Can a daily pill cut dangerous lung Flare-Ups in bronchiectasis?
NCT ID NCT05238675
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
This trial tests an experimental drug, BI 1291583, in adults with bronchiectasis who produce sputum and have a history of flare-ups. Participants are randomly assigned to one of three doses of the drug or a placebo, taken once daily for at least 24 weeks. The study measures how long it takes for the first flare-up to occur and tracks overall health and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental drug called BI 1291583 (verducatib)
- What this could lead to
- If it works, this could point toward a new treatment to reduce dangerous lung flare-ups in people with bronchiectasis.
- What could go wrong
- This is an early phase 2 trial, so the drug may not prove effective or could have side effects. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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322 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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May 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: \- Male or female patients: Women of childbearing potential (WOCBP) 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. A list of contraception methods meeting these criteria is provided in the patient information. Men participating in this clinical trial must use male contraception (condom or sexual abstinence) if their sexual partner is a WOCBP. * Signed and dated written informed consent prior to admission to the study, in accordance with Good Clinical Practice (GCP) and local legislation. * Age of patients when signing the informed consent ≥18 (for Korea: ≥19) and ≤85 years. * Clinical history consistent with bronchiectasis (e.g., cough, chronic sputum production and/or recurrent respiratory infections) and investigator confirmed diagnosis of bronchiectasis by computed tomography (CT) scan. Subjects whose past chest radiographic image records are not available will undergo a chest CT scan during Screening. Historical scans must not be older than 5 years. * History of pulmonary exacerbations requiring antibiotic treatment. In the 12 months before Visit 1, patients must have had either: * at least 2 exacerbations, or * at least 1 exacerbation and a St. George´s Respiratory Questionnaire (SGRQ) Symptoms score of \>40 at screening visit 1. For patients on stable oral or inhaled antibiotics as chronic treatment for bronchiectasis, at least one exacerbation must have occurred since initiation of stable antibiotics. \- Current sputum producers with a history of chronic expectoration who are able to provide a spontaneous (not induced) sputum sample at Screening Visit 1. Exclusion Criteria: Laboratory and medical examination * Aspartate Aminotransferase (AST) and / or Alanine Aminotransferase (ALT) \>3.0 x upper limit of normal (ULN) at Visit 1, or moderate or severe liver disease (defined by Child-Pugh score B or C hepatic impairment). * Estimated glomerular filtration rate (eGFR) according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula \< 30 mL/min at Visit 1. * An absolute blood neutrophil count \<1,000/mm\^3 at Visit 1 (equivalent to \<1,000 cells/µL or \<109 cells/L). * Any findings in the medical examination and/or laboratory value assessed at Screening Visit 1 or during screening period, that in the opinion of the investigator may put the patient at risk by participating in the trial. * Positive serological tests for hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection, or known infection status. Concomitant diagnosis and therapy * A current diagnosis of: * Cystic Fibrosis * Hypogammaglobulinemia * Common variable immunodeficiency * α1-antitrypsin deficiency being treated with augmentation therapy * Allergic bronchopulmonary aspergillosis being treated or requiring treatment * Tuberculosis or non-tuberculous mycobacterial infection being treated or requiring treatment according to local guidelines * Palmoplantar keratosis; or keratoderma climactericum * Hypothyroidism, myxedema, chronic lymphedema with associated hyperkeratosis of the skin, acrocyanosis. If a subject has hypothyroidism but is treated and compensated, the subject is allowed into the trial * Psoriasis affecting palms and soles; or body surface area for psoriasis ≥ 10% * Reactive arthritis (Reiter's syndrome); keratoderma blennorrhagicum * Pityriasis rubra pilaris * Atopic dermatitis affecting palms and soles; or body surface area for atopic dermatitis ≥ 10% * Active extensive verruca vulgaris, as per investigator's discretion * Active fungal infection of hand and/or feet not adequately treated, or not responsive to antifungal therapy, as per investigator's discretion. * Any clinically relevant (at the discretion of the investigator) acute respiratory infection within 4 weeks prior Visit 2, or any other acute infection requiring systemic or inhaled anti-infective therapy within 4 weeks prior Visit 2. * Any evidence of a concomitant disease, such as Papillon-Lefevre Syndrome, relevant pulmonary, gastrointestinal, hepatic, renal, cardiovascular, metabolic, immunological, hormonal disorders, or patients who are immunocompromised with a higher risk of invasive pneumococcal disease or other invasive opportunistic infections (such as histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis), that in the opinion of the investigator, may put the patient at risk by participating in the study. * Received any live attenuated vaccine within 4 weeks prior to Visit 2. * Medical conditions associated with periodontal disease (to be evaluated by a periodontist or dentist): * Any tooth that can potentially cause pain or infection as noted in the oral exam unless they are corrected before the study (e.g. pulp necrosis). * Severe periodontal disease defined as with pocket depth measurements ≥ 6 mm on 2 or more teeth. * Class-3 mobility or Class-3 furcation involvement. * Scheduled tooth extraction during the study period. * Patients who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial. Further exclusion criteria apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A.O. Univ. Policlinico "Paolo Giaccone"
Palermo, 90127, Italy
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Aalborg Sygehus Syd
Aalborg, 9000, Denmark
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Accelerium S de RL de CV
Monterrey, 64000, Mexico
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Alergopneuma Medical Center
Świdnik, 21040, Poland
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Altamed Specjalistyczna Praktyka Lekarska Pawel Siwinski
Warsaw, 01-456, Poland
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Amsterdam UMC, location VUMC
Amsterdam, 1081 HV, Netherlands
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Asan Medical Center
Seoul, 05505, South Korea
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Central Florida Pulmonary Group
Altamonte Springs, Florida, 32701, United States
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Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, H2X 0A9, Canada
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Charité - Universitätsmedizin Berlin
Berlin, 10117, Germany
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Chungbuk National University Hospital
Cheongju-si, 28644, South Korea
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Clinical Research Institute S.C.
