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A Study to Assess the Safety, Tolerability, and Pharmacokinetics of Brensocatib Tablets in Adults With Cystic Fibrosis

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Brensocatib
Placebo
Sponsored by
Insmed Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  • Participants must be ≥18 years of age at the time of signing the informed consent.
  • Male or female participants with a confirmed diagnosis of CF related lung disease:

    1. Percent predicted forced expiratory volume in 1 second (ppFEV1) between 40% to 90% (inclusive) at Screening Visit and at Baseline.
    2. Stable CF treatment for at least 30 days before screening and willing to remain on a stable regimen throughout the treatment period.
  • Has a body mass index ≥18 kg/m^2.
  • Male and female participants must use contraceptives that are consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

    1. Male participants, who are not sterile, with female partners of childbearing potential must be using effective contraception from Day 1 to at least 90 days after the last dose.
    2. Women must be postmenopausal (defined as no menses for 12 months without an alternative medical cause), surgically sterile, or using highly effective contraception methods (i.e., methods that alone or in combination achieve <1% unintended pregnancy rates per year when used consistently and correctly) from Day 1 to at least 90 days after the last dose.
  • Female participants of childbearing potential must have a negative serum pregnancy test at Screening.
  • Male participants with pregnant or nonpregnant women of childbearing potential partners must use a condom.

Exclusion Criteria:

  • Severe or unstable CF, per Investigator's judgement.
  • Currently being treated for allergic bronchopulmonary aspergillosis or nontuberculous mycobacteria or tuberculosis.
  • Active and current infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
  • History of malignancy in the past 5 years, except completely treated in situ carcinoma of the cervix and completely treated non-metastatic squamous or basal cell carcinoma of the skin.
  • Established diagnosis of hepatitis B viral infection or positive for hepatitis B surface antigen (HBsAg) at Screening.
  • Established diagnosis of hepatitis C virus (HCV) infection at Screening. Participants positive for hepatitis C antibody are eligible only if HCV RNA is negative.
  • History of human immunodeficiency virus (HIV) infection.
  • Acute upper or lower respiratory tract infection, pulmonary exacerbation, or changes in therapy (including intravenous and oral antibiotics) for pulmonary disease within 4 weeks prior to Day 1 (administration of the first dose of study drug). Participants meeting this criterion could be rescreened 4 weeks after resolution of symptoms.
  • History of prolonged QT/QTc interval with QTcF >480 millisecond (msec) at Screening.
  • History of solid organ or hematological transplantation.
  • Have diagnosed periodontal disease and are either:

    1. Currently treated by a dentist for this condition or
    2. Expected to have periodontal disease-related procedures within the study period.
  • Received any live attenuated vaccine within 4 weeks prior Screening.
  • Ongoing participation in another therapeutic clinical study or prior participation in an investigational drug study within 90 days prior to Screening.
  • Known history of hypersensitivity to brensocatib or any of its excipients.
  • Use of any immunomodulatory agents within 4 weeks before the Screening Visit is prohibited during the study through end of study (including, but not limited to: bortezomib, ixazomib, thalidomide, cyclophosphamide, mycophenolate, Janus kinase inhibitors, interferon gamma (IFN-γ], and azathioprine).
  • Continuous use of high-dose non-steroidal anti-inflammatory drugs (NSAIDs) is prohibited during the study through end of study.
  • History of alcohol, medication, or illicit drug abuse.
  • Current smoker, as defined by Centers for Disease Control and Prevention: An adult who has smoked 100 cigarettes in his or her lifetime and who currently smokes cigarettes.

Sites / Locations

  • USA001
  • USA016
  • USA025
  • USA011
  • USA023
  • USA002
  • USA022
  • USA008
  • USA006
  • USA018
  • USA009
  • USA017
  • USA004
  • USA003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Brensocatib 10 mg

Brensocatib 25 mg

Brensocatib 40 mg

Brensocatib 65 mg

Placebo

Arm Description

Participants will be administered brensocatib at a dose of 10 mg once per day for 28 days. The participants will be stratified based on cystic fibrosis transmembrane conductance regulators (CFTRs) modulator treatment.

