Clinical Trials Register

Summary
EudraCT Number:	2015-003291-77
Sponsor's Protocol Code Number:	GLPG1837-CL-201
National Competent Authority:	Ireland - HPRA
Clinical Trial Type:	EEA CTA
Trial Status:	Completed
Date on which this record was first entered in the EudraCT database:	2015-12-03
Trial results	View results

Index
A. PROTOCOL INFORMATION
B. SPONSOR INFORMATION
C. APPLICANT IDENTIFICATION
D. IMP IDENTIFICATION
D.8 INFORMATION ON PLACEBO
E. GENERAL INFORMATION ON THE TRIAL
F. POPULATION OF TRIAL SUBJECTS
G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
P. END OF TRIAL

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A. Protocol Information

A.1

Member State Concerned

Ireland - HPRA

A.2

EudraCT number

2015-003291-77

A.3

Full title of the trial

A phase IIa, open label study of multiple doses of GLPG1837 in subjects with cystic fibrosis and the G551D mutation

A.3.1

Title of the trial for lay people, in easily understood, i.e. non-technical, language

A study looking at the safety of the drug GLPG1837 in patients with cystic fibrosis and the G551D mutation

A.4.1

Sponsor's protocol code number

GLPG1837-CL-201

A.7

Trial is part of a Paediatric Investigation Plan

A.8

EMA Decision number of Paediatric Investigation Plan

B. Sponsor Information
B.Sponsor: 1
B.1.1	Name of Sponsor	Galapagos NV
B.1.3.4	Country	Belgium
B.3.1 and B.3.2	Status of the sponsor	Commercial
B.4 Source(s) of Monetary or Material Support for the clinical trial:
B.4.1	Name of organisation providing support	Galapagos NV
B.4.2	Country	Belgium
B.5 Contact point designated by the sponsor for further information on the trial
B.5.1	Name of organisation	Galapagos NV
B.5.2	Functional name of contact point	Clinical trial information desk
B.5.3	Address:
B.5.3.1	Street Address	Generaal De Wittelaan L11A3
B.5.3.2	Town/ city	Mechelen
B.5.3.3	Post code	2800
B.5.3.4	Country	Belgium
B.5.4	Telephone number	+32(0)15 342 900
B.5.5	Fax number	+32(0)15342 901
B.5.6	E-mail	rd@glpg.com

D. IMP Identification
D.IMP: 1
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	No
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.1	Product name	GLPG1837
D.3.2	Product code	GLPG1837
D.3.4	Pharmaceutical form	Tablet
D.3.4.1	Specific paediatric formulation	No
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	Not Applicable
D.3.9.1	CAS number	1654725-02-6
D.3.9.2	Current sponsor code	GLPG1837
D.3.9.3	Other descriptive name	GLPG1837
D.3.9.4	EV Substance Code	SUB169759
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	250
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	No
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	No
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	No
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	No
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	No
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	No
D.3.11.8	Extractive medicinal product	No
D.3.11.9	Recombinant medicinal product	No
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	No
D.IMP: 2
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	No
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.1	Product name	GLPG1837
D.3.2	Product code	GLPG1837
D.3.4	Pharmaceutical form	Tablet
D.3.4.1	Specific paediatric formulation	No
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	Not Applicable
D.3.9.1	CAS number	1654725-02-6
D.3.9.2	Current sponsor code	GLPG1837
D.3.9.3	Other descriptive name	GLPG1837
D.3.9.4	EV Substance Code	SUB169759
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	125
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	No
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	No
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	No
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	No
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	No
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	No
D.3.11.8	Extractive medicinal product	No
D.3.11.9	Recombinant medicinal product	No
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	No
D.IMP: 3
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	No
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.1	Product name	GLPG1837
D.3.2	Product code	GLPG1837
D.3.4	Pharmaceutical form	Tablet
D.3.4.1	Specific paediatric formulation	No
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	Not Applicable
D.3.9.1	CAS number	1654725-02-6
D.3.9.2	Current sponsor code	GLPG1837
D.3.9.3	Other descriptive name	GLPG1837
D.3.9.4	EV Substance Code	SUB169759
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	62.5
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	No
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	No
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	No
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	No
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	No
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	No
D.3.11.8	Extractive medicinal product	No
D.3.11.9	Recombinant medicinal product	No
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	No

D.8 Information on Placebo

E. General Information on the Trial

E.1 Medical condition or disease under investigation

E.1.1

Medical condition(s) being investigated

Cystic fibrosis with the G551D mutation

E.1.1.1

Medical condition in easily understood language

Cystic fibrosis with the G551D mutation

E.1.1.2

Therapeutic area

Body processes [G] - Genetic Phenomena [G05]

MedDRA Classification

E.1.2 Medical condition or disease under investigation

E.1.2	Version	19.0
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

E.1.3

Condition being studied is a rare disease

E.2 Objective of the trial

E.2.1

Main objective of the trial

To evaluate the safety and tolerability of multiple oral doses of GLPG1837 in subjects with CF and at least one copy of the G551D mutation.

