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
About this trial
This is an interventional treatment trial for Cystic Fibrosis
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.
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
NCT ID
NCT02269189
First Posted
October 16, 2014
Last Updated
October 20, 2014
Sponsor
Boehringer Ingelheim
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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