Phase 1
N=58
Phase 1 Three Part SAD, MAD & Cross-Over Study of ZP-059 in Healthy and Asthmatic Subjects
Allergic Bronchopulmonary Aspergillosis
Bottom Line
View on ClinicalTrials.gov: NCT04229303 ↗Enrolled (actual)
58
Serious AEs
0.0%
Results posted
Nov 2021
Primary outcome: Primary: Number of Participants With Treatment-Emergent Adverse Events (TEAE) — 0; 3; 2; 2 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Voriconazole inhaled (Drug); oral voriconazole (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Zambon SpA
- Primary completion
- Aug 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment-Emergent Adverse Events (TEAE) |
0; 3; 2; 2; 5; 4 | — |
| SECONDARY AUC0-t, AUC0-inf for Voriconazole and N-oxide Voriconazole - Part 1 |
24.36; 73.89; 187.76; 328.37; 298.15; 573.55 | <0.0001 sig |
| SECONDARY Cmax for Voriconazole and N-oxide Voriconazole - Part 1 |
8.44; 18.52; 53.37; 94.33; 57.70; 103.16 | 0.2575 |
| SECONDARY Tmax and T1/2 for Voriconazole and N-oxide Voriconazole - Part 1 |
1.57; 1.50; 1.50; 1.50; 1.57; 1.50 | — |
| SECONDARY Kel for Voriconazole and N-oxide Voriconazole - Part 1 |
0.30; 0.23; 0.22; 0.19; 0.19; 0.19 | — |
| SECONDARY CL/F for Voriconazole - Part 1 |
131.2; 124.6; 97.7; 108.7 | — |
| SECONDARY Vz/F for Voriconazole - Part 1 |
614.3; 553.1; 450.9; 569.6 | — |
| SECONDARY MR AUC0-t, MR AUC0-inf for N-oxide Voriconazole - Part 1 |
12.25; 7.76; 4.28; 5.59; 10.92; 8.18 | — |
| SECONDARY MR Cmax for N-oxide Voriconazole - Part 1 |
6.84; 5.57; 2.73; 3.04 | — |
| SECONDARY AUC0-t, AUC0-inf for Voriconazole and N-oxide Voriconazole - Part 2 |
69.65; 139.29; 329.28; 78.20; 155.72; 358.13 | 0.0004 sig |
| SECONDARY Cmax for Voriconazole and N-oxide Voriconazole - Part 2 |
19.87; 40.42; 96.77; 21.38; 57.11; 127.54 | 0.0003 sig |
| SECONDARY Tmax and T1/2 for Voriconazole and N-oxide Voriconazole - Part 2 |
1.50; 1.50; 1.57; 1.50; 1.50; 1.50 | — |
| SECONDARY Kel for Voriconazole and N-oxide Voriconazole - Part 2 |
0.19; 0.20; 0.21; 0.16; 0.13; 0.15 | — |
| SECONDARY CL/F for Voriconazole - Part 2 |
120.9; 93.1; 93.5 | — |
| SECONDARY Swing for Voriconazole and N-oxide Voriconazole - Part 2 |
10.50; 9.62; 55.16; 4.60; 3.81; 20.65 | — |
| SECONDARY AUCtau for Voriconazole and N-oxide Voriconazole - Part 2 |
82.82; 215.56; 427.57; 620.89; 1438.74; 2803.51 | — |
| SECONDARY Css,av for Voriconazole and N-oxide Voriconazole - Part 2 |
6.91; 17.95; 35.64; 51.75; 119.88; 233.63 | — |
| SECONDARY Fluctuation for Voriconazole and N-oxide Voriconazole - Part 2 |
281.0; 284.9; 350.8; 162.8; 141.8; 163.8 | — |
| SECONDARY Rac for Voriconazole and N-oxide Voriconazole - Part 2 |
1.19; 1.55; 1.30; 1.59; 1.87; 1.41 | — |
| SECONDARY Rlinear for Voriconazole and N-oxide Voriconazole - Part 2 |
1.06; 1.38; 1.19; 1.42; 1.70; 1.30 | — |
| SECONDARY MR AUC0-t, MR AUC0-inf and MR AUCtau for N-oxide Voriconazole - Part 2 |
5.62; 5.53; 6.04; 5.68; 5.45; 5.55 | — |
| SECONDARY MR Cmax N-oxide Voriconazole - Part 2 |
3.61; 3.57; 3.50; 4.81; 3.81; 3.23 | — |
| SECONDARY Cmax for Voriconazole and N-oxide Voriconazole - Part 3 |
108.08; 863.22; 151.43; 1589.05 | — |
| SECONDARY Vz/F for Voriconazole - Part 3 |
549.0; 526.0 | — |
| SECONDARY AUC0-t, AUC0-inf for Voriconazole and N-oxide Voriconazole - Part 3 |
290.02; 3726.68; 269.61; 3800.41; 1128.69; 21504.52 | — |
| SECONDARY Tmax and T1/2 for Voriconazole and N-oxide Voriconazole - Part 3 |
0.43; 1.16; 1.74; 2.76; 5.13; 6.93 | — |
| SECONDARY CL/F for Voriconazole - Part 3 |
74.2; 52.4 | — |
| SECONDARY Kel for Voriconazole and N-oxide Voriconazole - Part 3 |
0.14; 0.10; 0.15; 0.11 | — |
| SECONDARY Vz/F for Voriconazole - Part 3 |
549.0; 526.0 | — |
| SECONDARY MR AUC0-t and MR AUC0-inf for N-oxide Voriconazole - Part 3 |
3.89; 5.77; 4.38; 5.74 | — |
| SECONDARY MR Cmax for N-oxide Voriconazole - Part 3 |
1.40; 1.84 | — |
| SECONDARY Bioavailability of Voriconazole - Cmax |
53.37; 40.42; 108.08; 863.22; 57.11 | — |
| SECONDARY Bioavailability of Voriconazole - AUC-inf |
203.96; 155.72; 269.61; 3800.41; 258.66 | — |
Summary
The primary safety objectives were:
* Part 1: To determine the safety and tolerability of single doses of ZP-059 in healthy subjects
* Part 2: To determine the safety and tolerability of multiple doses of ZP-059 in subjects with mild stable asthma
* Part 3: To determine the safety and tolerability of single doses of ZP-059 in subjects with mild to moderate stable asthma.
