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Safety, Tolerability and Pharmacokinetics of Increasing Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis (CF) Patients

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
BIIL 284 BS, low dose, pediatric patients
BIIL 284 BS, medium dose, pediatric patients
BIIL 284 BS, high dose, pediatric patients
BIIL 284 BS, low dose, adult patients
BIIL 284 BS, medium dose, adult patients
BIIL 284 BS, high dose, adult patients
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis

Eligibility Criteria

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

Inclusion Criteria:

  • All participants in the study were cystic fibrosis patients:
  • Male or female ≥6 years (pediatrics 6 - 17 years; adult ≥18 years); minimum weight requirement of 20 kg
  • Confirmed diagnosis of CF (positive sweat chloride ≥60 milliequivalents (mEq)/liter (by pilocarpine iontophoresis) and/or a genotype with two identifiable mutations consistent with CF accompanied by one or more clinical features with the CF phenotype
  • Forced expiratory volume in one second (FEV1) >25% predicted (using prediction equation's of Knudson)
  • Clinically stable with no evidence of acute upper or lower respiratory tract infection or current pulmonary exacerbation within 2 weeks of screening
  • Females of child bearing potential needed to have a negative pregnancy test at screening and, if sexually active, had to be willing to use a double-barrier form of contraception for the duration of the study
  • The patient or the patient's legally acceptable representative had to be able to give informed consent in accordance with international conference of harmonization (ICH) good clinical practice (GCP) guidelines and local legislation
  • The patient must be able to swallow the BIIL 284 BS tablet whole
  • Patients taking a chronic medication must be willing to continue this therapy for the entire duration of the study

Exclusion Criteria:

  • Patients with a history of allergy/hypersensitivity (including medication allergy) which is deemed relevant to the trial as judged by the Investigator
  • Patients who had participated in another study with an investigational drug within one month or 6 half-lives (whichever is greater) preceding the screening visit
  • Patients with known substance abuse, including alcohol or drug abuse, within 30 days prior to screening
  • Patients who participated in excessive physical activities (e.g. strenuous sporting events) within 24 hours before the study
  • Female patients who were pregnant or lactating
  • Patients who were unable to comply with breakfast requirements prior to dosing
  • Patients who had received IV, oral or inhaled antibiotics or corticosteroids for a pulmonary exacerbation within 2 weeks of screening
  • Patients who had started a new chronic medication for CF within 2 weeks of screening
  • Patients with documented persistent colonization with B. cepacia (defined as more than one positive culture within the past year)
  • Patients with clinically significant findings on chest x-ray which in the opinion of the Investigator precludes the patient's participation in the trial
  • Patients with oxyhemoglobin saturation in room air <90% by pulse oximetry
  • Patients with hemoglobin <9.0 g/dL; platelets <100x109/L; serum glutamic-oxaloacetic transaminase (ALT) or serum glutamic-pyruvic transaminase (AST) >2 times the upper limit of normal; creatinine >1.8 mg/dL at screening
  • Clinically significant disease or medical condition other than CF or CF-related conditions that, in the opinion of the Investigator, would compromise the safety of the patient or the quality of the data. This includes significant hematological, hepatic, renal, cardiovascular, and neurologic disease. Patients with diabetes may participate if their disease is under good control prior to screening.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    BIIL 284 BS, low dose in pediatric patients

    BIIL 284 BS, medium dose in pediatric patients

    BIIL 284 BS, high dose in pediatric patients

    BIIL 284 BS, low dose in adult patients

    BIIL 284 BS, medium dose in adult patients

    BIIL 284 BS, high dose in adult patients

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Changes from baseline in physical examination
    Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate, respiratory rate, body temperature)
    Changes from baseline in spirometry
    Changes from baseline in oximetry
    Number of patients with clinically relevant changes in 12-lead ECG
    Number of patients with clinically relevant changes in laboratory evaluation
    Number of patients with adverse events

    Secondary Outcome Measures

    Plasma concentration-time profiles of BIIL 315 ZW in all dose groups
    Plasma concentration-time profiles of BIIL 284 BS, BIIL 260 BS and BIIL 304 ZW in medium dose adult and high dose pediatric group
    Area under the concentration-time curve of the analytes in plasma (AUC)
    Maximum measured concentration of the analytes in plasma (Cmax)
    Time from dosing to the maximum concentration of the analytes in plasma (tmax)
    Terminal half-life of the analytes in plasma (t1/2)
    Total mean residence time of the analytes in the body (MRTtot)
    Terminal rate constant of the analytes in plasma (λz)
    Apparent clearance of the analytes in plasma following extravascular administration (CL/F)
    Apparent volume of distribution during the terminal phase λz following extravascular administration (Vz/F)

    Full Information

    First Posted
    October 15, 2014
    Last Updated
    October 15, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02265679
    Brief Title
    Safety, Tolerability and Pharmacokinetics of Increasing Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis (CF) Patients
    Official Title
    A Randomized, Double-blind Within Dose, Placebo-controlled Study to Investigate the Safety, Tolerability and Pharmacokinetics of Increasing Single Oral Doses of BIIL 284 BS in Adult and Pediatric Cystic Fibrosis Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2001 (undefined)
    Primary Completion Date
    July 2002 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    Safety, tolerability and pharmacokinetics following single doses

