Trial Outcomes & Findings for Glycerol Phenylbutyrate Corrector Therapy For CF (Cystic Fibrosis) (NCT NCT02323100)

NCT ID: NCT02323100

Last Updated: 2026-04-17

Results Overview

Change in average measurement of nasal potential difference in millivolts (mV) between baseline (Visit 0) and Day 4 (Visit 2) or Day 7 (Visit 3). Note: the outcome is assessed as change in mV at each visit, and then comparisons between visits are made.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

16 participants

Primary outcome timeframe

7 days

Results posted on

2026-04-17

Participant Flow

Participant milestones

Participant milestones
Measure
Ravicti Low Dose
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 1.1 gm/ml 11 subjects started 9 subjects completed 2 subjects had a serious adverse event 0 subject deaths
Placebo
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 5 subjects started 5 subjects completed 0 subjects had a serious adverse event 0 subject deaths
Overall Study
STARTED
11
5
Overall Study
COMPLETED
9
5
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Ravicti Low Dose
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 1.1 gm/ml 11 subjects started 9 subjects completed 2 subjects had a serious adverse event 0 subject deaths
Placebo
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 5 subjects started 5 subjects completed 0 subjects had a serious adverse event 0 subject deaths
Overall Study
Adverse Event
2
0

Baseline Characteristics

Glycerol Phenylbutyrate Corrector Therapy For CF (Cystic Fibrosis)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ravicti Low Dose
n=9 Participants
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 1.1 gm/ml 9 subjects between 18-65
Placebo
n=5 Participants
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 5 subjects between 18-65
Total
n=14 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=130 Participants
5 Participants
n=132 Participants
14 Participants
n=130 Participants
Age, Categorical
>=65 years
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Age, Continuous
31.7 years
STANDARD_DEVIATION 11.9 • n=130 Participants
31.8 years
STANDARD_DEVIATION 9.36 • n=132 Participants
31.7142857 years
STANDARD_DEVIATION 10.3756155 • n=130 Participants
Sex: Female, Male
Female
4 Participants
n=130 Participants
3 Participants
n=132 Participants
7 Participants
n=130 Participants
Sex: Female, Male
Male
5 Participants
n=130 Participants
2 Participants
n=132 Participants
7 Participants
n=130 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=130 Participants
0 Participants
n=132 Participants
3 Participants
n=130 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=130 Participants
5 Participants
n=132 Participants
11 Participants
n=130 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Race (NIH/OMB)
Asian
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Race (NIH/OMB)
White
9 Participants
n=130 Participants
5 Participants
n=132 Participants
14 Participants
n=130 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=130 Participants
0 Participants
n=132 Participants
0 Participants
n=130 Participants
Region of Enrollment
United States
9 Participants
n=130 Participants
5 Participants
n=132 Participants
14 Participants
n=130 Participants

PRIMARY outcome

Timeframe: 7 days

Change in average measurement of nasal potential difference in millivolts (mV) between baseline (Visit 0) and Day 4 (Visit 2) or Day 7 (Visit 3). Note: the outcome is assessed as change in mV at each visit, and then comparisons between visits are made.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=7 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in Chloride and Sodium Transport in Nasal Epithelium
Day 4 minus Baseline
-6.20 mV
Standard Error 3.54
-1.56 mV
Standard Error 4.19
Change in Chloride and Sodium Transport in Nasal Epithelium
Day 7 minus Baseline
2.22 mV
Standard Error 3.54
-1.55 mV
Standard Error 4.53

SECONDARY outcome

Timeframe: 7 days of treatment as measured on Day 1 (Visit 1) and Day 7 (Visit 3)

Change in average sweat chloride measurement between baseline Day 1 (Visit 1) and Day 7 (Visit 3).

