Boehringer’s BI 1265162 prevents the absorption of sodium. Credit: Boehringer Ingelheim.

Boehringer Ingelheim has enrolled the first patient in the Phase II BALANCE-CF study investigating an inhaled epithelial sodium channel (ENaC) inhibitor, BI 1265162, to treat cystic fibrosis.

Cystic fibrosis is a progressive, genetic disorder characterised by lung infections and difficulty in breathing over time due to the clogging of airways with thick and sticky mucus.

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BI 1265162 prevents the absorption of sodium, keeping the surface of the airways hydrated and decreasing the thickness of the mucus. The mechanism is intended to keep airways clear in cystic fibrosis patients.

The compound is designed to help treat any type of cystic fibrosis mutation. It is formulated for inhalation using the company’s Respimat inhaler.

Respimat delivers medicine in a slow-moving soft mist that can be easily inhaled even by people having difficulty in breathing, noted Boehringer.

The randomised, double-blind, placebo-controlled and parallel-group Phase II trial will investigate the safety, efficacy and pharmacokinetics of different doses of the ENaC inhibitor given twice daily over four weeks.

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It will track the drug candidate’s impact on lung function compared to placebo when given in combination with the standard of care in adults and adolescent patients.

The trial is expected to be completed in September next year.

Boehringer Ingelheim Therapeutic Area Inflammation medicine head Dr Kay Tetzlaff said: “We are pleased to enrol our first patient into this Phase II trial, and we hope our ENaC inhibitor will be proven to help people affected by cystic fibrosis.

“We are hopeful that this treatment, along with its delivery method, will make an important difference for patients affected by this debilitating condition.”

Earlier this month, the company reported positive data from the Phase III INBUILD trial of nintedanib conducted in patients with fibrosing interstitial lung diseases.