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

15. oktober 2014 opdateret af: Boehringer Ingelheim

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

Safety, tolerability and pharmacokinetics following single doses

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

45

Fase

  • Fase 1

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

6 år og ældre (Barn, Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Placebo komparator: Placebo
Eksperimentel: BIIL 284 BS, lav dosis til pædiatriske patienter
Eksperimentel: BIIL 284 BS, medium dose in pediatric patients
Eksperimentel: BIIL 284 BS, high dose in pediatric patients
Eksperimentel: BIIL 284 BS, low dose in adult patients
Eksperimentel: BIIL 284 BS, medium dose in adult patients
Eksperimentel: BIIL 284 BS, høj dosis til voksne patienter

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Changes from baseline in physical examination
Tidsramme: Pre-dose and up to 5 days after drug administration
Pre-dose and up to 5 days after drug administration
Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate, respiratory rate, body temperature)
Tidsramme: Pre-dose, up to 5 days after drug administration
Pre-dose, up to 5 days after drug administration
Changes from baseline in spirometry
Tidsramme: Pre-dose and up to 5 days after drug administration
Pre-dose and up to 5 days after drug administration
Changes from baseline in oximetry
Tidsramme: Pre-dose and up to 5 days after drug administration
Pre-dose and up to 5 days after drug administration
Number of patients with clinically relevant changes in 12-lead ECG
Tidsramme: Pre-dose, up to 5 days after drug administration
Pre-dose, up to 5 days after drug administration
Number of patients with clinically relevant changes in laboratory evaluation
Tidsramme: Pre-dose, up to 5 days after drug administration
Pre-dose, up to 5 days after drug administration
Number of patients with adverse events
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration

Sekundære resultatmål

Resultatmål
Tidsramme
Plasma concentration-time profiles of BIIL 315 ZW in all dose groups
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Plasma concentration-time profiles of BIIL 284 BS, BIIL 260 BS and BIIL 304 ZW in medium dose adult and high dose pediatric group
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Area under the concentration-time curve of the analytes in plasma (AUC)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Maximum measured concentration of the analytes in plasma (Cmax)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Time from dosing to the maximum concentration of the analytes in plasma (tmax)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Terminal half-life of the analytes in plasma (t1/2)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Total mean residence time of the analytes in the body (MRTtot)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Terminal rate constant of the analytes in plasma (λz)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Apparent clearance of the analytes in plasma following extravascular administration (CL/F)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration
Apparent volume of distribution during the terminal phase λz following extravascular administration (Vz/F)
Tidsramme: Up to 5 days after drug administration
Up to 5 days after drug administration

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. oktober 2001

Primær færdiggørelse (Faktiske)

1. juli 2002

Studieafslutning

7. december 2022

Datoer for studieregistrering

Først indsendt

15. oktober 2014

Først indsendt, der opfyldte QC-kriterier

15. oktober 2014

Først opslået (Skøn)

16. oktober 2014

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

16. oktober 2014

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. oktober 2014

Sidst verificeret

1. oktober 2014

Mere information

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