Senolytics Treatment of Interstitial Lung Disease in Common Variable Immunodeficiency
Senolytics as a Novel Treatment for Interstitial Lung Disease in Common Variable Immunodeficiency (CVID)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient must have received a diagnosis of CVID according to the international consensus document (ICON) at least 30 days before enrollment.
- Physician diagnosis of possible GLILD associated with CVID.
- IgA results.
- Female patient is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile. (A negative pregnancy test for women whose menopausal status is determined by self-reported absence of menstrual periods in the past 12 months will be required within 72 hours prior to randomization).
- Patient must be able and willing to comply with the requirements of this study protocol.
Exclusion Criteria:
- Unable or unwilling to give informed consent.
- Presence of any condition that the Investigator or the subject's attending physician believes would put the subject at risk or would preclude the patient from successfully completing the trial.
- Pregnant and/or lactating. Women of childbearing potential (WCBP) must have a negative pregnancy test within 72 hours prior to randomization.
WCBP who are unwilling to abstain from sex or use an adequate method of contraception from the time of the first IP administration through 48 hours after the last IP administration.
- Men who are unwilling to abstain from sex with WCBP or use an adequate method of contraception from the time of the first IP administration through 48 hours after the last IP administration.
- Prisoners, institutionalized individuals, or others who may be considered vulnerable populations, such as individuals with dementia.
- Patient currently hospitalized or under immediate consideration for hospitalization.
- Current use of tobacco products or as per clinical judgement.
- Current excessive caffeine intake (400 mg or more per day).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Fisetin Group
Subjects will receive the supplement, Fisetin, for 2 cycles of 2 consecutive days (first on days 0 & 1 and then repeated on days 28 & 29)
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20 mg per kilogram (kg) of body weight supplied in 100 mg capsules and administered orally on days 0, 1, 28, and 29
|
|
Placebo Comparator: Placebo Group
Subjects will receive placebo for 2 cycles of 2 consecutive days (first on days 0 & 1 and then repeated on days 28 & 29)
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Looks exactly like the study drug, but it contains no active ingredient.
Administered orally on days 0, 1, 28 and 29
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in immunophenotyping of peripheral T lymphocytes
Time Frame: Baseline, 6 months
|
Measured by percentage of activated CD4+25+ T cells
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Baseline, 6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Forced Vital Capacity (FVC)
Time Frame: Baseline, 6 months
|
Measured by spirometry to determine the maximal amount of air that can be forcibly exhaled from the lungs after a full inhale, reported as liters (L)
|
Baseline, 6 months
|
|
Change in radiologic imaging in subjects
Time Frame: Baseline, 3 months, 6 months
|
Number of subjects to have a 10% improvement with the CT scoring system.
Radiologist will score the CT scans at each time point and changes in score at each time point will be noted.
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Baseline, 3 months, 6 months
|
|
Use of MRI imaging for assessment of GLILD
Time Frame: 6 months
|
Number of MRI images that were used to assess for GLILD compared to High-resolution Computed Tomography (HRCT) use
|
6 months
|
|
Infectious complications
Time Frame: 6 months
|
Number of subjects to experience infectious complications
|
6 months
|
|
Adverse Events
Time Frame: 6 months
|
Number of adverse events reported
|
6 months
|
|
Change in quality of life
Time Frame: Baseline, 6 months
|
Measured using the RAND 36-Short Form Survey Instrument (SF-36).
The SF-36 Health Survey is a 36-item, participant-reported survey that measures patient health and disability.
Possible scores range from 0 to 100, with 0 indicating maximum disability, and 100 indicating no disability
|
Baseline, 6 months
|
|
Change in 6 minute walk test
Time Frame: Baseline, 6 months
|
Number of subjects to have a 10% improvement in 6 minute walk test.
The 6 minute walk test measures the distance a person is able to walk in 6 minutes.
|
Baseline, 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Avni Joshi, MD, MS, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- 21-003119
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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