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=8 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in Average Sweat Chloride
-1.8 mmol/L
Standard Error 1.9
0.5 mmol/L
Standard Error 2.5

SECONDARY outcome

Timeframe: 4 days and 7 days of study drug treatment

Change in baseline nasal potential difference (NPD) measured before initiation of study drug between Day 1 (Visit 1) and Day 4 (Visit 2) and between Day 1 (Visit 1) and Day 7 (Visit 3).

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=7 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in Baseline Nasal Potential Difference (NPD)
Baseline PD, V1 to V2
-1.12 mV
Standard Error 3.95
2.20 mV
Standard Error 4.68
Change in Baseline Nasal Potential Difference (NPD)
Baseline PD, V1 to V3
-0.53 mV
Standard Error 3.95
11.76 mV
Standard Error 5.05

SECONDARY outcome

Timeframe: 4 and 7 days

Population: Ravicti high dose was ultimately not tested in the clinical trial.

Change in the nasal potential difference response (in mV) with perfusion of a solution containing amiloride from baseline to Days 4 and 7.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=7 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in Nasal Potential Difference With Perfusion of a Solution Containing Amiloride
Amiloride, V0 to V2
-6.74 mV
Standard Error 3.74
-1.82 mV
Standard Error 4.43
Change in Nasal Potential Difference With Perfusion of a Solution Containing Amiloride
Amiloride, V0 to V3
-5.32 mV
Standard Error 3.74
-10.67 mV
Standard Error 4.79

SECONDARY outcome

Timeframe: 4 and 7 days

Change in nasal potential difference (in mV) with perfusion of a low chloride solution containing amiloride from baseline to Days 4 and 7.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=7 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in Nasal Potential Difference During Perfusion With a Low Chloride Solution Containing Amiloride
Low chloride, V0 to V2
-5.14 mV
Standard Error 2.74
-0.97 mV
Standard Error 3.24
Change in Nasal Potential Difference During Perfusion With a Low Chloride Solution Containing Amiloride
Low chloride, V0 to V3
0.20 mV
Standard Error 2.74
0.70 mV
Standard Error 3.50

SECONDARY outcome

Timeframe: 4 and 7 days

Change in Nasal Potential Difference (in mV} with perfusion of a low chloride solution (containing amiloride) followed by the low chloride solution containing amiloride and Isoproterenol from baseline to Days 4 and 7.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=7 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in Nasal Potential Difference With a Low Chloride Solution Containing Amiloride Plus the Change With a Low Chloride Solution Containing Amiloride and Isoproterenol
Low chloride plus isoproterenol, V0 to V2
-1.06 mV
Standard Error 1.55
-0.59 mV
Standard Error 1.83
Change in Nasal Potential Difference With a Low Chloride Solution Containing Amiloride Plus the Change With a Low Chloride Solution Containing Amiloride and Isoproterenol
Low chloride plus isoproterenol, V0 to V3
2.01 mV
Standard Error 1.55
-2.25 mV
Standard Error 1.98

SECONDARY outcome

Timeframe: 7 days

Change in FEV1 from baseline to Days 4 and 7.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Change in FEV1
FEV1, V0 to V2
1.9 Liters
Standard Error 1.3
-1.0 Liters
Standard Error 1.7
Change in FEV1
FEV1, V0 to V3
1.7 Liters
Standard Error 1.4
-0.4 Liters
Standard Error 1.9

