Trial Outcomes & Findings for A Study in Healthy People to Compare How 2 Different Low Dose Formulations of BI 1015550 Are Taken up in the Body (NCT NCT06408870)

NCT ID: NCT06408870

Last Updated: 2025-12-01

Results Overview

Area under the concentration-time curve of nerandomilast in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) is presented. The statistical model applied was an analysis of variance (ANOVA), with 'subjects within sequence' as a random effect and 'sequence,' 'period,' and 'treatment' as fixed effects.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

64 participants

Primary outcome timeframe

Within 3 hours (hrs) prior to and at 15minutes (min), 30min, 45min, 1hrs, 1:15hrs, 1:30hrs, 1:45hrs, 2hrs, 2:30hrs, 3hrs, 3:30hrs, 4hrs, 6hrs, 8hrs, 12hrs, 24hrs, 34hrs, 48hrs, 58hrs, 72hrs, 96hrs, 120hrs, and 144hrs after nerandomilast intake.

Results posted on

2025-12-01

Participant Flow

The open-label, randomised, single-dose, two-way crossover study aimed to assess the bioequivalence of the BI 1015550 low dose Formulation C2 and the BI 1015550 low dose Formulation C1 (Phase 3 formulation) following oral administration in healthy subjects.

All subjects were screened for eligibility prior to participation in the trial. Subjects attended a specialist site which ensured that they (the subjects) strictly met all inclusion and none of the exclusion criteria. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.

Participant milestones

Participant milestones
Measure
BI 1015550 Formulation C1 (Reference, R) then BI 1015550 Formulation C2 (Test, T)
For this two period crossover study arm, participants received treatment in the following order: Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h (period 1). Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h (period 2). In between the treatment periods, participants went through a washout period of 10 days.
BI 1015550 Formulation C2 (Test, T) then BI 1015550 Formulation C1 (Reference, R)
For this two period crossover study arm, participants received treatment in the following order: Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h (period 1). Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h (period 2). In between the treatment periods, participants went through a washout period of 10 days.
Treatment period 1
STARTED
32
32
Treatment period 1
COMPLETED
32
32
Treatment period 1
NOT COMPLETED
0
0
Washout period
STARTED
32
32
Washout period
COMPLETED
29
32
Washout period
NOT COMPLETED
3
0
Treatment period 2
STARTED
29
32
Treatment period 2
COMPLETED
29
32
Treatment period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
BI 1015550 Formulation C1 (Reference, R) then BI 1015550 Formulation C2 (Test, T)
For this two period crossover study arm, participants received treatment in the following order: Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h (period 1). Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h (period 2). In between the treatment periods, participants went through a washout period of 10 days.
BI 1015550 Formulation C2 (Test, T) then BI 1015550 Formulation C1 (Reference, R)
For this two period crossover study arm, participants received treatment in the following order: Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h (period 1). Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h (period 2). In between the treatment periods, participants went through a washout period of 10 days.
Washout period
Withdrawal by Subject
1
0
Washout period
Adverse Event
2
0

Baseline Characteristics

A Study in Healthy People to Compare How 2 Different Low Dose Formulations of BI 1015550 Are Taken up in the Body

