Boehringer’s Jascayd OK’d for Pulmonary Fibrosis

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FDA has approved a Boehringer Ingelheim NDA for Jascayd (nerandomilast) tablets for treating idiopathic pulmonary fibrosis (IPF). The oral phosphodiesterase 4B (PDE4B) inhibitor was approved based on results from two randomized, double-blind, placebo-controlled trials showing that Jascayd significantly slowed lung function decline compared with placebo, according to an agency release.

The primary endpoint in both studies was change from baseline in forced vital capacity (FVC), a key measure of disease progression in IPF. Patients receiving Jascayd experienced a smaller FVC decline over the study period, suggesting a measurable impact on fibrosis progression, the agency says.

The most frequently reported adverse events (greater than 5%) in Jascayd-treated patients included diarrhea, upper respiratory tract infection, COVID-19, depression, decreased appetite, weight loss, nausea, fatigue, headache, vomiting, back pain, and dizziness, according to the agency. No new safety signals emerged beyond those observed in prior studies of PDE4B inhibitors, it says.

FDA notes that Jascayd’s approval marks the first advancement in IPF treatments since 2014, when the FDA cleared pirfenidone and nintedanib. IPF remains a rare, fatal interstitial lung disease with no cure, characterized by progressive fibrosis of lung tissue that restricts oxygen exchange and leads to respiratory failure, it adds.

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