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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00514683
Registration number
NCT00514683
Ethics application status
Date submitted
9/08/2007
Date registered
10/08/2007
Date last updated
6/01/2015
Titles & IDs
Public title
Safety And Efficacy of BIBF 1120 in Idiopathic Pulmonary Fibrosis
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Scientific title
A 12 Month, Double Blind, Randomized, Placebo-controlled Trial Evaluating the Effect of BIBF 1120 Administered at Oral Doses of 50 mg qd, 50 mg Bid, 100 mg Bid and 150 mg Bid on Forced Vital Capacity Decline During One Year, in Patients With Idiopathic Pulmonary Fibrosis, With Optional Active Treatment Extension Until Last Patient Out.
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Secondary ID [1]
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1199.30
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pulmonary Fibrosis
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - low dose BIBF1120 once daily
Treatment: Drugs - low dose BIBF 1120 twice daily
Treatment: Drugs - intermediate dose BIBF 1120 twice daily
Treatment: Drugs - high dose BIBF 1120 twice daily
Treatment: Drugs - placebo
Experimental: dose 1 - low dose BIBF1120 once daily
Experimental: dose 2 - low dose BIBF 1120 twice daily
Experimental: dose 3 - intermediate dose BIBF 1120 twice daily
Experimental: dose 4 - high dose BIBF 1120 twice daily
Placebo comparator: placebo - placebo
Treatment: Drugs: low dose BIBF1120 once daily
low dose BIBF1120 once daily
Treatment: Drugs: low dose BIBF 1120 twice daily
low dose BIBF 1120 twice daily
Treatment: Drugs: intermediate dose BIBF 1120 twice daily
intermediate dose BIBF 1120 twice daily
Treatment: Drugs: high dose BIBF 1120 twice daily
high dose BIBF 1120 twice daily
Treatment: Drugs: placebo
placebo
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Rate of Decline in FVC
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Assessment method [1]
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Rate of decline in Forced Vital Capacity (FVC) evaluated from baseline until 52 weeks of treatment.
The means presents actually the adjusted rate based on a MMRM with fixed terms for treatment\*time, gender\*height, gender\*age and random terms for patient effect, patient\*time.
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Timepoint [1]
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Baseline until 52 weeks
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Secondary outcome [1]
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Absolute Change From Baseline in FVC%Pred
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Assessment method [1]
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Change from baseline in percentage of predicted Forced Vital Capacity (FVC%pred) at 52 weeks.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline and region.
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Timepoint [1]
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Baseline and 52 weeks
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Secondary outcome [2]
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Absolute Change From Baseline in FVC
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Assessment method [2]
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Change from baseline in percentage of absolute Forced Vital Capacity (FVC) at 52 weeks.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline and region.
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Timepoint [2]
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Baseline and 52 weeks
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Secondary outcome [3]
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Relative Change From Baseline in FVC%Pred
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Assessment method [3]
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Percent change from baseline in percentage of predicted Forced Vital Capacity (FVC%pred) at 52 weeks.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline and region.
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Timepoint [3]
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Baseline and 52 weeks
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Secondary outcome [4]
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Relative Change From Baseline in FVC
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Assessment method [4]
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Percent change from baseline in absolute Forced Vital Capacity (FVC) at 52 weeks.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline and region
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Timepoint [4]
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Baseline and 52 weeks
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Secondary outcome [5]
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Number of Participants With Change From Baseline in FVC by Categories
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Assessment method [5]
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Change from baseline in percentage of Forced Vital Capacity (FVC) at 52 weeks in below mentioned categories:
1. Decrease \> 10% or 200mL
2. Change within \<= 10% or \<=200 mL
3. Increase \> 10% or 200mL
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Timepoint [5]
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Baseline and 52 weeks
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Secondary outcome [6]
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Survival (All Causes of Death and Lung-transplant Free)
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Assessment method [6]
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Survival (all causes of death and lung-transplant free) at 52 weeks, based on overall mortality and on-treatment survival.
Failure means participants with event and Censored means participants with no event.
