A Multicenter, Randomized, Double-blind, Placebo-controlled Parallel-group Phase 2 Clinical Trial to Evaluate the Efficacy and Safety of XH-S004 Tablets in Patients With Non-cystic Fibrosis Bronchiectasis

NCT ID: NCT06981091

Last Updated: 2025-05-20

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

231 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-16

Study Completion Date

2027-04-28

Brief Summary

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The purpose of this study is to find out if XH-S004 can reduce pulmanary exacerbation over a 24-week treatment duration in participants with non-cystic fibrosis bronchiectasis.

Detailed Description

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This study is a multicenter, double-blind, placebo-controlled, parallel-group study conducted in china, aimed at evaluating the efficacy, safety and tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of XH-S004 administered once daily for 24 weeks in participants with non-cystic fibrosis bronchiectasis (NCFBE).

This study plans to enroll 231 patients with bronchiectasis. Patients who sign the informed consent form will be screened according to the enrollment criteria, and randomly divided into 3 groups. Participants in groups 1 and 2 will receive different doses of XH-S004. Participants in group 3 will receive placebo.

Conditions

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Non-Cystic Fibrosis Bronchiectasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Study Groups

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Arm 1: Participant Group

Participants received XH-S004 20 mg once daily (QD) , for 24 weeks.

Group Type EXPERIMENTAL

XH-S004 20 mg

Intervention Type OTHER

Administered once per day for 24 weeks.

Arm 2: Participant Group

Participants received XH-S004 40 mg once daily (QD) , for 24 weeks.

Group Type EXPERIMENTAL

XH-S004 40 mg

Intervention Type OTHER

Administered once per day for 24 weeks.

Arm 3: Participant Group

Participants received the matching placebo once daily (QD) , for 24 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Administered once per day for 24 weeks.

Interventions

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XH-S004 20 mg

Administered once per day for 24 weeks.

Intervention Type OTHER

XH-S004 40 mg

Administered once per day for 24 weeks.

Intervention Type OTHER

Placebo

Administered once per day for 24 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Understand the procedures and methods of this trial and sign a written informed consent form;
2. Male or female paticipants aged 18-85 years (inclusive) ;
3. Chest HRCT shows bronchiectasis affecting one or more lobes, and the condition is clinically diagnosed as non-cystic fibrosis bronchiectasis (clinical manifestations include chronic cough, significant productive cough, and/or intermittent hemoptysis, with or without varying degrees of polypnoea and other symptoms);
4. Based on medical history and the determination of the investigator , participants have at least 2 documented pulmonary exacerbations in the past 12 months before Screening;
5. Are current sputum producers with a history of chronic expectoration and able to provide a spontaneous sputum sample at screening visit (as described by the patient) ;
6. The body mass index (BMI) is ≥18 kg/m2 at screening;
7. Participants must ensure and agree that from 28 days prior to signing the informed consent form to 28 days after the final administration, women of childbearing potential, male participants, and their partners will use effective contraception methods other than oral drugs (e.g., condoms or intra-uterine contraceptive devices) and will not donate sperm or eggs during this period

Exclusion Criteria

1. Have a primary diagnosis of chronic obstructive pulmonary disease (COPD) or asthma
2. Have bronchiectasis due to cystic fibrosis (CF), hypogammaglobulinemia, common variable immunodeficiency, or alpha1-antitrypsin deficiency
3. Are currently being treated for a nontuberculous mycobacterial lung infection, allergic bronchopulmonary aspergillosis, or tuberculosis
4. Have any acute infections, (including respiratory infections)
5. Patients who have previously received therapy with DPP1 inhibitors of the same class
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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S-INFINITY Pharmaceuticals Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Huadong Hospital Affiliated to fudan univercity

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Jinfu Xu, Doctor degree

Role: CONTACT

86-13321922898

Yinggang Zhu, Doctor degree

Role: CONTACT

86-13917543210

Facility Contacts

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Jie Chen

Role: primary

86-13601832090

Jie Dong

Role: backup

86-21-62483180 ext. 720408

Other Identifiers

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XH-S004-201

Identifier Type: -

Identifier Source: org_study_id

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