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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03173573
Registration number
NCT03173573
Ethics application status
Date submitted
30/05/2017
Date registered
2/06/2017
Titles & IDs
Public title
A Study to Assess the Safety, Tolerability and PK Profile of FDL176 in Healthy and CF Participants
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Scientific title
A Five Part Phase 1 Study to Assess the Safety, Tolerability and Pharmacokinetic (PK) Profile of Single and Repeat Oral Doses of FDL176 in Healthy and Cystic Fibrosis (CF) Participants
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Secondary ID [1]
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FDL176-2016-01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Cystic fibrosis
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Respiratory
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - FDL176
Treatment: Drugs - Placebo
Experimental: Part 1 SAD FDL176 level 1 to 6 - Part 1: Single dose of FDL176 test formulation Level 1 to 6 on healthy males.
Placebo comparator: Part 1 SAD Placebo - Part 1: Single dose of Placebo for FDL176.
Experimental: Part 2 SAD FDL176 at fasted state - Part 2: single dose of FDL176 test formulation, fasted state.
Experimental: Part 2 SAD FDL176 at fed state - Part 2: single dose of FDL176 test formulation, fed state
Experimental: Part 3 SAD FDL176 test formulation - Part 3: Single dose of FDL176 test formulation on healthy females.
Placebo comparator: Part 3 SAD placebo - Part 3: Single dose of Placebo for FDL176.
Experimental: Part 4 MAD FDL176 Level 1 to 3 - Part 4: Dose escalation of FDL176 test formulation Level 1 to 3.
Placebo comparator: Part 4 MAD Placebo - Part 4: Dose escalation of Placebo for FDL176 Level 1 to 3.
Experimental: Part 5 SAD FDL176 test formulation - Part 5: Single dose of FDL176 test formulation.
Treatment: Drugs: FDL176
CFTR modulator
Treatment: Drugs: Placebo
Placebo for FDL176
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part 1 and Part 4: Incidence of Treatment-Emergent Adverse Events.
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Assessment method [1]
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Part 1 and Part 4: Safety and tolerability of FDL176 in healthy male participants as determined by the incidence of adverse events (AE)s and serious adverse events(SAE)s.
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Timepoint [1]
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Part 1: 4 weeks; Part 4: 6 weeks
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Primary outcome [2]
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Part 2, 3 and 5: Pharmacokinetic parameters, Cmax
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Assessment method [2]
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The pharmacokinetic parameters of FDL176: maximal plasma concentration
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Timepoint [2]
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Part 2: 5 weeks, Part 3: 4 weeks and Part 5: 4 weeks
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Primary outcome [3]
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Part 2, 3 and 5: Pharmacokinetic parameters, Tmax
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Assessment method [3]
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The pharmacokinetic parameters of FDL176: maximal concentration
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Timepoint [3]
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Part 2: 5 weeks, Part 3: 4 weeks and Part 5: 4 weeks
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Primary outcome [4]
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Part 2, 3 and 5: Pharmacokinetic parameters, AUC
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Assessment method [4]
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The pharmacokinetic parameters of FDL176: area under the plasma concentration curve
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Timepoint [4]
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Part 2: 5 weeks, Part 3: 4 weeks and Part 5: 4 weeks
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Primary outcome [5]
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Part 2, 3 and 5: Pharmacokinetic parameters, CL/F
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Assessment method [5]
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The pharmacokinetic parameters of FDL176: clearance
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Timepoint [5]
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Part 2: 5 weeks, Part 3: 4 weeks and Part 5: 4 weeks
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Primary outcome [6]
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Part 2, 3 and 5: Pharmacokinetic parameters, V/F
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Assessment method [6]
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The pharmacokinetic parameters of FDL176: apparent volume of distribution
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Timepoint [6]
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Part 2: 5 weeks, Part 3: 4 weeks and Part 5: 4 weeks
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Secondary outcome [1]
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Part 2, 3, and 5: Incidence of Treatment-Emergent Adverse Events.
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Assessment method [1]
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Safety and tolerability of FDL176 in healthy male participants as determined by the incidence of adverse events (AE)s and serious adverse events(SAE)s.
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Timepoint [1]
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Part 2: 5 weeks, Part 3: 4 weeks and Part 5: 4 weeks
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Secondary outcome [2]
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Part 1 and 4: Pharmacokinetic parameters, Cmax
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Assessment method [2]
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The pharmacokinetic parameters of FDL176: maximal plasma concentration
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Timepoint [2]
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Part 1: 4 weeks; Part 4: 6 weeks
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Secondary outcome [3]
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Part 1 and 4: Pharmacokinetic parameters,Tmax
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Assessment method [3]
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The pharmacokinetic parameters of FDL176: maximal concentration
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Timepoint [3]
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Part 1: 4 weeks; Part 4: 6 weeks
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Secondary outcome [4]
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Part 1 and 4: Pharmacokinetic parameters,AUC
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Assessment method [4]
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The pharmacokinetic parameters of FDL176: area under the plasma concentration curve
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Timepoint [4]
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Part 1: 4 weeks; Part 4: 6 weeks
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Secondary outcome [5]
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Part 1 and 4: Pharmacokinetic parameters, CL/F
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Assessment method [5]
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The pharmacokinetic parameters of FDL176: clearance
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Timepoint [5]
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Part 1: 4 weeks; Part 4: 6 weeks
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Secondary outcome [6]
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Part 1 and 4: Pharmacokinetic parameters, V/F
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Assessment method [6]
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The pharmacokinetic parameters of FDL176: apparent volume of distribution
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Timepoint [6]
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Part 1: 4 weeks; Part 4: 6 weeks
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Eligibility
Key inclusion criteria
Inclusion Criteria (Part 1 to Part 4):
* If sexually active, must be willing to use two highly effective methods of birth control from Day 1 until 3 months after the last dose of investigational medicinal product (IMP)
* Body mass index (BMI) between 19 and 30 kg/m2 inclusive.