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Timepoint [6]
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52 weeks
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Secondary outcome [7]
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Absolute Change From Baseline in SpO2 at Rest
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Assessment method [7]
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Absolute change from baseline in oxygen saturation (SpO2) at rest.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [7]
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Baseline and 52 weeks
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Secondary outcome [8]
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Absolute Change From Baseline in SpO2 at Rest by Categories
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Assessment method [8]
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Absolute change from baseline in oxygen saturation (SpO2) at rest by below mentioned categories:
SpO2 (non-invasive) at 52 weeks:
1. Decrease \> 4% SpO2
2. Change within +/- 4% SpO2
3. Increase \> 4% SpO2
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Timepoint [8]
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Baseline and 52 weeks
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Secondary outcome [9]
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Absolute Change From Baseline in PaO2
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Assessment method [9]
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Absolute change from baseline in Arterial oxygen partial pressure (PaO2) at week 52. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [9]
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Baseline and 52 weeks
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Secondary outcome [10]
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Absolute Change From Baseline in P(A-a)O2
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Assessment method [10]
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Absolute change from baseline in Alveolo-arterial oxygen gradient (P(A-a)O2) at week 52. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [10]
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Baseline and 52 weeks
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Secondary outcome [11]
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Absolute Change From Baseline in PaCO2
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Assessment method [11]
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Absolute change from baseline in Arterial carbon dioxyde partial pressure (PaCO2) at week 52. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [11]
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Baseline and 52 weeks
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Secondary outcome [12]
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Absolute Change From Baseline in PaO2 by Categories
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Assessment method [12]
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Absolute change from baseline in Arterial oxygen partial pressure (PaO2) by below mentioned categories:
1. Decrease \> 4 mmHg
2. Change within +/- 4 mmHg
3. Increase \> 4 mmHg
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Timepoint [12]
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Baseline and 52 weeks
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Secondary outcome [13]
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Absolute Change From Baseline in P(A-a) O2 by Categories
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Assessment method [13]
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Absolute change from baseline in Alveolo-arterial oxygen gradient (P(A-a) O2) by below mentioned categories:
1. Decrease \> 4 mmHg
2. Change within +/- 4 mmHg
3. Increase \> 4 mmHg
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Timepoint [13]
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Baseline and 52 weeks
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Secondary outcome [14]
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Absolute Change From Baseline in DLCO
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Assessment method [14]
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Absolute change from Baseline in Diffusing capacity of the lung for carbon monoxide (DLCO) at 52 weeks.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [14]
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Baseline and 52 weeks
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Secondary outcome [15]
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Absolute Change From Baseline in DLCO by Categories
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Assessment method [15]
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Absolute change from baseline in Diffusing capacity of the lung for carbon monoxide (DLCO) by below mentioned categories:
1. Decrease \> 15% or \> 1
2. Change \<= 15% or \<= 1
3. Increase \> 15% or \> 1
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Timepoint [15]
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Baseline and 52 weeks
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Secondary outcome [16]
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Absolute Change From Baseline in Distance Walk (6-MWT)
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Assessment method [16]
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Absolute change from baseline in distance walk (6-MWT) at 52 weeks. The 6-Minutes Walk Test (6-MWT) was conducted according to the American Thoracic Society (ATS) Criteria. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [16]
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Baseline and 52 weeks
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Secondary outcome [17]
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Absolute Change From Baseline in Dyspnoea Rating on Borg Scale Before Exercise (6-MWT)
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Assessment method [17]
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Absolute change from baseline in Dyspnoea rating before exercise (6-MWT) at 52 weeks based on Borg scale as mentioned below :
0: Nothing at all, 0.5: Very, very slight (just noticable), 1: Very slight, 2: Slight (light), 3: Moderate, 4: Somewhat severe, 5: Severe (heavy), 6, 7:Very severe, 8, 9, 10: Very, very severe (Maximal).