Participants will be administered brensocatib at a dose of 25 mg once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.

Participants will be administered brensocatib at a dose of 40 mg once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.

Following review of safety and pharmacokinetic data by the safety review committee, an additional cohort of participants may be administered brensocatib at a dose of 65 mg once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.

Participants will be administered a placebo matching brensocatib once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.

Outcomes

Primary Outcome Measures

Maximum Plasma Concentration (Cmax) of Brensocatib
Time to Maximum Plasma Concentration (tmax) of Brensocatib
Area Under the Concentration-time Curve from Time 0 to 24 Hours Post-dose (AUC0-24) of Brensocatib
Elimination Half-life (t1/2) of Brensocatib
Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)

Secondary Outcome Measures

Dose-normalized Maximum Plasma Concentration (Cmax) of Brensocatib
Dose-normalized Area Under the Concentration-time Curve from Time 0 to 24 Hours Post-dose (AUC0-24) of Brensocatib
Dose-normalized Area Under the Concentration-time Curve from Time 0 to the Time of Last Measurable Concentration (AUClast) of Brensocatib

Full Information

First Posted
October 14, 2021
Last Updated
March 21, 2023
Sponsor
Insmed Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT05090904
Brief Title
A Study to Assess the Safety, Tolerability, and Pharmacokinetics of Brensocatib Tablets in Adults With Cystic Fibrosis
Official Title
A Phase 2a, Single-Blind, Placebo-Controlled, Parallel-Group Study to Assess Safety, Tolerability, and Pharmacokinetics of Brensocatib Tablets in Adults With Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
November 30, 2021 (Actual)
Primary Completion Date
November 1, 2022 (Actual)
Study Completion Date
November 1, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Insmed Incorporated

