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Study of Safety, Tolerability & Efficacy in Cystic Fibrosis Patients With Abnormal Glucose Tolerance

Primary Purpose

Cystic Fibrosis

Status
Terminated
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
PBI4050
Placebo
Sponsored by
Liminal BioSciences Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis

Eligibility Criteria

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

Inclusion Criteria:

  1. Patient is 18 years of age or older at screening.
  2. Patient has a documented and confirmed CF diagnosis.
  3. Patient has performed an OGTT for diagnosis of INDENT, IGT and de novo CFRD within 12 months prior to screening visit.
  4. Patient has a Body Mass Index (BMI) of at least 17 kg/m2.
  5. Patient has signed written informed consent.
  6. Patient is able and willing to self-monitor blood glucose level at home.
  7. Female patients of childbearing potential must have a negative pregnancy test (serum or urine) and agree to use adequate birth control from screening throughout the study and for the 30 days after the last study drug administration.
  8. If a male patient has not been vasectomized at least 6 months before screening and partners with a woman of childbearing potential, he must be willing to use an acceptable contraceptive method throughout the study and for the 30 days after the last study drug administration.

Exclusion Criteria:

  1. Patient has recent or ongoing infection requiring intravenous treatment with an anti-infective agent within 30 days before screening.
  2. Patient is concurrently taking high dose of ibuprofen (>30 mg/kg) or is using corticosteroids (except inhaled and topical corticosteroids).
  3. Patient is currently using weight-loss medications.
  4. 4. Patient has used any moderate/potent inhibitor of cytochrome P450 (CYP) 2C9 isozyme or strong inhibitor of CYP3A isozyme within 30 days prior to the first study drug administration.
  5. Patient has significantly elevated liver enzyme levels, defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 2.5 Upper Limit of Normal (ULN) or total bilirubin above ULN at screening.
  6. Patient has a history of chronic alcohol or other substance abuse as determined at screening that may prevent study compliance based on Investigator judgment.
  7. History of malignancy of any organ system, treated or untreated, within the past 5 years other than basal or squamous cell skin cancer.
  8. Patient has unstable chronic heart failure that has required change in therapy within 2 months prior to screening.
  9. Patient with known non-controlled history of infection with Human Immunodeficiency Virus (HIV) and/or active Hepatitis.
  10. Woman who is pregnant, breast-feeding or planning a pregnancy during the course of the study.
  11. Woman of childbearing potential who is unwilling to use adequate birth control throughout the duration of the study.
  12. Patient has any condition that, in the Investigator's opinion, is likely to interfere with study conduct and compliance.
  13. Patient has participated in an investigational clinical trial within 30 days (or 5 half-lives, whichever is longer) prior to screening visit.
  14. Patient is under insulin and/or repaglinide treatment at screening/baseline

Sites / Locations

  • St. Paul's Hospital - Pacific Lung Health Centre (PLHC)
  • Queen Elizabeth II Health Science Center
  • Ottawa Hospital Research Institute
  • St. Michael's Hospital
  • Institut de Recherches Cliniques de Montréal (IRCM)
  • Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke
  • Institut Universitaire de Cardiologie et de Pneumologie de l'Université Laval (IUCPQ)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PBI4050

Placebo

Arm Description

Four 200 mg capsules (total 800 mg) administered orally, once daily.

Four 200 mg capsules (total 800 mg) administered orally, once daily.

Outcomes

Primary Outcome Measures

Number of Subjects with Adverse Events (Combined Main Study and Extension Study Participation)
Adverse Event data (including abnormal laboratory values) collected up to final follow-up (30 days after last dose of study drug). Serious Adverse Events that were ongoing at the follow-up visit will be followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.

