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Part 1 of this trial will enroll healthy volunteers into a single ascending dose (SAD), multiple ascending dose (MAD), and Food Effect (FE) treatment groups.
The SAD treatment group is comprised of at least 3 ascending dose level cohorts where healthy adult subjects will be randomized to receive a single dose of either PTI-808 or placebo and will be followed for 7 days post dose. A safety review committee (SRC) will convene after the completion of each cohort to evaluate safety and pharmacokinetic (PK) data.
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 ascending dose level cohorts where subjects will be randomized to receive either PTI-808 or placebo daily for 7 days and will be followed for 7 days after receiving the last dose.
Also following the conclusion of the respective SAD level dose groups, healthy adult subjects will participate in the FE treatment group.
Part 2 of this will enroll healthy volunteers to assess the safety, tolerability, and PK of PTI 808 co administered with PTI 801 and PTI 428 to HVs with daily dosing for 7 consecutive days.
Part 3 will enroll adult subjects with cystic fibrosis (CF) into a MAD treatment group consisting of 2 cohorts. Subjects will receive PTI-808 co-administered with PTI-801 and PTI-428. PTI-808 will be administered daily for 7 consecutive days followed by PTI-808 + PTI-801 + PTI-428 administered daily for 14 consecutive days.
Part 4 will enroll adult subjects with cystic fibrosis (CF) into 28-day cohorts. Subjects will receive PTI-808 co-administered with PTI-801 with or without PTI-428 versus matching placebo.
Part 1 of this trial will enroll healthy volunteers into a single ascending dose (SAD), multiple ascending dose (MAD), and Food Effect (FE) treatment groups.
The SAD treatment group is comprised of at least 3 ascending dose level cohorts where healthy adult subjects will be randomized to receive a single dose of either PTI-808 or placebo and will be followed for 7 days post dose.
The MAD treatment group is comprised of 3 ascending dose level cohorts where subjects will be randomized to receive either PTI-808 or placebo daily for 7 days and will be followed for 7 days after receiving the last dose.
Following the conclusion of the respective SAD level dose groups the food effect portion of the study will be initiated and subjects will be randomized to receive an initial single dose of PTI-808 either after an overnight fast of at least 10 hours (fasted group) or after an overnight fast of at least 10 hours followed the consumption of a high fat high calorie meal (fed group). After a 10 day washout period, subjects will cross over to the opposite group and receive a second dose of PTI-808. Subjects will be followed for up to 7 days following dosing.
Part 2 of this will enroll healthy volunteers to assess the safety, tolerability, and PK of PTI 808 co administered with PTI 801 and PTI 428 to HVs with daily dosing for 7 consecutive days.
Part 3 - Part 3 will enroll adult subjects with CF to assess the safety, tolerability, and PK of multiple ascending doses of PTI-808 co-administered with PTI-801 and PTI-428. Subjects will receive 7 days of PTI-808 or placebo followed by 14 days of PTI-808 or placebo co-administered with PTI-801+PTI-428 or matching placebos.
Part 4 - Part 4 will assess the safety, tolerability, PK, and the effects of PTI-808 co-administered with PTI-801 with or without PTI-428 over a 28-day treatment period in CF subjects who are either homozygous for the F508del CFTR genotype or are heterozygous for the F508del CFTR genotype. Subjects will be randomized to receive treatment with PTI-808 co-administered with PTI-801 with or without PTI-428 versus matching placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SAD PTI-808 Active | Active Comparator | Three cohorts of SAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo. |
|
| SAD PTI-808 Placebo | Placebo Comparator | Three cohorts of SAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo. |
|
| MAD PTI-808 Active | Active Comparator | Three cohorts of MAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo. |
|
| MAD PTI-808 Placebo | Placebo Comparator | Three cohorts of MAD are planned for evaluation where subjects will be randomized to PTI-808 or placebo. |
|
| FE PTI-808 Active | Active Comparator | Subjects will be randomized to Fed or Fasted on Days 1 and 12. Follow up visits will occur 7 days post Day 12 dose. |
|
