Does a Nasal Instillation of Vardenafil Normalize the Nasal Potential Difference in Cystic Fibrosis Patients?

NCT ID: NCT01002534

Last Updated: 2019-02-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2018-03-31

Brief Summary

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The purpose of this study is to investigate the effect of a nasal instillation of Vardenafil on nasal potential difference in cystic fibrosis patients homozygous for the F508del mutation

Detailed Description

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CFTR protein has been shown to be an ohmic, small conductance channel regulated by cAMP intracellular levels that are balanced by degradation through cyclic nucleotide phosphodiesterases (PDE). Several families of PDEs with varying selectivities for cAMP and/or cGMP have been identified.PDE5 is highly specific for cGMP and is involved in the regulation of the intracellular concentration of cGMP in various tissues. Recently, it has been shown, in a preclinical model of transgenic mice, that pharmacological doses of sildenafil and vardenafil, two clinically approved PDE5 inhibitors, stimulate chloride transport activity of the mutant F508del-protein (Lubamba et al, 2008); this parameter has been assessed by means of the nasal potential difference (NPD). An increasing effect of sildenafil on the expression of F508del-CFTR protein (Dormer et al,2005) was originally reported in nasal epithelial cells harvested from patients with cystic fibrosis and cultured on impermeable supports, a configuration that allows interaction of drugs with the apical side of epithelia.

This study aims at investigating the effect of a single local administration of vardenafil on NPD measurements in CF patients homozygous for the F508del mutation.

Conditions

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Cystic Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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baseline

visit 1

Group Type NO_INTERVENTION

No interventions assigned to this group

Vardenafil

nasal instillation of Vardenafil ( visit 2 or 3)

Group Type ACTIVE_COMPARATOR

Vardenafil

Intervention Type DRUG

Nasal instillation of Vardenafil

Placebo

Nasal instillation of placebo (visit 3 or 2)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Nasal instillation of placebo matching in appearance with the Vardenafil instillation

Interventions

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Vardenafil

Nasal instillation of Vardenafil

Intervention Type DRUG

Placebo

Nasal instillation of placebo matching in appearance with the Vardenafil instillation

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Cystic fibrosis patients homozygous for the F508del mutation as confirmed by a genetic test
* Aged 14 years and older
* Male and female
* FEV1 \>50% of predicted normal

Exclusion Criteria

* Acute respiratory tract infection or pulmonary exacerbation requiring antibiotic intervention within 2 weeks of visit 1
* Any condition prohibiting the correct measurement of the NPD
* Active or passive smoking
* Planned treatment or treatment with another investigational drug or therapy within 1 month prior to randomisation
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cliniques universitaires Saint-Luc- Université Catholique de Louvain

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick LEBECQUE, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Cliniques universitaires St.Luc (Université catholique de Louvain)

Teresinha LEAL, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Cliniques universitaires St.Luc ( Université Catholique de Louvain)

Anissa LEONARD, MD

Role: PRINCIPAL_INVESTIGATOR

Cliniques universitaires St.Luc (Université Catholique de Louvain)

Locations

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Cliniques universitaires St. Luc

Brussels, , Belgium

Site Status

Countries

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Belgium

References

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Dormer RL, Harris CM, Clark Z, Pereira MM, Doull IJ, Norez C, Becq F, McPherson MA. Sildenafil (Viagra) corrects DeltaF508-CFTR location in nasal epithelial cells from patients with cystic fibrosis. Thorax. 2005 Jan;60(1):55-9. doi: 10.1136/thx.2003.019778.

Reference Type RESULT
PMID: 15618584 (View on PubMed)

Lubamba B, Lecourt H, Lebacq J, Lebecque P, De Jonge H, Wallemacq P, Leal T. Preclinical evidence that sildenafil and vardenafil activate chloride transport in cystic fibrosis. Am J Respir Crit Care Med. 2008 Mar 1;177(5):506-15. doi: 10.1164/rccm.200703-344OC. Epub 2007 Nov 15.

Reference Type RESULT
PMID: 18006891 (View on PubMed)

Other Identifiers

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VARD-99

Identifier Type: -

Identifier Source: org_study_id

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