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CompletedNCT00945347Updated Aug 10, 2011

Does a Nasal Instillation of Miglustat Normalize the Nasal Potential Difference in Cystic Fibrosis Patients ?

A Phase 2 interventional study of Miglustat and Placebo in Cystic Fibrosis, sponsored by Cliniques universitaires Saint-Luc- Université Catholique de Louvain. Completed at 1 site in Belgium. Open to participants aged 14 Years and older. Per ClinicalTrials.gov, last updated 2011-08-10.

Sponsored by Cliniques universitaires Saint-Luc- Université Catholique de Louvain · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
14 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate within a short delay the effect of nasal instillation of Miglustat on nasal potential difference in cystic fibrosis patients homozygous for the F508del mutation.

Read the detailed description

Miglustat is an inhibitor of α-glucosidases and other enzymes. Oral miglustat is currently marketed in Europa and US for the treatment of Gaucher type 1 patients for whom enzyme replacement treatment is not an option.

Gastro-intestinal side effects are common with this formulation. This medication has been shown to have a beneficial effect both on Cl- an Na+ transports in cystic fibrosis epithelial cells. In addition, a single airway delivery of low-dose Miglustat normalizes nasal potential difference (NPD) in F508del cystic fibrosis mice. NPD abnormalities specific of CF patients are considered to reflect the primary defect of CFTR protein so that any curative treatment is expected to correct them at least partially.

In the field of respiratory pharmacology, it is a general rule that the inhaled route is to be favoured whenever possible : it is usually more effective despite much lower doses and systemic absorption (which also implies lower costs and improved tolerance).

The aim of this study is to investigate the effect of a single local administration of Miglustat on NPD measurements in CF patients homozygous for the F508del mutation.

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Conditions studied

  • Cystic Fibrosis

Keywords

  • Cystic fibrosis
  • miglustat
  • nasal instillation
  • nasal potential difference
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In context

Cystic Fibrosis

1,581 studies on the registry are indexed under Cystic Fibrosis; 190 are open to participants now.

This study's planned enrollment of 10 is below the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

Cliniques universitaires Saint-Luc- Université Catholique de Louvain is the lead sponsor of 342 studies on the registry; 61 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
14 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Cystic fibrosis patients homozygous for the F508del mutation as confirmed by genetic test
  • Aged 14 years and older
  • Male or female (non-pregnant women who are to remain non-pregnant for 3 months after the end of the study)
  • FEV1 > 50% of predicted normal

Exclusion criteria

Exclusion Criteria:

  • Acute respiratory tract infection or pulmonary exacerbation requiring antibiotic intervention within 2 weeks of visit 1
  • Any condition prohibiting the correct measurement of the NPD such as respiratory tract infection
  • Active or passive smoking
  • Allergic chronic rhinitis
  • History of significant lactose intolerance
  • History of neuropathy
  • History of cataracts or known increased risk of cataract formation
  • Hypersensitivity to miglustat or any excipients
  • Planned treatment or treatment with another investigational drug or therapy within 1 month prior to randomisation
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
10 participants (estimated)

Study arms

  • No intervention
    Baseline

    Visit 1

  • Active comparator
    Miglustat

    Nasal instillation of Miglustat (visit 2 or 3)

    Drug: Miglustat

  • Placebo comparator
    Placebo

    Nasal instillation of placebo (visit 3 or 2)

    Drug: Placebo

Interventions

  • DrugMiglustat

    Nasal instillation of miglustat

  • DrugPlacebo

    Nasal instillation of placebo matching in appearance with the Miglustat instillation

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What researchers measure

Primary outcomes

  1. change in response to Chloride-free solution and isoproterenol ( reflecting chloride transport)

    Time frame: change from baseline ( visit 1) and placebo to miglustat instillation

Secondary outcomes

  1. change in basal voltage value and in amiloride response ( reflecting sodium transport)

    Time frame: change from baseline (visit1) and placebo to miglustat instillation

07

Study locations

1 site
  • Cliniques Universitaires St Luc (Université Catholique de Louvain) 10 avenue Hippocrate
    Brussels, 1200, Belgium
08

References and documents

Publications

  • Lubamba B, Lebacq J, Lebecque P, Vanbever R, Leonard A, Wallemacq P, Leal T. Airway delivery of low-dose miglustat normalizes nasal potential difference in F508del cystic fibrosis mice. Am J Respir Crit Care Med. 2009 Jun 1;179(11):1022-8. doi: 10.1164/rccm.200901-0049OC. Epub 2009 Mar 19. PubMed 19299496 ↗
  • Norez C, Noel S, Wilke M, Bijvelds M, Jorna H, Melin P, DeJonge H, Becq F. Rescue of functional delF508-CFTR channels in cystic fibrosis epithelial cells by the alpha-glucosidase inhibitor miglustat. FEBS Lett. 2006 Apr 3;580(8):2081-6. doi: 10.1016/j.febslet.2006.03.010. Epub 2006 Mar 10. PubMed 16546175 ↗
  • Noel S, Wilke M, Bot AG, De Jonge HR, Becq F. Parallel improvement of sodium and chloride transport defects by miglustat (n-butyldeoxynojyrimicin) in cystic fibrosis epithelial cells. J Pharmacol Exp Ther. 2008 Jun;325(3):1016-23. doi: 10.1124/jpet.107.135582. Epub 2008 Feb 28. PubMed 18309088 ↗
  • Norez C, Antigny F, Noel S, Vandebrouck C, Becq F. A cystic fibrosis respiratory epithelial cell chronically treated by miglustat acquires a non-cystic fibrosis-like phenotype. Am J Respir Cell Mol Biol. 2009 Aug;41(2):217-25. doi: 10.1165/rcmb.2008-0285OC. Epub 2009 Jan 8. PubMed 19131642 ↗
  • Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3. PubMed 33331662 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 10, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00945347
Lead sponsor
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
First posted
Jul 24, 2009
Start date
Jul 2009
Primary completion
May 2011
Completion
Jun 2011
Last update
Aug 10, 2011

Study contacts

Patrick LEBECQUE, MD, PhD
principal investigator · Cliniques Universitaires St Luc (Université Catholique de Louvain )
Teresinha LEAL, MD, PhD
principal investigator · Cliniques Universitaires St. Luc ( Université Catholique de Louvain)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2011. You cannot join it, but the record below documents what was studied.

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