A Study Looking at the Safety, Tolerability and Efficacy of the Combination of the Study Drugs GLPG2451 and GLPG2222 With or Without GLPG2737 in Patients With Cystic Fibrosis.

Last updated: April 4, 2019
Sponsor: Galapagos NV
Overall Status: Completed

Phase

1

Condition

Cystic Fibrosis

Lung Disease

Scar Tissue

Treatment

N/A

Clinical Study ID

NCT03540524
GLPG2737-CL-105
2017-001067-20
  • Ages > 18
  • All Genders

Study Summary

This is a Phase Ib, multi-center, open-label, nonrandomized multiple cohorts study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of multiple doses of a combination treatment of GLPG2451 and GLPG2222, with and without GLPG2737, in adult subjects with Cystic Fibrosis.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Female or male subject ≥18 years of age, on the day of signing the Informed ConsentForm (ICF)

  • Confirmed clinical diagnosis of cystic fibrosis (CF) (documented in the subject'smedical record).

  • Eligible cystic fibrosis transmembrane conductance regulator (CFTR) genotype atscreening:

  • Cohort A: Homozygous for the F508del CFTR mutation

  • Cohort B: Heterozygous for the F508del CFTR mutation with a potentiatornon-responsive mutation on the second allele

  • Cohort C: Homozygous for the F508del CFTR mutation

  • A body weight of ≥40 kg at screening.

  • Stable concomitant medication for pulmonary health for CF for at least 4 weeks priorto the first study drug administration and planned continuation of the sameconcomitant medication for the duration of the dosing period of the study. Subjectswith diabetes mellitus and/or pancreatic insufficiency are eligible for the studyprovided they are on stable treatment (e.g. medication, diet, pancreatic enzymereplacement therapy) for at least 4 weeks prior to the first study drug administrationin the opinion of the investigator.

  • Forced expiratory volume in 1 second (FEV1): 40% ≤ FEV1 ≤ 90% of predicted normal forage, sex, and height at screening (pre- or post bronchodilator) at screening.

  • Sweat chloride concentration ≥60 mmol/L at screening.

  • Non-smoker and non-user of any nicotine and or cannabis containing products. Anon-smoker is defined as an individual who has abstained from smoking for at least 1year prior to the screening. A non-user is defined as an individual who has abstainedfrom any nicotine containing products for at least 1 year prior to the screening.

Exclusion

Exclusion Criteria:

  • History of or ongoing allergic bronchopulmonary aspergillosis.

  • Medical history of cataract (or lens opacity) and/or glaucoma.

  • Cataract (or lens opacity) and/or glaucoma determined by an ophthalmologist during thescreening period.

  • Unstable pulmonary status or respiratory tract infection (including rhinosinusitis)requiring a change in therapy within 4 weeks prior to the first study drugadministration.

  • History of clinically meaningful unstable or uncontrolled chronic disease that makesthe subject unsuitable for inclusion in the study in the opinion of the investigator.

  • Need for supplemental oxygen during the day, and >2 L/minute while sleeping.

  • History of hepatic cirrhosis with portal hypertension (e.g., signs/symptoms ofsplenomegaly, esophageal varices).

  • History of malignancy within the past 5 years (except for basal cell carcinoma of theskin with no evidence of recurrence and/or carcinoma in situ of the cervix that hasbeen treated with no evidence of recurrence).

  • Use of any moderate and strong inhibitor(s) or inducer(s) of CYP3A4 within 4 weeksprior to the first study drug administration (e.g., clarithromycin, itraconazole,ketoconazole, telithromycin, rifampin, carbamazepine).

  • Use of CFTR modulator therapy (e.g., lumacaftor and/or ivacaftor) within 4 weeks priorto the first study drug administration.

  • Use of any oral corticosteroid within 3 months of screening; or history of oralcorticosteroid use for ≥30 days (cumulative) within 2 years of screening.

  • Abnormal liver function test at screening; defined as aspartate aminotransferase (AST)and/or alanine aminotransferase (ALT) and/or alkaline phosphatase and/orgamma-glutamyl transferase (GGT) ≥3× the upper limit of normal (ULN); and/or totalbilirubin ≥1.5× the ULN.

Study Design

Total Participants: 10
Study Start date:
May 31, 2018
Estimated Completion Date:
March 11, 2019

Connect with a study center

  • Study Site BEL004

    Antwerp,
    Belgium

    Site Not Available

  • Study Site BEL003

    Brussels,
    Belgium

    Site Not Available

  • Study Site BEL002

    Gent,
    Belgium

    Site Not Available

  • Study Site BEL001

    Leuven,
    Belgium

    Site Not Available

  • Study Site BGR001

    Sofia,
    Bulgaria

    Site Not Available

  • Study Site DEU001

    Berlin,
    Germany

    Site Not Available

  • Study Site DEU002

    Essen,
    Germany

    Site Not Available

  • Study Site GRC001

    Thessaloníki,
    Greece

    Site Not Available

  • Study Site NLD002

    Amsterdam,
    Netherlands

    Site Not Available

  • Study Site NLD001

    Utrecht,
    Netherlands

    Site Not Available

  • Study Site SRB001

    Belgrade,
    Serbia

    Site Not Available

  • Study Site SWE001

    Göteborg,
    Sweden

    Site Not Available

  • Study Site SWE002

    Stockholm,
    Sweden

    Site Not Available

  • Study Site GBR003

    Birmingham,
    United Kingdom

    Site Not Available

  • Study Site GBR004

    Glasgow,
    United Kingdom

    Site Not Available

  • Study Site GBR005

    Liverpool,
    United Kingdom

    Site Not Available

  • Study Site GBR007

    London, SW3 6NP
    United Kingdom

    Site Not Available

  • Study Site GBR006

    Newcastle,
    United Kingdom

    Site Not Available

  • Study Site GBR001

    Papworth Everard,
    United Kingdom

    Site Not Available

  • Study Site GBR002

    Wythenshawe,
    United Kingdom

    Site Not Available

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