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MNKD-201

Phase 2

Idiopathic Pulmonary Fibrosis | Small molecule | Respiratory |MannKind Corporation|Trials Updated: Sep 14, 2026

MNKD-201 target and mechanism

Molecular targetPDGFRB, PDGFRA, FLT1, FLT4, KDR, FGFR3
Target classInhibitor
ModalitySmall molecule

Also known as MNKD-201(Nintedanib DPI), Nintedanib Dry Powder Inhalation, Nintedanib Dry

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment180

FDA Designations

No designations recorded

MNKD-201 clinical trials

MNKD-201 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT07679893Phase 2 Clinical Trial of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary FibrosisIdiopathic Pulmonary Fibrosis
RECRUITING153 Analytics
PHASE2RECRUITING
Phase 2 Clinical Trial of MNKD-201 (Nintedanib Dry Powder Inhalation) in Patients With Idiopathic Pulmonary Fibrosis
Idiopathic Pulmonary FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety and Efficacy
From enrollment to the end of randomized treatment at 12 weeks

Safety and tolerability of different doses and to confirm an optimal dose of Nintedanib Dry Powder Inhalation (DPI)

Events of clinical bronchospasm
From enrollment to the end of open-label treatment at 36 weeks

Events of clinical bronchospasm (e.g., treatment-emergent adverse event \[TEAE\] of wheezing or chest tightness immediately after inhalation)

FEV1 change
From enrollment to the end of open-label treatment at 36 weeks

Change in forced expiratory volume in 1 second (FEV1) (mL)

Spirometry Change
enrollment to end of open label at 36 weeks

Change in FEV1/forced vital capacity (FVC) ratio

Study Drug Discontinuation
From enrollment to the end of open-label treatment at 36 weeks

Rate of study drug discontinuations

Study Drug Dose Reductions
From enrollment to the end of open-label treatment at 36 weeks

Rate of study drug dose reductions

Adverse Events
From enrollment to the end of open-label treatment at 36 weeks

Rate of TEAEs

Related Adverse Events
From enrollment to the end of open-label treatment at 36 weeks

Rate of treatment-related adverse events (TRAEs)

Serious Adverse Events
From enrollment to the end of open-label treatment at 36 weeks

Rate of serious adverse events (SAEs)

(Cohort 1) Events of Bronchospasm
Up to Day 7

The within-treatment number and proportion of participants with events of bronchospasm (e.g., treatment emergent adverse events \[TEAE\] immediately after inhalation of wheezing or chest tightness)

(Cohort 2) Events of Bronchospasm
Up to Day 7

The within-treatment number and proportion of participants with events of bronchospasm (e.g., treatment emergent adverse events \[TEAE\] immediately after inhalation of wheezing or chest tightness)

(Cohort 1) Changes in FEV1 (mL) from pre-dose to post-dose
Up to Day 7

The within-treatment number and proportion of participants with changes in FEV1 from pre-dose to any time post-dose

(Cohort 2) Changes in FEV1 (mL) from pre-dose to post-dose
Up to Day 7

The within-treatment number and proportion of participants with changes in FEV1 from pre-dose to any time post-dose

(Cohort 1) Changes in FEV1 / FVC ratio from pre-dose to post-dose
Up to Day 7

The within-treatment number and proportion of participants with changes in FEV1/FVC ratio from pre-dose to any time post-dose

(Cohort 2) Changes in FEV1 / FVC ratio from pre-dose to post-dose
Up to Day 7

The within-treatment number and proportion of participants with changes in FEV1/FVC ratio from pre-dose to any time post-dose

(Cohort 1) Rate of Study Drug Discontinuations
Up to Day 7

The within-treatment number and proportion of participants with study drug dose discontinuations

(Cohort 2) Rate of Study Drug Discontinuations
Up to Day 7

The within-treatment number and proportion of participants with study drug dose discontinuations

(Cohort 1) Rate of Study Drug Dose Reductions
Up to Day 7

The within-treatment number and proportion of participants with study drug dose reductions

(Cohort 2) Rate of Study Drug Dose Reductions
Up to Day 7

The within-treatment number and proportion of participants with study drug dose reductions

(Cohort 1) Rate of Treatment Emergent Adverse Events (TEAEs)
Up to Day 7

The within-treatment number and proportion of participants with TEAEs overall and by severity, relationship to study drug, and outcome

(Cohort 2) Rate of Treatment Emergent Adverse Events (TEAEs)
Up to Day 7

The within-treatment number and proportion of participants with TEAEs overall and by severity, relationship to study drug, and outcome

(Cohort 1) Rate of Treatment Related Adverse Events (TRAEs)
Up to Day 7

The within-treatment number and proportion of participants with TRAEs overall and by severity and outcome

(Cohort 2) Rate of Treatment Related Adverse Events (TRAEs)
Up to Day 7

The within-treatment number and proportion of participants with TRAEs overall and by severity and outcome

(Cohort 1) Rate of Serious Adverse Events (SAEs)
Up to Day 7

The within-treatment number and proportion of participants with SAEs overall and by severity, relationship to study drug, and outcome