The 6-Minutes Walk Test (6-MWT) was conducted according to the ATS Criteria. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [17]
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Baseline and 52 weeks
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Secondary outcome [18]
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Change From Baseline in Dyspnoea Rating on Borg Scale After Exercise (6-MWT)
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Assessment method [18]
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Change from baseline in Dyspnoea rating after exercise (6-MWT) at 52 weeks based on Borg scale as mentioned below :
0: Nothing at all, 0.5: Very, very slight (just noticable), 1: Very slight, 2: Slight (light), 3: Moderate, 4: Somewhat severe, 5: Severe (heavy), 6, 7:Very severe, 8, 9, 10: Very, very severe (Maximal).
The 6-Minutes Walk Test (6-MWT) was conducted according to the ATS Criteria. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [18]
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Baseline and 52 weeks
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Secondary outcome [19]
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Absolute Change From Baseline in MRC Dyspnea Scale by Categories
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Assessment method [19]
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Absolute change from baseline in Medical Research Council (MRC) dyspnea scale by below mentioned categories:
1. Decrease
2. No Change
3. Increase
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Timepoint [19]
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Baseline and 52 weeks
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Secondary outcome [20]
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Absolute Change From Baseline in FEV1/FVC
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Assessment method [20]
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Change from baseline of percentage of FVC expelled in the first second of a forced expiration (FEV1/FVC) at 52 weeks.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [20]
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Baseline and 52 weeks
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Secondary outcome [21]
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Change From Baseline in SGRQ Total Score
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Assessment method [21]
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Change from baseline in Saint George's Respiratory Questionnaire (SGRQ) total score. Total score is defined as sum of the three domain scores symptoms, activities and impacts. Scores range from 0 to 100, with higher scores indicating worst possible health status.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [21]
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Baseline and 52 weeks
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Secondary outcome [22]
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Change From Baseline in SGRQ Domain Score Symptoms
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Assessment method [22]
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Change from baseline in Saint George's Respiratory Questionnaire (SGRQ) domain score symptoms. Scores range from 0 to 100, with higher scores indicating more limitations.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [22]
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Baseline and 52 weeks
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Secondary outcome [23]
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Change From Baseline in SGRQ Domain Score Impacts
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Assessment method [23]
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Change from baseline in Saint George's Respiratory Questionnaire (SGRQ) domain score impacts. Scores range from 0 to 100, with higher scores indicating worst possible health status.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [23]
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Baseline and 52 weeks
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Secondary outcome [24]
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Change From Baseline in St George's Respiratory Questionnaire (SGRQ) Domain Score Activities
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Assessment method [24]
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Change from baseline in Saint George's Respiratory Questionnaire (SGRQ) domain score activities. Scores range from 0 to 100, with higher scores indicating worst possible health status.
Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [24]
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Baseline and 52 weeks
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Secondary outcome [25]
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St George's Respiratory Questionnaire (SGRQ) Responder
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Assessment method [25]
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St George's Respiratory Questionnaire (SGRQ) responder (\<= -4 points change) (%) at 52 weeks-worst case
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Timepoint [25]
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52 weeks
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Secondary outcome [26]
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Change From Baseline in TLC
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Assessment method [26]
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Change from Baseline in Total Lung Capacity (TLC) at 52 weeks. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [26]
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Baseline and 52 weeks
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Secondary outcome [27]
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Change From Baseline in RV
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Assessment method [27]
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Change from Baseline in Residual volume (RV) at 52 weeks. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [27]
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Baseline and 52 weeks
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Secondary outcome [28]
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Change From Baseline in TGV
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Assessment method [28]
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Change from Baseline in Thoracic gas volume (TGV) at 52 weeks. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [28]
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Baseline and 52 weeks
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Secondary outcome [29]
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Change From Baseline in VC
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Assessment method [29]
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Change from baseline in Vital capacity (VC) at 52 weeks. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [29]
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Baseline and 52 weeks
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Secondary outcome [30]
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Change From Baseline in IC
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Assessment method [30]
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Change from Baseline in Inspiratory Capacity (IC) at 52 weeks. Means were adjusted based on an ANCOVA with fixed terms for treatment, baseline, region.
