Clinical Trial Results:
A double blind, randomised, placebo-controlled trial to evaluate the dose-exposure and safety of nintedanib per os on top of standard of care for 24 weeks, followed by open label treatment with nintedanib of variable duration, in children and adolescents (6 to 17 year-old) with clinically significant fibrosing Interstitial Lung Disease
Summary
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EudraCT number |
2018-004530-14 |
Trial protocol |
ES PT FI NO DK FR CZ PL GR HU GB DE BE IT |
Global end of trial date |
24 May 2022
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Results information
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Results version number |
v3(current) |
This version publication date |
16 Apr 2023
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First version publication date |
15 Dec 2022
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Other versions |
v1 , v2 |
Version creation reason |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
1199-0337
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Boehringer Ingelheim
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Sponsor organisation address |
Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
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Public contact |
Boehringer Ingelheim, Call Center, Boehringer Ingelheim, 001 18002430127, clintriage.rdg@boehringer-ingelheim.com
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Scientific contact |
Boehringer Ingelheim, Call Center, Boehringer Ingelheim, 001 18002430127, clintriage.rdg@boehringer-ingelheim.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
Yes
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EMA paediatric investigation plan number(s) |
EMEA-001006-PIP05-18 | ||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
15 Jun 2022
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
24 May 2022
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Global end of trial reached? |
Yes
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Global end of trial date |
24 May 2022
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The main objective of the study is to evaluate dose-exposure and safety of nintedanib in children and adolescents with fibrosing Interstitial Lung Disease (ILD).
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Protection of trial subjects |
Only subjects that met all the study inclusion and none of the exclusion criteria were to be entered in the study. All subjects were free to withdraw from the clinical trial at any time for any reason given. Close monitoring of all subjects was adhered to throughout the trial conduct. Treatment interruption and dose reduction were allowed as medically indicated.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
27 Feb 2020
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Canada: 1
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Country: Number of subjects enrolled |
United States: 12
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Country: Number of subjects enrolled |
Belgium: 2
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Country: Number of subjects enrolled |
Czechia: 2
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Country: Number of subjects enrolled |
France: 2
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Country: Number of subjects enrolled |
Greece: 1
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Country: Number of subjects enrolled |
Italy: 2
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Country: Number of subjects enrolled |
Poland: 4
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Country: Number of subjects enrolled |
Portugal: 2
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Country: Number of subjects enrolled |
Russian Federation: 1
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Country: Number of subjects enrolled |
Spain: 1
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Country: Number of subjects enrolled |
Ukraine: 1
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Country: Number of subjects enrolled |
United Kingdom: 1
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Country: Number of subjects enrolled |
Argentina: 2
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Country: Number of subjects enrolled |
Brazil: 3
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Country: Number of subjects enrolled |
Mexico: 2
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Worldwide total number of subjects |
39
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EEA total number of subjects |
16
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
12
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Adolescents (12-17 years) |
27
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
This was a multicenter, multinational clinical trial in children and adolescents (6 to 17 years old) with clinically significant fibrosing Interstitial Lung Disease (ILD) in two parts. A randomised, placebo-controlled, double-blind period (DBP) of 24 weeks was followed by an open-label Nintedanib period (OLNP) of variable duration. | |||||||||||||||||||||
Pre-assignment
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Screening details |
Only subjects that met all inclusion and none exclusion criteria could enter the study. Subjects were free to withdraw at any time for any reason given. Subjects were monitored throughout the trial conduct. Treatment interruption and dose reduction were allowed as medically indicated. | |||||||||||||||||||||
Period 1
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Period 1 title |
Double-blind period (DBP)
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Is this the baseline period? |
Yes | |||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||
Roles blinded |
Subject, Investigator, Carer | |||||||||||||||||||||
Blinding implementation details |
Subjects, investigators and any other site personnel remained blinded with regard to the randomised treatment assignments until after the final database lock.
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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DBP+OLNP: Randomised to placebo | |||||||||||||||||||||
Arm description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily (DBP). Subjects who continued with the open-label Nintedanib period (OLNP) after the DBP switched to active Nintedanib treatment and were treated orally with Nintedanib twice daily (OLNP). Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received placebo first (DBP), then Nintedanib (OLNP). DBP: Planned was from 1st randomised trial to last blinded drug intake. OLNP: Planned was from 1st open-label to last open-label Nintedanib intake. | |||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, soft
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Routes of administration |
Oral use
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Dosage and administration details |
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dose interval was approximately 12 hours from one to the next dose.
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Arm title
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DBP+OLNP: Randomised to Nintedanib | |||||||||||||||||||||
Arm description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily. Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received Nintedanib only (DBP+OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm. DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Nintedanib
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, soft
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Routes of administration |
Oral use
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Dosage and administration details |
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dose interval was approximately 12 hours from one to the next dose.
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Period 2
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Period 2 title |
Open-label Nintedanib period (OLNP)
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Is this the baseline period? |
No | |||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | |||||||||||||||||||||
Blinding implementation details |
No blinding in the OLNP
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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DBP+OLNP: Randomised to placebo | |||||||||||||||||||||
Arm description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily (DBP). Subjects who continued with the open-label Nintedanib period (OLNP) after the DBP switched to active Nintedanib treatment and were treated orally with Nintedanib twice daily (OLNP). Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received placebo first (DBP), then Nintedanib (OLNP). DBP: Planned was from 1st randomised trial to last blinded drug intake. OLNP: Planned was from 1st open-label to last open-label Nintedanib intake. | |||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||
Investigational medicinal product name |
Nintedanib
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, soft
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Routes of administration |
Oral use
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Dosage and administration details |
Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg],75 mg [3 capsules with strength 25 mg], 100 mg [1 capsule with strength 100 mg or 4 capsules with strength 25 mg] or 150 mg [1 capsule with strength 150 mg or 6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dose interval was approximately 12 hours from one to the next dose.
