A Phase 1a/1b Study to Investigate the Safety, Tolerability, Microbiological Response, and Pharmacokinetics of Inhaled Rev-56 in Adult Healthy Volunteers and Adult Non-cystic Fibrosis Bronchiectasis (NCFB) Patients With Chronic P. Aeruginosa

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-80
SponsorRevagenix, Inc.

About this trial

This is a Phase 1a/1b study to test the safety, tolerability, microbiological response, and pharmacokinetics of inhaled Rev-56 compared to placebo in adult healthy participants and non-cystic fibrosis bronchiectasis (NCFB) patients with P. aeruginosa, respectively.

Phase 1a (Part A) will evaluate single doses of inhaled Rev-56 in adult healthy participants and includes up to 5 cohorts. Eligible participants will be randomized to active treatment or placebo in a 3:1 randomization scheme.

Phase 1b (Part B) will evaluate the safety, tolerability, microbiological response, and pharmacokinetics of multiple doses of inhaled Rev-56 in NCFB patients with P. aeruginosa and includes 2 cohorts evaluating once daily dosing and twice daily dosing, respectively. Eligible participants will be randomized to active treatment or placebo in a 2:1 randomization scheme.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Healthy male and female participants aged 18 to 55 years, inclusive

Body mass index > 18 to ≤ 32 kg/m²

Forced expiratory volume in 1 second (FEV1) ≥ 80%

Creatinine clearance ≥ 90 mL/min

Disqualifiers

Clinically significant medical history

Acute illness within 4 weeks of screening

Current smoker or nicotine user

History of alcohol abuse (within prior 12 months) or drug/chemical abuse

Trial design

Design model

Sequential

Treatments tested in this trial

  • Rev-56 for Inhalation

    Combination product

    administered by inhalation via an investigational nebulizer device

  • Placebo: Normal saline

    Drug

    administered by inhalation via an investigational nebulizer device

Treatment groups

64 Participants
are divided into 7 treatment groups

7

Treatment groups

See each treatment group below.

Group A: Cohort 1aExperimental treatment 2 interventions
Group B: Cohort 2aExperimental treatment 2 interventions
Group C: Cohort 3aExperimental treatment 2 interventions
Group D: Cohort 4aExperimental treatment 2 interventions
Group E: Optional Cohort 5aExperimental treatment 2 interventions
Group F: Cohort 1bExperimental treatment 2 interventions
Group G: Cohort 2bExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Incidence and severity of treatment-emergent adverse events (AEs)

Time frame
21 days (healthy participants) or 28 days (NCFB patients with P. aeruginosa)
2

Number of participants with clinically significant abnormalities in lab parameters, vital signs, respiratory function, and ECG parameters graded by FDA Toxicity Grading Scale (for healthy participants) and DAIDS Toxicity Tables (for NCFB patients)

Time frame
21 days (healthy participants) or 28 days (NCFB patients with P. aeruginosa)

Secondary outcomes

1

Maximum observed concentration (Cmax) of Rev-56

Time frame
Healthy Participants: predose, and 5 min, 15 min, 45 min, 90 min, 3h, 6h, 12h, 24h and 48h post inhalation; NCFB Patients: pre-dose, and 5 min, 15 min, 45 min, 90 min, 3h, 8h, 12h (Cohort 2b only) and 24h (Cohort 1b only) after completion of inhalation
2

Time to Cmax of Rev-56 (Tmax)

Time frame
Healthy Participants: predose, and 5 min, 15 min, 45 min, 90 min, 3h, 6h, 12h, 24h and 48h post inhalation; NCFB Patients: pre-dose, and 5 min, 15 min, 45 min, 90 min, 3h, 8h, 12h (Cohort 2b only) and 24h (Cohort 1b only) after completion of inhalation
3

Area under the curve from time 0 to last measurable concentration (AUC0-last)

Time frame
Healthy Participants: predose, and 5 min, 15 min, 45 min, 90 min, 3h, 6h, 12h, 24h and 48h post inhalation; NCFB Patients: pre-dose, and 5 min, 15 min, 45 min, 90 min, 3h, 8h, 12h (Cohort 2b only) and 24h (Cohort 1b only) after completion of inhalation
4

Area under the curve from time 0 to 24 hours after completion of dosing (AUC0-24)

Time frame
Healthy Participants: predose, and 5 min, 15 min, 45 min, 90 min, 3h, 6h, 12h, 24h and 48h post inhalation; NCFB Patients: pre-dose, and 5 min, 15 min, 45 min, 90 min, 3h, 8h, 12h (Cohort 2b only) and 24h (Cohort 1b only) after completion of inhalation

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Revagenix, Inc.

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Collaborator