Part 1 of this trial will enroll healthy volunteers into a single ascending dose (SAD), multiple ascending dose (MAD), and Food Effect (FE) treatment groups. The SAD treatment group is comprised of at least 3 ascending dose level cohorts where healthy adult subjects will be randomized to receive a single dose of either PTI-808 or placebo and will be followed for 7 days post dose. A safety review committee (SRC) will convene after the completion of each cohort to evaluate safety and pharmacokinetic (PK) data. Following the conclusion of the respective SAD level dose groups and after sufficient review of study data and approval by the SRC, a second set of healthy adult subjects will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 ascending dose level cohorts where subjects will be randomized to receive either PTI-808 or placebo daily for 7 days and will be followed for 7 days after receiving the last dose. Also following the conclusion of the respective SAD level dose groups, healthy adult subjects will participate in the FE treatment group. Part 2 of this will enroll healthy volunteers to assess the safety, tolerability, and PK of PTI 808 co administered with PTI 801 and PTI 428 to HVs with daily dosing for 7 consecutive days. Part 3 will enroll adult subjects with cystic fibrosis (CF) into a MAD treatment group consisting of 2 cohorts. Subjects will receive PTI-808 co-administered with PTI-801 and PTI-428. PTI-808 will be administered daily for 7 consecutive days followed by PTI-808 + PTI-801 + PTI-428 administered daily for 14 consecutive days. Part 4 will enroll adult subjects with cystic fibrosis (CF) into 28-day cohorts. Subjects will receive PTI-808 co-administered with PTI-801 with or without PTI-428 versus matching placebo.
Part 1 of this trial will enroll healthy volunteers into a single ascending dose (SAD), multiple ascending dose (MAD), and Food Effect (FE) treatment groups. The SAD treatment group is comprised of at least 3 ascending dose level cohorts where healthy adult subjects will be randomized to receive a single dose of either PTI-808 or placebo and will be followed for 7 days post dose. The MAD treatment group is comprised of 3 ascending dose level cohorts where subjects will be randomized to receive either PTI-808 or placebo daily for 7 days and will be followed for 7 days after receiving the last dose. Following the conclusion of the respective SAD level dose groups the food effect portion of the study will be initiated and subjects will be randomized to receive an initial single dose of PTI-808 either after an overnight fast of at least 10 hours (fasted group) or after an overnight fast of at least 10 hours followed the consumption of a high fat high calorie meal (fed group). After a 10 day washout period, subjects will cross over to the opposite group and receive a second dose of PTI-808. Subjects will be followed for up to 7 days following dosing. Part 2 of this will enroll healthy volunteers to assess the safety, tolerability, and PK of PTI 808 co administered with PTI 801 and PTI 428 to HVs with daily dosing for 7 consecutive days. Part 3 - Part 3 will enroll adult subjects with CF to assess the safety, tolerability, and PK of multiple ascending doses of PTI-808 co-administered with PTI-801 and PTI-428. Subjects will receive 7 days of PTI-808 or placebo followed by 14 days of PTI-808 or placebo co-administered with PTI-801+PTI-428 or matching placebos. Part 4 - Part 4 will assess the safety, tolerability, PK, and the effects of PTI-808 co-administered with PTI-801 with or without PTI-428 over a 28-day treatment period in CF subjects who are either homozygous for the F508del CFTR genotype or are heterozygous for the F508del CFTR genotype. Subjects will be randomized to receive treatment with PTI-808 co-administered with PTI-801 with or without PTI-428 versus matching placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
179
Banner University of Arizona Medical Center
Tucson, Arizona, United States
Stanford University Medical Center
Stanford, California, United States
National Jewish Health
Denver, Colorado, United States
Central Florida Pulmonary Group
Altamonte Springs, Florida, United States
Emory Children's Center
Atlanta, Georgia, United States
Part 1 SAD and MAD: Adverse Events
Safety and tolerability measure by number of subjects who experience adverse events
Time frame: Baseline to up to 14 days
Part 1 SAD and MAD: Physical Exams
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in physical examinations
Time frame: Baseline to up to 14 days
Part 1 SAD and MAD: The number of subjects who experience potential clinically significant changes in vital signs
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in vital signs
Time frame: Baseline to up to 14 days
Part 1 SAD and MAD: ECGs
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in ECGs
Time frame: Baseline to up to 14 days
Part 1 SAD and MAD: The number of subjects who experience potential clinically significant changes in safety labs
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in safety labs
Time frame: Baseline to up to 14 days
Part 1 SAD and FE: terminal half life
Apparent terminal half-life (t1/2) of single oral dose
Time frame: Through 72 hours post dose
Part 1 SAD and FE : Tmax
Time to reach maximum plasma concentration (Tmax) of single oral dose
Time frame: Through 72 hours post dose
Part 1 SAD and FE: Cmax
Maximum plasma concentration (Cmax) of single oral dose
Time frame: Through 72 hours post dose
Part 1 SAD : AUC