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Arm title
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DBP+OLNP: Randomised to Nintedanib | |||||||||||||||||||||
Arm description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily. Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received Nintedanib only (DBP+OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm. DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Nintedanib
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, soft
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Routes of administration |
Oral use
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Dosage and administration details |
Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg],75 mg [3 capsules with strength 25 mg], 100 mg [1 capsule with strength 100 mg or 4 capsules with strength 25 mg] or 150 mg [1 capsule with strength 150 mg or 6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dose interval was approximately 12 hours from one to the next dose.
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Baseline characteristics reporting groups
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Reporting group title |
DBP+OLNP: Randomised to placebo
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Reporting group description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily (DBP). Subjects who continued with the open-label Nintedanib period (OLNP) after the DBP switched to active Nintedanib treatment and were treated orally with Nintedanib twice daily (OLNP). Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received placebo first (DBP), then Nintedanib (OLNP). DBP: Planned was from 1st randomised trial to last blinded drug intake. OLNP: Planned was from 1st open-label to last open-label Nintedanib intake. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
DBP+OLNP: Randomised to Nintedanib
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Reporting group description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily. Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received Nintedanib only (DBP+OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm. DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
DBP+OLNP: Randomised to placebo
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Reporting group description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily (DBP). Subjects who continued with the open-label Nintedanib period (OLNP) after the DBP switched to active Nintedanib treatment and were treated orally with Nintedanib twice daily (OLNP). Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received placebo first (DBP), then Nintedanib (OLNP). DBP: Planned was from 1st randomised trial to last blinded drug intake. OLNP: Planned was from 1st open-label to last open-label Nintedanib intake. | ||
Reporting group title |
DBP+OLNP: Randomised to Nintedanib
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Reporting group description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily. Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received Nintedanib only (DBP+OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm. DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | ||
Reporting group title |
DBP+OLNP: Randomised to placebo
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Reporting group description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily (DBP). Subjects who continued with the open-label Nintedanib period (OLNP) after the DBP switched to active Nintedanib treatment and were treated orally with Nintedanib twice daily (OLNP). Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received placebo first (DBP), then Nintedanib (OLNP). DBP: Planned was from 1st randomised trial to last blinded drug intake. OLNP: Planned was from 1st open-label to last open-label Nintedanib intake. | ||
Reporting group title |
DBP+OLNP: Randomised to Nintedanib
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Reporting group description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily. Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. The dosing interval was approximately 12 hours from one dose to the next dose in the DBP and OLNP. In this arm subjects received Nintedanib only (DBP+OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm. DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | ||
Subject analysis set title |
DBP+OLNP: 6 to < 12 years - exposed to Nintedanib
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
This arm shows subjects aged 6 to < 12 years old who were exposed to Nintedanib only, either randomised placebo (treated with Nintedanib in the OLNP only) and randomised Nintedanib (treated with Nintedanib in both, DBP and OLNP).The 6 to < 12 years old subjects were treated orally with Nintedanib twice daily with a dose interval of approximately 12 hours from one dose to the next dose.
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received Nintedanib only (OLNP or DBP+OLNP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake.
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Subject analysis set title |
DBP+OLNP: 12 to < 18 years - exposed to Nintedanib
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
This arm shows subjects aged 12 to <18 years old who were exposed to Nintedanib only either randomised placebo (treated with Nintedanib in the OLNP only) and randomised Nintedanib (treated with Nintedanib in both, DBP and OLNP). The 12 to 18 years old subjects were treated orally with Nintedanib twice daily with a dose interval of approximately 12 hours from one dose to the next dose.
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received Nintedanib only (OLNP or DBP+OLNP). DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake.
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Subject analysis set title |
DBP: Randomised to placebo
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
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Subject analysis set title |
DBP: Randomised to Nintedanib
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP twice daily with a dose interval of approximately 12 hours from one dose to the next dose.
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
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Subject analysis set title |
OLNP: Randomised to placebo and switched to Nintedanib
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows subjects who continued with the open-label Nintedanib period (OLNP) after the DBP, switched to active Nintedanib treatment in the OLNP and were treated orally with Nintedanib twice daily with a dose interval of approximately 12 hours from one dose to the next dose.
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received placebo first (DBP) and then Nintedanib (OLNP). DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake.
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Subject analysis set title |
DBP+OLNP: Randomised to placebo
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows subjects who continued with the open-label Nintedanib period (OLNP) after the DBP, switched to active Nintedanib treatment in the OLNP and were treated orally with Nintedanib twice daily with a dose interval of approximately 12 hours from one dose to the next dose.
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received placebo first (DBP) and then Nintedanib (OLNP). DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake.
|
||
Subject analysis set title |
DBP + OLNP: Randomised to Nintedanib
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily with a dose interval of approximately 12 hours from one dose to the next dose.
