E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Cystic fibrosis |
Fibrosi cistica |
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E.1.1.1 | Medical condition in easily understood language |
Cystic fibrosis |
Fibrosi cistica |
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E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10011762 |
E.1.2 | Term | Cystic fibrosis |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluate the safety [vital signs, physical examination, adverse events, blood and urine laboratory safety tests, QT/QTc intervals, and psychotrophic activity] and tolerability of JBT-101 in subjects with cystic fibrosis. |
Valutare la sicurezza (PA, esame clinico, eventi avversi, test di laboratorio basali, intervalli QT/QTc e attività psicotropica) e la tollerabilità di JBT-101 in soggetti con fibrosi cistica. |
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E.2.2 | Secondary objectives of the trial |
Evaluate JBT-101 plasma concentrations and metabolites in cystic fibrosis; Evaluate efficacy of JBT-101 in cystic fibrosis, measuring changes from baseline and trends for efficacy in forced expiratory volume in one second, Lung Clearance Index (optional by site), and Cystic Fibrosis Questionnaire - Revised Respiratory Symptoms score in subjects with cystic fibrosis. |
Valutare JBT-101 per le concentrazioni plasmatiche e i metaboliti in soggetti con fibrosi cistica. Valutare l'efficacia di JBT-101 negli stessi soggetti, misurando le variazioni dal baseline e i trends per l'efficacia nei parametri: FEV1, Lung Clearance Index (opzionale), e questionario per la FC - Revised Respiratory Symptoms score. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Documented diagnosis of cystic fibrosis + 1. =18 and < 65 years of age at the time the Informed Consent Form is signed 2. FEV1 = 40% predicted, either pre- or post bronchodilator. 3. Stable treatment of cystic fibrosis for 14 days before Visit 1. |
1. Diagnosi documentata di fibrosi cistica. + 1. = 18 e < 65 anni di età al momento della firma del Modulo di consenso informato 2. FEV1 = 40% del valore previsto 3. Trattamento stabile della FC per 14 giorni prima della Visita 1. |
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E.4 | Principal exclusion criteria |
1. Severe or unstable cystic fibrosis. 2. Any of the following values for laboratory tests at Screening a. A positive pregnancy test (also Visit 1) b. Hemoglobin < 10 g/dL c. Neutrophils < 1.0 x 109/L d. Platelets < 500 cells/µL e. Creatinine clearance < 50 ml/min according to modified Cockcroft- Gault equation; f. Serum transaminases > 2.5 x upper normal limit g. Total bilirubin = 1.5 x upper limit of normal |
1. FC grave o instabile, come: a. Trattamento antibiotico endovenoso nei 14 giorni precedenti la Visita 1 b. Trattamento con corticosteroidi > 10 mg al giorno o con prednisone per via orale (o equivalente) > 20 mg a giorni alterni nei 14 giorni precedenti la Visita 1 2. Uno dei seguenti valori nelle analisi di laboratorio in fase di screening: a. Test di gravidanza positivo (anche alla Visita 1) b. Emoglobina < 10 g/dl c. Neutrofili < 1,0 x 109/l d. Piastrine < 500 cellule/µl e. Clearance della creatinina < 50 ml/min secondo l'equazione di Cockcroft-Gault modificata; f. Transaminasi sieriche > 2,5 volte il limite superiore della norma g. Bilirubina totale > 1,5 volte il limite superiore della norma |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety and tolerability, comparing all subjects who received JBT-101 at any time during the trial to subjects who received placebo throughout the trial. • Safety will be assessed by percentage and number of subjects who experience treatment-emergent adverse events, including serious adverse events. Adverse events will be identified through verbal reports by the subject and clinical assessment of vital signs, physical examination, laboratory safety tests, electrocardiograms including QT/QTc intervals, and Addiction Research Center inventoryMarijuana scale. • Tolerability will be assessed by the number and proportion of subjects that withdraw from the trial during the treatment period because of treatment-related adverse events |