The primary PK objectives were:
* Part 1: To characterize systemic PK of voriconazole and N-oxide voriconazole after single doses of ZP-059 in healthy subjects
* Part 2: To characterize systemic PK of voriconazole and N-oxide voriconazole after multiple doses of ZP-059 in subjects with mild stable asthma
* Part 3: To characterize systemic PK of voriconazole and N-oxide voriconazole after single doses of ZP-059 and single doses of oral voriconazole in subjects with mild to moderate stable asthma.
Eligibility Criteria
Inclusion Criteria (part 1):
- Female subjects must be either of non-childbearing potential or if of childbearing potential use a highly effective birth control method
- Male subjects with female partners of childbearing potential must be vasectomised with documented medical assessment of the surgical success or use highly effective contraception together with their female partner(s)
- Subject must agree not to donate semen or ova/oocytes during the study and for 14 days after the last dose of IMP.
- BMI ≥ 18.0 and ≤ 35.0 kg/m2 at Screening.
- Are willing and able to comply with all aspects of the protocol.
- FEV1 ≥80% of the predicted value and FEV1/FVC ratio > 0.70; at screening.
- Able to demonstrate the correct inhalation technique for use of delivery device during the study at screening and pre-dose Day 1.
Inclusion Criteria (part 2):
- Subjects with mild stable asthma with a documented physician confirmed diagnosis of asthma for at least 3 months prior to screening.
- Asthma assessed by investigator as being stable for at least 4 weeks prior to screening and prior to Day 1.
- Female subjects must be either of non-childbearing potential or if of childbearing potential use a highly effective birth control method
- Male subjects with female partners of childbearing potential must be vasectomised with documented medical assessment of the surgical success or use highly effective contraception together with their female partner(s).
- Subject must agree not to donate semen or ova/oocytes during the study and for 14 days after the last dose of IMP.
- Body mass index (BMI) ≥ 18.0 and ≤ 35.0 kg/m2 at Screening.
- Are willing and able to comply with all aspects of the protocol.
- Subject is being treated with short acting beta-agonists alone or in conjunction with low to medium doses of ICS.
- Pre-bronchodilator FEV1 ≥70% of the predicted value at screening.
- Able to demonstrate the correct inhalation technique for use of delivery device during the study at screening and pre-dose Day 1.
Inclusion Criteria (part 3):
- Subjects with mild to moderate stable asthma with a documented physician confirmed diagnosis of asthma for at least 3 months prior to screening.
- Asthma assessed by investigator as being stable for at least 4 weeks prior to screening and prior to randomisation.
- Female subjects must be either of non-childbearing potential or if of childbearing potential use a highly effective birth control method .
- Male subjects with female partners of childbearing potential must be vasectomised with documented medical assessment of the surgical success or use highly effective contraception together with their female partner(s)
- Subject must agree not to donate semen or ova/oocytes during the study and for 14 days after the last dose of IMP.
- BMI ≥ 18.0 and ≤ 35.0 kg/m2 at Screening.
- Are willing and able to comply with all aspects of the protocol.
- Subject is being treated with low to medium doses of ICS with or without long-acting beta-agonists.
- Pre-bronchodilator FEV1 ≥70% of the predicted value at screening.
- Able to demonstrate the correct inhalation technique for use of delivery device during the study at screening and pre-dose Day 1, Treatment Period 1.
- Able to produce a sputum sample with a minimum weight of 50 mg at screening.
Exclusion Criteria (part 1):
- Subjects who are Chinese or Japanese.
- Subjects who have received any IMP in a clinical research study within the previous 3 months prior to Day 1.
- Participation in other interventional studies for the duration of the study.
- Subjects who are study site employees or immediate family members of a study site or sponsor employee.
- History of any drug or alcohol abuse in the past 2 years prior to screening.
- Regular alcohol consumption in males >21 units per week and females >14 units per week (1 unit = ½ pint beer, a 25 mL shot of 40% spirit or a 125 mL glass of wine depending on type).
- Current tobacco or marijuana smokers and those who have smoked
Data sourced from ClinicalTrials.gov (NCT04229303). 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.