A Study to Evaluate Multiple Doses of GLPG2222 in Adult Subjects With Cystic Fibrosis
A Phase IIa, Randomized, Double-blind, Placebo-controlled Study to Evaluate Multiple Doses of GLPG2222 in Subjects With Cystic Fibrosis Who Are Homozygous for the F508del Mutation
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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Antwerp, Belgio
- UZ Antwerpen
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Brussels, Belgio
- UZ Brussel
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Ghent, Belgio
- UZ Gent
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Leuven, Belgio
- UZ Leuven
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Amsterdam, Olanda
- AMC Amsterdam
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Rotterdam, Olanda
- Erasmus Medisch Centrum
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The Hague, Olanda
- Haga ziekenhuis
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Utrecht, Olanda
- UMC Utrecht
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Cambridge, Regno Unito
- Papworth Hospital
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Leeds, Regno Unito
- St James University Hospital
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Liverpool, Regno Unito
- Liverpool Heart and Chest Hospital
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Southampton, Regno Unito
- Southampton General Hospital
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Novi Beograd, Serbia
- Mother and child health institute of Serbia
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Barcelona, Spagna
- Hospital Universitari Vall d'Hebron
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Madrid, Spagna
- Hospital Universitario La Paz
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Valencia, Spagna
- Hospital Universitarii Plitecnic La Fe
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Alabama
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Chatom, Alabama, Stati Uniti, 35233
- Child Health Research Unit at UAB
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Arkansas
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Little Rock, Arkansas, Stati Uniti, 72205
- University of Arkansas for Medical Sciences
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Florida
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Orlando, Florida, Stati Uniti, 32803
- Central Florida Pulmonary Group
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Illinois
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Glenview, Illinois, Stati Uniti, 60026
- Cystic Fibrosis Center of Chicago
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Maine
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Portland, Maine, Stati Uniti, 04102
- Maine Medical Center
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Maryland
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Baltimore, Maryland, Stati Uniti, 21205
- John Hopkins University School of Medicine
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South Carolina
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Charleston, South Carolina, Stati Uniti, 29425
- Medical University of South Carolina
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- Male or female subject ≥ 18 years of age, on the day of signing the Informed Consent Form (ICF).
- A confirmed clinical diagnosis of CF and homozygous for the F508del CFTR mutation
- Weight ≥ 40 kg.
- Stable concomitant treatment for at least 4 weeks (28 days) prior to baseline
- Forced expiratory volume in 1 second (FEV1) ≥ 40% of predicted normal for age, gender and height at screening
Exclusion Criteria:
- History of clinically meaningful unstable or uncontrolled chronic disease that makes the subject unsuitable for inclusion in the study in the opinion of the investigator.
- Unstable pulmonary status or respiratory tract infection requiring a change in therapy within 4 weeks of baseline.
- Need for supplemental oxygen during the day, and >2 liters per minute (LPM) while sleeping.
- Use of CFTR modulator therapy (e.g. lumacaftor or ivacaftor) within 4 weeks prior to the first study drug administration.
- History of hepatic cirrhosis with portal hypertension.
- Abnormal liver function test at screening; defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/ or alkaline phosphatase and/or gamma-glutamyl transferase (GGT) ≥ 3x the upper limit of normal (ULN); and/or total bilirubin (>1.5 times ULN)
- Estimated creatinine clearance < 60 mL/min using the Cockcroft-Gault formula at screening.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: Cohort A: GLPG2222 50 mg once daily (QD)
Participants received a single GLPG2222 50 mg tablet and two matching placebo tablets orally, QD for 29 days.
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Oral tablet(s) containing GLPG2222
Matching oral tablet(s) containing placebo
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Sperimentale: Cohort A: GLPG2222 100 mg QD
Participants received a single GLPG2222 100 mg tablet and two matching placebo tablets orally, QD for 29 days.
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Matching oral tablet(s) containing placebo
Oral tablet(s) containing GLPG2222
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Sperimentale: Cohort B: GLPG2222 200 mg QD
Participants received two GLPG2222 100 mg tablets and one matching placebo tablet orally, QD for 29 days.
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Matching oral tablet(s) containing placebo
Oral tablet(s) containing GLPG2222
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Sperimentale: Cohort B: GLPG2222 400 mg QD
Participants received two GLPG2222 150 mg tablets and one GLPG2222 100 mg tablet orally, QD for 29 days.
