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LYT-100 in Healthy Volunteers and BCRL

Primary Purpose

Breast Cancer Related Lymphoedema, Lymphoedema

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
LYT-100
Matching Placebo
LYT-100 Food Effect
LYT-100 BCRL
Placebo BCRL
Sponsored by
PureTech
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer Related Lymphoedema

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Main Inclusion Criteria:

Part 1 and 2: Healthy Volunteers

  1. Male or female between 18 and 75 years old (inclusive) at the time of screening.
  2. In good general health at screening, free from clinically significant unstable medical, surgical or psychiatric illness, at the discretion of the Investigator.

Part 3: Patients with BRCL

  1. Female or male between 18 and 80 years old (inclusive) at the time of informed consent.
  2. At least 6 months since any type of breast cancer surgery (excluding fine needle aspiration biopsy [FNA]), at the time of study screening. No intention to have breast reconstructive surgery, nipple reconstruction and/or tattooing during the course of the study.
  3. At least 3 months since completion of all types of treatment for breast cancer, including but not limited to neoadjuvant, radiotherapy, chemotherapy and immunotherapy, at the time of study screening.
  4. At least 3 months treatment of stable adjuvant treatment with hormonal or anti-HER2 therapy at the time of screening, with no planned changes to this therapy throughout the duration of the study.
  5. Diagnosis of primary breast cancer, and without evidence of recurrence of breast cancer and/or metastasis for at least 6 months since breast cancer surgery, as determined at screening and baseline.
  6. Documented evidence of Stage 1 or 2 lymphedema.
  7. Receiving standard of care compression or agreeable to using care compression, or no compression at all ≥ 4 weeks prior to screening and throughout the study.

Main Exclusion Criteria:

Part 1 and 2: Healthy Volunteers

  1. History or presence of malignancy at screening or baseline, with the exception of adequately treated localised skin cancer (basal cell or squamous cell carcinoma) or carcinoma in-situ of the cervix.
  2. Clinically significant infection within 28 days of the start of dosing, or infections requiring parenteral antibiotics within the 6 months prior to screening.
  3. Chronic administration (defined as more than 14 consecutive days) of immunosuppressants or other immune-modifying drugs within 3 months prior to study drug administration; corticosteroids are permitted at the discretion of the Investigator).
  4. History or presence at screening or baseline of a condition associated with significant immunosuppression

Part 3: Patients with BRCL

  1. Bilateral lymphoedema or history of bilateral axillary lymph node removal (i.e., sentinel lymph node or axillary lymph node dissection), or primary lymphoedema or lymphatic or vascular malformation, determined at screening.
  2. Chronic administration (defined as more than 14 consecutive days) of immunosuppressants or other immune-modifying drugs within 3 months prior to study drug administration; corticosteroids are permitted at the discretion of the PI.
  3. Recent history (in the 8 weeks prior to screening) of cellulitis, lymphangitis, dermatitis, necrotizing fasciitis, or current open wounds or sores in the affected extremity.
  4. Stage III lymphoedema, or history of clinically diagnosed secondary lymphoedema greater than 4 years, determined at screening.
  5. Initiated use of compression or manual lymphatic drainage or other lymphoedema therapies at the start of the study within 4 weeks of the screening visit. Rescreening is allowed following a course of stable compression regimen of > 4 weeks.

Sites / Locations

  • City of Hope National Medical Center
  • MACRO Trials
  • University of the Sunshine Coast
  • Ballarat Health Services
  • Nucleus Network VIC
  • Flinders University
  • Macquarie University Health Sciences Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

LYT-100 in healthy volunteers with Food

Placebo in healthy volunteers with Food

LYT-100 in healthy volunteers, Fasted

Placebo in healthy volunteers, Fasted

LYT-100 in healthy volunteers, Fed

Placebo in healthy volunteers, Fed

LYT-100 in patients with BCRL

Placebo in patients with BCRL

Arm Description

LYT-100, multiple ascending

Placebo, multiple administrations

LYT-100, Dose below MTD for 1 dose

Placebo, for 1 administration

LYT-100, Dose below MTD for 1 dose

Placebo, for 1 administration

LYT-100 BID for 6 months

Placebo BID for 6 months

Outcomes

Primary Outcome Measures

Safety and tolerability: treatment-emergent adverse events (TEAEs)
Evaluate the safety and tolerability of LYT-100 as measured by TEAEs
Use pharmacokinetics to characterize the plasma concentration of LYT-100
Measure observed concentration of LYT-100 in blood plasma

Secondary Outcome Measures

Efficacy signals of LYT-100
Explore efficacy signals of LYT-100 in breast cancer patients with lymphedema
Effect of food on the pharmacokinetic profile of LYT-100 based on plasma concentration of LYT-100
Measure concentration of LYT-100 in blood plasma in fed or fasted subjects