Secondary Outcome Measures

Change from Baseline in glucose level following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Change from Baseline of insulin-secretion following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Change from Baseline of HbA1C following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Change from Baseline in pulmonary function parameters (FEV1 ) (Combined Main Study and Extension Study Participation)
Change from Baseline in pulmonary function parameters ( FVC) (Combined Main Study and Extension Study Participation)
Change from Baseline in pulmonary function parameters (FEV1/FVC ratio) (Combined Main Study and Extension Study Participation)
Change from Baseline in pulmonary function parameters (Forced Expiratory Flow (FEF25%-75%)) (Combined Main Study and Extension Study Participation)
Change from baseline in weight (Combined Main Study and Extension Study Participation)

Full Information

First Posted
October 21, 2016
Last Updated
December 7, 2020
Sponsor
Liminal BioSciences Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02955888
Brief Title
Study of Safety, Tolerability & Efficacy in Cystic Fibrosis Patients With Abnormal Glucose Tolerance
Official Title
A Phase 2, Double-Blind, Placebo Controlled Study to Evaluate the Safety & Tolerability of PBI-4050 and Its Effects on Pancreatic and Pulmonary Function in Cystic Fibrosis Patients With Abnormal Glucose Tolerance
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Terminated
Why Stopped
Unsatisfactory rate of recruitment
Study Start Date
January 3, 2017 (Actual)
Primary Completion Date
February 2018 (Actual)
Study Completion Date
February 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Liminal BioSciences Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 2, multi-center, double blind, placebo controlled study to evaluate the safety and tolerability of PBI-4050, and its effects on the pancreatic, pulmonary functions and on various biomarkers in Cystic Fibrosis patients with abnormal glucose tolerance. Patients with abnormal glucose tolerance have elevated glucose level either at 1 hour or 2 hour during an Oral Glucose Tolerance Test (OGTT). The Main study will include 24 weeks of treatment with PBI-4050 or matching placebo. At the end of the treatment period, patients will have the option of participating in a 24-week Extension study.
Detailed Description
This is a Phase 2, multi-center, double blind, placebo controlled study to evaluate the safety and tolerability of PBI-4050, and its effects on the pancreatic, pulmonary functions and on various biomarkers in Cystic Fibrosis patients with abnormal glucose tolerance. Patients with abnormal glucose tolerance have elevated glucose level either at 1 hour or 2 hour during an Oral Glucose Tolerance Test (OGTT). A total of 90 patients will be enrolled for study participation. A Data Safety Monitoring Board (DSMB) will continually review individual patients safety data obtained from the 90 patients. When the first 15 patients have completed at least 1 month of study treatment, the DSMB will meet formally to determine whether additional patients may be enrolled, the study should continue with changes or if the study should be stopped. In addition, the DSMB will review the PK data and may recommend dose adjustment based on the PK results. The total duration of study participation for each patient is at least 32 weeks, including up to 4 weeks of a screening period, 24 weeks of study treatment and 4 weeks of safety follow-up. Patients who choose to participate in the open label extension will be in the study for an additional 24 weeks of study treatment and 4 weeks of safety follow-up (for a total of 56 weeks).

