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This trial will consist of two parts: Part 1 and Part 2. Part 1 will enroll adult healthy volunteers (HV) into four treatment groups. The first group will enroll HV into a single ascending dose (SAD) treatment group consisting of three cohorts. The second group will enroll HV into a multiple ascending dose (MAD) treatment group consisting of three cohorts. The third group will enroll HV into a food effect (FE) treatment group consisting of one cohort. The fourth group will enroll HV into a drug-drug interactions (DDI) treatment group consisting of one cohort. Approximately 76 subjects will be enrolled in Part 1.
Part 2 Cohorts 1 through 3 will enroll adult subjects with cystic fibrosis (CF) currently on stable ivacaftor/lumacaftor background therapy for a minimum of three months. Part 2 Cohorts 4 and Cohort 5 will enroll adult subjects with CF not currently receiving cystic fibrosis conductance regulator (CFTR) modulator therapy within 30 days prior to Day 1. Part 2 Cohort 6 will enroll adult subjects with cystic fibrosis on stable tezacaftor/ivacaftor background therapy. Approximately 104 subjects will be enrolled in Part 2.
PART 1 The SAD treatment group is comprised of three cohorts where HV will be randomized to either PTI-801 or placebo. The MAD treatment group is comprised of three cohorts where subjects will be randomized to receive either PTI-801 or placebo once daily (QD) for a total of 7 days. HV will participate in a FE treatment group ,the FE treatment group is comprised of one cohort where subjects will be randomized to receive an initial single dose of PTI-801 either after an overnight fast of at least 10 hours (fasted group) or after an overnight fast of at least 10 hours followed by the consumption of a high fat high and high calorie meal (fed group). A set of HV will participate in a DDI treatment group. The DDI treatment group is comprised of one cohort where subjects will receive a 3-drug cocktail consisting of caffeine, bupropion, and midazolam on Day 1. On Day 4, subjects will be randomized to receive either PTI-801 or placebo QD for a total of 12 days. On Day 17, subjects will receive the 3-drug cocktail in combination with PTI-801 or placebo.
PART 2 Part 2 is comprised of a MAD treatment group with three cohorts, a co-administration group with two cohorts and a treatment group with one cohort.
Following the conclusion of the complementary HV MAD Cohort in Part 1, a set of adult subjects diagnosed with CF currently on a stable ivacaftor/lumacaftor background therapy for a minimum of three months will participate in the Part 2 complementary CF MAD cohort. Subjects will be randomized to receive either PTI-801 or placebo QD for a total of 14 days.
Following the conclusion of CF MAD Cohort 1 in Part 2, a set of adult subjects diagnosed with CF not currently receiving or have received background CFTR modulator therapy for a minimum of 30 days prior to Day 1 will participate in the Part 2 CF PTI-801 and PTI-808 co-administration cohort. Subjects will be randomized to receive either PTI-801 co-administered with PTI-808 or placebos QD for a total of 14 days.
Following the conclusion of the CF MAD Cohort 1 in Part 2, a set of adult subjects diagnosed with CF currently on a stable tezacaftor/ivacaftor background therapy for a minimum of one month will participate in the Part 2 complementary CF cohort. Subjects will be randomized to receive either PTI-801 or placebo QD for a total of 14 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SAD HV PTI-801 Active - Complete | Active Comparator | The safety, tolerability, and pharmacokinetic profile of PTI-801 will be evaluated following a single dose of PTI-801. Three cohorts are planned for evaluation where subjects will be randomized to PTI-801 or placebo.The subjects will be followed for 7 days post dose. |
|
| SAD HV PTI-801 Placebo - Complete | Placebo Comparator | The safety, tolerability, and pharmacokinetic profile of PTI-801 will be evaluated following a single dose of PTI-801. Three cohorts are planned for evaluation where subjects will be randomized to PTI-801 or placebo.The subjects will be followed for 7 days post dose. |
|
| MAD HV PTI-801 Active - Complete | Active Comparator | Following the conclusion of the respective SAD level dose groups and after sufficient review of study data and approval by the SRC, a second set of healthy adult subjects will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 cohorts. Subjects will be randomized to either PTI-801 or placebo. Each dose will be administered once daily (QD) for a total of 7 days. Follow up visits will occur on Days 10, 12 and 14. |
|
