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A Study in Patients With Non-cystic Fibrosis Bronchiectasis to Test How Well Different Doses of BI 1323495 Are Tolerated and How BI 1323495 Affects Biomarkers of Inflammation

Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Different Oral Doses of BI 1323495 Bid Versus Placebo in Patients With Non-cystic Fibrosis Bronchiectasis (Randomised, Double-blind, Placebo-controlled, Parallel Group Trial)

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04656275
Enrollment
7
Registered
2020-12-07
Start date
2021-03-04
Completion date
2022-01-19
Last updated
2024-11-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-cystic Fibrosis Bronchiectasis

Brief summary

This study is open to adults with non-cystic fibrosis bronchiectasis. The main purpose of this study is to find out how a medicine called BI 1323495 is tolerated by people with non-cystic bronchiectasis. The study tests 2 different doses of BI 1323495. Some of the participants get placebo. It is decided by chance who gets BI 1323495 and who gets placebo. Participants take BI 1323495 or placebo as tablets twice a day for 3 months. Placebo tablets look like BI 1323495 tablets but do not contain any medicine. Participants can also continue taking standard medicines for noncystic bronchiectasis throughout the study. Participants are in the study for about 4 months. During this time, the participants visit the study site about 11 times and get about 2 phone calls. At the visits, doctors check the health of the participants and note any health problems that could have been caused by BI 1323495.

Interventions

BI 1323495

DRUGPlacebo

Placebo

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* 18 years to 80 years (inclusive) at the time of informed consent signature, male and female (not of childbearing potential) subjects --For 'female not of childbearing potential' at least one of the following criteria must be fulfilled: * Permanently sterile (permanent sterilisation methods include hysterectomy, bilateral salpingectomy, and bilateral oophorectomy; tubal ligation is not a method of permanent sterilisation) * Postmenopausal, defined as at least 1 year of spontaneous amenorrhea without an alternative medical cause (in questionable cases a blood sample with Follicle Stimulating Hormone (FSH) above 40 U/L and estradiol below 30 ng/L is confirmatory). * Men must be vasectomised with documented absence of sperm or use male contraception (condom or sexual abstinence) from the first administration of trial medication until 30 days after the last administration of trial medication if their sexual partner is a woman of childbearing potential (WOCBP) * Clinical history consistent with non cystic fibrosis bronchiectasis (nCFB) (cough, chronic sputum production and/or recurrent respiratory infections) and proven and documented diagnosis of bronchiectasis by computed tomography (CT) scan including dilated airways compatible with bronchiectasis at initial diagnosis. Bronchiectasis of various etiologies will be allowed, with

Exclusion criteria

as below. * Vaccination against Streptococcus pneumoniae in accordance with national vaccination recommendations * Signed and dated written informed consent prior to admission to the study, in accordance with Good Clinical Practice (GCP) and local legislation. * FEV1 ≥ 30 % predicted (post-bronchodilator) at Screening Visit 1. * Stable (i.e., no dose change) regimen of standard nCFB treatment (including - but not limited to - hypertonic inhalation solutions, mucolytics, Long Acting Muscarinic Agonists (LAMA)/ Long Acting Beta Agonists (LABA) / inhaled corticosteriods (iCS), oral antibiotic maintenance regimen, and physiotherapy), if applicable, administered at least for 4 weeks prior to Screening Visit 1 and throughout the run-in period. * Regular daily sputum producers with a history of chronic expectoration who are able to provide a typical bronchiectasis sputum sample at Screening Visit 1. * Sputum neutrophil elastase positive based on point of care test (NEATstik® score ≥ 6) assessment at Visit 2a and Visit 2b. * Subjects genotyped as UDP-Glucuronosyltransferase-2B17 (UGT2B17) extensive metabolizers prior to randomisation, i.e., carrying at least one functional allele of the UGT2B17 gene (\*1/\*1 or \*1/\*2)

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With Drug-related Adverse Events (AEs)From drug administration until 12:00 AM on day after last administration of study drug + 7 days residual effect period (REP) or 12:00 AM on day after last contact date, which ever occurs first. Up to 13 weeks.Number of participants with drug-related adverse events (AEs) is presented. Participants with treatment-emergent drug-related Adverse Events (AEs) is reported.

