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Study of Safety, Tolerability & Efficacy in Cystic Fibrosis Patients With Abnormal Glucose Tolerance

2020年12月7日 更新者:Liminal BioSciences Ltd.

A Phase 2, Double-Blind, Placebo Controlled Study to Evaluate the Safety & Tolerability of PBI-4050 and Its Effects on Pancreatic and Pulmonary Function in Cystic Fibrosis Patients With Abnormal Glucose Tolerance

This is a Phase 2, multi-center, double blind, placebo controlled study to evaluate the safety and tolerability of PBI-4050, and its effects on the pancreatic, pulmonary functions and on various biomarkers in Cystic Fibrosis patients with abnormal glucose tolerance. Patients with abnormal glucose tolerance have elevated glucose level either at 1 hour or 2 hour during an Oral Glucose Tolerance Test (OGTT). The Main study will include 24 weeks of treatment with PBI-4050 or matching placebo. At the end of the treatment period, patients will have the option of participating in a 24-week Extension study.

調査の概要

状態

終了しました

詳細な説明

This is a Phase 2, multi-center, double blind, placebo controlled study to evaluate the safety and tolerability of PBI-4050, and its effects on the pancreatic, pulmonary functions and on various biomarkers in Cystic Fibrosis patients with abnormal glucose tolerance. Patients with abnormal glucose tolerance have elevated glucose level either at 1 hour or 2 hour during an Oral Glucose Tolerance Test (OGTT).

A total of 90 patients will be enrolled for study participation. A Data Safety Monitoring Board (DSMB) will continually review individual patients safety data obtained from the 90 patients. When the first 15 patients have completed at least 1 month of study treatment, the DSMB will meet formally to determine whether additional patients may be enrolled, the study should continue with changes or if the study should be stopped. In addition, the DSMB will review the PK data and may recommend dose adjustment based on the PK results.

The total duration of study participation for each patient is at least 32 weeks, including up to 4 weeks of a screening period, 24 weeks of study treatment and 4 weeks of safety follow-up.

Patients who choose to participate in the open label extension will be in the study for an additional 24 weeks of study treatment and 4 weeks of safety follow-up (for a total of 56 weeks).

研究の種類

介入

入学 (実際)

11

段階

  • フェーズ2

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

      • Quebec、カナダ
        • Institut Universitaire de Cardiologie et de Pneumologie de l'Université Laval (IUCPQ)
    • British Columbia
      • Vancouver、British Columbia、カナダ
        • St. Paul's Hospital - Pacific Lung Health Centre (PLHC)
    • Nova Scotia
      • Halifax、Nova Scotia、カナダ
        • Queen Elizabeth II Health Science Center
    • Ontario
      • Ottawa、Ontario、カナダ
        • Ottawa Hospital Research Institute
      • Toronto、Ontario、カナダ
        • St. Michael's Hospital
    • Quebec
      • Montreal、Quebec、カナダ
        • Institut de recherches cliniques de Montréal (IRCM)
      • Sherbrooke、Quebec、カナダ
        • Centre de recherche du Centre hospitalier universitaire de Sherbrooke

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  1. Patient is 18 years of age or older at screening.
  2. Patient has a documented and confirmed CF diagnosis.
  3. Patient has performed an OGTT for diagnosis of INDENT, IGT and de novo CFRD within 12 months prior to screening visit.
  4. Patient has a Body Mass Index (BMI) of at least 17 kg/m2.
  5. Patient has signed written informed consent.
  6. Patient is able and willing to self-monitor blood glucose level at home.
  7. Female patients of childbearing potential must have a negative pregnancy test (serum or urine) and agree to use adequate birth control from screening throughout the study and for the 30 days after the last study drug administration.
  8. If a male patient has not been vasectomized at least 6 months before screening and partners with a woman of childbearing potential, he must be willing to use an acceptable contraceptive method throughout the study and for the 30 days after the last study drug administration.

