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The FDA approved nerandomilast for progressive pulmonary fibrosis, showing slowed lung function decline in trials.
The U.S. FDA has approved nerandomilast (JASCAYD) for progressive pulmonary fibrosis (PPF), a rare, life-threatening lung disease affecting up to 100,000 Americans, linked to conditions like autoimmune disorders or hypersensitivity pneumonitis.
The approval, based on the Phase III FIBRONEER-ILD trial, shows nerandomilast significantly slowed lung function decline compared to placebo, with adjusted mean forced vital capacity reductions of -86 mL and -69 mL at 18 mg and 9 mg doses, respectively, versus -152 mL in the placebo group.
While no significant reduction in acute exacerbations, hospitalizations, or death was observed, the drug demonstrated a favorable safety profile, with diarrhea being the most common side effect.
This marks the first preferential PDE4B inhibitor approved for PPF and the second indication for nerandomilast, following its 2025 approval for idiopathic pulmonary fibrosis.
La FDA aprobó el nerandomilast para la fibrosis pulmonar progresiva, mostrando disminución lenta de la función pulmonar en los ensayos.