Effects of AER 001 Administered by Nebulization on Antigen Challenge in Atopic Asthmatics
Primary Purpose
Allergic Asthma
Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
AER 001
placebo
Sponsored by
About this trial
This is an interventional treatment trial for Allergic Asthma focused on measuring Asthma, allergy, interleukin-4, interleukin-13, IL-4, IL-13
Eligibility Criteria
Inclusion Criteria:
• Adult males and females > 18 years.
- Subjects who if female, are not currently pregnant or breast feeding and are using medically acceptable methods of contraception.
- Subjects who have a pre study medical history, physical examination, 12 Lead ECG acceptable to the investigator.
- Subjects who have clinical laboratory tests within the reference ranges or clinically acceptable to the investigator.
- Subjects who are negative for HbsAg, hepatitis C antibody and HIV II and I test at screening.
- Subjects who are negative for drugs of abuse and alcohol tests at screening and admission.
- Positive response on screening to a skin prick test.
- Adenosine monophosphate PC20 on screening of ≥ 0.04 mg/ml
- Subjects, who on the Allergen challenge, have a PC20 on allergen and exhibit a late phase response following the allergen challenge.
- Subjects who have a FEV1 > 70% of predicted.
- Subjects who have not received steroid treatment in the prior month.
- Subjects who are non-smokers for at least 3 months prior to screening.
- Have a < 10 pack year history.
- Satisfies the Global Initiative in Asthma (GINA, 2002) definition of asthma or have been on treatment for asthma.
- Subjects with stable, adequately treated medical conditions may be enrolled provided the Principal Investigator does not consider their study participation to place them at increased risk of adverse events. Subjects should continue their concomitant treatments without change during the study.
- Subjects who are able and willing to give written informed consent.
Exclusion Criteria:
• Subjects who do not conform to the above inclusion criteria.
- Subjects who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders which would preclude antigen challenge.
- Subjects who have a clinically relevant surgical history which would preclude antigen challenge.
- Subjects who have a clinically relevant family history which would preclude antigen challenge.
- Subjects who have a history of relevant drug hypersensitivity.
- Subjects who have a history of alcoholism.
- Subjects who have a history of drug abuse.
- Subjects who consume more than 28 units (male)/ 21 units (female) of alcohol a week.
(unit = 1 glass of wine = 1 measure of spirits = ½ pint of beer)
- Subjects who have acute gastrointestinal symptoms at the time of screening and/or admission (e.g. nausea, vomiting, diarrhoea, heartburn)
- Subjects who have an acute respiratory infection such as influenza at the time of screening and/or admission.
- Female subjects who are not using an acceptable method of contraception.
- Subjects who have used any investigational drug and /or participated in any clinical trial within 3 months of their first dosing.
- Subjects using medication, which in the opinion of the Investigator will affect the outcome of the study.
- Subjects who have donated and/or received any blood or blood products within the previous 3 months prior to first dosing (to review on a case by case basis).
- Subjects who cannot communicate reliably with the investigator.
- Subjects who are unlikely to co-operate with the requirements of the study.
- Subjects who have previously taken AER 001
Sites / Locations
- Guy's Drug Research Unit, Quintiles, Ltd.
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
A
P
Arm Description
AER 001
sterile saline
Outcomes
Primary Outcome Measures
To investigate the effects of AER 001 on the late asthmatic response in mild to moderate asthmatics as measured by average percent fall in FEV1 from 4-10 hours post allergen challenge (i.e. the late phase response)after 28 days of treatment
Secondary Outcome Measures
Secondary Objectives • To examine the effects of AER 001 on antigen induced airway hyperactivity to adenosine monophosphate and blood levels of circulating IgE. • To characterise the pharmacokinetics of nebulised AER 001.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00535431
Brief Title
Effects of AER 001 Administered by Nebulization on Antigen Challenge in Atopic Asthmatics
Official Title
A Study To Investigate The Effects of AER 001 Administered by Nebulization on Antigen Challenge in Atopic Asthmatic Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
September 2007
Overall Recruitment Status
Completed
Study Start Date
December 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 2006 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Aerovance, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a single centre, double-blind, randomised, parallel group, repeated dose asthmatic subjects. Subjects will receive AER 001 (60 mgs) or placebo twice daily for 28 days. Before and after treatment subjects will be experimentally challenged with inhaled allergen to induce decreases in lung function. The primary outcome is late phase response to allergen as measured by the average percent change in FEV1 from 4-10 hours following allergen. Because AER 001 is a Th2 anti-inflammatory, it is hypothesized that AER 001 treatment will inhibit the late phase response to allergen challenge.
Detailed Description
Objectives:
Primary Objective To investigate the effects of AER 001 on the late asthmatic response in mild to moderate asthmatics
Secondary Objectives
To examine the effects of AER 001 on antigen induced airway hyperactivity to adenosine monophosphate and blood levels of circulating IgE.
To characterise the pharmacokinetics of nebulised AER 001.
Exploratory Objectives
To examine the effects of AER 001 on circulating sIL-13Rα2 and IFNgamma.
