A Trial to Evaluate the Safety of Long Term Treatment With Nintedanib in Patients With Scleroderma Related Lung Fibrosis
Study Details
Study Description
Brief Summary
The main objective is to assess long term safety of treatment with oral nintedanib in patients with Systemic Sclerosis associated Interstitial Lung Disease (SSc-ILD).
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: All patients
|
Drug: Nintedanib
Administered twice daily
Other Names:
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Outcome Measures
Primary Outcome Measures
- Incidence of overall adverse events over the course of this extension trial [Up to 34 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients who completed the parent trial 1199.214/1199-0340 per protocol and did not permanently discontinue study treatment
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Signed and dated written informed consent in accordance with International Conference on Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial
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Women of childbearing potential 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 for 28 days prior to nintedanib treatment initiation, during the trial and for 3 months after last intake of nintedanib.
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Further inclusion criteria apply
Exclusion Criteria:
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Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) > 3 x Upper Limit of Normal (ULN)
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Bilirubin > 2 x ULN
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Creatinine clearance <30 mL/min calculated by Cockcroft-Gault formula.
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Clinically relevant anaemia at investigators discretion.
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Bleeding risk, any of the following
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Known genetic predisposition to bleeding according to the judgement of the investigator
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Patients who require
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Fibrinolysis, full-dose therapeutic anticoagulation
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High dose antiplatelet therapy.
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Hemorrhagic central nervous system (CNS) event after completion of the parent trial 1199.214/1199-0340
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Any of the following after last treatment of 1199.214/1199-0340:
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Haemoptysis or haematuria
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Active gastro-intestinal bleeding or Gastrointestinal (GI) - ulcers
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Gastric antral vascular ectasia (GAVE)
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Major injury or surgery
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Coagulation parameters: International normalised ratio (INR) >2, prolongation of prothrombin time (PT) and partial thromboplastin time (PTT) by >1.5 x ULN at Visit 1.
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New major thrombo-embolic events developed after completion of the parent trial 1199.214/1199-0340:
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Stroke;
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Deep vein thrombosis;
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Pulmonary embolism;
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Myocardial infarction.
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Major surgery performed within the next 3 months
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Time period > 12 weeks between last drug intake in 1199.214 or > 1 week between last nintedanib intake in trial 1199-0340 and Visit 2 of this trial
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Usage of any investigational drug after completion of 1199.214/1199-0340 or planned usage of an investigational drug during the course of this trial.
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A disease or condition which may put the patient at risk because of participation in this trial (e.g. clinically relevant intestinal pseudoobstruction) or limit the patient's ability to participate in this trial
