Safety and Efficacy Study of 2 Pancreatic Enzymes for Treatment of Exocrine Pancreatic Insufficiency in Cystic Fibrosis.

NCT ID: NCT01641393

Last Updated: 2014-03-14

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2014-02-28

Brief Summary

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The purpose of the study is to further evaluate the safety and efficacy of EUR-1008 as compared to Kreon® in the treatment of exocrine pancreatic insufficiency associated with Cystic Fibrosis in subjects 12 years of age and older.

Detailed Description

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Conditions

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Exocrine Pancreatic Insufficiency: Cystic Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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EUR-1008 then Kreon

* EUR-1008 during Treatment Period 1 (29 days ±2 days) and
* Kreon during Treatment Period 2 (29 days ±2 days).

Group Type EXPERIMENTAL

EUR-1008 25,000 Units

Intervention Type DRUG

EUR-1008 25,000 Units is a PEP with pancreas powder as the active ingredient.18 Pancreas powder contains various enzymes having proteolytic, lipolytic, and amylolytic activity. Each capsule contains approximately 25,000 Ph. Eur. lipase units. EUR-1008 25,000 consists of orally administered capsules containing enteric-coated beads.

Kreon 25,000 Units

Intervention Type DRUG

Kreon 25,000 is a PEP consisting of porcine-derived pancreatic enzymes.18 Each capsule contains approximately 25,000 Ph. Eur. lipase units. Kreon 25,000 consists of orally administered capsules containing enteric-coated spheres.

Kreon then EUR-1008

* Kreon during Treatment Period 1 (29 days ±2 days) and
* EUR-1008 during Treatment Period 2 (29 days ±2 days).

Group Type EXPERIMENTAL

EUR-1008 25,000 Units

Intervention Type DRUG

EUR-1008 25,000 Units is a PEP with pancreas powder as the active ingredient.18 Pancreas powder contains various enzymes having proteolytic, lipolytic, and amylolytic activity. Each capsule contains approximately 25,000 Ph. Eur. lipase units. EUR-1008 25,000 consists of orally administered capsules containing enteric-coated beads.

Kreon 25,000 Units

Intervention Type DRUG

Kreon 25,000 is a PEP consisting of porcine-derived pancreatic enzymes.18 Each capsule contains approximately 25,000 Ph. Eur. lipase units. Kreon 25,000 consists of orally administered capsules containing enteric-coated spheres.

Interventions

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EUR-1008 25,000 Units

EUR-1008 25,000 Units is a PEP with pancreas powder as the active ingredient.18 Pancreas powder contains various enzymes having proteolytic, lipolytic, and amylolytic activity. Each capsule contains approximately 25,000 Ph. Eur. lipase units. EUR-1008 25,000 consists of orally administered capsules containing enteric-coated beads.

Intervention Type DRUG

Kreon 25,000 Units

Kreon 25,000 is a PEP consisting of porcine-derived pancreatic enzymes.18 Each capsule contains approximately 25,000 Ph. Eur. lipase units. Kreon 25,000 consists of orally administered capsules containing enteric-coated spheres.

Intervention Type DRUG

Other Intervention Names

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Zenpep Kreon

Eligibility Criteria

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Inclusion Criteria

1. Definitive diagnosis of CF based on the following:

* One clinical feature consistent with CF and
* Either a genotype with 2 identifiable mutations known to cause CF or a sweat chloride concentration \>60 mEq/L by pilocarpine iontophoresis
2. Pancreatic insufficiency documented by a monoclonal faecal elastase (FE) 100 μg/g stool at screening (test results within the previous 12 months are acceptable)
3. Currently receiving pancreatic enzyme replacement therapy
4. Adequate nutritional status based on the following: body mass index (BMI) \>19 kg/m2 in adult subjects or a BMI percentile 10th percentile for age in adolescent (12 to 17 years age group) subjects
5. Are clinically stable with no evidence of concomitant illness or acute upper or lower respiratory tract infection that requires antibiotics during the 7-day interval prior to screening and preceding entry into this clinical study

Exclusion Criteria

1. Age \<12 years
2. Known contraindication, hypersensitivity, or intolerance to pork or other porcine PEPs
3. Current uncontrolled diabetes mellitus
4. History of solid organ transplantation
5. History of surgery affecting the bowel function and weight gain
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christopher Taylor, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Sheffield Children's Hospital, The Academic Unit of Child Health

Locations

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University Hospital Antwerp - Universitair Ziekenhuis Antwerpen (UZA)

Antwerp, , Belgium

Site Status

Universitair Ziekenhuis Gent, Centrum voor Mucoviscidose

Ghent, , Belgium

Site Status

Clinic of Paediatric Diseases at UMHAT Dr Georgi Stranski

Pleven, , Bulgaria

Site Status

Clinic of Genetic and Paediatric Diseases at UMHAT Sveti Georgi

Plovdiv, , Bulgaria

Site Status

Specialized Hospital for Active Treatment of Pulmological and Phtisiatric Disease