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Timepoint [30]
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Baseline and 52 weeks
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Secondary outcome [31]
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Number of Patients With at Least One IPF Exacerbation
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Assessment method [31]
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Number of patients with at least one Idiopathic Pulmonary Fibrosis (IPF) exacerbation at 52 weeks
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Timepoint [31]
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52 weeks
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Secondary outcome [32]
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Occurrences of IPF Exacerbations Per Patient Per Year
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Assessment method [32]
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Occurrences of Idiopathic Pulmonary Fibrosis (IPF) exacerbations per patient per year at 52 weeks
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Timepoint [32]
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52 weeks
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Secondary outcome [33]
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Time to First Occurrence of IPF Exacerbation
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Assessment method [33]
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This endpoint is called time to first occurrence of IPF exacerbation however it was actually analysed as the proportion of patients having occurrence of Idiopathic Pulmonary Fibrosis (IPF) exacerbation at 52 weeks.
Failure means participants with event and Censored means participants with no event.
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Timepoint [33]
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52 weeks
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Secondary outcome [34]
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Survival (Death Due to Respiratory Cause, and Lung-transplant Free)
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Assessment method [34]
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Survival (death due to respiratory cause, and lung-transplant free) at 52 weeks.
Failure means participants with event and Censored means participants with no event.
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Timepoint [34]
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52 weeks
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Secondary outcome [35]
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Time to Progression
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Assessment method [35]
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Time to progression. Progression was defined as at least one of the following: 5mmHg increase in the alveolo-arterial pressure difference in oxygen (P(A-a)O2), 10% decrease in FVC (FVC(baseline)-FVC(progression) \>= 10%) or Death.
Failure means participants with event and Censored means participants with no event.
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Timepoint [35]
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52 weeks
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Secondary outcome [36]
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Pre-dose Plasma Concentration of Nintedanib in Plasma at Steady State on Day 365 (Cpre,ss,365) and Day 729 (Cpre,ss,729).
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Assessment method [36]
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Cpre,ss,729 represents the pre-dose plasma concentration of nintedanib in plasma at steady state on Day 729 and Cpre,ss,365 represents the pre-dose plasma concentration of nintedanib in plasma at steady state on Day 365. At day 365, values only for Nintedanib 50 qd group are presented as no values reported for other groups and at day 729, values are presented for all group except for Nintedanib 50 qd group as no values reported for it.
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Timepoint [36]
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day 365 and day 729
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Eligibility
Key inclusion criteria
1. Patient >40 years
2. Written informed consent signed prior to entry into the study
3. IPF diagnosed (according to ATS / ERS criteria) less than 5 years prior to screening visit.
4. HRCT within 12 months of randomisation and biopsy (the latter if needed to fulfil ATS/ERS criteria) centrally reviewed and consistent with diagnosis.
5. FVC>50 % of predicted value
Predicted normal values will be calculated according to ESCS (R94-1408):
Males :
FVC predicted (L) = 5.76 x height (meters)- 0.026 x age (years) -4.34
Females :
FVC predicted (L) = 4.43 x height (meters)- 0.026 x age (years) -2.89
6. Single breath DLCO (corrected for Hb) 30 - 79% inclusive of predicted .
Different sites may use different prediction formulas, based on the method used to measure DLco. In any case, the method used must be in compliance with the ATS/ERS guideline on DLCO measurements (R06-2002), and the prediction formula appropriate for that method. Raw data (gas mixture, equation used for prediction of normal, further adjustments made if so) must be traced.
Adjustment for haemoglobin (R06-2002):
Males :
DLCO predicted for Hb = DLCO predicted x (1.7Hb/[10.22+Hb])
Females :
DLCO predicted for Hb = DLCO predicted x (1.7Hb/[9.38+Hb]) where Hb is expressed in g/dL-1
7. PaO2 >= 55 mmHg (sea level to 1500 m) or 50 mmHg (above 1500 m) room air
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. AST, ALT > 1.5 x ULN ;
2. Bilirubin > 1.5 x ULN
3. Relevant airways obstruction
4. Continuous oxygen supplementation at randomisation (defined as > 15 hours supplemental oxygen per day).
5. Active infection at screening or randomisation.
6. Neutrophils < 1500 / mm3
7. International normalised ratio (INR) > 1.5 and/or Partial thromboplastin time (PTT) > 1.5 x ULN ;
8. Platelets < 100 000 /mL
9. Haemoglobin < 9.0 g/dL
10. In the opinion of the Investigator, patient is likely to have lung transplantation during study
11. Life expectancy for disease other than IPF < 2.5 years (Investigator assessment).
12. Other disease that may interfere with testing procedures or in judgement of Investigator may interfere with trial participation or may put the patient at risk when participating to this trial.
