A Phase 2 interventional study of Lenabasum 20 mg and Lenabasum 5 mg in Cystic Fibrosis, sponsored by Corbus Pharmaceuticals Inc.. Completed at 105 sites in 21 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2023-01-18.
Sponsored by Corbus Pharmaceuticals Inc. · Phase 2, Interventional, and Treatment
This is a Phase 2 multicenter, double-blind, randomized, placebo-controlled study assessing the efficacy and safety of lenabasum for the treatment of cystic fibrosis in patients 12 years of age or older. Approximately 415 subjects will be enrolled in this study at about 100 sites in North America, and Europe. The planned duration of treatment with study drug is 28 weeks.
Study drug will be lenabasum 20 mg BID, lenabasum 5 mg BID, and placebo in a 2:1:2 ratio.
Exclusion Criteria:
Any of the following values for laboratory tests at screening:
Drug: Lenabasum 20 mg
Drug: Lenabasum 5 mg
Other: Placebo
Subjects will receive lenabasum 20 mg twice daily.
Subjects will receive lenabasum 5 mg twice daily.
Subjects will receive placebo twice daily.
Pulmonary Exacerbation (PEx) Rate Over 28 Weeks
Rate of PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo, during the treatment period. An primary PEx is defined on the physician's decision to treat with oral, intraveneous or inhaled antibiotics in the presence 4/12 Fuch's criteria (Change in sputum, new/increased hemoptysis, increased cough, increased dyspnea, malaise, fatigue/lethargy, Temperature greater than 38C, weight loss, sinus pain, change in sinus discharge, change in exam of chest, decrease in FEV1 of more than 10%, radiographic change). This excludes prophylactic antibiotics. A new PEx is a one that occurs at 28 days after the previous PEx.
Time frame: 28 weeks (Baseline Day 0 to Week 28)
Pulmonary Exacerbation (PEx) Rate
Event rate of PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo. The secondary definition of a PEx is based on the physician's diagnosis of pulmonary exacerbation and commencement of new oral, intravenous, or inhaled antibiotics. A new PEx is defined one that starts 28 or more days after the previous confirmed PEx. The PEx rate is calculated as the number of PEx/28 weeks
Time frame: 28 weeks (Baseline Day 0 to Week 28)
Time to First New Pulmonary Exacerbation (PEx)
Time to first new PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo. An primary PEx is defined on the physician's decision to treat with oral, intraveneous or inhaled antibiotics in the presence 4/12 Fuch's criteria (Change in sputum, new/increased hemoptysis, increased cough, increased dyspnea, malaise, fatigue/lethargy, Temperature greater than 38C, weight loss, sinus pain, change in sinus discharge, change in exam of chest, decrease in FEV1 of more than 10%, radiographic change). This excludes prophylactic antibiotics. A new PEx is a one that occurs at 28 days after the previous PEx. The rate is calculate over a 28 week period from visit 1 to week 28 visit
Time frame: 28 weeks (Baseline Day 0 to Week 28)
Pulmonary Exacerbation (PEx)
Time to first PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo. The secondary definition of a PEx is based on the physician's diagnosis of pulmonary exacerbation and commencement of new oral, intravenous, or inhaled antibiotics. A new PEx is defined one that starts 28 or more days after the previous confirmed PEx.
Time frame: 28 weeks (Baseline Day 0 to Week 28)
CFQ-R Respiratory Symptom Domain
Cystic Fibrosis Questionnaire - Revised measures change from baseline in CFQ-R respiratory symptom domain with lenabasum compared to placebo. Subjects \>/= 14 years of age. 5 distinct 4-point Likert scales (e.g., always/often/ sometime/never) Scores for each HRQoL domain; after recoding, each item is summed to generate a domain score and standardized. Scores range from 0 to 100, with higher scores indicating better health.
Time frame: 28 weeks (Change from Baseline Day 0 to Week 28)
FEV1 % Predicted
Change from baseline to week 28 in Forced Expiratory Volume in 1 second (FEV1) expressed as a percentage of a normal range. A lower percentage FEV1 is indicative of decrease in lung functionality. The changes observed from baseline to week 28 for lenabasum will be compared with those observed for placebo treated participants.
