This is a Phase 1, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability and pharmacokinetics of a single ascending doses (SAD) and multiple ascending doses (MAD) of Hypothiocyanite (OSCN-), bovine lactoferrin (bLF) and their combination (ALX-009) in healthy male volunteers and patients suffering from cystic fibrosis (CF) and non-CF bronchiectasis (NCFBE).
Part I: SAD of OSCN- and bLF in healthy male volunteers (cohorts 1 to 3) - Part II: SAD and MAD of ALX-009 in healthy male volunteers (cohorts 4 and 5) - Part III: MAD of OSCN- and bLF in patients suffering from cystic fibrosis (cohort III-1) and in healthy volunteers (cohorts III-2 and III-3) - Part IV: MAD of ALX-009 in healthy volunteers (Part IVa - Cohorts IV-1a to IV-3a) and in patients (Part IVb - Cohorts IV-1b to IV-3b)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
92
Eurofins Optimed
Grenoble, France
Safety and tolerability: number of subjects who experience serious adverse events, adverse events, potential clinically significant changes in ECG, 24-holter, vital signs, physical examinations, laboratory tests, spirometry, O2 saturation (Part III only)
Time frame: Day (D) 8 post dosing for part I and D14 post dosing for parts II, III and IV
Maximal concentration (Cmax) of bLF and SCN- in plasma, sputum and urine (for SCN- only)
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Area under the curve (AUC) of bLF and SCN- in plasma, sputum and urine (for SCN- only)
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
First time to reach Cmax (Tmax) of bLF and SCN- in plasma, sputum and urine (for SCN- only)
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration half life of bLF and SCN- in plasma, sputum and urine (for SCN- only)
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of anti-bLF antibodies in blood and sputum
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of IL-1β in blood and sputum
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of IL-6 in blood and sputum
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Solution for inhalation administered through nebulization, Sodium Chloride 0.9%
Concentration of IL-8 in blood and sputum
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of IL-10 in blood and sputum
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of TNF-α in blood and sputum
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of SC5b-9 in blood
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
Concentration of total IgE in blood
Time frame: D8 post dosing for part I and D14 post dosing for parts II, III and IV
For patients only, quantitative assessment of different species in sputum
Staphylococcus aureus, Staphylococcus aureus MRSA, Pseudomonas aeruginosa, Pseudomonas aeruginosa MDR, Haemophilus influenzae, Stenotrophomonas maltophilia, Achromobacter xylosoxidans, Burkholderia cepacia complex, Aspergillus fumigatus and Aspergillus terreus
Time frame: D7 post dosing
For patients only, volume of sputum over 24hours period
Time frame: D8 post dosing