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Matching oral tablet(s) containing placebo
Oral tablet(s) containing GLPG2222
|
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Comparatore placebo: Cohort A Placebo
Participants received three matching placebo tablets, orally, QD for 29 days.
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Matching oral tablet(s) containing placebo
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Comparatore placebo: Cohort B Placebo
Participants received three matching placebo tablets, orally, QD for 29 days.
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Matching oral tablet(s) containing placebo
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Number of Participants With Treatment-Emergent Adverse Events
Lasso di tempo: First administration (Day 1) through Follow-up (Day 43)
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Number of participants with any treatment-emergent adverse events (TEAEs) and serious or treatment-related TEAEs, as well as number of patients with TEAEs by worst intensity reported (mild, moderate, or severe).
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First administration (Day 1) through Follow-up (Day 43)
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Mean Change From Baseline in Sweat Chloride Concentration at Day 29
Lasso di tempo: Prior to dosing on Days 1 and 29, or at early discontinuation
|
Two sweat collections, one from each arm, were obtained.
Mean sweat chloride concentration was determined from both arms and measured as millimoles per liter (mmol/L).
Baseline was defined as the predose value on Day 1 (or the last non-missing predose measurement).
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Prior to dosing on Days 1 and 29, or at early discontinuation
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Mean Change From Baseline in Percent (%) Predicted FEV1 (%FEV1) at Day 29
Lasso di tempo: Predose and between 1 and 2 hours postdose on Days 1 and 29, or at early discontinuation
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Percent predicted FEV1 for age, gender, and height was determined from standardized spirometry assessments and estimated using the 2012 Global Lungs Initiative equation.
Baseline was defined as the last non-missing predose assessment on Day 1.
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Predose and between 1 and 2 hours postdose on Days 1 and 29, or at early discontinuation
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Mean Change From Baseline in the Respiratory Domain of the Cystic Fibrosis Questionnaire-Revised (CFQ-R) at Day 29
Lasso di tempo: Prior to dosing on Days 1 and 29, or at early discontinuation
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The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis.
The respiratory domain assessed respiratory symptoms (for example, coughing, congestion, wheezing), derived from Questions 40, 41, 42, 45, and 46 if at least 50% of the questions had non-missing data.
The scale score ranged from 0-100; higher scores indicated fewer symptoms and better health-related quality of life with a negative change indicating a worsening of symptoms.
A change of 4 is considered clinically relevant.
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Prior to dosing on Days 1 and 29, or at early discontinuation
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Mean Maximum Observed Plasma Concentration (Cmax; Nanograms Per Milliliter [mg/mL]) of GLPG2222
Lasso di tempo: Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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Maximum concentration of GLPG2222 after multiple dosing (ng/ML), obtained directly from the observed concentration versus time data.
All pharmacokinetic (PK) parameters were determined from Day 15; Day 29 data were determined if the participant was not available for full PK profiling on Day 15.
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Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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Mean GLPG2222 Plasma Concentration Observed at Predose (Ctrough; ng/mL)
Lasso di tempo: Days 15 and 29 (predose)
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Plasma concentration of GLPG2222 observed at pre-dose (ng/mL), obtained directly from the observed concentration versus time data.
Ctrough was calculated using both Day 15 and Day 29 PK data.
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Days 15 and 29 (predose)
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Median Time to Occurrence of GLPG2222 Cmax (Tmax; Hours [h])
Lasso di tempo: Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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Time of occurrence of maximum concentration of GLPG2222 after multiple dosing (h), obtained directly from the observed concentration versus time data.
All PK parameters were determined from Day 15; Day 29 data were determined if the participant was not available for full PK profiling on Day 15.
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Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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Mean Area Under the Concentration-Time Curve From Time 0 up to 24 Hours Following Multiple Dosing (AUC[0-t]; ng.h/mL) of GLPG2222
Lasso di tempo: Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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Area under the concentration-time curve from time 0 up to 24 hours following multiple dosing (ng.h/mL), calculated by linear up/log down trapezoidal summation.
All PK parameters were determined from Day 15; Day 29 data were determined if the participant was not available for full PK profiling on Day 15.
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Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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Collaboratori e investigatori
Sponsor
Sponsor
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- GLPG2222-CL-202
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