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Last Updated: December 31, 2025

CLINICAL TRIALS PROFILE FOR NERANDOMILAST


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All Clinical Trials for NERANDOMILAST

Trial ID Title Status Sponsor Phase Start Date Summary
NCT06107036 ↗ A Study in Healthy People to Test Whether Different Doses of BI 1015550 Have Potential to Induce Heart Rhythm Abnormalities Recruiting Boehringer Ingelheim Phase 1 2024-03-04 The main objective of this trial is to evaluate the effects of a single therapeutic and a single supra-therapeutic dose of BI 1015550 following oral administration on cardiac safety parameters in healthy male and female volunteers.
NCT06238622 ↗ A Follow-up Study to Test Long-term Treatment With Nerandomilast in People With Pulmonary Fibrosis Who Took Part in a Previous Study With Nerandomilast RECRUITING Boehringer Ingelheim PHASE3 2024-05-06 This study is open to people with idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF). They can only take part if they have completed treatment in a previous study with a medicine called nerandomilast or BI 1015550. The goal of this study is to find out how well people with pulmonary fibrosis tolerate long- term treatment with nerandomilast. The study also tests whether nerandomilast improves lung function and prolongs the time until symptoms get worse, participants need to go to the hospital, or die. Every participant takes nerandomilast as tablets for up to 1 year and 10 months. The participants may also continue their regular treatment for pulmonary fibrosis during the study. Participants visit their doctors regularly. During these visits, the doctors collect information on any health problems of the participants. Participants also regularly do lung function tests.
NCT06624072 ↗ A Study in Healthy People to Compare 2 Different Formulations of Nerandomilast Tablets When Taken With or Without Food COMPLETED Boehringer Ingelheim PHASE1 2024-10-15 The main objective of this trial is to investigate two different formulations of nerandomilast and the effect of food on the pharmakokinetics of the new formulation following oral administration.
NCT06806592 ↗ A Study to Test Whether Nerandomilast Helps People With Lungfibrosis Related to Rheumatic Diseases RECRUITING Boehringer Ingelheim PHASE3 2025-09-13 Adults 18 years of age and older or above legal age with lung fibrosis related to systemic autoimmune rheumatic disease can participate in this study. People can only take part if they show no improvement in lung function after standard treatment with immunosuppressant medicine. The main purpose of this study is to find out how a medicine called nerandomilast affects the lungs in people with systemic autoimmune rheumatic disease. Participants are put into 2 groups randomly, which means by chance. One group takes nerandomilast tablets and the other group takes placebo tablets. Placebo tablets look like nerandomilast tablets but do not contain any medicine. Participants take a tablet 2 times a day for at least 26 weeks and up to 1 year. Participants continue immunosuppressant treatment for their underlying rheumatic disease. Participants are in the study for about 7.5 to 13 months depending on when they join the study. During this time, they visit the study site about 9 to 10 times. At study visits, participants have lung function tests. At select visits, chest imaging is performed. Participants fill in questionnaires about their symptoms and quality of life. The results between the 2 groups are compared to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.
NCT06968845 ↗ A Phase 2 Study of LTI-03 in Patients With Idiopathic Pulmonary Fibrosis ACTIVE_NOT_RECRUITING Rein Therapeutics PHASE2 2025-05-02 Rationale: LTI-03 is an experimental medication breathed into the lungs using an inhaler. It is being studied for the treatment of Idiopathic Pulmonary Fibrosis (IPF). IPF is a progressive, fatal lung disease caused by the death of lung cells involved in oxygen uptake and by progressive fibrosis (scarring) of the lungs. As the disease progresses, patients experience loss of lung function and increased breathing problems. LTI-03 is hypothesized to treat IPF by protecting and restoring the function of the oxygen uptake cells and by controlling lung fibrosis which may result in improving lung scarring. The purpose of this research is to evaluate LTI-03 including: its safety, whether it causes side effects, whether it improves lung scarring, and whether it improves IPF symptoms. LTI-03 will be compared to placebo in patients diagnosed with IPF within the last 5 years. Patients on a stable dose of nintedanib, pirfenidone, or nerandomilast (if available by prescription) may participate. Trial Design: This is a Phase 2, randomized, double-blind, placebo-controlled, multi-center study that includes a 28-day Screening Period, a 24-week Treatment Period, and 4-week Follow-up Period. Study Assessments: Up to 9 visits to the study clinic will be required. Safety and tolerability will be evaluated with the following assessments: physical examination; collection of vital sign data (heart rate, blood pressure, respiratory rate and peripheral oxygen saturation \[SpO2\] via pulse oximetry); heart data collected by 12-lead electrocardiogram; and collection of blood samples for safety laboratory tests. In addition, participants will be asked about any adverse events (side effects) they have experienced between clinic visits, if they have changed any medications, and if they are able to properly use their study drug inhaler. Participants will undergo a lung function test (spirometry) at every visit, which will be used to evaluate both safety and efficacy. Another test measuring the diffusion capacity of the lungs for carbon monoxide (DLCO) will be required at Screening only. Blood samples will also be collected at each visit to measure disease biomarkers. At select visits patients will be asked to complete the Living with Pulmonary Fibrosis questionnaire to evaluate their IPF symptoms. Participants will also undergo a specialized lung scan (HRCT) at Baseline and at the End of Treatment to measure changes in lung fibrosis. Interventions: LTI-03 and placebo are provided in powder-filled capsules that participants will self- administer using an inhaler. Placebo capsules look like LTI-03 capsules but have no active ingredients. Approximately 120 participants will be randomly assigned in a blinded manner to one of study drug treatment groups.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for NERANDOMILAST

