Trial to Evaluate Efficacy and Safety of Lenabasum in Cystic Fibrosis

December 21, 2022 updated by: Corbus Pharmaceuticals Inc.

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 2 Trial to Evaluate Efficacy and Safety of Lenabasum in Cystic Fibrosis

This is a Phase 2 multicenter, double-blind, randomized, placebo-controlled study assessing the efficacy and safety of lenabasum for the treatment of cystic fibrosis in patients 12 years of age or older. Approximately 415 subjects will be enrolled in this study at about 100 sites in North America, and Europe. The planned duration of treatment with study drug is 28 weeks.

Study drug will be lenabasum 20 mg BID, lenabasum 5 mg BID, and placebo in a 2:1:2 ratio.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

447

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Innsbruck, Austria
        • Cystic Fibrosis Centre Innsbruck Medical University of Innsbruck, Dept. for Child and Adolescent Health, University Clinic for Paediatrics, Cardiology, Pneumology, Allergology, Cystic Fibrosis
      • Vienna, Austria
        • Medical University of Vienna
      • Brussels, Belgium
        • Universitair Ziekenhuis Brussel
      • Ruse, Bulgaria
        • Medical Center Prolet Eood
      • Sofia, Bulgaria
        • UMHAT Alexandrovska
      • Varna, Bulgaria
        • MHAT Sveta Marina EAD
      • Montréal, Canada
        • Centre hospitalier de l'Université de Montréal (CHUM)
      • Toronto, Canada
        • The Hospital for Sick Children
      • Toronto, Canada
        • St. Michael's Hospital
      • Vancouver, Canada
        • St. Paul's Hospital
      • Praha, Czechia
        • Motol University Hospital
      • Bron, France
        • Centre de Référence de la Mucoviscidose
      • Bron, France
        • Service de Pneumologie, Allergologie, Mucoviscidose; Hôpital Femme-Mère-Enfant
      • Dijon, France
        • Service de Pediatrie Medico-Chirurgicale et Genetique
      • Montpellier, France
        • CHRU de Montpellier
      • Nancy, France
        • CRCM Enfant de Nancy
      • Nice, France
        • CHU de Nice
      • Paris, France
        • Centre de Recherche en Explorations Fonctionnelles (CREF)
      • Paris, France
        • CRCM Hôpital Necker
      • Roscoff, France
        • Foundation ILDYS
      • Strasbourg, France
        • Nouvel Hôpital Civil Strasbourg
      • Berlin, Germany
        • Charité Universitätsmedzin
      • Bochum, Germany
        • Catholic Hospital Bochum - St. Josef-Hospital
      • Essen, Germany
        • University Hospital Essen
      • Essen, Germany
        • University Medicine Essen Ruhrlandklinik
      • Frankfurt, Germany
        • Goethe University Children´s Hospital
      • Hanover, Germany
        • Hannover Medical School
      • Jena, Germany
        • University Hospital Jena
      • München, Germany
        • Klinikum der Ludwig Maximilian Universität München
      • Thessaloníki, Greece
        • General Hospital of Thessaloniki Ippokratio
      • Budapest, Hungary
        • National Koranyi Institute of Pulmonology, Department of Cystic Fibrosis
      • Debrecen, Hungary
        • University of Debrecen - Kenezy Gyula University Hospital
      • Kecskemét, Hungary
        • Bács-Kiskun County Hospital, Teaching Hospital of the University of Szeged
      • Mosdós, Hungary
        • Moritz Kaposi General Hospital, Mosdós, Department of Pediatric Pulmonary Rehabilitation
