New drug aims to halt lung damage in autoimmune patients
NCT ID NCT06806592
First seen Jun 27, 2026 · Last updated Sep 17, 2026 · Updated 12 times
Summary
This study tests whether the drug nerandomilast can slow lung scarring in people with autoimmune diseases like rheumatoid arthritis or scleroderma. About 400 adults whose lung function hasn't improved with standard treatment will take either nerandomilast or a placebo twice daily for at least 26 weeks. Researchers will measure changes in lung scarring using CT scans and lung function tests.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nerandomilast
- What this could lead to
- If it works, this could provide a new treatment option to slow lung scarring in people with autoimmune-related lung disease.
- What could go wrong
- This is a Phase 3 trial, but results are not guaranteed. The drug may not improve lung function or could cause side effects. Participants continue standard immunosuppressants, so benefits may be modest.
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 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Jul 2027
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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18 years and older
- 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: * Participant has systemic autoimmune rheumatic diseases associated interstitial lung diseases (SARD-ILD), defined as * Diagnosis by a rheumatologist (or equally qualified medical physician) with at least 1 of the following SARDs: Rheumatoid arthritis (RA), systemic sclerosis (SSc) (participants must be anticentromere auto-antibody negative), idiopathic inflammatory myopathy (IIM), Sjögren's disease, or mixed connective tissue disease (MCTD) (participants must be anti-U1-ribonucleoprotein particle (RNP) auto-antibody positive) * Presence of fibrotic interstitial lung disease (ILD) on high-resolution computed tomography (HRCT), defined as presence of reticular abnormality with traction bronchiectasis with or without honeycombing (HC), with disease extent \>10% on HRCT performed within 12 months of Visit 1 or, if historical scan is not available, on baseline HRCT taken prior to Visit 2, as confirmed by central review * No lung function improvement and no clinically significant ILD improvement as a treatment response to immunosuppressant (IS) therapy according to both criteria: * No improvement in absolute forced vital capacity (FVC) % predicted \>5% within the 15 months prior to Visit 1, as measured by 2 spirometry assessments that must be ≥3 months apart. (Note: 1: In the case of multiple PFTs over the 15 months prior to screening, exceptional values of absolute change in FVC % predicted \>5% are acceptable if the overall trend of FVC % predicted is declining or stable; note 2: Visit 1 spirometry may be used to fulfill the inclusion criterion if there is only 1 spirometry reading in the 15 months prior to Visit 1) * No clinically significant improvement in ILD based on clinician's judgement (including symptoms, imaging/HRCT, or other assessments as considered relevant and documented by the Investigator) * FVC ≥45% of predicted normal at Visit 1 * Diffusing capacity of the lungs for carbon monoxide (DLCO) ≥25% of predicted normal corrected for haemoglobin (Hb) within 3 months prior to or at Visit 1 * Participants must be on stable treatment with any IS agent for ≥6 months (or ≥3 months for participants with IIM-ILD) prior to visit 2, with the following specifications: * If using prednisone, participants must be on stable dose for ≥4 weeks prior to Visit 2 * If using rituximab, participants must have completed their first cycle \>6 months prior to Visit 2 * If using nintedanib, participants must be on a stable dose for ≥12 weeks prior to Visit 2 * In the opinion of the Investigator, no change in background standard of care (SoC) treatment with immunosuppressant (IS), immunomodulator (IM), or nintedanib is planned * Further inclusion criteria apply Exclusion Criteria: * Organising pneumonia as predominant pattern in the HRCT * Prebronchodilator forced expiratory volume in 1 second (FEV1)/ forced vital capacity (FVC) \<0.7 at Visit 1 * Acute ILD exacerbation within 3 months prior to Visit 1 and/or during the screening period, based on Investigator judgement * Active vasculitis, unstable or uncontrolled within 8 weeks prior to Visit 1 or during the screening period * Any suicidal behaviour in the past 2 years * Any suicidal ideation of type 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS) in the past 3 months or at Visit 1, and/or at Visit 2 * Use of any of the following medications: cyclophosphamide within 6 months of Visit 1, pirfenidone within 8 weeks of Visit 1 * Further exclusion criteria apply
Get updates
Get notified about this study
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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
136 sites in 16 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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A. O. Universitaria Careggi
RECRUITINGFlorence, 50134, Italy
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AOU Policlinico Umberto I
RECRUITINGRoma, 00161, Italy
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ASST degli Spedali Civili di Brescia
RECRUITINGBrescia, 25123, Italy
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Akershus Universitetssykehus HF
RECRUITINGNordbyhagen, 1478, Norway
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Altnagelvin Area Hospital
ACTIVE_NOT_RECRUITINGLondonderry, BT47 6SB, United Kingdom
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Antrim Area Hospital
ACTIVE_NOT_RECRUITINGAntrim, BT41 2RL, United Kingdom
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Augusta University
RECRUITINGAugusta, Georgia, 30912, United States
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Austin Hospital
RECRUITINGHeidelberg, Victoria, 3084, Australia
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Azienda Ospedaliera Universitaria di Padova
RECRUITINGPadova, 35128, Italy
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Beijing Chao-Yang Hospital
RECRUITINGBeijing, 100020, China
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Brigham and Women's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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CITER Centro de Investigación y Tratamiento de las Enfermedades Reumaticas SA de CV
RECRUITINGMexico City, 06700, Mexico
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Cantonal Hospital of Aarau
RECRUITINGAarau, CH-5001, Switzerland
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Centro Integral en Reumatologia, SA. de CV.
