A Study to Assess Pharmacokinetics, Safety and Tolerability of Multiple Doses of CAT-354 in Subjects With Moderate Asthma
Primary Purpose
Moderate Asthma
Status
Terminated
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
CAT-354 1mg/kg
CAT-354 5 mg/kg
CAT-354 10mg/kg
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Moderate Asthma focused on measuring Asthma, CAT-354, Tralokinumab
Eligibility Criteria
Inclusion Criteria:
- Males or infertile females
- Subjects with asthma, well controlled on inhaled corticosteroid and taken as required (PRN) short acting beta 2 agonist therapy only
- Unchanged dose of inhaled corticosteroid for 3 months prior to Day 0 and no expected need for change in dose during study
- Forced expiratory volume in 1 second (FEV1) greater than or equal to 80% predicted at Screening (Baseline)
- 18-60 years
- General Practitioner diagnosis of asthma of 1 year's minimum duration (with respect to Day 0)
- No significant abnormality on clinical examination or medical history (excluding atopic skin signs, symptoms and history)
- 12-lead electrocardiogram with no clinical significant abnormality
- Clinical chemistry hematology and urinalysis results within the laboratory reference ranges or deemed not clinically significant by the Investigator
- A negative screen for drugs of abuse and alcohol
- Body weight between 50-120 kg
- Subjects aged between 18-40 years inclusive must have body mass index (BMI) 18-32 kilogram per square meter (kg/m^2) inclusive. Subjects aged between 41-60 years must have BMI between 18-30 kg/m^2 inclusive.
Exclusion Criteria:
- Active concomitant disease, with exception of eczema
- Expected onset of seasonal allergy before the administration of the last dose of study medication
- History of severe exacerbation within 3 years of Day 0
- Recorded use of inhaled short acting beta 2 agonist medication for symptoms within 14 days of Day 0 of: More than 6 doses per day on any 1 day or more than 3 doses per day on 6 or more days
- Any medication other than: inhaled short-acting beta 2 agonist, inhaled corticosteroids, topic eczema treatments (with the exception of fluorinated corticosteroid, dermatological preparations which are not permitted), hormone replacement therapy, vitamin preparation/food supplements, occasional use of proton pump inhibitors, ranitidine, cimetidine, antacids or over-the-counter analgesics
- Treatment within 6 months of Day 0 with any of the following: methylxanthines, inhaled cromones, leukotriene modifiers, anti- immunoglobulin E (IgE), anticholinergics, ketotifen, oral short acting B2 agonists, long-acting B2 agonists, oral or injected corticosteroids
- Treatment of atopic symptoms, other than eczema, within 4 weeks of Day 0
- History of medication that might carry-over effects into the study
- Previously received monoclonal antibody, or a similar related protein, that might sensitize to CAT-354
- Participation in another study within three months of the start of the study or 5 half lives of the previously administered investigational medicinal product (IMP), whichever is longer
- Lower respiratory tract infection within 4 weeks of Day-14
- Any acute illness in the two weeks before Day 0
- Current smokers, those who have smoked in previous year, and those with smoking history of greater than or equal to 10 pack years
- Considered by the investigator to be at risk of transmitting, through blood, the agents responsible for infectious diseases
- Blood donation (550 ml) in the previous 2 months
- Excessive intake of alcohol (more than 21 units a week for females or 28 units a week for males)
- The subject's general practitioner has suggested a reason the subject should not participate in the study
- The Investigator considers the subject should not take part for any reason.
Sites / Locations
- Chiltern International Limited
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
CAT-354 1 mg/kg
CAT-354 5 mg/kg
CAT-354 10mg/kg
Placebo
Arm Description
CAT-354 1 milligram/kilogram (mg/kg) of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
CAT-354 5 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
CAT-354 10 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Placebo matched to CAT-354 intravenous infusion over 30 minutes on Day 0, 28 and 56.
Outcomes
Primary Outcome Measures
Maximum Observed Serum Concentration (Cmax) for CAT-354 After First Dose
Maximum Observed Serum Concentration (Cmax) for CAT-354 After Second Dose
Maximum Observed Serum Concentration (Cmax) for CAT-354 After Third Dose
Area Under the Serum Concentration Time Curve From Time Zero to Last Measurable Concentration (AUC[0 - t]) for CAT-354 After First Dose
Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0 - Infinity]) for CAT-354 After First Dose
AUC (0 - infinity) = Area under the serum concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - infinity). It is obtained from AUC (0 - t) plus AUC (t - infinity).
Apparent Terminal Elimination Phase Half-Life (t[1/2]el) for CAT-354 After First Dose
Terminal elimination phase half-life is the time measured for the serum concentration to decrease by one half.
Clearance (CL) for CAT-354 After First Dose
Clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Clearance was normalized by the body weight of the participant.