Area under the concentration-time curve from time 0 to 24 hours post dose (AUC 0-24) of single oral dose
Time frame: Through 24 hours post dose
Part 1 SAD and FE: AUC0
AUC from time 0 to time of last measurable concentration (AUC0-last) of single oral dose
Time frame: Through 72 hours post dose
Part 1 SAD and FE: AUC0-inf
AUC from time 0 to infinity (AUC0-inf) of single dose
Time frame: Through 72 hours post dose
Part 1 MAD: t1/2
t1/2 of multiple oral dose
Time frame: Through 72 hours post dose
Part 1 MAD: Tmax
Tmax of multiple oral doses
Time frame: Through 72 hours post dose
Part 1 MAD: Cmax
Cmax of multiple oral doses
Time frame: Through 72 hours post last dose
Part 1 MAD: AUC0-24
AUC0-24 of multiple oral dose
Time frame: Through 24 hours post last dose
Part 1 MAD: AUC0-last
AUC0-last of multiple oral doses
Time frame: Through 72 hours post last dose
Part 1 MAD: Urine
Cumulative amount of PTI-808 excreted unchanged in urine (Ae) as appropriate of multiple oral doses
Time frame: Through 24 hours post last dose
Part 1 MAD: CLR
Renal clearance (CLR) of multiple oral doses
Time frame: Through 24 hours post dose
Part 2: Physical Exams
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in physical examinations
Time frame: Baseline up to 14 days
Part 2: ECGs
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in ECGs
Time frame: Baseline up to 14 days
Part 2: Safety Labs
Safety and tolerability measure by number of subjects who experience potential clinically significant changes in safety labs
Time frame: Baseline up to 14 days
Part 2: Vitals Signs
Measure by number of subjects who experience potential clinically significant changes in vital signs
Time frame: Baseline up to 14 days
Part 3 CF: Physical Exams
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in physical examinations
Time frame: Baseline up to 28 days
Part 3 CF: ECGs
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in ECGs
Time frame: Baseline up to 28 days
Part 3 CF: Safety Labs
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in safety labs
Time frame: Baseline up to 28 days
Part 3 CF: Vital Signs
Measured by number of subjects who experience potential clinically significant changes in vital signs
Time frame: Baseline up to 28 days
Part 4 CF: Physical Exams
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in physical examinations
Time frame: Baseline up to 42 days
Part 4 CF: ECGs
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in ECGs
Time frame: Baseline up to 42 days
Part 4 CF: Safety Labs
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in safety labs
Time frame: Baseline up to 42 days
Part 4 CF: Vital Signs
Safety and tolerability measured by number of subjects who experience potential clinically significant changes in physical examinations
Time frame: Baseline up to 42 days
Part 2: Apparent terminal half life (t1/2) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults
Time frame: Day 1 through Day 10
Part 2: Maximum plasma concentration (Cmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults
Time frame: Day 1 through Day 10
Part 2: Time to reach maximum plasma concentration (Tmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults
Time frame: Day 1 through Day 10
Part 2: AUC0-last of multiple oral doses when PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults
Time frame: Day 1 through Day 10
Part 2: AUC from time 0 to infinity (AUC0-inf) of multiple oral doses when PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults
Time frame: Day 1 through Day 10
Part 3 CF: Time to reach maximum plasma concentration (Tmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in adults with CF
Time frame: Day 1 through Day 22
Part 3 CF: Maximum plasma concentration (Cmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428
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Northwestern Memorial Hospital
Chicago, Illinois, United States
Johns Hopkins University
Baltimore, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Michigan Medicine, University of Michigan
Ann Arbor, Michigan, United States
...and 38 more locations
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in adults with CF
Time frame: Day 1 through Day 22
Part 3 CF: AUC0-last of multiple oral doses when PTI 808 is co administered with PTI 801 and PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in adults with CF
Time frame: Day 1 through Day 22
Part 3 CF: FEV1
Change in forced expiratory volume in one second (FEV1) over time
Time frame: Baseline through Day 28
Part 4 CF: Time to reach maximum plasma concentration (Tmax) of multiple oral doses of PTI 808 + PTI 801 co-administered with or without PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 + PTI 801 is co administered with or with out PTI 428 in adults with CF
Time frame: Day 1 through Day 28
Part 4 CF: Maximum plasma concentration (Cmax) of multiple oral doses of PTI 808 + PTI 801 co-administered with or without PTI 428
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 + PTI 801 is co administered with or with out PTI 428 in adults with CF
Time frame: Day 1 through 28
Part 4 CF: AUC0-last of multiple oral doses when PTI 808 + PTI 801 is coadministered with or without PTI 428 in adults with CF
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 + PTI 801 is co administered with or without PTI 428 in adults with CF
Time frame: Day 1 through 28
Part 4 CF: FEV1
Change in forced expiratory volume in one second (FEV1) over time
Time frame: Baseline through Day 42
Part 4 CF Sweat Chloride
Change in sweat chloride concentrations over time
Time frame: Baseline through Day 42