Full Information

First Posted
January 21, 2020
Last Updated
September 26, 2022
Sponsor
PureTech
Collaborators
Novotech (Australia) Pty Limited
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1. Study Identification

Unique Protocol Identification Number
NCT04243837
Brief Title
LYT-100 in Healthy Volunteers and BCRL
Official Title
A Phase 1 Multiple Ascending Dose and Food Effect Study in Healthy Volunteers to Determine the Pharmacokinetics and Maximally Tolerated Dose of Deupirfenidone (LYT-100) Followed by a Randomized Double-Blind Placebo-Controlled Phase 2a in Patients With Breast Cancer-Related Upper Limb Secondary Lymphoedema
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2020 (Actual)
Primary Completion Date
September 9, 2022 (Actual)
Study Completion Date
September 9, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PureTech
Collaborators
Novotech (Australia) Pty Limited

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
Part 1 is a multiple ascending dose trial in healthy volunteers (HV) of LYT-100 to determine safety, tolerability, and pharmacokinetic (PK) profile under fed conditions. Part 2 is a single dose safety, tolerability, and PK trial in HV of LYT-100 under fed and fasted conditions. Part 3 is a trial of up to 6-months duration for safety, tolerability, clinical efficacy assessments, PK and biomarkers analysis in breast carcinoma patients with secondary lymphoedema
Detailed Description
Part 1: This is a randomised, double-blind, placebo-controlled, multiple ascending dose design to assess the safety, tolerability and PK profile of multiple doses of LYT-100 administered under fed conditions at steady state in healthy participants. Up to 4 dosing cohorts are planned. Part 2: A dose level below the MTD in Part 1 will be used in Part 2. Subjects will be administered a single dose of their assigned treatment under fasting conditions followed by a wash out period then they will receive a single dose of the same assigned treatment under fed conditions. This will permit a comparison of the PK profile and bioavailability in both fed and fasted states. . Part 3: Once the optimal dose and regimen is determined with or without food, Part 3 will follow with a randomised, double-blinded, placebo controlled design that will assess the safety, tolerability, and secondarily clinical efficacy of LYT-100 over a period of up to 6-months of dosing in breast carcinoma patients with secondary lymphoedema following sentinel lymph node biopsy and/or axillary node dissection, with or without radiation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer Related Lymphoedema, Lymphoedema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Part 1 consists of 5 cohorts with active treatment or placebo Part 2 consists of 1 cohort with active treatment or placebo Part 3 consists of 1 cohort with active treatment or placebo
Masking
ParticipantCare ProviderInvestigator
Masking Description
Part 1 and Part 2 are double-blind during the data collection. Determination for dose escalation maybe made under unblinded conditions by assessors. Part 3 is double-blinded
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LYT-100 in healthy volunteers with Food
Arm Type
Experimental
Arm Description
LYT-100, multiple ascending
Arm Title
Placebo in healthy volunteers with Food
Arm Type
Placebo Comparator
Arm Description
Placebo, multiple administrations
Arm Title
LYT-100 in healthy volunteers, Fasted
Arm Type
Experimental
Arm Description
LYT-100, Dose below MTD for 1 dose
Arm Title
Placebo in healthy volunteers, Fasted
Arm Type
Placebo Comparator
Arm Description
Placebo, for 1 administration
Arm Title
LYT-100 in healthy volunteers, Fed
Arm Type
Experimental
Arm Description
LYT-100, Dose below MTD for 1 dose
Arm Title
Placebo in healthy volunteers, Fed
Arm Type
Placebo Comparator
Arm Description
Placebo, for 1 administration
Arm Title
LYT-100 in patients with BCRL
Arm Type
Experimental
Arm Description
LYT-100 BID for 6 months
Arm Title
Placebo in patients with BCRL
Arm Type
Placebo Comparator
Arm Description
Placebo BID for 6 months
Intervention Type
Drug
Intervention Name(s)
LYT-100
Other Intervention Name(s)
Deupirfenidone
Intervention Description
LYT-100 is a deuterated form of pirfenidone, an orally active small molecule drug. HV subjects will receive multiple ascending doses, starting at 100 mg BID up to 1000 mg, with food for 5-days.
Intervention Type
Other
Intervention Name(s)
Matching Placebo
Intervention Description
Inactive capsule(s)
Intervention Type
Drug
Intervention Name(s)
LYT-100 Food Effect
Other Intervention Name(s)
Deupirfenidone
Intervention Description
LYT-100 is a deuterated form of pirfenidone, an orally active small molecule drug. HV subjects will receive one dose of LYT-100 or Placebo
Intervention Type
Drug
Intervention Name(s)
LYT-100 BCRL
Other Intervention Name(s)
Deupirfenidone
Intervention Description
BCRL patients will receive LYT-100 BID for 6 months
Intervention Type
Drug
Intervention Name(s)
Placebo BCRL
Other Intervention Name(s)
Placebo
Intervention Description
BCRL patients will receive Placebo BID for 6 months
Primary Outcome Measure Information:
Title
Safety and tolerability: treatment-emergent adverse events (TEAEs)
