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SLIT Amikacin

Phase 1

Cystic Fibrosis | Small molecule | Respiratory |Insmed Incorporated|Last Updated: Feb 2, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment18
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06238856Single Dose Escalation Study of TR02 (Sustained Lipid Inhalation Technology [SLIT™] Amikacin) in Participants With Cystic Fibrosis (CF) Having Chronic Infections of Pseudomonas AeruginosaPHASE1 COMPLETED 18May 12, 2004Feb 8, 2005Feb 2, 2024 -
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Study Endpoints
Primary Endpoints
Number of Participants who Experience a Treatment Emergent Adverse Event (TEAE)
Up to Day 28

Safety and tolerability of three active doses of nebulized amikacin in a SLIT™ formulation.

Secondary Endpoints
Area Under the Concentration-time Curve (AUC) of SLIT™ Amikacin in Serum
Pre-dose and at multiple time points post-dose up to Day 3
Percent Dose of SLIT™ Amikacin in Urine
At multiple time points post-dose up to Day 3
AUC of SLIT™ Amikacin in Sputum
Pre-dose and at multiple time points post-dose on Days 1, 2, 3, 8, 14, and 28
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1: Amikacin Dose 1 + PlaceboEXPERIMENTALParticipants will receive a single dose of SLIT™ amikacin at Dose 1 or matching placebo by inhalation on Day 0.
Cohort 2: Amikacin Dose 2 + PlaceboEXPERIMENTALParticipants will receive a single dose of SLIT™ amikacin at Dose 2 or matching placebo by inhalation on Day 0 upon initiation of Cohort 2.
Cohort 3: Amikacin Dose 3 + PlaceboEXPERIMENTALParticipants will receive a single dose of SLIT™ amikacin at Dose 3 or matching placebo by inhalation on Day 0 upon initiation of Cohort 3.
Interventions
NameTypeDescription
SLIT™ AmikacinDRUGAmikacin administered via the Pari LC STAR™ nebulizer.
PlaceboDRUGNebulized saline.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Study participants must produce sputum that is positive for Pseudomonas aeruginosa. * Confirmed diagnosis of CF (positive sweat chloride \>60 milliequivalents (mEq)/liter (by pilocarpine iontophoresis) and/or a genotype with two identifiable mutations consistent with CF accomp...

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