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Phase 2 Completed N=166 Randomized Quadruple-blind Treatment

Study of LAU-7b in the Treatment of Cystic Fibrosis in Adults

Source: ClinicalTrials.gov NCT03265288 ↗
Enrolled (actual)
166
Serious AEs
21.1%
Results posted
Oct 2024
Primary outcomePrimary: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1%) — -1.1774; -1.9489; -0.5417; -1.5470 Change in FEV1 % predicted — p=0.3449

Summary

An International Phase II, double-blind, randomized, placebo-controlled study to evaluate the safety and efficacy of LAU-7b administered once-daily for 6 months for the treatment of CF.

Outcome Measures

OutcomeResultp-value
PRIMARY
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1%)
-1.1774; -1.9489; -0.5417; -1.5470; -0.3374; -1.5632 0.3449
PRIMARY
Summary of Treatment Emergent Adverse Events With ≥ 10% Incidence
74; 64; 22; 27; 45; 43
SECONDARY
The Proportion of Patients Achieving Normalization of the Arachidonic Acid, Docosahexaenoic Acid and Their Ratio in Phospholipids
15; 25; 16; 18; 25; 23 0.1047
SECONDARY
The Absolute Change in FEV1 Percent Predicted at 3, 7, 11, 15, 24 and 28 Weeks Into the Trial
-0.243; -1.494; 0.280; -0.888; -0.309; -0.871
SECONDARY
The Relative (%) Change in FEV1 Percent Predicted at 3, 7, 11, 15, 24 and 28 Weeks Into the Trial
-1.188; -2.341; 0.561; -1.550; -0.213; -1.277
SECONDARY
The Time to First Protocol-Defined Pulmonary Exacerbation
NA; NA 0.3025
SECONDARY
The Number Per Subject of Protocol-Defined Pulmonary Exacerbations (PEx) During the Trial
0.16; 0.10; 0.24; 0.18; 0.53; 0.47 0.3366
SECONDARY
The Time to First Change and Usage of Antibiotic (Other Than Chronic Inhaled Antibiotics Already Started Prior to Trial or Oral Chronic Azithromycin)
NA; NA 0.1955
SECONDARY
Usage (Number of Antibiotic Treatments) of Antibiotic (Other Than Chronic Inhaled Antibiotics Already Started Prior to Trial or Oral Chronic Azithromycin)
0.53; 0.41 0.1909
SECONDARY
Usage (Days) of Antibiotic (Other Than Chronic Inhaled Antibiotics Already Started Prior to Trial or Oral Chronic Azithromycin)
3.8; 3.5 0.7473
SECONDARY
The Change From Baseline of Systemic Markers of Inflammation in Blood
-1.197; 2.532; -27; 478; -1.216; 2.532 0.0822
SECONDARY
The Change From Screening of the Body Weight
-0.43; 0.14 0.1006
SECONDARY
The Change From Screening of the Body Mass Index (BMI)
-0.162; 0.037 0.1246
SECONDARY
The Overall Change From Screening of the Pseudomonas Aeruginosa Density (Colony Forming Units) in the Sputum
17681448107; 10218800226 0.7640
SECONDARY
The Impact (From Baseline) on Overall Health, Daily Life, Perceived Well-being and Symptoms Measured With the Cystic Fibrosis Questionnaire-Revised (CFQ-R)
-2.485; 0.235 0.2996
SECONDARY
The Change in Metabolipidomic Profile and in Markers of Oxidative Stress in Blood
-0.0195; 0.0187; -0.00445; -0.01181; 0.00069; 0.02028

Eligibility Criteria

Inclusion Criteria

  • Screening FEV1 between 40% and 100% predicted value for age, gender and height, in patients capable of properly performing the test;
  • History of pulmonary exacerbation, defined as at least one (1) pulmonary exacerbation in the year prior to Screening which resulted in documented intravenous or Oral antibiotics;
  • Patients are eligible independently of their history of pulmonary Pseudomonas aeruginosa (PsA) infection and their PsA status at screening;
  • If taking Kalydeco® (ivacaftor), Orkambi® (ivacaftor/lumacaftor), Symdeko® (ivacaftor/tezacaftor) or other commercially available CFTR modulator products, patients must be taking it for a minimum of 3 months prior to screening if naïve to CFTR modulators and 1 month if switched from another CFTR modulator product and deemed to tolerate it;
  • No change in CF and allowed systemic chronic therapy for a minimum of 5 weeks prior to randomization, of which 2 weeks minimum are prior to screening;
  • Female patients of child bearing potential should be on highly effective contraceptive methods during the study;
  • Male patients with spouse or partner of child bearing potential, or pregnant, are eligible if they use an appropriate method of contraception.

Exclusion Criteria

  • Pregnancy: due to the potential teratogenic effects of retinoids, pregnant women are NOT eligible;
  • Breast milk feeding by study patient is NOT allowed;
  • Clinically abnormal renal function: serum creatinine > 132 μM (1.5 mg/dL);
  • Clinically abnormal liver function: Total bilirubin >1.5 x ULN (in the absence of demonstrated Gilbert's syndrome), alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) > 2.5 x ULN;
  • Patients with plasma retinol levels below 0.7 µM;
  • Presence of nyctalopia or hemeralopia at enrolment, or any other serious retinal, ophthalmological condition;
  • Presence of serious dermatological conditions at entry, including inflammatory or xerotic skin pathologies such as psoriasis or ichthyosis;
  • Intake of chronic systemic steroids in the month prior to screening and during the study;
  • History of acute infections (viral/bacterial/fungal) within 5 weeks prior to randomization, of which 2 weeks minimum are prior to screening, whether or not treated and resolved;
  • Presence of infection with Burkholderia cepacia (including all species within the Burkholderia cepacia complex group, and Burkholderia gladioli) in the 12 months prior to screening;
  • Patients with a confirmed diagnosis (as per the Cystic Fibrosis Foundation diagnostic criteria) of Allergic BronchoPulmonary Aspergillosis (ABPA) and actively being treated with corticosteroids and/or anti fungal agents.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03265288). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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