New drug trial aims to improve lung function in fibrosis patients
NCT ID NCT07036523
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 5 times
Summary
This study tests a new medicine called BI 765423 in 71 adults with idiopathic pulmonary fibrosis (IPF), a lung disease that causes scarring and breathing problems. Participants receive either the drug or a placebo by infusion every four weeks for about 3 months. The main goal is to see if the drug improves lung capacity, measured by forced vital capacity (FVC), compared to placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BI 765423
- What this could lead to
- If it works, this could point toward a new treatment to slow lung damage in people with idiopathic pulmonary fibrosis.
- What could go wrong
- This is an early Phase IIa trial with only 71 participants, so results may not confirm benefit. The drug may cause side effects or fail to improve lung function compared to placebo.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 71 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Nov 2025
- Expected to finish
-
Jun 2027
An estimate. End dates often move.
- Lead sponsor
-
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
-
40 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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 : 1. 40 years of age or older at the time of informed consent signature. 2. Signed and dated written informed consent in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial. 3. Male or female patients. Male patients must not donate sperm while taking part in this study and for a specific period after the last dose of the IMP. Male patients with woman of childbearing potential (WOCBP) sexual partners must use contraception (male condom) to avoid exposure via seminal fluid during treatment and for a specific period after last drug intake. Women can only be included if they are of non-childbearing potential, defined as meeting at least one of the below conditions: * Permanently surgically sterilised (hysterectomy, bilateral salpingectomy and/or bilateral oophorectomy) * Postmenopausal, defined as no menses for 12 months without an alternative medical cause. In questionable cases wherein the menopausal status is uncertain and cannot be clearly determined, the following should be taken into consideration by the investigator: * Women not using sex hormone medication such as hormone replacement therapy may be included if a blood sample confirms levels of follicle stimulating hormone (FSH) \> 40 U/L and estradiol \< 30 ng/L" 4. Patients with a documented diagnosis of IPF prior to Visit 1, confirmed by the investigator as per the 2022 American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Association (ALAT) Guideline and, if available, surgical lung biopsy or transbronchial lung cryobiopsy histopathology report. 5. Patients with a high-resolution computed tomography (HRCT) taken within 12 months of Visit 1 (or during the screening period, if not available) confirming "UIP" or "probable UIP" HRCT pattern consistent with the clinical diagnosis of IPF by central review (prior to Visit 2). * Patients with an "indeterminate" HRCT finding are eligible if a clinical diagnosis of IPF can be confirmed based on an historical histopathology report of a surgical lung biopsy or cryobiopsy demonstrating a "UIP" or "Probable UIP" pattern or Multidisciplinary Discussion and Diagnosis as per ATS guidelines. * Patients with an "alternative diagnosis" HRCT finding are eligible if a clinical diagnosis of IPF can be confirmed based on an historical histopathology report of a surgical lung biopsy or cryobiopsy demonstrating a "UIP" pattern Multidisciplinary Discussion and Diagnosis as per ATS guidelines. 6. Patients with an extent of fibrosis ≥20% as per an HRCT of the chest performed within 12 months prior to Visit 1 or during the screening period (if not available) and confirmed by central review. 7. Patients with a Forced vital capacity (FVC) ≥45% predicted at Visit 1. Predicted normal values will be calculated according to Global Lung Initiative (GLI). 8. Patients with haemoglobin-corrected diffusing capacity of the lungs for carbon monoxide (DLCO) ≥20% predicted at Visit 1. Further inclusion criteria apply. Exclusion criteria: 1. Acute exacerbation of IPF within at least 12 weeks prior to Visit 1 and/or during the screening period (investigator-determined). 2. Relevant airways obstruction (pre-bronchodilator forced expiratory volume in 1 second (FEV1)/FVC \<0.7) at Visit 1. 3. Lower respiratory tract infection requiring treatment within 4 weeks prior to Visit 1 and/or during the screening period. 4. Significant PH defined by any of the following: * Previous clinical or echocardiographic evidence of significant right heart failure according to investigator's judgement * History of right heart catheterisation showing a cardiac index ≤2 L/min/m\^² * PH requiring parenteral therapy with prostanoids 5. On nintedanib or pirfenidone treatment for less than 12 weeks prior Visit 1, planning to start nintedanib or pirfenidone within the first 12 weeks of investigational medicinal product (IMP) treatment or on combined nintedanib plus pirfenidone treatment. Newly diagnosed patients considered in need of SoC treatment during the next 12 weeks by the treating physician, who would be withheld SoC treatment only for the sake of participation in the trial, should also be excluded. 6. Cardiovascular comorbidities including * Severe hypertension (uncontrolled under treatment≥160/100 mmHg at multiple occasions) within 3 months of Visit 1 * Myocardial infarction, stroke, or transient ischemic attack within 6 months of Visit 1 * Unstable cardiac angina within 6 months of Visit 1 7. Life expectancy for any concomitant disease other than IPF \<2.5 years (investigator assessment). Further exclusion criteria apply.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Idiopathic pulmonary fibrosis are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
