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BI 443651 Multiple Rising Dose in Healthy Volunteers Followed by a Cross-over in CF Subjects

A Phase Ib, Multicentre, Double Blind, Randomized, Two-part Study, First Part Multiple Rising Dose and Second Part Two-way Cross-over, to Assess Safety, Tolerability, Efficacy and Pharmacokinetics of BI 443651 Compared to Placebo Via Respimat® in Healthy Volunteers and CF Subjects.

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02976519
Enrollment
64
Registered
2016-11-29
Start date
2017-02-15
Completion date
2018-08-29
Last updated
2019-11-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cystic Fibrosis

Brief summary

The objective of this study is to investigate the safety, tolerability, and pharmacokinetics of BI 443651 in male and female healthy volunteers and subjects with Cystic Fibrosis (CF).

Interventions

twice daily

DRUGPlacebo

twice daily

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

Healthy volunteers: * Signed informed consent * Healthy male or female subjects * \- Women of childbearing potential (WOCBP) should only be dosed after a confirmed menstrual period and/or with a progesterone level at Day -5 to Day -3 that demonstrates a dip from baseline, indicating a menstrual bleed prior to dosing. * Age of 18 to 55 years (incl.) * Body mass index (BMI) of 18.5 to 32.0 kg/m2 (incl.) * Forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) of equal or greater than 80% of predicted normal, at screening and prior to randomisation Cystic Fibrosis (Cross over part): * Signed informed consent * Males or females with a documented diagnosis of cystic fibrosis * Women of childbearing potential (WOCBP) should only be dosed after a confirmed menstrual period and/or with a progesterone level at Day -5 to Day -3, that demonstrates a dip from baseline, indicating a menstrual bleed prior to dosing. For CF subjects of child bearing potential this must confirmed prior to second treatment period. * Age 18 to 55 years (each inclusive) * BMI of 18 to 32.0 kg/m2 (incl.) * Pre-bronchodilator FEV1 \>/= to 70% of predicted normal at screening and prior to randomisation * Clinical stability as defined by no evidence of acute upper or lower respiratory tract infection; no pulmonary exacerbation requiring use of i.v. / oral / inhaled antibiotics, or oral corticosteroids; no change in pulmonary disease therapy; if on cycling antibiotics, these must be initiated within 2 weeks prior to randomisation; no acute (serious or non-serious) illness not related to cystic fibrosis; no infection with an organism associated with more rapid decline in pulmonary function (eg, Burkholderia cenocepacia, B dolosa, or Mycobacterium abscessus). * Able to perform technically acceptable pulmonary functions test (PFTs) * Further inclusion criteria apply.

Exclusion criteria

* Any evidence of a concomitant disease judged as clinically relevant by the investigator including gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological, dermatologic, hematologic, neurological and psychiatric, oncological, coagulation or hormonal disorders as determined by medical history, examination, and clinical investigations at screening that may, in the opinion of the investigator, result in any of the following: * Put the subject at risk because of participation in the study. * Influence the results of the study. * Cast doubt on the subject's ability to participate in the study. * Chronic or relevant acute infections. * History of relevant orthostatic hypotension, fainting spells, or blackouts * History of myocardial infarction; history of acute coronary syndrome * History of and/or active life-threatening cardiac arrhythmia, as assessed by the investigator * Major surgery (major according to the investigator's assessment) * History of chronic kidney disease (estimate glomerular filtration rate (EGFR) \<59 mls/min including corrections as per ethnicity) * History of relevant allergy or hypersensitivity (including allergy to the trial medication or its excipients) * Unsuitable veins for venipuncture (for instance, veins which are difficult to locate, access or puncture, veins with a tendency to rupture during or after puncture) as assessed by the investigator * Any finding in the medical examination (including blood pressure (BP), pulse rate (PR) or electrocardiogram (ECG) is deviating from normal and judged as clinically relevant by the investigator * Any laboratory value outside the reference range that the investigator considers to be of clinical relevance, specifically volunteers with serum potassium \> upper limit of normal should be excluded; Safety laboratory screening and Day -7 to Day -3, evaluation can be repeated twice during screening. * For healthy volunteers, repeated measurement (i.e. \> 2 measurements) of systolic blood pressure outside the range of 90 to 140 mmHg, diastolic blood pressure outside the range of 50 to 90 mmHg. Volunteers will be excluded with a pulse rate outside the range of 45 to 90 bpm. * A marked baseline prolongation of mean QT/QTcF interval (such as QTcF intervals that are repeatedly greater than 450 ms in males or repeatedly greater than 470 ms in females) or any other relevant ECG finding at screening or prior to randomisation * A history of additional risk factors for Torsades de Pointes (such as heart failure, hypokalemia, or family history of Long QT Syndrome). * Within 10 days prior to administration of trial medication, use of drugs that might reasonably influence the results of the trial or that might prolong the QT/QTcF interval * Intake of drugs with a long half-life (more than 24hrs) within 30 days or less than 10 half-lives of the respective drug prior to administration of trial medication unless this is allowed medications. * CF subjects treated with non-permitted concomitant medication. Specifically medications causing changes in serum potassium are restricted * Current or previous participation in another interventional trial, including where an investigational drug has been or will be administered within 60 days or 5 half-lives (whichever is longer) prior to screening * For healthy volunteers and CF subjects: current smokers or ex-smokers of less than 12 months and/or with a pack year history of more than 5 years * Further