* Myocardial infarction during the previous 6 months
* Unstable angina during the previous month
13. Other investigational therapy received within 8 weeks prior to screening visit.
14. Pregnant women or women who are breast feeding or of child bearing potential not using a highly effective method of birth control for at least one month prior to enrolment.
15. Sexually active males not committing to using condoms during the course of the study (except if their partner is not of childbearing potential).
16. Known or suspected active alcohol or drug abuse.
17. Bleeding risk : Known inherited predisposition to bleeding, patients who require full-dose anticoagulation, Patients who require full-dose antiplatelet therapy, History of hemorrhagic CNS event within 12 months prior to screening , Any of the following within 3 months prior to screening : Gross / frank haemoptysis or haematuria, Active gastro-intestinal bleeding or ulcers, Major injury or surgery
18. Thrombotic risk
19. Surgical procedures planned to occur during trial period.
20. Coagulopathy
21. Uncontrolled systemic arterial hypertension
22. known hypersensitivity to lactose or any component of the study medication
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
432
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Recruitment in Australia
Recruitment state(s)
QLD,SA,WA
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Recruitment hospital [1]
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1199.30.61005 Boehringer Ingelheim Investigational Site - South Brisbane
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Recruitment hospital [2]
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1199.30.61003 Boehringer Ingelheim Investigational Site - Toorak Gardens
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Recruitment hospital [3]
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1199.30.61004 Boehringer Ingelheim Investigational Site - Woodville
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Recruitment hospital [4]
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1199.30.61001 Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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- South Brisbane
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Recruitment postcode(s) [2]
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- Toorak Gardens
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Recruitment postcode(s) [3]
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- Woodville
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Recruitment postcode(s) [4]
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- Perth
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Recruitment outside Australia
Country [1]
0
0
Argentina
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State/province [1]
0
0
Mendoza
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Country [2]
0
0
Belgium
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State/province [2]
0
0
Bruxelles
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Country [3]
0
0
Belgium
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State/province [3]
0
0
Leuven
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Country [4]
0
0
Belgium
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State/province [4]
0
0
Yvoir
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Country [5]
0
0
Brazil
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State/province [5]
0
0
Porto Alegre
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Country [6]
0
0
Brazil
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State/province [6]
0
0
Vila Clementino
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Country [7]
0
0
Bulgaria
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State/province [7]
0
0
Sofia
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Country [8]
0
0
Canada
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State/province [8]
0
0
Nova Scotia
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Country [9]
0
0
Canada
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State/province [9]
0
0
Ontario
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Country [10]
0
0
Chile
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State/province [10]
0
0
Providencia
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Country [11]
0
0
China
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State/province [11]
0
0
Beijing
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Country [12]
0
0
China
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State/province [12]
0
0
Nanjing
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Country [13]
0
0
China
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State/province [13]
0
0
Shanghai
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Country [14]
0
0
China
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State/province [14]
0
0
Shenyang
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Country [15]
0
0
Czech Republic
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State/province [15]
0
0
Prague 8
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Country [16]
0
0
Czech Republic
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State/province [16]
0
0
Usti nad Labem
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Country [17]
0
0
France
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State/province [17]
0
0
Bobigny
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Country [18]
0
0
France
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State/province [18]
0
0
Dijon
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Country [19]
0
0
France
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State/province [19]
0
0
Grenoble
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Country [20]
0
0
France
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State/province [20]
0
0
Lille Cedex
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Country [21]
0
0
France
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State/province [21]
0
0
Montpellier
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Country [22]
0
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France
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Nice Cedex 1
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France
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Paris Cedex 18
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Bad Berka
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Donaustauf
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Essen
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Germany
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Germany
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Großhansdorf
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Germany
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Leipzig
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Germany
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Mainz
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Germany
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München
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Greece
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Alexandroupolis
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Greece
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Heraklion
