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A DDI Study of FDL169 and FDL176 in Healthy Subjects

Primary Purpose

Cystic Fibrosis

Status
Suspended
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
FDL169
FDL176
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 - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy males or non-pregnant, non-lactating healthy females
  • Body mass index of 18.0 to 32.0 kg/m2 or, if outside the range, considered not clinically significant by the investigator
  • Must agree to follow the study's contraception requirement

Exclusion Criteria:

  • Prior or ongoing medical condition, medical history, physical findings, ECG findings or laboratory abnormality that, in the Investigator's (or delegate's) opinion, could adversely affect the safety of the subject or would place the subject at increased risk.
  • History of long QT syndrome and/or QT corrected according to Fridericia's formula (QTcF) interval (>450 msec) or QTcF >450 msec at Screening or Day -1.
  • Presence or history of clinically significant allergy requiring treatment, as judged by the investigator. Hayfever is allowed unless it is active.
  • Use of any prescription drugs within 14 days or 5 half-lives (whichever is longer) before the first dose of IMP.
  • Use of any non-prescription drugs, including vitamins, herbal and dietary supplements within 14 days or 5 half-lives (whichever is longer) before the first dose of IMP.
  • Use of any prescription and non-prescription medications that are strong inhibitors or moderate inducers of cytochrome P450 3A, within 14 days or 5-half-lives (whichever is longer) before the first dose of IMP. Use of any prescription and non-prescription medications that are strong inducers of cytochrome P450 3A within 28 days before the first dose of IMP.
  • Participation in another clinical trial involving receipt of an IMP within the past 90 days.
  • Prior exposure to FDL169 or FDL176
  • Alkaline phosphatase, aspartate aminotransferase and/or alanine aminotransferase >1.5 x upper limit of normal (ULN) at screening.
  • Serum creatinine or total bilirubin >1.5 x ULN (isolated bilirubin >1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin is <35%).
  • Abnormal renal function at screening, defined as estimated glomerular filtration rate <60 mL/min using the Modification of Diet in Renal Disease (MDRD) equation.
  • History of human immunodeficiency virus (HIV) or positive HIV, hepatitis B or hepatitis C results at screening.
  • Positive urinary drugs of abuse screen at Screening or Day -1, or positive alcohol breath test at Screening or Day -1. Consumption of alcohol within 24 h prior to admission.
  • Consumption of any food or drink containing grapefruit, or Seville oranges (including marmalade and fruit juices) for 14 days before the first dose of IMP.
  • Consumptions or foods containing poppy seeds or involvement in strenuous exercise for 3 days before admission.
  • Known hypersensitivity to any component of the formulation of FDL169 or FDL176.
  • Pregnant or nursing females.
  • History of regular alcohol consumption within 6 months of the study
  • Current smoking or use of tobacco products or substitutes.
  • Poor peripheral venous access.
  • Donation of ≥470 mL blood or loss of blood during surgery or due to trauma within 3 months prior to Day 1.
  • Plasma donation within 7 days prior to Day 1.
  • Failure to satisfy the Investigator of their fitness to participate for any other reason.
  • Site staff, Sponsor staff or first degree family members of site or Sponsor.

Sites / Locations

  • Celerion GB Ltd

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Part 1

Part 2

Part 3

Part 4

Arm Description

To receive a single dose of FDL176 on Day 1, followed by FDL169 TID for 28 days starting on Day 29; and another single dose of FDL176 on Day 42.

To receive FDL169 TID for 3 days from Day 1, followed by FDL176 QD for 19 days starting on Day 8; and FDL169 TID for 3 days from Day 24.

FDL169 and FDL176 for 28 days and 4 weeks of follow-up

FDL169 and FDL176 for 28 days and 4 weeks of follow-up

Outcomes

Primary Outcome Measures

Pharmacokinetic parameters, Cmax
Part 1: the pharmacokinetic parameters of FDL176 when co-administered with FDL169, compared to the pharmacokinetics of FDL176 alone. Part 2: the pharmacokinetics of FDL169 when co-administered with FDL176, compared to the pharmacokinetics of FDL169 alone. Part 3: PK when co-administered. Part 4: Safety and tolerability with multiple dose co-administration in CF subjects

Secondary Outcome Measures

Incidence of Treatment-Emergent Adverse Events
Safety and tolerability when FDL176 and FDL169 are co-administrated,compared to FDL176 alone, and FDL169 alone, as determined by the incidence of adverse events (Aes) and serious adverse events (SAE)s. Part 4: Combination PK and CF transmembrane conductance regulator activity in CF subjects

Full Information

First Posted
November 27, 2018
Last Updated
January 30, 2020
Sponsor
Flatley Discovery Lab LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03756922
Brief Title
A DDI Study of FDL169 and FDL176 in Healthy Subjects
Official Title
A Phase 1/2, Drug-Drug Interaction Study of FDL169 and FDL176 in Healthy Subjects and in Cystic Fibrosis Subjects Homozygous for the F508del-CFTR Mutation
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Suspended
Why Stopped
Business reasons
Study Start Date
November 27, 2018 (Actual)
Primary Completion Date
February 2020 (Anticipated)
Study Completion Date
February 2020 (Anticipated)

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
A DDI study to assess the safety, tolerability and pharmacokinetics of both; doses of FDL176 with and without co-administration of FDL169 and doses of FDL169 with and without co-administration of FDL176.
Detailed Description
This is an open-label, non-randomised study. Enrolment will be in two parallel and independent parts. Part 1 will assess the safety, tolerability and pharmacokinetics of single doses of FDL176 with and without co-administration of FDL169. Part 2 will assess the safety, tolerability and pharmacokinetics of repeated doses of FDL169 with and without co-administration of FDL176.