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 2Up to 44 days (for Part 1) or 51 days (for Part 2) (Please check the measure description for detailed timeframe)Percentage of participants with treatment-emergent adverse events (TEAE) over the treatment period in Part 1 and Part 2. For Part 1: From the first dose of study medication up to 30 days after the day of last intake of study medication, up to 44 days. For Part 2: From the first dose of study medication up to 30 days after the day of last intake of study medication, up to 51 days.

Secondary

MeasureTime frameDescription
Maximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Day 1 and Day 7 (Please check the measure description for detailed timeframe)Maximum measured concentration of the BI 443651 in plasma after the administration of the first dose (Cmax) on day 1 and over the time interval from 0 to 12 h after the 13th dose (Cmax,13) on day 7, in Part 1. Pharmacokinetic samples were collected at 00:15 hours:minutes (h:m) pre-dose and at 00:15, 00:30, 00:45, 1:00, 2:00, 4:00, 6:00, 8:00 and 11:45 h:m after first drug administration on day 1 (for Cmax) and after last drug administration on day 7 (for Cmax,13).
Area Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1Day 1 and Day 7 (Please check the measure description for detailed timeframe)Area under the concentration-time curve of the BI 443651 in plasma over the time interval from 0 to 12 hours (h) after the administration of the first dose (AUC0-12) on day 1 and after the 13th dose (AUC0-12,13) on day 7 in Part 1. Pharmacokinetic samples were collected at 00:15 h:m pre-dose and at 00:15, 00:30, 00:45, 1:00, 2:00, 4:00, 6:00, 8:00 and 11:45 h:m after first drug administration on day 1 (for AUC0-12) and after last drug administration on day 7 (for AUC0-12,13).

Countries

Germany, United Kingdom

Participant flow

Recruitment details

The trial was conducted in 2 parts. The first part was a multiple rising dose (MRD) trial in healthy participants. The second part followed a cross-over design with respect to placebo and BI 443651 treatment in participants with cystic fibrosis. Both parts were randomised, placebo-controlled, and double-blinded.

Pre-assignment details

All participants were screened for eligibility to participate in the trial. Participants attended specialist sites which would then ensure that they (all participants) met all inclusion/exclusion criteria. Participants were not to be randomized to trial treatment if any one of the specific entry criteria were not met.