* Healthy as determined by the PI or delegate, based upon a medical evaluation including medical history, physical examination, laboratory tests and ECG.
Inclusion Criteria (Part 5):
* Males and females aged 18 years and older.
* Diagnosis of CF defined as a sweat chloride value =60 mmol/L by quantitative pilocarpine iontophoresis or two CF-causing mutations, documented in the participant's medical record.
* History of pancreatic insufficiency, documented in the participant's medical record.
* Stable CF disease as judged by the Investigator (or delegate).
* Forced expiratory volume in one second (FEV1) >40% of predicted normal for age, sex and height at screening.
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion Criteria (Part 1 to 4):
* Prior or ongoing medical condition, medical history, physical findings, ECG findings or laboratory abnormality that, in the Investigator's (or delegate's) opinion, could adversely affect the safety of PK of the participant or would place the participant at increased risk.
* Surgery within the past three months prior to the first study drug administration determined by the PI or delegate to be clinically relevant.
* Alkaline phosphatase (ALP), aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >1.5 x upper limit of normal (ULN) at screening. Repeat testing at screening is acceptable for out of range values following approval by the Sponsor's Medical Monitor.
* Serum creatinine or total bilirubin > 1.5 x ULN (isolated bilirubin >1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin is <35%).
* Abnormal renal function at screening, defined as creatinine clearance <60 mL/min using the Modification of Diet in Renal Disease (MDRD) equation
* History of prolonged QT and/or QTcF interval.
* ECG with a single QTcF >450 msec in males, >460 msec in females, at Screening.
* Positive urinary drugs of abuse screen at Screening or Day -1, or positive alcohol screen at Screening or Day -1
* History of human immunodeficiency virus (HIV) or positive HIV, hepatitis B or hepatitis C results at screening.
* Use of any prescription drugs within 14 days or 5 half-lives (whichever is longer) before the first dose of IMP, unless in the opinion of the Investigator (or delegate) and the Sponsor's Medical Monitor the medication will not interfere with the study procedures or compromise participant safety. Hormonal contraceptives are allowed.
* Use of any non-prescription drugs, including vitamins, herbal and dietary supplements within 14 days or 5 half-lives (whichever is longer) before the first dose of IMP, unless in the opinion of the Investigator (or delegate) and the Sponsor's Medical Monitor the medication will not interfere with the study procedures or compromise participant safety.
* Pregnant or nursing females. Female participants of childbearing potential must have a negative pregnancy test at the screening visit. Determination of participant eligibility will be at the discretion of the Investigator (or delegate) following consultation with the Sponsor's Medical Monitor.
* History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >21 units. One unit is equivalent to 8 g of alcohol: a half-pint (~240 mL) of beer, one glass (125 mL) of wine, or one (25 mL) measure of spirits.
* Current smoking or use of tobacco products or substitutes. Former smokers will be eligible, provided they have not smoked for at least 6 months before Day 1.
* Participation in another clinical trial involving receipt of an IMP within the past 90 days or exposure to more than four new chemical entities with 12 months of the first dosing day.
Exclusion Criteria (Part 5):
* A pulmonary exacerbation, or changes in therapy for pulmonary disease within 4 weeks prior to the Baseline (Day 1) visit.
* Abnormal liver function =3 × ULN: AST, ALT, total bilirubin.
* Serum creatinine or total bilirubin > 1.5 x ULN (isolated bilirubin >1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin is <35%).
* Abnormal renal function at screening, defined as creatinine clearance <60 mL/min using the MDRD equation.
* Hemoglobin <10 g/dL.
* History of prolonged QT and/or QTcF interval.
* ECG with a single QTcF >450 msec in males, >460 msec in females, at Screening.
* Use of ivacaftor or lumacaftor within 14 days prior to Day 1.
* Any change (initiation, change in type of drug, dose modification, schedule modification, interruption, discontinuation, or re-initiation) in a chronic treatment/prophylaxis regimen for CF or CF related conditions within 4 weeks prior to Day 1.
* Pregnant or nursing females. Female participants of childbearing potential must have a negative pregnancy test at the screening visit. Determination of participant eligibility will be at the discretion of the Investigator (or delegate) following consultation with the Sponsor's Medical Monitor.
* Participation in another clinical trial involving receipt of an IP within the past 90 days or exposure to more than four new chemical entities with 12 months of the first dosing day.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
27/06/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/05/2018
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Sample size
Target
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Accrual to date
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Final
109
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Recruitment in Australia
Recruitment state(s)
QueenlandQLD,WA
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Recruitment hospital [1]
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Wayne Hooper Clinic Clive Berghofer Cancer research Center - Herston
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Recruitment hospital [2]
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Mater Hospital - South Brisbane
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Recruitment hospital [3]
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Linear Clinical Research - Perth
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Recruitment postcode(s) [1]
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4006 - Herston
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Recruitment postcode(s) [2]
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4101 - South Brisbane
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Recruitment postcode(s) [3]
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6009 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
Flatley Discovery Lab LLC
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a 5-part study of FDL176. Part 1 is a double blind, placebo-controlled, dose escalation study in healthy male participants. Part 2 is a single dose, open-label study in healthy male participants. Part 3 is a single dose, double blind, placebo-controlled study in healthy female participants. Part 4 is a randomised, double-blind, placebo-controlled, dose-escalation study in healthy male and female participants.Part 5 is a single dose, open-label study in male and female participants with CF.
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Trial website
https://clinicaltrials.gov/study/NCT03173573
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Claudia Ordonez, MD
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Address
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Flatley Discovery Lab
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03173573