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A Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease

Primary Purpose

Asthma, Coronary Artery Disease, Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Regadenoson
Placebo
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Asthma focused on measuring regadenoson, CVT 3146, asthma, coronary artery disease, pulmonary disease, chronic obstructive

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has asthma or stable chronic obstructive pulmonary disease (COPD).
  • Subject has a diagnosis of coronary artery disease (CAD) or risk factors for CAD as determined by a current medical diagnosis of at least 2 of the following conditions: Type 2 diabetes, hypertension, hypercholesterolemia, current or history of cigarette smoking (minimum 10 pack-years exposure) or obesity Body Mass Index (BMI > 30).
  • Subject must abstain from smoking 3 hours prior and 8 hours post study drug administration.
  • Subject must abstain from any intake of foods and beverages containing a methylated xanthine derivative (i.e. caffeine, theobromine, or methylxanthine) within 12 hours prior to study drug administration through the Follow-Up visit, as these foods may reduce the effects of regadenoson.
  • Subject is able to safely abstain from theophylline for 12 hours prior to the Day 1 visit, as determined by the Investigator
  • Asthma subject's frequency and severity of symptoms have remained unchanged within 30 days prior to study drug administration
  • Asthma subject has FEV1 ≥60% predicted
  • COPD subject has FEV1/FVC < 0.70

Exclusion Criteria:

  • Female subject who is pregnant, lactating or of childbearing potential who refuses to use a medically acceptable form of contraception until the Follow-Up visit is complete.
  • Subject started on a course of corticosteroids, steroid combination with long-acting Beta2-agonist (LABA) (oral or inhaled) or anticholinergic, or has undergone a change in dose of such medications ≤ 30 days prior to study drug administration (subject on a stable dose of such medications for > 30 days prior to study drug administration is allowed).
  • Subject started leukotriene antagonists (e.g., montelukast), cromones (e.g., cromolyn sodium) or 5-lipoxygenase antagonists (e.g. zileuton or zyflo) or has undergone a change in dose of medications in these drug classes ≤ 7 days prior to study drug administration (subject on a stable dose of these medications for > 7 days prior to study drug administration is allowed).
  • Subject has a history of second or third degree heart block or sinus node dysfunction unless the subject has a functioning pacemaker.
  • Subject has symptomatic hypotension (temporary and reversible conditions that no longer exist are allowed).
  • Subject is allergic or intolerant to aminophylline.
  • Subject has had a respiratory infection within 2 weeks prior to randomization.
  • Subject has had surgery within 3 months prior to randomization.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Arm Label

Placebo - Asthma

Regadenoson - Asthma

Placebo - COPD

Regadenoson - COPD

Arm Description

Matching intravenous (IV) bolus injection, subjects with Asthma

0.4mg / 5mL intravenous bolus injection, subjects with Asthma

Matching intravenous bolus injection, subjects with Chronic Obstructive Pulmonary Disease (COPD)

0.4mg / 5mL intravenous bolus injection, subjects with Chronic Obstructive Pulmonary Disease (COPD)

Outcomes

Primary Outcome Measures

Percentage of Subjects Who Had a >15% Decrease in Forced Expiratory Volume in 1 Second (FEV1) at the 2-hour Postbaseline Assessment
FEV1 data was obtained by spirometry measures.

Secondary Outcome Measures

Use of Short-acting Bronchodilators for Treatment of Symptoms After Study Drug Administration
The data represents the numbers of subjects using short acting bronchodilators at time of selected Adverse Event (AE). Short acting bronchodilators are defined as medications coded to drugs for obstructive airway disease. The selected respiratory symptomatic AEs included the following preferred terms: dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea, & wheezing.
Use of Short-acting Bronchodilators for Treatment of Symptoms After Study Drug Administration
The data represents the numbers of subjects using short acting bronchodilators at time of selected Adverse Event (AE). Short acting bronchodilators are defined as medications coded to drugs for obstructive airway disease. The selected respiratory symptomatic AEs included the following preferred terms: dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea, & wheezing.
Change From Baseline to the 2 Hour Post-dose Assessment for FEV1 Absolute Values
FEV1 data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Change From Baseline to the 2 Hour Post-dose Assessment for FEV1 Percent Predicted
FEV1 data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Change From Baseline to the 2 Hour Post-dose Assessment for Forced Vital Capacity (FVC)
FVC data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Change From Baseline to the 2 Hour Post-dose Assessment for FEV1/ FVC Ratio
FEV1 and FVC data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Change From Baseline to the 2 Hour Post-dose Assessment for Oxygen Saturation Measured by Pulse Oximetry
Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Percentage of Selected Respiratory Adverse Events
The selected respiratory Adverse Events are dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea and wheezing. Subjects may have reported more than one type of Adverse Event.

