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Clinical Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of POL6014 in Patients With CF

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03748199
Recruitment Status : Recruiting
First Posted : November 20, 2018
Last Update Posted : November 20, 2018
Sponsor:
Information provided by (Responsible Party):
Santhera Pharmaceuticals

Brief Summary:
"This is a randomised, double-blind, placebo-controlled multi-centre study to investigate safety and tolerability and to provide pharmacokinetic and pharmacodynamics information of orally inhaled multiple doses (80 mg, 160 mg or 320 mg) of the nebulised neutrophil elastase inhibitor POL6014 in patients with Cystic Fibrosis. The controlled inhalation will occur via the eFlow® nebuliser system (manufacturer: PARI Pharma GmbH, Germany)".

Condition or disease Intervention/treatment Phase
Cystic Fibrosis Drug: POL6014 Drug: Placebo Phase 1 Phase 2

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Sequential Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Phase-Ib/IIa Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Orally Inhaled Multiple Doses of POL6014 in Patients With Cystic Fibrosis
Actual Study Start Date : November 8, 2018
Estimated Primary Completion Date : December 2019
Estimated Study Completion Date : December 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Cystic Fibrosis

Arm Intervention/treatment
Experimental: POL6014
multiple ascending doses: 80, 160 and 320 mg once or twice daily
Drug: POL6014

DL1 80 mg cohorts 1A and 1B (QD and BID) DL2 160 mg cohorts 2A and 2B (QD and BID) DL3 320 mg cohorts 3A and 3B (QD and BID)

DL = dose Level QD= quaque die (once daily) BID= bis in die (twice daily)


Placebo Comparator: Placebo
Placebo will be administered orally at a dose and frequency matched to POL6014
Drug: Placebo
Placebo will be administered orally at a dose and frequency matched to POL6014




Primary Outcome Measures :
  1. Safety measured by proportion of patients who experience potential clinically significant changes in physical examinations [ Time Frame: Baseline through end of treatment (up to 15 days) ]
  2. Safety measured by number of patients with changes in laboratory assessments (clinical chemistry, haematology, urinanalysis) [ Time Frame: Baseline through end of treatment (up to 15 days) ]
  3. Safety measured by number of patients with changes in vital signs (blood pressure, pulse, respiratory rate and body temperature) [ Time Frame: Baseline and pre-dose through end of treatment (up to 15 days) ]
  4. Safety measured by number of patients with changes in ECG parameters (heart rythm, ventricular rate, PR interval, QRS duration, Qt and QTc) [ Time Frame: Baseline and pre-dose through end of treatment (up to 15 days) ]
  5. Safety measured by occurrence and severity of adverse events [ Time Frame: Baseline through end of treatment (up to 15 days) ]
  6. Safety measured by proportion of subjects who experience local irritation of the nose or pharynx by visual inspection [ Time Frame: Baseline through end of treatment (up to 15 days) ]
  7. Safety measured by proportion of patients who experience bronchospasm [ Time Frame: Baseline through end of treatment (up to 15 days) ]
  8. Safety measured by changes in lung function parameters (FEV1, FVC) [ Time Frame: Baseline and pre-dose through end of treatment (up to 15 days) ]
  9. Safety measured by changes in oxygen saturation in peripheral blood as measured by pulse oximetry [ Time Frame: Baseline through end of treatment (up to 15 days) ]
  10. Tolerability assessed by the number of patients who discontinue the study treatment prematurely due to Adverse Events [ Time Frame: Baseline through end of treatment (up to 15 days) ]

Secondary Outcome Measures :
  1. Pharmacokinetics (PK) for POL6014 and metabolites in plasma, sputum and urine [ Time Frame: At defined timepoints (Day1, Day 2, Day 8, Day 14, Day 15, Day 16) ]
    Concentration of POL6014 and relevant metabolites measured in plasma, sputum and urine



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patient has given written informed consent to participation in the trial prior to their enrolment and any trial-related procedure.
  2. Male patients or female patients of non-childbearing potential, aged 18 to 55 years, inclusive. Women of non-childbearing potential are defined as those who have no uterus, or ligation of the fallopian tubes, or permanent cessation of ovarian function due to ovarian failure or surgical removal of the ovaries. Documentation of surgical procedure is required for patients who have had a hysterectomy or tubal ligation.
  3. Men must agree to practice contraception from start of study medication up to 90 days after the last dose of the study medication.
  4. Patient with a diagnosis of CF documented by a compatible clinical or radiographic presentation and laboratory criteria, more specifically, sweat or genetic testing (i.e., presence of the most common genetic defect ΔF 508 or any other mutation that can produce CF).
  5. Patient should confirm to produce frequently spontaneous sputum with a frequency of over 3 expectorates per day. Patient should be capable of producing a spontaneous sputum sample at screening (within a time range of approx. 3h during the screening visit).
  6. Except for CF and CF-related diseases, no other significant disease as assessed by a screening examination including medical history, physical examination, vital signs, ECG assessment, pulmonary function testing (PFT), and clinical laboratory results. Deviations of clinical laboratory results can be accepted if they are in accordance with the diagnosis of CF and CF-related diseases, supposed they do not indicate a clinical state that is expected to constitute a significant additional risk.
  7. Patient must have an FEV1 ≥ 40% of predicted value at screening.
  8. Body mass index (BMI) between 16.5 and 30 (both inclusive).
  9. Non-smoker or ex-smoker who has stopped smoking for at least one (1) year prior to the Screening Visit.
  10. Patient should be willing to refrain from caffeine- or theophylline-containing products within 24 h prior to a clinic visit for a full PK profile.
  11. Ability to inhale in an appropriate manner (Patients will be trained to inhale from the eFlow® nebuliser device with a commercially available saline solution at the Screening Visit once informed consent has been obtained).
  12. For patients with routine courses of inhaled antibiotics, patients should agree to start routine course of inhaled antibiotic cycle on the same day or not earlier than 3 days before IMP administration.

