Cystic Fibrosis, Exocrine Pancreatic Insufficiency
Conditions
Brief summary
Liprotamase powder is a non-porcine, soluble and stable mixture of biotechnology-derived lipase, protease, and amylase digestive enzymes. The purpose of the present study is to to evaluate the non-inferiority of liprotamase compared with porcine-derived, enterically-coated pancreatic enzyme replacement therapy (PERT). The primary efficacy endpoint of the study will be comparative efficacy measured as the change from baseline in the coefficient of fat absorption (CFA) in Cystic Fibrosis patients with exocrine pancreatic insufficiency (EPI).
Interventions
oral, soluble, non-enterically coated, non-porcine, pancreatic enzyme replacement
oral, enterically-coated, pig-derived, pancreatic enzyme replacement
Sponsors
Study design
Masking description
unblinded to treatment randomization; blinded to primary efficacy variable
Eligibility
Inclusion criteria
* Diagnosis of Cystic Fibrosis based on presentation, genotype and/or sweat chloride * Fecal elastase \<100 mcg/g stool * Good disease control with porcine PERT prior to enrollment * Good nutritional status
Exclusion criteria
* History or diagnosis of fibrosing colonopathy * Distal intestinal obstruction syndrome in 6 months prior to screening * Receiving enteral tube feedings * Chronic diarrheal illness unrelated to pancreatic insufficiency * Liver abnormalities, or liver or lung transplant, or significant bowel resection * Forced expiratory volume in 1 second (FEV1) \<30%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coefficient of Fat Absorption (CFA) | 8 weeks | Non-inferiority of Liprotamase to approved porcine PERT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Coefficient of Nitrogen Absorption (CNA) | 8 weeks | Non-inferiority of Liprotamase to approved porcine PERT |
| Safety, as measured by number of participants with adverse events or laboratory abnormalities | 6 months | Change from baseline |
Countries
Hungary, Israel, Lithuania, Poland, Spain, United Kingdom, United States