1755 Participants Needed

BI 1291583 for Bronchiectasis

Recruiting at 649 trial locations
BI
Overseen ByBoehringer Ingelheim
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a new medicine, BI 1291583, can help people with bronchiectasis, a condition where the airways in the lungs become widened and scarred, leading to frequent infections and sputum production. Researchers randomly divide participants into two groups: one takes the new medicine, and the other takes a placebo (an inactive tablet). The study will compare the number of flare-ups between the two groups over about 1.5 years. Suitable candidates for this trial are those who produce sputum and have experienced bronchiectasis flare-ups requiring antibiotics. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you are on stable oral or inhaled antibiotics or CFTR-MT for bronchiectasis, you may continue them as long as you meet the other criteria.

Is there any evidence suggesting that BI 1291583 is likely to be safe for humans?

Research has shown that BI 1291583 is generally safe and well-tolerated. In an earlier study, participants taking BI 1291583 did not report any major safety issues. The study found a good balance between benefits and risks, with no significant side effects at the doses tested.

Additional research indicates that BI 1291583 helped reduce lung flare-ups in people with bronchiectasis, suggesting the treatment is both potentially effective and safe.

Overall, the available data supports the safety of BI 1291583 for those who have taken it in previous studies.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for bronchiectasis, which often involve antibiotics and airway clearance techniques, BI 1291583 is unique because it targets the underlying inflammatory pathways in the lungs. This approach could potentially reduce the frequency and severity of exacerbations. Researchers are excited about BI 1291583 because it represents a novel mechanism of action that might offer more effective, targeted relief for patients, potentially improving their quality of life significantly.

What evidence suggests that BI 1291583 might be an effective treatment for bronchiectasis?

Research has shown that BI 1291583, which participants in this trial may receive, can help lower the risk of flare-ups in adults with bronchiectasis. It blocks a substance called cathepsin C, which contributes to lung inflammation. In studies, people who took BI 1291583 experienced fewer flare-ups compared to those who took a placebo. This medicine has shown promise in improving symptoms and quality of life for people with bronchiectasis. Overall, evidence suggests that BI 1291583 could effectively treat this condition.56789

Are You a Good Fit for This Trial?

Adults with bronchiectasis who produce sputum and have had at least 2 flare-ups or 1 flare-up with significant symptoms can join. They must consent to the study, use effective birth control if applicable, and have a CT-confirmed diagnosis. Those on certain chronic treatments need at least one recent exacerbation.

Inclusion Criteria

I can produce sputum for testing.
I have signed and understand the consent form for this study.
I am using effective birth control if I can have children.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants take 1 tablet once a day for up to 1 year and 6 months. The study involves up to 10 site visits and about 13 phone calls. Participants complete a daily diary on a smartphone about their bronchiectasis symptoms.

76 weeks
10 visits (in-person), 13 phone calls

Follow-up

Participants are monitored for safety and effectiveness after treatment. The study doctors regularly check participants' health and take note of any unwanted effects.

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • BI 1291583
Trial Overview The AIRTIVITY® Study is testing BI 1291583 tablets against placebo in people with bronchiectasis. Participants are randomly assigned to take either the actual medicine or a look-alike without active ingredients daily for up to 18 months, tracking symptoms and flare-ups.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Treatment armExperimental Treatment1 Intervention
Group II: Placebo armPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boehringer Ingelheim

Lead Sponsor

Trials
2,566
Recruited
16,150,000+

Published Research Related to This Trial

Bronchiectasis (BE) is a growing global health issue characterized by airway dilation and persistent infections, leading to significant impacts on patients' quality of life, yet treatment guidelines are based on limited high-quality evidence.
Experts identified critical unmet needs in BE management, including the need for better pharmacological treatments to clear airways and reduce inflammation, improved methods for classifying patients, and the establishment of clinical endpoints for future research.
Towards development of evidence to inform recommendations for the evaluation and management of bronchiectasis.Flume, PA., Basavaraj, A., Garcia, B., et al.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39255990/
AIRLEAF, a phase II randomised, double-blind, placebo ...Conclusion: Treatment with BI 1291583 resulted in a reduction in the risk of experiencing an exacerbation in adults with bronchiectasis.
NCT05238675 | A Study to Test Whether Different Doses of ...The purpose of this study is to find out whether a medicine called BI 1291583 helps people with bronchiectasis. Participants are put into 4 groups randomly ...
In Bronchiectasis, Cathepsin C Inhibitor Reduces ...The cathepsin C (CatC) inhibitor BI 1291583 is associated with a decreased risk for an exacerbation in adults with bronchiectasis, according to study findings.
A Phase 2 randomised study to establish efficacy, safety and ...This study aims to evaluate the efficacy, safety and optimal dosing of the novel CatC inhibitor BI 1291583 in adults with bronchiectasis. If efficacy and safety ...
Phase III AIRTIVITY trialVerducatib (BI 1291583) is a novel dipeptyl peptidase 1 (DPP1) / cathepsin C (CatC) inhibitor with the potential to improve symptoms and quality of life for ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/37465817/
A Phase 2 randomised study to establish efficacy, safety ...Here we present the design of a phase 2 trial (Airleaf™; NCT05238675) assessing the efficacy and safety of a novel CatC inhibitor, BI 1291583, ...
The AIRTIVITY™ Study: A Study to Find Out Whether BI ...The purpose of this study is to find out whether a medicine called BI 1291583 helps people with bronchiectasis. Participants are put into 2 groups randomly ...
A randomized phase I study of the safety and ...The results show that BI 1291583 has an appropriate benefit–risk ratio for Japanese patients, with no safety or exposure concerns at the doses studied.
WS19.05 A Phase II trial (CLAIRAFLY) to evaluate the ...The CatC inhibitor BI 1291583 has been shown to reduce pulmonary exacerbations (PEx) in people with non–CF BE (NCFBE) (Ph 2 study AIRLEAF®). We present the ...
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