Safety, Tolerability and Pharmacokinetics of Increasing Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis (CF) Patients
Primary Purpose
Cystic Fibrosis
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
BIIL 284 BS, low dose, pediatric patients
BIIL 284 BS, medium dose, pediatric patients
BIIL 284 BS, high dose, pediatric patients
BIIL 284 BS, low dose, adult patients
BIIL 284 BS, medium dose, adult patients
BIIL 284 BS, high dose, adult patients
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Cystic Fibrosis
Eligibility Criteria
Inclusion Criteria:
- All participants in the study were cystic fibrosis patients:
- Male or female ≥6 years (pediatrics 6 - 17 years; adult ≥18 years); minimum weight requirement of 20 kg
- Confirmed diagnosis of CF (positive sweat chloride ≥60 milliequivalents (mEq)/liter (by pilocarpine iontophoresis) and/or a genotype with two identifiable mutations consistent with CF accompanied by one or more clinical features with the CF phenotype
- Forced expiratory volume in one second (FEV1) >25% predicted (using prediction equation's of Knudson)
- Clinically stable with no evidence of acute upper or lower respiratory tract infection or current pulmonary exacerbation within 2 weeks of screening
- Females of child bearing potential needed to have a negative pregnancy test at screening and, if sexually active, had to be willing to use a double-barrier form of contraception for the duration of the study
- The patient or the patient's legally acceptable representative had to be able to give informed consent in accordance with international conference of harmonization (ICH) good clinical practice (GCP) guidelines and local legislation
- The patient must be able to swallow the BIIL 284 BS tablet whole
- Patients taking a chronic medication must be willing to continue this therapy for the entire duration of the study
Exclusion Criteria:
- Patients with a history of allergy/hypersensitivity (including medication allergy) which is deemed relevant to the trial as judged by the Investigator
- Patients who had participated in another study with an investigational drug within one month or 6 half-lives (whichever is greater) preceding the screening visit
- Patients with known substance abuse, including alcohol or drug abuse, within 30 days prior to screening
- Patients who participated in excessive physical activities (e.g. strenuous sporting events) within 24 hours before the study
- Female patients who were pregnant or lactating
- Patients who were unable to comply with breakfast requirements prior to dosing
- Patients who had received IV, oral or inhaled antibiotics or corticosteroids for a pulmonary exacerbation within 2 weeks of screening
- Patients who had started a new chronic medication for CF within 2 weeks of screening
- Patients with documented persistent colonization with B. cepacia (defined as more than one positive culture within the past year)
- Patients with clinically significant findings on chest x-ray which in the opinion of the Investigator precludes the patient's participation in the trial
- Patients with oxyhemoglobin saturation in room air <90% by pulse oximetry
- Patients with hemoglobin <9.0 g/dL; platelets <100x109/L; serum glutamic-oxaloacetic transaminase (ALT) or serum glutamic-pyruvic transaminase (AST) >2 times the upper limit of normal; creatinine >1.8 mg/dL at screening
- Clinically significant disease or medical condition other than CF or CF-related conditions that, in the opinion of the Investigator, would compromise the safety of the patient or the quality of the data. This includes significant hematological, hepatic, renal, cardiovascular, and neurologic disease. Patients with diabetes may participate if their disease is under good control prior to screening.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm Type
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
BIIL 284 BS, low dose in pediatric patients
BIIL 284 BS, medium dose in pediatric patients
BIIL 284 BS, high dose in pediatric patients
BIIL 284 BS, low dose in adult patients
BIIL 284 BS, medium dose in adult patients
BIIL 284 BS, high dose in adult patients
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Changes from baseline in physical examination
Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate, respiratory rate, body temperature)
Changes from baseline in spirometry
Changes from baseline in oximetry