      • Torokbalint, Hungary
        • Pediatric Pulmonology, Törökbálint, Hungary
      • Firenze, Italy
        • Centro Regionale Toscano di Riferimento per la Fibrosi Cistica
      • Genova, Italy
        • U.O.S.D. - Centro fibrosi cistica
      • Milano, Italy
        • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
      • Milano, Italy
        • Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
      • Verona, Italy
        • Azienda Ospedaliera Universitaria Verona
      • Nijmegen, Netherlands
        • Radbound UMC
      • Dziekanow Lesny, Poland, 05-092
        • Instytut Matki I Dziecka, Centrum Leczenia Mukowiscydozy - Oddzial Chorob Pluc
      • Gdańsk, Poland
        • Oddzial Pediatrii z Pododdzialem Leczenia Mukowiscydozy
      • Rabka-Zdrój, Poland, 34-700
        • Instytut Gruzlicy I Chorob Pluc Oddzial Terenowy im Jana I Ireny Rudnikow
      • Rzeszów, Poland
        • Institute for Mother and Child, Department of CF for Children's and Youth
      • Lisboa, Portugal
        • Hospital de Santa Maria
      • Braşov, Romania
        • Medial Center for Ambulatory Diagnosis and Treatment
      • Moscow, Russian Federation
        • Scientfic Research Institute of Pulmonology
      • Mytishchi, Russian Federation
        • Diagnostic Children Hospital, Department of Pediatrics and Adolescent Medicine, Department of Pediatric Pulmonary, Allergology and Endocrinology
      • Saint Petersburg, Russian Federation
        • Children's City Hospital of Saint Olga
      • St. Petersburg, Russian Federation
        • First St. Petersburg State Pavlov Medical University
      • Belgrade, Serbia
        • Clinical for Pulmonary Diseases, Clinical Center of Serbia
      • Novi Sad, Serbia
        • Institute for Child and Youth Health Care of Vojvodina
      • Sremska Kamenica, Serbia
        • Institute for Pulmonary Disease of Vojvodina
      • Banská Bystrica, Slovakia
        • Children's faculty hospital with polyclinic Banska Bystrica
      • Košice, Slovakia
        • Children's Faculty Hospital Kosice
      • Barcelona, Spain
        • Unidad de Fibrosis Quistica Adultos
      • Barcelona, Spain
        • Unidad de Fibrosis Quistica Pediatria
      • Valencia, Spain
        • Unidad de Fibrosis Quistica y Transplante Pulmonar
      • Lund, Sweden
        • Skåne University Hospital
      • Stockholm, Sweden
        • Karolinska University Hospital
      • Birmingham, United Kingdom
        • Birmingham Women's and Children's NHS Foundation Trust
      • Birmingham, United Kingdom
        • University Hospitals Birmingham NHS Foundation Trust
      • Cambridge, United Kingdom
        • Royal Papworth Hospital NHS Foundation Trust
      • Llandough, United Kingdom
        • Cardiff and Vale University Health Board
      • London, United Kingdom
        • Barts Health NHS Trust
      • London, United Kingdom
        • Royal Brompton & Harefield NHS Foundation Trust
      • Nottingham, United Kingdom
        • Wolfson Cystic Fibrosis Centre City Hospital Campus
      • Southampton, United Kingdom
        • University Hospital Southampton NHS Foundation Trust
    • Merseyside
      • Liverpool, Merseyside, United Kingdom
        • Liverpool Heart and Chest Hospital
    • Northern Ireland
      • Belfast, Northern Ireland, United Kingdom
        • Belfast City Hospital
    • Arizona
      • Phoenix, Arizona, United States, 85016
        • Phoenix Children's Hospital
