Design of the INPULSIS™ trials: Two phase 3 trials of nintedanib in patients with idiopathic pulmonary fibrosis
Autor: | Vincent Cottin, Luca Richeldi, Harold R. Collard, Yoshikazu Inoue, Andrew G. Nicholson, Martin Kolb, Florence Le Maulf, David M. Hansell, Ganesh Raghu, Kevin R. Flaherty, Hiroyuki Taniguchi, Susanne Stowasser |
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Rok vydání: | 2014 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Indoles Randomization Exacerbation Vital Capacity Placebo Drug Administration Schedule Idiopathic pulmonary fibrosis chemistry.chemical_compound FEV1/FVC ratio Phase III Double-Blind Method Internal medicine Clinical endpoint Humans Multicenter Studies as Topic Medicine Protein tyrosine kinases Protein Kinase Inhibitors Randomized Controlled Trials as Topic business.industry Patient Selection medicine.disease Idiopathic Pulmonary Fibrosis Clinical trial Treatment Outcome Clinical Trials Phase III as Topic chemistry Research Design Protein kinase inhibitor Disease Progression Quality of Life Physical therapy Nintedanib Drug therapy Tomography X-Ray Computed business |
Zdroj: | Respiratory Medicine. 108:1023-1030 |
ISSN: | 0954-6111 0133-5464 |
Popis: | Summary Background Nintedanib is in clinical development as a treatment for idiopathic pulmonary fibrosis (IPF). Data from the Phase II TOMORROW study suggested that nintedanib 150 mg twice daily had clinical benefits with an acceptable safety profile. Methods The INPULSIS™ trials are replicate Phase III, randomized, double-blind, studies comparing the efficacy and safety of nintedanib 150 mg twice daily with placebo in patients with IPF. Eligible patients were aged ≥40 years with a diagnosis of IPF within 5 years before randomization who had undergone a chest high-resolution computed tomography (HRCT) scan within 1-year before screening, and who had a forced vital capacity (FVC) of ≥50% predicted and a diffusing capacity for carbon monoxide of 30–79% predicted. Participants were randomized 3:2 to receive nintedanib or placebo for 52 weeks. The primary endpoint is the annual rate of decline in FVC. The key secondary endpoints are change from baseline in the total score on the St. George's Respiratory Questionnaire (a measure of health-related quality of life) over 52 weeks and time to first acute exacerbation. Results Enrolment of 1066 patients in 24 countries was completed in September 2012. Results will be reported in the first half of 2014. Conclusion The INPULSIS™ trials will determine the efficacy of nintedanib in patients with IPF, including its impact on disease progression as defined by decline in FVC, acute exacerbations and health-related quality of life. In addition, they will characterise the adverse event profile of nintedanib in this patient population. Trial registration : Registered at ClinicalTrials.gov (identifiers: NCT01335464 and NCT01335477). |
Databáze: | OpenAIRE |
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