PMID- 36299369 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221028 IS - 2312-0541 (Print) IS - 2312-0541 (Electronic) IS - 2312-0541 (Linking) VI - 8 IP - 4 DP - 2022 Oct TI - Phase I studies of BI 1015550, a preferential phosphodiesterase 4B inhibitor, in healthy males and patients with idiopathic pulmonary fibrosis. LID - 00240-2022 [pii] LID - 10.1183/23120541.00240-2022 [doi] AB - INTRODUCTION: BI 1015550 is a phosphodiesterase 4 (PDE4) inhibitor that has antifibrotic properties. Phase I and Ic studies were conducted to investigate the safety, tolerability and pharmacokinetics of BI 1015550 in healthy male subjects and patients with idiopathic pulmonary fibrosis (IPF). METHODS: In the phase I study, 42 subjects were partially randomised to receive placebo or BI 1015550 in single rising doses of 36 mg and 48 mg, or multiple rising doses of 6 mg and 12 mg twice daily over 14 days. In the phase Ic study, 15 patients with IPF were randomised to receive 18 mg BI 1015550 or placebo twice daily for up to 12 weeks. For both studies, the primary endpoint was the number of subjects with drug-related adverse events (AEs). RESULTS: In the Phase I study, drug-related AEs were reported for 50.0% of healthy male subjects treated with a single dose of BI 1015550, compared with 16.7% receiving placebo. For those receiving multiple doses, drug-related AEs were reported for 37.5% of those treated with BI 1015550 and 12.5% receiving placebo. The most frequently reported AEs by organ class were nervous system disorders, which were largely driven by headache. In the Phase Ic study, drug-related AEs were reported in 90.0% of patients treated with BI 1015550, compared with 60.0% of those receiving placebo. The most frequent AEs by organ class were gastrointestinal AEs. CONCLUSIONS: BI 1015550 had an acceptable safety profile in healthy male subjects and male and female patients with IPF, supporting further development in larger trials. CI - Copyright (c)The authors 2022. FAU - Maher, Toby M AU - Maher TM AD - Inflammation, Repair, and Development Section, National Heart and Lung Institute, Imperial College London, London, UK. AD - Keck Medicine of USC, Los Angeles, CA, USA. FAU - Schlecker, Christina AU - Schlecker C AD - Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany. FAU - Luedtke, Doreen AU - Luedtke D AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany. FAU - Bossert, Sebastian AU - Bossert S AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany. FAU - Zoz, Donald F AU - Zoz DF AD - Boehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA. FAU - Schultz, Armin AU - Schultz A AD - CRS Clinical Research Services Mannheim GmbH, Mannheim, Germany. LA - eng PT - Journal Article DEP - 20221024 PL - England TA - ERJ Open Res JT - ERJ open research JID - 101671641 PMC - PMC9589333 COIS- Conflict of interest: T.M. Maher has received consultancy fees from Boehringer Ingelheim, Roche/Genentech, AstraZeneca, Bayer, Blade Therapeutics, Bristol-Myers Squibb, Galapagos, Galecto, GlaxoSmithKline, IQVIA, Pliant, Respivant, Theravance and Veracyte; and honoraria from Boehringer Ingelheim and Roche/Genentech. C. Schlecker, D. Leudtke, S. Bossert and D.F. Zoz are employees of Boehringer Ingelheim. A. Schultz is an employee of CRS Clinical Research Services Mannheim GmbH. EDAT- 2022/10/28 06:00 MHDA- 2022/10/28 06:01 PMCR- 2022/10/24 CRDT- 2022/10/27 02:22 PHST- 2022/05/16 00:00 [received] PHST- 2022/06/10 00:00 [accepted] PHST- 2022/10/27 02:22 [entrez] PHST- 2022/10/28 06:00 [pubmed] PHST- 2022/10/28 06:01 [medline] PHST- 2022/10/24 00:00 [pmc-release] AID - 00240-2022 [pii] AID - 10.1183/23120541.00240-2022 [doi] PST - epublish SO - ERJ Open Res. 2022 Oct 24;8(4):00240-2022. doi: 10.1183/23120541.00240-2022. eCollection 2022 Oct.