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Electrolytes are presented in meq/L. Mean and SD reported at Screening and V4.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Electrolytes (Meq/L)
Sodium (meq/l), Screening
136.67 meq/L
Standard Deviation 2.00
137.20 meq/L
Standard Deviation 1.79
Safety and Tolerability - Electrolytes (Meq/L)
Sodium (meq/l), 14 days
136.50 meq/L
Standard Deviation 2.88
137.20 meq/L
Standard Deviation 0.84
Safety and Tolerability - Electrolytes (Meq/L)
Potassium (meq/l), Screening
4.08 meq/L
Standard Deviation 0.40
4.10 meq/L
Standard Deviation 0.42
Safety and Tolerability - Electrolytes (Meq/L)
Potassium (meq/l), 14 days
4.00 meq/L
Standard Deviation 0.27
4.18 meq/L
Standard Deviation 0.40
Safety and Tolerability - Electrolytes (Meq/L)
Chloride (meq/l), Screening
103.78 meq/L
Standard Deviation 1.72
103.80 meq/L
Standard Deviation 1.92
Safety and Tolerability - Electrolytes (Meq/L)
Chloride (meq/l), 14 days
104.00 meq/L
Standard Deviation 2.73
104.80 meq/L
Standard Deviation 1.30
Safety and Tolerability - Electrolytes (Meq/L)
Bicarbonate/CO2 (meq/l), Screening
23.78 meq/L
Standard Deviation 2.49
25.60 meq/L
Standard Deviation 1.95
Safety and Tolerability - Electrolytes (Meq/L)
Bicarbonate/CO2 (meq/l), 14 days
24.50 meq/L
Standard Deviation 4.07
25.20 meq/L
Standard Deviation 1.10

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Total Bilirubin on a comprehensive metabolic panel obtained from a serum sample and reported in mg/dl.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability-Liver Function-Total Bilirubin
Total Bilirubin (mg/dl), Screening
0.60 mg/dl
Standard Deviation 0.32
0.44 mg/dl
Standard Deviation 0.11
Safety and Tolerability-Liver Function-Total Bilirubin
Total Bilirubin (mg/dl), 14 days
0.55 mg/dl
Standard Deviation 0.26
0.36 mg/dl
Standard Deviation 0.05

SECONDARY outcome

Timeframe: 14 days

Population: Two participants, one from Drug and one from Placebo groups failed to return on day 14 and those data are missing.

Hepatic enzymes obtained from a serum sample -AST and ALT in units/L.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Liver Function-Liver Enzymes
AST (units/L), Screening
20.56 units/L
Standard Deviation 6.33
19.40 units/L
Standard Deviation 8.02
Safety and Tolerability - Liver Function-Liver Enzymes
AST (units/L), 14 days
20.88 units/L
Standard Deviation 10.32
20.00 units/L
Standard Deviation 9.14
Safety and Tolerability - Liver Function-Liver Enzymes
ALT (units/L), Screening
24.33 units/L
Standard Deviation 12.82
20.40 units/L
Standard Deviation 7.60
Safety and Tolerability - Liver Function-Liver Enzymes
ALT (units/L), 14 days
25.13 units/L
Standard Deviation 17.79
20.80 units/L
Standard Deviation 9.91

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Alkaline Phosphatase obtained on a Comprehensive Metabolic Panel (IU/L).

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Liver Function-Alkaline Phosphatase (IU/L)
Alkaline Phosphatase (IU/L), Screening
106.11 IU/L
Standard Deviation 37.30
72.20 IU/L
Standard Deviation 27.43
Safety and Tolerability - Liver Function-Alkaline Phosphatase (IU/L)
Alkaline Phosphatase (IU/L), 14 days
89.38 IU/L
Standard Deviation 24.25
75.60 IU/L
Standard Deviation 34.11

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Safety and Tolerability - serum protein biomarkers in g/dl.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Blood Protein Biomarkers (g/dl)
Total Protein (g/dl), Screening
7.12 g/dl
Standard Deviation 0.49
6.76 g/dl
Standard Deviation 0.25
Safety and Tolerability - Blood Protein Biomarkers (g/dl)
Total Protein (g/dl), 14 days
6.95 g/dl
Standard Deviation 0.4
6.64 g/dl
Standard Deviation 0.36
Safety and Tolerability - Blood Protein Biomarkers (g/dl)
Hemoglobin (g/dl), Screening
14.29 g/dl
Standard Deviation 0.93
13.94 g/dl
Standard Deviation 1.21
Safety and Tolerability - Blood Protein Biomarkers (g/dl)
Hemoglobin (g/dl), 14 days
14.03 g/dl
Standard Deviation 1.32
13.78 g/dl
Standard Deviation 1.40
Safety and Tolerability - Blood Protein Biomarkers (g/dl)
Albumin (g/dl), Screening
4.32 g/dl
Standard Deviation 0.25
4.28 g/dl
Standard Deviation 0.30
Safety and Tolerability - Blood Protein Biomarkers (g/dl)
Albumin (g/dl), 14 days
3.98 g/dl
Standard Deviation 1.18
4.24 g/dl
Standard Deviation 0.44

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

White blood cells, red blood cells, and platelet cell counts from a complete blood cell count panel (K/ul).