Secondary

MeasureTime frameDescription
Change From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumAt baseline Day -6, Day -2, Day 1 before the first dose and at Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98.The change from baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in absolute neutrophil elastase (NE) activity in sputum is reported. The baseline value was calculated as the mean of the baseline values (at day -6, -2, day 1 predose). RFU is the standard output of a florescence reader. RFU (ex 360 nm, em460 nm).
Change From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumAt baseline Day -6, Day -2, Day 1 before the first dose and at at Week 2, Week 4, Week 8, Week 12 during treatment.The change from baseline to week 12 (at Week 2, Week 4, Week 8, Week 12) in absolute neutrophil cell count in sputum is reported. The baseline value was calculated as the mean of the baseline values (at day -6, -2, day 1 predose). RFU: Relative fluorescence unit
Change From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)At baseline Day 1, 2.5 hours (hrs) before the first dose and at Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98.The change of NE activity from baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in whole blood after stimulation with zymosan (normalized to neutrophil counts) is reported. Relative fluorescence unit (RFU) is the standard output of a florescence reader. RFU (ex 360 nm, em460 nm).
Change From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1At baseline Day -2 before the first dose and at at Week 2, Week 8, Week 12 during treatment.The change from baseline to week 12 (at Week 2, Week 8, Week 12) in absolute post-bronchodilator forced expiratory volume in one second (FEV1).

Countries

Germany

Participant flow

Recruitment details

This was a randomised, double blind, placebo-controlled, parallel group design, to compare safety and tolerability of different doses of BI 1323495 with placebo and to assess pharmacodynamics of BI 1323495 in sputum and in blood as well as early signs of clinical efficacy of BI 1323495 in patients with non-cystic fibrosis bronchiectasis (nCFB).

Pre-assignment details

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.

Participants by arm

ArmCount
Part A: Placebo Bid
This arm comprises all placebo treated participants in trial part A. Participants were randomized in the dose group in a 3:1 ratio (test treatment to placebo). Participants were administered for 12 weeks, twice a day (bid) an oral dose of film-coated tablets of matching placebo (the matching placebo was mannitol, microcrystalline cellulose, and magnesium stearate) together with about 240 milliliter (mL) of water. The doses were taken after 15-30 minutes (min) of food intake including a fat component. Evening and morning dose were taken with a 12 hours (h) time interval approximately at the same time each day during the treatment phase, within a time window of +/- 1 hour.
2
Part A: 30 mg BI 1323495 Bid
3 film-coated tablets of 10 milligram (mg) BI 1323495 were administered orally twice daily (bid) (total dose: 60 mg) together with about 240 milliliter of water over 12 weeks. The doses were taken after 15-30 min of food intake including a fat component. Evening and morning dose were taken with a 12 h time interval approximately at the same time each day during the treatment phase, within a time window of +/- 1 hour.
5
Total7

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyStudy terminated by sponsor24

Baseline characteristics

CharacteristicPart A: Placebo BidTotalPart A: 30 mg BI 1323495 Bid
Absolute neutrophil elastase (NE) activity in sputum19115.0 Relative fluorescence unit (RFU)
STANDARD_DEVIATION 598.2
16778.6 Relative fluorescence unit (RFU)
STANDARD_DEVIATION 7952.8
15610.4 Relative fluorescence unit (RFU)
STANDARD_DEVIATION 9991.7
Absolute post-bronchodilator forced expiratory volume in one second, FEV13052.5 Milliliter (mL)
STANDARD_DEVIATION 475.9
2427.3 Milliliter (mL)
STANDARD_DEVIATION 588.3
2177.2 Milliliter (mL)
STANDARD_DEVIATION 434.5
Age, Continuous52.0 Years
STANDARD_DEVIATION 8.5
57.1 Years
STANDARD_DEVIATION 6.6
59.2 Years
STANDARD_DEVIATION 5.3
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants7 Participants5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
NE activity in whole blood after stimulation with zymosan, normalized to neutrophil counts5354.8 RFU/(10^9 cells/L)
STANDARD_DEVIATION 3506.7
6728.9 RFU/(10^9 cells/L)
STANDARD_DEVIATION 2710.9
7278.5 RFU/(10^9 cells/L)
STANDARD_DEVIATION 2574.4
Neutrophil cell count in sputum338.9 Neutrophils*10^9/Liter
STANDARD_DEVIATION 40.7
327.6 Neutrophils*10^9/Liter
STANDARD_DEVIATION 98
322.0 Neutrophils*10^9/Liter
STANDARD_DEVIATION 123.9
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
2 Participants7 Participants5 Participants
Sex: Female, Male
Female
0 Participants3 Participants3 Participants
Sex: Female, Male
Male
2 Participants4 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 20 / 5
other
Total, other adverse events
0 / 22 / 5
serious
Total, serious adverse events
0 / 20 / 5

