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A Study Looking at the Safety, Tolerability and Efficacy of the Combination of the Study Drugs GLPG2451 and GLPG2222 With or Without GLPG2737 in Patients With Cystic Fibrosis. (FALCON)

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
GLPG2451 dose regimen A
GLPG2451 dose regimen B
GLPG2222
GLPG2737
Sponsored by
Galapagos NV
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:

  • Female or male subject ≥18 years of age, on the day of signing the Informed Consent Form (ICF)
  • Confirmed clinical diagnosis of cystic fibrosis (CF) (documented in the subject's medical record).
  • Eligible cystic fibrosis transmembrane conductance regulator (CFTR) genotype at screening:

    • Cohort A: Homozygous for the F508del CFTR mutation
    • Cohort B: Heterozygous for the F508del CFTR mutation with a potentiator non-responsive mutation on the second allele
    • Cohort C: Homozygous for the F508del CFTR mutation
  • A body weight of ≥40 kg at screening.
  • Stable concomitant medication for pulmonary health for CF for at least 4 weeks prior to the first study drug administration and planned continuation of the same concomitant medication for the duration of the dosing period of the study. Subjects with diabetes mellitus and/or pancreatic insufficiency are eligible for the study provided they are on stable treatment (e.g. medication, diet, pancreatic enzyme replacement therapy) for at least 4 weeks prior to the first study drug administration in the opinion of the investigator.
  • Forced expiratory volume in 1 second (FEV1): 40% ≤ FEV1 ≤ 90% of predicted normal for age, sex, and height at screening (pre- or post bronchodilator) at screening.
  • Sweat chloride concentration ≥60 mmol/L at screening.
  • Non-smoker and non-user of any nicotine and or cannabis containing products. A non-smoker is defined as an individual who has abstained from smoking for at least 1 year prior to the screening. A non-user is defined as an individual who has abstained from any nicotine containing products for at least 1 year prior to the screening.

Exclusion Criteria:

  • History of or ongoing allergic bronchopulmonary aspergillosis.
  • Medical history of cataract (or lens opacity) and/or glaucoma.
  • Cataract (or lens opacity) and/or glaucoma determined by an ophthalmologist during the screening period.
  • Unstable pulmonary status or respiratory tract infection (including rhinosinusitis) requiring a change in therapy within 4 weeks prior to the first study drug administration.
  • History of clinically meaningful unstable or uncontrolled chronic disease that makes the subject unsuitable for inclusion in the study in the opinion of the investigator.
  • Need for supplemental oxygen during the day, and >2 L/minute while sleeping.
  • History of hepatic cirrhosis with portal hypertension (e.g., signs/symptoms of splenomegaly, esophageal varices).
  • History of malignancy within the past 5 years (except for basal cell carcinoma of the skin with no evidence of recurrence and/or carcinoma in situ of the cervix that has been treated with no evidence of recurrence).
  • Use of any moderate and strong inhibitor(s) or inducer(s) of CYP3A4 within 4 weeks prior to the first study drug administration (e.g., clarithromycin, itraconazole, ketoconazole, telithromycin, rifampin, carbamazepine).
  • Use of CFTR modulator therapy (e.g., lumacaftor and/or ivacaftor) within 4 weeks prior to the first study drug administration.
  • Use of any oral corticosteroid within 3 months of screening; or history of oral corticosteroid use for ≥30 days (cumulative) within 2 years of screening.
  • Abnormal liver function test at screening; defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/or alkaline phosphatase and/or gamma-glutamyl transferase (GGT) ≥3× the upper limit of normal (ULN); and/or total bilirubin ≥1.5× the ULN.

Sites / Locations

  • Study Site BEL004
  • Study Site BEL003
  • Study Site BEL002
  • Study Site BEL001
  • Study Site BGR001
  • Study Site DEU001
  • Study Site DEU002
  • Study Site GRC001
  • Study Site NLD002
  • Study Site NLD001
  • Study Site SRB001
  • Study Site SWE001
  • Study Site SWE002
  • Study Site GBR003
  • Study Site GBR004
  • Study Site GBR005
  • Study Site GBR007
  • Study Site GBR006
  • Study Site GBR001
  • Study Site GBR002

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort A - F508del homozygous

Cohort B - F508del heterozygous/potentiator nonresponsive

Cohort C - F508del homozygous

Arm Description

Dual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods.( Study Part I)

Dual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods. (study Part II)

Dual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods. (Study Part II)

Outcomes

Primary Outcome Measures

Number of subjects with adverse events.
To assess safety and tolerability of doses of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I and Part II).
Maximum observed plasma concentration (Cmax).
To characterize the pharmacokinetics (PK) of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Maximum observed plasma concentration (Cmax).
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Area under the plasma concentration-time curve from time zero until 24 hours (AUC0-24h).
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Area under the plasma concentration-time curve from time zero until 24 hours (AUC0-24h).
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Trough plasma concentration observed at the end of the dosing interval (24 hours post-dose) (Ctrough).
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I and Part II).
Change from baseline in sweat chloride concentration.
To assess changes in sweat chloride concentration after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part II).
Change from baseline in percent predicted FEV1.
To assess changes in percent predicted FEV1 after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part II).