| FE PTI-808 Placebo |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PTI-808 | Drug | Active |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 SAD and MAD: Adverse Events | Safety and tolerability measure by number of subjects who experience adverse events | Baseline to up to 14 days |
| Part 1 SAD and MAD: Physical Exams | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in physical examinations | Baseline to up to 14 days |
| Part 1 SAD and MAD: The number of subjects who experience potential clinically significant changes in vital signs | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in vital signs | Baseline to up to 14 days |
| Part 1 SAD and MAD: ECGs | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in ECGs | Baseline to up to 14 days |
| Part 1 SAD and MAD: The number of subjects who experience potential clinically significant changes in safety labs | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in safety labs | Baseline to up to 14 days |
| Part 1 SAD and FE: terminal half life | Apparent terminal half-life (t1/2) of single oral dose | Through 72 hours post dose |
| Part 1 SAD and FE : Tmax | Time to reach maximum plasma concentration (Tmax) of single oral dose |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2: Apparent terminal half life (t1/2) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults | Day 1 through Day 10 |
| Part 2: Maximum plasma concentration (Cmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428 |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2 Nasal biomarker | change in nasal epithelial mRNA and protein over time | Baseline up to 14 days |
| Part 3 CF Sweat Chloride | Change in sweat chloride concentrations over time |
Part 1 and Part 2 Inclusion Criteria:
Part 1 & Part 2 Exclusion Criteria:
Part 3 CF Inclusion Criteria:
Part 3 CF Exclusion Criteria:
Part 4 CF Inclusion Criteria:
Part 4 CF Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cassandra Key, MD | ICON Early Phase Services (Parts 1 & 2) | Principal Investigator |
| Patrick Flume, MD | Medical University of South Carolina (Parts 3 & 4) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner University of Arizona Medical Center | Tucson | Arizona | 85724 | United States | ||
| Stanford University Medical Center |
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Subjects will be randomized to Fed or Fasted on Days 1 and 12. Follow up visits will occur 7 days post Day 12 dose. |
|
| Part 2 PTI-808 + PTI-801 + PTI-428 Active | Experimental | One cohort is planned where subjects will be randomized to either the triple active arm (dosed with PTI 808+PTI 801+PTI 428) OR placebo arm. |
|
| Part 2 matching Placebos | Placebo Comparator | In all three cohorts in part 2, subjects will be randomized to active drug or placebo. The placebo arm for all cohorts consists of placebo capsules matching PTI-808+PTI-801+PTI-428. |
|
| Part 2 dual active arm PTI-801+PTI-428+ PTI-808 placebo | Experimental | One cohort is planned where subjects are randomized to either 808 placebo + dual active arm (dosed with placebo matching PTI 808 plus PTI 801 + PTI 428) OR placebo arm. |
|
| Part 2 dual active arm PTI-801+PTI-808+PTI-428 placebo | Active Comparator | One cohort is planned where subjects are randomized to either 428 placebo + dual active arm (dosed with placebo matching PTI 428 plus PTI 808 and PTI 801) OR placebo arm. |
|
| Part 3 CF MAD PTI-808 + PTI-801 + PTI-428 | Active Comparator | In all cohorts in Part 3, subjects will be will be randomized to receive 7 days of PTI-808 or placebo followed by 14 days of co-administration of PTI-808+PTI-801+PTI-428 or matching placebos. A follow-up will occur on Day 28. |
|
| Part 3 CF MAD PTI-808 placebo+PTI-801 placebo+PTI-428 placebo | Placebo Comparator | In all cohorts in Part 3, subjects will be randomized to receive 7 days of PTI-808 or placebo followed by 14 days of co-administration of PTI-808+PTI-801+PTI-428 or matching placebos. A follow-up will occur on Day 28. |
|
| Part 4 CF PTI-808 + PTI-801 + PTI-428 | Active Comparator | In cohorts 3 & 4 subjects will be randomized to receive PTI-808 + PTI-801 with or without PTI-428 or matching placebos. A follow-up will occur on Day 42. |
|
| Part 4 CF PTI-808 + PTI-801 + PTI-428 placebo | Active Comparator | In cohorts 3 & 4, subjects will be randomized to receive PTI-808 + PTI-801 with or without PTI-428 or matching placebos. A follow-up will occur on Day 42. |
|
| Part 4 CF PTI-808 placebo + PTI-801 placebo + PTI-428 placebo | Placebo Comparator | In cohorts 3 & 4, subjects will be randomized to receive PTI-808 + PTI-801 with or without PTI-428 or matching placebos. A follow-up will occur on Day 42. |
