A Dose-Finding Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Adalimumab in Subjects With Refractory Asthma
Primary Purpose
Asthma
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Humira (adalimumab)
Sponsored by

About this trial
This is an interventional treatment trial for Asthma
Eligibility Criteria
Inclusion Criteria:
- Documented history of refractory asthma, as defined by the American Thoracic Society,31 defined as 1 major and at least 2 minor criteria
- Actual or documented history of reversible airway obstruction
- Baseline FEV1 of 40% - 80% of the predicted for height, age, and sex at Screening, as demonstrated 6 or more hours after a short-acting -agonist and/or 24 or more hours after a long-acting -agonist
- History of at least 1 asthma exacerbation leading to oral, IV or IM corticosteroid or ER/Urgent Care Center visit or hospitalization within the past year prior to Screening. This asthma exacerbation should not have been within 30 days prior to Screening
- Adequate cardiac, renal and hepatic function as determined by the principal investigator and demonstrated by Screening laboratory evaluations, questionnaires, and physical examination results that are within normal limits
- Subjects must be able to self-inject study medication or have a designee or healthcare professional who can inject the study medication
Exclusion Criteria:
- Active lung diseases (e.g., bronchitis, chronic obstructive pulmonary disease [COPD], interstitial lung disease, pulmonary fibrosis) other than asthma
- Current treatment for corticosteroid-resistant asthma (e.g., methotrexate [MTX], cyclosporine, gold salts, troleandomycin, immune globulin intravenous [IGIV], mycophenolate mofetil)
- History of cancer or lymphoproliferative disease other than a successfully and completely treated cutaneous squamous cell or basal cell carcinoma or carcinoma - in-situ of the cervix.
- History of listeria, human immunodeficiency virus (HIV), chronic or active Hepatitis B, an immunodeficiency syndrome, central nervous system (CNS) demyelinating disease or active TB
- Females who are pregnant or will not discontinue breast-feeding.
- Subject with a history of clinically significant drug or alcohol abuse in the last year
- Subjects with a poorly controlled medical condition.
- Abnormal, clinically significant screening laboratory and other analyses (including ECG).
- Subjects with any prior exposure to Tysabri® (natalizumab)
- Prior treatment with any TNF antagonist, including adalimumab
Sites / Locations
Outcomes
Primary Outcome Measures
The primary efficacy endpoint is the change from Baseline in post-bronchodilator FEV1 in subjects treated with adalimumab vs. placebo.
Secondary Outcome Measures
Proportion of subjects with at least one asthma exacerbation from Baseline to the end of the double-blind period
Changes from Baseline in post-bronchodilator FEV1
Change from Baseline in pre-bronchodilator FEV1
Change from Baseline (pre-bronchodilator) in FEV1
Change from Baseline in percent predicted FEV1
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00512863
Brief Title
A Dose-Finding Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Adalimumab in Subjects With Refractory Asthma
Official Title
A Phase 2a, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel, Dose-Finding Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Adalimumab in Subjects With Refractory Asthma
Study Type
Interventional
2. Study Status
Record Verification Date
November 2007
Overall Recruitment Status
Withdrawn
Study Start Date
August 2007 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Abbott
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
To evaluate the efficacy of SC injections of 3 regimens of adalimumab vs. placebo in the change in post-bronchodilator FEV1 from Baseline to Week 16 when used in the treatment of refractory asthma.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
272 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
Humira (adalimumab)
Primary Outcome Measure Information:
Title
The primary efficacy endpoint is the change from Baseline in post-bronchodilator FEV1 in subjects treated with adalimumab vs. placebo.
Time Frame
Week 16
Secondary Outcome Measure Information:
Title
Proportion of subjects with at least one asthma exacerbation from Baseline to the end of the double-blind period
Time Frame
Week 16
Title
Changes from Baseline in post-bronchodilator FEV1
Time Frame
Time points other thanWeek 16
Title
Change from Baseline in pre-bronchodilator FEV1
Title
Change from Baseline (pre-bronchodilator) in FEV1
Time Frame
30 minutes postbronchodilator
Title
Change from Baseline in percent predicted FEV1
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Documented history of refractory asthma, as defined by the American Thoracic Society,31 defined as 1 major and at least 2 minor criteria
Actual or documented history of reversible airway obstruction
Baseline FEV1 of 40% - 80% of the predicted for height, age, and sex at Screening, as demonstrated 6 or more hours after a short-acting -agonist and/or 24 or more hours after a long-acting -agonist
History of at least 1 asthma exacerbation leading to oral, IV or IM corticosteroid or ER/Urgent Care Center visit or hospitalization within the past year prior to Screening. This asthma exacerbation should not have been within 30 days prior to Screening
Adequate cardiac, renal and hepatic function as determined by the principal investigator and demonstrated by Screening laboratory evaluations, questionnaires, and physical examination results that are within normal limits
Subjects must be able to self-inject study medication or have a designee or healthcare professional who can inject the study medication
Exclusion Criteria:
Active lung diseases (e.g., bronchitis, chronic obstructive pulmonary disease [COPD], interstitial lung disease, pulmonary fibrosis) other than asthma
Current treatment for corticosteroid-resistant asthma (e.g., methotrexate [MTX], cyclosporine, gold salts, troleandomycin, immune globulin intravenous [IGIV], mycophenolate mofetil)
History of cancer or lymphoproliferative disease other than a successfully and completely treated cutaneous squamous cell or basal cell carcinoma or carcinoma - in-situ of the cervix.
History of listeria, human immunodeficiency virus (HIV), chronic or active Hepatitis B, an immunodeficiency syndrome, central nervous system (CNS) demyelinating disease or active TB
Females who are pregnant or will not discontinue breast-feeding.
Subject with a history of clinically significant drug or alcohol abuse in the last year
Subjects with a poorly controlled medical condition.
Abnormal, clinically significant screening laboratory and other analyses (including ECG).
Subjects with any prior exposure to Tysabri® (natalizumab)
Prior treatment with any TNF antagonist, including adalimumab
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Beverly Paperiello
Organizational Affiliation
Abbott
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
A Dose-Finding Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Adalimumab in Subjects With Refractory Asthma
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