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Safety, Tolerability and Pharmacokinetics Study of AIR DNAse Administered by Inhalation to Healthy Adult Volunteers

Primary Purpose

Cystic Fibrosis (CF)

Status
Completed
Phase
Phase 1
Locations
Israel
Study Type
Interventional
Intervention
AIR DNase
Placebo
Sponsored by
Protalix
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis (CF)

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject who understands the study procedures and provides written informed consent to participate in the study.
  2. Healthy, male, 18-55 years of age, inclusive
  3. Non smoker, by declaration, for at least 6 months prior to screening
  4. Body mass index (BMI) ≥ 18.5 and ≤ 29.0 kg/m2 at screening.
  5. Healthy individual with no clinically significant findings in: medical history, physical examination, laboratory profiles , vital signs, 12-lead ECG
  6. Spirometry results within normal ranges.
  7. A subject, whose female co-partner is of child-bearing potential, must agree to use two medically acceptable methods of contraception throughout the study.

Exclusion Criteria:

  1. History of asthma, any chronic pulmonary disease, recurrent pneumonia, allergic rhinitis.
  2. History of any illness or medical condition (including psychiatric) that might confound the results of the study or poses an additional risk to the subject by his participation in the study.
  3. Any acute illness (e.g. acute infection) within 48 hours prior to the study drug administration, which is considered of significance by the Investigator.
  4. Known contraindication, hypersensitivity and/or allergy to any drug.
  5. History of adverse reactions during aerosol delivery of any medicinal product.
  6. History or presence of alcoholism or drug abuse within the past 2 years prior to screening.
  7. Positive urine drug of abuse test result prior to first dosing.
  8. Positive breath alcohol test on admission to the CRC prior to first dosing.
  9. Positive results at screening for HIV, HBsAg, or HCV Ab.
  10. Sitting blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening.
  11. Sitting heart rate is lower than 45 beats per minute (bpm) or higher than 99 bpm at screening.
  12. Use of any prescription or over-the-counter medications, including vitamins, herbal, or dietary supplements within 14 days prior to dosing. Paracetamol, up to 2g /day is allowed up to 24 hours prior to dosing.
  13. Donation of blood within 90 days prior to dosing.
  14. Donation of bone marrow within the last 6 months prior to dosing.
  15. Participation in another clinical trial within 90 days prior to dosing in which a study drug has been administered.
  16. Subject is mentally or legally incapacitated or has significant emotional problems or is unable to communicate well with the investigators and CRC staff (i.e., language problem, poor mental development or impaired cerebral function).

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Sites / Locations

  • Sourasky Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

1.25 mg

2.5 mg

5 mg

Placebo

Arm Description

Part 1: single inhaled dose of 1.25 mg AIR-DNase followed by Part 2: once daily inhaled dose of 1.25 mg AIR DNase for 5 consecutive days.

Part 1: single inhaled dose of 2.5 mg AIR-DNase followed by Part 2: once daily inhaled dose of 2.5 mg AIR DNase for 5 consecutive days.

Part 1: single inhaled dose of 5 mg AIR-DNase followed by Part 2: once daily inhaled dose of 5 mg AIR DNase for 5 consecutive days.

Placebo comparator for each of the dose levels, administered accordingly as single inhaled dose in Part 1 followed by once daily inhaled dose for 5 consecutive days in Part 2.

Outcomes

Primary Outcome Measures

Adverse events following inhaled single dose (SD) of AIR-DNase
Adverse events from subject reporting or other assessments
Adverse events following inhaled multiple doses (MD) of AIR-DNase
Adverse events from subject reporting or other assessments

Secondary Outcome Measures

Area under the curve
AIR DNase concentrations measured at 0, 0.25, 0.5, 0.75, 1, 1.5, 2, and 4 hours

Full Information

First Posted
November 10, 2015
Last Updated
May 16, 2016
Sponsor
Protalix
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1. Study Identification

Unique Protocol Identification Number
NCT02605590
Brief Title
Safety, Tolerability and Pharmacokinetics Study of AIR DNAse Administered by Inhalation to Healthy Adult Volunteers
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose and Multiple Ascending Dose Study of the Safety, Tolerability, and Pharmacokinetics of AIR-DNase When Administered by Inhalation to Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
December 2015 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Protalix