RECRUITINGGuadalajara, 44160, Mexico
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Chapel Allerton Hospital
ACTIVE_NOT_RECRUITINGLeeds, LS7 4SA, United Kingdom
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Charité - Universitätsmedizin Berlin
RECRUITINGBerlin, 10117, Germany
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China-Japan Friendship Hospital
RECRUITINGBeijing, 100029, China
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Columbia University Medical Center-New York Presbyterian Hospital
RECRUITINGNew York, New York, 10032, United States
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Complejo Hospitalario Universitario de Vigo
RECRUITINGVigo, 36312, Spain
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Erasmus Medisch Centrum-ROTTERDAM-50697
RECRUITINGRotterdam, 3015, Netherlands
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Fiona Stanley Hospital
RECRUITINGMurdoch, Western Australia, 6150, Australia
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First Affiliated Hospital of Xiamen University
RECRUITINGXiamen, 361003, China
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Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico
RECRUITINGMilan, 20122, Italy
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Fondazione IRCCS Policlinico S. Matteo
RECRUITINGPavia, 27100, Italy
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Fujita Health University Hospital
RECRUITINGAichi, Toyoake, 470-1192, Japan
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Fundación Jiménez Díaz
RECRUITINGMadrid, 28040, Spain
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GCM Medical Group, PSC
RECRUITINGSan Juan, 00917, Puerto Rico
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Gesundheit Nord gGmbH | Klinikverbund Bremen
COMPLETEDBremen, 28325, Germany
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Guangdong Provincial People's Hospital
RECRUITINGGuangzhou, 510080, China
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HOP Bichat
RECRUITINGParis, 75018, France
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HOP Civil
RECRUITINGStrasbourg, 67091, France
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HOP Pellegrin
RECRUITINGBordeaux, 33076, France
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HOP Sud
RECRUITINGRennes, 35203, France
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HOP d'Angers
RECRUITINGAngers, 49933, France
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Heartlands Hospital
RECRUITINGBirmingham, B9 5SS, United Kingdom
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Helios Fachklinik Vogelsang-Gommern GmbH
RECRUITINGGommern, 39245, Germany
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Hiroshima University Hospital
RECRUITINGHiroshima, Hiroshima, 734-8551, Japan
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Hokkaido University Hospital
RECRUITINGHokkaido, Sapporo, 060-8648, Japan
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Hopitaux Universitaires de Geneve (HUG)
COMPLETEDGeneva, 1205, Switzerland
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Hospital Clínico de Santiago
RECRUITINGSantiago de Compostela, 15706, Spain
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Hospital Dr. Peset
RECRUITINGValencia, 46017, Spain
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Hospital Juan Ramón Jimenez
RECRUITINGHuelva, 21005, Spain
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Hospital Santa Creu i Sant Pau
RECRUITINGBarcelona, 08026, Spain
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Hospital Universitari Vall d'Hebron
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitari de Bellvitge
RECRUITINGL'Hospitalet de Llobregat, 08907, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Dr Jose Eleuterio Gonzalez
RECRUITINGMonterrey, 64460, Mexico
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Hospital Universitario Ramon Y Cajal
RECRUITINGMadrid, 28034, Spain
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Hospital Universitario Reina Sofía
RECRUITINGCórdoba, 14004, Spain
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Hospital Universitario Virgen De La Macarena
RECRUITINGSeville, 41009, Spain
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Hospital Virgen del Rocio
RECRUITINGSeville, 41013, Spain
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Hospital de Basurto
RECRUITINGBilbao, 48013, Spain
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Hospital of the University of Occupational and Environmental Health
RECRUITINGFukuoka, Kitakyushu, 807-8556, Japan
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Huashan Hospital, Fudan University
RECRUITINGShanghai, 200040, China
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Hôpital Claude Huriez
RECRUITINGLille, 59037, France
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Hôpital Cochin
RECRUITINGParis, 75014, France
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Hôpital Rangueil - CHU de Toulouse
RECRUITINGToulouse, 31059, France
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Immanuel-Krankenhaus GmbH
RECRUITINGBerlin, 13125, Germany
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Inst Nac de Ciencias Medicas y Nutricion Salvador Zubiran
RECRUITINGMexico City, 14080, Mexico
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Investigacion y Biomedicina de Chihuahua S.C.