| MAD HV PTI-801 Placebo - Complete | Placebo Comparator | Following the conclusion of the respective SAD level dose groups and after sufficient review of study data and approval by the SRC, a second set of healthy adult subjects will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 cohorts. Subjects will be randomized to either PTI-801 or placebo. Each dose will be administered once daily (QD) for a total of 7 days. Follow up visits will occur on Days 10, 12 and 14. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PTI-801 | Drug | Active |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 SAD and MAD HV: Safety and tolerability measured by number of subjects who experience adverse events and potential clinically significant changes in safety labs, electrocardiograms (ECGs), physical examinations, and vital signs | baseline to up to 14 days | |
| Part 1 SAD: Apparent terminal half-life (t1/2) of single oral dose | through 72-hours post dose | |
| Part 1 SAD: Time to reach maximum plasma concentration (Tmax) of single oral dose | through 72-hours post dose | |
| Part 1 SAD: Maximum plasma concentration (Cmax) of single oral dose | through 72-hours post dose | |
| Part 1 SAD: Area under the concentration-time curve from time 0 to 24 hours post administration (AUC0-24) of a single oral dose | through 72-hours post dose | |
| Part 1 SAD: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-last) of a single oral dose | through 72-hours post dose | |
| Part 1 SAD: AUC from time 0 to infinity (AUC0-inf) | using noncompartmental methods as appropriate of single dose | through 72-hours post dose |
| Part 1 MAD HV: Apparent terminal half-life (t1/2) of multiple oral doses | through 72-hours post last dose | |
| Part 1 MAD HV: Time to reach maximum plasma concentration (Tmax) of multiple oral doses |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 FE: Safety and tolerability measured by number of subjects who experience adverse events and potential clinically significant changes in safety labs, electrocardiograms (ECGs), physical examinations, and vital signs | baseline through 7 days post last dose | |
| Part 1 DDI: Apparent terminal half-life (t1/2) of multiple oral doses of PTI-801 with and without caffeine, bupropion, and midazolam |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 SAD, MAD HV, and FE: The effect of PTI-801 on the QT interval as measured by holter monitoring | baseline through 7 days post last dose | |
| Part 1: change in nasal epithelial mRNA and protein expression over time | baseline through 7 days post last dose |
Part 1 Inclusion Criteria:
Part 1 Exclusion Criteria:
Part 1 HV DDI Cohort Additional Exclusion Criteria:
Part 2 Inclusion Criteria:
Part 2 Cohorts 1-3 Additional Inclusion Criterion:
Part 2 Cohort 6 Additional Inclusion Criterion:
Part 2 Exclusion Criteria:
Part 2 Cohort's 4 and 5 Additional Exclusion Criterion:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35233 | United States | ||
| Providence Alaska Medical Center |
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|
| FE HV PTI-801 Active - Complete | Active Comparator | Following the conclusion of SAD groups and after sufficient review of study data and approval by the SRC, a third set of healthy adult subjects will participate in the Food Effect cohort. Subjects will be randomized to Fed or Fasted on Days 1 and 12. Follow up visits will occur 7 days post Day 12 dose. |
|
| DDI HV PTI-801 Active - Complete | Active Comparator | Following the conclusion of HV MAD Cohort 2 and after sufficient review of study data and approval by the SRC, a fourth set of healthy adult subjects will participate in the Drug-Drug Interactions cohort. Subjects will receive a 3-drug cocktail consisting of caffeine, bupropion, and midazolam on Day 1. On Day 4, subjects will be randomized to receive either PTI-801 or placebo QD for a total of 12 days. On Day 17, subjects will receive the 3-drug cocktail in combination with PTI-801 or placebo. Subjects will remain in clinic until Day 20. A follow up visit will occur on Day 24. |
|
| DDI HV PTI-801 Placebo - Complete | Placebo Comparator | Following the conclusion of HV MAD Cohort 2 and after sufficient review of study data and approval by the SRC, a fourth set of healthy adult subjects will participate in the Drug-Drug Interactions cohort. Subjects will receive a 3-drug cocktail consisting of caffeine, bupropion, and midazolam on Day 1. On Day 4, subjects will be randomized to receive either PTI-801 or placebo QD for a total of 12 days. On Day 17, subjects will receive the 3-drug cocktail in combination with PTI-801 or placebo. Subjects will remain in clinic until Day 20. A follow up visit will occur on Day 24. |
|
| MAD Cohort 1-3 CF PTI-801 Active - Complete | Active Comparator | Adult subjects diagnosed with CF currently on stable ivacaftor/lumacaftor background therapy for a minimum of three months will participate in the Part 2 complementary CF MAD cohort. The CF MAD treatment group is comprised of 3 cohorts. Subjects will be randomized to receive either PTI-801 or placebo QD for a total of 14 days. A follow up visit will occur on Day 21. |
|
| MAD Cohort 1-3 CF PTI-801 Placebo - Complete | Placebo Comparator | Adult subjects diagnosed with CF currently on stable ivacaftor/lumacaftor background therapy for a minimum of three months will participate in the Part 2 complementary CF MAD cohort. The CF MAD treatment group is comprised of 3 cohorts. Subjects will be randomized to receive either PTI-801 or placebo QD for a total of 14 days. A follow up visit will occur on Day 21. |
