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Completed

NCT Number: NCT04643587

Study to Assess CSL787 in Non-cystic Fibrosis Bronchiectasis (NCFB)

This study is a prospective, multicenter, randomized, double-blind, placebo-controlled study to investigate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and exploratory efficacy of nebulized CSL787 after administrations of single (SAD) ascending doses in healthy subjects and multiple (MAD) ascending doses in subjects with NCFB.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

IKF Pneumologie Institute, Frankfurt, Germany

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male or female, aged ≥ 18 years at the time of providing written informed consent

For Part A (SAD) Only:

  • Healthy and free of medical conditions that could in the opinion of the investigator affect's the subject's participation in the study or the interpretation of results.

For Part B (MAD) Only:

  • Diagnosis of NCFB made by a respiratory physician, confirmed per CT showing bronchial wall dilatation with or without bronchial wall thickening, with a FEV1 ≥ 40% of the predicted value regarding age, height, gender, ethnicity, and FEV1 ≥ 1 L (pre-bronchodilator values) at the Screening Visit.
  • No antibiotic use within 1 month before the Screening Visit.
  • Presence of one or more of the following bacteria (H. influenzae, P. aeruginosa, M. catarrhalis, S. pneumoniae, members of Enterobacterales family or S. aureus) in the sputum culture at the Screening Visit.
  • Has been fully vaccinated against COVID-19 (as per country recommendations) at least 7 days prior to Day 1

Exclusion criteria

  • Evidence of a clinically significant medical condition, disorder, or disease, including but not limited to any of the following: hepatic (hepatitis, cirrhosis); biliary; renal; cardiac; bronchopulmonary; vascular; hematologic; gastrointestinal; allergy; endocrine / metabolic (diabetes, thyroid disorders, adrenal disease); neurologic; psychiatric; immunodeficiency; cancer.
  • History of chronic respiratory disease (eg, COPD or bronchiectasis) or current asthma with regular treatment including occasional use of an inhaler for exercise induced asthma.
  • Current moderate-severe allergic disease (eg, allergic rhinitis) with regular treatment.
  • Diagnosis of cystic fibrosis, mycobacterial disease, connective tissue disease, or alpha-1 antitrypsin deficiency as underlying disease for bronchiectasis.
  • Oral/parenteral corticosteroid 28 days before the Screening Visit until EOS Visit. Use of long acting bronchodilators (long acting muscarinic antagonists (LAMA) and / or long acting beta2 agonists (LABA) and/or inhaled corticosteroids that have been at a stable dose for at least 3 months before the Screening Visit is permitted; inhalation with hypertonic saline solution is permitted up to and including Day -1.
  • Any systemic or inhaled antibiotic for acute pulmonary exacerbation within 1 month before the Screening Visit until EOS Visit.

Treatment and study plan

CSL787

Biological

Human plasma-derived polyvalent immunoglobulin G (IgG) administered via inhalation of an aerosol produced using a nebulizer

Placebo

Drug

Normal saline (0.9% NaCl)

Primary outcomes

  1. Number of subjects with treatment emergent adverse events (TEAEs) - overall, severity and causality

    Time frame: Up to 8 days (healthy volunteers); Up to 21 days (NCFB patients)

  2. Percent of subjects with TEAEs - overall, severity and causality

    Time frame: Up to 8 days (healthy volunteers); Up to 21 days (NCFB patients)

Secondary outcomes

  1. Maximum concentration (Cmax) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  2. Time of maximum concentration (Tmax) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  3. Area under the concentration-time curve from time 0 to 24 hours (AUC0-24h) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  4. Area under the concentration-time curve from time 0 to last quantifiable time point (AUC0-last) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  5. Area under the concentration-time curve from time 0 extrapolated to infinity (AUC0-inf) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  6. Apparent total clearance of the drug (CL/F) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  7. Apparent volume of distribution during the elimination phase (V/F) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  8. Terminal elimination half-life (T1/2) of CSL787 in sputum and serum in healthy subjects

    Time frame: Up to 8 days from inhalation

  9. Cmax of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 1, after dosing

  10. Tmax of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 1, after dosing

  11. Ctrough of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 1, after dosing

  12. AUCtau of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 1, after dosing

  13. Cmax of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  14. Tmax of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  15. Ctrough of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  16. AUCtau of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  17. T1/2 of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  18. CL/F of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  19. V/F of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  20. Accumulation Ratio (AR) for Cmax of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  21. AR for Ctrough of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

  22. AR for AUCtau of CSL787 in sputum and serum of NCFB subjects

    Time frame: On Day 14, after last dose

Sponsors and collaborators

Lead sponsor

CSL Behring

Industry

Registry information

Official study title

A Phase 1, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Exploratory Efficacy of Nebulized CSL787 in Healthy Subjects and Subjects With Non-Cystic Fibrosis Bronchiectasis (NCFB)

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Nov 25, 2020
Registry last updated
Dec 15, 2023

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

View the official ClinicalTrials.gov record (opens in a new tab)

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.