Participants by arm

ArmCount
Placebo Matching BI 443651
Healthy participants were treated with placebo matching to BI 443651 via Respimat® inhaler twice daily for 6.5 days in Part 1.
8
BI 443651 100 Microgram (μg)
Healthy participants were treated with BI 443651 100 μg dose via Respimat® inhaler twice daily for 6.5 days in Part 1.
8
BI 443651 400 μg
Healthy participants were treated with BI 443651 400 μg dose via Respimat® inhaler twice daily for 6.5 days in Part 1.
8
BI 443651 1200 μg
Healthy participants were treated with BI 443651 1200 μg dose via Respimat® inhaler twice daily for 6.5 days in Part 1.
8
BI 443651 1800 μg
Healthy participants were treated with BI 443651 1800 μg dose via Respimat® inhaler twice daily for 6.5 days in Part 1.
8
BI 443651 600 μg/ Placebo Matching BI 443651
Participants suffering from cystic fibrosis were treated with 600 μg BI 443651 dose in period 1 and followed by placebo matching to BI 443651 in period 2, both administered via Respimat® inhaler twice daily for 13.5 days treatment periods separated by a wash-out period of at least 30 days between drug administrations in Part 2.
12
Placebo Matching BI 443651/ BI 443651 600 μg
Participants suffering from cystic fibrosis were treated with placebo matching to BI 443651 in period 1 and followed by 600 μg BI 443651 dose in period 2, both administered via Respimat® inhaler twice daily for 13.5 days treatment periods separated by a wash-out period of at least 30 days between drug administrations in Part 2.
12
Total64

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Treatment Period 1 (Part 1 and Part 2)Adverse Event0100000
Treatment Period 1 (Part 1 and Part 2)Withdrawal by Subject0001000
Treatment Period 2 (Part 2 Only)Adverse Event0000001
Wash-out Period (Part 2 Only)Reason not listed0000001
Wash-out Period (Part 2 Only)Withdrawal by Subject0000001

Baseline characteristics

CharacteristicPlacebo Matching BI 443651BI 443651 100 Microgram (μg)BI 443651 400 μgBI 443651 1200 μgBI 443651 1800 μgBI 443651 600 μg/ Placebo Matching BI 443651Placebo Matching BI 443651/ BI 443651 600 μgTotal
Age, Continuous36.8 Years
STANDARD_DEVIATION 7.9
39.1 Years
STANDARD_DEVIATION 10.2
38.9 Years
STANDARD_DEVIATION 9.4
32.1 Years
STANDARD_DEVIATION 8.1
41.1 Years
STANDARD_DEVIATION 10.4
38.3 Years
STANDARD_DEVIATION 12.4
34.0 Years
STANDARD_DEVIATION 8.1
37.1 Years
STANDARD_DEVIATION 9.7
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants8 Participants8 Participants8 Participants8 Participants12 Participants12 Participants64 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
Black or African American
1 Participants2 Participants1 Participants1 Participants0 Participants0 Participants0 Participants5 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
7 Participants6 Participants7 Participants5 Participants8 Participants12 Participants11 Participants56 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants5 Participants8 Participants
Sex: Female, Male
Male
8 Participants8 Participants8 Participants8 Participants8 Participants9 Participants7 Participants56 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 80 / 80 / 80 / 80 / 240 / 22
other
Total, other adverse events
3 / 85 / 87 / 88 / 87 / 88 / 249 / 22
serious
Total, serious adverse events
0 / 81 / 80 / 80 / 80 / 81 / 240 / 22

Outcome results

Primary

Percentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 2

Percentage of participants with treatment-emergent adverse events (TEAE) over the treatment period in Part 1 and Part 2. For Part 1: From the first dose of study medication up to 30 days after the day of last intake of study medication, up to 44 days. For Part 2: From the first dose of study medication up to 30 days after the day of last intake of study medication, up to 51 days.

Time frame: Up to 44 days (for Part 1) or 51 days (for Part 2) (Please check the measure description for detailed timeframe)

Population: TS

ArmMeasureValue (NUMBER)
Placebo Matching BI 443651Percentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 237.5 Percentage of participants (%)
BI 443651 100 Microgram (μg)Percentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 262.5 Percentage of participants (%)
BI 443651 400 μgPercentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 287.5 Percentage of participants (%)
BI 443651 1200 μgPercentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 2100.0 Percentage of participants (%)
BI 443651 1800 μgPercentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 287.5 Percentage of participants (%)
Placebo Matching BI 443651 600 μgPercentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 258.3 Percentage of participants (%)
BI 443651 600 μgPercentage of Participants With Treatment-emergent Adverse Events (TEAE) Over the Treatment Period in Part 1 and Part 259.1 Percentage of participants (%)
Secondary

Area Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1

Area under the concentration-time curve of the BI 443651 in plasma over the time interval from 0 to 12 hours (h) after the administration of the first dose (AUC0-12) on day 1 and after the 13th dose (AUC0-12,13) on day 7 in Part 1. Pharmacokinetic samples were collected at 00:15 h:m pre-dose and at 00:15, 00:30, 00:45, 1:00, 2:00, 4:00, 6:00, 8:00 and 11:45 h:m after first drug administration on day 1 (for AUC0-12) and after last drug administration on day 7 (for AUC0-12,13).