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BI 1015550 Formulation C1 (Reference, R) Then BI 1015550 Formulation C2 (Test, T)
n=32 Participants
For this two period crossover study arm, participants received treatment in the following order: Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h (period 1). Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h (period 2). In between the treatment periods, participants went through a washout period of 10 days.
BI 1015550 Formulation C2 (Test, T) Then BI 1015550 Formulation C1 (Reference, R)
n=32 Participants
For this two period crossover study arm, participants received treatment in the following order: Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h (period 1). Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h (period 2). In between the treatment periods, participants went through a washout period of 10 days.
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
33.7 Years
STANDARD_DEVIATION 8.1 • n=121 Participants
35.5 Years
STANDARD_DEVIATION 8.8 • n=122 Participants
34.6 Years
STANDARD_DEVIATION 8.5 • n=243 Participants
Sex: Female, Male
Female
6 Participants
n=121 Participants
15 Participants
n=122 Participants
21 Participants
n=243 Participants
Sex: Female, Male
Male
26 Participants
n=121 Participants
17 Participants
n=122 Participants
43 Participants
n=243 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=121 Participants
0 Participants
n=122 Participants
2 Participants
n=243 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=121 Participants
32 Participants
n=122 Participants
62 Participants
n=243 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
Race (NIH/OMB)
Asian
1 Participants
n=121 Participants
1 Participants
n=122 Participants
2 Participants
n=243 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
Race (NIH/OMB)
White
29 Participants
n=121 Participants
31 Participants
n=122 Participants
60 Participants
n=243 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=121 Participants
0 Participants
n=122 Participants
2 Participants
n=243 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants

PRIMARY outcome

Timeframe: Within 3 hours (hrs) prior to and at 15minutes (min), 30min, 45min, 1hrs, 1:15hrs, 1:30hrs, 1:45hrs, 2hrs, 2:30hrs, 3hrs, 3:30hrs, 4hrs, 6hrs, 8hrs, 12hrs, 24hrs, 34hrs, 48hrs, 58hrs, 72hrs, 96hrs, 120hrs, and 144hrs after nerandomilast intake.

Population: Pharmacokinetic parameter analysis set (PKS): included all subjects in the treated set (TS) who provided at least one pharmacokinetic (PK) endpoint that was defined as primary or secondary and was not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value for one period to the statistical assessment. Participants in both arms are not mutually exclusive.

Area under the concentration-time curve of nerandomilast in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) is presented. The statistical model applied was an analysis of variance (ANOVA), with 'subjects within sequence' as a random effect and 'sequence,' 'period,' and 'treatment' as fixed effects.

Outcome measures

Outcome measures
Measure
BI 1015550 Formulation C1 (Reference, R)
n=64 Participants
Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h.
BI 1015550 Formulation C2 (Test, T)
n=61 Participants
Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h.
Area Under the Concentration-time Curve of Nerandomilast in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)
1270.92 hours*nanomole/Liter (hrs*nmol/L)
Standard Error na
Adjusted geometric standard error = 1.04
1320.24 hours*nanomole/Liter (hrs*nmol/L)
Standard Error na
Adjusted geometric standard error = 1.04

PRIMARY outcome

Timeframe: Within 3 hours (hrs) prior to and at 15minutes (min), 30min, 45min, 1hrs, 1:15hrs, 1:30hrs, 1:45hrs, 2hrs, 2:30hrs, 3hrs, 3:30hrs, 4hrs, 6hrs, 8hrs, 12hrs, 24hrs, 34hrs, 48hrs, 58hrs, 72hrs, 96hrs, 120hrs, and 144hrs after nerandomilast intake.

Population: Pharmacokinetic parameter analysis set (PKS): included all subjects in the treated set (TS) who provided at least one pharmacokinetic (PK) endpoint that was defined as primary or secondary and was not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value for one period to the statistical assessment. Participants in both arms are not mutually exclusive.

Maximum measured concentration of nerandomilast in plasma (Cmax) is presented. The statistical model applied was an analysis of variance (ANOVA), with 'subjects within sequence' as a random effect and 'sequence,' 'period,' and 'treatment' as fixed effects.