To examine the results of single nucleotide polymorphism (SNP) analysis of IL-4, IL-13, IL-4Rα and IL-13R α to determine if there is any correlation between AER 001 response and genotype
To examine levels of anti-AER 001 following administration of AER 001
Methodology:
Single centre, double-blind, randomised, parallel group, repeated dose study in male and female asthmatic subjects.
A sufficient number of subjects (at least 30 subjects) will be recruited to ensure that at least 26 completed sets of data will be obtained.
Subjects will be randomised to receive either AER 001 60 mg / matched volume Placebo in a ratio of 1 active : 1 placebo ( block size of 6).
Treatments will be administered by nebulization from a PARI LC Plus nebulizer
Subjects are to receive b.i.d. administration of AER 001 / placebo for 27 days. A morning dose will be given on Day 28, (24 hours after Day 27 am-dose).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Asthma
Keywords
Asthma, allergy, interleukin-4, interleukin-13, IL-4, IL-13
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Arm Description
AER 001
Arm Title
P
Arm Type
Placebo Comparator
Arm Description
sterile saline
Intervention Type
Drug
Intervention Name(s)
AER 001
Other Intervention Name(s)
AEROVANT
Intervention Description
60 mg (in nebuliser), twice daily for 28 days
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Sterile saline nebulised, twice daily for 28 days
Primary Outcome Measure Information:
Title
To investigate the effects of AER 001 on the late asthmatic response in mild to moderate asthmatics as measured by average percent fall in FEV1 from 4-10 hours post allergen challenge (i.e. the late phase response)after 28 days of treatment
Time Frame
pre- vs. post 28 days of treatment
Secondary Outcome Measure Information:
Title
Secondary Objectives • To examine the effects of AER 001 on antigen induced airway hyperactivity to adenosine monophosphate and blood levels of circulating IgE. • To characterise the pharmacokinetics of nebulised AER 001.
Time Frame
pre- vs. post 28 days of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
• Adult males and females > 18 years.
Subjects who if female, are not currently pregnant or breast feeding and are using medically acceptable methods of contraception.
Subjects who have a pre study medical history, physical examination, 12 Lead ECG acceptable to the investigator.
Subjects who have clinical laboratory tests within the reference ranges or clinically acceptable to the investigator.
Subjects who are negative for HbsAg, hepatitis C antibody and HIV II and I test at screening.
Subjects who are negative for drugs of abuse and alcohol tests at screening and admission.
Positive response on screening to a skin prick test.
Adenosine monophosphate PC20 on screening of ≥ 0.04 mg/ml
Subjects, who on the Allergen challenge, have a PC20 on allergen and exhibit a late phase response following the allergen challenge.
Subjects who have a FEV1 > 70% of predicted.
Subjects who have not received steroid treatment in the prior month.
Subjects who are non-smokers for at least 3 months prior to screening.
Have a < 10 pack year history.
Satisfies the Global Initiative in Asthma (GINA, 2002) definition of asthma or have been on treatment for asthma.
Subjects with stable, adequately treated medical conditions may be enrolled provided the Principal Investigator does not consider their study participation to place them at increased risk of adverse events. Subjects should continue their concomitant treatments without change during the study.
Subjects who are able and willing to give written informed consent.
Exclusion Criteria:
• Subjects who do not conform to the above inclusion criteria.
Subjects who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders which would preclude antigen challenge.
Subjects who have a clinically relevant surgical history which would preclude antigen challenge.
Subjects who have a clinically relevant family history which would preclude antigen challenge.
Subjects who have a history of relevant drug hypersensitivity.
Subjects who have a history of alcoholism.
Subjects who have a history of drug abuse.
Subjects who consume more than 28 units (male)/ 21 units (female) of alcohol a week.
(unit = 1 glass of wine = 1 measure of spirits = ½ pint of beer)
Subjects who have acute gastrointestinal symptoms at the time of screening and/or admission (e.g. nausea, vomiting, diarrhoea, heartburn)
Subjects who have an acute respiratory infection such as influenza at the time of screening and/or admission.
Female subjects who are not using an acceptable method of contraception.
Subjects who have used any investigational drug and /or participated in any clinical trial within 3 months of their first dosing.
Subjects using medication, which in the opinion of the Investigator will affect the outcome of the study.
Subjects who have donated and/or received any blood or blood products within the previous 3 months prior to first dosing (to review on a case by case basis).
Subjects who cannot communicate reliably with the investigator.
Subjects who are unlikely to co-operate with the requirements of the study.
Subjects who have previously taken AER 001
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Darren Wilbraham, MD
Organizational Affiliation
Guy's Drug Research Unit, Quintiles Ltd.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Guy's Drug Research Unit, Quintiles, Ltd.
City
London
ZIP/Postal Code
SE1 1YR
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
20920778
Citation
Slager RE, Hawkins GA, Ampleford EJ, Bowden A, Stevens LE, Morton MT, Tomkinson A, Wenzel SE, Longphre M, Bleecker ER, Meyers DA. IL-4 receptor alpha polymorphisms are predictors of a pharmacogenetic response to a novel IL-4/IL-13 antagonist. J Allergy Clin Immunol. 2010 Oct;126(4):875-8. doi: 10.1016/j.jaci.2010.08.001. No abstract available.
Results Reference
derived
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Effects of AER 001 Administered by Nebulization on Antigen Challenge in Atopic Asthmatics
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