Outcome results

Primary

Number of Subjects With Drug-related Adverse Events (AEs)

Number of participants with drug-related adverse events (AEs) is presented. Participants with treatment-emergent drug-related Adverse Events (AEs) is reported.

Time frame: From drug administration until 12:00 AM on day after last administration of study drug + 7 days residual effect period (REP) or 12:00 AM on day after last contact date, which ever occurs first. Up to 13 weeks.

Population: Treated set (TS): The treated set included all patients who were randomised and received at least one dose of study drug. The treatment assignment was determined based on the first actual treatment the patients received. The TS was used for safety analyses and evaluation of biomarker and clinical assessments.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: Placebo BidNumber of Subjects With Drug-related Adverse Events (AEs)0 Participants
Part A: 30 mg BI 1323495 BidNumber of Subjects With Drug-related Adverse Events (AEs)2 Participants
Secondary

Change From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in Sputum

The change from baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in absolute neutrophil elastase (NE) activity in sputum is reported. The baseline value was calculated as the mean of the baseline values (at day -6, -2, day 1 predose). RFU is the standard output of a florescence reader. RFU (ex 360 nm, em460 nm).

Time frame: At baseline Day -6, Day -2, Day 1 before the first dose and at Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98.

Population: Treated set (TS): The treated set included all patients who were randomised and received at least one dose of study drug. The treatment assignment was determined based on the first actual treatment the patients received. The TS was used for safety analyses and evaluation of biomarker and clinical assessments. Only patients with no missing values for absolute neutrophil elastase (NE) activity in sputum are reported.

ArmMeasureGroupValue (MEAN)Dispersion
Part A: Placebo BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 781665.0 Relative fluorescence unit (RFU)
Part A: Placebo BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 292745.0 Relative fluorescence unit (RFU)
Part A: Placebo BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 153301.0 Relative fluorescence unit (RFU)
Part A: 30 mg BI 1323495 BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 57-497.1 Relative fluorescence unit (RFU)Standard Deviation 217.9
Part A: 30 mg BI 1323495 BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 82383.0 Relative fluorescence unit (RFU)
Part A: 30 mg BI 1323495 BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 98582.3 Relative fluorescence unit (RFU)Standard Deviation 1257.7
Part A: 30 mg BI 1323495 BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 15-156.9 Relative fluorescence unit (RFU)Standard Deviation 2028.5
Part A: 30 mg BI 1323495 BidChange From Baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in Absolute Neutrophil Elastase (NE) Activity in SputumChange from baseline to Day 29-194.4 Relative fluorescence unit (RFU)Standard Deviation 660.6
Secondary

Change From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in Sputum

The change from baseline to week 12 (at Week 2, Week 4, Week 8, Week 12) in absolute neutrophil cell count in sputum is reported. The baseline value was calculated as the mean of the baseline values (at day -6, -2, day 1 predose). RFU: Relative fluorescence unit

Time frame: At baseline Day -6, Day -2, Day 1 before the first dose and at at Week 2, Week 4, Week 8, Week 12 during treatment.

Population: Treated set (TS): The treated set included all patients who were randomised and received at least one dose of study drug. The treatment assignment was determined based on the first actual treatment the patients received. The TS was used for safety analyses and evaluation of biomarker and clinical assessments. Only patients with no missing values for neutrophil cell count in sputum are reported.

