This is a Phase 1/2a randomized, double-blind, two-part, dose-ascending, multicenter study of AR-501 (gallium citrate) solution, administered via inhalation, in healthy adult and P. aeruginosa infected cystic fibrosis (CF) subjects. Phase 1 of the study in HV subjects will consist of a single-ascending-dose (SAD) cohort, followed by the HV multiple-ascending-dose (MAD) cohort. Phase 2a of the study in CF subjects will consist of a MAD study design. The study will evaluate the safety and pharmacokinetic (PK) profile of single and repeat administrations of inhaled AR-501 solution in healthy adults, and the safety, PK and efficacy of repeat administrations of inhaled AR-501 solution in P. aeruginosa infected CF subjects.
Three dose levels (low, medium and high) will be assessed in succession, first in healthy volunteer (HV) subjects, then four ascending doses will be assessed in cystic fibrosis (CF) subjects. The study will be performed in 2 parts: Phase 1 part of the study in HV subjects will consist of a single-ascending-dose (SAD) cohort, followed by the HV multiple-ascending-dose (MAD) cohort. Phase 2a part of the study in CF subjects will consist of a MAD study design. The HV cohort will include up to 48 subjects. The CF cohort will have 54 subjects. Thus, the total number of subjects is 102. The Phase 1 HV study will be performed at a Phase 1 Clinical Study Unit and the Phase 2a will be performed at approximately 24 clinical trial sites located in the United States and possibly in Europe, some of which may be part of the Cystic Fibrosis Foundation (CFF)-accredited Therapeutic Development Network (TDN) or the European Cystic Fibrosis Society Clinical Trial Network (ECFS-CTN). Subjects who meet all eligibility criteria, including giving informed consent, will be enrolled and undergo a screening period of 28 days for HV cohorts and 42 days for CF Cohorts. The HV cohort will include up to 24 adult subjects in 3 dose groups (8 per dose group \[Low, Medium and High\]) for the SAD phase of the study. In each dose group, subjects will be randomly assigned in a 3:1 ratio to the active drug or placebo, resulting in 6 subjects receiving inhaled AR-501 and 2 receiving inhaled placebo in a double-blind manner. The HV MAD phase of the study will include 24 adult subjects in 3 dose groups (8 per dose group \[Low, Medium and High\]). In each dose group, subjects will be randomly assigned in a 3:1 ratio to active study drug or placebo, resulting in 6 subjects receiving inhaled AR-501 and 2 receiving inhaled placebo in a double-blind manner. All subjects in HV MAD cohorts will receive once weekly inhaled study drug (either AR-501 or matching placebo) for 4 weeks for a total of 5 doses. The CF MAD cohort will evaluate 4 different dose levels for a total of 54 adult CF. Of the 54 subjects, 40 will be randomized to receive one of the three ascending doses of AR-501, while 14 will be randomized to receive placebo. All subjects in CF cohorts will receive once weekly inhaled study drug (either AR-501 or matching placebo) for 2 weeks for a total of 3 doses. The primary purpose of this study is to assess preliminary clinical safety of inhaled AR-501. The true frequency of AEs is unknown, and the sample size cannot be estimated accurately. For unknown AEs, the probabilities of observing at least 1 AE among 36 total healthy adult subjects and 40 adult CF subjects receiving any AR-501 dose are ≥ 80% if the true rate of such events are at least 4.4% and 4.8% respectively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
102
single and multiple ascending doses of inhaled AR-501
single and multiple ascending doses of inhaled placebo
Research Site
Tucson, Arizona, United States
RECRUITINGResearch Site
Long Beach, California, United States
RECRUITINGResearch Site
Denver, Colorado, United States
RECRUITINGResearch Site
Gainesville, Florida, United States
RECRUITINGResearch Site
Hollywood, Florida, United States
RECRUITINGResearch Site
Miami, Florida, United States
RECRUITINGResearch Site
Orlando, Florida, United States
RECRUITINGResearch Site
Tampa, Florida, United States
RECRUITINGResearch Site
Chicago, Illinois, United States
RECRUITINGResearch Site
Iowa City, Iowa, United States
RECRUITING...and 15 more locations
Clinical safety profile (adverse events) - Single Ascending Dose
Evaluation of adverse events in HV subjects
Time frame: 28 days following dose administration
Clinical safety profile (adverse events) - Multiple Ascending Dose
Evaluation of adverse events in HV and CF subjects
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - SAD Cmax
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: Observed maximum concentration (Cmax)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - SAD Tmax
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: time to reach maximum concentration (Tmax)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - SAD AUC0-inf
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: area under the time-concentration curve (AUC) from time zero to infinity (AUC0-inf)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - SAD AUC0-last
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: area under the time-concentration curve (AUC) from time zero to the last dose (AUC0-last)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - SAD λz
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: terminal elimination rate (λz)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - SAD t½
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: half-life (t½)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - SAD Clp
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: plasma clearance (Clp)
Time frame: 28 days following dose administration
Pharmacokinetics (PK) Profile - MAD Cmax
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: Observed maximum concentration (Cmax)
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - MAD Tmax
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: time to reach maximum concentration (Tmax)
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - MAD AUC0-inf
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: area under the time-concentration curve (AUC) from time zero to infinity (AUC0-inf)
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - MAD AUC0-last
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: area under the time-concentration curve (AUC) from time zero to the last dose (AUC0-last)
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - MAD λz
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: terminal elimination rate (λz)
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - MAD t½
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: half-life (t½)
Time frame: up to 28 days after last dose administration
Pharmacokinetics (PK) Profile - MAD Clp
Pharmacokinetics Characteristics in Multiple Ascending Dose CF Subjects: plasma clearance (Clp)
Time frame: up to 28 days after last dose administration
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.