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Phase 1 N=58 Randomized Other

Phase 1 Three Part SAD, MAD & Cross-Over Study of ZP-059 in Healthy and Asthmatic Subjects

Allergic Bronchopulmonary Aspergillosis

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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