Medication dosage was per administration 50 milligram (mg) [2x25 mg capsules (cap)],75 mg [3x25 mg cap], 100 mg [1x100 mg cap or 4x25 mg cap] or 150 mg [1x150 mg cap or 6x25 mg cap] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received Nintedanib in both periods (DBP + OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - capsule size of 25 mg capsule
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with placebo soft capsules of 25 milligram (mg) with a capsule size of 5 millimeter (mm) diameter and 8 mm length, oval shaped, twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage per administration was 50 milligram (mg) [2 capsules with strength 25 mg], 75 mg [3 capsules with strength 25 mg], 100 mg [4 capsules with strength 25 mg] or 150 mg [6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to Nintedanib - capsule size of 25 mg capsule
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib soft capsules of 25 milligram (mg) with a capsule size of 5 millimeter (mm) diameter and 8 mm length, oval shaped, twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage per administration was 50 milligram (mg) [2 capsules with strength 25 mg], 75 mg [3 capsules with strength 25 mg], 100 mg [4 capsules with strength 25 mg] or 150 mg [6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - capsule size of 100 mg capsule
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with placebo soft capsules of 100 mg with a capsule size of 6 mm diameter and 16 mm length, oblong shaped, twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage per administration was 100 mg [1 capsules with strength 100 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to Nintedanib - capsule size of 100 mg capsule
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib soft capsules of 100 mg with a capsule size of 6 mm diameter and 16 mm length, oblong shaped, twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage per administration was 100 mg [1 capsules with strength 100 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - capsule size of 150 mg capsule
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subject treated orally with placebo soft capsules of 150 mg with a capsule size of 7 mm diameter and 18 mm length, oblong shaped, twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage per administration was 150 mg [1 capsules with strength 150 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to Nintedanib - capsule size of 150 mg capsule
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib soft capsules of 150 mg with a capsule size of 7 mm diameter and 18 mm length, oblong shaped, twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage per administration was 150 mg [1 capsules with strength 150 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - 2 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with 1 Nintedanib matching placebo soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 100 mg [1 capsule with strength 100 mg] or 150 mg [1 capsule with strength 150 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to Nintedanib - 2 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with 1 Nintedanib soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 100 mg [1 capsule with strength 100 mg] or 150 mg [1 capsule with strength 150 mg] based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - 4 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with 2 Nintedanib matching placebo soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg], based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to Nintedanib - 4 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with 2 Nintedanib soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg], based on the subject's weight at baseline (= 0 weeks).
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - 6 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with 3 Nintedanib matching placebo soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 75 mg [3 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to Nintedanib - 6 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows Nintedanib randomised subjects treated orally with 3 Nintedanib soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 75 mg [3 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received Nintedanib only (DBP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arm.
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
||
Subject analysis set title |
DBP: Randomised to placebo - >6 capsules
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
This arm shows placebo randomised subjects treated orally with >3 Nintedanib matching placebo soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP).
Medication dosage was per administration 100 mg [4 capsules with strength 25 mg] or 150 mg [6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed.
In this arm subjects received placebo only (DBP).
DBP: Planned was from first randomised trial drug intake to last blinded drug intake.
|
|
|||||||||||||
End point title |
Area under the plasma concentration-time curve at steady state (AUCτ,ss) based on sampling at steady state (at Week 2 and Week 26) [1] | ||||||||||||
End point description |
Area under the plasma concentration-time curve at steady state (AUCt,ss) based on sampling at steady state (at Week 2 and Week 26) after multiple oraladministration of Nintedanib by age group over all treatments.
Values of samples taken at Week 2 (for randomised Nintedanib subjects) and at Week 26 (for randomised placebo subjects) were used. Missing values at Week 2 of randomised Nintedanib subjects were replaced with values taken at Week 26.
Pharmacokinetic parameter analysis set (PKS): This set includes all subjects in the treated set (TS) who provide at least one pharmacokinetic (PK) endpoint that was not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability.
|
||||||||||||
End point type |
Primary
|
||||||||||||
End point timeframe |
At Week 2 and at Week 26: at 5 minutes before and at 0, 1, 2, 3, 4, 6, and 8 hours post administration of the morning dose
|
||||||||||||
Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: This endpoint was evaluated only descriptively. Thus, no statistical hypothesis were tested. |
|||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
||||||||||
End point title |
Number of subjects with treatment-emergent adverse events during the double-blind period [2] | |||||||||
End point description |
Treatment-emergent was defined as: Adverse events with onset or worsening on or after date of treatment start until end of double-blind period (defined as the day before first intake of open-label nintedanib or last double-blind drug intake + residual effect period, whichever is earlier) were considered as treatment-emergent and were included in the analysis. Adverse events were counted under the treatment as randomized for the double-blind period.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
|||||||||
End point type |
Primary
|
|||||||||
End point timeframe |
From first drug administration until the earlier of (i) first intake of open−label nintedanib (exclusive) and (ii) last drug intake, up to 28 weeks
|
|||||||||
Notes [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: This endpoint was evaluated only descriptively. Thus, no statistical hypothesis were tested. |
||||||||||
|
||||||||||
No statistical analyses for this end point |
|
||||||||||||||||
End point title |
Number of subjects with at least one treatment-emergent pathological finding of epiphyseal growth plate on imaging up to week 24, and week 52 | |||||||||||||||
End point description |
Number of subjects with at least one treatment-emergent pathological finding of the epiphyseal growth plate imaging (Magnetic Resonance Imaging (MRI)s/x-rays) were analyzed cumulatively and based on central review.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
|||||||||||||||
End point type |
Secondary
|
|||||||||||||||
End point timeframe |
Up to Week 24 (included values at Week 12 and Week 24); Up to Week 52 (included values at Week 12, 24, 36 and 52)
|
|||||||||||||||
|
||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||
End point title |
Number of subjects with treatment-emergent pathological findings on dental examination or imaging up to week 24 | ||||||||||||||||||||||||||||||
End point description |
Number of subjects with treatment-emergent pathological findings on dental examination (clinical examination) based on dentist assessment or imaging (panoramic x-ray) based on central review were analyzed. Number of subjects with treatment-emergent pathological findings on dental imaging were analyzed cumulatively.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||
End point timeframe |
Dental examination: at Week 12 and Week 24; Dental imaging: at Week 24
|
||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||
End point title |
Number of subjects with at least one treatment-emergent pathological findings on dental examination or imaging up to week 52 | ||||||||||||||||||||||||||||||
End point description |
Number of subjects with treatment-emergent pathological findings on dental examination (clinical examination) based on dentist assessment or imaging (panoramic x-ray) based on central review were analyzed. Number of subjects with treatment-emergent pathological findings on dental imaging were analyzed cumulatively.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||
End point timeframe |
Dental examination: at Week 12, 24, 36, and Week 52; Dental imaging: at Week 24 and at Week 52.
