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Safety, Tolerability and Pharmacokinetics 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, high dose
BIIL 284 BS, low dose
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis

Eligibility Criteria

6 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female ≥ 6 years (pediatric 6 - 17 years inclusive; 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 et al)
  • 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 must have a negative pregnancy test at screening and, if sexually active, must 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 must be able to give informed consent in accordance with International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines and local legislation
  • The patient must be able to swallow the BIIL 284 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 have participated in another study with an investigational drug (including BI Trial 543.36) 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
  • Female patients who are pregnant or lactating
  • Patients who are unable to comply with breakfast requirements prior to dosing
  • Patients who have received IV, oral or inhaled antibiotics or corticosteroids for a pulmonary exacerbation within 2 weeks of screening
  • Patients who have 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 < 100x10**9/L; prothrombin time (PT) > 1.5 times the upper limit of normal, serum glutamic-oxaloacetic transaminase (ALT) or serum glutamic-pyruvic transaminase (AST) > 2 times the upper limit of normal; creatinine > 1.8 mg/dL (adults) or > 1.4 mg/dL (pediatrics) 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 Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    BIIL 284 BS, high dose in adult patients

    BIIL 284 BS, low dose in pediatric patients

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Changes from baseline in physical examination
    Number of patients with clinically relevant findings in vital signs
    blood pressure, pulse rate, respiratory rate, body temperature
    Number of patients with clinically relevant changes in spirometry
    Number of patients with clinically relevant changes in oximetry
    Number of patients with clinically relevant changes in 12-lead ECG
    Number of patients with clinically relevant findings in laboratory evaluation
    Number of patients with adverse events

    Secondary Outcome Measures

    Area under the concentration-time curve of the analyte in plasma (AUC)
    Maximum measured concentration of the analyte in plasma (Cmax)
    Time from dosing to the maximum concentration of the analyte in plasma (tmax)
    Concentration of the analyte in plasma after 24 hours (C24h)
    Pre-dose concentration of the analyte in plasma immediately before administration of the next dose (Cpre)
    Terminal rate constant of the analyte in plasma (λz)
    Terminal half-life of the analyte in plasma (t1/2)
    Mean residence time of the analyte in the body at steady state (MRTss)
    Apparent volume of distribution during the terminal phase λz following extravascular administration at steady state (Vz,ss/F)
    Accumulation ratio for AUC after the 15th dose over the dosing interval compared to the first dose (RA,AUC)
    Accumulation ratio for Cmax after the 15th dose over the dosing interval compared to the first dose (RA,Cmax)

    Full Information

    First Posted
    October 16, 2014
    Last Updated
    October 20, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02269189
    Brief Title
    Safety, Tolerability and Pharmacokinetics 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 Repeated Oral Doses (15-day Dosing) of BIIL 284 BS in Adult (300 mg) and Pediatric (150 mg) Cystic Fibrosis Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    April 2002 (undefined)
    Primary Completion Date
    November 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 repeated doses (15-day dosing)

    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
    36 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    BIIL 284 BS, high dose in adult patients
    Arm Type
    Experimental
    Arm Title
    BIIL 284 BS, low dose in pediatric patients
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, high dose
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, low dose
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    Changes from baseline in physical examination
    Time Frame
    Pre-dose and 72 hours after last drug administration
    Title
    Number of patients with clinically relevant findings in vital signs
    Description
    blood pressure, pulse rate, respiratory rate, body temperature
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Number of patients with clinically relevant changes in spirometry
    Time Frame
    Pre-dose, up to 72 hours after last drug administration
    Title
    Number of patients with clinically relevant changes in oximetry
    Time Frame
    Pre-dose, up to 72 hours after last drug administration
    Title
    Number of patients with clinically relevant changes in 12-lead ECG
    Time Frame
    Pre-dose, up to 72 hours after last drug administration
    Title
    Number of patients with clinically relevant findings in laboratory evaluation
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Number of patients with adverse events
    Time Frame
    Up to 72 hours after last drug administration
    Secondary Outcome Measure Information:
    Title
    Area under the concentration-time curve of the analyte in plasma (AUC)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Maximum measured concentration of the analyte in plasma (Cmax)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Time from dosing to the maximum concentration of the analyte in plasma (tmax)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Concentration of the analyte in plasma after 24 hours (C24h)
    Time Frame
    24 hours after drug administration
    Title
    Pre-dose concentration of the analyte in plasma immediately before administration of the next dose (Cpre)
    Time Frame
    Up to day 16
    Title
    Terminal rate constant of the analyte in plasma (λz)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Terminal half-life of the analyte in plasma (t1/2)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Mean residence time of the analyte in the body at steady state (MRTss)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Apparent volume of distribution during the terminal phase λz following extravascular administration at steady state (Vz,ss/F)
    Time Frame
    Up to 72 hours after last drug administration
    Title
    Accumulation ratio for AUC after the 15th dose over the dosing interval compared to the first dose (RA,AUC)
    Time Frame
    day 1, day 15
    Title
    Accumulation ratio for Cmax after the 15th dose over the dosing interval compared to the first dose (RA,Cmax)
    Time Frame
    day 1, day 15

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female ≥ 6 years (pediatric 6 - 17 years inclusive; 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 et al) 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 must have a negative pregnancy test at screening and, if sexually active, must 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 must be able to give informed consent in accordance with International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines and local legislation The patient must be able to swallow the BIIL 284 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 have participated in another study with an investigational drug (including BI Trial 543.36) 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 Female patients who are pregnant or lactating Patients who are unable to comply with breakfast requirements prior to dosing Patients who have received IV, oral or inhaled antibiotics or corticosteroids for a pulmonary exacerbation within 2 weeks of screening Patients who have 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 < 100x10**9/L; prothrombin time (PT) > 1.5 times the upper limit of normal, serum glutamic-oxaloacetic transaminase (ALT) or serum glutamic-pyruvic transaminase (AST) > 2 times the upper limit of normal; creatinine > 1.8 mg/dL (adults) or > 1.4 mg/dL (pediatrics) 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

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    Safety, Tolerability and Pharmacokinetics of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis (CF) Patients

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