14 sites in 5 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
A. O. Universitaria Careggi
RECRUITINGFlorence, 50137, Italy
-
ASST Papa Giovanni XXIII
RECRUITINGBergamo, 24127, Italy
-
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
RECRUITINGTorino, 10126, Italy
-
Azienda Ospedaliera dei Colli
RECRUITINGNaples, 80131, Italy
-
Cantonal Hospital of Aarau
ACTIVE_NOT_RECRUITINGAarau, 5001, Switzerland
-
Centre Hospitalier de l'Universite de Montreal (CHUM)
ACTIVE_NOT_RECRUITINGMontreal, Quebec, H2X 0A9, Canada
-
Clinical Trials Center of Middle Tennessee, LLC
ACTIVE_NOT_RECRUITINGFranklin, Tennessee, 37067, United States
-
Cliniques Universitaires Saint-Luc
ACTIVE_NOT_RECRUITINGBrussels, 1200, Belgium
-
Columbia University Medical Center-New York Presbyterian Hospital
ACTIVE_NOT_RECRUITINGNew York, New York, 10032, United States
-
Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710, United States
-
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
ACTIVE_NOT_RECRUITINGRoma, 00168, Italy
-
Hamamatsu University Hospital
ACTIVE_NOT_RECRUITINGShizuoka, Hamamatsu, 431-3192, Japan
-
Hospital Universitari de Bellvitge
ACTIVE_NOT_RECRUITINGL Hospitalet Del Llobregat, 08907, Spain
-
Hospital Universitario De La Princesa
ACTIVE_NOT_RECRUITINGMadrid, 08035, Spain
-
Hospital Vall Hebron
ACTIVE_NOT_RECRUITINGBarcelona, 08035, Spain
-
Hospital Virgen del Rocio
RECRUITINGSeville, 41013, Spain
-
Inje University Haeundae Paik Hospital
ACTIVE_NOT_RECRUITINGBusan, 48108, South Korea
-
Institute for Respiratory Health
ACTIVE_NOT_RECRUITINGNedlands, Western Australia, 6009, Australia
-
Kanagawa Cardiovascular and Respiratory Center
ACTIVE_NOT_RECRUITINGKanagawa, Yokohama, 236-0051, Japan
-
Kelowna Respirology & Allergy Research
ACTIVE_NOT_RECRUITINGKelowna, British Columbia, V1Y 3H5, Canada
-
Medizinische Hochschule Hannover
RECRUITINGHanover, 30625, Germany
-
Monash Health
ACTIVE_NOT_RECRUITINGClayton, Victoria, 3168, Australia
-
National Hospital Organization Kinki-Chuo Chest Medical Center
ACTIVE_NOT_RECRUITINGOsaka, Sakai, 591-8555, Japan
-
National Hospital Organization Kyushu Medical Center
ACTIVE_NOT_RECRUITINGFukuoka, Fukuoka, 810-8563, Japan
-
QEII Health Sciences Centre
ACTIVE_NOT_RECRUITINGHalifax, Nova Scotia, B3H 3A7, Canada
-
Renstar Medical Research
ACTIVE_NOT_RECRUITINGOcala, Florida, 34470, United States
-
Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
RECRUITINGEssen, 45239, Germany
-
Soon Chun Hyang University Hospital Bucheon
RECRUITINGBucheon-si, Gyeonggi-do, 14584, South Korea
-
Soonchunhyang University Hospital Seoul
ACTIVE_NOT_RECRUITINGSeoul, 04401, South Korea
-
Synergy Respiratory Care
ACTIVE_NOT_RECRUITINGSherwood Park, Alberta, T8H 0N2, Canada
-
Temple University
ACTIVE_NOT_RECRUITINGPhiladelphia, Pennsylvania, 19140, United States
-
The Lung Research Center, LLC
ACTIVE_NOT_RECRUITINGChesterfield, Missouri, 63017, United States
-
The Prince Charles Hospital
ACTIVE_NOT_RECRUITINGChermside, Queensland, 4032, Australia
-
Tosei General Hospital
ACTIVE_NOT_RECRUITINGAichi, Seto, 489-8642, Japan
-
University of Alabama at Birmingham
ACTIVE_NOT_RECRUITINGBirmingham, Alabama, 35233, United States
-
University of Cincinnati Medical Center
NOT_YET_RECRUITINGCincinnati, Ohio, 45267, United States
-
University of Florida
RECRUITINGGainesville, Florida, 32610, United States
-
University of Fukui Hospital
ACTIVE_NOT_RECRUITINGFukui, Yoshida-gun, 910-1193, Japan
-
University of Iowa Hospitals and Clinics
RECRUITINGIowa City, Iowa, 52242, United States
-
University of Kansas Medical Center
ACTIVE_NOT_RECRUITINGKansas City, Kansas, 66103-2937, United States
-
University of Minnesota
ACTIVE_NOT_RECRUITINGMinneapolis, Minnesota, 55455, United States
-
University of Missouri Health System
RECRUITINGColumbia, Missouri, 65212, United States
-
University of Virginia Health System
NOT_YET_RECRUITINGCharlottesville, Virginia, 22903, United States
-
Universitätsspital Basel
ACTIVE_NOT_RECRUITINGBasel, 4031, Switzerland
-
Weill Cornell Medical College
ACTIVE_NOT_RECRUITINGNew York, New York, 10065, United States
-
Yvoir - UNIV UCL de Mont-Godinne
ACTIVE_NOT_RECRUITINGYvoir, 5530, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Patients and families build a living database of pulmonary fibrosis
- Can pulmonary fibrosis patients pull hard enough for their inhalers?
- Can a thousand patient records unlock better care for a rare lung disease?
- Sharper CT scans may solve a lung disease diagnostic puzzle
- Can we untangle the overlap of lung diseases? a new study aims to find out
- A blood test that could predict who survives a lung disease crisis?