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Chronic alcohol or drug abuse or any condition that, in the investigator's opinion, makes them an unreliable trial subject or unlikely to complete the trial
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Known hypersensitivity to the trial medication or its components (i.e. soya lecithin).
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Women who are pregnant, nursing, or who plan to become pregnant while in the trial
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Previous enrolment in this trial
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Further exclusion criteria apply
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Alabama at Birmingham | Birmingham | Alabama | United States | 35233 |
2 | University of California Los Angeles | Los Angeles | California | United States | 90095 |
3 | University of California Davis | Sacramento | California | United States | 95817 |
4 | University of California San Francisco | San Francisco | California | United States | 94143 |
5 | Stanford University Medical Center | Stanford | California | United States | 94305 |
6 | University of Colorado Denver | Aurora | Colorado | United States | 80045 |
7 | Yale University School of Medicine | New Haven | Connecticut | United States | 06510 |
8 | Georgetown University | Washington | District of Columbia | United States | 20007 |
9 | University of Florida College of Medicine | Jacksonville | Florida | United States | 32209 |
10 | University of Miami | Miami | Florida | United States | 33125 |
11 | The Emory Clinic | Atlanta | Georgia | United States | 30322 |
12 | Northwestern University | Chicago | Illinois | United States | 60611 |
13 | University of Iowa Hospitals and Clinics | Iowa City | Iowa | United States | 52242 |
14 | University of Kansas Medical Center | Kansas City | Kansas | United States | 66160 |
15 | Tulane University Hospital and Clinic | New Orleans | Louisiana | United States | 70112 |
16 | Johns Hopkins Hospital | Baltimore | Maryland | United States | 21224 |
17 | Boston University School of Medicine | Boston | Massachusetts | United States | 02118 |
18 | University of Minnesota | Minneapolis | Minnesota | United States | 55455 |
19 | Mayo Clinic, Rochester | Rochester | Minnesota | United States | 55905 |
20 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
21 | Hospital for Special Surgery | New York | New York | United States | 10021 |
22 | Icahn School of Medicine at Mount Sinai | New York | New York | United States | 10029 |
23 | Columbia University Medical Center-New York Presbyterian Hospital | New York | New York | United States | 10032 |
24 | Duke University Medical Center | Durham | North Carolina | United States | 27710 |
25 | University of Cincinnati | Cincinnati | Ohio | United States | 45219 |
26 | Cleveland Clinic | Cleveland | Ohio | United States | 44195 |
27 | University of Toledo | Toledo | Ohio | United States | 43614 |
28 | University of Pennsylvania | Philadelphia | Pennsylvania | United States | 19104 |
29 | Thomas Jefferson University | Philadelphia | Pennsylvania | United States | 19107 |
30 | Temple University Hospital | Philadelphia | Pennsylvania | United States | 19140 |
31 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
32 | Vanderbilt University Medical Center - Vanderbilt Lung Institute at 100 Oaks | Nashville | Tennessee | United States | 37204 |
33 | University of Texas Southwestern Medical Center | Dallas | Texas | United States | 75390 |
34 | The University of Texas Health Science Center at Houston | Houston | Texas | United States | 77030 |
35 | University of Utah Health Sciences Center | Salt Lake City | Utah | United States | 84108 |
36 | Inova Fairfax Medical Campus | Falls Church | Virginia | United States | 22042 |
37 | Virginia Mason Medical Center | Seattle | Washington | United States | 98101 |
38 | University of Washington | Seattle | Washington | United States | 98195 |
39 | Froedtert and The Medical College of Wisconsin | Milwaukee | Wisconsin | United States | 53226 |
40 | Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich | Buenos Aires | Argentina | C1426BOR | |
41 | APRILLUS-Asistencia e Investigación | Ciudad Autonoma Buenos Aires | Argentina | C1046AAQ | |