|
||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Number of subjects with treatment-emergent adverse events over the whole trial | ||||||||||||
End point description |
Treatment-emergent was defined as: Adverse events with onset or worsening on or after date of treatment start until last drug intake + residual effect period was considered as treatment-emergent and was included in the analysis. Adverse events were counted under the treatment as randomized for the double-blind period.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From first drug administration until the last drug intake, up to 92 weeks
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Absolute change from baseline in height at Week 24 | ||||||||||||
End point description |
Absolute change from baseline in height at Week 24 was measured with a stadiometer 3 times at each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in height at Week 24 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 12, 24, 36, 52, 64, 76, and 88 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 1 | ||||||||||||
Statistical analysis description |
No formal hypotheses were tested
|
||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
38
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.9858 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted mean difference | ||||||||||||
Point estimate |
0
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.8 | ||||||||||||
upper limit |
0.8 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.4
|
|
|||||||||||||
End point title |
Absolute change from baseline in height at Week 52 | ||||||||||||
End point description |
Absolute change from baseline in height at Week 52 was measured with a stadiometer 3 times at each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in height at Week 52 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subjects. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 12, 24, 36, 52, 64, 76, and 88 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 2 | ||||||||||||
Statistical analysis description |
No formal hypotheses were tested
|
||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
38
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.9769 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted mean difference | ||||||||||||
Point estimate |
0
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-1.7 | ||||||||||||
upper limit |
1.6 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.8
|
|
|||||||||||||||||||
End point title |
Absolute change from baseline in height at Week 76 | ||||||||||||||||||
End point description |
Absolute change from baseline in height at Week 76 was measured with a stadiometer 3 times at each time point. The average of these 3 measurements was taken per time point.
MMRM has been calculated but did not provide estimates for this time point due to low sample size. Thus, change in height from baseline to Week 76 was analyzed descriptively only.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Measurements were assessed at Week 0 and at Week 76
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Absolute change from baseline in sitting height at Week 24 | ||||||||||||
End point description |
Absolute change from baseline in sitting height at Week 24 was measured with a stadiometer 3 times at each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in sitting height at Week 24 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 12, 24, 36, 52, 64, 76, and 88 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 3 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
21
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[3] | ||||||||||||
P-value |
= 0.4442 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
1.1
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-1.8 | ||||||||||||
upper limit |
4 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
1.4
|
||||||||||||
Notes [3] - No formal hypotheses were tested |
|
|||||||||||||||||||
End point title |
Absolute change from baseline in sitting height at Week 52 | ||||||||||||||||||
End point description |
Absolute change from baseline in sitting height at Week 52 was measured with a stadiometer 3 times at each time point. The average of these 3 measurements was taken per time point.
MMRM has been calculated but did not provide estimates for this time point due to low sample size. Thus, change in sitting height from baseline to Week 52 was analyzed descriptively only.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication. Only subjects with non-missing results were included in the analysis.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Measurements were assessed at Week 0 and at Week 52
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Absolute change from baseline in sitting height at Week 76 | ||||||||||||||||||
End point description |
Absolute change from baseline in sitting height at Week 76 was measured with a stadiometer 3 times at each time point. The average of these 3 measurements was take per time point.
MMRM has been calculated but did not provide estimates for this time point due to low sample size. Thus, change in sitting height from baseline to Week 76 was analyzed descriptively only.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication. Only subjects with non-missing results were included in the analysis.
