A Study to Investigate the Effects of Brensocatib on QT Interval in Healthy Participants

Sponsor
Insmed Incorporated (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05355935
Collaborator
(none)
48
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3
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Study Details

Study Description

Brief Summary

The study has 2 Parts: The primary purpose of Part 1 is to determine the supratherapeutic dose of brensocatib to be used in Part 2 of the study.

The primary purpose of Part 2 is to assess brensocatib's potential for prolonging the QT interval.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
48 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Two-part, Phase I, Double-blind, Placebo- and Positive-controlled Crossover Study to Investigate the Effects of Brensocatib on QT Interval in Healthy Subjects
Actual Study Start Date :
Apr 27, 2022
Anticipated Primary Completion Date :
Sep 29, 2022
Anticipated Study Completion Date :
Sep 29, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1: Treatment Dose 1

Participants (in a 3:1 ratio) will receive a single oral dose of brensocatib Dose 1 or placebo, once on Day 1.

Drug: Brensocatib
Oral tablet.
Other Names:
  • INS1007
  • Drug: Placebo
    Oral tablet.

    Experimental: Part 1: Treatment Dose 2

    Participants (in a 3:1 ratio) will receive a single oral dose of brensocatib Dose 2 or placebo, once on Day 1.

    Drug: Brensocatib
    Oral tablet.
    Other Names:
  • INS1007
  • Drug: Placebo
    Oral tablet.

    Experimental: Part 2

    Participants will be randomized to 1 of 4 treatment sequences (ABCD, BDAC, CADB, DCBA).

    Drug: Brensocatib
    Oral tablet.
    Other Names:
  • INS1007
  • Drug: Moxifloxacin
    Oral tablet.

    Drug: Placebo
    Oral tablet.

    Outcome Measures

    Primary Outcome Measures

    1. Part 1: Number of Participants who Experienced at least one Treatment-Emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE v5.0) [Up to Day 7]

    2. Part 2: Placebo- and Baseline-Corrected QTcF (ΔΔQTcF) [Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    Secondary Outcome Measures

    1. Parts 1 and 2: Maximum Observed Plasma Concentration (Cmax) of Brensocatib [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    2. Parts 1 and 2: Time to Maximum Observed Plasma Concentration (Tmax) of Brensocatib [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    3. Parts 1 and 2: Area Under the Plasma Concentration-Time Curve (AUC) From Time Zero to Time of Last Quantifiable Concentration (AUCtlast) of Brensocatib [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    4. Parts 1 and 2: AUC From Time Zero Extrapolated to Infinity (AUC∞) of Brensocatib [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    5. Parts 1 and 2: Elimination Half-Life (t1/2) of Brensocatib [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    6. Parts 1 and 2: Total Clearance of Brensocatib Following Extravascular Administration (CL/F) [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    7. Parts 1 and 2: Volume of Distribution of Brensocatib Following Extravascular Administration (Vz/F) [Part 1: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part 2: Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    8. Parts 2: Change From Baseline in QTcF (ΔQTcF) Interval [Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    9. Part 2: Number of Participants With Categorical Outliers for ECG Parameters: HR, PR, QRS, and QTcF [Pre-dose and at multiple timepoints post-dose on Days 1 to 4 in each period]

    10. Part 2: Number of Participants who Experienced at least one TEAE [7 days after the last dose (up to 35 days)]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    1. Body mass index (BMI) between 18.0 and 32.0 kilogram per square metre (kg/m^2), inclusive, and a total body weight greater than or equal to 50 kilograms (kg)

    2. Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception

    3. Able to comprehend and willing to sign an informed consent form (ICF) and to abide by the study restrictions

    4. Able to swallow tablets

    Exclusion Criteria:
    1. History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator (or designee)

    2. History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs

    3. QTcF interval >430 ms for males and >440 ms for females or QRS >120 ms

    4. A history of additional risk factors for torsade de pointes (eg, heart failure, hypokalemia, or family history of long QT syndrome)

    5. Positive serology test results for hepatitis B panel and hepatitis C antibody and/or reactive human immunodeficiency virus 1/2 test

    6. Administration of a coronavirus disease 2019 (COVID-19) vaccine in the past 14 days prior to dosing

    7. Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to dosing, unless deemed acceptable by the investigator (or designee)

    8. Use or intend to use any prescription medications/products within 14 days prior to dosing, unless deemed acceptable by the investigator (or designee)

    9. Use or intend to use slow-release medications/products considered to still be active within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee)

    10. Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations within 7 days prior to check-in, unless deemed acceptable by the investigator (or designee)

    11. Use or intend to use any medications that may increase QT interval within 14 days prior to check-in

    12. Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 30 days prior to dosing

    13. Have previously completed or withdrawn from this study or any other study investigating brensocatib, and have previously received brensocatib

    14. Alcohol consumption of >14 units per week for males and >7 units for females. One unit of alcohol equals 12 ounce (oz) (360 milliliter [mL]) beer, 1½ oz (45 mL) liquor, or 5 oz (150 mL) wine

    15. Consumption of caffeine-containing products within 48 hours prior to check-in, unless deemed acceptable by the investigator (or designee)

    16. History of chemical abuse, illicit substance, or marijuana use within 1 year prior to check-in

    17. Use of tobacco- or nicotine-containing products within 3 months prior to check-in

    18. Receipt of blood products within 2 months prior to check-in

    19. Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening

    20. Poor peripheral venous access

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 USA001 Madison Wisconsin United States 53704

    Sponsors and Collaborators

    • Insmed Incorporated

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Insmed Incorporated
    ClinicalTrials.gov Identifier:
    NCT05355935
    Other Study ID Numbers:
    • INS1007-104
    First Posted:
    May 2, 2022
    Last Update Posted:
    Aug 17, 2022
    Last Verified:
    Aug 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Insmed Incorporated
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 17, 2022