42 | CEMER-Centro Medico De Enfermedades Respiratorias | Florida | Argentina | B1602DQD | |
43 | Royal Prince Alfred Hospital | Camperdown | New South Wales | Australia | 2050 |
44 | Liverpool Hospital | Sydney | New South Wales | Australia | 2170 |
45 | Royal Adelaide Hospital | Adelaide | South Australia | Australia | 5000 |
46 | St Vincent's Hospital Melbourne | Fitzroy | Victoria | Australia | 3065 |
47 | Medical University of Innsbruck | Innsbruck | Austria | A-6020 | |
48 | UNIV UZ Gent | Gent | Belgium | 9000 | |
49 | UZ Leuven | Leuven | Belgium | 3000 | |
50 | Centre Hospitalier Universitaire de Liège | Liège | Belgium | 4000 | |
51 | Edumed - Educacao e Saude SA | Curitiba | Brazil | 80440-080 | |
52 | HSCM | Montreal | Quebec | Canada | H4J 1C5 |
53 | Hospital Clínico Reg. de Concepción "Dr. G. Grant Benavente" | Concepción | Chile | 4070038 | |
54 | Centro de Investigación del Maule | Talca | Chile | 3465586 | |
55 | Peking Union Medical College Hospital | Beijing | China | 100032 | |
56 | The First Hospital of Jilin University | Changchun | China | 130021 | |
57 | West China Hospital | Chengdu | China | 610041 | |
58 | The First Affiliated Hospital of Anhui Medical University | Hefei | China | 230022 | |
59 | Huashan Hospital, Fudan University | Shanghai | China | 200040 | |
60 | The First Hospital of Chinese Medical University | Shenyang | China | 110001 | |
61 | Institute of Rheumathology Prague | Prague | Czechia | 12850 | |
62 | Aarhus University Hospital | Aarhus N | Denmark | 8200 | |
63 | Odense University Hospital | Odense | Denmark | 5000 C | |
64 | HYKS Keuhkosairauksien tutkimusyksikkö | Helsinki | Finland | 00290 | |
65 | TYKS | Turku | Finland | 20521 | |
66 | HOP Avicenne | Bobigny | France | 93009 | |
67 | HOP Louis Pradel | Bron | France | 69677 | |
68 | CHRU Lille | Lille | France | 59037 | |
69 | HOP Claude Huriez | Lille | France | 59037 | |
70 | HOP Arnaud de Villeneuve | Montpellier | France | 34295 | |
71 | HOP Hôtel-Dieu | Nantes | France | 44093 | |
72 | HOP Pasteur | Nice | France | 06001 | |
73 | HOP Bichat | Paris | France | 75877 | |
74 | HOP Pontchaillou | Rennes | France | 35033 | |
75 | HOP Charles Nicolle | Rouen | France | 76000 | |
76 | HOP Larrey | Toulouse | France | 31059 | |
77 | HOP Bretonneau | Tours | France | 37044 | |
78 | Klinik Donaustauf | Donaustauf | Germany | 93093 | |
79 | Universitätsklinikum Carl Gustav Carus Dresden | Dresden | Germany | 01307 | |
80 | Universitätsklinikum Erlangen | Erlangen | Germany | 91054 | |
81 | Universitätsmedizin Greifswald | Greifswald | Germany | 17475 | |
82 | Asklepios Klinik Altona | Hamburg | Germany | 22763 | |
83 | Medizinische Hochschule Hannover | Hannover | Germany | 30625 | |
84 | Thoraxklinik-Heidelberg gGmbH am Universitätsklinikum Heidelberg | Heidelberg | Germany | 69126 | |
85 | Universitätsklinikum Schleswig-Holstein, Campus Kiel | Kiel | Germany | 24105 | |
86 | Universitätsklinikum Münster | Münster | Germany | 48149 | |
87 | Universitätsklinikum Tübingen | Tübingen | Germany | 72076 | |
88 | General Hospital of Athens "Laiko" | Athens | Greece | 11527 | |
89 | Ramaiah Medical College and Hospitals | Bangalore | India | 560054 | |
90 | Post Graduate Institute of Medical Education and Research | Chandigarh | India | 160012 | |
91 | Sir Gangaram Hospital | Delhi | India | 110060 | |
92 | Care Hospital | Hyderabad | India | 500034 | |
93 | Nizam's Institute of Medical Sciences | Hyderabad | India | 500082 | |
94 | Asthma Bhawan | Jaipur | India | 302039 | |
95 | Getwell Hospital & Research Institute | Nagpur | India | 440012 | |
96 | All India Institute of Medical Sciences | New Delhi | India | 110029 | |
97 | B.J. Medical College and Sasoon General Hospital | Pune | India | 411001 | |
98 | Bnei Zion Medical Center, Haifa | Haifa | Israel | 31048 | |
99 | Rambam Medical Center | Haifa | Israel | 3109601 | |
100 | Rabin Medical Center Beilinson | Petah Tiqwa | Israel | 49100 | |
101 | Sourasky Medical Center | Tel Aviv | Israel | 64239 | |
102 | Università degli Studi di Genova | Genova | Italy | 16132 | |
103 | A.O. San Gerardo di Monza | Monza | Italy | 20900 | |
104 | A.O Universitaria - Università degli Studi della Campania Luigi Vanvitelli | Napoli | Italy | 80138 | |
105 | Università degli Studi Padova | Padova | Italy | 35128 | |
106 | Azienda Universitaria-Universita' La Sapienza | Roma | Italy | 00161 | |
