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Cystic FibrosisPhase 1/2NCT02718495

Study Assessing PTI-428 Safety, Tolerability, and Pharmacokinetics in Subjects With Cystic Fibrosis

A Phase 1/2 study testing PTI-428 in people with Cystic Fibrosis, run by Proteostasis Therapeutics, Inc. at 29 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This trial will consist of three arms: Part A, Part B, and Part C. Part A has two groups. The first group will enroll adult subjects with cystic fibrosis (CF) into a single ascending dose (SAD) treatment group. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
PTI-428
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
29 sitesin 5 countries
Study dates
19 Jul 2016to 28 Nov 2017
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of CF.
  • Forced expiratory volume in 1 second (FEV1) 40-90% predicted.
  • Non-smoker and non-tobacco user for a minimum of 30 days prior to screening and for the duration of the study.

Who cannot join

  • Participation in another clinical trial or treatment with an investigational agent within 30 days or 5 half-lives, whichever is longer, prior to Study Day 1.
  • History of cancer within the past five years (excluding cervical CIS with curative therapy for at least one year prior to screening and non-melanoma skin cancer).
  • History of organ transplantation.
  • Any sinopulmonary infection or CF exacerbation requiring a change or addition of medication (including antibiotics) within 1 month of Study Day 1 or any other clinically significant infection as determined by the investigator within 1 month of Day 1.
  • History of alcohol or drug abuse or dependence within 12 months of screening as determined by the Investigator.
  • Male and female of child-bearing potential, unless they are using highly effective methods of contraception during participation in the clinical study and for 4 weeks after termination from study.
  • Pregnant or nursing women.

Trial locations and contacts

29 sites in 5 countries.

29 sites in 5 countries

United States20 sites
  • Central Florida Pulmonary Group

    Altamonte Springs, Florida, 32803

  • Universiy of Michigan Health System

    Ann Arbor, Michigan, 48109

  • St. Luke's Cystic Fibrosis Center of Idaho

    Boise, Idaho, 83712

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Childrens Hospital Boston

    Boston, Massachusetts, 02115

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Northwestern University Memorial Hospital

    Chicago, Illinois, 60611

  • Duke University Health System

    Durham, North Carolina, 27710

  • University of Florida College of Medicine

    Gainesville, Florida, 32610

  • Penn State Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Kansas Medical Center Research Institute, Inc.

    Kansas City, Kansas, 66160

  • Children's Lung Specialists

    Las Vegas, Nevada, 89107

  • University of Louisville

    Louisville, Kentucky, 40202

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • Quintiles Overland Park Phase 1 Unit

    Overland Park, Kansas, 66211

  • Drexel University College of Medicine

    Philadelphia, Pennsylvania, 19107

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Stanford University Medical Center

    Stanford, California, 94305

Other trials in United States

Canada4 sites
  • Institut de Recherches Cliniques de Montreal

    Montreal, Quebec, H2X 0A9

  • Institut Universitaire de Cardiologie et de Pneumologie de Quebec

    Québec, Quebec, G1V 4G5

  • St. Michael's Hospital

    Toronto, Ontario, M5B 1W8

  • St. Paul's Hospital Pacific Lung Research Center

    Vancouver, British Columbia, V6Z 1Y6

Other trials in Canada

France2 sites
  • Groupe Hospitalier Pellegrin - Hôpital des Enfants

    Bordeaux, 33076

  • Hôpital Cochin

    Paris, 75014

Other trials in France

Germany2 sites
  • Charite - Campus Virchow-Klinikum

    Berlin, 10117

  • Universitaetsklinikum Frankfurt-Zentrum der Inneren Medizin

    Frankfurt, 60590

Other trials in Germany

Denmark1 site
  • University of Copenhagen Rigshospitalet

    Copenhagen, 2100

Other trials in Denmark

About this study

Official title: A Phase I/II, Multi-center, Randomized, Placebo-Controlled, Study Designed to Assess the Safety, Tolerability, and Pharmacokinetics of PTI-428 in Subjects With Cystic Fibrosis

