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CF101

Phase 3

Keratoconjunctivitis Sicca | Small molecule | Ophthalmology |Can-Fite Biopharma Ltd|Last Updated: Sep 18, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment316

FDA Designations

No designations recorded

Clinical trial landscape

CF101 · 9 trials · 5 indications

Phase 3 2Phase 2 7
NCT03168256CF101 Therapy in Patients With Moderate-to-severe Plaque PsoriasisPlaque Psoriasis
COMPLETED528 Analytics
NCT01235234Trial of CF101 to Treat Patients With Dry Eye DiseaseKeratoconjunctivitis Sicca
COMPLETED236 Analytics
PHASE3COMPLETED
CF101 Therapy in Patients With Moderate-to-severe Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
Trial of CF101 to Treat Patients With Dry Eye Disease
Keratoconjunctivitis SiccaUnlock trial analytics

Study Endpoints

Primary Endpoints

Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16
16 weeks

Evaluate the efficacy of oral CF101 2 mg or 3 mg twice daily (BID) in patients with moderate-to-severe plaque psoriasis, compared with placebo, as determined by the proportion of subjects who achieve a Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16 (superiority)

Adverse event profile in this patient popluation
16 weeks

Nature, incidence and severity of treatment-emergent adverse events

Number of Subjects Who Achieved Complete Clearing of Corneal Staining (i.e., Total Corneal FS Score = 0) at Week 24
24 weeks

Complete clearing of corneal staining by fluorescein staining (FS). The primary efficacy analysis was performed for 1eye (target eye), defined as the eye with the larger corneal FS value at Baseline. If both eyes had the same corneal FS value at baseline, the target eye was considered the eye with the larger central corneal staining value at Baseline. Corneal FS defined as a corneal punctate fluorescein staining score of ≥4 in either eye by the National Eye Institute evaluation scale summed over 5 areas each with a 0-3 scoring scale

Number of Subjects With Adverse Events
24 weeks

Determine the safety of oral CF 101 in this subject population. Adverse Events (AEs) and changes in vital signs, physical examination, clinical laboratory tests (liver, kidney, hematology, chemistry and urinalysis), electrocardiogram (ECG) findings, slit lamp and ophthalmic examination, visual acuity, and intraocular pressure measurements.

Number of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75 at 12 Weeks
12 weeks

Achievement of PASI 75 indicates a 75% reduction in the PASI score, which ranges from 0 (no disease) to 72 (maximal disease)

Intraocular Pressure in mmHg
16 weeks

The mean of the IOP measurements obtained at week 16

Number of Subjects Achieving an American College of Rheumatology 20 (ACR20) Response (20% Improvement)
12 weeks

ACR20 Response is defined as a 20% improvement from baseline in disease: 1. \>20% improvement in tender joint count (TJC), and 2. \>20% improvement in swollen joint count (SJC), and 3. \>20% improvement in at least 3 of following 5: 1. Physician global assessment (PGA), 2. Patient global assessment (PAGA), 3. Patient pain assessment (PPA), 4. Patient's assessment of physical function using Health Assessment Questionnaire (HAQ), and 5. Most improved response of ESR and CRP

ACR20 at Week 12
12 weeks

Number of patients that achieved 20% response at week 12 in American College of Rheumatology Criteria

Change From Baseline (CFB) in Psoriasis Area and Severity Index (PASI) Score
12 weeks minus baseline

PASI scale is sum of redness, thickness, and scale scores, ranging from 0 (no disease) to 72 (most severe possible score); lower scores, i..e., negative change from baseline, indicate improvement

Change From Baseline to Week 12 in Schirmer Test (ST) Score in Millimeters
12 weeks

Involved placing a standardized paper tear strip inside the lower eyelid for 5 minutes. The tear strip was then removed and the length of the strip that was wet from tears was measured in millimeters. Change from baseline is calculated. Scores range 0-35 mm, with higher scores indicating more (better) tear production.

Change From Baseline to Week 12 in Tear Break-Up Time (BUT) in Seconds
12 weeks

Time elapsed between a complete blink and the development of the first random dry spot on the tear film as seen under fluorescent light. Change from baseline is calculated. Scores range 0-30 seconds, with higher scores indicating better tear composition and function.

Number of Subjects With >25% Improvement in Fluorescein Staining of the Cornea (FS) at Week 12
12 weeks

Severity of corneal epithelial loss as graded by Fluorescein Staining of the cornea, assessed on a 0-4+ scale with 0 = none and 4+ = severe de-epithelialization (in other words, higher scores indicate worse disease), expressed as number of participants with \>25% improvement at Week 12 relative to baseline.

