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A Study to Investigate the Safety, Tolerability and Pharmacokinetics of Single and Repeat Doses of PC945

Primary Purpose

Aspergillosis

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
PC945 - single doses
Placebo - single doses
PC945 - repeat doses
Placebo - repeat doses
Sponsored by
Pulmocide Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Aspergillosis focused on measuring Aspergillus species, Filamentous fungi, 14-alpha Demethylase Inhibitors, Anti-Infective Agents, Antifungal Agents, Enzyme Inhibitors, Aspergillosis, Allergic Bronchopulmonary, Asthma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

All subjects (Cohorts 1, 2 & 3)

  • Male or female, aged between 18 and 65 years inclusive (at the time of consent) who fit one of the following criteria: Women of childbearing potential who are willing and able to use required contraception from screening until 30 days after receipt of the final dose; Women of non-childbearing potential defined as being amenorrhoeic or have been permanently sterilised; Men who are willing and able to use required contraception from the time of the first dose, until 90 days after receipt of the final dose of study medication.
  • Females with a negative pregnancy test at screening and at Day -1.
  • Willing and able to adhere to the restrictions and prohibitions required by this protocol.
  • Signed informed consent form.
  • Body weight ≥ 50 kg and body mass index (BMI) within the range 18 - 30 kg/m2 (inclusive).
  • Average QTcF <450 msec at screening and pre-dose.
  • Vital signs assessments within normal ranges

Healthy Subjects (Cohorts 1 and 2)

  • Healthy as determined by a physician based on a full medical examination.
  • Spirometry readings (FEV1 and FVC) to be ≥ 80% of predicted value and FEV1/FVC ratio > 0.7 at screening.

Subjects with Asthma (Cohort 3)

  • Diagnosis of asthma.
  • Positive result to methacholine challenge at the screening visit.
  • FEV1 >60% of predicted normal value at screening.
  • Stable asthma based on physician assessment at screening, with no changes of therapy in the 12 weeks prior to screening and no hospitalization or visit to accident and emergency for asthma in the 12 months prior to screening
  • Otherwise healthy on the basis of a full medical examination at screening

Exclusion Criteria:

All subjects (Cohorts 1, 2 & 3)

  • Any acute illness.
  • Upper or lower respiratory tract infection within 4 weeks of the screening visit or randomisation.
  • Use of prescription medications within 14 days of the Screening visit.
  • Taking over the counter (OTC) medications other than vitamins or multivitamins, within 14 days prior to Screening.
  • History of regular alcohol consumption within 6 months of the study with average weekly intake of >21 units for males, or >14 units for females.
  • History of drug or alcohol abuse within the previous 5 years.
  • Smoker (regular or irregular), or has smoked or used nicotine-containing products (including e-cigarettes) within the 6 months prior to screening or has a smoking history of ≥ 10 pack years.
  • Positive test for HIV-1 & -2 antibodies at screening.
  • Positive pre-study hepatitis B surface antigen or positive hepatitis C antibody result at screening.
  • Positive test for alcohol, smoking or drugs of abuse at screening or Day -1.
  • Received an experimental drug or used an experimental medical device within last 3 months.
  • Allergy to any of the active or inactive ingredients in the study medication.
  • Donation of blood in excess of 500 mL within a 3 month period prior to dosing, or if study participation would result in blood loss in excess of 500 mL in a 3 month period.
  • Mentally or legally incapacitated.
  • An employee of the Sponsor or contract research organisation (CRO), or a relative of an employee of the Sponsor or CRO.
  • Unable or unwilling to undergo multiple venepuncture procedures or poor access to veins suitable for cannulation.
  • Pregnant or lactating female

Healthy subjects (Cohorts 1 and 2)

  • Any chronic illness or clinically relevant abnormality identified on the screening medical assessment, laboratory tests or ECG.

Subjects with asthma (Cohort 3)

  • Had an episode of life-threatening asthma.
  • Presence of clinically significant diseases other than asthma, hyper-responsive airways, seasonal allergic rhinitis or atopic diseases.
  • Experienced an acute asthma exacerbation in the 12 months prior to screening requiring hospitalisation or accident and emergency treatment or management with systemic or injectable steroids.
  • Uncontrolled, or moderate to severe asthma based on PI assessment and/or use of prohibited medications, or has required treatment with these therapies in the previous 12 weeks.
  • History or presence of any known conditions contraindicated for methacholine challenge.

