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"Safety, Tolerability and Pharmacokinetics of MP-376 Administered for 14 Days to Stable Pediatric (CF) Patients"

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MP-376 (Levofloxacin solution for Inhalation)
Sponsored by
Horizon Pharma USA, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis

Eligibility Criteria

6 Years - 16 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria (selected):

  • 6 to 16 years of age (inclusive) at Visit 1
  • Weight is greater than or equal to 14 kilograms (kg)
  • Confirmed Diagnosis of Cystic Fibrosis
  • Patients are able to elicit an FEV1 >/= 25% of predicted value (Wang criteria)
  • Clinically stable with no changes in health status within the last 14 days
  • Able to reproducibly undergo spirometry testing

Exclusion Criteria (selected):

  • Use of any nebulized or systemic antibiotics within 7 days prior to baseline
  • History of intolerance or hypersensitivity to fluoroquinolones or intolerance with aerosol medications including bronchodilators
  • CrCl < 50mL/min/1.73m2, AST, ALT or total bilirubin >/= 3 x ULN at Screening or evidence of severe liver disease

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

1

2

Arm Description

CF PATIENTS 6-11 YEARS OF AGE

CF PATIENTS 12-16 YEARS OF AGE

Outcomes

Primary Outcome Measures

Safety and Tolerability of MP-376 administered for 14 days to CF patients ages 6-16

Secondary Outcome Measures

Serum PK Profile of MP-376 administered for 14 days to CF patients ages 6-16
Sputum PK Profile of MP-376 administered for 14 days to CF patients ages 6-16
Evaluate changes in FEV1 and FVC from baseline to end of treatment

Full Information

First Posted
February 5, 2009
Last Updated
January 17, 2018
Sponsor
Horizon Pharma USA, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00840333
Brief Title
"Safety, Tolerability and Pharmacokinetics of MP-376 Administered for 14 Days to Stable Pediatric (CF) Patients"
Official Title
A Phase 1B, Multi-Center, Open Label Study to Evaluate the Safety, Tolerability and Pharmacokinetics of MP-376 Inhalation Solution Given Daily for 14 Days to Stable Pediatric Cystic Fibrosis Patients.
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
April 2009 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Horizon Pharma USA, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Patients with cystic fibrosis (CF) suffer from chronic infections of the lower respiratory tract that can be caused by one or multiple bacteria, including Pseudomonas aeruginosa, which has been particularly problematic to eradicate and been implicated as the major cause of morbidity and mortality in CF patients. Aerosol delivery of antibiotics directly to the lung increases the local concentrations of antibiotic at the site of infection resulting in improved antimicrobial effects compared to systemic administration. Bacterial resistance to current aerosol antibiotic treatments indicate a need for improved therapies to treat CF patients with pulmonary infections caused by multi-drug resistant Pseudomonas aeruginosa and other bacteria. High concentrations of MP-376 delivered directly to the lung are projected to have antimicrobial effects on even the most resistant organisms. MP-376 is a novel formulation of the fluoroquinolone levofloxacin that has been optimized for aerosol delivery using the PARI electronic eFlow® nebulizer. Preclinical and early clinical studies in adults show that aerosol doses of MP-376 appear to be safe and well tolerated, and exert an antimicrobial effect when administered once or twice daily. High concentrations of levofloxacin in the lung delivered using MP-376 are expected to be active against CF pathogens such as P. aeruginosa and S. aureus, including those resistant to aminoglycosides (such as TOBI®) and other inhaled antimicrobial agents. Inhaled MP-376 can be delivered rapidly and efficiently using the PARI eFlow® nebulizer system. This Phase 1 study is being performed to obtain safety, tolerability and PK data in children ages 6-16 in order to determine if MP-376 is safe, prior to enrolling children of these ages in the planned pivotal Phase 3 studies.
Detailed Description
A Phase 1B, Multi-Center, Open Label Study to Evaluate the Safety, Tolerability and Pharmacokinetics of MP-376 Inhalation Solution given Daily for 14 Days to Stable Pediatric Cystic Fibrosis Patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
CF PATIENTS 6-11 YEARS OF AGE
Arm Title
2
Arm Type
Experimental
Arm Description
CF PATIENTS 12-16 YEARS OF AGE
Intervention Type
Drug
Intervention Name(s)
MP-376 (Levofloxacin solution for Inhalation)
Intervention Description
DOSE BASED ON PATIENTS WEIGHT
Primary Outcome Measure Information:
Title
Safety and Tolerability of MP-376 administered for 14 days to CF patients ages 6-16
Time Frame
21 days
Secondary Outcome Measure Information:
Title
Serum PK Profile of MP-376 administered for 14 days to CF patients ages 6-16
Time Frame
21 days
Title
Sputum PK Profile of MP-376 administered for 14 days to CF patients ages 6-16
Time Frame
21 days
Title
Evaluate changes in FEV1 and FVC from baseline to end of treatment
Time Frame
21 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria (selected): 6 to 16 years of age (inclusive) at Visit 1 Weight is greater than or equal to 14 kilograms (kg) Confirmed Diagnosis of Cystic Fibrosis Patients are able to elicit an FEV1 >/= 25% of predicted value (Wang criteria) Clinically stable with no changes in health status within the last 14 days Able to reproducibly undergo spirometry testing Exclusion Criteria (selected): Use of any nebulized or systemic antibiotics within 7 days prior to baseline History of intolerance or hypersensitivity to fluoroquinolones or intolerance with aerosol medications including bronchodilators CrCl < 50mL/min/1.73m2, AST, ALT or total bilirubin >/= 3 x ULN at Screening or evidence of severe liver disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gregory L Kearns, PharmD
Organizational Affiliation
Childrens Mercy Hospitals and Clinics, Kansas City, MO
Official's Role
Principal Investigator
Facility Information:
City
Mobile
State/Province
Alabama
Country
United States
City
San Diego
State/Province
California
Country
United States
City
Orlando
State/Province
Florida
Country
United States
City
Louisville
State/Province
Kentucky
Country
United States
City
Kansas City
State/Province
Missouri
Country
United States
City
Akron
State/Province
Ohio
Country
United States

12. IPD Sharing Statement

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"Safety, Tolerability and Pharmacokinetics of MP-376 Administered for 14 Days to Stable Pediatric (CF) Patients"

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