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Greece
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Larisa
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Hungary
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Budapest
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Hungary
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Deszk
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Hungary
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Pecs
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Hungary
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Szekesfehervar
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Ireland
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Dublin 7
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Italy
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Ascoli Piceno
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Italy
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Busto Arsizio (va)
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Italy
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Milano
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Italy
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Modena
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Italy
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Napoli
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Italy
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Pavia
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Italy
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Roma
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Italy
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Italy
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Terni
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Italy
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Trieste
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Gyunggido
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Korea, Republic of
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Incheon
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Seoul
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Mexico
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Distrito Federal
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Nieuwegein
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Portugal
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Coimbra
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Portugal
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Lisboa
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Portugal
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Porto
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Russian Federation
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Moscow
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Russian Federation
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St. Petersburg
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South Africa
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Bellville
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South Africa
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Cape Town
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South Africa
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Tygerberg
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Spain
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Barcelona
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Spain
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Valencia
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Taiwan
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Taichung
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Taiwan
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Taipei
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Taiwan
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Taoyuan
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Turkey
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Ankara
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Turkey
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Istanbul
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United Kingdom
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Aberdeen
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United Kingdom
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Birmingham
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United Kingdom
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Manchester
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United Kingdom
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Westbury on Trym
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Boehringer Ingelheim
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Address
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Ethics approval
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Summary
Brief summary
The general purpose of this trial is to investigate the efficacy and safety of 4 dose strategies of BIBF 1120 treatment for 12 months, compared to placebo in patients with idiopathic pulmonary fibrosis. The primary objective of this study is to demonstrate whether at least one dose strategy is superior to placebo in patients with IPF, in modifying the rate of decline of Forced Vital Capacity (FVC). As a secondary objective, additional parameters will be assessed in order to differentiate between dose strategies on the basis of safety and efficacy
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Trial website
https://clinicaltrials.gov/study/NCT00514683
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Trial related presentations / publications
Glaspole I, Bonella F, Bargagli E, Glassberg MK, Caro F, Stansen W, Quaresma M, Orsatti L, Bendstrup E. Efficacy and safety of nintedanib in patients with idiopathic pulmonary fibrosis who are elderly or have comorbidities. Respir Res. 2021 Apr 26;22(1):125. doi: 10.1186/s12931-021-01695-y. Richeldi L, Kreuter M, Selman M, Crestani B, Kirsten AM, Wuyts WA, Xu Z, Bernois K, Stowasser S, Quaresma M, Costabel U. Long-term treatment of patients with idiopathic pulmonary fibrosis with nintedanib: results from the TOMORROW trial and its open-label extension. Thorax. 2018 Jun;73(6):581-583. doi: 10.1136/thoraxjnl-2016-209701. Epub 2017 Oct 9. Paterniti MO, Bi Y, Rekic D, Wang Y, Karimi-Shah BA, Chowdhury BA. Acute Exacerbation and Decline in Forced Vital Capacity Are Associated with Increased Mortality in Idiopathic Pulmonary Fibrosis. Ann Am Thorac Soc. 2017 Sep;14(9):1395-1402. doi: 10.1513/AnnalsATS.201606-458OC. Richeldi L, Costabel U, Selman M, Kim DS, Hansell DM, Nicholson AG, Brown KK, Flaherty KR, Noble PW, Raghu G, Brun M, Gupta A, Juhel N, Kluglich M, du Bois RM. Efficacy of a tyrosine kinase inhibitor in idiopathic pulmonary fibrosis. N Engl J Med. 2011 Sep 22;365(12):1079-87. doi: 10.1056/NEJMoa1103690.
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Public notes
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Contacts
Principal investigator
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Boehringer Ingelheim
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Boehringer Ingelheim
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00514683
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