A Multiple Ascending Dose Study of PUL-042 in Stem Cell Transplant Recipients
Primary Purpose
Hematologic Diseases, Stem Cell Transplants
Status
Withdrawn
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PUL-042
Sponsored by
About this trial
This is an interventional prevention trial for Hematologic Diseases
Eligibility Criteria
Inclusion Criteria:
- Subjects with hematologic malignancies or recipients of a first allogeneic or autologous hematopoietic stem cell transplantation and presently clinically stable
- Pulse oximetry of hemoglobin saturation ≥92% on room air
- Adult (≥18 years)
- Spirometry (FEV1 and forced vital capacity [FVC]) ≥80% of predicted value
- If female, must be either post-menopausal (one year or greater without menses), surgically sterile, or, for female subjects of child-bearing potential who are capable of conception must be: practicing two effective methods of birth control
- If female, must not be pregnant, plan to become pregnant, or nurse a child during the study and through 30 days after completion of the study
- If male, must be surgically sterile or willing to practice two effective methods of birth control
- Ability to understand and give informed consent
Exclusion Criteria:
- Subjects with any evidence of respiratory infection including any signs or symptoms of either a lower respiratory infection (LRI) or upper respiratory infection (URI)
- Known history of chronic pulmonary disease
- Subjects who are being treated for fungal, viral, or bacterial pneumonia
- Exposure to any investigational agent (defined as any agent not approved by the Food and Drug Administration [FDA]) within 30 days prior to the Screening Visit
- Patients with a relapsed and/or refractory underlying hematologic malignancy
- HSCT recipients who underwent ex vivo T-cell depletion of the graft, or a mismatched, or cord or haplo identical blood transplantation
- HSCT recipients with active and/or chronic graft versus host disease
- Patients on systemic corticosteroids (oral or intravenous)
- Absolute neutrophil count (ANC) < 1,000 cells/mL
- Clinically significant bacteremia or fungemia
- Current smokers or subjects with any history of smoking
Sites / Locations
- University of Texas MD Anderson MD Anderson Cancer Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
PUL-042
Arm Description
PUL-042 Inhalation Solution
Outcomes
Primary Outcome Measures
Forced Expiratory Volume in one Second (FEV1)
Evaluation of increasing doses of PUL-042 Inhalation Solution on FEV1
Secondary Outcome Measures
Serum proteomics
Evalution of increasing doses of PUL-042 Inhalation Solution on serum proteomic profile
Full Information
NCT ID
NCT03097796
First Posted
March 27, 2017
Last Updated
April 25, 2023
Sponsor
Pulmotect, Inc.
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), Cancer Prevention Research Institute of Texas
1. Study Identification
Unique Protocol Identification Number
NCT03097796
Brief Title
A Multiple Ascending Dose Study of PUL-042 in Stem Cell Transplant Recipients
Official Title
An Open-Label, Multiple Ascending Dose Study to Evaluate the Safety and Tolerability of PUL-042 Inhalation Solution in Subjects With Hematologic Malignancies and Recipients of Stem Cell Transplantation
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Withdrawn
Why Stopped
Development plan revised
Study Start Date
December 2024 (Anticipated)
Primary Completion Date
March 2026 (Anticipated)
Study Completion Date
May 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pulmotect, Inc.
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), Cancer Prevention Research Institute of Texas
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
Subjects with hematologic malignancies or recipients of a first allogenic or autologus hematopoietic stem cell transplant, without any evidence or respiratory infection, will receive 4 doses of PUL-042 Inhalation Solution over a 2 week period. Subjects will be evaluated for tolerability of the drug. If tolerated, dose escalation may occur with up to 4 dose levels tested
Detailed Description
This is an open-label multiple ascending dose study with a 3+3 study design to examine the safety and tolerability of PUL-042 Inhalation Solution in subjects with hematologic malignancies or recipients of a first allogenic or autologus hematopoietic stem cell transplant. Subjects will receive 4 doses over 2 weeks.
Cohort size will be 3 subjects, once 3 subjects have completed treatment and follow-up at a dose level, subject data will be evaluated by an independent data safety monitoring committee prior to dosing additional subjects. The Committee may recommend increasing the dose, maintaining the same dose, or decreasing the dose.
Once the maximum dose is determined, there may be up to 6 additional subjects dosed at that level.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hematologic Diseases, Stem Cell Transplants
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PUL-042
Arm Type
Experimental
Arm Description
PUL-042 Inhalation Solution
Intervention Type
Drug
Intervention Name(s)
PUL-042
Intervention Description
PUL-042 Inhalation Solution
Primary Outcome Measure Information:
Title
Forced Expiratory Volume in one Second (FEV1)
Description
Evaluation of increasing doses of PUL-042 Inhalation Solution on FEV1
Time Frame
3 weeks
Secondary Outcome Measure Information:
Title
Serum proteomics
Description
Evalution of increasing doses of PUL-042 Inhalation Solution on serum proteomic profile
Time Frame
3 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects with hematologic malignancies or recipients of a first allogeneic or autologous hematopoietic stem cell transplantation and presently clinically stable
Pulse oximetry of hemoglobin saturation ≥92% on room air
Adult (≥18 years)
Spirometry (FEV1 and forced vital capacity [FVC]) ≥80% of predicted value
If female, must be either post-menopausal (one year or greater without menses), surgically sterile, or, for female subjects of child-bearing potential who are capable of conception must be: practicing two effective methods of birth control
If female, must not be pregnant, plan to become pregnant, or nurse a child during the study and through 30 days after completion of the study
If male, must be surgically sterile or willing to practice two effective methods of birth control
Ability to understand and give informed consent
Exclusion Criteria:
Subjects with any evidence of respiratory infection including any signs or symptoms of either a lower respiratory infection (LRI) or upper respiratory infection (URI)
Known history of chronic pulmonary disease
Subjects who are being treated for fungal, viral, or bacterial pneumonia
Exposure to any investigational agent (defined as any agent not approved by the Food and Drug Administration [FDA]) within 30 days prior to the Screening Visit
Patients with a relapsed and/or refractory underlying hematologic malignancy
HSCT recipients who underwent ex vivo T-cell depletion of the graft, or a mismatched, or cord or haplo identical blood transplantation
HSCT recipients with active and/or chronic graft versus host disease
Patients on systemic corticosteroids (oral or intravenous)
Absolute neutrophil count (ANC) < 1,000 cells/mL
Clinically significant bacteremia or fungemia
Current smokers or subjects with any history of smoking
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roy F Chemaly, MD, MPH
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Texas MD Anderson MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Multiple Ascending Dose Study of PUL-042 in Stem Cell Transplant Recipients
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