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A Study to Evaluate Multiple Doses of GLPG2222 in Adult Subjects With Cystic Fibrosis

2018年10月19日 更新者：Galapagos NV

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

This is a Phase IIa, multi-center, randomized, double-blind, placebo-controlled, parallel-group study to evaluate 4 different doses of GLPG2222 administered for 4 weeks to adult subjects with a confirmed diagnosis of CF and homozygous for the F508del Cystic Fibrosis Transmembrane conductance Regulator (CFTR) mutation.

研究概览

地位

完全的

条件

干预/治疗

研究类型

介入性

注册 (实际的)

59

阶段

  • 阶段2

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 塞尔维亚
      • Novi Beograd、塞尔维亚
        • Mother and child health institute of Serbia
  • 比利时
      • Antwerp、比利时
        • UZ Antwerpen
      • Brussels、比利时
        • UZ Brussel
      • Ghent、比利时
        • UZ Gent
      • Leuven、比利时
        • UZ Leuven
  • 美国
    • Alabama
      • Chatom、Alabama、美国、35233
        • Child Health Research Unit at UAB
    • Arkansas
      • Little Rock、Arkansas、美国、72205
        • University of Arkansas for Medical Sciences
    • Florida
      • Orlando、Florida、美国、32803
        • Central Florida Pulmonary Group
    • Illinois
      • Glenview、Illinois、美国、60026
        • Cystic Fibrosis Center of Chicago
    • Maine
      • Portland、Maine、美国、04102
        • Maine Medical Center
    • Maryland
      • Baltimore、Maryland、美国、21205
        • John Hopkins University School of Medicine
    • South Carolina
      • Charleston、South Carolina、美国、29425
        • Medical University of South Carolina
  • 英国
      • Cambridge、英国
        • Papworth Hospital
      • Leeds、英国
        • St James University Hospital
      • Liverpool、英国
        • Liverpool Heart and Chest Hospital
      • Southampton、英国
        • Southampton General Hospital
  • 荷兰
      • Amsterdam、荷兰
        • AMC Amsterdam
      • Rotterdam、荷兰
        • Erasmus Medisch Centrum
      • The Hague、荷兰
        • Haga ziekenhuis
      • Utrecht、荷兰
        • UMC Utrecht
  • 西班牙
      • Barcelona、西班牙
        • Hospital Universitari Vall d'Hebron
      • Madrid、西班牙
        • Hospital Universitario La Paz
      • Valencia、西班牙
        • Hospital Universitarii Plitecnic La Fe

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 99年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Male or female subject ≥ 18 years of age, on the day of signing the Informed Consent Form (ICF).
  2. A confirmed clinical diagnosis of CF and homozygous for the F508del CFTR mutation
  3. Weight ≥ 40 kg.
  4. Stable concomitant treatment for at least 4 weeks (28 days) prior to baseline
  5. Forced expiratory volume in 1 second (FEV1) ≥ 40% of predicted normal for age, gender and height at screening

Exclusion Criteria:

  1. 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.
  2. Unstable pulmonary status or respiratory tract infection requiring a change in therapy within 4 weeks of baseline.
  3. Need for supplemental oxygen during the day, and >2 liters per minute (LPM) while sleeping.
  4. Use of CFTR modulator therapy (e.g. lumacaftor or ivacaftor) within 4 weeks prior to the first study drug administration.
  5. History of hepatic cirrhosis with portal hypertension.
  6. 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)
  7. Estimated creatinine clearance < 60 mL/min using the Cockcroft-Gault formula at screening.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：四人间

武器和干预

参与者组/臂
干预/治疗
实验性的：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.
药品：GLPG2222 50 mg
Oral tablet(s) containing GLPG2222
药品：Placebo
Matching oral tablet(s) containing placebo
实验性的：Cohort A: GLPG2222 100 mg QD
Participants received a single GLPG2222 100 mg tablet and two matching placebo tablets orally, QD for 29 days.
药品：Placebo
Matching oral tablet(s) containing placebo
药品：GLPG2222 100 mg
Oral tablet(s) containing GLPG2222
实验性的：Cohort B: GLPG2222 200 mg QD
Participants received two GLPG2222 100 mg tablets and one matching placebo tablet orally, QD for 29 days.
药品：Placebo
Matching oral tablet(s) containing placebo
药品：GLPG2222 200 mg
Oral tablet(s) containing GLPG2222
实验性的：Cohort B: GLPG2222 400 mg QD
Participants received two GLPG2222 150 mg tablets and one GLPG2222 100 mg tablet orally, QD for 29 days.
药品：Placebo
Matching oral tablet(s) containing placebo
药品：GLPG2222 400 mg
Oral tablet(s) containing GLPG2222
安慰剂比较：Cohort A Placebo
Participants received three matching placebo tablets, orally, QD for 29 days.
药品：Placebo
Matching oral tablet(s) containing placebo
安慰剂比较：Cohort B Placebo
Participants received three matching placebo tablets, orally, QD for 29 days.
药品：Placebo
Matching oral tablet(s) containing placebo

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Number of Participants With Treatment-Emergent Adverse Events
大体时间：First administration (Day 1) through Follow-up (Day 43)
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).
First administration (Day 1) through Follow-up (Day 43)

次要结果测量

结果测量
措施说明
大体时间
Mean Change From Baseline in Sweat Chloride Concentration at Day 29
大体时间：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).
Prior to dosing on Days 1 and 29, or at early discontinuation
Mean Change From Baseline in Percent (%) Predicted FEV1 (%FEV1) at Day 29
大体时间：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.
Predose and between 1 and 2 hours postdose on Days 1 and 29, or at early discontinuation
Mean Change From Baseline in the Respiratory Domain of the Cystic Fibrosis Questionnaire-Revised (CFQ-R) at Day 29
大体时间：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.
Prior to dosing on Days 1 and 29, or at early discontinuation
Mean Maximum Observed Plasma Concentration (Cmax; Nanograms Per Milliliter [mg/mL]) of GLPG2222
大体时间：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.
Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
Mean GLPG2222 Plasma Concentration Observed at Predose (Ctrough; ng/mL)
大体时间：Days 15 and 29 (predose)
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.
Days 15 and 29 (predose)
Median Time to Occurrence of GLPG2222 Cmax (Tmax; Hours [h])
大体时间：Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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.
Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29
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
大体时间：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.
Day 15 (predose and 0.5, 1, 2, 3, 4, 6, and 8 hours postdose) and prior to dosing on Day 29

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Galapagos NV

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2017年3月18日

初级完成 (实际的)

2017年10月19日

研究完成 (实际的)

2017年10月19日

研究注册日期

首次提交

2017年4月11日

首先提交符合 QC 标准的

2017年4月17日

首次发布 (实际的)

2017年4月18日

研究记录更新

最后更新发布 (实际的)

2018年11月16日

上次提交的符合 QC 标准的更新

2018年10月19日

最后验证

2018年10月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • GLPG2222-CL-202

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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