|
| Placebo | Drug | Placebo |
|
| PTI-428 | Drug | Active |
|
| PTI-801 | Drug | Active |
|
| Through 72 hours post dose |
| Part 1 SAD and FE: Cmax | Maximum plasma concentration (Cmax) of single oral dose | Through 72 hours post dose |
| Part 1 SAD : AUC | Area under the concentration-time curve from time 0 to 24 hours post dose (AUC 0-24) of single oral dose | Through 24 hours post dose |
| Part 1 SAD and FE: AUC0 | AUC from time 0 to time of last measurable concentration (AUC0-last) of single oral dose | Through 72 hours post dose |
| Part 1 SAD and FE: AUC0-inf | AUC from time 0 to infinity (AUC0-inf) of single dose | Through 72 hours post dose |
| Part 1 MAD: t1/2 | t1/2 of multiple oral dose | Through 72 hours post dose |
| Part 1 MAD: Tmax | Tmax of multiple oral doses | Through 72 hours post dose |
| Part 1 MAD: Cmax | Cmax of multiple oral doses | Through 72 hours post last dose |
| Part 1 MAD: AUC0-24 | AUC0-24 of multiple oral dose | Through 24 hours post last dose |
| Part 1 MAD: AUC0-last | AUC0-last of multiple oral doses | Through 72 hours post last dose |
| Part 1 MAD: Urine | Cumulative amount of PTI-808 excreted unchanged in urine (Ae) as appropriate of multiple oral doses | Through 24 hours post last dose |
| Part 1 MAD: CLR | Renal clearance (CLR) of multiple oral doses | Through 24 hours post dose |
| Part 2: Physical Exams | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in physical examinations | Baseline up to 14 days |
| Part 2: ECGs | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in ECGs | Baseline up to 14 days |
| Part 2: Safety Labs | Safety and tolerability measure by number of subjects who experience potential clinically significant changes in safety labs | Baseline up to 14 days |
| Part 2: Vitals Signs | Measure by number of subjects who experience potential clinically significant changes in vital signs | Baseline up to 14 days |
| Part 3 CF: Physical Exams | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in physical examinations | Baseline up to 28 days |
| Part 3 CF: ECGs | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in ECGs | Baseline up to 28 days |
| Part 3 CF: Safety Labs | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in safety labs | Baseline up to 28 days |
| Part 3 CF: Vital Signs | Measured by number of subjects who experience potential clinically significant changes in vital signs | Baseline up to 28 days |
| Part 4 CF: Physical Exams | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in physical examinations | Baseline up to 42 days |
| Part 4 CF: ECGs | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in ECGs | Baseline up to 42 days |
| Part 4 CF: Safety Labs | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in safety labs | Baseline up to 42 days |
| Part 4 CF: Vital Signs | Safety and tolerability measured by number of subjects who experience potential clinically significant changes in physical examinations | Baseline up to 42 days |
Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults |
| Day 1 through Day 10 |
| Part 2: Time to reach maximum plasma concentration (Tmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults | Day 1 through Day 10 |
| Part 2: AUC0-last of multiple oral doses when PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults | Day 1 through Day 10 |
| Part 2: AUC from time 0 to infinity (AUC0-inf) of multiple oral doses when PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in healthy adults | Day 1 through Day 10 |
| Part 3 CF: Time to reach maximum plasma concentration (Tmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in adults with CF | Day 1 through Day 22 |
| Part 3 CF: Maximum plasma concentration (Cmax) of multiple oral doses PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in adults with CF | Day 1 through Day 22 |
| Part 3 CF: AUC0-last of multiple oral doses when PTI 808 is co administered with PTI 801 and PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 is co administered with PTI 801 and PTI 428 in adults with CF | Day 1 through Day 22 |
| Part 3 CF: FEV1 | Change in forced expiratory volume in one second (FEV1) over time | Baseline through Day 28 |
| Part 4 CF: Time to reach maximum plasma concentration (Tmax) of multiple oral doses of PTI 808 + PTI 801 co-administered with or without PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 + PTI 801 is co administered with or with out PTI 428 in adults with CF | Day 1 through Day 28 |
