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
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
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Antwerp, Belgia
- UZ Antwerpen
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Brussels, Belgia
- UZ Brussel
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Ghent, Belgia
- UZ Gent
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Leuven, Belgia
- UZ Leuven
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Alabama
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Chatom, Alabama, Forente stater, 35233
- Child Health Research Unit at UAB
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Arkansas
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Little Rock, Arkansas, Forente stater, 72205
- University of Arkansas for Medical Sciences
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Florida
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Orlando, Florida, Forente stater, 32803
- Central Florida Pulmonary Group
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Illinois
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Glenview, Illinois, Forente stater, 60026
- Cystic Fibrosis Center of Chicago
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Maine
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Portland, Maine, Forente stater, 04102
- Maine Medical Center
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Maryland
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Baltimore, Maryland, Forente stater, 21205
- John Hopkins University School of Medicine
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South Carolina
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Charleston, South Carolina, Forente stater, 29425
- Medical University of South Carolina
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Amsterdam, Nederland
- AMC Amsterdam
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Rotterdam, Nederland
- Erasmus Medisch Centrum
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The Hague, Nederland
- Haga Ziekenhuis
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Utrecht, Nederland
- UMC Utrecht
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Novi Beograd, Serbia
- Mother and child health institute of Serbia
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Barcelona, Spania
- Hospital Universitari Vall d'Hebron
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Madrid, Spania
- Hospital Universitario La Paz
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Valencia, Spania
- Hospital Universitarii Plitecnic La Fe
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Cambridge, Storbritannia
- Papworth Hospital
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Leeds, Storbritannia
- St James University Hospital
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Liverpool, Storbritannia
- Liverpool Heart and Chest Hospital
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Southampton, Storbritannia
- Southampton General Hospital
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: 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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Eksperimentell: 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
|
|
Eksperimentell: 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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Eksperimentell: 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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Placebo komparator: 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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Placebo komparator: Cohort B Placebo
Participants received three matching placebo tablets, orally, QD for 29 days.
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Matching oral tablet(s) containing placebo
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Number of Participants With Treatment-Emergent Adverse Events
Tidsramme: 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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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Mean Change From Baseline in Sweat Chloride Concentration at Day 29
Tidsramme: 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
Tidsramme: Predose and between 1 and 2 hours postdose on Days 1 and 29, or at early discontinuation
|
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
Tidsramme: Prior to dosing on Days 1 and 29, or at early discontinuation
|
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
Tidsramme: Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
|
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)
Tidsramme: 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])
Tidsramme: 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
Tidsramme: Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
|
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
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- GLPG2222-CL-202
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