This study tests the effects of an experimental drug PC945 in people with cystic fibrosis whose lungs are infected by the fungus Aspergillus fumigatus. PC945 may be useful in treating patients infected with Aspergillus fumigatus as, unlike the usual treatments, it is inhaled into the lung and has been designed to stay there and treat the infection. Participants will continue to be treated with their usual cystic fibrosis treatment and will also receive PC945. The amount of fungus in the patients' phlegm will be measured over the course of the study. The study will take place at multiple sites in UK and will include approximately 18 participants. The maximum study duration will be about 16 weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
4
PC945, nebulized
Royal Brompton Hospital
London, United Kingdom
Northwest Lung Research Centre
Manchester, United Kingdom
Adverse events (AEs)
Time frame: Baseline to Day 84
Proportion of participants who meet the markedly abnormal criteria for 12-lead ECG assessment at lease once post dose
Time frame: Baseline to Day 84
Proportion of participants who meet the markedly abnormal criteria for safety laboratory assessment at lease once post dose
Time frame: Baseline to Day 84
Proportion of participants who meet the markedly abnormal criteria for vital signs assessment at lease once post dose
Time frame: Baseline to Day 84
Predicted post bronchodilator forced expiratory volume in 1 second (FEV1) values
Time frame: Baseline to Day 84
Forced vital capacity (FVC) values
Time frame: Baseline to Day 84
Peak expiratory flow rate values (PEFR)
Time frame: Baseline to Day 84
Maximum expiratory flow values (MEF25-75)
Time frame: Baseline to Day 84
Breathlessness visual analogue scale rating, change over time
Symptom severity rated from "Best ever" to "Worst possible"
Time frame: Baseline to Day 84
Cough visual analogue scale rating, change over time
Symptom severity rated from "Best ever" to "Worst possible"
Time frame: Baseline to Day 84
Area under the curve from time 0 to 2 h post-dose (AUC0-2)
Derived pharmacokinetic parameters for PC945 and the potential circulating metabolite(s), if detectable
Time frame: Baseline to Day 84
Maximum plasma concentration
Derived pharmacokinetic parameters for PC945 and the potential circulating metabolite(s), if detectable
Time frame: Baseline to Day 84
Concentration at the end of the dosage interval (Ctrough)
Derived pharmacokinetic parameters for PC945 and the potential circulating metabolite(s), if detectable
Time frame: Baseline to Day 84
Change in the number of sputum A. fumigatus colony forming units (CFU)
Time frame: Baseline to Day 84
A. fumigatus status (presence or absence) in subjects with a baseline A. fumigatus-positive sputum culture
Time frame: Day 1 to Day 84
Change in sputum A. fumigatus measured by quantitative polymerase chain reaction (qPCR)
Time frame: Baseline to Day 84
Change in the serum concentration of A. fumigatus-specific immunoglobulins G (IgG)
Time frame: Baseline to Day 84
Change in serum Total immunoglobulin E (IgE) levels
Time frame: Baseline to Day 84
Change in serum Aspergillus-specific IgE levels
Time frame: Baseline to Day 84
Correlation between A. fumigatus measured by qPCR and clinical response
Time frame: Baseline to Day 84
Cystic Fibrosis Questionnaire - Revised (CFQ-R) score
Time frame: Baseline to Day 84
Sputum consistency, including presence of blood
Categorical variable
Time frame: Baseline to Day 84
Sputum colour
Categorical variable using standardised colour chart.
Time frame: Baseline to Day 84
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