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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PBI4050
Arm Type
Experimental
Arm Description
Four 200 mg capsules (total 800 mg) administered orally, once daily.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Four 200 mg capsules (total 800 mg) administered orally, once daily.
Intervention Type
Drug
Intervention Name(s)
PBI4050
Intervention Description
Investigational Medicinal Product
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Comparator
Primary Outcome Measure Information:
Title
Number of Subjects with Adverse Events (Combined Main Study and Extension Study Participation)
Description
Adverse Event data (including abnormal laboratory values) collected up to final follow-up (30 days after last dose of study drug). Serious Adverse Events that were ongoing at the follow-up visit will be followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.
Time Frame
Baseline to 1 Year
Secondary Outcome Measure Information:
Title
Change from Baseline in glucose level following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Change from Baseline of insulin-secretion following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Time Frame
Up 1 Year
Title
Change from Baseline of HbA1C following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Change from Baseline in pulmonary function parameters (FEV1 ) (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Change from Baseline in pulmonary function parameters ( FVC) (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Change from Baseline in pulmonary function parameters (FEV1/FVC ratio) (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Change from Baseline in pulmonary function parameters (Forced Expiratory Flow (FEF25%-75%)) (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Change from baseline in weight (Combined Main Study and Extension Study Participation)
Time Frame
Up to1 Year
Other Pre-specified Outcome Measures:
Title
Changes from baseline in fibrotic and inflammatory biomarkers in blood (Combined Main Study and Extension Study Participation)
Time Frame
Up to 1 Year
Title
Changes from baseline in fibrotic and inflammatory biomarkers in urine (Combined Main Study and Extension Study Participation)
Time Frame
Up to1 Year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is 18 years of age or older at screening. Patient has a documented and confirmed CF diagnosis. Patient has performed an OGTT for diagnosis of INDENT, IGT and de novo CFRD within 12 months prior to screening visit. Patient has a Body Mass Index (BMI) of at least 17 kg/m2. Patient has signed written informed consent. Patient is able and willing to self-monitor blood glucose level at home. Female patients of childbearing potential must have a negative pregnancy test (serum or urine) and agree to use adequate birth control from screening throughout the study and for the 30 days after the last study drug administration. If a male patient has not been vasectomized at least 6 months before screening and partners with a woman of childbearing potential, he must be willing to use an acceptable contraceptive method throughout the study and for the 30 days after the last study drug administration. Exclusion Criteria: Patient has recent or ongoing infection requiring intravenous treatment with an anti-infective agent within 30 days before screening. Patient is concurrently taking high dose of ibuprofen (>30 mg/kg) or is using corticosteroids (except inhaled and topical corticosteroids). Patient is currently using weight-loss medications. 4. Patient has used any moderate/potent inhibitor of cytochrome P450 (CYP) 2C9 isozyme or strong inhibitor of CYP3A isozyme within 30 days prior to the first study drug administration. Patient has significantly elevated liver enzyme levels, defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 2.5 Upper Limit of Normal (ULN) or total bilirubin above ULN at screening. Patient has a history of chronic alcohol or other substance abuse as determined at screening that may prevent study compliance based on Investigator judgment. History of malignancy of any organ system, treated or untreated, within the past 5 years other than basal or squamous cell skin cancer. Patient has unstable chronic heart failure that has required change in therapy within 2 months prior to screening. Patient with known non-controlled history of infection with Human Immunodeficiency Virus (HIV) and/or active Hepatitis. Woman who is pregnant, breast-feeding or planning a pregnancy during the course of the study. Woman of childbearing potential who is unwilling to use adequate birth control throughout the duration of the study. Patient has any condition that, in the Investigator's opinion, is likely to interfere with study conduct and compliance. Patient has participated in an investigational clinical trial within 30 days (or 5 half-lives, whichever is longer) prior to screening visit. Patient is under insulin and/or repaglinide treatment at screening/baseline
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Moran, MD
Organizational Affiliation
Liminal BioSciences Ltd.
Official's Role
Study Chair
Facility Information:
Facility Name
St. Paul's Hospital - Pacific Lung Health Centre (PLHC)
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
Queen Elizabeth II Health Science Center
City
Halifax
State/Province
Nova Scotia
Country
Canada
Facility Name
Ottawa Hospital Research Institute
City
Ottawa
State/Province
Ontario
Country
Canada
Facility Name
St. Michael's Hospital
City
Toronto
State/Province
Ontario
Country
Canada
Facility Name
Institut de Recherches Cliniques de Montréal (IRCM)
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke
City
Sherbrooke
State/Province
Quebec
Country
Canada
Facility Name
Institut Universitaire de Cardiologie et de Pneumologie de l'Université Laval (IUCPQ)
City
Quebec
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of Safety, Tolerability & Efficacy in Cystic Fibrosis Patients With Abnormal Glucose Tolerance

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