Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 40 to 80

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.

More Idiopathic Pulmonary Fibrosis trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages40 Years to 80 Years
SexAll
Enrollment153 (estimated)
SponsorMannkind Corporation
Industry-sponsored
Locations1 site (Windsor, Ontario)
StatusRecruiting
StartedMay 15, 2026
Main results expectedDecember 30, 2027
Study endsJune 2028
Registry record updatedSeptember 14, 2026
Trial IDNCT07679893 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Photon-counting CT vs standard HRCT to help diagnose IPF and other ILDs

    This study tests whether photon-counting CT can improve identifying IPF and other ILDs compared with standard HRCT for patients discussed in multidisciplinary teams.

    Recruiting Istituto Clinico Humanitas · Rozzano, Italy · NCT07790614

  • Evaluating SB17170 in patients with idiopathic pulmonary fibrosis

    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.

    Recruiting at 2 sites Phase 2 SPARK Biopharma · Goyang and 4 other locations · NCT06747923

  • Nerandomilast in IPF and Progressive Fibrosis: Real-World Data

    This study tests whether nerandomilast helps slow lung function decline in adults with IPF or progressive fibrotic lung disease in routine clinical care.

    Recruiting at 4 sites Tel Aviv Medical Center · Ashkelon and 3 other locations · NCT07919015

  • New IPF drug ORJ-001 tested in adults with IPF

    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.

    Recruiting at 2 sites Phase 2 Oorja Bio, Inc. · Doral, Florida and 1 other locations · NCT07869147

  • 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.

    Recruiting at 4 sites Phase 3 Trevi Therapeutics · Wilmington, Delaware and 3 other locations · NCT07868419

  • 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.

    Recruiting Shanghai Pulmonary Hospital, Shanghai, China · Shanghai, Shanghai Municipality · NCT07820254

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.