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Blood Cell Counts (K/ul)
White blood cell count (K/μL), Screening
7.73 K/uL
Standard Deviation 2.01
6.66 K/uL
Standard Deviation 2.38
Safety and Tolerability - Blood Cell Counts (K/ul)
White blood cell count (K/μL), 14 days
7.03 K/uL
Standard Deviation 1.41
6.12 K/uL
Standard Deviation 1.67
Safety and Tolerability - Blood Cell Counts (K/ul)
Red blood cell count (K/μL), Screening
4.86 K/uL
Standard Deviation 0.44
4.68 K/uL
Standard Deviation 0.38
Safety and Tolerability - Blood Cell Counts (K/ul)
Red blood cell count (K/μL), 14 days
4.79 K/uL
Standard Deviation 0.43
4.60 K/uL
Standard Deviation 0.37
Safety and Tolerability - Blood Cell Counts (K/ul)
Platelet count (ct K/ul), Screening
283.33 K/uL
Standard Deviation 54.94
269.00 K/uL
Standard Deviation 49.51
Safety and Tolerability - Blood Cell Counts (K/ul)
Platelet count (ct K/uL), 14 days
267.38 K/uL
Standard Deviation 77.32
264.0 K/uL
Standard Deviation 58.03

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

White blood cells are fractionated into different types of white blood cells and presented as the fraction of total white blood cells counted.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Blood Cell Counts (%)
Eosinophils (% white blood cells counted), 14 days
2.06 % of blood cells counted
Standard Deviation 1.38
2.62 % of blood cells counted
Standard Deviation 0.61
Safety and Tolerability - Blood Cell Counts (%)
Basophils (% white blood cells counted), Screening
0.47 % of blood cells counted
Standard Deviation 0.21
0.48 % of blood cells counted
Standard Deviation 0.22
Safety and Tolerability - Blood Cell Counts (%)
Basophils (%) white blood cells counted, 14 days
0.49 % of blood cells counted
Standard Deviation 0.32
0.54 % of blood cells counted
Standard Deviation 0.09
Safety and Tolerability - Blood Cell Counts (%)
Neutrophils (% white blood cells counted), Screening
63.58 % of blood cells counted
Standard Deviation 10.35
55.92 % of blood cells counted
Standard Deviation 12.33
Safety and Tolerability - Blood Cell Counts (%)
Neutrophils (% white blood cells counted), 14 days
60.33 % of blood cells counted
Standard Deviation 11.67
61.04 % of blood cells counted
Standard Deviation 6.37
Safety and Tolerability - Blood Cell Counts (%)
Lymphocytes (% white blood cells counted), Screening
26.60 % of blood cells counted
Standard Deviation 9.68
32.96 % of blood cells counted
Standard Deviation 10.64
Safety and Tolerability - Blood Cell Counts (%)
Lymphocytes (% white blood cell counted), 14 days
29.63 % of blood cells counted
Standard Deviation 10.04
27.84 % of blood cells counted
Standard Deviation 6.17
Safety and Tolerability - Blood Cell Counts (%)
Monocytes (% white blood cells counted), Screening
7.24 % of blood cells counted
Standard Deviation 1.54
8.32 % of blood cells counted
Standard Deviation 2.22
Safety and Tolerability - Blood Cell Counts (%)
Monocytes (% white blood cells counted), 14 days
7.51 % of blood cells counted
Standard Deviation 1.58
7.94 % of blood cells counted
Standard Deviation 1.94
Safety and Tolerability - Blood Cell Counts (%)
Eosinophils (% white blood cells counted), Screening
2.10 % of blood cells counted
Standard Deviation 2.19
2.32 % of blood cells counted
Standard Deviation 0.67

SECONDARY outcome

Timeframe: 14 days

Population: One participant in the Drug group failed to have an ESR on screening, and one participant Drug failed to return on day 14 and those data are missing.