Volume of Distribution (Vd) for CAT-354 After First Dose
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Volume of distribution was normalized to the body weight of the participant.
Observed Serum Drug Concentration for CAT-354 28 Days (C28) After First Dose
Observed Serum Drug Concentration for CAT-354 28 Days (C28) After Second Dose
Observed Serum Concentration for CAT-354 28 Days (C28) After Third Dose
Accumulation Ratio (R0) for CAT-354
Accumulation ratio is calculated as: R0 = AUC(56 - 84)/AUC(0 - 28) where AUC(0 - 28) and AUC(56 - 84) are the area under the serum concentration time curve over a dosage interval determined after the first dose (Day 0 to Day 28) and after the third dose (Day 56 to Day 84), respectively.
Secondary Outcome Measures
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Day 147 that were absent before treatment or that worsened relative to pre-treatment state.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00974675
Brief Title
A Study to Assess Pharmacokinetics, Safety and Tolerability of Multiple Doses of CAT-354 in Subjects With Moderate Asthma
Official Title
A Double-Blind, Placebo Controlled Study to Assess the Pharmacokinetics, Safety and Tolerability of Multiple Intravenous Doses of 3 Dose Levels of CAT-354 in Subjects With Moderate Asthma
Study Type
Interventional
2. Study Status
Record Verification Date
March 2017
Overall Recruitment Status
Terminated
Why Stopped
Study recruitment was terminated before the planned number of subjects was enrolled in CAT-354 10 mg/kg group due to the slow recruitment rate.
Study Start Date
September 29, 2006 (Actual)
Primary Completion Date
August 3, 2007 (Actual)
Study Completion Date
August 3, 2007 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The study includes participants with moderate asthma who were randomly assigned to receive the study medication (CAT-354) or placebo.
Detailed Description
This study is a randomized, double-blind, placebo controlled study. Following confirmation of eligibility, subjects with moderate asthma will be recruited sequentially to one of three dose groups and randomly assigned within dose group to either CAT-354 or placebo. Doses of the assigned treatment will be administered on three occasions 28 days apart. Follow up for pharmacokinetic blood sampling and safety will continue to Day 147 post-first dose (91 days post-third dose).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Moderate Asthma
Keywords
Asthma, CAT-354, Tralokinumab
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
23 (Actual)
8. Arms, Groups, and Interventions
Arm Title
CAT-354 1 mg/kg
Arm Type
Experimental
Arm Description
CAT-354 1 milligram/kilogram (mg/kg) of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Arm Title
CAT-354 5 mg/kg
Arm Type
Experimental
Arm Description
CAT-354 5 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Arm Title
CAT-354 10mg/kg
Arm Type
Experimental
Arm Description
CAT-354 10 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo matched to CAT-354 intravenous infusion over 30 minutes on Day 0, 28 and 56.
Intervention Type
Biological
Intervention Name(s)
CAT-354 1mg/kg
Other Intervention Name(s)
Tralokinumab
Intervention Description
CAT-354 1 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Intervention Type
Biological
Intervention Name(s)
CAT-354 5 mg/kg
Other Intervention Name(s)
Tralokinumab
Intervention Description
CAT-354 5 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Intervention Type
Biological
Intervention Name(s)
CAT-354 10mg/kg
Other Intervention Name(s)
Tralokinumab
Intervention Description
CAT-354 10 mg/kg of body weight intravenous infusion over 30 minutes on Day 0, 28 and 56.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo matched to CAT-354 intravenous infusion over 30 minutes on Day 0, 28 and 56.
Primary Outcome Measure Information:
Title
Maximum Observed Serum Concentration (Cmax) for CAT-354 After First Dose
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
Title
Maximum Observed Serum Concentration (Cmax) for CAT-354 After Second Dose
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 28; Day 35
Title
Maximum Observed Serum Concentration (Cmax) for CAT-354 After Third Dose
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 56; Day 63, 84, 105 and 147
Title
Area Under the Serum Concentration Time Curve From Time Zero to Last Measurable Concentration (AUC[0 - t]) for CAT-354 After First Dose
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
Title
Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0 - Infinity]) for CAT-354 After First Dose
Description
AUC (0 - infinity) = Area under the serum concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - infinity). It is obtained from AUC (0 - t) plus AUC (t - infinity).
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
Title
Apparent Terminal Elimination Phase Half-Life (t[1/2]el) for CAT-354 After First Dose
Description
Terminal elimination phase half-life is the time measured for the serum concentration to decrease by one half.
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
Title
Clearance (CL) for CAT-354 After First Dose
Description
Clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Clearance was normalized by the body weight of the participant.
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
Title
Volume of Distribution (Vd) for CAT-354 After First Dose
Description
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Volume of distribution was normalized to the body weight of the participant.