RECRUITINGChihuahua City, 31020, Mexico
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Johannes Wesling Klinikum Minden
RECRUITINGMinden, 32429, Germany
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Juntendo University Hospital
RECRUITINGTokyo, Bunkyo-Ku, 113-8431, Japan
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Kagawa University Hospital
COMPLETEDKagawa, Kita-gun, 761-0793, Japan
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Kantonsspital St.Gallen
RECRUITINGSankt Gallen, 9007, Switzerland
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Keio University Hospital
RECRUITINGTokyo, Shinjuku-ku, 160-8582, Japan
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Kitasato University Hospital
RECRUITINGKanagawa, Sagamihara, 252-0375, Japan
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Klinikum Konstanz
RECRUITINGKonstanz, 78464, Germany
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Klinikum Wels - Grieskirchen GmbH
RECRUITINGWels, 4600, Austria
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Klinikum der Universität München AÖR
COMPLETEDMünchen, 80336, Germany
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Krankenhaus Barmherzige Brüder Regensburg
RECRUITINGRegensburg, 93049, Germany
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Krankenhaus Porz am Rhein gGmbH
RECRUITINGCologne, 51149, Germany
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Krems University Hospital
COMPLETEDKrems, 3500, Austria
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Kyoto University Hospital
RECRUITINGKyoto, Kyoto, 606-8507, Japan
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Kyung Hee University Hospital
RECRUITINGSeoul, 02447, South Korea
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Luton & Dunstable University Hospital
ACTIVE_NOT_RECRUITINGLuton, LU4 8RB, United Kingdom
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic, Rochester
RECRUITINGRochester, Minnesota, 55902, United States
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Mayo Clinic-Arizona
RECRUITINGScottsdale, Arizona, 85259, United States
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Medical Care & Research SA de CV
RECRUITINGMérida, 97070, Mexico
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Medizinische Hochschule Hannover
RECRUITINGHanover, 30625, Germany
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Meris Clinical Research-Brandon-69466
RECRUITINGBrandon, Florida, 33511, United States
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Miami VA Healthcare System
RECRUITINGMiami, Florida, 33125, United States
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NIHR Lancashire Clinical Research Facility
ACTIVE_NOT_RECRUITINGPreston, PR2 9HT, United Kingdom
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NYU Langone Health
RECRUITINGNew York, New York, 10017, United States
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Nagasaki University Hospital
COMPLETEDNagasaki, Nagasaki, 852-8501, Japan
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National Jewish Health
RECRUITINGDenver, Colorado, 80206, United States
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Neuchatel Hospital Network
RECRUITINGNeuchâtel, 2000, Switzerland
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Nippon Medical School Hospital
RECRUITINGTokyo, Bunkyo-ku, 113-8603, Japan
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Northern General Hospital
ACTIVE_NOT_RECRUITINGSheffield, S5 7AU, United Kingdom
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Northshore University Health System
RECRUITINGEvanston, Illinois, 60201, United States
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Northwell Health
RECRUITINGGreat Neck, New York, 11021, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Onsite Clinical Solutions
RECRUITINGSalisbury, North Carolina, 28144, United States
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Osaka Medical and Pharmaceutical University Hospital
COMPLETEDOsaka, Takatsuki, 569-8686, Japan
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Ospedale San Raffaele S.r.l.