Number of patients with clinically relevant changes in 12-lead ECG
Number of patients with clinically relevant changes in laboratory evaluation
Number of patients with adverse events
Secondary Outcome Measures
Plasma concentration-time profiles of BIIL 315 ZW in all dose groups
Plasma concentration-time profiles of BIIL 284 BS, BIIL 260 BS and BIIL 304 ZW in medium dose adult and high dose pediatric group
Area under the concentration-time curve of the analytes in plasma (AUC)
Maximum measured concentration of the analytes in plasma (Cmax)
Time from dosing to the maximum concentration of the analytes in plasma (tmax)
Terminal half-life of the analytes in plasma (t1/2)
Total mean residence time of the analytes in the body (MRTtot)
Terminal rate constant of the analytes in plasma (λz)
Apparent clearance of the analytes in plasma following extravascular administration (CL/F)
Apparent volume of distribution during the terminal phase λz following extravascular administration (Vz/F)
Full Information
NCT ID
NCT02265679
First Posted
October 15, 2014
Last Updated
October 15, 2014
Sponsor
Boehringer Ingelheim
1. Study Identification
Unique Protocol Identification Number
NCT02265679
Brief Title
Safety, Tolerability and Pharmacokinetics of Increasing Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis (CF) Patients
Official Title
A Randomized, Double-blind Within Dose, Placebo-controlled Study to Investigate the Safety, Tolerability and Pharmacokinetics of Increasing Single Oral Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis Patients
Study Type
Interventional
2. Study Status
Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
October 2001 (undefined)
Primary Completion Date
July 2002 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boehringer Ingelheim
4. Oversight
5. Study Description
Brief Summary
Safety, tolerability and pharmacokinetics following single doses
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
Double
Allocation
Randomized
Enrollment
45 (Actual)
8. Arms, Groups, and Interventions
Arm Title
BIIL 284 BS, low dose in pediatric patients
Arm Type
Experimental
Arm Title
BIIL 284 BS, medium dose in pediatric patients
Arm Type
Experimental
Arm Title
BIIL 284 BS, high dose in pediatric patients
Arm Type
Experimental
Arm Title
BIIL 284 BS, low dose in adult patients
Arm Type
Experimental
Arm Title
BIIL 284 BS, medium dose in adult patients
Arm Type
Experimental
Arm Title
BIIL 284 BS, high dose in adult patients
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
BIIL 284 BS, low dose, pediatric patients
Intervention Type
Drug
Intervention Name(s)
BIIL 284 BS, medium dose, pediatric patients
Intervention Type
Drug
Intervention Name(s)
BIIL 284 BS, high dose, pediatric patients
Intervention Type
Drug
Intervention Name(s)
BIIL 284 BS, low dose, adult patients
Intervention Type
Drug
Intervention Name(s)
BIIL 284 BS, medium dose, adult patients
Intervention Type
Drug
Intervention Name(s)
BIIL 284 BS, high dose, adult patients
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Changes from baseline in physical examination
Time Frame
Pre-dose and up to 5 days after drug administration
Title
Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate, respiratory rate, body temperature)
Time Frame
Pre-dose, up to 5 days after drug administration
Title
Changes from baseline in spirometry
Time Frame
Pre-dose and up to 5 days after drug administration
Title
Changes from baseline in oximetry
Time Frame
Pre-dose and up to 5 days after drug administration
Title
Number of patients with clinically relevant changes in 12-lead ECG
Time Frame
Pre-dose, up to 5 days after drug administration
Title
Number of patients with clinically relevant changes in laboratory evaluation
Time Frame
Pre-dose, up to 5 days after drug administration
Title
Number of patients with adverse events
Time Frame
Up to 5 days after drug administration
Secondary Outcome Measure Information:
Title
Plasma concentration-time profiles of BIIL 315 ZW in all dose groups
Time Frame
Up to 5 days after drug administration
Title
Plasma concentration-time profiles of BIIL 284 BS, BIIL 260 BS and BIIL 304 ZW in medium dose adult and high dose pediatric group
Time Frame
Up to 5 days after drug administration
Title
Area under the concentration-time curve of the analytes in plasma (AUC)
Time Frame
Up to 5 days after drug administration
Title
Maximum measured concentration of the analytes in plasma (Cmax)
