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EMPIRE CF: A Phase 2 Study to Evaluate the Efficacy, Safety, and Tolerability of CTX-4430 in Adult Cystic Fibrosis (CF) Patients

Phase 2
Completed
Conditions
Cystic Fibrosis
Interventions
Drug: Placebo
Registration Number
NCT02443688
Lead Sponsor
Celtaxsys, Inc.
Brief Summary

This study is a Phase 2, double-blind, randomized, placebo-controlled study to evaluate the safety and efficacy of CTX-4430 administered once-daily for 48 weeks for treatment of CF.

Detailed Description

This study is a Phase 2, double-blind, randomized, placebo-controlled study to evaluate the safety and efficacy of CTX-4430 administered once-daily for 48 weeks for treatment of CF. A total of 195 pulmonary CF patients that meet all the inclusion and no exclusion criteria and provide written informed consent will be randomized to receive 50 mg CTX-4430, 100 mg CTX-4430, or placebo in a 1:1:1 ratio. Follow-up visits will be conducted approximately every 4 weeks from Week 4 to Week 52 (4 weeks after completion of treatment).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Forced expiratory volume at one second (FEV1) ≥50 percent predicted at Screening
  • At least 1 pulmonary exacerbation in the 12 months before Screening
Exclusion Criteria
  • Pregnant or nursing women
  • Medical condition that is unstable, could be adversely impacted by participation in the study, or could impact assessment of the study results
  • History of organ transplantation
  • History of alcoholism or drug abuse within 2 years before Screening
  • Regular use of a high-dose NSAID within 60 days before Screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
50 mg CTX-4430CTX-4430Once daily oral capsule for 48 weeks
Matching PlaceboPlaceboOnce daily oral capsule for 48 weeks
100 mg CTX-4430CTX-4430Once daily oral capsule for 48 weeks
Primary Outcome Measures
NameTimeMethod
Difference From Placebo in Absolute Change From Baseline in Forced Expiratory Volume in 1 Second Percent Predicted (ppFEV1)Baseline, Week 48

Difference from Placebo in absolute change from Baseline at Week 48 was assessed for FEV1 percent predicted.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline at 48 Weeks for Forced Vital Capacity Percent Predicted (FVC) and FEF25-75% (Forced Expiratory Flow During the Middle Half of the Forced Vital Capacity) Percent PredictedBaseline, Week 48
Number of Pulmonary Exacerbations Through 48 WeeksWeek 48

Rate of protocol-defined pulmonary exacerbations reported through the Week 48/Early Termination visit will be annualized where a year is defined by 52 weeks and will be analyzed using a negative binomial regression.

Subjects Without a Pulmonary Exacerbation While in the StudyWeek 48

Subjects who did not experience a protocol-defined pulmonary exacerbation during the study

Change From Baseline for Specified BiomarkersBaseline, Week 48

Results were only calculated in subjects who had a verifiable result at the Baseline and Week 48 visits.

Hazard Ratio Pulmonary Exacerbation While in the StudyWeek 48

Hazard Ratio of pulmonary exacerbation versus placebo for all subjects. Pulmonary exacerbations are defined as treatment with oral, inhaled, or intravenous antibiotic(s) for ≥4 of symptoms/signs per the modified Fuchs criteria.

Relative Change (Percent Change) From Baseline in ppFEV1Baseline, Week 48

Percent change from Baseline for ppFEV1 at 48 weeks was assessed.

Change From Baseline for C-reactive Protein (Hs-CRP)Baseline, Week 48

Results were only calculated in subjects who had a verifiable result at the Baseline and Week 48 visits.

Trial Locations

Locations (75)

University of Alabama

🇺🇸

Birmingham, Alabama, United States

Providence Health and Services

🇺🇸

Anchorage, Alaska, United States

Banner University of Arizona Medical Center

🇺🇸

Tucson, Arizona, United States

Childrens Hospital Los Angeles

🇺🇸

Los Angeles, California, United States

Pediatric Pulmonary and Cystic Fibrosis Clinic, Stanford University

🇺🇸

Palo Alto, California, United States

University of California Davis Medical Center

🇺🇸

Sacramento, California, United States

National Jewish Health

🇺🇸

Denver, Colorado, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Central Florida Pulmonary Group

🇺🇸

Orlando, Florida, United States

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University of Alabama
🇺🇸Birmingham, Alabama, United States
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