Study Designed to Assess the Safety, Tolerability and PK of PTI-808 in Healthy Volunteers and in Adults With Cystic Fibrosis
Healthy Volunteer - Complete, Cystic Fibrosis - Complete
About this trial
This is an interventional treatment trial for Healthy Volunteer - Complete
Eligibility Criteria
Part 1 and Part 2 Inclusion Criteria:
- Adults aged 18 to 55 years old, inclusive, at the time of informed consent
- Body mass index ≥18 and <30 kg/m2
- Subject must be a non-smoker and non-tobacco user for a minimum of 30 days prior to screening and for the duration of the study.
- Subject understands the full nature and purpose of the study, including possible risks and side effects, and is willing and able to comply with all compulsory study procedures and provides informed consent/permission prior to any study procedures being performed.
- Females of childbearing potential and males capable of fathering a child must meet the contraception requirements
Part 1 & Part 2 Exclusion Criteria:
- History or current evidence of any clinically significant cardiac, endocrinologic, hematologic, hepatobiliary, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, or other major disease, as determined by the investigator
- Prolonged QT interval with Fridericia's correction >450 msec at screening
- Abnormal liver function as defined by aspartate transaminase (AST), alanine transaminase (ALT), or bilirubin >1.5× the upper limit of the normal range
- Abnormal renal function at screening defined as creatinine clearance <90 mL/min using the Cockroft-Gault equation
- Clinically significant screening results that would exclude subject from the study (e.g., medical histories, PE, ECGs, vital signs, and laboratory profiles) as deemed by the investigator
- Participation in another clinical study or treatment with an investigational agent within 30 days or five half-lives, whichever is longer, prior to Study Day 1
- History of cancer within the past 5 years (excluding non-melanoma skin cancer)
- History or current evidence of alcohol or drug abuse or dependence within 12 months of screening as determined by the investigator
- Positive urine screen for prohibited drugs (cocaine, cannabinoids, nicotine [urine cotinine is the detection mechanism for nicotine], opiates, barbiturates, amphetamines, and benzodiazepines) or positive alcohol test at screening
- Positive blood screen for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus antibody (HCVAb)
- Clinically significant infection within 3 months of screening as determined by the investigator
- Known or suspected hypersensitivity or idiosyncratic reaction to study medication or any components thereof
- Has donated blood within 3 months of screening or plans to donate blood within 3 months of study completion
- Pregnant or nursing women
- Any conditions that, in the opinion of the investigator, would make the subject unsuitable for enrollment or could interfere with the subject's participation in or completion of the study
- Use of prohibited medications within 14 days prior to dosing of study drug
Part 3 CF Inclusion Criteria:
- Confirmed diagnosis of CF with the F508del/F508del genotype
- Forced expiratory volume in 1 second (FEV1) 40-90% predicted, inclusive
- Non-smoker and non-tobacco user for a minimum of 30 days prior to screening
Part 3 CF Exclusion Criteria:
- Participation in another clinical trial or treatment with an investigational agent within 28 days or 5 half-lives, whichever is longer, prior to Study Day 1
- History of cancer within the past 5 years (excluding cervical cancer in situ with curative therapy for at least one year prior to screening and non-melanoma skin cancer)
- History of organ transplantation
- Hospitalization, sinopulmonary infection, CF exacerbation, or other clinically significant infection or illness (as determined by the investigator) requiring an increase or addition of medication, such as antibiotics or corticosteroids, within 14 days of Day 1
- Initiation of any new chronic therapy (e.g., ibuprofen, hypertonic saline, azithromycin, Pulmozyme®, Cayston®, TOBI®)) or any change in chronic therapy (excluding pancreatic enzyme replacement therapy) within 28 days prior to Day 1
- History or current evidence of alcohol or drug abuse or dependence within 12 months of screening as determined by the investigator
- Pregnant or nursing women
- Currently taking or has taken a CFTR modulator within 30 days prior to initial dose of study drugs
Part 4 CF Inclusion Criteria:
- Confirmed diagnosis of CF with either the F508del CFTR homozygous genotype on record or for heterozygote subjects, only one copy of the F508del CFTR mutation on record
- Forced expiratory volume in 1 second (FEV1) 40-90% predicted, inclusive
- Non-smoker and non-tobacco user for a minimum of 30 days prior to screening
Part 4 CF Exclusion Criteria:
- Participation in another clinical trial or treatment with an investigational agent within 28 days or 5 half-lives, whichever is longer, prior to Study Day 1
- History of cancer within the past 5 years (excluding cervical cancer in situ with curative therapy for at least one year prior to screening and non-melanoma skin cancer)
- History of organ transplantation
