Safety and Tolerability Trial of Inhaled Alpha1-Proteinase Inhibitor (Human), Hydrophobic Chromatography Process (Alpha-1 HC) in Subjects With Cystic Fibrosis
A Three Week Dose Escalation, Randomized, Double-Blind, Placebo-Controlled Trial to Assess the Safety and Tolerability of 100 mg or 200 mg of Inhaled Alpha-1 HC, Once a Day in Subjects With Cystic Fibrosis.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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Alabama
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Birmingham, Alabama, Vereinigte Staaten, 35233
- The University of Alabama at Birmingham
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Colorado
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Denver, Colorado, Vereinigte Staaten, 80206
- National Jewish Hospital
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02115
- Children's Hospital Boston
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North Carolina
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Chapel Hill, North Carolina, Vereinigte Staaten, 27599
- UNC at Chapel Hill
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Ohio
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Cleveland, Ohio, Vereinigte Staaten, 44106
- Rainbow Babies and Children's Hospital
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South Carolina
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Charleston, South Carolina, Vereinigte Staaten, 29425
- Medical University of South Carolina
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Age 18 years or older.
- Documentation of CF diagnosis.
- Have a pre-bronchodilator FEV1 ≥ 40% of predicted at Visit 1 and have a Visit 2 pre-investigational product FEV1 that is ≥ 40% of predicted and within ± 15% of the Visit 1 result.
- Deemed by the Investigator to be a suitable candidate for serial collection of expectorated sputum.
Exclusion Criteria:
- Had a pulmonary exacerbation during the 4 weeks before screening (Visit 1) which required the initiation of new antibiotic treatment
- Have a pulmonary exacerbation during the screening period (between Visit 1 and Visit 2) which requires the initiation of new antibiotic treatment
- FEV1 < 0.59 liters at the screening visit
- Respiratory insufficiency with continuous supplemental oxygen therapy, or carbon dioxide retention
- Elevated aspartate transaminase (AST) or alanine aminotransferase (ALT) that is ≥ 3 times the upper limit of normal for age and gender
- Smoking during the past 6 months
- Lung surgery during the past 2 years
- Positive culture for Burkholderia cepacia or mycobacterium during the past two years.
- Active allergic bronchopulmonary aspergillosis
- Pre-treatment sputum collection at Visit 1 or Visit 2 (Randomization) characterized by problems such as inadequate sputum volume or quality.
- Known selective Immunoglobulin A (IgA) deficiency with known antibody against IgA (anti-IgA antibody).
- History of anaphylaxis or severe systemic response to any plasma-derived alpha1-proteinase inhibitor preparation or other blood product(s), or to polysorbates.
- Use of chronic oral steroids during the study. Note: Inhaled corticosteroids that had been administered for at least 4 weeks prior to Visit 1 were permissible during the study.
- Use of chronic, high dose ibuprofen therapy within 3 weeks of screening and at anytime during the study.
- Chronic maintenance therapy with systemic antibiotics within 3 weeks of screening and through last dose of investigational product.
- Use of leukotriene synthesis inhibitor (zileuton) or leukotriene receptor antagonists (montelukast, zafirlukast) within 3 weeks of screening and at anytime during the study.
- Use of roflumilast within 3 weeks of screening and at any time during the study.
- Initiation of a new chronic medication or dosage change of a chronic medication for treatment of cystic fibrosis (example: Kalydeco™ [ivacaftor]) within 3 weeks of screening (Visit 1).
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: Alpha-1 HC 100 mg
100 mg of aerosolized Alpha-1 HC inhaled daily via nebulizer for 3 weeks.
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Alpha-1 HC is a sterile, liquid preparation of purified alpha1-proteinase inhibitor prepared from pooled human plasma.
Alpha-1 HC 100 mg inhaled once daily for 21 days for a total of 21 inhaled treatments.
Andere Namen:
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Experimental: Alpha-1 HC 200 mg
200 mg of aerosolized Alpha-1 HC inhaled daily via nebulizer for 3 weeks.
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Alpha-1 HC is a sterile, liquid preparation of purified alpha1-proteinase inhibitor prepared from pooled human plasma.
Alpha-1 HC 200 mg inhaled once daily for 21 days for a total of 21 inhaled treatments.
Andere Namen:
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Placebo-Komparator: Placebo
Placebo inhaled daily via nebulizer for 3 weeks.
Placebo (phosphate buffer saline with polysorbate).
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Phosphate Buffer Saline with Polysorbate (placebo) composed of the same elements listed for Alpha-1 HC, minus the 50 mg/mL of Alpha-1 HC.
Placebo inhaled once daily for 21 days for a total of 21 inhaled treatments.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Adverse Events
Zeitfenster: 3 weeks
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adverse event frequency
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3 weeks
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Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Percent Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 3
Zeitfenster: 3 weeks
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FEV1 conducted before and after inhalation of the investigational product at study visits.
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3 weeks
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Percent Change From Baseline in Forced Vital Capacity (FVC) at Week 3
Zeitfenster: 3 weeks
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FVC conducted before and after inhalation of the investigational product
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3 weeks
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Verdauungssystems
- Pathologische Prozesse
- Erkrankungen der Atemwege
- Lungenkrankheit
- Säugling, Neugeborenes, Krankheiten
- Genetische Krankheiten, angeboren
- Erkrankungen der Bauchspeicheldrüse
- Fibrose
- Mukoviszidose
- Molekulare Mechanismen der pharmakologischen Wirkung
- Enzym-Inhibitoren
- Serinproteinase-Inhibitoren
- Trypsin-Inhibitoren
- Protease-Inhibitoren
- Alpha 1-Antitrypsin
- Protein-C-Inhibitor
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- T6005-201
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