Sites / Locations

  • Parexel EPCU

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Single dose - healthy volunteers

Repeat dose - healthy volunteers

Single dose - asthmatic patients

Arm Description

Outcomes

Primary Outcome Measures

Incidence of treatment emergent adverse events
Assessment of number of adverse events reported by subjects following dosing
12-lead ECG assessment
Change from pre-dose values
Vital signs assessment (blood pressure and heart rate - measured together)
Change for pre-dose values
Clinical laboratory assessments (blood and urine samples - measured together)
Change from pre-dose values
Spirometry assessment (FEV1 & FVC - measured together)
Change from pre-dose values

Secondary Outcome Measures

Plasma concentration data of PC945
Blood levels of PC945 measured after dosing
Spirometry assessment (FEV1)
Observed drops in FEV1 assessment after dosing patients with mild asthma

Full Information

First Posted
March 16, 2016
Last Updated
April 30, 2018
Sponsor
Pulmocide Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02715570
Brief Title
A Study to Investigate the Safety, Tolerability and Pharmacokinetics of Single and Repeat Doses of PC945
Official Title
A Randomised, Single-blind, Placebo-controlled, Study to Assess the Safety and Tolerability of Single Escalating and Repeat, Inhaled Doses of PC945 in Healthy Subjects Combined With a Randomised, Single-blind, Placebo-controlled, Parallel Group to Assess the Safety and Tolerability of a Single Dose of Inhaled PC945 in Subjects With Mild Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
October 23, 2017 (Actual)
Primary Completion Date
April 27, 2018 (Actual)
Study Completion Date
April 27, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pulmocide Ltd

4. Oversight

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

5. Study Description

Brief Summary
PC945 is a new medicine being developed for treatment of fungal lung diseases. The main purpose of this study is to investigate the safety, tolerability and pharmacokinetics of single and repeat doses of PC945

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aspergillosis
Keywords
Aspergillus species, Filamentous fungi, 14-alpha Demethylase Inhibitors, Anti-Infective Agents, Antifungal Agents, Enzyme Inhibitors, Aspergillosis, Allergic Bronchopulmonary, Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single dose - healthy volunteers
Arm Type
Experimental
Arm Title
Repeat dose - healthy volunteers
Arm Type
Experimental
Arm Title
Single dose - asthmatic patients
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
PC945 - single doses
Intervention Description
Safety and tolerability of single doses
Intervention Type
Drug
Intervention Name(s)
Placebo - single doses
Intervention Description
Safety and tolerability of single doses
Intervention Type
Drug
Intervention Name(s)
PC945 - repeat doses
Intervention Description
Safety and tolerability of repeat doses
Intervention Type
Drug
Intervention Name(s)
Placebo - repeat doses
Intervention Description
Safety and tolerability of repeat doses
Primary Outcome Measure Information:
Title
Incidence of treatment emergent adverse events
Description
Assessment of number of adverse events reported by subjects following dosing
Time Frame
Cohort 1 - 12 weeks; Cohort 2 - 7 weeks; Cohort 3 - 6 weeks
Title
12-lead ECG assessment
Description
Change from pre-dose values
Time Frame
Cohort 1 - 12 weeks; Cohort 2 - 7 weeks; Cohort 3 - 6 weeks
Title
Vital signs assessment (blood pressure and heart rate - measured together)
Description
Change for pre-dose values
Time Frame
Cohort 1 - 12 weeks; Cohort 2 - 7 weeks; Cohort 3 - 6 weeks
Title
Clinical laboratory assessments (blood and urine samples - measured together)
Description
Change from pre-dose values
Time Frame
Cohort 1 - 12 weeks; Cohort 2 - 7 weeks; Cohort 3 - 6 weeks
Title
Spirometry assessment (FEV1 & FVC - measured together)
Description
Change from pre-dose values
Time Frame
Cohort 1 - 12 weeks; Cohort 2 - 7 weeks; Cohort 3 - 6 weeks
Secondary Outcome Measure Information:
Title
Plasma concentration data of PC945
Description
Blood levels of PC945 measured after dosing
Time Frame
Cohort 1 (4 treatment periods) & Cohort 3 (1 treatment period) Day1 = 8 samples; Day2 = 2 samples; Day3 = 1 sample; F/U = 1 sample. Cohort 2 - Days1&7 = 10 samples; Days2,5,6 = 1 sample; Day8 = 2 samples; Day9 = 1 sample; F/U = 1 sample
Title
Spirometry assessment (FEV1)
Description
Observed drops in FEV1 assessment after dosing patients with mild asthma
Time Frame
Cohort 3 only - Day 1, 8 hours
Other Pre-specified Outcome Measures:
Title
Determination of exogenous fungal flora
Description
Assessment of fungal flora found in mouth and throat after dosing
Time Frame
Cohort 1 (4 treatment periods) & Cohort 3 (1 treatment period) Day1 = 1 sample; Day3 = 1 sample. Cohort 2, Day 1 = 1 sample; Day 9 = 1 sample