Description
Evaluate the safety and tolerability of LYT-100 as measured by TEAEs
Time Frame
7 days (main time frame)
Title
Use pharmacokinetics to characterize the plasma concentration of LYT-100
Description
Measure observed concentration of LYT-100 in blood plasma
Time Frame
7 days (main time frame)
Secondary Outcome Measure Information:
Title
Efficacy signals of LYT-100
Description
Explore efficacy signals of LYT-100 in breast cancer patients with lymphedema
Time Frame
6 months
Title
Effect of food on the pharmacokinetic profile of LYT-100 based on plasma concentration of LYT-100
Description
Measure concentration of LYT-100 in blood plasma in fed or fasted subjects
Time Frame
2 days (main time frame)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Main Inclusion Criteria: Part 1 and 2: Healthy Volunteers Male or female between 18 and 75 years old (inclusive) at the time of screening. In good general health at screening, free from clinically significant unstable medical, surgical or psychiatric illness, at the discretion of the Investigator. Part 3: Patients with BRCL Female or male between 18 and 80 years old (inclusive) at the time of informed consent. At least 6 months since any type of breast cancer surgery (excluding fine needle aspiration biopsy [FNA]), at the time of study screening. No intention to have breast reconstructive surgery, nipple reconstruction and/or tattooing during the course of the study. At least 3 months since completion of all types of treatment for breast cancer, including but not limited to neoadjuvant, radiotherapy, chemotherapy and immunotherapy, at the time of study screening. At least 3 months treatment of stable adjuvant treatment with hormonal or anti-HER2 therapy at the time of screening, with no planned changes to this therapy throughout the duration of the study. Diagnosis of primary breast cancer, and without evidence of recurrence of breast cancer and/or metastasis for at least 6 months since breast cancer surgery, as determined at screening and baseline. Documented evidence of Stage 1 or 2 lymphedema. Receiving standard of care compression or agreeable to using care compression, or no compression at all ≥ 4 weeks prior to screening and throughout the study. Main Exclusion Criteria: Part 1 and 2: Healthy Volunteers History or presence of malignancy at screening or baseline, with the exception of adequately treated localised skin cancer (basal cell or squamous cell carcinoma) or carcinoma in-situ of the cervix. Clinically significant infection within 28 days of the start of dosing, or infections requiring parenteral antibiotics within the 6 months prior to screening. Chronic administration (defined as more than 14 consecutive days) of immunosuppressants or other immune-modifying drugs within 3 months prior to study drug administration; corticosteroids are permitted at the discretion of the Investigator). History or presence at screening or baseline of a condition associated with significant immunosuppression Part 3: Patients with BRCL Bilateral lymphoedema or history of bilateral axillary lymph node removal (i.e., sentinel lymph node or axillary lymph node dissection), or primary lymphoedema or lymphatic or vascular malformation, determined at screening. Chronic administration (defined as more than 14 consecutive days) of immunosuppressants or other immune-modifying drugs within 3 months prior to study drug administration; corticosteroids are permitted at the discretion of the PI. Recent history (in the 8 weeks prior to screening) of cellulitis, lymphangitis, dermatitis, necrotizing fasciitis, or current open wounds or sores in the affected extremity. Stage III lymphoedema, or history of clinically diagnosed secondary lymphoedema greater than 4 years, determined at screening. Initiated use of compression or manual lymphatic drainage or other lymphoedema therapies at the start of the study within 4 weeks of the screening visit. Rescreening is allowed following a course of stable compression regimen of > 4 weeks.
Facility Information:
Facility Name
City of Hope National Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
MACRO Trials
City
Los Angeles
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
University of the Sunshine Coast
City
Sippy Downs
State/Province
Queensland
Country
Australia
Facility Name
Ballarat Health Services
City
Ballarat
State/Province
Victoria
Country
Australia
Facility Name
Nucleus Network VIC
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia
Facility Name
Flinders University
City
Adelaide
Country
Australia
Facility Name
Macquarie University Health Sciences Centre
City
Sydney
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34779583
Citation
Chen MC, Korth CC, Harnett MD, Elenko E, Lickliter JD. A Randomized Phase 1 Evaluation of Deupirfenidone, a Novel Deuterium-Containing Drug Candidate for Interstitial Lung Disease and Other Inflammatory and Fibrotic Diseases. Clin Pharmacol Drug Dev. 2022 Feb;11(2):220-234. doi: 10.1002/cpdd.1040. Epub 2021 Nov 15.
Results Reference
derived

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LYT-100 in Healthy Volunteers and BCRL

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