Tlalnepantla, 54055, Mexico
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Copenhagen University Hospital, Rigshospitalet
København Ø, 2100, Denmark
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Da Vinci Private Clinic
Pécs, 7635, Hungary
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Daugavpils Regional Hospital LTD Centre Outpatient Clinic
Daugavpils, 5401, Latvia
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Diagnostics Research Group
San Antonio, Texas, 78229, United States
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Dr. Piotr Napora, Center of Clinical Research
Wroclaw, 51162, Poland
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Fondazione IRCCS Policlinico S. Matteo
Pavia, 27100, Italy
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Fukujuji Hospital
Tokyo, Kiyose, 204-8522, Japan
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Fukuoka University Hospital
Fukuoka, Fukuoka, 814-0180, Japan
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Gelre Ziekenhuis Zutphen
Zutphen, 7207 AE, Netherlands
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HOP Amiens-Picardie Sud
Amiens, 80054, France
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HOP Arnaud de Villeneuve
Montpellier, 34295, France
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HOP Cochin
Paris, 75679, France
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HOP Pontchaillou
Rennes, 35033, France
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Hadassah Medical Center, Ein-Karem
Jerusalem, 9112001, Israel
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Hirosaki University Hospital
Aomori, Hirosaki, 036-8563, Japan
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Hospital Clínic de Barcelona
Barcelona, 08036, Spain
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Hospital General Universitario Gregorio Marañón
Madrid, 28007, Spain
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Hospital Quirónsalud Madrid
Pozuelo de Alarcón, 28223, Spain
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Hospital Universitario Dr Jose Eleuterio Gonzalez
Nuevo León, 64460, Mexico
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Hospital Universitario Nuevo de Nuevo León - CEPREP
Monterrey, Nuevo León, C.P. 64460, Mexico
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Hospital de Bellvitge
L'Hospitalet de Llobregat, 08907, Spain
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Hospital de Mérida
Mérida, 06800, Spain
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Hvidovre Hospital
Hvidovre, 2650, Denmark
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IKF Pneumologie GmbH & Co. KG
Frankfurt, 60596, Germany
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IUCPQ (Laval University)
Québec, Quebec, G1V 4G5, Canada
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Ibarakihigashi National Hospial
Ibaraki, Naka-gun, 319-1113, Japan
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Institute for Respiratory Health
Nedlands, Western Australia, 6009, Australia
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Institute for Translational Oncology Research
Greenville, South Carolina, 29605, United States
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Istituto Clinico Humanitas
Rozzano (MI), 20089, Italy
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Jewish General Hospital
Montreal, Migration Data, H3T 1E2, Canada
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Kagoshima University Hospital
Kagoshima, Kagoshima, 890-8520, Japan
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Kameda Clinic
Chiba, Kamogawa, 296-0041, Japan
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Kitasato Institute Hospital
Tokyo, Minato-ku, 108-8642, Japan
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Klinikum Konstanz
Konstanz, 78464, Germany
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Klinikum der Universität München - Campus Innenstadt
München, 80336, Germany
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Korea University Guro Hospital
Seoul, 08308, South Korea
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Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582, Japan
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LUMPII Doctors practice
Riga, 1011, Latvia
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Lady Davis Carmel Medical Center
Haifa, 3436212, Israel
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Liverpool Heart & Chest Hospital
Liverpool, L14 3PE, United Kingdom
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Lung Research Queensland
Chermside, Queensland, 4032, Australia
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Lungenfachklinik Immenhausen
Immenhausen, 34376, Germany
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Macquarie University
North Ryde, New South Wales, 2109, Australia
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Malcom Randall VA Medical Center
Gainesville, Florida, 32608, United States
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Marmara University Pendik Training and Research Hospital
Istanbul, 34890, Turkey (Türkiye)
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Mater Research Institute
South Brisbane, Queensland, 4101, Australia
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Matsusaka City Hospital
Mie, Matsusaka, 515-8544, Japan
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Med.Center OLVI Health Center Assotiation,Private Practice
Daugavpils, 5410, Latvia
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Mediadvance Clinical S.A.P.I de C.V.