Secondary Outcome Measures

Change from baseline in sweat chloride concentration.
To assess changes in sweat chloride concentration after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Change from baseline in percent predicted FEV1.
To assess changes in percent predicted FEV1 after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).

Full Information

First Posted
April 27, 2018
Last Updated
April 4, 2019
Sponsor
Galapagos NV
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1. Study Identification

Unique Protocol Identification Number
NCT03540524
Brief Title
A Study Looking at the Safety, Tolerability and Efficacy of the Combination of the Study Drugs GLPG2451 and GLPG2222 With or Without GLPG2737 in Patients With Cystic Fibrosis.
Acronym
FALCON
Official Title
Assessment of Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Oral Doses of the Combination of GLPG2451 and GLPG2222, With or Without GLPG2737, in Adult Subjects With Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
May 31, 2018 (Actual)
Primary Completion Date
March 11, 2019 (Actual)
Study Completion Date
March 11, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galapagos NV

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 Ib, multi-center, open-label, nonrandomized multiple cohorts study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of multiple doses of a combination treatment of GLPG2451 and GLPG2222, with and without GLPG2737, in adult subjects with Cystic Fibrosis.

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 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort A - F508del homozygous
Arm Type
Experimental
Arm Description
Dual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods.( Study Part I)
Arm Title
Cohort B - F508del heterozygous/potentiator nonresponsive
Arm Type
Experimental
Arm Description
Dual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods. (study Part II)
Arm Title
Cohort C - F508del homozygous
Arm Type
Experimental
Arm Description
Dual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods. (Study Part II)
Intervention Type
Drug
Intervention Name(s)
GLPG2451 dose regimen A
Intervention Description
GLPG2451 oral suspension, daily.
Intervention Type
Drug
Intervention Name(s)
GLPG2451 dose regimen B
Intervention Description
GLPG2451 oral suspension, daily.
Intervention Type
Drug
Intervention Name(s)
GLPG2222
Intervention Description
GLPG2222 tablet for oral use, daily.
Intervention Type
Drug
Intervention Name(s)
GLPG2737
Intervention Description
GLPG2737 capsules for oral use, daily.
Primary Outcome Measure Information:
Title
Number of subjects with adverse events.
Description
To assess safety and tolerability of doses of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I and Part II).
Time Frame
Up to 24 weeks after the last dose
Title
Maximum observed plasma concentration (Cmax).
Description
To characterize the pharmacokinetics (PK) of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Time Frame
Day 14
Title
Maximum observed plasma concentration (Cmax).
Description
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Time Frame
Day 28
Title
Area under the plasma concentration-time curve from time zero until 24 hours (AUC0-24h).
Description
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Time Frame
Day 14
Title
Area under the plasma concentration-time curve from time zero until 24 hours (AUC0-24h).
Description
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Time Frame
Day 28
Title
Trough plasma concentration observed at the end of the dosing interval (24 hours post-dose) (Ctrough).
Description
To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I and Part II).
Time Frame
Between Day 2 and Day 28
Title
Change from baseline in sweat chloride concentration.
Description
To assess changes in sweat chloride concentration after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part II).
Time Frame
Between Day 1 pre-dose and Day 28
Title
Change from baseline in percent predicted FEV1.
Description
To assess changes in percent predicted FEV1 after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part II).
Time Frame
Between Day 1 pre-dose and Day 28
Secondary Outcome Measure Information:
Title
Change from baseline in sweat chloride concentration.
Description
To assess changes in sweat chloride concentration after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Time Frame
Between Day 1 pre-dose and Day 28
Title
Change from baseline in percent predicted FEV1.
Description
To assess changes in percent predicted FEV1 after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).
Time Frame