99999= Not calculable
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Measurements were assessed at Week 0 and at Week 76
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Absolute change from baseline in leg length at Week 24 - left | ||||||||||||
End point description |
Absolute change from baseline in left leg length at Week 24 was assessed by measuring distance between anterior iliac spine and medial malleolus 3 times at each leg and each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in left leg length at Week 24 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 12, 24, 36, 52, 64, and 76 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 4 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
36
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[4] | ||||||||||||
P-value |
= 0.882 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
0.1
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-1.5 | ||||||||||||
upper limit |
1.8 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.8
|
||||||||||||
Notes [4] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in leg length at Week 52 - left | ||||||||||||
End point description |
Absolute change from baseline in left leg length at Week 52 was assessed by measuring distance between anterior iliac spine and medial malleolus 3 times at each leg and each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in left leg length at Week 52 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 12, 24, 36, 52, 64, and 76 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 5 | ||||||||||||
Statistical analysis description |
No formal hypotheses were tested
|
||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
36
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.9652 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted mean difference | ||||||||||||
Point estimate |
0.1
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-3.2 | ||||||||||||
upper limit |
3.3 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
1.6
|
|
|||||||||||||
End point title |
Absolute change from baseline in leg length at Week 76 - left | ||||||||||||
End point description |
Absolute change from baseline in left leg length at Week 76 was assessed by measuring distance between anterior iliac spine and medial malleolus 3 times at each leg and each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in left leg length at Week 76 was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 12, 24, 36, 52, 64, and 76 weeks after first drug administration. MMRM values at Week 76 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 6 | ||||||||||||
Statistical analysis description |
No formal hypotheses were tested
|
||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
36
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.4084 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted mean difference | ||||||||||||
Point estimate |
-2.6
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-9.3 | ||||||||||||
upper limit |
4 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
3.1
|
|
|||||||||||||
End point title |
Absolute change from baseline in leg length at Week 24 - right | ||||||||||||
End point description |
Absolute change from baseline in right leg length at Week 24 was assessed by measuring distance between anterior iliac spine and medial malleolus 3 times at each leg and each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in right leg length at Week 24 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 12, 24, 36, 52, 64, and 76 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 7 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
36
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[5] | ||||||||||||
P-value |
= 0.9928 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
0
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-1.6 | ||||||||||||
upper limit |
1.6 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.8
|
||||||||||||
Notes [5] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in leg length at Week 52 - right | ||||||||||||
End point description |
Absolute change from baseline in right leg length at Week 52 was assessed by measuring distance between anterior iliac spine and medial malleolus 3 times at each leg and each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in right leg length at Week 52 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 12, 24, 36, 52, 64, and 76 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 8 | ||||||||||||
Statistical analysis description |
No formal hypotheses were tested
|
||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
36
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.6366 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted mean difference | ||||||||||||
Point estimate |
0.7
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-2.3 | ||||||||||||
upper limit |
3.6 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
1.4
|
|
|||||||||||||
End point title |
Absolute change from baseline in leg length at Week 76 - right | ||||||||||||
End point description |
Absolute change from baseline in right leg length at Week 76 was assessed by measuring distance between anterior iliac spine and medial malleolus 3 times at each leg and each time point. The average of these 3 measurements was taken per time point.
Absolute change from baseline in right leg length was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 12, 24, 36, 52, 64, and 76 weeks after first drug administration. MMRM values at Week 76 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 9 | ||||||||||||
Statistical analysis description |
No formal hypotheses were tested
|
||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
36
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.8823 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted mean difference | ||||||||||||
Point estimate |
0.4
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-5.2 | ||||||||||||
upper limit |
5.9 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
2.3
|
|
|||||||||||||
End point title |
Absolute change from baseline in Forced Vital Capacity (FVC) % predicted at Week 24 | ||||||||||||
End point description |
Forced Vital Capacity (FVC) is the volume of air (measured in milliliter) which can be forcibly exhaled from the lungs after taking the deepest breath possible. The predicted values were calculated according to the Global Lungs Initiative (GLI) 2012 equations.
Absolute change from baseline in FVC % predicted was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 2, 6, 12, 24, 26, 36, and 52 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 10 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
39
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[6] | ||||||||||||
P-value |
= 0.5962 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
1.2052
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-3.3966 | ||||||||||||
upper limit |
5.807 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
2.2491
|
||||||||||||
Notes [6] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in Forced Vital Capacity (FVC) % predicted at Week 52 | ||||||||||||
End point description |
Forced Vital Capacity (FVC) is the volume of air (measured in milliliter) which can be forcibly exhaled from the lungs after taking the deepest breath possible. The predicted values were calculated according to the Global Lungs Initiative (GLI) 2012 equations.
Absolute change from baseline in FVC % predicted was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 2, 6, 12, 24, 26, 36, and 52 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 11 | ||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
39
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[7] | ||||||||||||
P-value |
= 0.5776 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
1.7733
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-4.7015 | ||||||||||||
upper limit |
8.2481 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
3.1424
|
||||||||||||
Notes [7] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in Pediatric Quality of Life Questionnaire™(PedsQL™) at Week 24 - parent report | ||||||||||||
End point description |
The PedsQL™ questionnaires is based on 23 items, 5-point Likert scale (0 = never (worst outcome) to 4=almost always (best outcome)). Items were reverse-scored and linearly transformed to a 0-100 scale (0 = 100 to 4 = 0). Higher scores indicated better health-related quality of life. To create total scores, the mean was computed.
Absolute change from baseline was based on a MMRM, with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 24, and 52 weeks after first drug administration. MMRM values at Week 24 are reported
in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 12 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
32
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[8] | ||||||||||||
P-value |
= 0.9755 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
-0.134
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-8.975 | ||||||||||||
upper limit |
8.707 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
4.316
|
||||||||||||
Notes [8] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in Pediatric Quality of Life Questionnaire™(PedsQL™) at Week 52 - parent report | ||||||||||||
End point description |
The PedsQL™ questionnaires is based on 23 items, 5-point Likert scale (0 = never (worst outcome) to 4=almost always (best outcome)). Items were reverse-scored and linearly transformed to a 0-100 scale (0 = 100 to 4 = 0). Higher scores indicated better health-related quality of life. To create total scores, the mean was computed.
