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A Study to Evaluate Safety, PK and PD of FDL169 in Cystic Fibrosis Subjects

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
FDL169
Placebo
Sponsored by
Flatley Discovery Lab LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis focused on measuring Cystic Fibrosis

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female subjects with a confirmed diagnosis of CF defined as a sweat chloride value ≥60 mmol/L by quantitative pilocarpine iontophoresis or two CF-causing mutations,documented in the subject's medical record or confirmed at screening.
  • Age 18 and above on the date of informed consent.
  • Weight ≥40 kg.
  • Homozygous for the F508del-CFTR mutation. Genotyping to be confirmed at screening.
  • Ability to perform a valid, reproducible spirometry test with demonstration of a forced expiratory volume in 1 sec (FEV1) >40% of predicted normal for age, sex and height.
  • Screening laboratory tests with no clinically significant abnormalities that would interfere with the study assessments (as judged by the Investigator).
  • Subjects who are sexually active must agree to follow the study's contraception requirements.

Exclusion Criteria:

  • An acute upper or lower respiratory tract infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 4 weeks prior to Day 1.
  • Major complications of lung disease (including massive hemoptysis, pneumothorax, or pleural effusion) within 8 weeks prior to screening.
  • Impaired renal function or known portal hypertension.
  • History of prolonged QT and/or QTcF (Fridericia's correction) interval (>450 msec) or QTcF >450 msec at Screening.
  • History of solid organ or hematological transplantation.
  • History of alcohol abuse or drug addiction (including cannabis, cocaine and opiates) during the past year, (as judged by the Investigator).
  • Use of ivacaftor or lumacaftor, within 4 weeks of Day 1
  • Any change (initiation, change in type of drug, dose modification, schedule modification, interruption, discontinuation, or re-initiation) in a chronic treatment/prophylaxis regimen for CF or for CF-related conditions within 4 weeks prior to Day 1.
  • Ongoing immunosuppressive therapy (including systemic corticosteroids).
  • Hemoglobin <10 g/dL.
  • Abnormal liver function, at screening.
  • Abnormal renal function at screening.
  • Ongoing participation in another clinical study or prior participation without appropriate washout (minimum of 10 half- lives or 30 days, whichever is longer) prior to Screening visit.

Sites / Locations

  • Mater Misericordiae Ltd
  • The Prince Charles Hospital
  • The Alfred Hospital
  • FN v Motole, Pediatrická klinika, Centrum cystické fibrózy
  • FN v Motole, Pediatrická klinika, Centrum cystické fibrózy
  • Charité - Universitätsmedizin Berlin CVK
  • Klinik Donaustauf, Zentrum für Pneumologie
  • Ruhrlandklinik
  • Universitätsklinikum Frankfurt
  • NICRN Respiratory Research Office, Belfast City Hospital
  • Research Dept., Liverpool Heart and Chest Hospital
  • Royal Brompton Hospital
  • The Medicines Evaluation Unit (MEU)
  • NIHR Wellcome Trust Clinical Research Facility

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

FDL 169 test formulation (Dose Level 1)

FDL 169 test formulation (Dose Level 2)

FDL 169 test formulation ( Dose Level 3)

Placebo

Arm Description

Multiple dose (Dose Level 1) FDL 169 test formulation administered as repeat doses in CF subjects

Multiple dose (Dose Level 2) FDL 169 test formulation administered as repeat doses in CF subjects

Multiple dose (Dose Level 3) FDL 169 test formulation administered as repeat doses in CF subjects

Multiple dose placebo as repeat doses in CF subjects

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events
Safety and tolerability of FDL169 as determined by the incidence of adverse events (AEs) and serious adverse events (SAEs).

Secondary Outcome Measures

Pharmacokinetic parameters, Cmax
The pharmacokinetic parameters of FDL169: maximal plasma concentration (Cmax).
Pharmacokinetic parameters, Tmax
The pharmacokinetic parameters of FDL169: maximal concentration (Tmax).
Pharmacokinetic parameters, AUC
The pharmacokinetic parameters of FDL169: area under the plasma concentration curve (AUC).
Pharmacokinetic parameters, CL/F
The pharmacokinetic parameters of FDL169: clearance (CL/F).
Pharmacokinetic parameters, V/F
The pharmacokinetic parameters of FDL169: apparent volume of distribution (V/F).

Full Information

First Posted
March 16, 2017
Last Updated
April 11, 2018
Sponsor
Flatley Discovery Lab LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03093714
Brief Title
A Study to Evaluate Safety, PK and PD of FDL169 in Cystic Fibrosis Subjects
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Study to Evaluate Safety, Pharmacokinetics (PK) and Pharmacodynamics(PD) of FDL169 in Cystic Fibrosis (CF) Subjects Homozygous for the F508del-CFTR Mutation
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
August 23, 2017 (Actual)
Primary Completion Date
April 3, 2018 (Actual)
Study Completion Date
April 3, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Flatley Discovery Lab LLC