Chihuahua City, 31203, Mexico
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Medica Center Hera - Montana Branch
Montana, 3400, Bulgaria
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Medical Center "Zdrave-1"
Kozloduy, 3320, Bulgaria
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Medical Center Hera EOOD
Sofia, 1510, Bulgaria
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Medical Center ReSpiro Ltd
Razgrad, 7200, Bulgaria
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Metroplex Pulmonary & Sleep Center
McKinney, Texas, 75069, United States
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Nagoya University Hospital
Aichi, Nagoya, 466-8560, Japan
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New York University Langone Medical Center
New York, New York, 10016, United States
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NewYork-Presbyterian/Weill Cornell Medical Center
New York, New York, 10065, United States
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Newport Native MD, Inc
Newport Beach, California, 92663, United States
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Niigata University Medical and Dental Hospital
Niigata, Niigata, 951-8520, Japan
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Ninewells Hospital & Medical School
Dundee, Scotland, DD1 9SY, United Kingdom
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Oaxaca Site Management Organization, S.C.
Oaxaca City, 68000, Mexico
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Odense University Hospital
Odense, 5000 C, Denmark
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Osaka Toneyama Medical Center
Osaka, Toyonaka, 560-8552, Japan
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Pauls Stradins Clinical University Hospital
Riga, 1002, Latvia
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Phoenix Medical Group
Peoria, Arizona, 85381, United States
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Pulmonary Private Practice Kralupy
Kralupy nad Vltavou, 27801, Czechia
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Respiratory Medicine Centre, private prac., Bialystok
Bialystok, 15044, Poland
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Riga 1st Hospital
Riga, 1001, Latvia
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Royal Papworth Hospital
Cambridge, CB2 0AY, United Kingdom
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Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
Essen, 45239, Germany
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SHATPFD "Dr. Dimitar Gramatikov"
Rousse, 7002, Bulgaria
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SMG-SNU Boramae Medical Center
Seoul, 156-707, South Korea
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Saga University Hospital
Saga, Saga, 849-8501, Japan
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Screenmed Sp. z o.o.
Piaseczno, 05500, Poland
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Semmelweis University
Budapest, 1083, Hungary
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Sjællands Universitetshospital
Roskilde, 4000, Denmark
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Soroka Univ. Medical Center
Beersheba, 8410101, Israel
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Sourasky Medical Center
Tel Aviv, 6093246, Israel
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Southeastern Research Center
Winston-Salem, North Carolina, 27103, United States
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Sureyyapasa Egitim ve Arastirma Hastanesi
Istanbul, 34890, Turkey (Türkiye)
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The Catholic University of Korea, Eunpyeong St. Mary's Hospital
Seoul, 22711, South Korea
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The First Pulmonary Private Practice
Prague, 19000, Czechia
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Trialswest
Spearwood, Western Australia, 6153, Australia
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ULS de Santa Maria, E.P.E
Lisbon, 1064-035, Portugal
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UNIV UZ Gent
Ghent, 9000, Belgium
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UZ Leuven
Leuven, 3000, Belgium
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Uludag Universitesi Tip Fakultesi
Bursa, 16120, Turkey (Türkiye)
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Univ. Gen. Hosp. of Ioannina
Ioannina, 45 500, Greece
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University of California Davis
Sacramento, California, 95817, United States
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University of Cincinnati
Cincinnati, Ohio, 45267, United States
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University of Florida College of Medicine
Jacksonville, Florida, 32209, United States
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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University of Texas Health Science Center at Tyler
Tyler, Texas, 75708, United States
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VCA Dubultu Medical center
Jūrmala, 2015, Latvia
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Vejle University Hospital
Vejle, 7100, Denmark
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Velocity Clinical Research Germany GmbH
Großhansdorf, 22927, Germany
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Velocity Clinical Research Germany GmbH
Lübeck, 23552, Germany
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Velocity Clinical Research Germany GmbH
Wiesbaden, 65189, Germany
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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