Absolute change from baseline was based on a MMRM, with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 24, and 52 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 13 | ||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
32
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[9] | ||||||||||||
P-value |
= 0.514 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
3.453
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-7.25 | ||||||||||||
upper limit |
14.157 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
5.225
|
||||||||||||
Notes [9] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in Pediatric Quality of Life Questionnaire™(PedsQL™) at Week 24 - subject report | ||||||||||||
End point description |
The PedsQL™ questionnaires is based on 23 items, 5-point Likert scale (0 = never (worst outcome) to 4=almost always (best outcome)). Items were reverse-scored and linearly transformed to a 0-100 scale (0 = 100 to 4 = 0). Higher scores indicated better health-related quality of life. To create total scores, the mean was computed.
Absolute change from baseline was based on a MMRM, with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 24, and 52 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 14 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
32
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[10] | ||||||||||||
P-value |
= 0.7613 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
1.03
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-5.848 | ||||||||||||
upper limit |
7.908 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
3.358
|
||||||||||||
Notes [10] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in Pediatric Quality of Life Questionnaire™(PedsQL™) at Week 52 - subject report | ||||||||||||
End point description |
The PedsQL™ questionnaires is based on 23 items, 5-point Likert scale (0 = never (worst outcome) to 4=almost always (best outcome)). Items were reverse-scored and linearly transformed to a 0-100 scale (0 = 100 to 4 = 0). Higher scores indicated better health-related quality of life. To create total scores, the mean was computed.
Absolute change from baseline was based on a MMRM, with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 24, and 52 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 15 | ||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
32
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[11] | ||||||||||||
P-value |
= 0.9468 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
0.34
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-10.026 | ||||||||||||
upper limit |
10.707 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
5.049
|
||||||||||||
Notes [11] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in oxygen saturation (SpO₂) on room air at rest at Week 24 | ||||||||||||
End point description |
Oxygen saturation (SpO₂) was measured after minimum 5 minutes on room air by standard pulse oximetry at rest.
Absolute change from baseline in SpO₂ at Week 24 in the treated set (TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 2, 6, 12, 24, 26, 36, and 52 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 16 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
39
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[12] | ||||||||||||
P-value |
= 0.0908 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
2.31
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.39 | ||||||||||||
upper limit |
5.02 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
1.33
|
||||||||||||
Notes [12] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in oxygen saturation (SpO₂) on room air at rest at Week 52 | ||||||||||||
End point description |
Oxygen saturation (SpO₂) was measured after minimum 5 minutes on room air by standard pulse oximetry at rest.
Absolute change from baseline in SpO₂ at Week 52 in the treated set(TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements pre-administration at -4 weeks and at 0, 2, 6, 12, 24, 26, 36, and 52 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 17 | ||||||||||||
Comparison groups |
DBP+OLNP: Randomised to Nintedanib v DBP+OLNP: Randomised to placebo
|
||||||||||||
Number of subjects included in analysis |
39
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[13] | ||||||||||||
P-value |
= 0.1222 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
2.28
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.69 | ||||||||||||
upper limit |
5.25 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
1.39
|
||||||||||||
Notes [13] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in 6 minutes (min) walk distance at Week 24 | ||||||||||||
End point description |
Absolute change from baseline in 6 minutes (min) walk distance at Week 24 in the treated set(TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 24, and 52 weeks after first drug administration. MMRM values at Week 24 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 18 | ||||||||||||
Comparison groups |
DBP: Randomised to placebo v DBP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
32
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[14] | ||||||||||||
P-value |
= 0.8012 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
7.2
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-50.7 | ||||||||||||
upper limit |
65 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
28.2
|
||||||||||||
Notes [14] - No formal hypotheses were tested |
|
|||||||||||||
End point title |
Absolute change from baseline in 6 minutes (min) walk distance at Week 52 | ||||||||||||
End point description |
Absolute change from baseline in 6 minutes (min) walk distance at Week 52 in the treated set(TS) was based on a Mixed Model Repeated Measures (MMRM), with fixed categorical effects of (randomised) treatment at each visit, age−group and the fixed continuous effects of baseline at each visit, and random effect for subject. Visit was treated as the repeated measure with an unstructured covariance structure used to model the within−subject measurements.
