This is a phase II, dose ranging, multicenter, randomized, double-blind, placebo-controlled study. The aim of this study is to assess the safety of increasing doses of roscovitine administered orally for 4 cycles of 4 consecutive days (treatment "on") separated by a 3 days treatment free period (treatment "off") in adult CF subjects with Cystic Fibrosis carrying 2 Cystic Fibrosis causing mutations with at least one F508del-CFTR mutation and chronically infected with Pseudomonas aeruginosa. This study involved 36 Cystic Fibrosis patients: 24 treated and 12 controls.
ROSCO-CF is a phase II, dose ranging, multicenter, double-blind, placebo controlled study to evaluate safety and effects of (R)-roscovitine in subjects with Cystic Fibrosis carrying 2 Cystic Fibrosis causing mutations with at least one F508del-CFTR mutation and chronically infected with Pseudomonas aeruginosa. The aim of this study is to assess the safety of increasing doses of roscovitine administered orally for 4 cycles of 4 consecutive days (treatment "on") separated by a 3 days treatment free period (treatment "off") in 36 adult cystic fibrosis subjects. These 36 patients will be allocated to 3 groups of 12 subjects who will be randomized in a 2:1 ratio (active drug to matching placebo). In each group, 8 patients will receive roscovitine (200 mg, 400 mg, 2 X 400 mg in group 1, 2 and 3, respectively) and 4 will receive a matching placebo. Treatment will be provided by oral administration of capsules. Each patient will receive the same treatment throughout the 28 day study. This phase II trial will give some preliminary information about safety and hints of effects of a new experimental treatment. If the data suggest that a short term treatment with roscovitine provides a safe, effective and convenient approach for CF patients chronically infected with Pseudomonas aeruginosa, patients participating in this proof of concept trial will be offered to participate in further longer term studies.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
49
Roscovitine is an experimental drug candidate in the family of pharmacological cyclin-dependent kinase (CDK) inhibitors that preferentially inhibit multiple enzyme targets including CDK2, CDK7 and CDK9. Seliciclib is a 2,6,9-substituted purine analog.
The placebo treatment is lactose capsule.
CHU de Nice - Hôpital Pasteur
Nice, France, France
CHU de Bordeaux - Hôpital Haut-Lévêque
Pessac, France, France
Centre de Ressources et de Compétences de la mucoviscidose
Reims, France, France
Centre Hospitalier Bretagne Atlantique
Vannes, France, France
CHR - Hôpital Calmette
Lille, France
CH Lyon Sud
Lyon, France
Hôpital Arnaud de Villeneuve
Montpellier, France
CHU Nantes
Nantes, France
Hôpital Cochin
Paris, France
Centre de Perharidy
Roscoff, France
...and 1 more locations
Safety of increasing doses of Roscovitine
The primary objective of this study is to assess the safety of increasing doses of roscovitine administered orally for 4 cycles of 4 consecutive days (treatment "on") separated by a 3 days treatment free period (treatment "off") in adult CF subjects who carrying 2 Cystic Fibrosis causing mutations with at least F508del mutation
Time frame: 3 months
Change in the concentration of Pseudomonas Aeruginosa
Change in the concentration (CFU/mL) of Pseudomonas aeruginosa in the sputum at each visit from V1 (Screening) up to V7 (Completion Visit).
Time frame: 3 months
PK parameters
PK parameters: Maximum Concentration (Cmax), Time to reach Cmax (Tmax), Area Under Curve (AUCt and AUCInf), Half-life (t1/2) for roscovitine and its M3 metabolite.
Time frame: 3 months
Pro- and anti-inflammatory cytokines
Monitoring the levels of pro- and anti-inflammatory cytokines, in particular: interleukin (IL)-17A, IL-5, IFN-γ, IL-1 receptor antagonist, IL-4, IL-6, IL-10, tumor necrosis factor-alpha, and IL-18 on V2, V3 and V7 (Completion Visit)
Time frame: 3 months
C-reactive protein
Change in C-reactive protein (CRP) at each visit from V1 (Screening) up to V7 (Completion)
Time frame: 3 months
Cystic Fibrosis Questionnaire-Revised
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) at each visit from V1 up to V8 (Safety Follow-up)
Time frame: 3 months
Body Mass Index
Change in body mass index (BMI) at each visit from V1 (Screening) up to V7 (Completion Visit)
Time frame: 3 months
Forced expiratory volume in 1 second
Change in forced expiratory volume in 1 second (FEV1) at each visit from V1 (Screening) up to V7 (Completion Visit)
Time frame: 3 months
Sweat Chloride Concentration
Change in Sweat Chloride Concentration at V2, V3, V5 and V7 (Completion)
Time frame: 3 months
Nasal Potential Difference
Change in Nasal Potential Difference (NPD) at V1 (Screening) and V6 (for patients included in Paris Cochin CF Center)
Time frame: 3 months
Pain questionnaire
Evaluate of the pain and of the impact of the pain in patients with cystic fibrosis
Time frame: 3 months
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