Journal
LUNG
Volume 194, Issue 5, Pages 739-743Publisher
SPRINGER
DOI: 10.1007/s00408-016-9912-1
Keywords
Interstitial lung diseases; Clinical trial; Disease progression; Tyrosine kinase
Categories
Funding
- Boehringer Ingelheim
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In the Phase III INPULSISA (R) trials, 52 weeks' treatment with nintedanib reduced decline in forced vital capacity (FVC) versus placebo in patients with idiopathic pulmonary fibrosis (IPF). Patients who completed the INPULSISA (R) trials could receive nintedanib in an open-label extension trial (INPULSISA (R)-ON). Patients with FVC < 50 % predicted were excluded from INPULSISA (R), but could participate in INPULSISA (R)-ON. In patients with baseline FVC aecurrency sign50 % and > 50 % predicted at the start of INPULSISA (R)-ON, the absolute mean change in FVC from baseline to week 48 of INPULSISA (R)-ON was -62.3 and -87.9 mL, respectively (n = 24 and n = 558, respectively). No new safety signals were identified in INPULSISA (R)-ON compared with INPULSISA (R). The decline in FVC in INPULSISA (R)-ON in both subgroups by baseline FVC % predicted was similar to that in INPULSISA (R), suggesting that nintedanib may have a similar effect on disease progression in patients with advanced disease as in less advanced disease.
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