Treated set (TS): The TS consisted of participants who were randomised to a treatment group and received at least one dose of study medication. Only participants with correctly measured baseline and at least one post-baseline measurement were included in the analysis.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
MMRM included measurements at 0, 24, and 52 weeks after first drug administration. MMRM values at Week 52 are reported in the table below
|
||||||||||||
|
|||||||||||||
Statistical analysis title |
Statistical analysis 19 | ||||||||||||
Comparison groups |
DBP+OLNP: Randomised to placebo v DBP + OLNP: Randomised to Nintedanib
|
||||||||||||
Number of subjects included in analysis |
32
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
[15] | ||||||||||||
P-value |
= 0.3401 | ||||||||||||
Method |
Mixed Model Repeated Measures (MMRM) | ||||||||||||
Parameter type |
Adjusted Mean Difference | ||||||||||||
Point estimate |
-32.9
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-103.1 | ||||||||||||
upper limit |
37.2 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
33.8
|
||||||||||||
Notes [15] - No formal hypotheses were tested |
|
|||||||||||||||||||||||||||||||||||||||||||
End point title |
Subjects acceptability based on the size of capsules at Week 24 - patient question | ||||||||||||||||||||||||||||||||||||||||||
End point description |
Acceptability is the overall ability and willingness of subjects to use medicinal products as intended. Acceptability based on capsule size was assessed by an acceptability questionnaire (1 item and 3 categories) for subjects. In case the subject was considered not old enough as per investigator judgment the caregiver could assist with completion. Additionally to the commercially available 100 milligram (mg) soft capsules (oblong shape, 6 millimeter (mm) diameter, 16 mm length) and 150 mg soft capsules (oblong shape, 7 mm diameter, 18 mm length), 25 mg Nintedanib soft capsules of smaller size (oval shape, 5 mm diameter, 8 mm length) were provided for subjects who were assigned to a dose smaller than 100 mg or were unable to swallow the larger 100 mg or 150 mg capsules.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication. Only subjects with non-missing results were included in the analysis.
|
||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Acceptability was assessed at Week 24
|
||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||
End point title |
Subjects acceptability based on the size of capsules at Week 24 - investigator question | ||||||||||||||||||||||||||||||||||||||||||
End point description |
Acceptability the overall ability and willingness of subjects to use medicinal products as intended.
Acceptability based on the capsule size was assessed by an acceptability questionnaire (1 item with 3 categories) for investigators.
In addition to the commercially available 100 milligram (mg) soft capsules (oblong shape, 6 millimeter (mm) diameter, 16 mm length) and 150 mg soft capsules (oblong shape, 7 mm diameter, 18 mm length), 25 mg Nintedanib soft capsules of smaller size (oval shape, 5 mm diameter, 8 mm length) were provided in this trial for subjects who were assigned to a dose smaller than 100 mg or were unable to swallow the larger 100 mg or 150 mg capsules.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Acceptability was assessed at Week 24
|
||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Subjects acceptability based on the number of capsules at Week 24 - patient question | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Acceptability is the overall ability and willingness of subjects to use medicinal products as intended. Acceptability based on capsule number was assessed by an acceptability questionnaire (1 item with 3 categories). If subjects were not old enough the caregiver could assist. Additionally to the commercially available 100 milligram (mg) soft capsules ((SCa) oblong shape, 6 millimeter (mm) diameter, 16 mm length) and 150 mg SCa (oblong shape, 7 mm diameter, 18 mm length), 25 mg Nintedanib smaller sized SCa (oval shape, 5 mm diameter, 8 mm length) were provided for subjects who were assigned to doses smaller than 100 mg or were unable to swallow the larger 100 mg or 150 mg capsules. Dosage was based on subject's weight. Capsule number per administration ranged from 2 to >6 .
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication. Only subjects with non-missing results were included in the analysis.
|
||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Acceptability was assessed at Week 24
|
||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
||||||||||
End point title |
Number of subjects with occurrence of first respiratory-related hospitalization over the whole trial | |||||||||
End point description |
Number of subjects with occurrence of first respiratory-related hospitalization over the whole trial.
The number of subjects with first respiratory-related hospitalization is reported instead of a metric summarizing the time-to-event data with unit of time, as the numbers resulting from the Kaplan-Meier-analysis were even below the first quartile.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
|||||||||
End point type |
Secondary
|
|||||||||
End point timeframe |
From first drug administration until the last drug intake + 28 days Residual Effect Period (REP), up to 92.6 weeks
|
|||||||||
|
||||||||||
No statistical analyses for this end point |
|
||||||||||
End point title |
Number of subjects with occurrence of first acute Interstitial Lung Disease (ILD) exacerbation or death over the whole trial | |||||||||
End point description |
Number of subjects with occurrence of first acute Interstitial Lung Disease (ILD) exacerbation or death over the whole trial. The number of subjects with first acute ILD exacerbation is reported instead of a metric summarizing the time-to-event data with unit of time, as the numbers resulting from the Kaplan-Meier-analysis were even below the first quartile.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
|||||||||
End point type |
Secondary
|
|||||||||
End point timeframe |
From first drug administration until the last drug intake + 28 days REP, up to 92.6 weeks
|
|||||||||
|
||||||||||
No statistical analyses for this end point |
|
||||||||||
End point title |
Number of subjects with occurrence of death over the whole trial | |||||||||
End point description |
Number of subjects with occurrence of death over the whole trial over the whole trial was computed. The number of subjects with occurrence of death is reported instead of a metric summarizing the time-to-event data with unit of time, as the numbers resulting from the Kaplan-Meier-analysis were even below the first quartile.
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
|||||||||
End point type |
Secondary
|
|||||||||
End point timeframe |
From first drug administration until the last drug intake + 28 days REP, up to 92.6 weeks
|
|||||||||
|
||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse events information
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Timeframe for reporting adverse events |
Placebo DBP+OLNP: 1st till last Placebo intake (DBP), up to 24.4 weeks + 28 days (REP) and 1st till last Nintedanib intake (OLNP), up to 64.6 weeks + 28 days (REP).
Nintedanib DBP+OLNP: 1st till last Nintedanib intake, up to 85.1 weeks + 28 days (REP).