Time frame: Day 1 and Day 7 (Please check the measure description for detailed timeframe)

Population: PKS

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Placebo Matching BI 443651Area Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-12409 pmol*h/LGeometric Coefficient of Variation 50.5
Placebo Matching BI 443651Area Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-12,13868 pmol*h/LGeometric Coefficient of Variation 35.3
BI 443651 100 Microgram (μg)Area Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-12,132260 pmol*h/LGeometric Coefficient of Variation 54
BI 443651 100 Microgram (μg)Area Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-121980 pmol*h/LGeometric Coefficient of Variation 47.7
BI 443651 400 μgArea Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-129150 pmol*h/LGeometric Coefficient of Variation 59.6
BI 443651 400 μgArea Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-12,1312200 pmol*h/LGeometric Coefficient of Variation 37.6
BI 443651 1200 μgArea Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-1216200 pmol*h/LGeometric Coefficient of Variation 43.9
BI 443651 1200 μgArea Under the Concentration-time Curve of the BI 443651 in Plasma Over the Time Interval From 0 to 12 Hours After the Administration of the First Dose (AUC0-12) on Day 1 and After the 13th Dose (AUC0-12,13) on Day 7 in Part 1AUC0-12,1318400 pmol*h/LGeometric Coefficient of Variation 54.6
Comparison: AUC0-12. The basic model used for the investigation of dose proportionality was a power model (regression model applied to log-transformed data) that described the functional relationship between the dose and PK endpoints.95% CI: [1.1231, 1.4255]
Comparison: AUC0-12,13. The basic model used for the investigation of dose proportionality was a power model (regression model applied to log-transformed data) that described the functional relationship between the dose and PK endpoints.95% CI: [0.9296, 1.2551]
Secondary

Maximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1

Maximum measured concentration of the BI 443651 in plasma after the administration of the first dose (Cmax) on day 1 and over the time interval from 0 to 12 h after the 13th dose (Cmax,13) on day 7, in Part 1. Pharmacokinetic samples were collected at 00:15 hours:minutes (h:m) pre-dose and at 00:15, 00:30, 00:45, 1:00, 2:00, 4:00, 6:00, 8:00 and 11:45 h:m after first drug administration on day 1 (for Cmax) and after last drug administration on day 7 (for Cmax,13).

Time frame: Day 1 and Day 7 (Please check the measure description for detailed timeframe)

Population: Pharmacokinetic (PK) set (PKS): The PKS included all subjects in the TS who provided at least 1 PK parameter that was not excluded.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Placebo Matching BI 443651Maximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax158 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 60.8
Placebo Matching BI 443651Maximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax,13250 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 31.9
BI 443651 100 Microgram (μg)Maximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax,13745 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 70.3
BI 443651 100 Microgram (μg)Maximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax782 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 46.8
BI 443651 400 μgMaximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax3400 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 64.7
BI 443651 400 μgMaximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax,134000 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 27.2
BI 443651 1200 μgMaximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax6320 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 48.2
BI 443651 1200 μgMaximum Measured Concentration of the BI 443651 in Plasma After the Administration of the First Dose (Cmax) on Day 1 and Over the Time Interval From 0 to 12 h After the 13th Dose (Cmax,13) on Day 7, in Part 1Cmax,136060 picomole (pmol)/Litre (L)Geometric Coefficient of Variation 70.6
Comparison: Cmax. The basic model used for the investigation of dose proportionality was a power model (regression model applied to log-transformed data) that described the functional relationship between the dose and PK endpoints.95% CI: [1.1067, 1.4343]
Comparison: Cmax,13. The basic model used for the investigation of dose proportionality was a power model (regression model applied to log-transformed data) that described the functional relationship between the dose and PK endpoints.95% CI: [0.9598, 1.3123]

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026