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 multicenter, randomized, placebo-controlled, dose-escalation study. Enrollment is planned to occur at approximately 14 global sites. Approximately 24 subjects with CF.
Detailed Description
This is a multicenter, randomized double-blind, placebo-controlled dose-escalation and parallel-arm, dose-ranging study. Enrollment is planned to occur at approximately 14 global sites. Approximately 24 subjects with CF who are homozygous for the F508del-CFTR mutation will be enrolled in two cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis
Keywords
Cystic Fibrosis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
FDL 169 test formulation (Dose Level 1)
Arm Type
Experimental
Arm Description
Multiple dose (Dose Level 1) FDL 169 test formulation administered as repeat doses in CF subjects
Arm Title
FDL 169 test formulation (Dose Level 2)
Arm Type
Experimental
Arm Description
Multiple dose (Dose Level 2) FDL 169 test formulation administered as repeat doses in CF subjects
Arm Title
FDL 169 test formulation ( Dose Level 3)
Arm Type
Experimental
Arm Description
Multiple dose (Dose Level 3) FDL 169 test formulation administered as repeat doses in CF subjects
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Multiple dose placebo as repeat doses in CF subjects
Intervention Type
Drug
Intervention Name(s)
FDL169
Intervention Description
CFTR corrector
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo for FDL169
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events
Description
Safety and tolerability of FDL169 as determined by the incidence of adverse events (AEs) and serious adverse events (SAEs).
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameters, Cmax
Description
The pharmacokinetic parameters of FDL169: maximal plasma concentration (Cmax).
Time Frame
28 days
Title
Pharmacokinetic parameters, Tmax
Description
The pharmacokinetic parameters of FDL169: maximal concentration (Tmax).
Time Frame
28 days
Title
Pharmacokinetic parameters, AUC
Description
The pharmacokinetic parameters of FDL169: area under the plasma concentration curve (AUC).
Time Frame
28 days
Title
Pharmacokinetic parameters, CL/F
Description
The pharmacokinetic parameters of FDL169: clearance (CL/F).
Time Frame
28 days
Title
Pharmacokinetic parameters, V/F
Description
The pharmacokinetic parameters of FDL169: apparent volume of distribution (V/F).
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects with a confirmed diagnosis of CF defined as a sweat chloride value ≥60 mmol/L by quantitative pilocarpine iontophoresis or two CF-causing mutations,documented in the subject's medical record or confirmed at screening. Age 18 and above on the date of informed consent. Weight ≥40 kg. Homozygous for the F508del-CFTR mutation. Genotyping to be confirmed at screening. Ability to perform a valid, reproducible spirometry test with demonstration of a forced expiratory volume in 1 sec (FEV1) >40% of predicted normal for age, sex and height. Screening laboratory tests with no clinically significant abnormalities that would interfere with the study assessments (as judged by the Investigator). Subjects who are sexually active must agree to follow the study's contraception requirements. Exclusion Criteria: An acute upper or lower respiratory tract infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 4 weeks prior to Day 1. Major complications of lung disease (including massive hemoptysis, pneumothorax, or pleural effusion) within 8 weeks prior to screening. Impaired renal function or known portal hypertension. History of prolonged QT and/or QTcF (Fridericia's correction) interval (>450 msec) or QTcF >450 msec at Screening. History of solid organ or hematological transplantation. History of alcohol abuse or drug addiction (including cannabis, cocaine and opiates) during the past year, (as judged by the Investigator). Use of ivacaftor or lumacaftor, within 4 weeks of Day 1 Any change (initiation, change in type of drug, dose modification, schedule modification, interruption, discontinuation, or re-initiation) in a chronic treatment/prophylaxis regimen for CF or for CF-related conditions within 4 weeks prior to Day 1. Ongoing immunosuppressive therapy (including systemic corticosteroids). Hemoglobin <10 g/dL. Abnormal liver function, at screening. Abnormal renal function at screening. Ongoing participation in another clinical study or prior participation without appropriate washout (minimum of 10 half- lives or 30 days, whichever is longer) prior to Screening visit.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Claudia Ordonez, MD
Organizational Affiliation
Flatley Discovery Lab
Official's Role
Study Chair
Facility Information:
Facility Name
Mater Misericordiae Ltd
City
South Brisbane
State/Province
Queenland
ZIP/Postal Code
4101
Country
Australia
Facility Name
The Prince Charles Hospital
City
Chermside
State/Province
Queensland
ZIP/Postal Code
4032
Country
Australia
Facility Name
The Alfred Hospital
City
Melbourne
ZIP/Postal Code
3004
Country
Australia
Facility Name
FN v Motole, Pediatrická klinika, Centrum cystické fibrózy
City
Brno
Country
Czechia
Facility Name
FN v Motole, Pediatrická klinika, Centrum cystické fibrózy
City
Praha
Country
Czechia
Facility Name
Charité - Universitätsmedizin Berlin CVK
City
Berlin
Country
Germany
Facility Name
Klinik Donaustauf, Zentrum für Pneumologie
City
Donaustauf
ZIP/Postal Code
93093
Country
Germany
Facility Name
Ruhrlandklinik
City
Essen
Country
Germany
Facility Name
Universitätsklinikum Frankfurt
City
Frankfurt
Country
Germany
Facility Name
NICRN Respiratory Research Office, Belfast City Hospital
City
Belfast
ZIP/Postal Code
BT9 7AB
Country
United Kingdom
Facility Name
Research Dept., Liverpool Heart and Chest Hospital
City
Liverpool
ZIP/Postal Code
L14 3PE
Country
United Kingdom
Facility Name
Royal Brompton Hospital
City
London
ZIP/Postal Code
SW3 6NP
Country
United Kingdom
Facility Name
The Medicines Evaluation Unit (MEU)
City
Manchester
ZIP/Postal Code
M23 9QZ
Country
United Kingdom
Facility Name
NIHR Wellcome Trust Clinical Research Facility
City
Southampton
ZIP/Postal Code
SO16 6YD
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
33331662
Citation
Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3.
Results Reference
derived

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A Study to Evaluate Safety, PK and PD of FDL169 in Cystic Fibrosis Subjects

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