Erythrocyte sedimentation rate is an indicator of inflammation that measures the rate at which red blood cells settle to the bottom of a test tube in mm/hr.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=8 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Erythrocyte Sedimentation Rate (mm/hr)
ESR (mm/hr), Screening
11.13 mm/hr
Standard Deviation 10.93
10.80 mm/hr
Standard Deviation 10.85
Safety and Tolerability - Erythrocyte Sedimentation Rate (mm/hr)
ESR (mm/hr), 14 days
12.25 mm/hr
Standard Deviation 13.40
16.40 mm/hr
Standard Deviation 17.95

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Serum glucose was obtained in a comprehensive metabolic panel in mg/dl.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Serum Glucose (mg/dl)
Glucose (mg/dl), Screening
100.67 mg/dl
Standard Deviation 16.24
82.60 mg/dl
Standard Deviation 6.19
Safety and Tolerability - Serum Glucose (mg/dl)
Glucose (mg/dl), 14 days
125.88 mg/dl
Standard Deviation 111.43
87.80 mg/dl
Standard Deviation 14.38

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Blood urea nitrogen (BUN), serum creatinine, and serum uric acid were obtained in a comprehensive metabolic panel in mg/dl.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Blood Waste Metabolites (mg/dl)
Urea Nitrogen (BUN) (mg/dl), Screening
16.67 mg/dl
Standard Deviation 5.96
16.20 mg/dl
Standard Deviation 2.49
Safety and Tolerability - Blood Waste Metabolites (mg/dl)
Urea Nitrogen (mg/dl), 14 days
14.38 mg/dl
Standard Deviation 2.39
16.20 mg/dl
Standard Deviation 3.03
Safety and Tolerability - Blood Waste Metabolites (mg/dl)
Creatinine (mg/dl), Screening
0.83 mg/dl
Standard Deviation 0.16
0.80 mg/dl
Standard Deviation 0.12
Safety and Tolerability - Blood Waste Metabolites (mg/dl)
Creatiniine (mg/dl), 14 days
0.79 mg/dl
Standard Deviation 0.10
0.80 mg/dl
Standard Deviation 0.16
Safety and Tolerability - Blood Waste Metabolites (mg/dl)
Serum Uric Acid (mg/dl), Screening
7.30 mg/dl
Standard Deviation 1.26
6.26 mg/dl
Standard Deviation 1.24
Safety and Tolerability - Blood Waste Metabolites (mg/dl)
Serum Uric Acid (mg/dl), 14 days
7.06 mg/dl
Standard Deviation 1.36
5.78 mg/dl
Standard Deviation 1.09

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

C reactive protein (cRP) is a systemic marker of inflammation and was measured in mg/dl.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Blood Biomarker of Inflammation (mg/dl)
C-reactive protein (mg/dl), Screening
0.42 mg/dl
Standard Deviation 0.49
0.35 mg/dl
Standard Deviation 0.34
Safety and Tolerability - Blood Biomarker of Inflammation (mg/dl)
C-reactive protein (mg/dl), 14 days
0.95 mg/dl
Standard Deviation 1.39
0.36 mg/dl
Standard Deviation 0.34

SECONDARY outcome

Timeframe: 14 days

Population: One participant from Drug failed to return on day 14 and those data are missing.

Hematocrit is resulted as the fraction of red blood cells in total volume of blood from which they are measured.