Full Information

First Posted
March 15, 2009
Last Updated
September 12, 2012
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00862641
Brief Title
A Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease
Official Title
A Phase 4, Multi-Center, Double-Blind, Randomized, Placebo-Controlled Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease (COPD).
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
April 2009 (undefined)
Primary Completion Date
October 2009 (Actual)
Study Completion Date
October 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is intended to determine the safety and tolerance of regadenoson in subjects with asthma or chronic obstructive pulmonary disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma, Coronary Artery Disease, Pulmonary Disease, Chronic Obstructive
Keywords
regadenoson, CVT 3146, asthma, coronary artery disease, pulmonary disease, chronic obstructive

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1009 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo - Asthma
Arm Type
Placebo Comparator
Arm Description
Matching intravenous (IV) bolus injection, subjects with Asthma
Arm Title
Regadenoson - Asthma
Arm Type
Experimental
Arm Description
0.4mg / 5mL intravenous bolus injection, subjects with Asthma
Arm Title
Placebo - COPD
Arm Type
Placebo Comparator
Arm Description
Matching intravenous bolus injection, subjects with Chronic Obstructive Pulmonary Disease (COPD)
Arm Title
Regadenoson - COPD
Arm Type
Experimental
Arm Description
0.4mg / 5mL intravenous bolus injection, subjects with Chronic Obstructive Pulmonary Disease (COPD)
Intervention Type
Drug
Intervention Name(s)
Regadenoson
Other Intervention Name(s)
CVT3146, Lexiscan
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
IV
Primary Outcome Measure Information:
Title
Percentage of Subjects Who Had a >15% Decrease in Forced Expiratory Volume in 1 Second (FEV1) at the 2-hour Postbaseline Assessment
Description
FEV1 data was obtained by spirometry measures.
Time Frame
2 Hours post dose
Secondary Outcome Measure Information:
Title
Use of Short-acting Bronchodilators for Treatment of Symptoms After Study Drug Administration
Description
The data represents the numbers of subjects using short acting bronchodilators at time of selected Adverse Event (AE). Short acting bronchodilators are defined as medications coded to drugs for obstructive airway disease. The selected respiratory symptomatic AEs included the following preferred terms: dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea, & wheezing.
Time Frame
Within 2 Hours of study drug administration
Title
Use of Short-acting Bronchodilators for Treatment of Symptoms After Study Drug Administration
Description
The data represents the numbers of subjects using short acting bronchodilators at time of selected Adverse Event (AE). Short acting bronchodilators are defined as medications coded to drugs for obstructive airway disease. The selected respiratory symptomatic AEs included the following preferred terms: dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea, & wheezing.
Time Frame
Within 24 Hours of study drug administration
Title
Change From Baseline to the 2 Hour Post-dose Assessment for FEV1 Absolute Values
Description
FEV1 data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Time Frame
Baseline and Hour 2
Title
Change From Baseline to the 2 Hour Post-dose Assessment for FEV1 Percent Predicted
Description
FEV1 data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Time Frame
Baseline and Hour 2
Title
Change From Baseline to the 2 Hour Post-dose Assessment for Forced Vital Capacity (FVC)
Description
FVC data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Time Frame
Baseline and Hour 2
Title
Change From Baseline to the 2 Hour Post-dose Assessment for FEV1/ FVC Ratio
Description
FEV1 and FVC data was obtained by spirometry measurements. Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Time Frame
Baseline and Hour 2
Title
Change From Baseline to the 2 Hour Post-dose Assessment for Oxygen Saturation Measured by Pulse Oximetry
Description
Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
Time Frame
Baseline and Hour 2
Title
Percentage of Selected Respiratory Adverse Events
Description
The selected respiratory Adverse Events are dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea and wheezing. Subjects may have reported more than one type of Adverse Event.
Time Frame
Within 24 Hours of study drug administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has asthma or stable chronic obstructive pulmonary disease (COPD). Subject has a diagnosis of coronary artery disease (CAD) or risk factors for CAD as determined by a current medical diagnosis of at least 2 of the following conditions: Type 2 diabetes, hypertension, hypercholesterolemia, current or history of cigarette smoking (minimum 10 pack-years exposure) or obesity Body Mass Index (BMI > 30). Subject must abstain from smoking 3 hours prior and 8 hours post study drug administration. Subject must abstain from any intake of foods and beverages containing a methylated xanthine derivative (i.e. caffeine, theobromine, or methylxanthine) within 12 hours prior to study drug administration through the Follow-Up visit, as these foods may reduce the effects of regadenoson. Subject is able to safely abstain