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Phase 2 N=29 Randomized Double-blind Treatment

A Study to Assess the Safety, Tolerability, and Pharmacokinetics of Brensocatib Tablets in Adults With Cystic Fibrosis

Cystic Fibrosis

Enrolled (actual)
29
Serious AEs
3.5%
Results posted
Mar 2026
Primary outcome: Primary: Maximum Plasma Concentration (Cmax) of Brensocatib on Day 1 — 62.4; 136; 338 nanograms per milliliter (ng/mL)

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Brensocatib (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Insmed Incorporated
Primary completion
Nov 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Plasma Concentration (Cmax) of Brensocatib on Day 1
62.4; 136; 338
PRIMARY
Cmax of Brensocatib on Day 28
86.2; 234; 469
PRIMARY
Time to Maximum Plasma Concentration (Tmax) of Brensocatib on Day 1
2.0; 1.5; 1.5
PRIMARY
Tmax of Brensocatib on Day 28
1.9; 2.0; 2.0
PRIMARY
Area Under the Concentration-time Curve From Time 0 to 24 Hours Postdose (AUC0-24) of Brensocatib in Plasma on Day 1
792; 1600; 3510
PRIMARY
AUC0-24 of Brensocatib in Plasma on Day 28
1050; 3640; 5950
PRIMARY
Elimination Half-life (t1/2) of Brensocatib in Plasma on Day 28
29.6; 32.4; 36.0
PRIMARY
Number of Participants Who Experienced at Least One Treatment-emergent Adverse Event (TEAE)
4; 5; 4; 2
SECONDARY
Dose Proportionality of Brensocatib for Dose Levels 10mg to 40mg Using Brensocatib Cmax After Administration of Brensocatib on Days 1 and 28
1.168; 1.206
SECONDARY
Dose Proportionality of Brensocatib for Dose Levels 10mg to 40mg Using Brensocatib AUC0-24 After Administration of Brensocatib on Days 1 and 28
1.033; 1.267
SECONDARY
AUClast of Brensocatib in Plasma on Days 1 and 28
792; 1600; 3510; 2210; 8220; 13700
SECONDARY
Dose Proportionality of Brensocatib for Dose Levels 10mg to 40mg Using Brensocatib AUClast, After Administration of Brensocatib on Days 1 and 28
1.033; 1.334

Summary

The main objective of the study is to evaluate the pharmacokinetics of brensocatib in participants with cystic fibrosis following once daily oral administration of study drug and to evaluate the safety of brensocatib compared to placebo in participants with cystic fibrosis (CF) over the 4-week treatment period.

Eligibility Criteria

Inclusion Criteria

  • Participants must be ≥18 years of age at the time of signing the informed consent.
  • Male or female participants with a confirmed diagnosis of CF related lung disease:
  • Percent predicted forced expiratory volume in 1 second (ppFEV1) between 40% to 90% (inclusive) at Screening Visit and at Baseline.
  • Stable CF treatment for at least 30 days before screening and willing to remain on a stable regimen throughout the treatment period.
  • Has a body mass index ≥18 kg/m^2.
  • Male and female participants must use contraceptives that are consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Male participants, who are not sterile, with female partners of childbearing potential must be using effective contraception from Day 1 to at least 90 days after the last dose.
  • Women must be postmenopausal (defined as no menses for 12 months without an alternative medical cause), surgically sterile, or using highly effective contraception methods (i.e., methods that alone or in combination achieve 480 millisecond (msec) at Screening.
  • History of solid organ or hematological transplantation.
  • Have diagnosed periodontal disease and are either:
  • Currently treated by a dentist for this condition or
  • Expected to have periodontal disease-related procedures within the study period.
  • Received any live attenuated vaccine within 4 weeks prior Screening.
  • Ongoing participation in another therapeutic clinical study or prior participation in an investigational drug study within 90 days prior to Screening.
  • Known history of hypersensitivity to brensocatib or any of its excipients.
  • Use of any immunomodulatory agents within 4 weeks before the Screening Visit is prohibited during the study through end of study (including, but not limited to: bortezomib, ixazomib, thalidomide, cyclophosphamide, mycophenolate, Janus kinase inhibitors, interferon gamma (IFN-γ], and azathioprine).
  • Continuous use of high-dose non-steroidal anti-inflammatory drugs (NSAIDs) is prohibited during the study through end of study.
  • History of alcohol, medication, or illicit drug abuse.
  • Current smoker, as defined by Centers for Disease Control and Prevention: An adult who has smoked 100 cigarettes in his or her lifetime and who currently smokes cigarettes.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05090904). 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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