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse event reporting additional description |
Treated set (TS): The TS consisted of subjects who were randomised to a treatment group and received at least one dose of study medication.
|
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
|
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
25.0
|
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Reporting groups
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Reporting group title |
DBP: Randomised to placebo
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Reporting group description |
This arm shows placebo randomised subjects treated orally with a Nintedanib matching placebo soft capsule twice daily with a dose interval of approximately 12 hours from one dose to the next dose in the double-blind period (DBP). Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg],75 mg [3 capsules with strength 25 mg], 100 mg [1 capsule with strength 100 mg or 4 capsules with strength 25 mg] or 150 mg [1 capsule with strength 150 mg or 6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. In this arm subjects received placebo only (DBP). DBP: Planned was from first randomised trial drug intake to last blinded drug intake. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
DBP+OLNP: Randomised Nintedanib (Nintedanib exposure period)
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Reporting group description |
This arm shows Nintedanib randomised subjects treated orally with Nintedanib in the DBP and OLNP twice daily with a dose interval of approximately 12 hours from one dose to the next dose. Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg],75 mg [3 capsules with strength 25 mg], 100 mg [1 capsule with strength 100 mg or 4 capsules with strength 25 mg] or 150 mg [1 capsule with strength 150 mg or 6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. In this arm subjects received Nintedanib in both periods (DBP + OLNP). Subjects in this arm do not entail subjects from the 'randomised to placebo' arms. DBP: Planned was from first randomised trial drug intake to last blinded drug intake. OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
OLNP: Randomised to placebo and switched to Nintedanib
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Reporting group description |
This arm shows subjects who continued with the open-label Nintedanib period (OLNP) after the DBP, switched to active Nintedanib treatment in the OLNP and were treated orally with Nintedanib twice daily with a dose interval of approximately 12 hours from one dose to the next dose. Medication dosage was per administration 50 milligram (mg) [2 capsules with strength 25 mg],75 mg [3 capsules with strength 25 mg], 100 mg [1 capsule with strength 100 mg or 4 capsules with strength 25 mg] or 150 mg [1 capsule with strength 150 mg or 6 capsules with strength 25 mg] based on the subject's weight at baseline (= 0 weeks). The dosage was adjusted at subsequent visits if the subject's weight had changed. In this arm subjects received Nintedanib only (OLNP). OLNP: Planned was from first open-label Nintedanib intake to last open-label Nintedanib intake. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||||||
Date |
Amendment |
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19 Jun 2020 |
This amendment was implemented after the first patient was enrolled into the trial. The
following main changes were introduced:
•The unblinding of selected non-trial personnel from the sponsor involved in the PK analysis was further specified based on the Food and Drug Administration (FDA) recommendation to conduct an interim PK evaluation at Week 2 post-dose to ensure that the systemic exposure of nintedanib with the proposed weight-based dosing regimen in patients of 6 to 17 years of age is comparable with adults.
•It was clarified that SMC members were independent from the trial team and that the SMC reviewed PK data in addition to safety data. Furthermore, the actions expected from the SMC to mitigate the risk in the trial were specified in more detail.
•Based on an FDA recommendation, restrictions regarding concomitant use of potent Pgp and CYP3A4 inhibitors and inducers were added to minimise potential impact of these co-medications on the primary PK endpoint.
•Exclusion criterion No. 13 was modified to exclude patients with documented allergy to soya to align with the contraindications reported in the Investigator’s Brochure.
•Results from the trial in adults with PF-ILD were added, as they had become available. It was clarified that if PK data for the primary analysis were not sufficient at the time of DBL1, further PK data were to be collected.
•It was specified that conduct of MRI/x-ray, dental examination, and dental imaging was to only be done in patients who qualified for randomisation in order to avoid unnecessary procedures. |
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14 Jun 2021 |
Following main changes were introduced by this amendment:
•First dose of open-label trial medication of Part B (Visit 6) was administered at trial site to ensure monitoring of immediate adverse reactions to those patients who had received placebo during Part A and received their first dose of active medication at Visit 6. •Clarified laboratory tests with clinically relevant changes at EoT were repeated. •Follow-up Visit time window was reduced from 7 to 3 days. •PK sampling was repeated if blood samples were not taken at required time point, wrong medication was taken, a sample was destroyed/lost during shipment to obtain all required samples for PK analyses, if possible. •Information about reported adverse reactions and risks specific for paediatric population was added.•Mitigation measures to address additional risks due to COVID-19 pandemic were added. If site access was restricted, some activities on site such as on-site source data review and source data verification was performed remotely or replaced by centralised monitoring. No restrictions for trial participants to receive COVID-19 vaccination. •PK sampling in 10 children aged 6 to 11 years was completed at DBL1, if feasible. •If further PK data were needed at DBL1 snapshot was taken once further PK data had been collected and data based on DBL1 snapshot was updated and trial team was informed about number of patients with evaluable PK missing to reach target. •Specified procedures if patient’s weight decrease below 13.5 kg. •Pathological findings in bone imaging and stunted growth in dental imaging were added to list of AESIs •Instructions on treatment interruption and resumption of treatment. •Primary PK analysis was calculated by non-compartmental and compartmental analysis. Clarified Investigational Medicinal Product (IMP) interruption was at most 4 weeks, while re-escalation to dose assigned could occur any time per investigator judgement. •SMC was to have no contact with central readers. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? Yes | |||||||
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Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||||||
The end of trial (EoT) was planned in the protocol once 30 subjects had completed pharmacokinetic sampling at Week 26 or prematurely discontinued the trial. At EoT no subject had reached Week 100 yet. The trial was completed as per protocol. |