(Cohort 2) Rate of Serious Adverse Events (SAEs)
Up to Day 7

The within-treatment number and proportion of participants with SAEs overall and by severity, relationship to study drug, and outcome

Secondary Endpoints

Efficacy of Nintedanib DPI
From enrollment to the end of randomized treatment at 12 weeks
Determine the maximum tolerated dose (MTD) of MKND-201 in patients with IPF
Up to Day 7
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Nintedanib DPI 2X day 1st doseEXPERIMENTALInhalable
Placebo 2X day 1st dosePLACEBO_COMPARATORInhalable
Nintedanib DPI 2X day 2nd doseEXPERIMENTAL2nd dose
Placebo 2X day 2nd dosePLACEBO_COMPARATOR2nd dose
Cohort 1: MNKD-201 Target Dose or placeboEXPERIMENTALParticipants will receive a target dose of MNKD-201 (Nintedanib DPI) or placebo, administered via oral inhalation three times daily for 7 days
Cohort 2: MNKD-201 High Dose or placeboEXPERIMENTALParticipants will receive a high dose of MNKD-201 (Nintedanib DPI) or placebo, administered via oral inhalation twice daily for 7 days
PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo across both cohorts of the study

Interventions

NameTypeDescription
Nintedanib Dry Powder InhalationDRUGNintedanib DPI is a dry powder nintedanib formulation for oral inhalation.
PlaceboDRUGPlacebo oral inhalation powder
MNKD-201(Nintedanib DPI)DRUGMNKD-201 is a dry powder nintedanib formulation for oral inhalation.
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Eligibility Criteria

Age Range40 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * 40-80 years old when signing consent and entering screening. * Diagnosed with IPF based on current ATS/ERS/JRS/ALAT guidelines. * Either new to treatment or on a stable dose of pirfenidone and/or nerandomilast for at least 3 months before screening. * Weighs more than 40 kg (8...

Countries:CanadaUnited States
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Recent Changes (Last 90 Days)

HIGHSep 15, 2026NCT07679893Enrollment: 210 → 153
HIGHSep 15, 2026NCT07679893Enrollment: 210 → 153
HIGHSep 15, 2026NCT07679893Enrollment: 210 → 153
MEDIUMAug 22, 2026NCT07344558TRIAL_REMOVED: changed
MEDIUMAug 22, 2026NCT07344558TRIAL_REMOVED: changed
MEDIUMAug 22, 2026NCT07344558TRIAL_REMOVED: changed
MEDIUMAug 22, 2026NCT07344558TRIAL_REMOVED: changed
LOWJul 24, 2026NCT07679893lastUpdatePostDate: changed
LOWJul 24, 2026NCT07679893lastUpdatePostDate: changed
LOWJul 22, 2026NCT07679893lastUpdatePostDate: changed
HIGHJul 22, 2026NCT07344558Status: RECRUITING → COMPLETED
LOWJul 22, 2026NCT07679893lastUpdatePostDate: changed
HIGHJul 22, 2026NCT07344558Status: RECRUITING → COMPLETED

Frequently asked questions about MNKD-201

What is MNKD-201 used for in idiopathic pulmonary fibrosis?

MNKD-201 is an investigational inhaled therapy being developed for idiopathic pulmonary fibrosis (IPF), a progressive scarring disease of the lungs. It is a dry powder inhalation formulation of nintedanib delivered directly to the lungs. It is not approved and remains in clinical development.

What does MNKD-201 target?

MNKD-201 is a small molecule inhibitor targeting PDGFRB, PDGFRA, FLT1, FLT4, KDR, and FGFR3. These receptor tyrosine kinases are involved in signaling pathways tied to fibroblast proliferation and angiogenesis, processes relevant to fibrosis. Inhibiting these targets is the intended mechanism of action for the inhaled formulation.

Who is developing MNKD-201?

MNKD-201 is being developed by MannKind Corporation, which trades on Nasdaq under the ticker MNKD. MannKind is the sponsor of the clinical program evaluating the inhaled nintedanib dry powder formulation in idiopathic pulmonary fibrosis.

What phase is MNKD-201 in?

MNKD-201 is in Phase 2 development for idiopathic pulmonary fibrosis. A Phase 1 study has been completed, and a Phase 2 trial is currently recruiting. The drug is investigational and has not been approved by the FDA for any indication.

What clinical trials is MNKD-201 in?

MNKD-201 has been studied in two trials. NCT07344558 was a completed Phase 1 study of safety, tolerability, and pharmacokinetics in 27 IPF patients in the United States. NCT07679893 is a recruiting Phase 2 trial in 153 IPF patients in Canada. Both enrolled adults aged 40 and older.

Is MNKD-201 the same as nintedanib dry powder inhalation?

Yes. MNKD-201 is also known as nintedanib dry powder inhalation, nintedanib DPI, and nintedanib dry. These names refer to the same MannKind investigational product, an inhaled dry powder formulation of nintedanib being studied in idiopathic pulmonary fibrosis.