    • Arkansas
      • Little Rock, Arkansas, United States, 72205
        • University of Arkansas for Medical Sciences
    • California
      • Long Beach, California, United States, 90806
        • Miller Children's Hospital
    • Colorado
      • Denver, Colorado, United States, 80206
        • National Jewish Health
    • Florida
      • Miami, Florida, United States, 33136
        • University of Miami
      • Orlando, Florida, United States, 32803
        • Central Florida Pulmonary Group, PA
      • Tampa, Florida, United States, 33606
        • USF Center for Advance Lung Disease
    • Georgia
      • Atlanta, Georgia, United States, 30322
        • Emory Children's Center
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Northwestern Memorial Hospital
      • Glenview, Illinois, United States, 60025
        • The Cystic Fibrosis Institute
    • Maryland
      • Baltimore, Maryland, United States, 21205
        • Johns Hopkins University
    • Massachusetts
      • Boston, Massachusetts, United States, 02114
        • Massachusetts General Hospital
      • Boston, Massachusetts, United States, 02115
        • Boston Children's Hospital
    • New Hampshire
      • Lebanon, New Hampshire, United States, 03756
        • Dartmouth-Hitchcock Medical Center (main location)
      • Manchester, New Hampshire, United States, 03104
        • Dartmouth-Hitchcock Manchester (satellite site)
    • New Jersey
      • Morristown, New Jersey, United States, 07960
        • Atlantic Health Children's Hospital
      • New Brunswick, New Jersey, United States, 08901
        • Rutgers Robert Wood Johnson Medical School
    • New York
      • Hawthorne, New York, United States, 10532
        • New York Medical College
      • New Hyde Park, New York, United States, 11040
        • North Shore Lij Health System
      • New York, New York, United States, 10003
        • Mount Sinai Beth Israel
    • Ohio
      • Cleveland, Ohio, United States, 44106
        • Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center
      • Columbus, Ohio, United States, 43205
        • Nationwide Children's Hospital
    • Oregon
      • Portland, Oregon, United States, 97239
        • Oregon Health and Science University
    • Pennsylvania
      • Hershey, Pennsylvania, United States, 17033
        • Milton S. Hershey Medical Center / Penn State College of Medicine
      • Philadelphia, Pennsylvania, United States, 19102
        • Drexel University College of Medicine
      • Pittsburgh, Pennsylvania, United States, 15224
        • Children's Hospital of Pittsburgh of UPMC
    • South Carolina
      • Charleston, South Carolina, United States, 29425
        • Medical University of South Carolina
    • South Dakota
      • Sioux Falls, South Dakota, United States, 57105
        • Sanford Children's Specialty Clinic
    • Texas
      • Dallas, Texas, United States, 75390
        • UT Southwestern Medical Center
      • Fort Worth, Texas, United States, 76104
        • Cook Children's Medical Center
      • Houston, Texas, United States, 77030
        • Texas Children's Hospital
      • Tyler, Texas, United States, 75708
        • The University of Texas Health Science Center at Tyler
    • Utah
      • Salt Lake City, Utah, United States, 84132
        • University of Utah
    • Wisconsin
      • Madison, Wisconsin, United States, 53792
        • University Hospital and UW Health Clinics