Sicurezza e tollerabilità comparando tutti i soggetti che abbiano ricevuto JBT101 durante lo studio con i soggetti che hanno ricevuto placebo. La sicurezza sarà valutata come percentuale e numero di soggetti che abbiano avuto eventi avversi dal trattamento, inclusi quelli gravi. Gli EA saranno identificati dai rapporti dei pazienti e la loro valutazione clinica e diagnostica (ECG, laboratorio) e inoltre con la scala Addiction Research Center Inventory-Marijuana. La tollerabilità saràa valutata sul numero e la percentuale di soggetti che si ritirano dalla sperimentazione durante il periodo di trattamento a causa di EA associati al trattamento. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Safety will be assessed from baseline on Day 1 (Visit 1) prior to study product administration through 28 +/- 3 days after the last dose of study product (Day 113 +/- 3, Visit 7). Subject-reported adverse events and vital signs will be collected at every visit. The other clinical assessment will be done at various visits. In addition, non-treatment related adverse events will be captured from the screening up to the first dose of study product. •Tolerability will be assessed from the first dose of study product (Day 1, Visit 1) through the end of active treatment (Day 85 +/- 3, Visit 6), with an 84 day active treatment period planned. |
Sicurezza sarà valutata dal basale al giorno 1 (Visita 1) prima della somministrazione del prodotto, a 28 +/- 3 giorni e dopo l'ultima dose di Prodotto studio (giorno 113 +/- 3, Visita 7). - Gli avversi eventi riferiti dal soggetto e i segni vitali saranno raccolti ad ogni visita. L'altra valutazione clinica sarà effettuata a ogni visita. Inoltre, eventi avversi non correlati al trattamento saranno catturati dallo screening fino alla prima dose di prodotto. • La tollerabilità sarà valutata dalla prima dose di prodotto studio (1 ° giorno, Visita 1) fino alla fine del trattamento attivo (Giorno 85 +/- 3, Visita 6), con un periodo di trattamento attivo di 84 giorni. |
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E.5.2 | Secondary end point(s) |
Levels of JBT-101 and its metabolites in plasma, in all subjects who received JBT-101 during the trial; Change in FEV1, percent predicted and absolute value, comparing all subjects who received JBT-101 at any time during the trial to subjects who received placebo throughout the trial; Change in lung clearance index, comparing all subjects who received JBT-101 at any time during the trial to subjects who received placebo throughout the trial; Cystic Fibrosis Questionnaire–Revised Respiratory Symptom Score, comparing all subjects who received JBT-101 at any time during the trial to subjects who received placebo throughout the trial |
Livelli di JBT-101 e dei suoi metaboliti nel plasma, in tutti i soggetti che hanno ricevuto JBT-101 durante lo studio.; Variazione della FEV1, percentuale prevista e valore assoluto, si confrontano tutti i soggetti che hanno ricevuto JBT-101 in qualsiasi momento durante lo sudio con i soggetti che hanno ricevuto placebo.; Variazione dell'indice clearance polmonare, confrontando tutti i soggetti che hanno ricevuto JBT -101 in qualsiasi momento durante lo studio con i soggetti che hanno ricevuto il placebo.; Fibrosi Cistica Questionnaire-Revised Respiratory Symptom Score, confrontando tutti i soggetti che hanno ricevuto JBT-101 in qualsiasi momento durante lo studio con i soggetti che hanno ricevuto placebo. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Prior to study product administration (Day 1, Visit 1), 3 hours after study product administration on Day 1, Day 15 +/- 3 (Visit 2), Day 29 +/- 3 (Visit 3) both prior to study product administration and 3 hours after study product administration, Day 43 +/- 3 (Visit 4), and Day 85 +/- 3 (Visit 6, end of active treatment); prior to study product administration through Day 85 +/- 3 (Visit 6, end of active treatment); Day 1 (Visit 1) prior to study product administration through Day 85 +/- 3 (Visit 6, end of active treatment); Day 1 (Visit 1) prior to study product administration through Day 85 +/- 3 (Visit 6, end of active treatment) |
Prima della somministrazione del prodotto (1 ° giorno, Visita 1), 3 ore dopo la somministrazione del prodotto studio al giorno 1, Giorno 15 +/- 3 (Visita 2), giorno 29 +/- 3 (Visita 3) sia prima amministrazione studio del prodotto e 3 ore dopo la somministrazione del prodotto studio, Giorno 43 +/- 3 (Visita 4), e il giorno 85 +/- 3 (Visita 6, fine del trattamento attivo); 1 ° giorno (Visita 1) prima di studiare amministrazione del prodotto attraverso Giorno 85 +/- 3 (Visita 6, fine del trattamento attivo; 1 ° giorno (Visita 1) prima della somministrazione del prodotto attraverso Giorno 85 +/- 3 (Visita 6, fine del trattamento attivo); Giorno 1 (Visita 1) prima della somministrazione del prodotto attraverso Giorno 85 +/- 3 (Visita 6, fine del trattamento attivo) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
clude una dose escalation per JBT-101, e un passaggio di 10 soggetti da placebo a JBT-101 |
Includes dose escalation on JBT-101 and switching 10 placebo subjects to JBT-101 |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 7 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 13 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 3 |
E.8.9.2 | In all countries concerned by the trial days | 0 |