Exclusion Criteria:

  1. Patient has recent or ongoing infection requiring intravenous treatment with an anti-infective agent within 30 days before screening.
  2. Patient is concurrently taking high dose of ibuprofen (>30 mg/kg) or is using corticosteroids (except inhaled and topical corticosteroids).
  3. Patient is currently using weight-loss medications.
  4. 4. Patient has used any moderate/potent inhibitor of cytochrome P450 (CYP) 2C9 isozyme or strong inhibitor of CYP3A isozyme within 30 days prior to the first study drug administration.
  5. Patient has significantly elevated liver enzyme levels, defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 2.5 Upper Limit of Normal (ULN) or total bilirubin above ULN at screening.
  6. Patient has a history of chronic alcohol or other substance abuse as determined at screening that may prevent study compliance based on Investigator judgment.
  7. History of malignancy of any organ system, treated or untreated, within the past 5 years other than basal or squamous cell skin cancer.
  8. Patient has unstable chronic heart failure that has required change in therapy within 2 months prior to screening.
  9. Patient with known non-controlled history of infection with Human Immunodeficiency Virus (HIV) and/or active Hepatitis.
  10. Woman who is pregnant, breast-feeding or planning a pregnancy during the course of the study.
  11. Woman of childbearing potential who is unwilling to use adequate birth control throughout the duration of the study.
  12. Patient has any condition that, in the Investigator's opinion, is likely to interfere with study conduct and compliance.
  13. Patient has participated in an investigational clinical trial within 30 days (or 5 half-lives, whichever is longer) prior to screening visit.
  14. Patient is under insulin and/or repaglinide treatment at screening/baseline

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:4倍

武器と介入

参加者グループ / アーム
介入・治療
実験的:PBI4050
1 日 1 回、200 mg カプセル 4 個 (合計 8​​00 mg) を経口投与します。
Investigational Medicinal Product
プラセボコンパレーター:Placebo
Four 200 mg capsules (total 800 mg) administered orally, once daily.
コンパレータ

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Number of Subjects with Adverse Events (Combined Main Study and Extension Study Participation)
時間枠:Baseline to 1 Year
Adverse Event data (including abnormal laboratory values) collected up to final follow-up (30 days after last dose of study drug). Serious Adverse Events that were ongoing at the follow-up visit will be followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.
Baseline to 1 Year

二次結果の測定

結果測定
時間枠
Change from Baseline in glucose level following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Change from Baseline of insulin-secretion following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
時間枠:Up 1 Year
Up 1 Year
Change from Baseline of HbA1C following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Change from Baseline in pulmonary function parameters (FEV1 ) (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Change from Baseline in pulmonary function parameters ( FVC) (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Change from Baseline in pulmonary function parameters (FEV1/FVC ratio) (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Change from Baseline in pulmonary function parameters (Forced Expiratory Flow (FEF25%-75%)) (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Change from baseline in weight (Combined Main Study and Extension Study Participation)
時間枠:Up to1 Year
Up to1 Year

その他の成果指標

結果測定
時間枠
Changes from baseline in fibrotic and inflammatory biomarkers in blood (Combined Main Study and Extension Study Participation)
時間枠:Up to 1 Year
Up to 1 Year
Changes from baseline in fibrotic and inflammatory biomarkers in urine (Combined Main Study and Extension Study Participation)
時間枠:Up to1 Year
Up to1 Year

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • スタディチェア:John Moran, MD、Liminal BioSciences Ltd.

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2017年1月3日

一次修了 (実際)

2018年2月1日

研究の完了 (実際)

2018年2月1日

試験登録日

最初に提出

2016年10月21日

QC基準を満たした最初の提出物

2016年11月2日

最初の投稿 (見積もり)

2016年11月4日

学習記録の更新

投稿された最後の更新 (実際)

2020年12月8日

QC基準を満たした最後の更新が送信されました

2020年12月7日

最終確認日

2020年12月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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