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will be performed to assess the safety, tolerability and PK of escalating inhaled AIR-DNase doses administered as a single dose followed by multiple doses for 5 consecutive days in healthy subjects. A thorough review of safety data will be conducted after completion of each dose level per subject and prior to both, moving to the next dose level in Part 1 and commencement of the multiple dose Part 2.
Detailed Description
This is a Phase I study to evaluate the safety, tolerability and pharmacokinetics of inhaled AIR DNase in healthy volunteers. Up to 18 healthy males subjects (age 18 -55 inclusive) will be randomized to one of three dose cohorts (up to 6 subjects per cohort), receiving AIR DNase doses equivalent to 1.25 mg, 2.5mg or 5 mg or placebo in accordance. Subjects randomized to one of the cohorts will receive either active of placebo as single dose, in continuation, following safety assessments, will receive multiple doses, once daily for 5 consecutive days. Subjects will remain at the clinical center for 8 hours after the single administration of AIR DNase/placebo including PK sampling. During the multiple dosing subjects will arrive at the clinical center daily for AIR DNase/placebo administrations and study procedures and remain at the site for 4 hours post dosing. Follow up visits will be performed 7±2 days following single administration and 7±2 days following the last administration of the multiple phase.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1.25 mg
Arm Type
Experimental
Arm Description
Part 1: single inhaled dose of 1.25 mg AIR-DNase followed by Part 2: once daily inhaled dose of 1.25 mg AIR DNase for 5 consecutive days.
Arm Title
2.5 mg
Arm Type
Experimental
Arm Description
Part 1: single inhaled dose of 2.5 mg AIR-DNase followed by Part 2: once daily inhaled dose of 2.5 mg AIR DNase for 5 consecutive days.
Arm Title
5 mg
Arm Type
Experimental
Arm Description
Part 1: single inhaled dose of 5 mg AIR-DNase followed by Part 2: once daily inhaled dose of 5 mg AIR DNase for 5 consecutive days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo comparator for each of the dose levels, administered accordingly as single inhaled dose in Part 1 followed by once daily inhaled dose for 5 consecutive days in Part 2.
Intervention Type
Drug
Intervention Name(s)
AIR DNase
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Adverse events following inhaled single dose (SD) of AIR-DNase
Description
Adverse events from subject reporting or other assessments
Time Frame
10 days
Title
Adverse events following inhaled multiple doses (MD) of AIR-DNase
Description
Adverse events from subject reporting or other assessments
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Area under the curve
Description
AIR DNase concentrations measured at 0, 0.25, 0.5, 0.75, 1, 1.5, 2, and 4 hours
Time Frame
4 hours

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject who understands the study procedures and provides written informed consent to participate in the study. Healthy, male, 18-55 years of age, inclusive Non smoker, by declaration, for at least 6 months prior to screening Body mass index (BMI) ≥ 18.5 and ≤ 29.0 kg/m2 at screening. Healthy individual with no clinically significant findings in: medical history, physical examination, laboratory profiles , vital signs, 12-lead ECG Spirometry results within normal ranges. A subject, whose female co-partner is of child-bearing potential, must agree to use two medically acceptable methods of contraception throughout the study. Exclusion Criteria: History of asthma, any chronic pulmonary disease, recurrent pneumonia, allergic rhinitis. History of any illness or medical condition (including psychiatric) that might confound the results of the study or poses an additional risk to the subject by his participation in the study. Any acute illness (e.g. acute infection) within 48 hours prior to the study drug administration, which is considered of significance by the Investigator. Known contraindication, hypersensitivity and/or allergy to any drug. History of adverse reactions during aerosol delivery of any medicinal product. History or presence of alcoholism or drug abuse within the past 2 years prior to screening. Positive urine drug of abuse test result prior to first dosing. Positive breath alcohol test on admission to the CRC prior to first dosing. Positive results at screening for HIV, HBsAg, or HCV Ab. Sitting blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening. Sitting heart rate is lower than 45 beats per minute (bpm) or higher than 99 bpm at screening. Use of any prescription or over-the-counter medications, including vitamins, herbal, or dietary supplements within 14 days prior to dosing. Paracetamol, up to 2g /day is allowed up to 24 hours prior to dosing. Donation of blood within 90 days prior to dosing. Donation of bone marrow within the last 6 months prior to dosing. Participation in another clinical trial within 90 days prior to dosing in which a study drug has been administered. Subject is mentally or legally incapacitated or has significant emotional problems or is unable to communicate well with the investigators and CRC staff (i.e., language problem, poor mental development or impaired cerebral function). -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Einat Almon, PhD
Organizational Affiliation
Protalix Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Sourasky Medical Center
City
Tel Aviv
Country
Israel

12. IPD Sharing Statement

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Safety, Tolerability and Pharmacokinetics Study of AIR DNAse Administered by Inhalation to Healthy Adult Volunteers

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