New inhaled drug for lung scarring enters early human testing
NCT ID NCT07344558
First seen Jun 24, 2026 · Last updated Jul 23, 2026 · Updated 4 times
Summary
This early-stage trial is testing an inhaled form of nintedanib (called MNKD-201) in 24 people with idiopathic pulmonary fibrosis (IPF), a disease that scars the lungs. The study aims to see if the drug is safe and tolerable when breathed in, and how the body processes it. Participants will receive either the inhaled drug or a placebo, and researchers will monitor for side effects like wheezing or chest tightness.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Nintedanib dry powder for inhalation
- What this could lead to
- If successful, this could lead to a new, inhaled form of nintedanib that may be easier for IPF patients to take than the current oral pill.
- What could go wrong
- This is a very early, small Phase 1b trial with only 24 people, focused on safety and dosing. It is not designed to prove the drug works, and side effects like bronchospasm are possible.
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 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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27 people
The number who actually took part.
- Started
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Dec 2025
- Finished
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Jun 2026
- 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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40 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: 1. Is ≥40 to ≤85 years of age at the time of signing the informed consent form. 2. Diagnosis of IPF 3. Either treatment-naive or is currently on background pirfenidone or nerandomilast on a stable dose for at least 3 months prior to Screening. 4. Has FVC \>45% of predicted of normal, as determined by the central spirometry reader, during Screening. 5. DLCO corrected for hemoglobin \[Visit 1\] ≥40% of predicted of normal, within 12 months of Screening. If no historical DLCO is available prior to Screening, this is to be done during Screening and read locally. 6. Has a body weight \>40 kg (\>88 lbs.) at Screening. 7. For female participants of childbearing potential, agreement to use acceptable birth control 8. For male participants who can father a child and are having intercourse with females of childbearing potential, agreement to use a protocol-recommended method of contraception 9. Is capable of performing spirometry, as required by the study procedures and ATS guidelines. 10. CT chest within 2 years of Screening, consistent with an IPF diagnosis, per investigator assessment. Exclusion Criteria: 1. Known explanation for interstitial lung disease, including but not limited to radiation, sarcoidosis, hypersensitivity pneumonitis, and bronchiolitis obliterans organizing pneumonia. 2. Diagnosis of any connective tissue disease, including but not limited to scleroderma/systemic sclerosis, polymyositis/dermatomyositis, systemic lupus erythematosus, and rheumatoid arthritis, regardless of whether or not it is presumed to be related to their pulmonary fibrosis diagnosis. 3. Major extrapulmonary physiological restriction (e.g., chest wall abnormality, large pleural effusion), as determined by the investigator. 4. Significant Cardiovascular diseases 5. Recent systemic infection within 4 weeks before the Screening visit or symptomatic viral or bacterial infection at time of Screening. 6. Prior hospitalization for confirmed coronavirus disease 2019 (COVID-19), acute exacerbation of IPF or any lower respiratory tract infection within 3 months of Screening. 7. Has a history of asthma, with the exception of resolved childhood asthma. 8. Has known obstructive lung disease 9. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin \>1.5 times the upper limit of normal (ULN) during Screening. 10. Advanced liver and kidney function. 11. Current or recent (within 30 days of Screening) use of nintedanib. 12. Use of prednisone \>10 mg/day within 1 month prior to Screening, or other significant immunosuppression 13. Active lung cancer (primary or metastatic) or any cancer requiring chemotherapy or radiation therapy within 3 years, except appropriately treated non-melanoma skin cancer, localized non-malignant prostate cancer, or in situ carcinoma of uterine cervix. 14. Has participated in another clinical study of a new chemical entity, new device, or a prescription medicine within the 1 month before Screening 15. Current alcohol, medication, or illicit drug abuse 16. Has lost more than 400 mL blood, e.g., as a blood donor, or donor of blood products, during the 3 months prior to Screening. 17. Has received a live vaccine within the 3 months prior to the first dose of study drug. 18. Smokes (any substance including electronic cigarettes and marijuana) within 3 months prior to Screening or is an ex-cigarette smoker who gave up \<1 year ago. 19. Has oxygen requirement of \> 6 liters/min at rest.
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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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Innova Pharma Research
Doral, Florida, 33172, United States
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Low Country Research
Charleston, South Carolina, 29406, United States
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Metroplex Pulmomary & Sleep Center
McKinney, Texas, 75069, United States
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New Access Research and Medical Services
Miami, Florida, 33186, United States
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New Life Medical Research
Hialeah, Florida, 33012, United States
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Palmtree Clinical Research
Palm Springs, California, 92262, United States
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Pulmonary Medicine Consultants
McKinney, Texas, 75071, United States
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Southeastern Research Center
Winston-Salem, North Carolina, 27103, United States
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VALDI
Fresno, California, 93720, United States
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