This trial will consist of three arms: Part A, Part B, and Part C. Part A has two groups. The first group will enroll adult subjects with cystic fibrosis (CF) into a single ascending dose (SAD) treatment group. The second group will enroll adult subjects with CF, including those on background treatment with ORKAMBI® and those not on a cystic fibrosis transmembrane conductance regulator (CFTR) modulator, into a multiple ascending dose (MAD) treatment group. Part B will enroll adult subjects with CF currently on stable ORKAMBI® background therapy for a minimum of 3 months into a Phase II treatment group consisting of two cohorts. Part C will enroll adult subjects with CF, including those on background treatment with KALYDECO® and those not on a CFTR modulator, into a Phase II treatment group consisting of three cohorts. Approximately 136 subjects will be enrolled.

Read the detailed description

PART A The SAD treatment group is comprised of 3 cohorts where subjects will be randomized to either PTI-428 or placebo. Following the conclusion of at least 3 SAD treatment groups, a set of adult subjects diagnosed with CF will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 cohorts. MAD Cohort 1 will enroll adult subjects with CF currently on stable ORKAMBI® background therapy for a minimum of 3 months at the time of randomization. MAD Cohorts 2 and 3 will enroll adult subjects with CF who are not currently on any background therapies. Subjects in all MAD cohorts will be randomized to either PTI-428 or placebo. Each dose will be administered once daily (QD) for a total of 7 Days.

PART B Following the conclusion of MAD Cohort 1, a set of adult subjects diagnosed with CF currently on stable ORKAMBI® background therapy for a minimum of 3 months will participate in Part B. The Part B Phase II treatment group is comprised of 2 cohorts where subjects will be randomized to either PTI-428 or placebo. Each dose will be administered QD for a total of 28 days.

PART C Following the conclusion of Part B Phase II, a set of adult subjects diagnosed with CF will participate in Part C. The Part C Phase II treatment group is comprised of 3 cohorts. Part C Cohort 1 will enroll adult subjects with CF who are eligible to take, but not currently taking, ORKAMBI® in accordance with the approved label. Part C Cohort 2 will enroll adult subjects with CF currently on stable KALYDECO® background therapy for a minimum of 3 months at the time of randomization. Part C Cohort 3 will enroll adult subjects with CF who are not currently on any background therapies and are pancreatic sufficient. Each PTI-428 or placebo dose will be administered QD for a total of 28 days.

Conditions
Cystic Fibrosis
Being tested
PTI-428, Placebo
Medical subject headings
Cystic Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PTI-428Drug

  • PlaceboDrug

Study groups in NCT02718495
Study groupRoleWhat they receive
Part APlacebo comparatorPart A consists of two treatment groups, SAD and MAD. Both treatment groups will consist of 3 cohorts. In SAD, subjects will receive a single dose of PTI-428 or placebo. In MAD, subjects will receive once daily dosing of PTI-428 or placebo for 7 days.
Receives: Drug: PTI-428; Drug: Placebo
Part BPlacebo comparatorPart B will consist of 2 cohorts. Subjects will receive once daily dosing of PTI-428 or placebo for 28 days.
Receives: Drug: PTI-428; Drug: Placebo
Part CPlacebo comparatorPart C will consist of 3 cohorts. Subjects will receive once daily dosing of PTI-428 or placebo for 28 days.
Receives: Drug: PTI-428; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. SAD: safety and tolerability as assessed by adverse events, safety labs: hematology, chemistry, and urinalysis, electrocardiograms (ECGs), physical examinations, and vital signs

    Measured: Baseline to Day 7

  2. MAD: safety and tolerability as assessed by adverse events, pulomonary function tests, safety labs: hematology, chemistry, and urinalysis, electrocardiograms (ECGs), physical examinations, and vital signs

    Measured: Baseline to Day 14

  3. Part B and Part C Cohorts 2 and 3: safety and tolerability as assessed by adverse events, safety labs: hematology, chemistry, and urinalysis, electrocardiograms (ECGs), physical examinations, and vital signs