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All subjects (Cohorts 1, 2 & 3) Male or female, aged between 18 and 65 years inclusive (at the time of consent) who fit one of the following criteria: Women of childbearing potential who are willing and able to use required contraception from screening until 30 days after receipt of the final dose; Women of non-childbearing potential defined as being amenorrhoeic or have been permanently sterilised; Men who are willing and able to use required contraception from the time of the first dose, until 90 days after receipt of the final dose of study medication. Females with a negative pregnancy test at screening and at Day -1. Willing and able to adhere to the restrictions and prohibitions required by this protocol. Signed informed consent form. Body weight ≥ 50 kg and body mass index (BMI) within the range 18 - 30 kg/m2 (inclusive). Average QTcF <450 msec at screening and pre-dose. Vital signs assessments within normal ranges Healthy Subjects (Cohorts 1 and 2) Healthy as determined by a physician based on a full medical examination. Spirometry readings (FEV1 and FVC) to be ≥ 80% of predicted value and FEV1/FVC ratio > 0.7 at screening. Subjects with Asthma (Cohort 3) Diagnosis of asthma. Positive result to methacholine challenge at the screening visit. FEV1 >60% of predicted normal value at screening. Stable asthma based on physician assessment at screening, with no changes of therapy in the 12 weeks prior to screening and no hospitalization or visit to accident and emergency for asthma in the 12 months prior to screening Otherwise healthy on the basis of a full medical examination at screening Exclusion Criteria: All subjects (Cohorts 1, 2 & 3) Any acute illness. Upper or lower respiratory tract infection within 4 weeks of the screening visit or randomisation. Use of prescription medications within 14 days of the Screening visit. Taking over the counter (OTC) medications other than vitamins or multivitamins, within 14 days prior to Screening. History of regular alcohol consumption within 6 months of the study with average weekly intake of >21 units for males, or >14 units for females. History of drug or alcohol abuse within the previous 5 years. Smoker (regular or irregular), or has smoked or used nicotine-containing products (including e-cigarettes) within the 6 months prior to screening or has a smoking history of ≥ 10 pack years. Positive test for HIV-1 & -2 antibodies at screening. Positive pre-study hepatitis B surface antigen or positive hepatitis C antibody result at screening. Positive test for alcohol, smoking or drugs of abuse at screening or Day -1. Received an experimental drug or used an experimental medical device within last 3 months. Allergy to any of the active or inactive ingredients in the study medication. Donation of blood in excess of 500 mL within a 3 month period prior to dosing, or if study participation would result in blood loss in excess of 500 mL in a 3 month period. Mentally or legally incapacitated. An employee of the Sponsor or contract research organisation (CRO), or a relative of an employee of the Sponsor or CRO. Unable or unwilling to undergo multiple venepuncture procedures or poor access to veins suitable for cannulation. Pregnant or lactating female Healthy subjects (Cohorts 1 and 2) Any chronic illness or clinically relevant abnormality identified on the screening medical assessment, laboratory tests or ECG. Subjects with asthma (Cohort 3) Had an episode of life-threatening asthma. Presence of clinically significant diseases other than asthma, hyper-responsive airways, seasonal allergic rhinitis or atopic diseases. Experienced an acute asthma exacerbation in the 12 months prior to screening requiring hospitalisation or accident and emergency treatment or management with systemic or injectable steroids. Uncontrolled, or moderate to severe asthma based on PI assessment and/or use of prohibited medications, or has required treatment with these therapies in the previous 12 weeks. History or presence of any known conditions contraindicated for methacholine challenge.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muna Albayaty, MBChB, FFPM, MSc
Organizational Affiliation
cro
Official's Role
Principal Investigator
Facility Information:
Facility Name
Parexel EPCU
City
Harrow
State/Province
Middlesex
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom

12. IPD Sharing Statement

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A Study to Investigate the Safety, Tolerability and Pharmacokinetics of Single and Repeat Doses of PC945

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