Hope for kids with scarred lungs: new drug trial launches
NCT ID NCT07366034
First seen Jun 27, 2026 · Last updated Sep 16, 2026 · Updated 11 times
Summary
This study tests a medicine called nerandomilast in children aged 2 to 17 with fibrosing interstitial lung disease, a condition where lung tissue becomes scarred and stiff. The goal is to see if the drug is safe and how the body processes it, and to get early signs of whether it helps lung function. Some children will receive the drug, others a placebo for 6 months, then all get the drug for at least 2 more years.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 35 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Apr 2031
An estimate. End dates often move.
- 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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2 to 17 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: * Children and adolescents 2 to \<18 years old at Visit 2. * Participants with evidence of fibrosing ILD on high-resolution computed tomography (HRCT) within 12 months of Visit 1 as assessed by the investigator and confirmed by central review. * For children ≥6 years: Participants with forced vital capacity (FVC) % predicted ≥25% at Visit 2. * Participants with clinically significant fibrosing ILD at Visit 2, as assessed by the investigator based on any of the following: * Fan score ≥3, or * Documented evidence of clinical progression over time based on either * a 5-10% relative decline in FVC % predicted accompanied by worsening symptoms, or * a ≥10% relative decline in FVC % predicted, or * increased fibrosis on HRCT, or * other measures of clinical worsening attributed to progressive lung disease (e.g. increased oxygen requirement, decreased diffusion capacity). Further inclusion criteria apply. Exclusion Criteria: * Previous treatment with nerandomilast. * Participants treated with other oral/systemic PDE4 and non-selective PDE inhibitors within 30 days before Visit 1. * Participants treated with pirfenidone in the 8 weeks prior to Visit 1. * Unstable pulmonary arterial hypertension (PAH). * Active vasculitis, unstable or uncontrolled within 8 weeks prior to Visit 1 or during the screening period. * Any suicidal behaviour (i.e. actual attempt, interrupted attempt, aborted attempt, or preparatory acts or behaviour) in the past (lifetime). * Any suicidal ideation of type 4 or 5 on the columbia suicidal severity rating scale (C-SSRS) in the past 3 months at Visit 1 or at Visit 2 (i.e. active suicidal thought with method and intent but without specific plan; or active suicidal thought with method, intent, and plan). * Participants with clinically significant depression symptoms defined as the short version of mood and feeling questionnaire (SMFQ) score ≥8. 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
47 sites in 22 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Aarhus University Hospital
NOT_YET_RECRUITINGAarhus N, 8200, Denmark
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Alberta Children's Hospital
NOT_YET_RECRUITINGCalgary, Alberta, T3B 6A8, Canada
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Amsterdam University Medical Center
NOT_YET_RECRUITINGAmsterdam, 1105 AZ, Netherlands
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Aristotle University, Thessaloniki
NOT_YET_RECRUITINGThessaloniki, 54642, Greece
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Associação dos Funcionários Públicos do Estado do Rio Grande do Sul - Hospital Ernesto Dorneles
NOT_YET_RECRUITINGPorto Alegre, 90160-093, Brazil
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Beijing Children's Hospital, Capital Medical University
RECRUITINGBeijing, 100045, China
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Birmingham Children's Hospital
NOT_YET_RECRUITINGBirmingham, B4 6NH, United Kingdom
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Boston Children's Hospital
NOT_YET_RECRUITINGBoston, Massachusetts, 02115, United States
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Brussels - UNIV HUDERF
NOT_YET_RECRUITINGBrussels, 1020, Belgium
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Centro de Investigacion Clinica y Medicina Traslacional (CIMeT)
NOT_YET_RECRUITINGGuadalajara, 44340, Mexico
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Centro de Pesquisa Clinica do Instituto da Crianca - HCFMUSP
RECRUITINGSão Paulo, 5403-900, Brazil
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Charité - Universitätsmedizin Berlin
NOT_YET_RECRUITINGBerlin, 13353, Germany
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Children's Hospital Colorado
NOT_YET_RECRUITINGAurora, Colorado, 80045, United States
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Children's Hospital Los Angeles
NOT_YET_RECRUITINGLos Angeles, California, 90027, United States
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Children's Hospital of Philadelphia
NOT_YET_RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Clinical Research Institute S.C.
NOT_YET_RECRUITINGTlalnepantla, 54055, Mexico
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Fukuoka Children's Hospital
NOT_YET_RECRUITINGFukuoka, Fukuoka, 813-0017, Japan
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Fundacion Respirar
RECRUITINGCABA, 1426, Argentina
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HOP Armand-Trousseau
NOT_YET_RECRUITINGParis, 75012, France
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HOP Femme Mère Enfant
NOT_YET_RECRUITINGBron, 69677, France
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HOP Intercommunal
NOT_YET_RECRUITINGCréteil, 94000, France
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HOP Necker - Enfants Malades
RECRUITINGParis, 75015, France
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HOP Timone
NOT_YET_RECRUITINGMarseille, 13387, France
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HUS Lasten ja nuorten sairaudet, Kliinisen tutkimuksen yksikkö
NOT_YET_RECRUITINGHelsinki, PL 281, 00029, Finland
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Hamburger Zentrum für Kinder- und Jugendrheumatologie
NOT_YET_RECRUITINGHamburg, 22081, Germany
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Hospital Universitari Vall d'Hebron
RECRUITINGBarcelona, 08035, Spain
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Hospital Virgen del Rocio
NOT_YET_RECRUITINGSeville, 41013, Spain
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Hunan Provincial People's Hospital
RECRUITINGChangsha, 410005, China
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IMIP Pernambuco
NOT_YET_RECRUITINGRecife, 50070-550, Brazil
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Istituto G. Gaslini
RECRUITINGGenova, 16147, Italy
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Johns Hopkins Hospital
NOT_YET_RECRUITINGBaltimore, Maryland, 21287, United States
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King's College Hospital
NOT_YET_RECRUITINGLondon, SE5 9RS, United Kingdom
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M Health Fairview Masonic Children's Hospital
NOT_YET_RECRUITINGMinneapolis, Minnesota, 55454, United States
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Medizinische Hochschule Hannover
RECRUITINGHanover, 30625, Germany
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National Center for Child Health and Development
NOT_YET_RECRUITINGTokyo, Setagaya-ku, 157-8535, Japan
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Nationwide Children's Hospital
NOT_YET_RECRUITINGColumbus, Ohio, 43205, United States
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Osaka Women's and Children's Hospital
NOT_YET_RECRUITINGOsaka, Izumi, 594-1101, Japan
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Ospedale Pediatrico Bambino Gesù
NOT_YET_RECRUITINGRoma, 00165, Italy
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Serviços Medicos Respirar Sul Fluminense
RECRUITINGBarra Mansa, 27323240, Brazil
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Tampere University Hospital
RECRUITINGTampere, 33520, Finland
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The Children's Hospital of Fudan University
RECRUITINGShanghai, 201102, China
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The Hospital for Sick Children
NOT_YET_RECRUITINGToronto, Ontario, M5G 1X8, Canada
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ULS de Santa Maria, E.P.E
NOT_YET_RECRUITINGLisbon, 1649-035, Portugal
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University Clinical Center of the Medical University of Warsaw
NOT_YET_RECRUITINGWarsaw, 02 091, Poland
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University Hospital Motol
NOT_YET_RECRUITINGPrague, 150 00, Czechia
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Women's and Children's Hospital
NOT_YET_RECRUITINGNorth Adelaide, South Australia, 5006, Australia
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