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. ≥ 12 years of age at the time Informed Consent/ Assent is signed.
  2. Weight ≥ 40 kg.
  3. FEV1 ≥ 40% predicted and < 100% predicted in the last 12 months.
  4. Physician-initiated treatment with an IV antibiotic 2 or 3 times in the last 12 months for a new PEx or physician-initiated treatment with an IV antibiotic 1 time in the last 12 months plus physician-initiated treatment with oral antibiotic(s) 1 or more times in the past 12 months for a new PEX.

Exclusion Criteria:

  1. Severe or unstable CF at screening or Visit 1.
  2. Any of the following values for laboratory tests at screening:

    1. A positive pregnancy test.
    2. Hemoglobin < 10 g/dL in males and < 9 g/dL in females.
    3. Neutrophils < 1.0 x 10^9 /L.
    4. Platelets < 75 x 10^9/L.
    5. Creatinine clearance < 50 mL/min according to Modification of Diet in Renal Disease (MDRD) Study equation.
    6. Serum transaminases > 2.5 x upper limit of normal.
  3. Any medical condition or concurrent medical therapies at screening or Visit 1 that may put the subject at greater safety risk, influence response to study drug or interfere with study assessments.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Placebo BID
Subjects will receive placebo twice daily.
Experimental: Lenabasum 20 mg BID
Subjects will receive lenabasum 20 mg twice daily.
Experimental: Lenabasum 5 mg BID
Subjects will receive lenabasum 5 mg twice daily.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pulmonary Exacerbation (PEx) Rate Over 28 Weeks
Time Frame: 28 weeks (Baseline Day 0 to Week 28)
Rate of PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo, during the treatment period. An primary PEx is defined on the physician's decision to treat with oral, intraveneous or inhaled antibiotics in the presence 4/12 Fuch's criteria (Change in sputum, new/increased hemoptysis, increased cough, increased dyspnea, malaise, fatigue/lethargy, Temperature greater than 38C, weight loss, sinus pain, change in sinus discharge, change in exam of chest, decrease in FEV1 of more than 10%, radiographic change). This excludes prophylactic antibiotics. A new PEx is a one that occurs at 28 days after the previous PEx.
28 weeks (Baseline Day 0 to Week 28)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pulmonary Exacerbation (PEx) Rate
Time Frame: 28 weeks (Baseline Day 0 to Week 28)
Event rate of PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo. The secondary definition of a PEx is based on the physician's diagnosis of pulmonary exacerbation and commencement of new oral, intravenous, or inhaled antibiotics. A new PEx is defined one that starts 28 or more days after the previous confirmed PEx. The PEx rate is calculated as the number of PEx/28 weeks
28 weeks (Baseline Day 0 to Week 28)
Time to First New Pulmonary Exacerbation (PEx)
Time Frame: 28 weeks (Baseline Day 0 to Week 28)
Time to first new PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo. An primary PEx is defined on the physician's decision to treat with oral, intraveneous or inhaled antibiotics in the presence 4/12 Fuch's criteria (Change in sputum, new/increased hemoptysis, increased cough, increased dyspnea, malaise, fatigue/lethargy, Temperature greater than 38C, weight loss, sinus pain, change in sinus discharge, change in exam of chest, decrease in FEV1 of more than 10%, radiographic change). This excludes prophylactic antibiotics. A new PEx is a one that occurs at 28 days after the previous PEx. The rate is calculate over a 28 week period from visit 1 to week 28 visit
28 weeks (Baseline Day 0 to Week 28)
Pulmonary Exacerbation (PEx)
Time Frame: 28 weeks (Baseline Day 0 to Week 28)
Time to first PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo. The secondary definition of a PEx is based on the physician's diagnosis of pulmonary exacerbation and commencement of new oral, intravenous, or inhaled antibiotics. A new PEx is defined one that starts 28 or more days after the previous confirmed PEx.
28 weeks (Baseline Day 0 to Week 28)
CFQ-R Respiratory Symptom Domain
Time Frame: 28 weeks (Change from Baseline Day 0 to Week 28)
Cystic Fibrosis Questionnaire - Revised measures change from baseline in CFQ-R respiratory symptom domain with lenabasum compared to placebo. Subjects >/= 14 years of age. 5 distinct 4-point Likert scales (e.g., always/often/ sometime/never) Scores for each HRQoL domain; after recoding, each item is summed to generate a domain score and standardized. Scores range from 0 to 100, with higher scores indicating better health.
28 weeks (Change from Baseline Day 0 to Week 28)
FEV1 % Predicted
Time Frame: 28 weeks (Change from Baseline Day 0 to Week 28)
Change from baseline to week 28 in Forced Expiratory Volume in 1 second (FEV1) expressed as a percentage of a normal range. A lower percentage FEV1 is indicative of decrease in lung functionality. The changes observed from baseline to week 28 for lenabasum will be compared with those observed for placebo treated participants.
28 weeks (Change from Baseline Day 0 to Week 28)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: James Chmiel, MD, Indiana University School of Medicine/Riley Physicians Pulmonary
  • Principal Investigator: J. Stuart Elborn, MD, National Heart and Lung Institute, Imperial College

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 22, 2017

Primary Completion (Actual)

June 17, 2020

Study Completion (Actual)

June 17, 2020

Study Registration Dates

First Submitted

February 23, 2018

First Submitted That Met QC Criteria

February 23, 2018

First Posted (Actual)

March 1, 2018

Study Record Updates

Last Update Posted (Actual)

January 18, 2023

Last Update Submitted That Met QC Criteria

December 21, 2022

Last Verified

December 1, 2022

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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