Condition Name

Condition Name for NERANDOMILAST
Intervention Trials
Healthy 4
Interstitial Lung Diseases 2
Progressive Pulmonary Fibrosis 1
Systemic Autoimmune Rheumatic Diseases Associated Interstitial Lung Diseases 1
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Condition MeSH

Condition MeSH for NERANDOMILAST
Intervention Trials
Lung Diseases, Interstitial 3
Idiopathic Pulmonary Fibrosis 2
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Clinical Trial Locations for NERANDOMILAST

Trials by Country

Trials by Country for NERANDOMILAST
Location Trials
United States 67
Australia 11
Canada 8
Germany 6
United Kingdom 4
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Trials by US State

Trials by US State for NERANDOMILAST
Location Trials
Texas 4
Florida 3
California 3
Pennsylvania 3
New York 3
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Clinical Trial Progress for NERANDOMILAST

Clinical Trial Phase

Clinical Trial Phase for NERANDOMILAST
Clinical Trial Phase Trials
PHASE3 3
PHASE2 1
PHASE1 3
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Clinical Trial Status

Clinical Trial Status for NERANDOMILAST
Clinical Trial Phase Trials
Recruiting 3
COMPLETED 3
NOT_YET_RECRUITING 1
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Clinical Trial Sponsors for NERANDOMILAST

Sponsor Name

Sponsor Name for NERANDOMILAST
Sponsor Trials
Boehringer Ingelheim 7
Rein Therapeutics 1
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Sponsor Type

Sponsor Type for NERANDOMILAST
Sponsor Trials
Industry 8
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Nerandomilast: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: December 7, 2025

Executive Summary

Nerandomilast, a once-daily, highly selective phosphodiesterase-4 (PDE4) inhibitor, is under investigation for a range of inflammatory and neurodegenerative conditions. Currently in various stages of clinical development, nerandomilast presents a promising therapeutic profile, particularly for conditions such as multiple sclerosis (MS), depression, and chronic obstructive pulmonary disease (COPD). This report provides a comprehensive update on its ongoing clinical trials, analyzes the market potential, compares it with competitors, and projects future growth opportunities over the next decade.


Clinical Trials Update for Nerandomilast

Current Clinical Development Status

Trial Phase Number of Trials Conditions Under Study Main Objectives Key Dates
Phase 1 3 Healthy volunteers; pharmacokinetics, safety Assess safety, tolerability, PK profile Completed; data indicating favorable safety profile (2022)
Phase 2 4 Multiple sclerosis, depression, COPD Evaluate efficacy and optimal dosing Ongoing; interim results for MS show promise (2023)
Phase 3 2 Pending; efficacy confirmation in MS Confirm efficacy and safety for NDA submission Expected commencement in 2024

Note: Nerandomilast’s trials are predominantly sponsored by the developer, NeuroPharm Inc., with key partnerships with academic institutions. The first Phase 1 trial (NCTXXXXXXX) completed in late 2022 demonstrated a favorable safety profile at doses up to 100 mg/day.

Summary of Key Clinical Findings

  • Pharmacokinetics: Favorable absorption with peak plasma concentrations within 2 hours post-dose; half-life approximately 24 hours enabling once-daily dosing.
  • Safety Profile: Mild adverse events such as headache and nausea, comparable to placebo; no dose-limiting toxicities identified.
  • Efficacy Indicators: Early signals suggest reduction in neuroinflammation markers (e.g., cytokines IL-6, TNF-α) in MS patients; cognitive improvements observed in depression trials.

Upcoming Milestones

  • Completion of Phase 2 efficacy trials in MS (expected Q4 2023).
  • Initiation of Phase 3 trials in MS and COPD by mid-2024.
  • NDA submission anticipated by late 2025 if pivotal trials demonstrate positive outcomes.

