Phase 2
Completed N=166
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
| Outcome | Result | p-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.
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.