Exclusion Criteria:

  1. Patient with unstable lung disease, as defined by a change in treatment regimen during the preceding two (2) weeks, or a significant new finding on chest radiography (such as, but not limited to, pneumothorax, lobar/segmental collapse or consolidation), or in the opinion of the investigator, patient with a decline in pulmonary status within the last 12 months not considered a part of the usual, chronic progression of CF lung disease. Routine cyclic antibiotic treatment regimens including "off/on" cycles are not considered to be changes to treatment regimens.
  2. Patient has had an exacerbation of respiratory symptoms within the past four (4) weeks before screening/randomization that required initiation of a new or altered respiratory therapy, and, in the opinion of the investigator, the patient has not returned to a stable level of health
  3. Patient with a history of lung transplantation.
  4. Patient with a history of clinically significant renal, hepatic, gastrointestinal,cardiovascular and particularly respiratory disease (excluding CF and CF-related disease).
  5. Patient with active gastrointestinal ulcer, history of intracranial bleedings, injuries and other bleedings.
  6. Patient, as per assessment of the investigator, with severe hepatic impairment (e.g. laboratory values (ALT, AST > 3 x ULN and total bilirubin > 1.5 x ULN) or Child-Pugh-Class C could be indicative of such condition).
  7. ECG abnormalities of clinical relevance (e.g., QTc according to Bazett's formula ≥440 ms, PR >200 ms, or QRS ≥120 ms).
  8. Patient with a resting heart rate in supine position <50 bpm, systolic blood pressure <100 mmHg or >140 mmHg, diastolic blood pressure <60 mmHg or >90 mmHg.
  9. Proneness to orthostatic dysregulation, fainting, or blackouts.
  10. Diagnosis of a tricuspid insufficiency in combination with a mean pulmonary arterial pressure (mPAP) > 25 mmHg, measured by Doppler echography, or, if no tricuspid insufficiency is detectable, any echocardiographic or clinical signs of severe pulmonary heart disease (cor pulmonale) or depending congestive heart failure.
  11. History or presence of any malignancy.
  12. Positive results in any of the following virology tests: human immunodeficiency virus (HIV) antibodies and antigen, Anti-hepatitis B-core antibody, hepatitis B surface antigen (HbsAg) and anti-hepatitis C virus antibody.
  13. Known local or systemic hypersensitivity to any aerosol, medication or food that led to admission to an emergency room.
  14. Participation in another clinical study with any investigational medicinal product (IMP) or device, before randomisation, within an interval of 5 half-lives (minimum 4 weeks) from the last use of that investigational drug.
  15. Blood or plasma donation of more than 500 mL during the previous month before randomisation, as declared by the patient.
  16. Mental condition rendering the patient incapable to understand the nature, scope, and possible consequences of the study.
  17. Not willing to comply with all clinical study procedures.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03748199


Contacts
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Contact: Clinical Science +41 61 906 89 50 Clinical.science@santhera.com

Locations
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Germany
Charité - Uniklinik Berlin, Klinik für Pädiatrie,Pneumologie, Immunologie, Erwachsenene-Mucoviszidose Not yet recruiting
Berlin, Germany, 13353
Contact: Carsten Schwarz, MD         
Ruhrlandklinik Westdeutsches Lungenzentrum Not yet recruiting
Essen, Germany, 45239
Contact: Sivagurunathan Sutharsan, MD         
IKF Pneumologie GmbH & Co. KG, Institut für klinische Forschung Pneumologie Recruiting
Frankfurt, Germany, 60596
Contact: Marc Oliver Kornmann, MD         
Inamed GmbH, clinical unit Recruiting
Gauting, Germany, 82131
Contact: Wolfgang Timmer, MD         
Sponsors and Collaborators
Santhera Pharmaceuticals
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Responsible Party: Santhera Pharmaceuticals
ClinicalTrials.gov Identifier: NCT03748199    
Other Study ID Numbers: SNT-I-018
First Posted: November 20, 2018    Key Record Dates
Last Update Posted: November 20, 2018
Last Verified: November 2018

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Santhera Pharmaceuticals:
CF
cystic fibrosis
POL6014
neutrophil elastase inhibitor
anti-inflammatory
Additional relevant MeSH terms:
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Cystic Fibrosis
Fibrosis
Pathologic Processes
Pancreatic Diseases
Digestive System Diseases
Lung Diseases
Respiratory Tract Diseases
Genetic Diseases, Inborn
Infant, Newborn, Diseases