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A Study to Assess the Tolerability of a Single Dose of Gefapixant (AF-219/MK-7264) in Subjects With Idiopathic Pulmonary Fibrosis (IPF)

Primary Purpose

Idiopathic Pulmonary Fibrosis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Gefapixant
Sponsored by
Afferent Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis

Eligibility Criteria

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

Inclusion Criteria:

  • Idiopathic pulmonary fibrosis diagnosis based upon the American Thoracic Society (ATS)/ European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/ Latin American Thoracic Society (ALAT) IPF 2011 guideline
  • Life expectancy of greater than 6 months
  • Stable medical condition (IPF) for at least 4 weeks
  • Women of child-bearing potential must use 2 forms of an acceptable birth control method from Screening through the Follow-Up Visit
  • Male subjects and their partners of child-bearing potential must use 2 methods of acceptable birth control, 1 of which must be a barrier method, and make no donation of sperm from Screening until 3 months after the last dose of study drug
  • Written informed consent
  • Willing and able to comply with all aspects of the protocol

Exclusion Criteria:

  • Current smoker (i.e., within the last 30 days)
  • Initiation of treatment with an antihypertensive agent within 4 weeks prior to the day of dosing (Day 1) or during the study
  • History of upper respiratory tract infection within 4 weeks of the day of dosing (Day 1)
  • Requiring concomitant therapy with prohibited medications
  • Body mass index (BMI) <18 kg/m2 or ≥ 40 kg/m2
  • History of concurrent malignancy or recurrence of malignancy within 2 years prior to Screening (not including subjects with <3 excised basal cell carcinomas)
  • History of a diagnosis of drug or alcohol dependency or abuse within approximately the last 3 years
  • Any condition possibly affecting drug absorption (e.g., gastrectomy, gastroplasty, fundoplication, any type of bariatric surgery, vagotomy, or bowel resection)
  • Recent history of stroke or transient ischemic attack (within 6 months prior to Screening) not due to trauma, repaired vascular malformation, or aneurysm
  • Screening systolic blood pressure (SBP) >160 mm Hg or a diastolic blood pressure (DBP) >90 mm Hg
  • QTc interval >450 milliseconds in males, >470 milliseconds in females
  • Breastfeeding
  • Treatment with an investigational drug or biologic within 30 days preceding the first dose of study medication or plans to take another investigational drug or biologic within 30 days of study completion
  • Blood donation within 56 days or plasma donation within 7 days prior to dosing
  • Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the Investigator or Sponsor, would make the subject inappropriate for entry into this trial

Sites / Locations

  • American Health Research

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Gefapixant

Arm Description

Gefapixant oral tablets (150 mg) administered as a single dose

Outcomes

Primary Outcome Measures

Effect of Gefapixant on BP
BP data will be summarized using descriptive statistics

Secondary Outcome Measures

Full Information

First Posted
June 17, 2015
Last Updated
June 14, 2019
Sponsor
Afferent Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02477709
Brief Title
A Study to Assess the Tolerability of a Single Dose of Gefapixant (AF-219/MK-7264) in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
Official Title
A Study to Assess the Tolerability of a Single Dose of AF-219, a P2X3 Receptor Antagonist, in Subjects With Idiopathic Pulmonary Fibrosis (IPF)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
July 20, 2015 (Actual)
Primary Completion Date
August 7, 2015 (Actual)
Study Completion Date
August 21, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Afferent Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study assesses the tolerability of a single dose of gefapixant (AF-219) in participants with idiopathic pulmonary fibrosis (IPF). Six eligible participants will receive a single 150 mg dose of gefapixant and undergo tolerability and PK assessments.
Detailed Description
This study assesses the tolerability of a single dose of gefapixant in participants with idiopathic pulmonary fibrosis (IPF). This will be the first experience of administering gefapixant in patients with IPF. P2X3 receptors are found on the chemosensory afferents of the carotid body and can influence sympathetic autonomic discharge, especially in sensitized subjects; accordingly, by blocking these P2X3 receptors, gefapixant may have an effect of reducing sympathetic activity. Therefore in order to determine whether P2X3 antagonism would have an effect on the hemodynamic measures such as blood pressure in patients with IPF, study AF219-019 is being performed. These patients will be closely monitored in order to determine any such effect.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Gefapixant
Arm Type
Experimental
Arm Description
Gefapixant oral tablets (150 mg) administered as a single dose
Intervention Type
Drug
Intervention Name(s)
Gefapixant
Other Intervention Name(s)
AF-219, MK-7264
Intervention Description
Gefapixant oral tablet (150 mg administered as three 50 mg tablets) - single dose only
Primary Outcome Measure Information:
Title
Effect of Gefapixant on BP
Description
BP data will be summarized using descriptive statistics
Time Frame
6 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Idiopathic pulmonary fibrosis diagnosis based upon the American Thoracic Society (ATS)/ European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/ Latin American Thoracic Society (ALAT) IPF 2011 guideline Life expectancy of greater than 6 months Stable medical condition (IPF) for at least 4 weeks Women of child-bearing potential must use 2 forms of an acceptable birth control method from Screening through the Follow-Up Visit Male subjects and their partners of child-bearing potential must use 2 methods of acceptable birth control, 1 of which must be a barrier method, and make no donation of sperm from Screening until 3 months after the last dose of study drug Written informed consent Willing and able to comply with all aspects of the protocol Exclusion Criteria: Current smoker (i.e., within the last 30 days) Initiation of treatment with an antihypertensive agent within 4 weeks prior to the day of dosing (Day 1) or during the study History of upper respiratory tract infection within 4 weeks of the day of dosing (Day 1) Requiring concomitant therapy with prohibited medications Body mass index (BMI) <18 kg/m2 or ≥ 40 kg/m2 History of concurrent malignancy or recurrence of malignancy within 2 years prior to Screening (not including subjects with <3 excised basal cell carcinomas) History of a diagnosis of drug or alcohol dependency or abuse within approximately the last 3 years Any condition possibly affecting drug absorption (e.g., gastrectomy, gastroplasty, fundoplication, any type of bariatric surgery, vagotomy, or bowel resection) Recent history of stroke or transient ischemic attack (within 6 months prior to Screening) not due to trauma, repaired vascular malformation, or aneurysm Screening systolic blood pressure (SBP) >160 mm Hg or a diastolic blood pressure (DBP) >90 mm Hg QTc interval >450 milliseconds in males, >470 milliseconds in females Breastfeeding Treatment with an investigational drug or biologic within 30 days preceding the first dose of study medication or plans to take another investigational drug or biologic within 30 days of study completion Blood donation within 56 days or plasma donation within 7 days prior to dosing Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the Investigator or Sponsor, would make the subject inappropriate for entry into this trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Selwyn Spangenthal
Organizational Affiliation
American Health Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
American Health Research
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
IPD Sharing URL
http://engagezone.msd.com/ds_documentation.php

Learn more about this trial

A Study to Assess the Tolerability of a Single Dose of Gefapixant (AF-219/MK-7264) in Subjects With Idiopathic Pulmonary Fibrosis (IPF)

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