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PK and PD Study of NPI-001 and Cysteamine Bitartrate

PHASE1PHASE2RECRUITING

Safety, pharmacokinetics, and pharmacodynamics of NPI-001 oral solution in cystinosis patients compared with cysteamine.

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Study details:

This study will examine the safety, pharmacokinetics, and pharmacodynamics of NPI-001 oral solution in cystinosis patients, aged ≥ 10 years. The ability of NPI-001 to reduce white blood cell (WBC) cystine will be assessed and compared with cysteamine.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Males or females, any race, ≥ 10 years of age.
  • Diagnosis of nephropathic cystinosis and able to cease cysteamine therapy for 2 days.
  • Females will be nonpregnant and nonlactating, and females of childbearing potential and males will agree to use contraception as detailed in the protocol.
  • Able to comprehend and willing to sign an informed consent /assent form and to abide by the study restrictions (travel as necessary, clinical phase 1 unit or similar for up to 3 days).
  • Exclusion criteria

  • Have undergone kidney transplantation.
  • Are receiving dialysis treatment.
  • History of significant hypersensitivity to NAC or any ingredient of NPI-001 oral solution.
  • Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the 30 days prior to Day 1.
  • Inability to provide blood samples, including difficulty with venous access.
  • Subjects who, in the opinion of the Investigator and/or Sponsor (or designee), should not participate in this study.
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    Eligibility

    Age eligible for study : 10 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2023-10-29

    Primary completion: 2024-05-21

    Study completion finish: 2024-06-21

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

      PHASE2

    trial

    Trial ID

    NCT05994534

    Intervention or treatment

    DRUG: Cysteamine Bitartrate

    DRUG: N-Acetylcysteine Amide

    Conditions

    • Cystinosis

    Find a site

    Closest Location:

    Children's Hospital at Westmead

    Research sites nearby

    Select from list below to view details:

    • Children's Hospital at Westmead

      Westmead, New South Wales, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    ACTIVE_COMPARATOR: cysteamine
    • Single dose, tablets in current treatment dose
    DRUG: Cysteamine Bitartrate
    • Single dose, tablets at current therapeutic dose
    EXPERIMENTAL: NPI-001
    • Single dose, NPI-001 (N-acetylcysteine amide) oral solution at molar equivalent of current cysteamine dose.
    DRUG: N-Acetylcysteine Amide
    • Single dose, oral solution

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Concentration of Cystine Levels Over TimeWhite Blood Cell cystine concentration over 6 hours1 day

    Secondary outcome

    Frequently Asked Questions

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    References

    Clinical Trials Gov: PK and PD Study of NPI-001 and Cysteamine Bitartrate

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