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CompletedNCT03748199Updated Sep 28, 2021

Clinical Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of POL6014 in Patients With CF

A Phase 1/2 interventional study of POL6014 and Placebo in Cystic Fibrosis, sponsored by Santhera Pharmaceuticals. Completed at 4 sites in Germany. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2021-09-28.

Sponsored by Santhera Pharmaceuticals · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

"This is a randomised, double-blind, placebo-controlled multi-centre study to investigate safety and tolerability and to provide pharmacokinetic and pharmacodynamics information of orally inhaled multiple doses (80 mg, 160 mg or 320 mg) of the nebulised neutrophil elastase inhibitor POL6014 in patients with Cystic Fibrosis. The controlled inhalation will occur via the eFlow® nebuliser system (manufacturer: PARI Pharma GmbH, Germany)".

02

Conditions studied

  • Cystic Fibrosis

Keywords

  • CF
  • cystic fibrosis
  • POL6014
  • neutrophil elastase inhibitor
  • anti-inflammatory
03

In context

Cystic Fibrosis

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

This study's enrollment of 32 is below the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

Santhera Pharmaceuticals is the lead sponsor of 27 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patient has given written informed consent to participation in the trial prior to their enrolment and any trial-related procedure.
  2. Male patients or female patients of non-childbearing potential, aged 18 to 55 years, inclusive. Women of non-childbearing potential are defined as those who have no uterus, or ligation of the fallopian tubes, or permanent cessation of ovarian function due to ovarian failure or surgical removal of the ovaries. Documentation of surgical procedure is required for patients who have had a hysterectomy or tubal ligation.
  3. Men must agree to practice contraception from start of study medication up to 90 days after the last dose of the study medication.
  4. Patient with a diagnosis of CF documented by a compatible clinical or radiographic presentation and laboratory criteria, more specifically, sweat or genetic testing (i.e., presence of the most common genetic defect ΔF 508 or any other mutation that can produce CF).
  5. Patient should confirm to produce frequently spontaneous sputum with a frequency of over 3 expectorates per day. Patient should be capable of producing a spontaneous sputum sample at screening (within a time range of approx. 3h during the screening visit).
  6. Except for CF and CF-related diseases, no other significant disease as assessed by a screening examination including medical history, physical examination, vital signs, ECG assessment, pulmonary function testing (PFT), and clinical laboratory results. Deviations of clinical laboratory results can be accepted if they are in accordance with the diagnosis of CF and CF-related diseases, supposed they do not indicate a clinical state that is expected to constitute a significant additional risk.
  7. Patient must have an FEV1 ≥ 40% of predicted value at screening.
  8. Body mass index (BMI) between 16.5 and 30 (both inclusive).
  9. Non-smoker or ex-smoker who has stopped smoking for at least one (1) year prior to the Screening Visit.
  10. Patient should be willing to refrain from caffeine- or theophylline-containing products within 24 h prior to a clinic visit for a full PK profile.
  11. Ability to inhale in an appropriate manner (Patients will be trained to inhale from the eFlow® nebuliser device with a commercially available saline solution at the Screening Visit once informed consent has been obtained).
  12. For patients with routine courses of inhaled antibiotics, patients should agree to start routine course of inhaled antibiotic cycle on the same day or not earlier than 3 days before IMP administration.

Exclusion criteria

Exclusion Criteria:

  1. Patient with unstable lung disease, as defined by a change in treatment regimen during the preceding two (2) weeks, or a significant new finding on chest radiography (such as, but not limited to, pneumothorax, lobar/segmental collapse or consolidation), or in the opinion of the investigator, patient with a decline in pulmonary status within the last 12 months not considered a part of the usual, chronic progression of CF lung disease. Routine cyclic antibiotic treatment regimens including "off/on" cycles are not considered to be changes to treatment regimens.
  2. Patient has had an exacerbation of respiratory symptoms within the past four (4) weeks before screening/randomization that required initiation of a new or altered respiratory therapy, and, in the opinion of the investigator, the patient has not returned to a stable level of health
  3. Patient with a history of lung transplantation.
  4. Patient with a history of clinically significant renal, hepatic, gastrointestinal,cardiovascular and particularly respiratory disease (excluding CF and CF-related disease).
  5. Patient with active gastrointestinal ulcer, history of intracranial bleedings, injuries and other bleedings.
  6. Patient, as per assessment of the investigator, with severe hepatic impairment (e.g. laboratory values (ALT, AST > 3 x ULN and total bilirubin > 1.5 x ULN) or Child-Pugh-Class C could be indicative of such condition).
  7. ECG abnormalities of clinical relevance (e.g., QTc according to Bazett's formula ≥440 ms, PR >200 ms, or QRS ≥120 ms).
  8. Patient with a resting heart rate in supine position \<50 bpm, systolic blood pressure \<100 mmHg or >140 mmHg, diastolic blood pressure \<60 mmHg or >90 mmHg.
  9. Proneness to orthostatic dysregulation, fainting, or blackouts.
  10. Diagnosis of a tricuspid insufficiency in combination with a mean pulmonary arterial pressure (mPAP) > 25 mmHg, measured by Doppler echography, or, if no tricuspid insufficiency is detectable, any echocardiographic or clinical signs of severe pulmonary heart disease (cor pulmonale) or depending congestive heart failure.
  11. History or presence of any malignancy.
  12. Positive results in any of the following virology tests: human immunodeficiency virus (HIV) antibodies and antigen, Anti-hepatitis B-core antibody, hepatitis B surface antigen (HbsAg) and anti-hepatitis C virus antibody.
  13. Known local or systemic hypersensitivity to any aerosol, medication or food that led to admission to an emergency room.
  14. Participation in another clinical study with any investigational medicinal product (IMP) or device, before randomisation, within an interval of 5 half-lives (minimum 4 weeks) from the last use of that investigational drug.
  15. Blood or plasma donation of more than 500 mL during the previous month before randomisation, as declared by the patient.
  16. Mental condition rendering the patient incapable to understand the nature, scope, and possible consequences of the study.
  17. Not willing to comply with all clinical study procedures.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    POL6014

    multiple ascending doses: 80, 160 and 40 mg once or twice daily

    Drug: POL6014

  • Placebo comparator
    Placebo

    Placebo will be administered orally at a dose and frequency matched to POL6014

    Drug: Placebo

Interventions

  • DrugPOL6014

    DL1 80 mg cohorts 1A and 1B (80 mg QD and 40 mg BID) DL2 160 mg cohorts 2A and 2B (160 mg QD and 80 mg BID) DL3 40 mg QD cohort C DL = dose Level QD= quaque die (once daily) BID= bis in die (twice daily)

  • DrugPlacebo

    Placebo will be administered orally at a dose and frequency matched to POL6014

06

What researchers measure

Primary outcomes

  1. Safety measured by proportion of patients who experience potential clinically significant changes in physical examinations

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  2. Safety measured by number of patients with changes in laboratory assessments (clinical chemistry, haematology, urinanalysis)

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  3. Safety measured by number of patients with changes in vital signs (blood pressure, pulse, respiratory rate and body temperature)

    Time frame: Baseline and pre-dose through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  4. Safety measured by number of patients with changes in ECG parameters (heart rythm, ventricular rate, PR interval, QRS duration, Qt and QTc)

    Time frame: Baseline and pre-dose through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  5. Safety measured by occurrence and severity of adverse events

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  6. Safety measured by proportion of subjects who experience local irritation of the nose or pharynx by visual inspection

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  7. Safety measured by proportion of patients who experience bronchospasm

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  8. Safety measured by changes in lung function parameters (FEV1, FVC)

    Time frame: Baseline and pre-dose through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  9. Safety measured by changes in oxygen saturation in peripheral blood as measured by pulse oximetry

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

  10. Tolerability assessed by the number of patients who discontinue the study treatment prematurely due to Adverse Events

    Time frame: Baseline through end of treatment (up to 15 days for cohorts 1A/2A/2B, up to 28 days for cohort C)

Secondary outcomes

  1. Pharmacokinetics (PK) for POL6014 and metabolites in plasma, sputum and urine

    Concentration of POL6014 and relevant metabolites measured in plasma, sputum and urine

    Time frame: At defined timepoints (Day1, Day 2, Day 8, Day 14, Day 15, Day 16)

07

Study locations

4 sites
  • Charité - Uniklinik Berlin, Klinik für Pädiatrie,Pneumologie, Immunologie, Erwachsenene-Mucoviszidose
    Berlin, 13353, Germany
  • Ruhrlandklinik Westdeutsches Lungenzentrum
    Essen, 45239, Germany
  • IKF Pneumologie GmbH & Co. KG, Institut für klinische Forschung Pneumologie
    Frankfurt, 60596, Germany
  • Inamed GmbH, clinical unit
    Gauting, 82131, Germany
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03748199
Lead sponsor
Santhera Pharmaceuticals
Responsible party
Sponsor
First posted
Nov 20, 2018
Start date
Nov 8, 2018
Primary completion
Dec 30, 2020
Completion
Dec 30, 2020
Last update
Sep 28, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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