|
| Cohort 4 CF PTI-801 Active co-admin PTI-808 Active - Complete | Active Comparator | Adult subjects diagnosed with CF not currently receiving a CFTR modulator therapy within 30 days prior to Day 1 will participate in the Part 2 CF Cohort 4. Subjects will be randomized to receive either PTI-801 co-administered with PTI-808 or placebos QD. |
|
| Cohort 4 CF PTI-801 Placebo co-admin PTI-808 Placebo- Complete | Placebo Comparator | Adult subjects diagnosed with CF not currently receiving a CFTR modulator therapy within 30 days prior to Day 1 will participate in the Part 2 CF Cohort 4. Subjects will be randomized to receive either PTI-801 co-administered with PTI-808 or placebos QD. |
|
| Cohort 5 CF PTI-801 Active co-admin with PTI-808 Active | Active Comparator | Adult subjects diagnosed with CF not currently receiving a CFTR modulator therapy within 30 days prior to Day 1 will participate in the Part 2 CF Cohort 5. Subjects will be randomized to receive either PTI-801 co-administered with PTI-808 or placebos QD. |
|
| Cohort 5 CF PTI-801 Placebo co-admin with PTI-808 Placebo | Placebo Comparator | Adult subjects diagnosed with CF not currently receiving a CFTR modulator therapy within 30 days prior to Day 1 will participate in the Part 2 CF Cohort 5. Subjects will be randomized to receive either PTI-801 co-administered with PTI-808 or placebos QD. |
|
| Cohort 6 CF PTI-801 Active | Active Comparator | Adult subjects diagnosed with CF currently on stable tezacaftor/ivacaftor background therapy for a minimum of one month will participate in the Part 2 complementary CF MAD cohort. Subjects will be randomized to receive either PTI-801 or placebo QD. |
|
| Cohort 6 CF PTI-801 Placebo | Placebo Comparator | Adult subjects diagnosed with CF currently on stable tezacaftor/ivacaftor background therapy for a minimum of one month will participate in the Part 2 complementary CF MAD cohort. Subjects will be randomized to receive either PTI-801 or placebo QD. |
|
| Placebo | Drug | Placebo |
|
| PTI-808 | Drug | Active |
|
| Placebo | Drug | Placebo |
|
| through 72-hours post last dose |
| Part 1 MAD HV: Maximum plasma concentration (Cmax) of multiple oral doses | through 72-hours post last dose |
| Part 1 MAD HV: Area under the concentration-time curve from time 0 to 24 hours post administration (AUC0-24) of multiple oral doses | through 72-hours post dose |
| Part 1 MAD HV: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUClast) of multiple oral doses | through 72-hour post last dose |
| Part 1 MAD HV: AUC from time 0 to infinity (AUC0-inf) of multiple oral doses | using noncompartmental methods as appropriate of multiple oral doses | through 72-hour post last dose |
| Part 1 MAD HV: Cumulative amount of PTI-801 excreted unchanged in urine (Ae) as appropriate of multiple oral doses | through 24-hour post last dose |
| Part 1 MAD HV: Cumulative amount of PTI-801 unchanged in renal clearance (CLR) as appropriate of multiple oral doses | through 24-hour post last dose |
| Part 1 FE: Time to reach maximum plasma concentration (Tmax) | through 72-hour post last dose |
| Part 1 FE :Maximum plasma concentration (Cmax) | through 72-hour post last dose |
| Part 1 FE: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUCt) | through 72-hour post last dose |
| Part 1 FE: AUC from time 0 to infinity (AUC0-inf) | through 72-hour post last dose |
| Part 1 DDI: Safety and tolerability measured by number of subjects who experience adverse events and potential clinically significant changes in safety labs, electrocardiograms (ECGs), physical examinations, and vital signs | baseline through 7 days post last dose |
| Part 1 DDI: Maximum plasma concentration (Cmax) of caffeine, bupropion, and midazolam with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUClast) of caffeine, bupropion, and midazolam with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: Area under the concentration-time curve from time 0 to infinity (AUCinf) of caffeine, bupropion, and midazolam with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 2 CF: Safety and tolerability measured by number of subjects who experience adverse events and potential clinically significant changes in safety labs, electrocardiograms (ECGs), physical examinations, and vital signs | baseline through Day 21 |
| through 72-hours post dose |
| Part 1 DDI: Time to reach maximum plasma concentration (Tmax) of the metabolites of caffeine, bupropion, and midazolam after single oral doses of caffeine, bupropion, midazolam, and with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: Maximum plasma concentration (Cmax) of the metabolites of caffeine, bupropion, and midazolam after single oral doses of caffeine, bupropion, midazolam, and with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: AUClast of the metabolites of caffeine, bupropion, and midazolam after single oral doses of caffeine, bupropion, midazolam, and with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: Area under the concentration-time curve from time 0 to 24 hours post administration (AUC0-24) of multiple oral doses of PTI-801 with and without caffeine, bupropion, and midazolam | through 72-hours post dose |
