Clinical trial • Phase I/II • Respiratory

RCT2100 for Cystic fibrosis

Phase I/II trial of RCT2100 for Cystic fibrosis.

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Cystic fibrosis
Trial Stage
Phase I/II
Drug Modality
Small molecule|mRNA

Key dates

Initial CTIS Submission Date
29-03-2024
First CTIS Authorization Date
24-07-2024

Trial design

Kalydeco 150 mg film-coated tablets (ivacaftor) — 150 mg oral film-coated tablet (comparator). Schedule/dosing frequency not specified in the record.-controlled, adaptive Phase I/II trial in France, Netherlands.

Comparator
Kalydeco 150 mg film-coated tablets (ivacaftor) — 150 mg oral film-coated tablet (comparator). Schedule/dosing frequency not specified in the record.
Adaptive
True, dose-escalation/adaptive elements present: single-ascending doses in healthy participants and multiple-ascending doses in participants with CF, escalation cohorts (1–3) and an expansion cohort, and objective to select dose for subsequent parts (Part 3 and Part 4) based on safety/tolerability and projected efficacious doses.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
34
Trial Duration For Participant
84

Eligibility

Recruits 34 Vulnerable population selected (isVulnerablePopulationSelected = true). Specifics on consent/assent handling are not provided in the available record; subject information and informed consent form documents are present in French and Dutch but detailed procedures (assent, surrogate consent) are not described in the extract..

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Specifics on consent/assent handling are not provided in the available record; subject information and informed consent form documents are present in French and Dutch but detailed procedures (assent, surrogate consent) are not described in the extract.

Inclusion criteria

  • {"criterion_text":"- Males or females aged 18 to 60 years, inclusive, on the date of informed consent\n- Confirmed diagnosis of CF\n- a) Not eligible for CFTR modulators based on having mutations of CFTR gene on both alleles that are not responsive to CFTR modulator therapy OR b) Eligible for CFTR modulators (based on local prescribing information) but not using CFTR modulators due to intolerance or contraindications\n- Forced expiratory volume in 1 second ≥50% and ≤100% of predicted mean value for age, sex, and height (equations of the Global Lung Function Initiative [GLI]) at the Screening Visit. Spirometry measurements must meet American Thoracic Society/European Respiratory Society criteria for acceptability and repeatability\n- Please refer to the protocol for details"}

Exclusion criteria

  • {"criterion_text":"- Hepatic cirrhosis with portal hypertension, moderate hepatic impairment (Child Pugh Score 7 to 9), or severe hepatic impairment (Child Pugh Score 10 to 15)\n- An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy (including antibiotics) for sinopulmonary disease within 4 weeks before the first dose of study drug (Day 1)\n- Lung infection with organisms associated with a more rapid decline in pulmonary status (including, but not limited to, Burkholderia cenocepacia, Burkholderia dolosa, and Mycobacterium abscessus). For participants who have had a history of a positive culture, the Investigator will apply the following criteria to establish whether the participant is free of infection from such organisms: • The participant has not had a respiratory tract culture positive for these organisms within the 12 months before the date of informed consent • The participant has had at least two respiratory tract cultures negative for such organisms within the 12 months before the date of informed consent, with the first and last of these separated by at least 3 months, and the most recent one within the 6 months before the date of informed consent\n- Arterial oxygen saturation on room air less than 94% at screening\n- Estimated glomerular filtration rate < 30 mL/minute/1.73 m2 calculated with the Chronic Kidney Disease Epidemiology Collaboration formula\n- Treatment with a CFTR modulator (Eg. Kalydeco, Trikafta, Symdeko, Orkambi, Alyftrek) within 12 weeks of Screening\n- History of poorly controlled diabetes\n- Please refer to the protocol for details."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety and tolerability as assessed by number of participants with AEs and SAEs","definition_or_measurement_approach":"Assessed by the number of participants reporting adverse events (AEs) and serious adverse events (SAEs)."}