ArmMeasureGroupValue (MEAN)Dispersion
Part A: Placebo BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 416.8 Neutrophils*10^9/Liter
Part A: Placebo BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 2-9.7 Neutrophils*10^9/Liter
Part A: Placebo BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 12-47.7 Neutrophils*10^9/Liter
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 1269.5 Neutrophils*10^9/Liter
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 4-7.8 Neutrophils*10^9/LiterStandard Deviation 11.3
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 227.1 Neutrophils*10^9/LiterStandard Deviation 82.9
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 (at Week 2, Week 4, Week 8, Week 12) in Neutrophil Cell Count in SputumTime-matched change from baseline to Week 89.7 Neutrophils*10^9/LiterStandard Deviation 23.4
Secondary

Change From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1

The change from baseline to week 12 (at Week 2, Week 8, Week 12) in absolute post-bronchodilator forced expiratory volume in one second (FEV1).

Time frame: At baseline Day -2 before the first dose and at at Week 2, Week 8, Week 12 during treatment.

Population: Treated set (TS): The treated set included all patients who were randomised and received at least one dose of study drug. The treatment assignment was determined based on the first actual treatment the patients received. The TS was used for safety analyses and evaluation of biomarker and clinical assessments.

ArmMeasureGroupValue (MEAN)Dispersion
Part A: Placebo BidChange From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1Time-matched change from baseline to Week 238 Milliliter (mL)Standard Deviation 113.1
Part A: Placebo BidChange From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1Time-matched change from baseline to Week 8-27.0 Milliliter (mL)
Part A: Placebo BidChange From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1Time-matched change from baseline to Week 12-138.0 Milliliter (mL)
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1Time-matched change from baseline to Week 21.4 Milliliter (mL)Standard Deviation 78.6
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1Time-matched change from baseline to Week 81.0 Milliliter (mL)Standard Deviation 220.1
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Absolute Post-bronchodilator Forced Expiratory Volume in One Second, FEV1Time-matched change from baseline to Week 12-40.0 Milliliter (mL)Standard Deviation 178.2
Secondary

Change From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)

The change of NE activity from baseline to Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98 in whole blood after stimulation with zymosan (normalized to neutrophil counts) is reported. Relative fluorescence unit (RFU) is the standard output of a florescence reader. RFU (ex 360 nm, em460 nm).

Time frame: At baseline Day 1, 2.5 hours (hrs) before the first dose and at Day 15, Day 29, Day 57, Day 78, Day 82 and Day 98.

Population: Treated set (TS): The treated set included all patients who were randomised and received at least one dose of study drug. The treatment assignment was determined based on the first actual treatment the patients received. The TS was used for safety analyses and evaluation of biomarker and clinical assessments. Only patients with no missing values for Neutrophil Elastase (NE) activity in whole blood after stimulation with zymosan are reported.

ArmMeasureGroupValue (MEAN)Dispersion
Part A: Placebo BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 29 / 6:00238.1 RFU/(10^9 cells/L)
Part A: Placebo BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 82-622.6 RFU/(10^9 cells/L)Standard Deviation 1089
Part A: Placebo BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 29 / -2:3099.2 RFU/(10^9 cells/L)
Part A: Placebo BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 98-326.4 RFU/(10^9 cells/L)Standard Deviation 1295
Part A: Placebo BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 57-630.3 RFU/(10^9 cells/L)
Part A: Placebo BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 1595.8 RFU/(10^9 cells/L)
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 57-5889.9 RFU/(10^9 cells/L)Standard Deviation 786
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 29 / -2:30-6306.0 RFU/(10^9 cells/L)Standard Deviation 852.6
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 29 / 6:00-6649.6 RFU/(10^9 cells/L)Standard Deviation 1505.1
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 15-7733.9 RFU/(10^9 cells/L)Standard Deviation 2153.2
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 82-5689.9 RFU/(10^9 cells/L)Standard Deviation 3610.3
Part A: 30 mg BI 1323495 BidChange From Baseline to Week 12 in Neutrophil Elastase (NE) Activity in Whole Blood After Stimulation With Zymosan (Normalized to Neutrophil Counts)Time-matched change from baseline to Day 981221.1 RFU/(10^9 cells/L)Standard Deviation 2703.8

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026