Time frame: 28 weeks (Change from Baseline Day 0 to Week 28)
| Milestone | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| Started | 175 | 91 | 181 |
| Completed | 148 | 85 | 154 |
| Not completed | 27 | 6 | 27 |
| Withdrew: Lack of efficacy | 3 | 2 | 2 |
| Withdrew: Physician decision | 1 | 1 | 1 |
| Withdrew: Withdrawal by subject | 4 | 0 | 5 |
| Withdrew: Pregnancy | 0 | 0 | 2 |
| Withdrew: Adverse event | 7 | 1 | 3 |
| Withdrew: Non-compliance with study | 2 | 0 | 1 |
| Withdrew: Any other reason | 10 | 2 | 13 |
Rate of PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo, during the treatment period. An primary PEx is defined on the physician's decision to treat with oral, intraveneous or inhaled antibiotics in the presence 4/12 Fuch's criteria (Change in sputum, new/increased hemoptysis, increased cough, increased dyspnea, malaise, fatigue/lethargy, Temperature greater than 38C, weight loss, sinus pain, change in sinus discharge, change in exam of chest, decrease in FEV1 of more than 10%, radiographic change). This excludes prophylactic antibiotics. A new PEx is a one that occurs at 28 days after the previous PEx.
| events per participant/28 weeks | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo BID |
|---|---|---|---|
| Pulmonary Exacerbation (PEx) Rate Over 28 Weeks | 0.911 | 0.749 | 0.842 |
Event rate of PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo. The secondary definition of a PEx is based on the physician's diagnosis of pulmonary exacerbation and commencement of new oral, intravenous, or inhaled antibiotics. A new PEx is defined one that starts 28 or more days after the previous confirmed PEx. The PEx rate is calculated as the number of PEx/28 weeks
| events per participant/28 weeks | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| Pulmonary Exacerbation (PEx) Rate | 1.08 | 0.91 | 1.03 |
Time to first new PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo. An primary PEx is defined on the physician's decision to treat with oral, intraveneous or inhaled antibiotics in the presence 4/12 Fuch's criteria (Change in sputum, new/increased hemoptysis, increased cough, increased dyspnea, malaise, fatigue/lethargy, Temperature greater than 38C, weight loss, sinus pain, change in sinus discharge, change in exam of chest, decrease in FEV1 of more than 10%, radiographic change). This excludes prophylactic antibiotics. A new PEx is a one that occurs at 28 days after the previous PEx. The rate is calculate over a 28 week period from visit 1 to week 28 visit
| days | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| Time to First New Pulmonary Exacerbation (PEx) | 162 (59 to 183) | 148 (58 to 183) | 143 (58 to 183) |
Time to first PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo. The secondary definition of a PEx is based on the physician's diagnosis of pulmonary exacerbation and commencement of new oral, intravenous, or inhaled antibiotics. A new PEx is defined one that starts 28 or more days after the previous confirmed PEx.
| days | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| Pulmonary Exacerbation (PEx) | 116 (38 to 183) | 113 (54 to 183) | 120 (49 to 183) |
Cystic Fibrosis Questionnaire - Revised measures change from baseline in CFQ-R respiratory symptom domain with lenabasum compared to placebo. Subjects \>/= 14 years of age. 5 distinct 4-point Likert scales (e.g., always/often/ sometime/never) Scores for each HRQoL domain; after recoding, each item is summed to generate a domain score and standardized. Scores range from 0 to 100, with higher scores indicating better health.
| scores on a scale | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| CFQ-R Respiratory Symptom Domain | 1.16 ± 1.41 | -2.92 ± 1.88 | -0.96 ± 1.41 |
Change from baseline to week 28 in Forced Expiratory Volume in 1 second (FEV1) expressed as a percentage of a normal range. A lower percentage FEV1 is indicative of decrease in lung functionality. The changes observed from baseline to week 28 for lenabasum will be compared with those observed for placebo treated participants.