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Safety and Tolerability - Hematocrit (%)
Hematocrit (% packed red blood cell volume), Screening
42.71 % of packed red blood cell volume
Standard Deviation 2.60
42.42 % of packed red blood cell volume
Standard Deviation 3.99
Safety and Tolerability - Hematocrit (%)
Hematocrit (% packed red blood cell volume), 14 days
41.56 % of packed red blood cell volume
Standard Deviation 3.34
41.72 % of packed red blood cell volume
Standard Deviation 3.82

OTHER_PRE_SPECIFIED outcome

Timeframe: 4 days

Concentration of PBA and PAA in blood over time

Outcome measures

Outcome measures
Measure
Ravicti Low Dose
n=9 Participants
Low dose Ravicti® oral liquid at 6ml (6.6 gm) by mouth or gastrostomy tube at 8 am, 5.5 ml (6.05gm) at 4pm and midnight for 7 days. Ravicti low dose: 8 am, 4pm and midnight
Placebo
n=5 Participants
Matching placebo taken at 8am, 4pm and midnight for 7 days. Placebo: 8 am, 4pm and midnight
Pharmacokinetics (PK) Studies
PBA, Day 1 Hr 2 - Day 1 Baseline
42.6 micrograms/ml
Standard Error 8.5
NA micrograms/ml
Standard Error NA
All data below detectable limits
Pharmacokinetics (PK) Studies
PBA, Day 4 Hr 2 - Day 1 Baseline
43.7 micrograms/ml
Standard Error 9.8
NA micrograms/ml
Standard Error NA
All data below detectable limits
Pharmacokinetics (PK) Studies
PAA, Day 1 Hr 4 - Day 1 Baseline
26.1 micrograms/ml
Standard Error 4.3
NA micrograms/ml
Standard Error NA
All data below detectable limits
Pharmacokinetics (PK) Studies
PAA, Day 4 Hr 4 - Day 1 Baseline
57.6 micrograms/ml
Standard Error 10.3
NA micrograms/ml
Standard Error NA
All data below detectable limits

Adverse Events

Ravicti Low Dose

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ravicti Low Dose
n=9 participants at risk
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 1.1 gm/ml 9 subject were at risk and 3 subjects had an adverse event. Adverse events were headache, brain fog, nausea/vomiting/flatulence, and new sputum bacteria.
Placebo
n=5 participants at risk
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 5 subject were at risk and 4 subjects had an adverse event. Adverse events were headache, brain fog, nausea/vomiting/flatulence, and new sputum bacteria.
Respiratory, thoracic and mediastinal disorders
Cystic Fibrosis Pulmonary Exacerbation
11.1%
1/9 • 14 days
0.00%
0/5 • 14 days
Infections and infestations
Covid-19
11.1%
1/9 • 14 days
0.00%
0/5 • 14 days

Other adverse events

Other adverse events
Measure
Ravicti Low Dose
n=9 participants at risk
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 1.1 gm/ml 9 subject were at risk and 3 subjects had an adverse event. Adverse events were headache, brain fog, nausea/vomiting/flatulence, and new sputum bacteria.
Placebo
n=5 participants at risk
6.0 ml po 8 AM, 6.05 ml 4 PM, 6.05 ml 12 AM 5 subject were at risk and 4 subjects had an adverse event. Adverse events were headache, brain fog, nausea/vomiting/flatulence, and new sputum bacteria.
Nervous system disorders
headache
11.1%
1/9 • 14 days
40.0%
2/5 • 14 days
Nervous system disorders
brain fog
0.00%
0/9 • 14 days
20.0%
1/5 • 14 days
Gastrointestinal disorders
nausea, vomiting, flatulence
11.1%
1/9 • 14 days
20.0%
1/5 • 14 days
Infections and infestations
new sputum bacteria
0.00%
0/9 • 14 days
40.0%
2/5 • 14 days

Additional Information

Pamela L. Zeitlin, Chair, Department of Pediatrics

National Jewish Health

Phone: 303-398-1196

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place