- Hospitalization, sinopulmonary infection, CF exacerbation, or other clinically significant infection or illness (as determined by the investigator) requiring an increase or addition of medication, such as antibiotics or corticosteroids, within 28 days of Day 1
- Initiation of any new chronic therapy (e.g., ibuprofen, hypertonic saline, azithromycin, Pulmozyme®, Cayston®, TOBI®)) or any change in chronic therapy (excluding pancreatic enzyme replacement therapy) within 28 days of Day 1
- History or current evidence of alcohol or drug abuse or dependence within 12 months of screening as determined by the investigator
- Pregnant or nursing women
- Currently taking or has taken a CFTR modulator within 14 days prior to the screening visit
Sites / Locations
- Banner University of Arizona Medical Center
- Stanford University Medical Center
- National Jewish Health
- Central Florida Pulmonary Group
- Emory Children's Center
- Northwestern Memorial Hospital
- Johns Hopkins University
- Massachusetts General Hospital
- Boston Children's Hospital
- Michigan Medicine, University of Michigan
- Harper University Hospital
- University of Minnesota
- Children's Mercy
- Billings Clinic
- University of Nebraska Medical Center
- Dartmouth Hitchcock Medical Center
- New York Medical College
- University of North Carolina at Chapel Hill
- Children's Hospital of Philadelphia
- Medical University of South Carolina
- ICON Early Phase Services
- University of Utah
- John Hunter Hospital
- Universitair ziekenhuis Brussel
- UZ Leuven
- St. Paul's Hospital
- Centre hospitalier de l'Université de Montréal (CHUM)
- McGill University Health Centre
- Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval
- University of Copenhagen Rigshospitalet
- Hôpital Pasteur
- Hôpital Haut Lévêque
- Hôpital Guillaume-et-René-Laennec
- Hôpital Maison Blanche Maladies respiratoires et allergologie
- Hospices Civils de Lyon
- Hôpital Cochin
- Charité Universitätsmedizin Berlin
- University Hospital Cologne
- Universitätsklinikum Essen
- Klinikum der J.W. Goethe Universität
- Klinikum des Universität München
- Auckland Clinical Studies Ltd.
- Royal Devon and Exeter Hospital
- Western General Hospital
- Birmingham Heartlands Hospital
- Belfast City Hospital
- King's College Hospital
- University Hospital Southampton
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Arm 13
Arm 14
Arm 15
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Active Comparator
Active Comparator
Placebo Comparator
Active Comparator
Active Comparator
Placebo Comparator
SAD PTI-808 Active
SAD PTI-808 Placebo
MAD PTI-808 Active
MAD PTI-808 Placebo
FE PTI-808 Active
FE PTI-808 Placebo
Part 2 PTI-808 + PTI-801 + PTI-428 Active
Part 2 matching Placebos
Part 2 dual active arm PTI-801+PTI-428+ PTI-808 placebo
Part 2 dual active arm PTI-801+PTI-808+PTI-428 placebo
Part 3 CF MAD PTI-808 + PTI-801 + PTI-428
Part 3 CF MAD PTI-808 placebo+PTI-801 placebo+PTI-428 placebo
Part 4 CF PTI-808 + PTI-801 + PTI-428
Part 4 CF PTI-808 + PTI-801 + PTI-428 placebo
Part 4 CF PTI-808 placebo + PTI-801 placebo + PTI-428 placebo
Three cohorts of SAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo.
Three cohorts of SAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo.
Three cohorts of MAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo.
Three cohorts of MAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo.
Subjects will be randomized to Fed or Fasted on Days 1 and 12. Follow up visits will occur 7 days post Day 12 dose.
Subjects will be randomized to Fed or Fasted on Days 1 and 12. Follow up visits will occur 7 days post Day 12 dose.
One cohort is planned where subjects will be randomized to either the triple active arm (dosed with PTI 808+PTI 801+PTI 428) OR placebo arm.
In all three cohorts in part 2, subjects will be randomized to active drug or placebo. The placebo arm for all cohorts consists of placebo capsules matching PTI-808+PTI-801+PTI-428.
One cohort is planned where subjects are randomized to either 808 placebo + dual active arm (dosed with placebo matching PTI 808 plus PTI 801 + PTI 428) OR placebo arm.
One cohort is planned where subjects are randomized to either 428 placebo + dual active arm (dosed with placebo matching PTI 428 plus PTI 808 and PTI 801) OR placebo arm.
In all cohorts in Part 3, subjects will be will be randomized to receive 7 days of PTI-808 or placebo followed by 14 days of co-administration of PTI-808+PTI-801+PTI-428 or matching placebos. A follow-up will occur on Day 28.
In all cohorts in Part 3, subjects will be randomized to receive 7 days of PTI-808 or placebo followed by 14 days of co-administration of PTI-808+PTI-801+PTI-428 or matching placebos. A follow-up will occur on Day 28.
In cohorts 3 & 4 subjects will be randomized to receive PTI-808 + PTI-801 with or without PTI-428 or matching placebos. A follow-up will occur on Day 42.
In cohorts 3 & 4, subjects will be randomized to receive PTI-808 + PTI-801 with or without PTI-428 or matching placebos. A follow-up will occur on Day 42.
In cohorts 3 & 4, subjects will be randomized to receive PTI-808 + PTI-801 with or without PTI-428 or matching placebos. A follow-up will occur on Day 42.