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ARIKACE

Phase 3

Cystic Fibrosis | Small molecule | Respiratory |Insmed Incorporated|Trials Updated: Jul 30, 2020

ARIKACE development status

Highest phase Phase 3 (NCT01315691)
Phase scored for INSMPhase 1
Registered trials 3 across 1 sponsor since Mar 2011

ARIKACE target and mechanism

ModalitySmall molecule

Also known as liposomal amikacin for inhalation, Arikayce

Success Probability

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Market & Valuation

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Trial Design

RandomizedPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment220

FDA Designations

No designations recorded

ARIKACE clinical trials

ARIKACE · 4 trials · 2 indications

Phase 2 2Phase 1 2
NCT03905642Study of Dose Escalation of Liposomal Amikacin for Inhalation (ARIKAYCE™) - Extension PhaseCystic Fibrosis
COMPLETED49 Analytics
NCT00775138Safety and Tolerability Study of 2 Dose Level of Arikayce™ in Patients With Bronchiectasis and Chronic Infection Due to Pseudomonas Aeruginosa.Bronchiectasis
COMPLETED64 Analytics
PHASE2COMPLETED
Study of Dose Escalation of Liposomal Amikacin for Inhalation (ARIKAYCE™) - Extension Phase
Cystic FibrosisUnlock trial analytics
PHASE2COMPLETED
Safety and Tolerability Study of 2 Dose Level of Arikayce™ in Patients With Bronchiectasis and Chronic Infection Due to Pseudomonas Aeruginosa.
BronchiectasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Adverse Event Profile of 560 mg Once Daily Dose of Arikayce™ Administered for Six Cycles Over Eighteen Months.
18 Months

Number of Participants with indicated Adverse Events in subjects receiving 560 mg once daily dose of Arikayce™ administered for 6 cycles over 18 months.

Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Day 1 through 56.

Number of Subjects reporting TEAE in the Arikayce™ groups and the placebo groups during the study. The table shows the events incidents, not the number of participants.

Treatment-emergent Marked Laboratory Abnormalities up to 28 Days After Study Medication Discontinuation
Day 1 through 56.

Number of subjects reporting Incidence of clinically significant abnormalities in clinical values (Common Terminology Criteria for Adverse Events \[CTCAE\] grade \>= 3) in Arikayce™ and placebo groups.

Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Pre-dose, 0-1 hour post-dose and 2-4 hours post-dose on day 1, 0-1 hour post-dose and 2-4 hours post-dose on day 14, and 0-1 hour post-dose and 2-4 hours post-dose on day 28

Changes in PFT from pre-dose during the study were measured on Days 1, 14, and 28. Acute tolerability of the study treatment was assessed by examining the relative (rel.) changes in FEV1 from pre-dose assessments to 0-1 hour post-dose and 2-4 hours post-dose for each time point at which post-dose spirometry was conducted.

Treatment-emergent PFT Abnormalities up to the End of Study
Day 1, Day 14 and Day 28

Number of Subjects with Decrease of \>= 15% in FEV1 (L) from Pre- to Post-dose by Study Day

Number of Subjects With an Adverse Event Leading to Permanent Discontinuation of Study Medication
Screening to Day 56
Serious Adverse Events up to 28 Days After Study Medication Discontinuation
Screening to Day 56

Number of subjects with a SAE in the Arikace™ groups and the placebo group up to 28 days after study medication discontinuation. See SAE table in the safety section for details.

Number of Participants With Treatment-Emergent Adverse Events
56 days

To evaluate the safety and tolerability of 28 days of daily dosing of nebulized Arikayce™, liposomal amikacin for inhalation.

Clinically Significant Laboratory Abnormalities.
28 Days

Changes in chemistry and hematology lab tests (clinically significant value of CTCAE grade ≥ 3).