ACR Efficacy Criteria
12 weeks

ACR 20 response (20% improvnent in RA based on swollen and tender joint counts, physician and patient global assessments of disease activity, a patient pain score) at endpoint (Week 12), with all-cause dropouts considered as nonresponders (nonresponder imputation) in the Intent-To-Treat (ITT) population

Secondary Endpoints

Psoriasis Area and Severity Index (PASI) score response of ≥50% (PASI 50) at Week 16
16 weeks
Physician Global Assessment (PGA)
16 weeks
Psoriasis Disability Index (PDI)
16 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CF101 2mgEXPERIMENTALCF101 2mg, orally q12 hours
CF101 3mgEXPERIMENTALCF101 3mg, orally q12 hours
Apremilast 30mgACTIVE_COMPARATORApremilast 30mg, orally q12 hours
PlaceboPLACEBO_COMPARATORPlacebo control , orally q12 hours
CF101 0.1 mgEXPERIMENTALSubjects were randomized to receive CF 101 0.1mg, orally, twice daily for 24 weeks
CF101 1 mgEXPERIMENTALSubjects were randomized to receive CF 101 1.0mg, orally, twice daily for 24 weeks
CF101 2 mgEXPERIMENTALCF101 2mg oral tablets
CF101 1mgEXPERIMENTALCF101 1mg orally q12 hours
CF101 4mgEXPERIMENTAL -

Interventions

NameTypeDescription
CF101 2mgDRUGCF101 tablets, 2mg BID for 16 weeks
CF101 3mgDRUGCF101 tablets, 3mg BID for 16 weeks
Apremilast 30mgDRUGApremilast tablets, 30mg BID for 16 weeks
Placebo Oral TabletDRUGPlacebo tablets, BID for 16 weeks
CF101DRUGorally q12h
PlaceboDRUGorally q12h
Placebo forDRUGMatching placebo tablets orally every 12 hours for 16 weeks
Placebo controlDRUGorally q12 hours
CF101 1mgDRUGCF101 1 mg q12 hours for 12 weeks
CF101 4mgDRUGCF101 4 mg q12 hours for 12 weeks
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: 1. Male or female, 18 to 80 years of age, inclusive; 2. Diagnosis of moderate-to-severe chronic plaque-type psoriasis with BSA involvement ≥10%, as judged by the Investigator; 3. PASI score ≥12 (Appendix 3) 4. Static PGA ≥3 (Appendix 2) 5. Candidate for systemic treatment or pho...

Countries:Bosnia and HerzegovinaBulgariaCanadaCroatiaIsraelMoldovaPolandRomaniaSerbiaUnited StatesCzechiaUkraine
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Frequently asked questions about CF101

What is CF101?

CF101 is an oral small molecule drug developed by Can-Fite Biopharma Ltd (ticker CANF) for immune and inflammatory conditions. It has been studied in keratoconjunctivitis sicca (dry eye disease), ocular hypertension, plaque psoriasis, and rheumatoid arthritis. It is in Phase 3 development and is investigational, not approved.

What is CF101 used for?

CF101 has been studied for keratoconjunctivitis sicca, also called dry eye disease, ocular hypertension, plaque psoriasis, and rheumatoid arthritis. Its most advanced trials are in plaque psoriasis and dry eye disease. It is an investigational therapy and is not approved for any indication.

Who makes CF101?

CF101 is developed by Can-Fite Biopharma Ltd, an Israeli biopharmaceutical company that trades under the ticker CANF. Can-Fite has sponsored the clinical trial program for CF101 across psoriasis, dry eye disease, and rheumatoid arthritis.

What phase is CF101 in?

CF101 is in Phase 3 clinical development. It is an investigational drug and is not FDA approved. Completed studies include Phase 3 trials in plaque psoriasis and keratoconjunctivitis sicca, plus Phase 2 trials in plaque psoriasis and rheumatoid arthritis.

What clinical trials is CF101 in?

CF101 has been evaluated in completed trials including NCT03168256, a Phase 3 plaque psoriasis study with 528 patients; NCT01265667, a Phase 2 psoriasis trial with 293 patients; NCT01235234, a Phase 3 dry eye disease trial with 236 patients; and NCT01034306, a Phase 2 rheumatoid arthritis trial with 79 patients.