A Study to Evaluate Safety, Tolerability and Pharmacokinetics of MNKD-201 in Patients With Idiopathic Pulmonary Fibrosis

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age40-85
SponsorMannkind Corporation

About this trial

MKC-NI-002 is a Phase 1b, randomized, double-blind, placebo-controlled study of nintedanib inhalation powder (MNKD-201) in patients with Idiopathic Pulmonary Fibrosis (IPF). The trial consists of Multiple Ascending Doses (MAD) with the primary objective to evaluate safety, tolerability and pharmacokinetics (PK) of MNKD-201 compared to placebo in patients with IPF.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Is ≥40 to ≤85 years of age at the time of signing the informed consent form.

Diagnosis of IPF

Either treatment-naive or is currently on background pirfenidone or nerandomilast on a stable dose for at least 3 months prior to Screening.

Has FVC >45% of predicted of normal, as determined by the central spirometry reader, during Screening.

Disqualifiers

Known explanation for interstitial lung disease, including but not limited to radiation, sarcoidosis, hypersensitivity pneumonitis, and bronchiolitis obliterans organizing pneumonia.

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.

Major extrapulmonary physiological restriction (e.g., chest wall abnormality, large pleural effusion), as determined by the investigator.

Significant Cardiovascular diseases

Trial design

Design model

Sequential

Treatments tested in this trial

  • MNKD-201(Nintedanib DPI)

    Drug

    MNKD-201 is a dry powder nintedanib formulation for oral inhalation.

  • Placebo

    Drug

    The placebo control in this study is an empty cartridge without any powder.

Treatment groups

24 Participants
are divided into 3 treatment groups
Group A: Cohort 1: MNKD-201 Target Dose or placeboExperimental treatment 1 intervention
Group B: Cohort 2: MNKD-201 High Dose or placeboExperimental treatment 1 intervention
Group C: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

(Cohort 1) Events of Bronchospasm

The within-treatment number and proportion of participants with events of bronchospasm (e.g., treatment emergent adverse events \[TEAE\] immediately after inhalation of wheezing or chest tightness)

Time frame
Up to Day 7
2

(Cohort 2) Events of Bronchospasm

The within-treatment number and proportion of participants with events of bronchospasm (e.g., treatment emergent adverse events \[TEAE\] immediately after inhalation of wheezing or chest tightness)

Time frame
Up to Day 7
3

(Cohort 1) Changes in FEV1 (mL) from pre-dose to post-dose

The within-treatment number and proportion of participants with changes in FEV1 from pre-dose to any time post-dose

Time frame
Up to Day 7
4

(Cohort 2) Changes in FEV1 (mL) from pre-dose to post-dose

The within-treatment number and proportion of participants with changes in FEV1 from pre-dose to any time post-dose

Time frame
Up to Day 7

Secondary outcomes

1

Determine the maximum tolerated dose (MTD) of MKND-201 in patients with IPF

MTD within the tested MNKD-201 dose range

Time frame
Up to Day 7

Other outcomes

Sponsors and contacts

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