| percentage of Predicted FEV1 | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| FEV1 % Predicted | 0.014 ± 0.025 | -0.005 ± 0.033 | -0.012 ± 0.025 |
Collected over 28 weeks. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lenabasum 20 mg BID | 0/165 (0%) | 50/165 (30.3%) | 151/165 (91.5%) |
| Lenabasum 5 mg BID | 0/89 (0%) | 25/89 (28.1%) | 80/89 (89.9%) |
| Placebo | 0/171 (0%) | 50/171 (29.2%) | 151/171 (88.3%) |
| Event | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| Infective pulmonary exacerbation of cystic fibrosisRespiratory, thoracic and mediastinal disorders | 42/165 | 22/89 | 41/171 |
| Distal intestinal obstruction syndromeGastrointestinal disorders | 3/165 | 1/89 | 3/171 |
| HaemoptysisRespiratory, thoracic and mediastinal disorders | 3/165 | 1/89 | 1/171 |
| InfluenzaInfections and infestations | 0/165 | 0/89 | 2/171 |
| Forced expiratory volume decreasedInvestigations | 1/165 | 0/89 | 2/171 |
| DehydrationMetabolism and nutrition disorders | 0/165 | 1/89 | 0/171 |
| HeadacheNervous system disorders | 0/165 | 1/89 | 0/171 |
| Renal colicRenal and urinary disorders | 0/165 | 1/89 | 0/171 |
| UreterolithiasisRenal and urinary disorders | 0/165 | 1/89 | 0/171 |
| TachcardiaCardiac disorders | 1/165 | 0/89 | 0/171 |
| Event | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo |
|---|---|---|---|
| Respiratory, thoracic and mediastinalRespiratory, thoracic and mediastinal disorders | 120/165 | 65/89 | 122/171 |
| Infections and infestationsInfections and infestations | 75/165 | 36/89 | 72/171 |
| Gastrointestinal disordersGastrointestinal disorders | 45/165 | 23/89 | 43/171 |
| Nervous systemNervous system disorders | 41/165 | 18/89 | 28/171 |
| General disorders and administration site conditionsGeneral disorders | 39/165 | 22/89 | 33/171 |
| InvestigationsInvestigations | 35/165 | 22/89 | 30/171 |
| Musculoskeletal and connective tissuesMusculoskeletal and connective tissue disorders | 17/165 | 14/89 | 18/171 |
| PsychiatricPsychiatric disorders | 11/165 | 10/89 | 11/171 |
| Skin and subcutaneousSkin and subcutaneous tissue disorders | 12/165 | 5/89 | 17/171 |
| Renal and urinaryRenal and urinary disorders | 1/165 | 5/89 | 8/171 |
modified intent to treat population
| Age, Continuous(years) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| Mean | 26.2 ± 9.08 | 28.9 ± 11.24 | 26.6 ± 10.81 | 26.9 ± 10.5 |
| Sex: Female, Male(Participants) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| Female | 91 | 44 | 93 | 228 |
| Male | 74 | 45 | 78 | 197 |
| Ethnicity (NIH/OMB)(Participants) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| Hispanic or Latino | 5 | 3 | 5 | 13 |
| Not Hispanic or Latino | 155 | 84 | 164 | 403 |
| Unknown or Not Reported | 5 | 2 | 2 | 9 |
| Race (NIH/OMB)(Participants) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 2 | 3 | 5 |
| White | 161 | 86 | 163 | 410 |
| More than one race | 1 | 0 | 1 | 2 |
| Unknown or Not Reported | 2 | 1 | 3 | 6 |
| Body Mass Index(kg/m^2) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| Mean | 21.07 ± 3.179 | 22.26 ± 4.164 | 21.52 ± 3.931 | 21.50 ± 3.728 |
| FEV1 (L)(liters) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| Mean | 2.10 ± 0.73 | 2.20 ± 0.77 | 2.17 ± 0.75 | 2.15 ± 0.76 |
| Number of Acute Pulmonary Exacerbations in Past Year(Participants) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| one | 1 | 0 | 1 | 2 |
| two | 75 | 43 | 76 | 194 |
| three | 63 | 30 | 69 | 162 |
| four | 20 | 11 | 13 | 44 |
| five | 6 | 4 | 10 | 20 |
| six or more | 0 | 1 | 2 | 3 |
| CFTR Genotype(Participants) | Lenabasum 20 mg BID | Lenabasum 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| F508del/F508del | 83 | 34 | 74 | 191 |
| F508del/other | 56 | 38 | 70 | 164 |
| Other/other or unknown | 26 | 17 | 27 | 70 |
1 further baseline measures are reported on the registry.
Showing the first 100 of 105 sites across 21 countries.
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Corbus Pharmaceuticals Inc.