from theophylline for 12 hours prior to the Day 1 visit, as determined by the Investigator Asthma subject's frequency and severity of symptoms have remained unchanged within 30 days prior to study drug administration Asthma subject has FEV1 ≥60% predicted COPD subject has FEV1/FVC < 0.70 Exclusion Criteria: Female subject who is pregnant, lactating or of childbearing potential who refuses to use a medically acceptable form of contraception until the Follow-Up visit is complete. Subject started on a course of corticosteroids, steroid combination with long-acting Beta2-agonist (LABA) (oral or inhaled) or anticholinergic, or has undergone a change in dose of such medications ≤ 30 days prior to study drug administration (subject on a stable dose of such medications for > 30 days prior to study drug administration is allowed). Subject started leukotriene antagonists (e.g., montelukast), cromones (e.g., cromolyn sodium) or 5-lipoxygenase antagonists (e.g. zileuton or zyflo) or has undergone a change in dose of medications in these drug classes ≤ 7 days prior to study drug administration (subject on a stable dose of these medications for > 7 days prior to study drug administration is allowed). Subject has a history of second or third degree heart block or sinus node dysfunction unless the subject has a functioning pacemaker. Subject has symptomatic hypotension (temporary and reversible conditions that no longer exist are allowed). Subject is allergic or intolerant to aminophylline. Subject has had a respiratory infection within 2 weeks prior to randomization. Subject has had surgery within 3 months prior to randomization.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Use Central Contact
Organizational Affiliation
Astellas Pharma Global Development
Official's Role
Study Director
Facility Information:
City
Montgomery
State/Province
Alabama
ZIP/Postal Code
36117
Country
United States
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
City
Encinitas
State/Province
California
ZIP/Postal Code
92024
Country
United States
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
City
Huntington Beach
State/Province
California
ZIP/Postal Code
92647
Country
United States
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
City
Mission Viejo
State/Province
California
ZIP/Postal Code
92691
Country
United States
City
Roseville
State/Province
California
ZIP/Postal Code
95661
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92120
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
City
Santa Ana
State/Province
California
ZIP/Postal Code
92704
Country
United States
City
Waterbury
State/Province
Connecticut
ZIP/Postal Code
06708
Country
United States
City
Newark
State/Province
Delaware
ZIP/Postal Code
19713
Country
United States
City
Wilmington
State/Province
Delaware
ZIP/Postal Code
19807
Country
United States
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
City
Deland
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
City
Trinity
State/Province
Florida
ZIP/Postal Code
34655
Country
United States
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
City
Aurora
State/Province
Illinois
ZIP/Postal Code
60504
Country
United States
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66606
Country
United States
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71104
Country
United States
City
Auburn
State/Province
Maine
ZIP/Postal Code
04210
Country
United States
City
No. Dartmouth
State/Province
Massachusetts
ZIP/Postal Code
02747
Country
United States
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
City
Plymouth
State/Province
Minnesota
ZIP/Postal Code
55441
Country
United States
City
St Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
City
Papillion
State/Province
Nebraska
ZIP/Postal Code
68046
Country
United States
City
Brick
State/Province
New Jersey
ZIP/Postal Code
08723
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
City
Chardon
State/Province
Ohio
ZIP/Postal Code
44024
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45206
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45231
Country
United States
City
Oklahoma
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
City
Medford
State/Province
Oregon
ZIP/Postal Code
97504
Country
United States
City
Upland
State/Province
Pennsylvania
ZIP/Postal Code
19013
Country
United States
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02906
Country
United States
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
City
Easley
State/Province
South Carolina
ZIP/Postal Code
29640
Country
United States
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29615
Country
United States
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37920
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22484721
Citation
Prenner BM, Bukofzer S, Behm S, Feaheny K, McNutt BE. A randomized, double-blind, placebo-controlled study assessing the safety and tolerability of regadenoson in subjects with asthma or chronic obstructive pulmonary disease. J Nucl Cardiol. 2012 Aug;19(4):681-92. doi: 10.1007/s12350-012-9547-4. Epub 2012 Apr 7.
Results Reference
result
Links:
URL
http://www.astellas.us/docs/lexiscan.pdf
Description
Link to Prescribing information

Learn more about this trial

A Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease

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