RECRUITINGMilan, 20132, Italy
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Paradigm Clinical Research - San Diego
RECRUITINGSan Diego, California, 92108, United States
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Peking Union Medical College Hospital
RECRUITINGBeijing, 100730, China
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People's Hospital of Sichuan Province
RECRUITINGChengdu, 610072, China
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Piedmont Physicians Pulmonary & Sleep Medicine of Buckhead
RECRUITINGAtlanta, Georgia, 30309, United States
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Rheumatology and Pulmonary Clinic
RECRUITINGBeckley, West Virginia, 25801, United States
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Royal Cornwall Hospital
ACTIVE_NOT_RECRUITINGTruro, TR1 3LJ, United Kingdom
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Royal Free Hospital
RECRUITINGLondon, NW3 2QG, United Kingdom
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Royal Prince Alfred Hospital
RECRUITINGCamperdown, Sydney, New South Wales, 2050, Australia
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Royal United Hospital, Bath
ACTIVE_NOT_RECRUITINGBath, BA1 3NG, United Kingdom
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Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
RECRUITINGEssen, 45239, Germany
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Saitama Medical University Hospital
RECRUITINGSaitama, Iruma-gun, 350-0495, Japan
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Sapporo Medical University Hospital
RECRUITINGHokkaido, Sapporo, 060-8543, Japan
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Seoul National University Bundang Hospital
RECRUITINGSeongnam, 13620, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Soltmed Smo
RECRUITINGMexico City, 03650, Mexico
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Soonchunhyang University Hospital Seoul
RECRUITINGSeoul, 04401, South Korea
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Southeastern Research Center-Winston Salem-69289
RECRUITINGWinston-Salem, North Carolina, 27103, United States
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Southend University Hospital
ACTIVE_NOT_RECRUITINGWestcliffe-on-Sea, SS0 0RY, United Kingdom
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St George's Hospital
ACTIVE_NOT_RECRUITINGLondon, SW17 0QT, United Kingdom
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St Vincent's Hospital Sydney
RECRUITINGDarlinghurst, New South Wales, 2010, Australia
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St. Antonius Ziekenhuis
RECRUITINGNieuwegein, 3435 CM, Netherlands
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St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
RECRUITINGHerne, 44649, Germany
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St. Marianna University Hospital
RECRUITINGKanagawa, Kawasaki, 216-8511, Japan
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Städtisches Klinikum Braunschweig gGmbH
RECRUITINGBraunschweig, 38126, Germany
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Sykehuset Telemark HF, Avd. Skien
RECRUITINGSkien, N-3710, Norway
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Temple Lung Center
RECRUITINGPhiladelphia, Pennsylvania, 19140, United States
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The First Affiliated Hospital of Henan University of Science and Technology
RECRUITINGLuoyang, 471000, China
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The First Affiliated Hospital of Nanchang University
RECRUITINGNanchang, 330006, China
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The First Affiliated Hospital, Zhejiang University
RECRUITINGHangzhou, 310003, China
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The Prince Charles Hospital
RECRUITINGChermside, Queensland, 4032, Australia
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The Second Affiliated Hospital Zhejiang University School of Medicine
RECRUITINGHangzhou, 310009, China
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The University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60637, United States
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The University of Texas Health Science Center at Houston
RECRUITINGHouston, Texas, 77030, United States
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Tianjin Medical University General Hospital
RECRUITINGTianjin, 30052, China
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Tongji Hospital Affiliated Tongji Medical College Huazhong University of S & T
RECRUITINGWuhan, 430030, China
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
RECRUITINGWuhan, 430022, China
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University College Hospital
RECRUITINGLondon, WC1E 6BT, United Kingdom
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University Hospital Zurich
RECRUITINGZurich, 8091, Switzerland
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University Hospital_Macau University of Science and Technology
RECRUITINGMacau, 999078, China
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University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35205, United States
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University of California Los Angeles
RECRUITINGLos Angeles, California, 90095, United States
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University of Kansas Medical Center
RECRUITINGKansas City, Kansas, 66160, United States
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University of Minnesota
RECRUITINGMinneapolis, Minnesota, 55455, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68198-1230, United States
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University of Pittsburgh Medical Center
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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University of Texas Health Science Center at San Antonio
RECRUITINGSan Antonio, Texas, 78229, United States
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University of Utah Health Sciences Center
RECRUITINGSalt Lake City, Utah, 84108, United States
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University of Wisconsin
RECRUITINGMadison, Wisconsin, 53792, United States
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Universitätsklinikum Bonn AöR
RECRUITINGBonn, 53127, Germany
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Universitätsklinikum Düsseldorf
RECRUITINGDüsseldorf, 40225, Germany
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Universitätsklinikum Freiburg
RECRUITINGFreiburg im Breisgau, 79106, Germany
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Universitätsklinikum Schleswig-Holstein, Campus Lübeck
RECRUITINGLübeck, 23538, Germany
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Universitätsspital Basel
RECRUITINGBasel, 4031, Switzerland
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West China Hospital, Sichuan University
RECRUITINGChengdu, 610041, China
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Yale University School of Medicine
RECRUITINGNew Haven, Connecticut, 06510, United States
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Zhuzhou Central Hospital
RECRUITINGZhuzhou, 412007, China
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Zuyderland Medisch Centrum
RECRUITINGHeerlen, 6419 PC, Netherlands
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medius Kliniken gGmbH
RECRUITINGKirchheim unter Teck, 73230, Germany
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