Rousse, , Bulgaria

Site Status

Multiprofile Clinic for Specialized Pediatric Clinic at MHAT Sveta Marina

Varna, , Bulgaria

Site Status

Hôpital Arnaud de Villeneuve

Montpellier, , France

Site Status

Nouvel Hôpital Civil

Strasbourg, , France

Site Status

Ruhr-Universitaet Bochum - St. Josef Hospital

Bochum, , Germany

Site Status

Universitaetsklinikum Carl Gustav Carus an der TU Dresden

Dresden, , Germany

Site Status

Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitaetsklinikum Essen gGmbH

Essen, , Germany

Site Status

Universitätsklinikum Essen Zentrum f.Kinderheilkunde Klinik f.Kinderheilkunde III

Essen, , Germany

Site Status

Universitatsklinikum Jena, Klinik fur Kinder und Jugendmedizin

Jena, , Germany

Site Status

Medizinische Klinik Innenstadt

München, , Germany

Site Status

Universitaetsklinik für Kinder- und Jugendmedizin Tuebingen

Tübingen, , Germany

Site Status

Azienda Ospedaliero Universitaria, Ospedali Riuniti, Ospedale Pediatrico G. Salesi

Ancona, , Italy

Site Status

Azienda Ospedale Policlinico di Bari

Bari, , Italy

Site Status

University of Catania

Catania, , Italy

Site Status

Azienda Ospedaliera Universitaria Policlinico G. Martino, Gastroenterologia Pediatrica E Fibrosi Cistica

Contesse -Messina, , Italy

Site Status

University Federico II of Naples, Pediatrics Department

Naples, , Italy

Site Status

Clinica di Malattie dell'Apparato Respiratorio

Orbassano (Torino), , Italy

Site Status

Istituto Azienda Ospedaliera Universitaria

Parma, , Italy

Site Status

Universita degli Studi di Roma La Sapienza, Azienda Policlinico Umberto I, Dipartimento di Pediatria, Centro Fibrosi Cistica Regione Lazio

Roma, , Italy

Site Status

Bambino Gesu Hospital, Cystic Fibrosis Unit

Rome, , Italy

Site Status

Ospedale Infantile Regina Margherita

Turin, , Italy

Site Status

Azienda Ospedaliera Universitaria Integrata, Centro Fibrosi Cistica-Ospedale Civile Maggiore

Verona, , Italy

Site Status

Specjalistyczny Zespot Opieki Zdrowotnej nad Matka i Dzieckiem Poradnia Leczenia Mukowiscydozy

Gdansk, , Poland

Site Status

Centrum Pulmonologii i Alergologii w Karpaczu

Karpacz, , Poland

Site Status

Wojewodzki Szpital Specjalistyczny im Kopernika

Lodz, , Poland

Site Status

ALERGOTEST s.c Specjalistyczne Centrum Medyczne

Lublin, , Poland

Site Status

Szpital Kliniczny im Karola Jonschera

Poznan, , Poland

Site Status

NZOZ Sanatorium Cassia Villa Medica

Rabka-Zdrój, , Poland

Site Status

NZOZ Podkarpacki Osrodek Pulmonologii i Alergologii

Rzeszów, , Poland

Site Status

Centrum Zdrowia Matki, Dziecka i Mlodziezy

Warsaw, , Poland

Site Status

IRMED Irena Wojciechowska

Warsaw, , Poland

Site Status

Liverpool Heart and Chest Hospital

Liverpool, , United Kingdom

Site Status

Sheffield Children's Hospital, The Academic Unit of Child Health

Sheffield, , United Kingdom

Site Status

Countries

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Belgium Bulgaria France Germany Italy Poland United Kingdom

References

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Somaraju URR, Solis-Moya A. Pancreatic enzyme replacement therapy for people with cystic fibrosis. Cochrane Database Syst Rev. 2020 Aug 5;8(8):CD008227. doi: 10.1002/14651858.CD008227.pub4.

Reference Type DERIVED
PMID: 32761612 (View on PubMed)

Taylor CJ, Thieroff-Ekerdt R, Shiff S, Magnus L, Fleming R, Gommoll C. Comparison of two pancreatic enzyme products for exocrine insufficiency in patients with cystic fibrosis. J Cyst Fibros. 2016 Sep;15(5):675-80. doi: 10.1016/j.jcf.2016.02.010. Epub 2016 Mar 21.

Reference Type DERIVED
PMID: 27013382 (View on PubMed)

Other Identifiers

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2009-012842-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PR-005

Identifier Type: -

Identifier Source: org_study_id

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