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, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Parallel for Part 1 and Part 2; Sequential for Part 3 and Part 4
Masking
ParticipantCare ProviderInvestigator
Masking Description
Parts 1, 2, and 3 are Open Label, while Part 4 is randomized and blinded
Allocation
Randomized
Enrollment
78 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1
Arm Type
Experimental
Arm Description
To receive a single dose of FDL176 on Day 1, followed by FDL169 TID for 28 days starting on Day 29; and another single dose of FDL176 on Day 42.
Arm Title
Part 2
Arm Type
Experimental
Arm Description
To receive FDL169 TID for 3 days from Day 1, followed by FDL176 QD for 19 days starting on Day 8; and FDL169 TID for 3 days from Day 24.
Arm Title
Part 3
Arm Type
Experimental
Arm Description
FDL169 and FDL176 for 28 days and 4 weeks of follow-up
Arm Title
Part 4
Arm Type
Experimental
Arm Description
FDL169 and FDL176 for 28 days and 4 weeks of follow-up
Intervention Type
Drug
Intervention Name(s)
FDL169
Intervention Description
CFTR corrector
Intervention Type
Drug
Intervention Name(s)
FDL176
Intervention Description
CFTR potentiator
Primary Outcome Measure Information:
Title
Pharmacokinetic parameters, Cmax
Description
Part 1: the pharmacokinetic parameters of FDL176 when co-administered with FDL169, compared to the pharmacokinetics of FDL176 alone. Part 2: the pharmacokinetics of FDL169 when co-administered with FDL176, compared to the pharmacokinetics of FDL169 alone. Part 3: PK when co-administered. Part 4: Safety and tolerability with multiple dose co-administration in CF subjects
Time Frame
Part 1: 14 weeks; Part 2: 12 weeks; Part 3: 12weeks; Part 4: 12 weeks
Secondary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events
Description
Safety and tolerability when FDL176 and FDL169 are co-administrated,compared to FDL176 alone, and FDL169 alone, as determined by the incidence of adverse events (Aes) and serious adverse events (SAE)s. Part 4: Combination PK and CF transmembrane conductance regulator activity in CF subjects
Time Frame
Part 1: 14 weeks; Part 2: 12 weeks; Part 3: 12weeks; Part 4: 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy males or non-pregnant, non-lactating healthy females Body mass index of 18.0 to 32.0 kg/m2 or, if outside the range, considered not clinically significant by the investigator Must agree to follow the study's contraception requirement Exclusion Criteria: Prior or ongoing medical condition, medical history, physical findings, ECG findings or laboratory abnormality that, in the Investigator's (or delegate's) opinion, could adversely affect the safety of the subject or would place the subject at increased risk. History of long QT syndrome and/or QT corrected according to Fridericia's formula (QTcF) interval (>450 msec) or QTcF >450 msec at Screening or Day -1. Presence or history of clinically significant allergy requiring treatment, as judged by the investigator. Hayfever is allowed unless it is active. Use of any prescription drugs within 14 days or 5 half-lives (whichever is longer) before the first dose of IMP. Use of any non-prescription drugs, including vitamins, herbal and dietary supplements within 14 days or 5 half-lives (whichever is longer) before the first dose of IMP. Use of any prescription and non-prescription medications that are strong inhibitors or moderate inducers of cytochrome P450 3A, within 14 days or 5-half-lives (whichever is longer) before the first dose of IMP. Use of any prescription and non-prescription medications that are strong inducers of cytochrome P450 3A within 28 days before the first dose of IMP. Participation in another clinical trial involving receipt of an IMP within the past 90 days. Prior exposure to FDL169 or FDL176 Alkaline phosphatase, aspartate aminotransferase and/or alanine aminotransferase >1.5 x upper limit of normal (ULN) at screening. Serum creatinine or total bilirubin >1.5 x ULN (isolated bilirubin >1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin is <35%). Abnormal renal function at screening, defined as estimated glomerular filtration rate <60 mL/min using the Modification of Diet in Renal Disease (MDRD) equation. History of human immunodeficiency virus (HIV) or positive HIV, hepatitis B or hepatitis C results at screening. Positive urinary drugs of abuse screen at Screening or Day -1, or positive alcohol breath test at Screening or Day -1. Consumption of alcohol within 24 h prior to admission. Consumption of any food or drink containing grapefruit, or Seville oranges (including marmalade and fruit juices) for 14 days before the first dose of IMP. Consumptions or foods containing poppy seeds or involvement in strenuous exercise for 3 days before admission. Known hypersensitivity to any component of the formulation of FDL169 or FDL176. Pregnant or nursing females. History of regular alcohol consumption within 6 months of the study Current smoking or use of tobacco products or substitutes. Poor peripheral venous access. Donation of ≥470 mL blood or loss of blood during surgery or due to trauma within 3 months prior to Day 1. Plasma donation within 7 days prior to Day 1. Failure to satisfy the Investigator of their fitness to participate for any other reason. Site staff, Sponsor staff or first degree family members of site or Sponsor.
Facility Information:
Facility Name
Celerion GB Ltd
City
Belfast
ZIP/Postal Code
BT9 6AD
Country
United Kingdom

12. IPD Sharing Statement

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A DDI Study of FDL169 and FDL176 in Healthy Subjects

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