The purpose of this study is to demonstrate that Miglustat restores the function of the cystic fibrosis transmembrane conductance regulator (CFTR) in adult patients with cystic fibrosis homozygous for the F508del mutation.
The aims of this study are: 1. To determine whether Miglustat can restore the function of the CFTR protein in adult patients with cystic fibrosis homozygous for the F508del mutation 2. To evaluate the safety, tolerability and pharmacokinetics of Miglustat in adult patients with cystic fibrosis homozygous for the F508del mutation. 3. To investigate pharmacokinetic-pharmacodynamic of Miglustat in adult patients with cystic fibrosis homozygous for the F508del mutation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
16
For this 2 x 2 (2 periods /2 treatments) crossover design each patient will receive Miglustat during the first period (2 weeks), following by a wash out period(14 days (up to 4 weeks)), then Placebo during the second period (2 weeks). 30 days follow-up will be carried out after end-of-treatment of the second period.
For this 2 x 2 (2 periods /2 treatments) crossover design each patient will receive Placebo during the first period (2 weeks), following by wash out period (14 days (up to 4 weeks)), then Miglustat during the second period (2 weeks). 30 days follow-up will be carried out after end of treatment of the second period.
Assistance publique-Hôpitaux de Paris, Hôpital Cochin
Paris, France
Mean TCS in mV
TCS (Total Chloride Secretion) is the sum of responses in nasal potential difference (NPD) calculated as the mean of the right and left nostril measurements for each patient
Time frame: day 1
Mean TCS in mV
TCS (Total Chloride Secretion) is the sum of responses in nasal potential difference (NPD) calculated as the mean of the right and left nostril measurements for each patient
Time frame: Day 14
TCS difference in mV
TCS difference is calculated as the change in measurements of TCS for the right and left nostrils independently for each patient.
Time frame: day 1
TCS difference in mV
TCS difference is calculated as the change in measurements of TCS for the right and left nostrils independently for each patient.
Time frame: Day 14
Percentage of patients with a TCS response to treatment ≤ - 5 mV
The percentage of patients with a TCS response to treatment defined as a difference in TCS from baseline to end-of-treatment ≤ -5mV
Time frame: day 1
Percentage of patients with a TCS response to treatment ≤ - 5 mV
The percentage of patients with a TCS response to treatment defined as a difference in TCS from baseline to end-of-treatment ≤ -5mV
Time frame: day 14
Percentage of patients with a TCS at end-of-treatment ≤ - 5 mV
The percentage of patients with a TCS response at end-of-treatment ≤ -5mV
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Time frame: day 1
Percentage of patients with a TCS at end-of-treatment ≤ - 5 mV
The percentage of patients with a TCS response at end-of-treatment ≤ -5mV
Time frame: day 14
Change of basal NPD in mV
Basal NPD at end-of-treatment minus basal NPD at baseline
Time frame: day 1
Change of basal NPD in mV
Basal NPD at end-of-treatment minus basal NPD at baseline
Time frame: day 14
Change of the response in NPD after superfusion with amiloride
NPD after superfusion with amiloride at end-of-treatment minus NPD after superfusion with amiloride at baseline
Time frame: day 1
Change of the response in NPD after superfusion with amiloride
NPD after superfusion with amiloride at end-of-treatment minus NPD after superfusion with amiloride at baseline
Time frame: day 14
Change of the response in NPD after superfusion with a chloride-free buffer in the presence of amiloride
NPD after superfusion with a chloride-free buffer in the presence of amiloride at end-of-treatment minus NPD after superfusion with a chloride-free buffer in the presence of amiloride at baseline
Time frame: day 1
Change of the response in NPD after superfusion with a chloride-free buffer in the presence of amiloride
NPD after superfusion with a chloride-free buffer in the presence of amiloride at end-of-treatment minus NPD after superfusion with a chloride-free buffer in the presence of amiloride at baseline
Time frame: day 14
Wilschanski's index change
Wilschanski's index is defined as (exposant(response to Chloride-free and isoproterenol/response amiloride)): Wilschanski's index at end-of-treatment minus Wilschanski's at baseline
Time frame: day 1
Wilschanski's index change
Wilschanski's index is defined as (exposant(response to Chloride-free and isoproterenol/response amiloride)): Wilschanski's index at end-of-treatment minus Wilschanski's at baseline
Time frame: day 14
Sweat chloride concentration in mmol/L
Sweat chloride concentration at end-of-treatment minus sweat chloride concentration at baseline
Time frame: day 1
Sweat chloride concentration in mmol/L
Sweat chloride concentration at end-of-treatment minus sweat chloride concentration at baseline
Time frame: day 14
FEV1 (in % of predicted)
Pulmonary function FEV1: mean Forced expiry volume in 1 second. FEV1 at end-of-treatment minus FEV1 at baseline
Time frame: day 1
FEV1 (in % of predicted)
Pulmonary function FEV1: mean Forced expiry volume in 1 second. FEV1 at end-of-treatment minus FEV1 at baseline
Time frame: day 14
Change in electrochemical skin conductance
Electrochemical skin conductance at end-of-treatment minus electrochemical skin conductance at baseline
Time frame: day 1
Change in electrochemical skin conductance
Electrochemical skin conductance at end-of-treatment minus electrochemical skin conductance at baseline
Time frame: day 14
Number of cells expressing CFTR at the cell membrane (in %percentage)
Percentage of nasal cells expressing CFTR at the cell membrane as assessed by immunochemistry and confocal microscopy
Time frame: day 14