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RecruitingNCT07679893INFLO-2Updated Sep 14, 2026

Phase 2 Clinical Trial of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary Fibrosis

A Phase 2 interventional study of Nintedanib Dry Powder Inhalation and Placebo in Idiopathic Pulmonary Fibrosis and Idiopathic Pulmonary Fibrosis (IPF), sponsored by Mannkind Corporation. Recruiting at 1 site in Canada. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Mannkind Corporation · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
153
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Study summary

This trial is a randomized, double-blind, placebo-controlled study evaluating the safety and preliminary efficacy of inhaled Nintedanib Dry Powder Inhalation (DPI) in adults with idiopathic pulmonary fibrosis (IPF). Participants are randomized to receive either 2 mg BID, 4 mg BID, or matching placebo for 12 weeks, followed by a 24-week open-label extension in which all participants receive active treatment. The primary focus is on safety-particularly bronchospasm events, lung function changes (FEV1, FEV1/FVC), and adverse event rates and assessing the effectiveness of nintedanib DPI in treating IPF.

02

Conditions studied

  • Idiopathic Pulmonary Fibrosis
  • Idiopathic Pulmonary Fibrosis (IPF)

Keywords

  • inhalable treatments
  • lung scarring
  • Pulmonary fibrosis
  • fibrosis
  • pulmonary
03

In context

Idiopathic Pulmonary Fibrosis

576 studies on the registry are indexed under Idiopathic Pulmonary Fibrosis; 123 are open to participants now.

This study's planned enrollment of 153 is above the median of 55 across 389 interventional studies indexed under Idiopathic Pulmonary Fibrosis.

Browse Idiopathic Pulmonary Fibrosis studies →

Lead sponsor

Mannkind Corporation is the lead sponsor of 57 studies on the registry; 3 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 3 (38%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 80 Years
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

  • 40-80 years old when signing consent and entering screening.
  • Diagnosed with IPF based on current ATS/ERS/JRS/ALAT guidelines.
  • Either new to treatment or on a stable dose of pirfenidone and/or nerandomilast for at least 3 months before screening.
  • Weighs more than 40 kg (88 lb) at screening.
  • Women who can become pregnant:
  • Must have a negative pregnancy test at screening.
  • Must use an approved method from screening until at least 1 month after the last study dose.
  • Men who can father a child and are sexually active with women who can become pregnant:
  • Must use an approved birth control method during treatment and for at least 3 months after the last study dose.
  • Must not donate sperm during treatment and for at least 3 months after the last study dose.
  • Willing to follow all study rules and restrictions.
  • Willing and able to attend study visits and complete study procedures.
  • Able to perform spirometry (lung function testing) as required by the study.

Exclusion criteria

Exclusion Criteria:

  • Has a lung disease caused by something other than IPF.
  • Has a connective tissue or disease (such as lupus, scleroderma, or rheumatoid arthritis).
  • Has another condition that significantly affects breathing.
  • Has serious heart or blood vessel disease.
  • Has a recent or current infection.
  • Was recently hospitalized for COVID-19, an IPF flare-up, or a lung infection.
  • Has a history of asthma (except childhood asthma that has resolved).
  • Has another medical condition or abnormal test result that may affect study participation or safety.
  • Cannot perform high-quality spirometry testing.
  • Has obstructive lung disease.
  • Has abnormal liver function tests.
  • Has moderate to severe liver disease.
  • Has severe kidney disease.
  • Has recently used high-dose or other immune-suppressing medications.
  • Has active cancer or recent cancer treatment.
  • Is on, or expected to be added to, a transplant list.
  • Had major surgery recently or has planned procedures that could interfere with the study.
  • Has had a severe reaction to nintedanib or cannot take nintedanib safely.
  • Has recently used certain medications that may interact with the study drug.
  • Is currently using, or plans to use, prohibited medications during the study.
  • Has recently participated in another clinical trial.
  • Has current alcohol or drug abuse issues.
  • Donated a significant amount of blood recently.
  • Received a recently.
  • Currently smokes, recently smoked, or quit smoking less than 1 year ago.
  • Requires more than 6 L/min of oxygen while at rest.
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.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

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

Study arms

  • Experimental
    Nintedanib DPI 2X day 1st dose

    Inhalable

    Drug: Nintedanib Dry Powder Inhalation

  • Placebo comparator
    Placebo 2X day 1st dose

    Inhalable

    Drug: Placebo

  • Experimental
    Nintedanib DPI 2X day 2nd dose

    2nd dose

    Drug: Nintedanib Dry Powder Inhalation

  • Placebo comparator
    Placebo 2X day 2nd dose

    2nd dose

    Drug: Placebo

Interventions

  • DrugNintedanib Dry Powder Inhalation

    Nintedanib DPI is a dry powder nintedanib formulation for oral inhalation.

  • DrugPlacebo

    Placebo oral inhalation powder

06

What researchers measure

Primary outcomes

  1. Safety and Efficacy

    Safety and tolerability of different doses and to confirm an optimal dose of Nintedanib Dry Powder Inhalation (DPI)

    Time frame: From enrollment to the end of randomized treatment at 12 weeks

  2. Events of clinical bronchospasm

    Events of clinical bronchospasm (e.g., treatment-emergent adverse event \[TEAE\] of wheezing or chest tightness immediately after inhalation)

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

  3. FEV1 change

    Change in forced expiratory volume in 1 second (FEV1) (mL)

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

  4. Spirometry Change

    Change in FEV1/forced vital capacity (FVC) ratio

    Time frame: enrollment to end of open label at 36 weeks

  5. Study Drug Discontinuation

    Rate of study drug discontinuations

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

  6. Study Drug Dose Reductions

    Rate of study drug dose reductions

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

  7. Adverse Events

    Rate of TEAEs

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

  8. Related Adverse Events

    Rate of treatment-related adverse events (TRAEs)

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

  9. Serious Adverse Events

    Rate of serious adverse events (SAEs)

    Time frame: From enrollment to the end of open-label treatment at 36 weeks

Secondary outcomes

  1. Efficacy of Nintedanib DPI

    To assess a potential efficacy signal of different doses of Nintedanib DPI over 12 weeks in patients with IPF.

    Time frame: From enrollment to the end of randomized treatment at 12 weeks

07

Study locations

1 of 1 sites recruiting
  • Trial Management Group Inc
    Windsor, Ontario N8X1T3, Canada
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07679893
Responsible party
Sponsor
First posted
Jul 1, 2026
Start date
May 15, 2026
Primary completion
Dec 30, 2027 (estimated)
Completion
Jun 2028 (estimated)
Last update
Sep 14, 2026

Study contacts

Wassim Fares, MD, SVP, Therapeutic Area Head, Orphan Lung Disease, MD
Contact
wfares@mannkindcorp.com
203-796-3407

Oversight

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

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