    Measured: Baseline to Day 35

  4. Part C Cohort 1: safety and tolerability as assessed by adverse events, safety labs: hematology, chemistry, and urinalysis, electrocardiograms (ECGs), physical examinations, and vital signs

    Measured: Baseline to Day 49

Secondary outcomes (25)
  1. SAD: apparent terminal half-life (t1/2) of single oral dose

    Measured: Baseline through 72 hours post dose

  2. SAD: time to reach maximum plasma concentration (Tmax) of single oral dose

    Measured: Baseline through 72 hours post dose

  3. SAD: maximum plasma concentration (Cmax) of single oral dose

    Measured: Baseline through 72 hours post dose

  4. SAD: area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) of single oral dose

    Measured: Baseline through 72 hours post dose

  5. MAD: t1/2 of multiple oral doses

    Measured: Baseline through 24 hours post Day 7 dose

  6. MAD: Tmax of multiple oral doses

    Measured: Baseline through 24 hours post Day 7 dose

  7. MAD: Cmax of multiple oral doses

    Measured: Baseline through 24 hours post Day 7 dose

  8. MAD: AUC0-t of multiple oral doses

    Measured: Baseline through 24 hours post Day 7 dose

  9. MAD: area under the concentration-time curve from time 0 to infinity (AUC0-∞) of multiple oral doses

    Measured: Baseline through 24 hours post Day 7 dose

  10. Part B and Part C Cohorts 2 and 3: t1/2 of multiple oral doses

    Measured: Baseline through 24 hours post Day 28 dose

  11. Part B and Part C Cohorts 2 and 3: Tmax of multiple oral doses

    Measured: Baseline through 24 hours post Day 28 dose

  12. Part B and Part C Cohorts 2 and 3: Cmax of multiple oral doses

    Measured: Baseline through 24 hours post Day 28 dose

  13. Part B and Part C Cohorts 2 and 3: AUC0-t of multiple oral doses

    Measured: Baseline through 24 hours post Day 28 dose

  14. Part B and Part C Cohorts 2 and 3: AUC0-∞ of multiple oral doses

    Measured: Baseline through 24 hours post Day 28 dose

  15. Part B and Part C Cohorts 2 and 3: change in forced expiratory volume in one second (FEV1) over time

    Measured: Baseline through Day 35

  16. Part B and Part C Cohorts 2 and 3: change in sweat chloride over time

    Measured: Baseline through Day 35

  17. Part B and Part C Cohorts 2 and 3: change in weight over time

    Measured: Baseline through Day 35

  18. Part C Cohort 1: t1/2 of multiple oral doses

    Measured: Baseline through Day 42

  19. Part C Cohort 1: Tmax of multiple oral doses

    Measured: Baseline through Day 42

  20. Part C Cohort 1: Cmax of multiple oral doses

    Measured: Baseline through Day 42

  21. Part C Cohort 1: AUC0-t of multiple oral doses

    Measured: Baseline through Day 42

  22. Part C Cohort 1: AUC0-∞ of multiple oral doses

    Measured: Baseline through Day 42

  23. Part C Cohort 1: change in FEV1 over time

    Measured: Baseline through Day 49

  24. Part C Cohort 1: change in sweat chloride over time

    Measured: Baseline through Day 49

  25. Part C Cohort 1: change in weight over time

    Measured: Baseline through Day 49

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Mar 2016 (estimated)
  2. Study start19 Jul 2016
  3. Primary completion28 Nov 2017
  4. Study completion28 Nov 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02718495
Sponsor's protocol ID
PTI-428-01
Status last verified
Mar 2019
First submitted
10 Mar 2016
Last updated
21 Mar 2019
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing PTI-428 in people with Cystic Fibrosis, run by Proteostasis Therapeutics, Inc. at 29 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in United States, Canada, France, Germany, Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

SAD: safety and tolerability as assessed by adverse events, safety labs: hematology, chemistry, and urinalysis, electrocardiograms (ECGs), physical examinations, and vital signs (time frame: Baseline to Day 7). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Mar 2019.

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