Study Investigating a Delayed-Release Pancrelipase in Patients With Pancreatic Exocrine Insufficiency (PEI) Due to Cystic Fibrosis (CF)
A Double-blind, Randomized, Multi-center, Placebo-controlled, Cross-over Study to Assess the Efficacy and Safety of Pancrelipase Delayed Release 12,000 Unit Capsules in Subjects Aged 7 - 11 With Pancreatic Exocrine Insufficiency Due to Cystic Fibrosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Iowa
-
Iowa City, Iowa, United States
- Site 2
-
-
Kentucky
-
Louisville, Kentucky, United States
- Site 5
-
-
Massachusetts
-
Boston, Massachusetts, United States
- Site 9
-
-
Michigan
-
Ann Arbor, Michigan, United States
- Site 6
-
-
Minnesota
-
Minneapolis, Minnesota, United States
- Site 4
-
-
New Mexico
-
Albuquerque, New Mexico, United States
- Site 8
-
-
Ohio
-
Cincinnati, Ohio, United States
- Site 1
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States
- Site 10
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Oklahoma City, Oklahoma, United States
- Site 7
-
-
Pennsylvania
-
Hershey, Pennsylvania, United States
- Site 3
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Confirmed CF diagnosis by two positive chloride sweat tests or gene analysis
- Confirmed PEI by historical Coefficient of fat Absorption < 70% without supplementation or current or historical fecal elastase < 50µg/stool (within the last 12 months)
- Currently receiving treatment with a commercially available pancreatic enzyme product on a stable dose for more than 3 months
- Clinically stable condition without evidence of acute respiratory disease or any other acute condition
- Stable body weight and agrees to abstain from sexual activity
Exclusion Criteria:
- Ileus or acute abdomen
- History of fibrosing colonopathy, celiac disease, gastrectomy, Crohn´s disease and small bowel surgery other than minor resection due to meconium ileus without resulting in malabsorption syndrome
- History of distal ileal obstruction syndrome within 6 months of enrollment
- Use of an immunosuppressive drug
- Any type of malignancy involving the digestive tract in the last 5 years
- Known infection with HIV
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: A
|
12,000 unit Capsules, dosed individually based on fat intake.
|
|
Placebo Comparator: B
|
Placebo
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Coefficient of Fat Absorption (%)
Time Frame: 5 days
|
This coefficient is calculated from fat intake and fat excretion : 100*[fat intake-fat excretion]/fat intake.
Stools were collected on 3 days during the 5 days treatment period.
Higher values indicate a better response.
|
5 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Coefficient of Nitrogen Absorption (%)
Time Frame: 5 days
|
This coefficient is calculated from nitrogen intake and nitrogen excretion : 100*[nitrogen intake-nitrogen excretion]/nitrogen intake.
Stools were collected on 3 days during the 5 days treatment period.
Higher values indicate a better response.
|
5 days
|
|
Total Fat Excretion (Grams)
Time Frame: 5 days
|
Total amount of fat excreted during the stool collection period.
Stools were collected on 3 days during the 5 days treatment period.
Lower values indicate a better response.
|
5 days
|
|
Total Stool Weight (Grams)
Time Frame: 5 days
|
Total weight of the stools collected during the stool collection period.
Stools were collected on 3 days during the 5 days treatment period.
Lower values indicate a better response.
|
5 days
|
|
Stool Frequency
Time Frame: 5 days
|
Stool frequency is the average of the daily number of stools recorded during the treatment period.
Lower values indicate a better response.
|
5 days
|
|
Percentage of Days With no Flatulence.
Time Frame: 5 days
|
The percentage of days with no flatulence is calculated from the diary during the treatment period: 100*(number of days with no flatulence/number of days recorded in diary).
Higher values indicate a better response.
|
5 days
|
|
Percentage of Days With Formed/Normal Stools.
Time Frame: 5 days
|
The percentage of days with formed/normal stools is calculated from the diary during the treatment period: 100*(number of days with formed/normal stools/number of days with any stool).
Higher values indicate a better response.
|
5 days
|
|
Percentage of Days With no Abdominal Pain.
Time Frame: 5 days
|
The percentage of days with no abdominal pain is calculated from the diary during the treatment period: 100*(number of days with no abdominal pain / number of days recorded in diary).
Higher values indicate a better response.
|
5 days
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Graff GR, Maguiness K, McNamara J, Morton R, Boyd D, Beckmann K, Bennett D. Efficacy and tolerability of a new formulation of pancrelipase delayed-release capsules in children aged 7 to 11 years with exocrine pancreatic insufficiency and cystic fibrosis: a multicenter, randomized, double-blind, placebo-controlled, two-period crossover, superiority study. Clin Ther. 2010 Jan;32(1):89-103. doi: 10.1016/j.clinthera.2010.01.012.
- Caras S, Boyd D, Zipfel L, Sander-Struckmeier S. Evaluation of stool collections to measure efficacy of PERT in subjects with exocrine pancreatic insufficiency. J Pediatr Gastroenterol Nutr. 2011 Dec;53(6):634-40. doi: 10.1097/MPG.0b013e3182281c38.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- S245.3.127
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