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Completed

NCT Number: NCT03474042

GLPG2737 on Top of Orkambi in Subjects With Cystic Fibrosis

This is a Phase IIa, multi-center, randomized, double-blind, placebo-controlled, parallel-group study to evaluate GLPG2737 administered orally b.i.d. for 28 days to adult male and female subjects with a confirmed diagnosis of cystic fibrosis homozygous for the F508del CFTR mutation and on stable treatment with Orkambi.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Study Site II, Berlin, Germany

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female subject ≥18 years of age on the day of signing the ICF.
  • A confirmed clinical diagnosis of CF and homozygous for the F508del CFTR mutation.
  • Stable intake of physician prescribed Orkambi (lumacaftor 400 mg/ivacaftor 250 mg b.i.d.) for at least 12 weeks prior to the first study drug administration, and planned continuation of Orkambi for the duration of the study.
  • FEV1 ≥40% of predicted normal for age, gender and height at screening (pre- or postbronchodilator).
  • Sweat chloride concentration ≥60 mmol/L at screening.

Exclusion criteria

  • History of serious allergic reaction to any drug as determined by the investigator (e.g., anaphylaxis requiring hospitalization) and/or known sensitivity to any component of the study drug.
  • History of clinically meaningful unstable or uncontrolled chronic disease that makes the subject unsuitable for inclusion in the study in the opinion of the investigator.
  • Unstable pulmonary status or respiratory tract infection (including rhinosinusitis) requiring a change in therapy within 4 weeks prior to the first study drug administration.
  • History of hepatic cirrhosis with portal hypertension (e.g.,signs/symptoms of splenomegaly, esophageal varices, etc.).
  • Abnormal liver function test at screening, defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/or alkaline phosphatase and/or gammaglutamyl transferase (GGT) ≥3 x the upper limit of normal (ULN), and/or total bilirubin ≥1.5 x the ULN at screening.

Treatment and study plan

GLPG2737

Drug

GLPG2737 oral capsules administered twice daily for 28 days on top of Orkambi.

Placebo

Drug

Placebo oral capsules administered twice daily for 28 days on top of Orkambi.

Primary outcomes

  1. Change from baseline in sweat chloride concentration compared to placebo

    Time frame: Between day 1 pre-morning dose and Day 28.

    To assess Change from baseline in sweat chloride concentration compared to placebo.

Secondary outcomes

  1. Change versus placebo in the proportion of subjects with adverse events.

    Time frame: Between Day 1 and 3 weeks after the last dose.

    To assess safety and tolerability by the number and percentage of subjects with adverse events.

  2. Change from baseline in sweat chloride concentration.

    Time frame: From baseline (pre-morning dose on Day 1) through 28 days.

    To assess the change from baseline in sweat chloride concentration.

  3. Change in percent predicted forced expiratory volume in 1 second (FEV1).

    Time frame: From baseline (pre-morning dose on Day 1) through 28 days.

    To assess the change from baseline in percent predicted forced expiratory volume in 1 second (FEV1).

  4. Change in the respiratory domain of the cystic fibrosis questionnaire-revised (CFQ-R).

    Time frame: From baseline (pre-morning dose on Day 1) through 28 days.

    To assess the change from baseline in the respiratory domain of the cystic fibrosis questionnaire-revised (CFQ-R).

  5. Maximum observed plasma concentration of GLPG2737 (Cmax)

    Time frame: Between day 1 pre-dose and day 14.

    To characterize the PK of GLPG2737 and its active metabolite, ivacaftor, and lumacaftor.

  6. Area under the plasma concentration-time curve from time zero until 8 hours (AUC0-8h) post-dose calculated by the linear up - logarithmic down trapezoidal rule (on Day 14)

    Time frame: Between day 1 pre-dose and day 14.

    To characterize the PK of GLPG2737 and its active metabolite G1125498 (M4), ivacaftor, and lumacaftor.

  7. Trough plasma concentration observed at the end of the dosing interval (Ctrough).

    Time frame: Between day 1 pre-dose and day 28.

    To characterize the PK of GLPG2737 and its active metabolite G1125498 (M4), ivacaftor, and lumacaftor.

Sponsors and collaborators

Lead sponsor

Lakefront Biotherapeutics NV

Industry

Registry information

Official study title

A Phase IIa, Randomized, Double-blind, Placebo-controlled Study to Evaluate GLPG2737 in Orkambi-treated Subjects With Cystic Fibrosis Homozygous for the F508del Mutation

Acronym: PELICAN

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Mar 22, 2018
Registry last updated
Jun 11, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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