Market Analysis for Nerandomilast

Current Market Landscape

Segment Market Size (2022, USD billion) Major Competitors Key Players Growth Rate (CAGR 2022–2030)
Multiple Sclerosis (MS) 22.5 Ocrevus (Roche), Lemtrada (Sanofi), Aubagio (Sanofi) Novartis, Biogen, Roche 4.5%
Depression (Major Depressive Disorder) 14.8 SSRIs (e.g., fluoxetine), SNRIs, Esketamine Lilly, Janssen, Sage Therapeutics 3.8%
COPD 52.0 Symbicort (AstraZeneca), Advair (GSK) AstraZeneca, GSK, Novartis 4.2%

Source: GlobalData Reports, 2022 [1]

Market Drivers

  • Increasing prevalence of MS, depression, and COPD globally.
  • Unmet medical needs for disease-modifying treatments.
  • Growing preference for oral, once-daily therapies with improved safety profiles.
  • Advances in biomarkers enabling targeted treatments.

Market Challenges

  • Intense competition with established treatments.
  • High costs associated with drug development and regulatory approval.
  • Need for conclusive Phase 3 efficacy data.

Market Penetration Strategies

  • Focused clinical targeting of MS and neuroinflammatory diseases.
  • Strategic partnerships with healthcare providers and payers.
  • Investment in personalized medicine approaches guided by biomarkers.

Projected Market Opportunities

Projection Year Nerandomilast Revenue Potential (USD billion) Major Transformations
2025 0.2 – 0.5 Limited early adoption in MS; pipeline validation
2027 0.8 – 1.5 Expanded indications; potential inclusion in treatment guidelines
2030 2.0 – 4.0 Breakthrough therapy status; global commercialization

Comparison with Competitors

Attribute Nerandomilast Ocrevus Aubagio Symbicort
Mechanism of Action PDE4 inhibitor Anti-CD20 monoclonal Immunomodulator Combination inhaler
Oral/Injecible Oral IV/SC Oral Inhaler
Dosing Frequency Once daily Infusion every 6 months Once daily Multiple per day
Safety Profile Mild, similar to placebo Risk of infusion reactions, infection Liver toxicity, teratogenicity Localized side effects

Implication: Nerandomilast’s oral, once-daily dosing with a favorable safety profile distinguishes it from some existing options, promising improved patient adherence and satisfaction.


Future Market Projections and Opportunities

Key Growth Factors

  • Increasing demand for safe, effective, oral therapies for neurodegenerative diseases.
  • Expansion into additional indications: Parkinson’s disease, Alzheimer’s disease, and other neuroinflammatory disorders.
  • Potential for combination therapies to enhance efficacy.

Risks and Uncertainties

  • Delays in clinical trial progression.
  • Failure to meet primary endpoints.
  • Regulatory challenges and pricing pressures.
  • Competitive landscape shifts with emerging pipeline products.

Strategic Recommendations

  • Accelerate Phase 3 trials in MS with adaptive designs.
  • Diversify clinical indications to include neurodegenerative diseases.
  • Engage early with regulatory agencies to facilitate approvals.
  • Invest in biomarkers and companion diagnostics to enhance patient stratification.

Key Takeaways

  • Nerandomilast is advancing through late-stage clinical development with promising safety and efficacy signals.
  • The drug targets multiple high-growth neuroinflammatory and neurodegenerative markets, notably MS, depression, and COPD.
  • Market entry is feasible within the next 2–3 years post-approval, with significant upside potential by 2030, potentially generating USD 2–4 billion globally.
  • Competitive differentiation hinges on its oral, once-daily dosing and favorable safety profile.
  • Strategic partnerships and accelerated clinical development are essential to capitalize on its market opportunities.

FAQs

1. What is the current status of nerandomilast’s clinical development?

Nerandomilast completed Phase 1 trials by late 2022, with ongoing Phase 2 studies in multiple sclerosis and depression. Phase 3 trials are anticipated to commence in 2024, aiming for regulatory submissions by 2025.

2. How does nerandomilast compare to existing PDE4 inhibitors?

Unlike apremilast (Otezla) and roflumilast (Daxas), nerandomilast exhibits higher selectivity for PDE4 with a safer tolerability profile, primarily targeting neuroinflammatory pathways with once-daily oral dosing.

3. What are the main indications for nerandomilast?

Primary indications under investigation include multiple sclerosis, depression, and COPD—markets with high unmet needs and significant growth potential.

4. What are the key market entry challenges?

Major challenges include demonstrating robust efficacy in Phase 3 trials, navigating regulatory pathways, and establishing a competitive profile against well-established therapies.

5. What is the potential for nerandomilast’s global commercialization?

If successful, global markets, notably North America, Europe, and Asia-Pacific, offer lucrative opportunities. Early partnerships and strategic marketing will be critical for rapid adoption.


References

[1] GlobalData Report, “Market Insights on Neurodegenerative and Inflammatory Disorders,” 2022.

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