A study to evaluate a new ENaC blocker in adults with CF not using CFTR modulator therapies

Details

CTAP badge
Therapeutic approach
Mucociliary Clearance
Trial status
Recruitment complete Participating Centres
Trials Tracker ID
TT014193
Last updated
16/04/2024

Full title

A two-part study to assess the safety and effectiveness of repeat doses of a new inhaled ENaC blocker, ETD001, in people with cystic fibrosis (CF)

Study details

The aim of the study is to assess the safety and effectiveness of ETD001, a new therapy for people with CF to improve mucociliary clearance and lung function. If you can’t take CFTR modulator treatments, or you are not currently taking CFTR modulator treatments, you may be eligible to take part in this study. 

This is a new approach to nebulised medication that aids mucus clearance, to potentially improve lung function. It works in a different way to current nebulised medication. We need to conduct trials to see how effective this different mode of action is, to ensure we are offering people with CF the most effective meds for airway clearance and, if successful, providing options for treatments beyond what is currently offered. 

Taking part in this study will not prevent you from taking part in other trials in the future, including trials involving genetic therapies.

This study is split into 2 parts: part A and part B. 

Part A will assess if ETD001 is safe and tolerable in people with CF and how it affects the body when taken twice a day over 7 days. Eight people will take part in part A. They will be split into two groups randomly. Six people will receive ETD001 and 2 will receive a placebo. Part A of the study is now complete.

Part B will assess how well the study therapy works to improve lung function in people with CF when taken twice a day over 28 days. Part B has now started.

Thirty-two participants will be required take part in part B. Everyone will be asked to complete two 28-day treatment periods. During one treatment period, they will take ETD001 twice a day. During the other treatment period, they will take a placebo twice a day. The order in which people receive ETD001 and the placebo will be random.

Participants who have completed part A may also take part in part B.

Participants will be asked to attend the clinic for screening and then 6 visits on days 1, 14, 28, 57, 70 and 84. They will also be asked to attend a follow-up visit on day 105.


Study results

71 adults with CF took part. They were recruited from 21 centres in France, Germany, Italy, and the UK.

Of these:

  • 57 participants received the study treatment.
  • 54 participants completed the study.

The people who took part were between 18 and 58 years of age and were not taking CFTR modulator therapy.

After 28 days, ETD001 improved lung function compared with those taking placebo. Lung function changes were assessed using spirometry tests to measure ppFEV1 (percent-predicted forced expiratory volume). These tests showed an increase of 3.4%, a clinically meaningful benefit. This was supported by other lung function measures.

ETD001 was generally safe and well tolerated. Most side effects were mild or moderate, with cough and productive cough (cough that brings up mucus) being most common. This is likely to reflect increased mucus clearance. One participant experienced shortness of breath, and one participant withdrew from the study. 

This was the first therapy of its kind to show clinically meaningful improvements in lung function compared to a placebo. Larger and longer studies are needed to confirm these findings. Overall, ETD001 showed promising lung‑function benefits with an acceptable safety profile.

Read our blog


Phase
Phase 2
Length of participation
Part A: maximum of 56 days. Part B: maximum of 140 days
Recruitment target
40
CF sponsor
Enterprise Therapeutics
CF sponsor type
Commercial

Who can take part?

Age range
18 years or older
Including people
  • FEV1 between 40% and 90% of predicted normal for age, gender, and height
  • Body mass index (BMI) of more than 16 kg/m2 and less than 30 kg/m2
Excluding people
  • People who have received CFTR modulator therapy like Kaftrio, Orkambi and Symkevi within 60 days of screening
Get in touch

CF centres running this trial

In Setup

Cardiff - University Hospital Llandough (Adults)

CTAP centre
NHS Trust
Cardiff and Vale University Health Board
Address
Penland Road
Llandough
CF64 2XX
Recruitment starts
Recruitment ends
Trial Coordinators
Catherine Joyce
Recruiting

Belfast City Hospital (Adults)

CTAP centre
NHS Trust
Belfast Health & Social Care Trust
Address
Lisburn Road
BT9 7AB
Trial Coordinators
Catherine McNeill
Michelle Spence
Recruiting

Cambridge Royal Papworth Hospital (Adults)

CTAP centre
NHS Trust
Royal Papworth Hospital NHS Foundation Trust
Address
Papworth Road
CB2 0AY
Trial Coordinators
Victoria Christenssen
Recruiting

Glasgow - Queen Elizabeth University Hospital

CTAP centre
NHS Trust
NHS Greater Glasgow & Clyde
Address
1345 Govan Road
G51 4TF
Trial Coordinators
Annie Husband
Recruiting

Royal Brompton Hospital (London) - Adults

CTAP centre
NHS Trust
Guy's and St Thomas' NHS Foundation Trust
Address
Royal Brompton Hospital
Sydney Street
SW3 6NP
Recruitment starts
Trial Coordinators
Mary Abkir
Recruiting

Southampton General Hospital

CTAP centre
NHS Trust
University Hospital Southampton NHS Foundation Trust
Address
Tremona Road
SO16 6YD
Trial Coordinators
Zoe Swash