Outcome measures

Outcome measures
Measure
BI 1015550 Formulation C1 (Reference, R)
n=64 Participants
Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h.
BI 1015550 Formulation C2 (Test, T)
n=61 Participants
Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h.
Maximum Measured Concentration of Nerandomilast in Plasma (Cmax)
218.84 nanomole/Liter (nmol/L)
Standard Error na
Adjusted geometric standard error = 1.04
230.48 nanomole/Liter (nmol/L)
Standard Error na
Adjusted geometric standard error = 1.04

SECONDARY outcome

Timeframe: Within 3 hours (hrs) prior to and at 15minutes (min), 30min, 45min, 1hrs, 1:15hrs, 1:30hrs, 1:45hrs, 2hrs, 2:30hrs, 3hrs, 3:30hrs, 4hrs, 6hrs, 8hrs, 12hrs, 24hrs, 34hrs, 48hrs, 58hrs, 72hrs, 96hrs, 120hrs, and 144hrs after nerandomilast intake.

Population: Pharmacokinetic parameter analysis set (PKS): included all subjects in the treated set (TS) who provided at least one pharmacokinetic (PK) endpoint that was defined as primary or secondary and was not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value for one period to the statistical assessment. Participants in both arms are not mutually exclusive.

Area under the concentration-time curve of nerandomilast in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞) is presented. The statistical model applied was an analysis of variance (ANOVA), with 'subjects within sequence' as a random effect and 'sequence,' 'period,' and 'treatment' as fixed effects.

Outcome measures

Outcome measures
Measure
BI 1015550 Formulation C1 (Reference, R)
n=64 Participants
Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h.
BI 1015550 Formulation C2 (Test, T)
n=61 Participants
Participants received a single oral dose of nerandomilast (BI 10105550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h.
Area Under the Concentration-time Curve of Nerandomilast in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-∞)
1284.94 hours*nanomole/Liter (hrs*nmol/L)
Standard Error na
Adjusted geometric standard error = 1.04
1333.23 hours*nanomole/Liter (hrs*nmol/L)
Standard Error na
Adjusted geometric standard error = 1.04

Adverse Events

BI 1015550 Formulation C1 (Reference, R)

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

BI 1015550 Formulation C2 (Test, T)

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
BI 1015550 Formulation C1 (Reference, R)
n=64 participants at risk
Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C1, titanium dioxide \[TiO2\]-containing phase III formulation, reference (R)) with 240 mL water after an overnight fast of at least 10 h.
BI 1015550 Formulation C2 (Test, T)
n=61 participants at risk
Participants received a single oral dose of nerandomilast (BI 1015550), a low dose film coated tablet (formulation C2, titanium dioxide \[TiO2\] free, test (T)) with 240 mL water after an overnight fast of at least 10 h.
General disorders
Fatigue
6.2%
4/64 • For all adverse events (AEs): From first nerandomilast intake until end of residual effect period (REP), up to 7 days. For all-cause mortality: From first nerandomilast intake until end of follow-up, up to 28 days.
Treated set (TS): The treated set included all subjects who were treated with at least one dose of trial drug. The treated set was used for safety analyses. Participants in both arms are not mutually exclusive.
0.00%
0/61 • For all adverse events (AEs): From first nerandomilast intake until end of residual effect period (REP), up to 7 days. For all-cause mortality: From first nerandomilast intake until end of follow-up, up to 28 days.
Treated set (TS): The treated set included all subjects who were treated with at least one dose of trial drug. The treated set was used for safety analyses. Participants in both arms are not mutually exclusive.
Nervous system disorders
Headache
18.8%
12/64 • For all adverse events (AEs): From first nerandomilast intake until end of residual effect period (REP), up to 7 days. For all-cause mortality: From first nerandomilast intake until end of follow-up, up to 28 days.
Treated set (TS): The treated set included all subjects who were treated with at least one dose of trial drug. The treated set was used for safety analyses. Participants in both arms are not mutually exclusive.
16.4%
10/61 • For all adverse events (AEs): From first nerandomilast intake until end of residual effect period (REP), up to 7 days. For all-cause mortality: From first nerandomilast intake until end of follow-up, up to 28 days.
Treated set (TS): The treated set included all subjects who were treated with at least one dose of trial drug. The treated set was used for safety analyses. Participants in both arms are not mutually exclusive.

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER