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

7 de dezembro de 2020 atualizado por: 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.

Visão geral do estudo

Status

Rescindido

Condições

Descrição detalhada

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).

Tipo de estudo

Intervencional

Inscrição (Real)

11

Estágio

  • Fase 2

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

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

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Quadruplicar

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: PBI4050
Quatro cápsulas de 200 mg (total de 800 mg) administradas por via oral, uma vez ao dia.
Investigational Medicinal Product
Comparador de Placebo: Placebo
Four 200 mg capsules (total 800 mg) administered orally, once daily.
Comparador

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Number of Subjects with Adverse Events (Combined Main Study and Extension Study Participation)
Prazo: 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

Medidas de resultados secundários

Medida de resultado
Prazo
Change from Baseline in glucose level following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Prazo: 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)
Prazo: Up 1 Year
Up 1 Year
Change from Baseline of HbA1C following Oral Glucose Tolerance Test (OGTT) (Combined Main Study and Extension Study Participation)
Prazo: Up to 1 Year
Up to 1 Year
Change from Baseline in pulmonary function parameters (FEV1 ) (Combined Main Study and Extension Study Participation)
Prazo: Up to 1 Year
Up to 1 Year
Change from Baseline in pulmonary function parameters ( FVC) (Combined Main Study and Extension Study Participation)
Prazo: 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)
Prazo: 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)
Prazo: Up to 1 Year
Up to 1 Year
Change from baseline in weight (Combined Main Study and Extension Study Participation)
Prazo: Up to1 Year
Up to1 Year

Outras medidas de resultado

Medida de resultado
Prazo
Changes from baseline in fibrotic and inflammatory biomarkers in blood (Combined Main Study and Extension Study Participation)
Prazo: 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)
Prazo: Up to1 Year
Up to1 Year

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

  • Cadeira de estudo: John Moran, MD, Liminal BioSciences Ltd.

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

3 de janeiro de 2017

Conclusão Primária (Real)

1 de fevereiro de 2018

Conclusão do estudo (Real)

1 de fevereiro de 2018

Datas de inscrição no estudo

Enviado pela primeira vez

21 de outubro de 2016

Enviado pela primeira vez que atendeu aos critérios de CQ

2 de novembro de 2016

Primeira postagem (Estimativa)

4 de novembro de 2016

Atualizações de registro de estudo

Última Atualização Postada (Real)

8 de dezembro de 2020

Última atualização enviada que atendeu aos critérios de controle de qualidade

7 de dezembro de 2020

Última verificação

1 de dezembro de 2020

Mais Informações

Termos relacionados a este estudo

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

NÃO

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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