Cavosonstat (N91115) is being studied as a potential novel therapy for cystic fibrosis (CF), and this study assesses a target population of patients who are heterozygous for F508del-CFTR and a gating mutation that is approved for treatment with ivacaftor (G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N, or S549R).
Assess the effect of Cavosonstat (N91115) on lung function when added to preexisting treatment with ivacaftor in adult patients with CF who are heterozygous for F508del-CFTR and a gating mutation that is approved for treatment with ivacaftor (G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N, or S549R).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
19
CFTR modulator that stabilizes CFTR
Matched Placebo capsule
National Jewish Health
Denver, Colorado, United States
Johns Hopkins Hospital
Baltimore, Maryland, United States
Boston Children's Hospital
Boston, Massachusetts, United States
The absolute change in ppFEV1 in the N91115 treated group
Forced Expiratory Volume (FEV) absolute measurements comparing baseline to after 4 and 8 weeks of N91115 treatment. FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. ppFEV1 (predicted for age, gender, and height) is calculated using the Hankinson method.
Time frame: Baseline, week 4 and 8 assessments
The relative change from study baseline within the active treatment group in ppFEV1 values
Forced Expiratory Volume relative measurements comparing baseline to after 4 and 8 weeks of N91115 treatment. FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. ppFEV1 (predicted for age, gender, and height) is calculated using the Hankinson method.
Time frame: Baseline, week 4 and 8 assessments
Absolute change from study baseline within the active treatment group in sweat chloride
Sweat chloride concentration measured by pilocarpine iontophoresis, a standard clinical laboratory technique. Sweat collection accomplished with the Wescor Macroduct System.
Time frame: Baseline, week 4 and 8 assessments
Changes in the respiratory domain of the Cystic Fibrosis Questionnaire - Revised, (CFQ-R)
Patient questionnaires will compare baseline scores on their respiratory symptoms to weeks 4 and 8
Time frame: Baseline, week 4 and 8 assessments
Absolute change from baseline within the active treatment group in Patient Global Impression of Change
Patient questionnaires will compare baseline global impression of changes in health from baseline to weeks 4 and 8
Time frame: Baseline, week 4 and 8 assessments
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Washington University
St Louis, Missouri, United States
Columbia University
New York, New York, United States
Cincinnati Children's Hospital
Cincinnati, Ohio, United States
Rainbow Babies and Children's Hospital - Case Medical Center
Cleveland, Ohio, United States
Nationwide Children's Hospital
Columbus, Ohio, United States
Oregon Health and Science University
Portland, Oregon, United States
Children's Hospital Pittsburgh
Pittsburgh, Pennsylvania, United States
...and 2 more locations
Safety as determined by adverse events assessment
Assessments of clinical laboratory values, electrocardiogram (ECG), pulmonary exacerbations, and vital signs
Time frame: Baseline to 8 weeks treatment with a 28-day follow up period
Pharmacokinetic Assessment of Maximum Plasma Concentration [Cmax] for N91115 & ivacaftor
Plasma collection for assessment of N91115 and ivacaftor Cmax
Time frame: Weeks 1, 4 and 8
Pharmacokinetic Assessment of area under the plasma concentration verse time curve [AUC] for N91115 & ivacaftor
Plasma collection for assessment of N91115 and ivacaftor AUC
Time frame: Weeks 1, 4 and 8