Between Day 1 pre-dose and Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female or male subject ≥18 years of age, on the day of signing the Informed Consent Form (ICF) Confirmed clinical diagnosis of cystic fibrosis (CF) (documented in the subject's medical record). Eligible cystic fibrosis transmembrane conductance regulator (CFTR) genotype at screening: Cohort A: Homozygous for the F508del CFTR mutation Cohort B: Heterozygous for the F508del CFTR mutation with a potentiator non-responsive mutation on the second allele Cohort C: Homozygous for the F508del CFTR mutation A body weight of ≥40 kg at screening. Stable concomitant medication for pulmonary health for CF for at least 4 weeks prior to the first study drug administration and planned continuation of the same concomitant medication for the duration of the dosing period of the study. Subjects with diabetes mellitus and/or pancreatic insufficiency are eligible for the study provided they are on stable treatment (e.g. medication, diet, pancreatic enzyme replacement therapy) for at least 4 weeks prior to the first study drug administration in the opinion of the investigator. Forced expiratory volume in 1 second (FEV1): 40% ≤ FEV1 ≤ 90% of predicted normal for age, sex, and height at screening (pre- or post bronchodilator) at screening. Sweat chloride concentration ≥60 mmol/L at screening. Non-smoker and non-user of any nicotine and or cannabis containing products. A non-smoker is defined as an individual who has abstained from smoking for at least 1 year prior to the screening. A non-user is defined as an individual who has abstained from any nicotine containing products for at least 1 year prior to the screening. Exclusion Criteria: History of or ongoing allergic bronchopulmonary aspergillosis. Medical history of cataract (or lens opacity) and/or glaucoma. Cataract (or lens opacity) and/or glaucoma determined by an ophthalmologist during the screening period. Unstable pulmonary status or respiratory tract infection (including rhinosinusitis) requiring a change in therapy within 4 weeks prior to the first study drug administration. History of clinically meaningful unstable or uncontrolled chronic disease that makes the subject unsuitable for inclusion in the study in the opinion of the investigator. Need for supplemental oxygen during the day, and >2 L/minute while sleeping. History of hepatic cirrhosis with portal hypertension (e.g., signs/symptoms of splenomegaly, esophageal varices). History of malignancy within the past 5 years (except for basal cell carcinoma of the skin with no evidence of recurrence and/or carcinoma in situ of the cervix that has been treated with no evidence of recurrence). Use of any moderate and strong inhibitor(s) or inducer(s) of CYP3A4 within 4 weeks prior to the first study drug administration (e.g., clarithromycin, itraconazole, ketoconazole, telithromycin, rifampin, carbamazepine). Use of CFTR modulator therapy (e.g., lumacaftor and/or ivacaftor) within 4 weeks prior to the first study drug administration. Use of any oral corticosteroid within 3 months of screening; or history of oral corticosteroid use for ≥30 days (cumulative) within 2 years of screening. Abnormal liver function test at screening; defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/or alkaline phosphatase and/or gamma-glutamyl transferase (GGT) ≥3× the upper limit of normal (ULN); and/or total bilirubin ≥1.5× the ULN.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Olivier Van de Steen, MD MBA
Organizational Affiliation
Galapagos NV
Official's Role
Study Director
Facility Information:
Facility Name
Study Site BEL004
City
Antwerp
Country
Belgium
Facility Name
Study Site BEL003
City
Brussels
Country
Belgium
Facility Name
Study Site BEL002
City
Gent
Country
Belgium
Facility Name
Study Site BEL001
City
Leuven
Country
Belgium
Facility Name
Study Site BGR001
City
Sofia
Country
Bulgaria
Facility Name
Study Site DEU001
City
Berlin
Country
Germany
Facility Name
Study Site DEU002
City
Essen
Country
Germany
Facility Name
Study Site GRC001
City
Thessaloníki
Country
Greece
Facility Name
Study Site NLD002
City
Amsterdam
Country
Netherlands
Facility Name
Study Site NLD001
City
Utrecht
Country
Netherlands
Facility Name
Study Site SRB001
City
Belgrade
Country
Serbia
Facility Name
Study Site SWE001
City
Göteborg
Country
Sweden
Facility Name
Study Site SWE002
City
Stockholm
Country
Sweden
Facility Name
Study Site GBR003
City
Birmingham
Country
United Kingdom
Facility Name
Study Site GBR004
City
Glasgow
Country
United Kingdom
Facility Name
Study Site GBR005
City
Liverpool
Country
United Kingdom
Facility Name
Study Site GBR007
City
London
ZIP/Postal Code
SW3 6NP
Country
United Kingdom
Facility Name
Study Site GBR006
City
Newcastle
Country
United Kingdom
Facility Name
Study Site GBR001
City
Papworth Everard
Country
United Kingdom
Facility Name
Study Site GBR002
City
Wythenshawe
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study Looking at the Safety, Tolerability and Efficacy of the Combination of the Study Drugs GLPG2451 and GLPG2222 With or Without GLPG2737 in Patients With Cystic Fibrosis.

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