Inhaled nintedanib powder for IPF in adults
Official title: A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Clinical Trial of the Efficacy and Safety of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary Fibrosis Followed by an Open-Label Extension
Run by Mannkind Corporation · NCT07679893 · Data updated 2026-11-12
This study tests whether an inhaled form of nintedanib can safely help adults with idiopathic pulmonary fibrosis.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years to 80 Years |
| Sex | All |
| Enrollment | 153 (estimated) |
| Sponsor | Mannkind Corporation Industry-sponsored |
| Locations | 1 site (Windsor, Ontario) |
| Status | Recruiting |
| Started | May 15, 2026 |
| Main results expected | December 30, 2027 |
| Study ends | June 2028 |
| Registry record updated | September 14, 2026 |
| Trial ID | NCT07679893 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 40–80 with IPF, either treatment-naïve or on a stable dose of pirfenidone or nerandomilast for at least 3 months, able to perform spirometry, and meeting contraception/needs.
✕Probably not a fit
Patients unable to tolerate inhaled therapy, those with significant comorbidities, or who do not meet lung function or stability criteria may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 2 trial is a randomized, double-blind, placebo-controlled study of two doses of nintedanib dry powder inhalation (2 mg BID and 4 mg BID) versus placebo in adults with IPF. Participants will take the assigned treatment for 12 weeks, followed by a 24-week open-label extension where all receive the active drug. The primary focus is safety, especially bronchospasm risk, with secondary look at lung function (FEV1 and FEV1/FVC) and adverse events to gauge preliminary efficacy for IPF. Eligible adults 40–80 with IPF may participate if they are either treatment-naïve or on a stable dose of certain IPF meds, and can perform spirometry.
Why it matters
Potential benefit: If successful, the inhaled formulation could offer a new delivery method that might improve IPF management and patient outcomes.
How similar studies have gone: Past studies with similar inhaled antifibrotic approaches have shown safety signals but efficacy results vary, making this a cautious step forward.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 40-80 years old when signing consent and entering screening. * Diagnosed with IPF based on current ATS/ERS/JRS/ALAT guidelines. * Either new to treatment or on a stable dose of pirfenidone and/or nerandomilast for at least 3 months before screening. * Weighs more than 40 kg (88 lb) at screening. * Women who can become pregnant: * Must have a negative pregnancy test at screening. * Must use an approved birth control method from screening until at least 1 month after the last study dose. * Men who can father a child and are sexually active with women who can become pregnant: * Must use an approved birth control method during treatment and for at least 3 months after the last study dose. * Must not donate sperm during treatment and for at least 3 months after the last study dose. * Willing to follow all study rules and restrictions. * Willing and able to attend study visits and complete study procedures. * Able to perform spirometry (lung function testing) as required by the study. Exclusion Criteria: * Has a lung disease caused by something other than IPF. * Has a connective tissue or autoimmune disease (such as lupus, scleroderma, or rheumatoid arthritis). * Has another condition that significantly affects breathing. * Has serious heart or blood vessel disease. * Has a recent or current infection. * Was recently hospitalized for COVID-19, an IPF flare-up, or a lung infection. * Has a history of asthma (except childhood asthma that has resolved). * Has another medical condition or abnormal test result that may affect study participation or safety. * Cannot perform high-quality spirometry testing. * Has obstructive lung disease. * Has abnormal liver function tests. * Has moderate to severe liver disease. * Has severe kidney disease. * Has recently used high-dose steroids or other immune-suppressing medications. * Has active cancer or recent cancer treatment. * Is on, or expected to be added to, a transplant list. * Had major surgery recently or has planned procedures that could interfere with the study. * Has had a severe reaction to nintedanib or cannot take nintedanib safely. * Has recently used certain medications that may interact with the study drug. * Is currently using, or plans to use, prohibited medications during the study. * Has recently participated in another clinical trial. * Has current alcohol or drug abuse issues. * Donated a significant amount of blood recently. * Received a live vaccine recently. * Currently smokes, recently smoked, or quit smoking less than 1 year ago. * Requires more than 6 L/min of oxygen while at rest.
Where it's running
-
Trial Management Group Inc
Windsor, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Wassim Fares, MD, SVP, Therapeutic Area Head, Orphan Lung Disease, MD
- Email: wfares@mannkindcorp.com
- Phone: 203-796-3407
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This study is testing a new drug called SB17170 to see if it can help adults with moderate to severe idiopathic pulmonary fibrosis breathe better over 12 weeks.
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Nerandomilast in IPF and Progressive Fibrosis: Real-World Data
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A phase 2 study tests ORJ-001 versus placebo in adults with idiopathic pulmonary fibrosis to see if it is tolerated and whether it helps lung function.
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Nalbuphine ER for IPF-related chronic cough
This study tests whether extended-release nalbuphine tablets can reduce chronic cough in people with idiopathic pulmonary fibrosis.
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Inspiratory Flow Rate Capability in Pulmonary Fibrosis Patients
This observational study tests how fast patients with IPF or PPF can inhale through dry powder inhalers with different resistances.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.