This is a 3-part, single-ascending dose Phase 1a randomized, double-blind, placebo-controlled study in healthy volunteers (Part A) and multiple-ascending dose Phase 1a randomized, double-blind, placebo-controlled study in healthy volunteers (Part B), and a Phase 1b open-label study in subjects with CF (Part C) to assess the safety, tolerability, PK, and preliminary efficacy of ABCI. Subjects will be evaluated for eligibility during Screening within 30 days prior to Day 1 (Randomization; Visit 3). In Parts A and B, eligible healthy volunteers may be enrolled in the study and randomly allocated to treatment with ABCI or placebo as described below. In Part C, eligible subjects with CF may be enrolled in the study and receive treatment with ABCI as described below. Approximately 72 healthy subjects total will be randomized to 9 cohorts (48 subjects in 6 cohorts in Part A, 24 subjects in 3 cohorts in Part B) and approximately 36 subjects with CF will receive the low dose, medium dose (2 sentinel subjects), or high dose of ABCI in Part C.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
108
Subjects will receive ABCI via oral inhalation
Subjects will receive ABCI via oral inhalation
Canberra Hospital
Canberra, Australian Capital Territory, Australia
RECRUITINGWestmead Hospital
Westmead, New South Wales, Australia
RECRUITINGThe Prince Charles Hospital
Brisbane, Queensland, Australia
RECRUITINGMonash Medical Centre
Clayton, Victoria, Australia
RECRUITINGNew Zealand Clinical Research
Christchurch, New Zealand
RECRUITINGAdverse Events (AEs), and Serious Adverse Events (SAEs)
The safety and tolerability of ABCI following oral inhalation of single and multiple ascending doses in healthy subjects (Parts A and B), and in people with Cystic Fibrosis (Part C) will be assessed
Time frame: up to 10 weeks
Pharmacokinetics (PK) Profile - SAD Cmax
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: Observed maximum concentration (Cmax)
Time frame: 1 day
Pharmacokinetics (PK) Profile - SAD Tmax
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: time to reach maximum concentration (Tmax)
Time frame: 1 day
Pharmacokinetics (PK) Profile - SAD AUC0-24
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: Area under the concentration-time curve from time 0 to 24 hours post-dose (AUC0-24)
Time frame: 1 day
Pharmacokinetics (PK) Profile - SAD AUClast
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: Area under the concentration-time curve from the time of dosing to the last measurable concentration (AUClast)
Time frame: 1 day
Pharmacokinetics (PK) Profile - SAD AUCinf
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: Area under the concentration-time curve from the time of dosing extrapolated to infinity (AUCinf)
Time frame: 1 day
Pharmacokinetics (PK) Profile - SAD AUCtau
Pharmacokinetics Characteristics in Single Ascending Dose HV Subjects: Area under the concentration- concentration-time curve over the dosing interval (AUCtau)
Time frame: Up to 28 days
Pharmacokinetics (PK) Profile - MAD Cmax
Pharmacokinetics Characteristics in Multiple Ascending Dose HV Subjects: Observed maximum concentration (Cmax)
Time frame: Up to 28 days
Pharmacokinetics (PK) Profile - MAD Tmax
Pharmacokinetics Characteristics in Multiple Ascending Dose HV Subjects: time to reach maximum concentration (Tmax)
Time frame: Up to 28 days
Pharmacokinetics (PK) Profile - MAD AUC0-24
Pharmacokinetics Characteristics in Multiple Ascending Dose HV Subjects: Area under the concentration-time curve from time 0 to 24 hours post-dose (AUC0-24)
Time frame: Up to 28 days
Pharmacokinetics (PK) Profile - MAD Plasma AmB assessments
Pharmacokinetics Characteristics in Multiple Ascending Dose HV Subjects: Plasma AmB assessments
Time frame: Up to 84 days
Pharmacokinetics (PK) Profile - MAD AmB concentrations in BAL fluid
Pharmacokinetics Characteristics in Multiple Ascending Dose HV Subjects: AmB concentrations in BAL fluid after study drug administration
Time frame: Up to 29 days
AmB concentrations - Subjects with CF
Cumulative effect on pre-dose AmB concentrations through Day 29 and assessment of washout through Day 42
Time frame: Through 42 days
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