This will be a double-blind, randomized, placebo-controlled, parallel group study. The purpose of this study is to investigate the efficacy and safety of Cavosonstat (N91115) in adult patients with CF who are homozygous for the F508del-CFTR mutation and being treated with lumacaftor/ivacaftor (Orkambi™).
Primary Objective: * Assess the efficacy of N91115 at 12 weeks when added to preexisting treatment with lumacaftor/ivacaftor in adult patients with CF who are homozygous for the F508del-CFTR mutation Secondary Objectives: * Assess the effect of N91115 added to lumacaftor/ivacaftor on safety * Assess the effect of lumacaftor/ivacaftor added to N91115 on the pharmacokinetics of N91115, lumacaftor, and ivacaftor
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
138
GSNOR inhibitor
Control sample with only capsule excipients and fillers
Absolute change from baseline in percent predicted FEV1 (ppFEV1)
Forced Expiratory Volume in one second (FEV1) from before study (Baseline) to after 12 weeks of N91115 treatment
Time frame: From baseline to 12 weeks
Relative change from baseline in ppFEV1
Forced Expiratory Volume in one second (FEV1) from before study (Baseline) to after 12 weeks of N91115 treatment
Time frame: baseline to 12 weeks
Absolute change from baseline in sweat chloride
A sweat chloride measurement on the skin at study start and after 12 weeks of N91115
Time frame: baseline to 12 weeks
Absolute change from baseline in Cystic Fibrosis Questionnaire -Revised CFQ-R (respiratory symptom scale)
Comparison of the Questionnaire from study start to 16 weeks
Time frame: baseline to 16 weeks
Absolute change from baseline in body mass index (BMI)
Assessment of change in body mass index from study start to after 12 weeks of N91115
Time frame: baseline to 12 weeks
Absolute change from baseline in Patient Global Impression of Change (PGIC)
Patient reported outcome journal
Time frame: baseline to 12 weeks
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability])
Any adverse events assessment including clinical laboratory values, electrocardiogram (ECG), pulmonary exacerbations, or vital sign changes
Time frame: baseline to 16 weeks
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University of Alabama
Birmingham, Alabama, United States
Banner University of Arizona Medical Center
Tucson, Arizona, United States
Children's Hospital Los Angeles
Los Angeles, California, United States
Stanford University
Palo Alto, California, United States
UC Davis Medical Center
Sacramento, California, United States
Children's Hospital Colorado
Aurora, Colorado, United States
National Jewish Health
Denver, Colorado, United States
Yale University
New Haven, Connecticut, United States
Tampa General Hospital
Tampa, Florida, United States
St. Luke's CF Center of Idaho
Boise, Idaho, United States
...and 36 more locations
Pharmacokinetic Measurements of Maximum Plasma Concentration [Cmax], of N91115, lumacaftor, and ivacaftor
Maximum Plasma Concentration \[Cmax\] measurements of N91115, lumacaftor and ivacaftor
Time frame: baseline to 12 weeks
Pharmacokinetic Measurements of Area Under the Curve (AUC) for N91115, Ivacaftor and lumacaftor
AUC measurements of N91115, lumacaftor and ivacaftor
Time frame: baseline to 12 weeks