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Trial to Evaluate Efficacy and Safety of Lenabasum in Cystic Fibrosis

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ClinicalTrials.gov Identifier: NCT03451045
Recruitment Status : Completed
First Posted : March 1, 2018
Last Update Posted : March 26, 2021
Sponsor:
Collaborator:
Cystic Fibrosis Foundation
Information provided by (Responsible Party):
Corbus Pharmaceuticals Inc.

Study Description
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Brief Summary:

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.


Condition or disease Intervention/treatment Phase
Cystic Fibrosis Drug: Lenabasum 20 mg Drug: Lenabasum 5 mg Other: Placebo Phase 2

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 425 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Multicenter, double-blind, randomized, placebo-controlled, parallel group study.
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 2 Trial to Evaluate Efficacy and Safety of Lenabasum in Cystic Fibrosis
Actual Study Start Date : December 22, 2017
Actual Primary Completion Date : June 17, 2020
Actual Study Completion Date : June 17, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Cystic Fibrosis

Arms and Interventions
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Arm Intervention/treatment
Experimental: Lenabasum 20 mg BID Drug: Lenabasum 20 mg
Subjects will receive lenabasum 20 mg twice daily.
Experimental: Lenabasum 5 mg BID Drug: Lenabasum 5 mg
Subjects will receive lenabasum 5 mg twice daily.
Placebo Comparator: Placebo BID Other: Placebo
Subjects will receive placebo twice daily.


Outcome Measures
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Primary Outcome Measures :
  1. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Rate of PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo, during the treatment period.


Secondary Outcome Measures :
  1. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Event rate of PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo.

  2. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Time to first new PEx using the primary PEx definition with lenabasum 20 mg BID compared to placebo.

  3. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Time to first PEx using the secondary PEx definition with lenabasum 20 mg BID compared to placebo.

  4. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Event rate of PEx using the primary PEx definition with lenabasum 5 mg BID compared to placebo, during the treatment period.

  5. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Event rate of PEx using the secondary PEx definition with lenabasum 5 mg BID compared to placebo.

  6. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Time to first new PEx using the primary PEx definition with lenabasum 5 mg BID compared to placebo.

  7. Pulmonary Exacerbation (PEx) [ Time Frame: Visit 1 through Week 28. ]
    Time to first PEx using the secondary PEx definition with lenabasum 5 mg BID compared to placebo.

  8. CFQ-R respiratory symptom domain [ Time Frame: Visit 1 through Week 28. ]
    Change from baseline in CFQ-R respiratory symptom domain with lenabasum compared to placebo.

  9. FEV1 % predicted [ Time Frame: Visit 1 through Week 28. ]
    Change from baseline in FEV1 % predicted with lenabasum compared to placebo.

  10. Adverse Events [ Time Frame: Visit 1 through Week 28. ]
    Incidence of treatment emergent adverse events with lenabasum treatment.


Eligibility Criteria
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Ages Eligible for Study:   12 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. ≥ 12 years of age at the time Informed Consent/ Assent is signed.
  2. Weight ≥ 40 kg.
  3. FEV1 ≥ 40% predicted and < 100% predicted in the last 12 months.
  4. Physician-initiated treatment with an IV antibiotic 2 or 3 times in the last 12 months for a new PEx or physician-initiated treatment with an IV antibiotic 1 time in the last 12 months plus physician-initiated treatment with oral antibiotic(s) 1 or more times in the past 12 months for a new PEX.

Exclusion Criteria:

  1. Severe or unstable CF at screening or Visit 1.

  2. Any of the following values for laboratory tests at screening:

    1. A positive pregnancy test.
    2. Hemoglobin < 10 g/dL in males and < 9 g/dL in females.
    3. Neutrophils < 1.0 x 10^9 /L.
    4. Platelets < 75 x 10^9/L.
    5. Creatinine clearance < 50 mL/min according to Modification of Diet in Renal Disease (MDRD) Study equation.
    6. Serum transaminases > 2.5 x upper limit of normal.
  3. Any medical condition or concurrent medical therapies at screening or Visit 1 that may put the subject at greater safety risk, influence response to study drug or interfere with study assessments.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03451045


Locations
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Sponsors and Collaborators
Corbus Pharmaceuticals Inc.
Cystic Fibrosis Foundation
Investigators
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Principal Investigator: James Chmiel, MD Indiana University School of Medicine/Riley Physicians Pulmonary
Principal Investigator: J. Stuart Elborn, MD National Heart and Lung Institute, Imperial College
More Information
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Responsible Party: Corbus Pharmaceuticals Inc.
ClinicalTrials.gov Identifier: NCT03451045    
Other Study ID Numbers: JBT101-CF-002
First Posted: March 1, 2018    Key Record Dates
Last Update Posted: March 26, 2021
Last Verified: March 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Corbus Pharmaceuticals Inc.:
Pulmonary exacerbation, lenabasum, JBT-101
Additional relevant MeSH terms:
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Cystic Fibrosis
Fibrosis
Pathologic Processes
Pancreatic Diseases
Digestive System Diseases
 Lung Diseases
Respiratory Tract Diseases
Genetic Diseases, Inborn
Infant, Newborn, Diseases