E.2.2

Secondary objectives of the trial

- To assess changes in sweat chloride from baseline (Day 1) as the biomarker of cystic fibrosis transmembrane conductance regulator (CFTR) ion channel function
- To explore changes in pulmonary function (forced expiratory volume in 1 second [FEV1]) from baseline.
- To assess the pharmacokinetics (PK) profile of GLPG1837 and its metabolite G518480.

E.2.3

Trial contains a sub-study

E.3

Principal inclusion criteria

1. Male or female subjects ≥ 18 years of age, on the day of signing the Informed Consent Form (ICF), with a confirmed diagnosis of cystic fibrosis:
a.Clinical diagnosis of cystic fibrosis with signs/symptoms involving at least two organ systems, and
b.Medical history of elevated sweat chloride ≥60 mmol/L by quantitative pilocarpine iontophoresis (documented in the subject’s medical record) or 2 disease causing CFTR mutations (documented in the subject’s medical record).
2.Gating G551D CFTR mutation on at least one allele in the CFTR gene (documented in the subject’s medical record or CF registry); any known or unknown mutation allowed on the 2nd allele. Subject inclusion can be performed, provided that genotype information is available in source data.
3.Subject must meet one of the following:
a.Subjects currently receiving treatment with ivacaftor must be on a stable regimen for at least 2 weeks prior to screening;
Or
b.Subjects not on a treatment regimen with ivacaftor for at least 2 weeks prior to screening.
4.Weight ≥ 40.0 kg.
5.Subjects on stable concomitant treatment regimen for at least 4 weeks prior to baseline (excluding ivacaftor), as defined in the study protocol.
6.Pre- or post-bronchodilator FEV1 ≥ 40% of predicted normal for age, gender and height at screening.
7.Female subjects must have a negative blood pregnancy test. Determination of serum follicle-stimulating hormone (FSH) will be done for any suspected postmenopausal female with at least 12 months of continuous spontaneous amenorrhea, with FSH levels > 40 IU/mL being confirmative for menopause. For hysterectomy and tubal ligation, documented confirmation will be requested.
8.Subjects will have to use highly effective contraceptive methods prior to the first dose of the study drug, during the study, and for at least 12 weeks after the last dose of the study drug.
a. If the subject is a sexually active woman of childbearing potential, she and her male partner are required to simultaneously use 2 effective contraceptive methods as defined in the protocol. Hormonal contraceptives will not be considered as an effective method; however, female subjects are not required to discontinue hormonal contraceptives. Female subjects who use contraception must have done so for at least 14 days prior to the first dose of the study drug.
b.Non-vasectomized sexually active male subjects with female partners of childbearing potential must be willing to use a condom in addition to having their female partner use another form of contraception as defined in the protocol.

E.4

Principal exclusion criteria

1.History of sensitivity to any component of the study drug, or a history of drug or other allergy that, in the investigator’s opinion, contraindicates the subject’s participation in the study.
2.On an ivacaftor-containing treatment regimen and unable or unwilling to discontinue ivacaftor for the washout and treatment periods of the study.
3.A history of a clinically meaningful unstable or uncontrolled chronic disease including underlying cystic fibrosis that makes the subject unsuitable for inclusion in the study in the opinion of the investigator.
4.Liver cirrhosis and portal hypertension.
5.History of malignancy within the past 5 years (except for carcinoma in situ of the uterine cervix and basal cell carcinoma of the skin that has been treated with no evidence of recurrence).
6.Any significant change in the medical regimen (including dose or frequency) for pulmonary health within 4 weeks of baseline, including: antibiotics, corticosteroids, inhaled bronchodilators, hypertonic saline, mannitol or dornase alfa; ibuprofen and airway clearance techniques. Individuals taking inhaled antibiotics for suppression of chronic airways infection must be on a stable regimen for at least 8 weeks prior to baseline and willing to continue the same antibiotic through Day 29.
7.Unstable pulmonary status or respiratory tract infection (including pulmonary exacerbation), based on the investigator’s opinion, or changes in therapy for pulmonary disease within 4 weeks of baseline; as defined in the protocol.
8.History of lung volume reduction surgery or lung transplant.
9.Use of continuous (24 hours per day) supplemental oxygen therapy.
10.Clinically significant abnormalities detected on electrocardiogram (ECG) regarding either rhythm or conduction (e.g., QTcF ≥ 450 ms, or a known long QT syndrome). A first degree heart block will not be considered as a significant abnormality.
11.Use of medication known to prolong the QT interval (including herbal and naturopathic therapy).
12.History of solid organ or haematological transplantation or currently on a transplantation waiting list.
13.Abnormal liver function defined as aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyl transferase (GGT) > 3 x upper limit of the normal range or bilirubin > 2x upper limit of the normal range.
14.Abnormal renal function defined as creatinine clearance < 50mL/min using the Cockroft-Gault equation.

