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临床试验/EUCTR2015-004917-26-NL
EUCTR2015-004917-26-NL进行中(未招募)1 期

A Phase 2a, 2-part, Randomized, Double-blind, Placebo-controlled, Incomplete Block Crossover Study to Evaluate the Safety and Efficacy of VX-371 Solution for Inhalation With and Without Oral Ivacaftor in Subjects With Primary Ciliary Dyskinesia - PS-G202

Parion Sciences, Incorporated0 个研究点目标入组 123 人开始时间: 2016年7月28日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
123

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • Subjects who meet all of the following inclusion criteria will be eligible.
  • 1. Subject (or subject’s legally appointed and authorized representative) will sign and date an informed consent form (ICF) and, where appropriate, assent form.
  • 2. Willing and able to comply with scheduled visits, treatment plan, study restrictions laboratory tests, contraceptive guidelines, and other study procedures.
  • 3. Willing and able to use the nebulization device as directed by the instructions for use.
  • 4. The subject must have evidence supportive of a PCD diagnosis based on the following:
  • A. Subjects =12 to <18 years of age must meet 2 or more of the following PCD clinical criteria:
  • ? Unexplained neonatal respiratory distress (at term birth) with need for respiratory support with CPAP and/or oxygen for >24 hours
  • ? Any organ laterality defect confirmed by historical chest imaging – situs inversustotalis, situs ambiguous, or heterotaxy
  • ? Daily, year-round wet or productive cough starting in first year of life or bronchiectasis on historical chest imaging
  • ? Daily, year-round nasal congestion starting in first year of life or pansinusitis on historical sinus imaging
  • B. Subjects =18 years of age must have bronchiectasis on historical chest imaging
  • C. All subjects must ALSO have documentation of at least one of the following historical tests:
  • ? For patients with no laterality defect, nNO level, measured with a chemiluminescent NO analyzer, during plateau <77 nL/min on 2 occasions, at least 2 months apart, with CF excluded by sweat chloride or genetic testing
  • ? For patients with a laterality defect, nNO level, measured with a chemiluminescent NO analyzer, during plateau <77 nL/min on at least 1 occasion
  • ? Diagnostic ciliary ultrastructural defect on transmission electron micrograph (TEM)
  • ? 2 loss of function and/or known mutations in a single PCD-associated gene.
  • Prior to randomization, all subjects must have a confirmed diagnosis of PCD (including central review, as required) based on one of the following:
  • ? 2 loss of function and/or known mutations in a single PCD-associated gene identified by the central genetic testing laboratory from the specimen obtained at the screening visit; previous genotype results cannot be used to determine eligibility for randomization.
  • ? Diagnostic ciliary ultrastructural defect on transmission electron micrograph. A previously prepared TEM specimen will be reviewed centrally; a new specimen will not be obtained.
  • ? Laterality defect that includes dextrocardia plus bronchiectasis in more than 1 lobe on historical chest imaging.
  • 5. Subjects with percent predicted FEV1 of =40 to <90 percentage points adjusted for age, sex, and height according to the Global Lung Function Initiative (GLI) predicted values at the Screening Visit, taken 4 hours or more after last dose of short-acting bronchodilators (ß-agonists and/or
  • anticholinergics)
  • 6. Non-smoker for the past 90 days prior to the Screening Visit and less than a 5 pack-year lifetime history of smoking, and willing to not smoke while enrolled in the study.
  • 7. Stable regimen of medic

排除标准

  • Subjects who meet any of the following exclusion criteria will not be
  • 1. Diagnosis of CF, including at least 1 of the following:
  • a. Documented sweat chloride test =60 mM by quantitative pilocarpine
  • iontophoresis
  • b. Abnormal nasal potential difference (NPD) test
  • c. 2 CF-causing mutations in the CFTR gene
  • 2. Subjects with only 1 mutation in the CFTR gene and a sweat chloride
  • test =60 mM by quantitative pilocarpine iontophoresis.
  • 3. History of any organ transplantation or lung resection or chest wall
  • 4. Significant congenital heart defects, other than a laterality defect, at
  • the discretion of the investigator.
  • 5. Diagnosis of Cri du chat syndrome (chromosome 5p deletion
  • 6. Inability to withhold short-acting bronchodilator use for 4 hours prior
  • to clinic visit and long-acting bronchodilator use the night before the
  • first and last clinic visit of each treatment period.
  • 7. History of any illness or any clinical condition that, in the opinion of
  • the investigator, might confound the results of the study or pose an
  • additional risk in administering study drug(s) to the subject. This may
  • include, but is not limited to history of clinically significant and
  • uncontrolled adrenal, neurologic, gastrointestinal, renal, hepatic,
  • cardiovascular (including hyper/hypotension and tachy/bradycardia),
  • psychological, pulmonary (other than PCD), metabolic, endocrine, or
  • hematological/coagulation disorder or disease, or scoliosis of such
  • severity that it impacts pulmonary function or any other major disorder
  • or disease, in the opinion of the investigator.
  • 8. Use of diuretics (including amiloride) or renin-angiotensin
  • antihypertensive drugs (e.g., spironolactone, angiotensin converting
  • enzyme [ACE] and/or neural endopeptidase (NEP)-inhibitors, or
  • angiotensin receptor blockers [ARBs]) or trimethoprim or drospirenone
  • in the 28 days before Day 1 or anticipate need for these medications
  • during the study.
  • 9. Had symptoms of acute upper or lower respiratory tract infection or
  • had an acute pulmonary exacerbation requiring treatment or was treated
  • with systemic antibiotics for ear or sinus disease within 28 days before
  • Day 1 (topical otic antibiotics allowed).
  • 10. History of significant intolerance to inhaled HS, as determined by the
  • investigator.
  • 11. History of drug or alcohol abuse, in the opinion of the investigator.
  • 12. Known hypersensitivity to any of the study drugs or amiloride.
  • 13. Used ivacaftor within 28 days prior to Day 1 or anticipate need for
  • ivacaftor during the study.
  • 14. Pregnant and/or nursing females.
  • 15. Any clinically significant laboratory abnormalities at the Screening
  • Visit as judged by the investigator, or any of the following:

研究者

发起方
Parion Sciences, Incorporated

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已完成
2 期
A Phase 2a, Two-part, Randomized, Double-blind, Placebo-controlled, Incomplete Block Crossover Study to Evaluate the Safety and Efficacy of VX-371 Solution for Inhalation With and Without Oral Ivacaftor in Subjects With Primary Ciliary DyskinesiaPrimary ciliary dyskinesiagenetic condition of the cilia10038686
NL-OMON46905Parion Sciences, Incorporated15