Secondary Endpoints

FEV1 % Predicted
Baseline, Days1, 14, 28, 56, 70, 85, 98, 112, 140, 154, 169, 182,196, 224, 238, 253, 266, 280, 308, 322, 337, 350, 364, 392, 406, 421, 434, 448, 476, 490, and 504
Absolute Change in Sputum Density
Baseline, Days 14, 28, 85, 98, 112, 140, 169, 182,196, 253, 266, 280, 337, 350, 364, 421, 434, and 448
Antipseudomonal Rescue Therapy - Duration of Therapy
18 Months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
560 mg Arikayce™EXPERIMENTALSubjects in this cohort will receive 560 mg of Arikayce™
Cohort 1 - 280 mg Arikayce™EXPERIMENTALSubjects in this arm of the cohort 1 will receive 280 mg of Arikayce™
Cohort 1 - PlaceboPLACEBO_COMPARATORSubjects in this arm of the cohort 1 will receive matching placebo.
Cohort 2 - 560 mg Arikayce™EXPERIMENTALSubjects in this arm of the cohort 2 will receive 560 mg of Arikayce™
Cohort 2 - PlaceboPLACEBO_COMPARATORSubjects in this arm of the cohort 2 will receive matching placebo
AACTIVE_COMPARATORArikayce™ at 560 mg Subjects randomized 2:1 to receive Arikayce 560 mg or Placebo.
BPLACEBO_COMPARATORMatching placebo for 560 mg Subjects randomized 2:1 to receive Arikayce 560 mg or Placebo.
CACTIVE_COMPARATORArikayce™ at 70 mg Subjects randomized 1:1:1 to receive Arikayce 70 mg, Arikayce 140 mg or Placebo.
DACTIVE_COMPARATORArikayce™ at 140 mg Subjects randomized 1:1:1 to receive Arikayce 70 mg, Arikayce 140 mg or Placebo.
EPLACEBO_COMPARATORMatching placebo for 70 mg/140 mg Subjects randomized 1:1:1 to receive Arikayce 70 mg, Arikayce 140 mg or Placebo.
Cohort 1 - 280 mg ARIKACE™EXPERIMENTALSubjects in this cohort will receive 280 mg of ARIKACE™
Cohort 2 - 560 mg ARIKACE™EXPERIMENTALSubjects in this cohort will receive 560 mg of ARIKACE™

Interventions

NameTypeDescription
Arikayce™DRUGAmikacin (aminoglycoside) in a liposomal formulation.
280 mg Arikayce™DRUGStudy subjects will receive Arikace™ 280 mg on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Matching Placebo for Cohort 1DRUGStudy subjects will receive placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
560 mg Arikayce™DRUGStudy subjects will receive Arikace™ 560 mg on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Matching Placebo for Cohort 2DRUGStudy subjects will receive placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Arikayce™ 560 mgDRUGArikayce™ at 560 mg Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 2:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Placebo for 560 mgDRUGMatching placebo Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 2:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Arikayce™ 70 mgDRUGSubjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 1:1:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Arikayce™ 140 mgDRUGSubjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 1:1:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
Placebo for 70 mg / 140 mgDRUGMatching placebo Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 1:1:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.
ARIKACE™DRUGStudy start date is before Jan 18, 2017.
PlaceboDRUGStudy start date is before Jan 18, 2017.
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Eligibility Criteria

Age Range6 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Written informed consent obtained from the patient or designated legal guardian prior to the performance of any study related procedures. 2. Male or female study subjects ≥ 6 years of age or older. 3. Confirmed diagnosis of CF defined as a positive sweat chloride \> 60 millie...

Countries:BelgiumHungaryNorth MacedoniaPolandSerbiaSlovakiaUkraineUnited StatesBulgariaGreeceIndiaUnited Kingdom
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Competitive Landscape -Cystic Fibrosis 20 trials

Frequently asked questions about ARIKACE

What is ARIKACE used for?

ARIKACE is an investigational inhaled therapy being studied for cystic fibrosis, a genetic disease that affects the lungs. It was evaluated in a Phase 1 trial in patients with cystic fibrosis. It is not an approved treatment and remains in clinical development.

Who is developing ARIKACE?

ARIKACE is being developed by Insmed Incorporated, which trades on the Nasdaq under the ticker INSM. Insmed is the sponsor of the ARIKACE clinical program in cystic fibrosis.

What phase is ARIKACE in?

ARIKACE is in Phase 1 development. One Phase 1 trial has been completed, and no active trials are currently listed. The program remains investigational and has not been approved by the FDA for any indication.

What clinical trials has ARIKACE been studied in?

ARIKACE was studied in one completed Phase 1 trial, NCT00777296, titled Multidose Safety and Tolerability Study of Dose Escalation of Liposomal Amikacin for Inhalation (ARIKACE). The trial enrolled 66 patients with cystic fibrosis across Belgium, Hungary, North Macedonia, Poland, Serbia, Slovakia, and Ukraine.

How was the ARIKACE Phase 1 trial designed?

The ARIKACE Phase 1 trial NCT00777296 was a randomized, placebo-controlled, dose-escalation study of liposomal amikacin for inhalation. It enrolled 66 patients with cystic fibrosis, including patients as young as 6 years of age, and assessed multidose safety and tolerability. The study has been completed.

Is ARIKACE the same as liposomal amikacin for inhalation?

Yes. ARIKACE is the brand name for liposomal amikacin for inhalation, an investigational small molecule formulation developed by Insmed Incorporated. The Phase 1 trial NCT00777296 was conducted under the ARIKACE name and evaluated this inhaled liposomal amikacin product in cystic fibrosis.