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
Title
Observed Serum Drug Concentration for CAT-354 28 Days (C28) After First Dose
Time Frame
Pre-dose on Day 28
Title
Observed Serum Drug Concentration for CAT-354 28 Days (C28) After Second Dose
Time Frame
Pre-dose on Day 56
Title
Observed Serum Concentration for CAT-354 28 Days (C28) After Third Dose
Time Frame
Day 84
Title
Accumulation Ratio (R0) for CAT-354
Description
Accumulation ratio is calculated as: R0 = AUC(56 - 84)/AUC(0 - 28) where AUC(0 - 28) and AUC(56 - 84) are the area under the serum concentration time curve over a dosage interval determined after the first dose (Day 0 to Day 28) and after the third dose (Day 56 to Day 84), respectively.
Time Frame
Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0 and 56; Pre-dose on Day 28; Day 4, 7, 14, 21, 63 and 84
Secondary Outcome Measure Information:
Title
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Description
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Day 147 that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
Day 0 to Day 147
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males or infertile females
Subjects with asthma, well controlled on inhaled corticosteroid and taken as required (PRN) short acting beta 2 agonist therapy only
Unchanged dose of inhaled corticosteroid for 3 months prior to Day 0 and no expected need for change in dose during study
Forced expiratory volume in 1 second (FEV1) greater than or equal to 80% predicted at Screening (Baseline)
18-60 years
General Practitioner diagnosis of asthma of 1 year's minimum duration (with respect to Day 0)
No significant abnormality on clinical examination or medical history (excluding atopic skin signs, symptoms and history)
12-lead electrocardiogram with no clinical significant abnormality
Clinical chemistry hematology and urinalysis results within the laboratory reference ranges or deemed not clinically significant by the Investigator
A negative screen for drugs of abuse and alcohol
Body weight between 50-120 kg
Subjects aged between 18-40 years inclusive must have body mass index (BMI) 18-32 kilogram per square meter (kg/m^2) inclusive. Subjects aged between 41-60 years must have BMI between 18-30 kg/m^2 inclusive.
Exclusion Criteria:
Active concomitant disease, with exception of eczema
Expected onset of seasonal allergy before the administration of the last dose of study medication
History of severe exacerbation within 3 years of Day 0
Recorded use of inhaled short acting beta 2 agonist medication for symptoms within 14 days of Day 0 of: More than 6 doses per day on any 1 day or more than 3 doses per day on 6 or more days
Any medication other than: inhaled short-acting beta 2 agonist, inhaled corticosteroids, topic eczema treatments (with the exception of fluorinated corticosteroid, dermatological preparations which are not permitted), hormone replacement therapy, vitamin preparation/food supplements, occasional use of proton pump inhibitors, ranitidine, cimetidine, antacids or over-the-counter analgesics
Treatment within 6 months of Day 0 with any of the following: methylxanthines, inhaled cromones, leukotriene modifiers, anti- immunoglobulin E (IgE), anticholinergics, ketotifen, oral short acting B2 agonists, long-acting B2 agonists, oral or injected corticosteroids
Treatment of atopic symptoms, other than eczema, within 4 weeks of Day 0
History of medication that might carry-over effects into the study
Previously received monoclonal antibody, or a similar related protein, that might sensitize to CAT-354
Participation in another study within three months of the start of the study or 5 half lives of the previously administered investigational medicinal product (IMP), whichever is longer
Lower respiratory tract infection within 4 weeks of Day-14
Any acute illness in the two weeks before Day 0
Current smokers, those who have smoked in previous year, and those with smoking history of greater than or equal to 10 pack years
Considered by the investigator to be at risk of transmitting, through blood, the agents responsible for infectious diseases
Blood donation (550 ml) in the previous 2 months
Excessive intake of alcohol (more than 21 units a week for females or 28 units a week for males)
The subject's general practitioner has suggested a reason the subject should not participate in the study
The Investigator considers the subject should not take part for any reason.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MedImmune LLC
Organizational Affiliation
MedImmune LLC
Official's Role
Study Director
Facility Information:
Facility Name
Chiltern International Limited
City
Slough
State/Province
Berkshire
ZIP/Postal Code
SL1 2AD
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
20064211
Citation
Singh D, Kane B, Molfino NA, Faggioni R, Roskos L, Woodcock A. A phase 1 study evaluating the pharmacokinetics, safety and tolerability of repeat dosing with a human IL-13 antibody (CAT-354) in subjects with asthma. BMC Pulm Med. 2010 Jan 8;10:3. doi: 10.1186/1471-2466-10-3.
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A Study to Assess Pharmacokinetics, Safety and Tolerability of Multiple Doses of CAT-354 in Subjects With Moderate Asthma
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