Time Frame
Up to 5 days after drug administration
Title
Time from dosing to the maximum concentration of the analytes in plasma (tmax)
Time Frame
Up to 5 days after drug administration
Title
Terminal half-life of the analytes in plasma (t1/2)
Time Frame
Up to 5 days after drug administration
Title
Total mean residence time of the analytes in the body (MRTtot)
Time Frame
Up to 5 days after drug administration
Title
Terminal rate constant of the analytes in plasma (λz)
Time Frame
Up to 5 days after drug administration
Title
Apparent clearance of the analytes in plasma following extravascular administration (CL/F)
Time Frame
Up to 5 days after drug administration
Title
Apparent volume of distribution during the terminal phase λz following extravascular administration (Vz/F)
Time Frame
Up to 5 days after drug administration
10. Eligibility
Sex
All
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All participants in the study were cystic fibrosis patients:
Male or female ≥6 years (pediatrics 6 - 17 years; adult ≥18 years); minimum weight requirement of 20 kg
Confirmed diagnosis of CF (positive sweat chloride ≥60 milliequivalents (mEq)/liter (by pilocarpine iontophoresis) and/or a genotype with two identifiable mutations consistent with CF accompanied by one or more clinical features with the CF phenotype
Forced expiratory volume in one second (FEV1) >25% predicted (using prediction equation's of Knudson)
Clinically stable with no evidence of acute upper or lower respiratory tract infection or current pulmonary exacerbation within 2 weeks of screening
Females of child bearing potential needed to have a negative pregnancy test at screening and, if sexually active, had to be willing to use a double-barrier form of contraception for the duration of the study
The patient or the patient's legally acceptable representative had to be able to give informed consent in accordance with international conference of harmonization (ICH) good clinical practice (GCP) guidelines and local legislation
The patient must be able to swallow the BIIL 284 BS tablet whole
Patients taking a chronic medication must be willing to continue this therapy for the entire duration of the study
Exclusion Criteria:
Patients with a history of allergy/hypersensitivity (including medication allergy) which is deemed relevant to the trial as judged by the Investigator
Patients who had participated in another study with an investigational drug within one month or 6 half-lives (whichever is greater) preceding the screening visit
Patients with known substance abuse, including alcohol or drug abuse, within 30 days prior to screening
Patients who participated in excessive physical activities (e.g. strenuous sporting events) within 24 hours before the study
Female patients who were pregnant or lactating
Patients who were unable to comply with breakfast requirements prior to dosing
Patients who had received IV, oral or inhaled antibiotics or corticosteroids for a pulmonary exacerbation within 2 weeks of screening
Patients who had started a new chronic medication for CF within 2 weeks of screening
Patients with documented persistent colonization with B. cepacia (defined as more than one positive culture within the past year)
Patients with clinically significant findings on chest x-ray which in the opinion of the Investigator precludes the patient's participation in the trial
Patients with oxyhemoglobin saturation in room air <90% by pulse oximetry
Patients with hemoglobin <9.0 g/dL; platelets <100x109/L; serum glutamic-oxaloacetic transaminase (ALT) or serum glutamic-pyruvic transaminase (AST) >2 times the upper limit of normal; creatinine >1.8 mg/dL at screening
Clinically significant disease or medical condition other than CF or CF-related conditions that, in the opinion of the Investigator, would compromise the safety of the patient or the quality of the data. This includes significant hematological, hepatic, renal, cardiovascular, and neurologic disease. Patients with diabetes may participate if their disease is under good control prior to screening.
12. IPD Sharing Statement
Links:
URL
http://trials.boehringer-ingelheim.com
Description
Related Info
Learn more about this trial
Safety, Tolerability and Pharmacokinetics of Increasing Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis (CF) Patients
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