| Part 4 CF: Maximum plasma concentration (Cmax) of multiple oral doses of PTI 808 + PTI 801 co-administered with or without PTI 428 | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 + PTI 801 is co administered with or with out PTI 428 in adults with CF | Day 1 through 28 |
| Part 4 CF: AUC0-last of multiple oral doses when PTI 808 + PTI 801 is coadministered with or without PTI 428 in adults with CF | Evaluate the PK profile of PTI 808, PTI 801, and PTI 428 when PTI 808 + PTI 801 is co administered with or without PTI 428 in adults with CF | Day 1 through 28 |
| Part 4 CF: FEV1 | Change in forced expiratory volume in one second (FEV1) over time | Baseline through Day 42 |
| Part 4 CF Sweat Chloride | Change in sweat chloride concentrations over time | Baseline through Day 42 |
| Baseline up to 28 days |
| Part 3 CF Nasal biomarker | Change in nasal epithelial mRNA and protein expression over time | Baseline up to 28 days |
| Part 4 CF Weight and BMI | Change in weight and BMI over time | Baseline up to 42 days |
| Part 4 CF Blood Glucose | Change in blood glucose over time | Baseline up to 42 days |
| Part 4 CF disease-specific health related quality of life | Change in disease-specific health related quality of life over time | Baseline up to 42 days |
| Part 4 CF Nasal biomarker | Change in nasal epithelial mRNA and protein expression over time | Baseline up to 42 days |
| Stanford |
| California |
| 94305 |
| United States |
| National Jewish Health | Denver | Colorado | 80206 | United States |
| Central Florida Pulmonary Group | Altamonte Springs | Florida | 32803 | United States |
| Emory Children's Center | Atlanta | Georgia | 30322 | United States |
| Northwestern Memorial Hospital | Chicago | Illinois | 60611 | United States |
| Johns Hopkins University | Baltimore | Maryland | 21287 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Boston Children's Hospital | Boston | Massachusetts | 02115 | United States |
| Michigan Medicine, University of Michigan | Ann Arbor | Michigan | 48109 | United States |
| Harper University Hospital | Detroit | Michigan | 48201 | United States |
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
| Children's Mercy | Kansas City | Missouri | 64108 | United States |
| Billings Clinic | Billings | Montana | 59101 | United States |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
| Dartmouth Hitchcock Medical Center | Lebanon | New Hampshire | 03756 | United States |
| New York Medical College | Valhalla | New York | 10595 | United States |
| University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 27517 | United States |
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | 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 Utah | Salt Lake City | Utah | 84132 | United States |
| John Hunter Hospital | Lambton | New South Wales | 2305 | Australia |
| Universitair ziekenhuis Brussel | Brussels | 1090 | Belgium |
| UZ Leuven | Leuven | 3000 | Belgium |
| St. Paul's Hospital | Vancouver | British Columbia | V6Z1Y6 | Canada |
| Centre hospitalier de l'Université de Montréal (CHUM) | Montreal | Quebec | H2X3E4 | Canada |
| McGill University Health Centre | Montreal | Quebec | H4A3J1 | Canada |
| Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval | Québec | G1V4G5 | Canada |
| University of Copenhagen Rigshospitalet | Copenhagen | 2100 | Denmark |
| Hôpital Pasteur | Nice | Alpes-Maritimes | 06001 | France |
| Hôpital Haut Lévêque | Pessac | Gironde | 33600 | France |
| Hôpital Guillaume-et-René-Laennec | Nantes | Loire-Atlantique | 44093 | France |
| Hôpital Maison Blanche Maladies respiratoires et allergologie | Reims | Marne | 51092 | France |
| Hospices Civils de Lyon | Lyon | 69495 | France |
| Hôpital Cochin | Paris | 75014 | France |
| Charité Universitätsmedizin Berlin | Berlin | 10117 | Germany |
| University Hospital Cologne | Cologne | 50937 | Germany |
| Universitätsklinikum Essen | Essen | 45239 | Germany |
| Klinikum der J.W. Goethe Universität | Frankfurt | 60590 | Germany |
| Klinikum des Universität München | München | 81377 | Germany |
| Auckland Clinical Studies Ltd. | Grafton | Auckland | 1010 | New Zealand |
| Royal Devon and Exeter Hospital | Exeter | Devon | EX2 5DW | United Kingdom |
| Western General Hospital | Edinburgh | Scotland | EH42XU | United Kingdom |
| Birmingham Heartlands Hospital | Birmingham | West Midlands | B9 5SS | United Kingdom |
| Belfast City Hospital | Belfast | BT9 7AB | United Kingdom |
| King's College Hospital | London | SE59RS | United Kingdom |
| University Hospital Southampton | Southampton | SO16 6YD | United Kingdom |