Secondary endpoints

  • {"endpoint_text":"- Biodistribution parameters may be derived from concentrations of RCT2100 components in blood (where feasible). Parameters may include but are not limited to the following: AUC, Cmax, Tmax, and t1/2","definition_or_measurement_approach":"Biodistribution parameters derived from blood concentrations of RCT2100 components; parameters may include AUC, Cmax, Tmax, t1/2."}
  • {"endpoint_text":"- Absolute change in percent predicted FEV1 (ppFEV1) from baseline to Week 4 (escalation cohorts 1 to 3) or Week 12 (expansion cohort)","definition_or_measurement_approach":"Change in percent predicted FEV1 from baseline to Week 4 (escalation cohorts) or Week 12 (expansion cohort), measured by spirometry per GLI equations and ATS/ERS criteria."}
  • {"endpoint_text":"- Change from baseline in CF questionnaire-revised (CFQ-R) respiratory domain score through Week 4 (escalation cohorts 1 to 3) or Week 12 (expansion cohort)","definition_or_measurement_approach":"Change from baseline in CFQ-R respiratory domain score through Week 4 (escalation cohorts) or Week 12 (expansion cohort)."}
  • {"endpoint_text":"- Incidence and titer of anti-CFTR binding antibodies","definition_or_measurement_approach":"Measurement of incidence and titers of anti-CFTR binding antibodies (immunogenicity assays)."}
  • {"endpoint_text":"- Based on safety and tolerability at projected efficacious doses","definition_or_measurement_approach":"Dose selection or evaluations based on safety and tolerability observed at doses projected to be efficacious."}
  • {"endpoint_text":"- Please refer to the protocol for details.","definition_or_measurement_approach":"Refer to protocol for additional secondary endpoint details."}

Recruitment

Planned Sample Size
34
Recruitment Window Months
20
Consent Approach
Informed consent to be obtained from participants (eligible ages 18–60). Subject information and informed consent forms exist in French and Dutch (documents L1_SIS and ICF Main_FR and L1_SIS and ICF Main_NL). No explicit assent procedures or multi-language details beyond French and Dutch are provided in the available extract.

Geography

Total Number Of Sites
4
Total Number Of Participants
17

France

Earliest CTIS Part Ii Submission Date
24-06-2024
Latest Decision Or Authorization Date
08-10-2025
Processing Time Days
471
Number Of Sites
3
Number Of Participants
9

Sites

Site Name
Hopital Necker Enfants Malades
Department Name
Pneumology
Principal Investigator Name
Isabelle SERMET
Principal Investigator Email
isabelle.sermet@aphp.fr
Contact Person Name
Isabelle SERMET
Contact Person Email
isabelle.sermet@aphp.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
CF Center
Principal Investigator Name
Raphaël CHIRON
Principal Investigator Email
r-chiron@chu-montpellier.fr
Contact Person Name
Raphaël CHIRON
Contact Person Email
r-chiron@chu-montpellier.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Pneumology
Principal Investigator Name
Marlène MURRIS
Principal Investigator Email
murris.m@chu-toulouse.fr
Contact Person Name
Marlène MURRIS
Contact Person Email
murris.m@chu-toulouse.fr

Netherlands

Earliest CTIS Part Ii Submission Date
19-06-2024
Latest Decision Or Authorization Date
24-09-2025
Processing Time Days
462
Number Of Sites
1
Number Of Participants
8

Sites

Site Name
Universitair Medisch Centrum Utrecht
Department Name
Pediatric respiratory diseases
Principal Investigator Name
Kors van der Ent
Principal Investigator Email
k.vanderent@umcutrecht.nl
Contact Person Name
Kors van der Ent
Contact Person Email
k.vanderent@umcutrecht.nl

Sponsor

Primary sponsor

Full Name
Recode Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Novotech (Australia) Pty Limited
Responsibilities
Full Service CRO
Name
Pharmaceutical Product Development LLC
Responsibilities
code: 8
Name
Icon Public Limited Company
Responsibilities
code: 4

Third parties

  • {"country":"United Kingdom","full_name":"Acm Global Central Laboratory Limited","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Germany","full_name":"eResearchTechnology GmbH","duties_or_roles":"Respiratory Services","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"MARKEN Germany GmbH","duties_or_roles":"Kits for BioAnalytics","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Illingworth Research Group Limited","duties_or_roles":"Home Visits, Patient Reimbursement","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"code: 8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Iqvia Biotech LLC","duties_or_roles":"CFQR Licensing","organisation_type":"Pharmaceutical company"}
  • {"country":"Australia","full_name":"Novotech (Australia) Pty Limited","duties_or_roles":"Full Service CRO","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Korio Inc.","duties_or_roles":"code: 3","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Public Limited Company","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"ICTA Project Management En Abrege ICTA P.M.","duties_or_roles":"codes: 1, 12","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Harmony Clinical Research","duties_or_roles":"codes: 1, 12","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Avance Biosciences Inc.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Cardiac Safety Services","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
RCT2100
Active Substance
RCT2100
Modality
mRNA
Routes Of Administration
Inhalation
Route
Inhalation
Authorisation Status
Investigational (MIA number: IMP12167/00001)
Investigational Product Name
Kalydeco 150 mg film-coated tablets
Active Substance
Ivacaftor
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation EU/1/12/782/001)
Starting Dose
150 mg
Dose Levels
150 mg

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