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    45 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    BIIL 284 BS, low dose in pediatric patients
    Arm Type
    Experimental
    Arm Title
    BIIL 284 BS, medium dose in pediatric patients
    Arm Type
    Experimental
    Arm Title
    BIIL 284 BS, high dose in pediatric patients
    Arm Type
    Experimental
    Arm Title
    BIIL 284 BS, low dose in adult patients
    Arm Type
    Experimental
    Arm Title
    BIIL 284 BS, medium dose in adult patients
    Arm Type
    Experimental
    Arm Title
    BIIL 284 BS, high dose in adult patients
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, low dose, pediatric patients
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, medium dose, pediatric patients
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, high dose, pediatric patients
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, low dose, adult patients
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, medium dose, adult patients
    Intervention Type
    Drug
    Intervention Name(s)
    BIIL 284 BS, high dose, adult patients
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    Changes from baseline in physical examination
    Time Frame
    Pre-dose and up to 5 days after drug administration
    Title
    Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate, respiratory rate, body temperature)
    Time Frame
    Pre-dose, up to 5 days after drug administration
    Title
    Changes from baseline in spirometry
    Time Frame
    Pre-dose and up to 5 days after drug administration
    Title
    Changes from baseline in oximetry
    Time Frame
    Pre-dose and up to 5 days after drug administration
    Title
    Number of patients with clinically relevant changes in 12-lead ECG
    Time Frame
    Pre-dose, up to 5 days after drug administration
    Title
    Number of patients with clinically relevant changes in laboratory evaluation
    Time Frame
    Pre-dose, up to 5 days after drug administration
    Title
    Number of patients with adverse events
    Time Frame
    Up to 5 days after drug administration
    Secondary Outcome Measure Information:
    Title
    Plasma concentration-time profiles of BIIL 315 ZW in all dose groups
    Time Frame
    Up to 5 days after drug administration
    Title
    Plasma concentration-time profiles of BIIL 284 BS, BIIL 260 BS and BIIL 304 ZW in medium dose adult and high dose pediatric group
    Time Frame
    Up to 5 days after drug administration
    Title
    Area under the concentration-time curve of the analytes in plasma (AUC)
    Time Frame
    Up to 5 days after drug administration
    Title
    Maximum measured concentration of the analytes in plasma (Cmax)
    Time Frame
    Up to 5 days after drug administration
    Title
    Time from dosing to the maximum concentration of the analytes in plasma (tmax)
    Time Frame
    Up to 5 days after drug administration
    Title
    Terminal half-life of the analytes in plasma (t1/2)
    Time Frame
    Up to 5 days after drug administration
    Title
    Total mean residence time of the analytes in the body (MRTtot)
    Time Frame
    Up to 5 days after drug administration
    Title
    Terminal rate constant of the analytes in plasma (λz)
    Time Frame
    Up to 5 days after drug administration
    Title
    Apparent clearance of the analytes in plasma following extravascular administration (CL/F)
    Time Frame
    Up to 5 days after drug administration
    Title
    Apparent volume of distribution during the terminal phase λz following extravascular administration (Vz/F)
    Time Frame
    Up to 5 days after drug administration

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: All participants in the study were cystic fibrosis patients: Male or female ≥6 years (pediatrics 6 - 17 years; adult ≥18 years); minimum weight requirement of 20 kg Confirmed diagnosis of CF (positive sweat chloride ≥60 milliequivalents (mEq)/liter (by pilocarpine iontophoresis) and/or a genotype with two identifiable mutations consistent with CF accompanied by one or more clinical features with the CF phenotype Forced expiratory volume in one second (FEV1) >25% predicted (using prediction equation's of Knudson) Clinically stable with no evidence of acute upper or lower respiratory tract infection or current pulmonary exacerbation within 2 weeks of screening Females of child bearing potential needed to have a negative pregnancy test at screening and, if sexually active, had to be willing to use a double-barrier form of contraception for the duration of the study The patient or the patient's legally acceptable representative had to be able to give informed consent in accordance with international conference of harmonization (ICH) good clinical practice (GCP) guidelines and local legislation The patient must be able to swallow the BIIL 284 BS tablet whole Patients taking a chronic medication must be willing to continue this therapy for the entire duration of the study Exclusion Criteria: Patients with a history of allergy/hypersensitivity (including medication allergy) which is deemed relevant to the trial as judged by the Investigator Patients who had participated in another study with an investigational drug within one month or 6 half-lives (whichever is greater) preceding the screening visit Patients with known substance abuse, including alcohol or drug abuse, within 30 days prior to screening Patients who participated in excessive physical activities (e.g. strenuous sporting events) within 24 hours before the study Female patients who were pregnant or lactating Patients who were unable to comply with breakfast requirements prior to dosing Patients who had received IV, oral or inhaled antibiotics or corticosteroids for a pulmonary exacerbation within 2 weeks of screening Patients who had started a new chronic medication for CF within 2 weeks of screening Patients with documented persistent colonization with B. cepacia (defined as more than one positive culture within the past year) Patients with clinically significant findings on chest x-ray which in the opinion of the Investigator precludes the patient's participation in the trial Patients with oxyhemoglobin saturation in room air <90% by pulse oximetry Patients with hemoglobin <9.0 g/dL; platelets <100x109/L; serum glutamic-oxaloacetic transaminase (ALT) or serum glutamic-pyruvic transaminase (AST) >2 times the upper limit of normal; creatinine >1.8 mg/dL at screening Clinically significant disease or medical condition other than CF or CF-related conditions that, in the opinion of the Investigator, would compromise the safety of the patient or the quality of the data. This includes significant hematological, hepatic, renal, cardiovascular, and neurologic disease. Patients with diabetes may participate if their disease is under good control prior to screening.

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com
    Description
    Related Info

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