4. Oversight

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

5. Study Description

Brief Summary
The main objective of the study is to evaluate the pharmacokinetics of brensocatib in participants with cystic fibrosis following once daily oral administration of study drug and to evaluate the safety of brensocatib compared to placebo in participants with cystic fibrosis (CF) over the 4-week treatment period.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Brensocatib 10 mg
Arm Type
Experimental
Arm Description
Participants will be administered brensocatib at a dose of 10 mg once per day for 28 days. The participants will be stratified based on cystic fibrosis transmembrane conductance regulators (CFTRs) modulator treatment.
Arm Title
Brensocatib 25 mg
Arm Type
Experimental
Arm Description
Participants will be administered brensocatib at a dose of 25 mg once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.
Arm Title
Brensocatib 40 mg
Arm Type
Experimental
Arm Description
Participants will be administered brensocatib at a dose of 40 mg once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.
Arm Title
Brensocatib 65 mg
Arm Type
Experimental
Arm Description
Following review of safety and pharmacokinetic data by the safety review committee, an additional cohort of participants may be administered brensocatib at a dose of 65 mg once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will be administered a placebo matching brensocatib once per day for 28 days. The participants will be stratified based on CFTRs modulator treatment.
Intervention Type
Drug
Intervention Name(s)
Brensocatib
Other Intervention Name(s)
INS1007
Intervention Description
Oral tablet
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral tablet
Primary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 and 168 hours postdose
Title
Time to Maximum Plasma Concentration (tmax) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 and 168 hours postdose
Title
Area Under the Concentration-time Curve from Time 0 to 24 Hours Post-dose (AUC0-24) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 hours postdose
Title
Elimination Half-life (t1/2) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 and 168 hours postdose
Title
Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)
Time Frame
Day 1 to Day 56
Secondary Outcome Measure Information:
Title
Dose-normalized Maximum Plasma Concentration (Cmax) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 and 168 hours postdose
Title
Dose-normalized Area Under the Concentration-time Curve from Time 0 to 24 Hours Post-dose (AUC0-24) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 hours postdose
Title
Dose-normalized Area Under the Concentration-time Curve from Time 0 to the Time of Last Measurable Concentration (AUClast) of Brensocatib
Time Frame
Day 1: Predose and 0.5, 1, 2, 4, 6, 8, and 24 hours postdose; Day 28: Predose and at 0.5, 1, 2, 4, 6, 8, 24 and 168 hours postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants must be ≥18 years of age at the time of signing the informed consent. Male or female participants with a confirmed diagnosis of CF related lung disease: Percent predicted forced expiratory volume in 1 second (ppFEV1) between 40% to 90% (inclusive) at Screening Visit and at Baseline. Stable CF treatment for at least 30 days before screening and willing to remain on a stable regimen throughout the treatment period. Has a body mass index ≥18 kg/m^2. Male and female participants must use contraceptives that are consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Male participants, who are not sterile, with female partners of childbearing potential must be using effective contraception from Day 1 to at least 90 days after the last dose. Women must be postmenopausal (defined as no menses for 12 months without an alternative medical cause), surgically sterile, or using highly effective contraception methods (i.e., methods that alone or in combination achieve <1% unintended pregnancy rates per year when used consistently and correctly) from Day 1 to at least 90 days after the last dose. Female participants of childbearing potential must have a negative serum pregnancy test at Screening. Male participants with pregnant or nonpregnant women of childbearing potential partners must use a condom. Exclusion Criteria: Severe or unstable CF, per Investigator's judgement. Currently being treated for allergic bronchopulmonary aspergillosis or nontuberculous mycobacteria or tuberculosis. Active and current infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). History of malignancy in the past 5 years, except completely treated in situ carcinoma of the cervix and completely treated non-metastatic squamous or basal cell carcinoma of the skin. Established diagnosis of hepatitis B viral infection or positive for hepatitis B surface antigen (HBsAg) at Screening. Established diagnosis of hepatitis C virus (HCV) infection at Screening. Participants positive for hepatitis C antibody are eligible only if HCV RNA is negative. History of human immunodeficiency virus (HIV) infection. Acute upper or lower respiratory tract infection, pulmonary exacerbation, or changes in therapy (including intravenous and oral antibiotics) for pulmonary disease within 4 weeks prior to Day 1 (administration of the first dose of study drug). Participants meeting this criterion could be rescreened 4 weeks after resolution of symptoms. History of prolonged QT/QTc interval with QTcF >480 millisecond (msec) at Screening. History of solid organ or hematological transplantation. Have diagnosed periodontal disease and are either: Currently treated by a dentist for this condition or Expected to have periodontal disease-related procedures within the study period. Received any live attenuated vaccine within 4 weeks prior Screening. Ongoing participation in another therapeutic clinical study or prior participation in an investigational drug study within 90 days prior to Screening. Known history of hypersensitivity to brensocatib or any of its excipients. Use of any immunomodulatory agents within 4 weeks before the Screening Visit is prohibited during the study through end of study (including, but not limited to: bortezomib, ixazomib, thalidomide, cyclophosphamide, mycophenolate, Janus kinase inhibitors, interferon gamma (IFN-γ], and azathioprine). Continuous use of high-dose non-steroidal anti-inflammatory drugs (NSAIDs) is prohibited during the study through end of study. History of alcohol, medication, or illicit drug abuse. Current smoker, as defined by Centers for Disease Control and Prevention: An adult who has smoked 100 cigarettes in his or her lifetime and who currently smokes cigarettes.
Facility Information:
Facility Name
USA001
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610-0001
Country
United States
Facility Name
USA016
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912-0004
Country
United States
Facility Name
USA025
City
Glenview
State/Province
Illinois
ZIP/Postal Code
60025-7645
Country
United States
Facility Name
USA011
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115-5724
Country
United States
Facility Name
USA023
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
USA002
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63101
Country
United States
Facility Name
USA022
City
New York
State/Province
New York
ZIP/Postal Code
10032-3720
Country
United States
Facility Name
USA008
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106-1716
Country
United States
Facility Name
USA006
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195-0001
Country
United States
Facility Name
USA018
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239-3011
Country
United States
Facility Name
USA009
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425-8900
Country
United States
Facility Name
USA017
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232-0028
Country
United States
Facility Name
USA004
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390-7208
Country
United States
Facility Name
USA003
City
Tyler
State/Province
Texas
ZIP/Postal Code
75708
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Assess the Safety, Tolerability, and Pharmacokinetics of Brensocatib Tablets in Adults With Cystic Fibrosis

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