lancaster Infirmary · Lancaster, United Kingdom
    Show 2 removed
    • Fundação Faculdade Regional de Medicina de São José do Rio Preto · São José do Rio Preto, Brazil
    • People's Hospital of Sichuan Province · Chengdu, China
    Start date Sep 14, 2026→Sep 17, 2026 (now actual)

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07540988
Responsible party
Sponsor
First posted
Apr 21, 2026
Start date
Sep 17, 2026
Primary completion
Dec 5, 2028 (estimated)
Completion
Dec 12, 2028 (estimated)
Last update
Oct 28, 2026

Study contacts

Boehringer Ingelheim
Contact
clintriage.rdg@boehringer-ingelheim.com
1-800-243-0127

Oversight

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

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Studies of the drug tested here: Nerandomilast

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