E.5 End points

E.5.1

Primary end point(s)

Safety and tolerability will be assessed through:
•Adverse events (AEs)
•Physical examinations
•Vital signs
•12-lead ECG
•Oxygen saturation
•Safety laboratory assessments

E.5.1.1

Timepoint(s) of evaluation of this end point

Various time points throughout the trial as specified in the protocol

E.5.2

Secondary end point(s)

Efficacy will be assessed through:
•sweat Chloride Concentration Testing
•measuring pulmonary function
•pharmacokinetics

E.5.2.1

Timepoint(s) of evaluation of this end point

Various time points throughout the trial as specified in the protocol

E.6 and E.7 Scope of the trial

E.6

Scope of the trial

E.6.1

Diagnosis

E.6.2

Prophylaxis

E.6.3

Therapy

E.6.4

Safety

Yes

E.6.5

Efficacy

Yes

E.6.6

Pharmacokinetic

Yes

E.6.7

Pharmacodynamic

E.6.8

Bioequivalence

E.6.9

Dose response

Yes

E.6.10

Pharmacogenetic

E.6.11

Pharmacogenomic

E.6.12

Pharmacoeconomic

E.6.13

Others

E.7

Trial type and phase

E.7.1

Human pharmacology (Phase I)

E.7.1.1

First administration to humans

E.7.1.2

Bioequivalence study

E.7.1.3

Other

E.7.1.3.1

Other trial type description

E.7.2

Therapeutic exploratory (Phase II)

Yes

E.7.3

Therapeutic confirmatory (Phase III)

E.7.4

Therapeutic use (Phase IV)

E.8 Design of the trial

E.8.1

Controlled

E.8.1.1

Randomised

E.8.1.2

Open

Yes

E.8.1.3

Single blind

E.8.1.4

Double blind

E.8.1.5

Parallel group

E.8.1.6

Cross over

E.8.1.7

Other

E.8.2

Comparator of controlled trial

E.8.2.1

Other medicinal product(s)

E.8.2.2

Placebo

E.8.2.3

Other

E.8.3

The trial involves single site in the Member State concerned

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

E.8.5

The trial involves multiple Member States

Yes

E.8.5.1

Number of sites anticipated in the EEA

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

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

Australia

Czech Republic

Germany

Ireland

United Kingdom

E.8.7

Trial has a data monitoring committee

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

LVLS

E.8.9 Initial estimate of the duration of the trial

E.8.9.1

In the Member State concerned years

E.8.9.1

In the Member State concerned months

E.8.9.1

In the Member State concerned days

E.8.9.2

In all countries concerned by the trial years

E.8.9.2

In all countries concerned by the trial months

E.8.9.2

In all countries concerned by the trial days

F. Population of Trial Subjects

F.1 Age Range

F.1.1

Trial has subjects under 18

F.1.1.1

In Utero

F.1.1.2

Preterm newborn infants (up to gestational age < 37 weeks)

F.1.1.3

Newborns (0-27 days)

F.1.1.4

Infants and toddlers (28 days-23 months)

F.1.1.5

Children (2-11years)

F.1.1.6

Adolescents (12-17 years)

F.1.2

Adults (18-64 years)

Yes

F.1.2.1

Number of subjects for this age range:

F.1.3

Elderly (>=65 years)

Yes

F.1.3.1

Number of subjects for this age range:

F.2 Gender

F.2.1

Female

Yes

F.2.2

Male

Yes

F.3 Group of trial subjects

F.3.1

Healthy volunteers

F.3.2

Patients

Yes

F.3.3

Specific vulnerable populations

Yes

F.3.3.1

Women of childbearing potential not using contraception

F.3.3.2

Women of child-bearing potential using contraception

Yes

F.3.3.3

Pregnant women

F.3.3.4

Nursing women

F.3.3.5

Emergency situation

F.3.3.6

Subjects incapable of giving consent personally

F.3.3.7

Others

F.4 Planned number of subjects to be included

F.4.1

In the member state

F.4.2

For a multinational trial

F.4.2.1

In the EEA

F.4.2.2

In the whole clinical trial

F.5

Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)

Subjects will continue with normal treatment

G. Investigator Networks to be involved in the Trial

N. Review by the Competent Authority or Ethics Committee in the country concerned

Competent Authority Decision

Authorised

Date of Competent Authority Decision

2016-01-29

Ethics Committee Opinion of the trial application

Favourable

Ethics Committee Opinion: Reason(s) for unfavourable opinion

Date of Ethics Committee Opinion

2016-02-03

P. End of Trial
P.	End of Trial Status	Completed
P.	Date of the global end of the trial	2016-10-06

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