107 | Tosei General Hospital | Aichi, Seto | Japan | 489-8642 | |
108 | Kurume University Hospital | Fukuoka, Kurume | Japan | 830-0011 | |
109 | Sapporo Medical University Hospital | Hokkaido, Sapporo | Japan | 060-8543 | |
110 | National Hospital Organization Himeji Medical Center | Hyogo, Himeji | Japan | 670-8520 | |
111 | St. Marianna University Hospital | Kanagawa, Kawasaki | Japan | 216-8511 | |
112 | Kitasato University Hospital | Kanagawa, Sagamihara | Japan | 252-0375 | |
113 | Kanagawa Cardiovascular and Respiratory Center | Kanagawa, Yokohama | Japan | 236-0051 | |
114 | Nagasaki University Hospital | Nagasaki, Nagasaki | Japan | 852-8501 | |
115 | Kindai University Hospital | Osaka, Osakasayama | Japan | 589-8511 | |
116 | National Hospital Organization Kinki-Chuo Chest Medical Center | Osaka, Sakai | Japan | 591-8555 | |
117 | Osaka Medical College Hospital | Osaka, Takatsuki | Japan | 569-8686 | |
118 | Saitama Medical University Hospital | Saitama, Iruma-gun | Japan | 350-0495 | |
119 | Hamamatsu University Hospital | Shizuoka, Hamamatsu | Japan | 431-3192 | |
120 | Tokushima University Hospital | Tokushima, Tokushima | Japan | 770-8503 | |
121 | Juntendo University Hospital | Tokyo, Bunkyo-Ku | Japan | 113-8431 | |
122 | Nippon Medical School Hospital | Tokyo, Bunkyo-Ku | Japan | 113-8603 | |
123 | Toho University Omori Medical Center | Tokyo, Ota-ku | Japan | 143-8541 | |
124 | Institute of Rheumatology Tokyo Women's Medical University | Tokyo, Shinjyuku-ku | Japan | 162-0054 | |
125 | Hospital Pulau Pinang | Georgetown Pulau Pinang | Malaysia | 10990 | |
126 | University of Malaya Medical Centre | Kuala Lumpur | Malaysia | 59100 | |
127 | Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas | Ciudad de México | Mexico | 14080 | |
128 | Amsterdam UMC Locatie VUMC | Amsterdam | Netherlands | 1081HV | |
129 | Leids Universitair Medisch Centrum (LUMC) | Leiden | Netherlands | 2333 ZA | |
130 | Radboud Universitair Medisch Centrum | Nijmegen | Netherlands | 6525 GA | |
131 | Erasmus Medisch Centrum | Rotterdam | Netherlands | 3015 CE | |
132 | Oslo Universitetssykehus HF, Rikshospitalet | Oslo | Norway | N-0372 | |
133 | Universitetssykehuset Nord-Norge, Tromsø | Tromsø | Norway | N-9038 | |
134 | Dr.Biziel UnivHosp#2,Rheumat&Connec.Tissue Disease,Bydgoszcz | Bydgoszcz | Poland | 85168 | |
135 | Specialist Allergy-Internist Center ALL-MED | Krakow | Poland | 30033 | |
136 | EMED, Center of Medical Services,Private Prac,Rzeszow | Rzeszow | Poland | 35205 | |
137 | Indep.Pblic Clin.Hosp#1,Dermatol,Venereol&Allerg.dep,Wroclaw | Wroclaw | Poland | 50-368 | |
138 | Hospital Garcia de Orta, EPE | Almada | Portugal | 2801-951 | |
139 | Hospital Fernando Fonseca, EPE | Amadora | Portugal | 2720-276 | |
140 | CHUC - Centro Hospitalar e Universitário de Coimbra, EPE | Coimbra | Portugal | 3000-075 | |
141 | ULSAM, EPE - Hospital Conde de Bertiandos | Ponte de Lima | Portugal | 4990-041 | |
142 | Centro Hospitalar Universitário São João,EPE | Porto | Portugal | 4200-319 | |
143 | Centro Hospitalar de Vila Nova de Gaia | Vila Nova de Gaia | Portugal | 4434-502 | |
144 | Hospital Santa Creu i Sant Pau | Barcelona | Spain | 08026 | |
145 | Hospital Vall d'Hebron | Barcelona | Spain | 08035 | |
146 | Hospital General Universitario Gregorio Marañón | Madrid | Spain | 28007 | |
147 | Hospital Universitario 12 de Octubre | Madrid | Spain | 28041 | |
148 | Hospital Dr. Peset | Valencia | Spain | 46017 | |
149 | Hospital Politècnic La Fe | Valencia | Spain | 46026 | |
150 | Hospital Álvaro Cunqueiro | Vigo | Spain | 36312 | |
151 | Clinical Rheumatology Research Center Sahlgrenska | Gothenburg | Sweden | 413 45 | |
152 | University Hospital Zurich | Zürich | Switzerland | 8091 | |
153 | Ramathibodi Hospital | Bangkok | Thailand | 10400 | |
154 | Srinagarind Hospital | Muang | Thailand | 40002 | |
155 | Songklanagarind Hospital | Songkhla | Thailand | 90110 | |
156 | Royal Free Hospital | London | United Kingdom | NW3 2QG | |
157 | Guy's Hospital | London | United Kingdom | SE1 9RT | |
158 | Royal Brompton Hospital | London | United Kingdom | SW3 6NP | |
159 | Salford Royal Hospital | Salford | United Kingdom | M6 8HD |
Sponsors and Collaborators
- Boehringer Ingelheim
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 1199-0225
- 2016-003403-66