| Part 1 DDI: Metabolite over parent ratio of Cmax of single oral doses of the metabolites of caffeine, bupropion, and midazolam after single oral doses of caffeine, bupropion, midazolam, and with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: Metabolite over parent ratio of AUClast of the metabolites of caffeine, bupropion, and midazolam after single oral doses of caffeine, bupropion, midazolam, and with and without multiple oral doses of PTI-801 | through 72-hours post dose |
| Part 1 DDI: Time to reach maximum plasma concentration (Tmax) of multiple oral doses of PTI-801 with and without caffeine, bupropion, and midazolam | through 72-hours post dose |
| Part 1 DDI: Maximum plasma concentration (Cmax) of multiple oral doses of PTI-801 with and without caffeine, bupropion, and midazolam | through 72-hours post dose |
| Part 1 DDI: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUClast) of multiple oral doses of PTI-801 with and without caffeine, bupropion, and midazolam | through 72-hours post dose |
| Part 2 CF: Time to reach maximum plasma concentration (Tmax) | Day 1 through Day 15 |
| Part 2 CF: Maximum plasma concentration (Cmax) | Day 1 through Day 15 |
| Part 2 CF: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUClast) | Day 1 through Day 15 |
| Part 2 CF: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUClast) of multiple oral doses of PTI-808 with PTI-801 | Day 1 through Day 15 |
| Part 2 CF: change in forced expiratory volume in one second (FEV1) over time | baseline through Day 21 |
| Part 2 CF: change in sweat chloride over time | baseline through Day 21 |
| Part 2 CF: change in nasal epithelial mRNA and protein expression over time | baseline through Day 21 |
| Part 2 CF: change in weight and BMI over time | baseline through Day 21 |
| Part 2 CF: change in blood glucose over time | baseline through Day 21 |
| Anchorage |
| Alaska |
| 99508 |
| United States |
| Stanford University Medical Center | Stanford | California | 94305 | United States |
| National Jewish Health | Denver | Colorado | 80206 | United States |
| Central Florida Pulmonary Group | Altamonte Springs | Florida | 32803 | United States |
| University of Florida College of Medicine | Gainesville | Florida | 32610 | United States |
| University of Miami Health System | Miami | Florida | 33136 | United States |
| St. Luke's CF Center of Idaho | Boise | Idaho | 83712 | United States |
| Northwestern University Memorial Hospital | Chicago | Illinois | 60611 | United States |
| OSF Saint Francis Medical Center | Peoria | Illinois | 61637 | United States |
| University of Iowa | Iowa City | Iowa | 52242 | United States |
| Maine Medical Center | Portland | Maine | 04102 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Boston Children's Hospital | Boston | Massachusetts | 02115 | United States |
| University of Michigan Health System | Ann Arbor | Michigan | 48109 | United States |
| Children's Mercy Kansas City | Kansas City | Missouri | 64108 | United States |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
| Children's Lung Specialists | Las Vegas | Nevada | 89107 | United States |
| Columbia University Medical Center | New York | New York | 10001 | United States |
| Mount Sinai Beth Israel | New York | New York | 10003 | United States |
| New York Medical College | Valhalla | New York | 10595 | United States |
| Duke University Health System | Durham | North Carolina | 27710 | United States |
| Akron Children's Hospital | Akron | Ohio | 44308 | United States |
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
| Toledo Children's Hospital | Toledo | Ohio | 43606 | United States |
| Santiago Reyes, M.D. P.C. | Oklahoma City | Oklahoma | 73112 | United States |
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| Children's Hospital of Pittsburgh of UPMC | Pittsburgh | Pennsylvania | 15244 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| ICON Early Phase Services | San Antonio | Texas | 78209 | United States |
| University of Texas Health Science Center at Tyler | Tyler | Texas | 75708 | United States |
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| Virginia Commonwealth University | Richmond | Virginia | 23298 | United States |
| St. Paul's Hospital | Vancouver | British Columbia | V6Z1Y6 | Canada |
| Institut Universitaire de Cardiologie et de Pneumologie de Quebec | Québec | G1V 4G5 | Canada |
| University of Copenhagen Rigshospitalet | Copenhagen | 2100 | Denmark |
| Charite - Campus Virchow-Klinikum | Berlin | 10117 | Germany |
| Stockholm CF Center | Stockholm | 141 86 | Sweden |
| ID | Term |
|---|---|
| D003550 | Cystic Fibrosis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |
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