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Safety Study to Evaluate MN-221 in Chronic Obstructive Pulmonary Disease (COPD) Patients

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MN-221
Placebo
Sponsored by
MediciNova
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring safety, pharmacokinetics, spirometry

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female 40-75 years of age, inclusive;
  • History of physician-diagnosed (e.g., by clinical history, >15-pack year history of smoking, physical examination, and spirometry) COPD treated for ≥ 3 months prior to Visit 1 Pre-Screening;
  • FEV1 ≥ 30% and < 80% predicted and FEV1/FVC ratio < 0.7 at Visit 1 Pre-Screening and Visit 2 Screening;
  • Negative urine pregnancy test for all females unless the subject is post-menopausal (≥ 24 months of spontaneous amenorrhea) or surgically sterile (hysterectomy, bilateral ovariectomy or bilateral tubal ligation);
  • Negative urine drug screen for cocaine, phencyclidine (PCP), methamphetamine;
  • Negative alcohol breath test;
  • Electrocardiogram (ECG) without serious abnormality and with QTcB and QTcF < 460 milliseconds (msec);
  • Ability to wash-out of concomitant LABA and Theophylline, if ongoing, for 7-8 days (i.e., Visit 2 Screening through 5-Day Treatment Period).
  • Legally effective written informed consent obtained prior to starting any study procedures.
  • Subject willing and able to comply with the protocol and procedures, as judged by Investigator.

Exclusion Criteria:

  • Sustained release methylxanthine (e.g. Theophylline) or long acting beta agonists ≤ 48 hours prior to treatment start (Day 1);
  • Acute exacerbation of COPD requiring emergency treatment ≤ 30 days of screening or hospitalization ≤ 60 days of Visit 2 Screening;
  • Antibiotic therapy for respiratory infection ≤ 15 days of Visit 2 Screening;
  • Presence of active respiratory disease such as pneumonia and acute exacerbation of chronic bronchitis;
  • Hypokalemia defined as a potassium level <3.0 mmol/L at Visit 2 Screening. note: Subjects <3.0 mmol/L may be re-screened at Visit 2 Screening after receiving potassium replacement therapy;
  • Significant clinical laboratory abnormality that, in the opinion of the Investigator, may put the subject at risk;
  • Significant renal, hepatic, endocrine, neurologic or other systemic disease that, in the opinion of the Investigator, may put the subject at undue risk;
  • Uncontrolled hypertension (defined as a blood pressure ≥ 170/100 mm Hg at Visit 1 Pre-Screening) and/or uncontrolled angina, uncontrolled diabetes, uncontrolled congestive heart failure (CHF), uncontrolled serious arrhythmia;
  • Myocardial infarction within 6 months of treatment start;
  • Pregnant or lactating females;
  • Participation in another clinical study with an investigational drug within 30 days of Visit 1 Pre-Screening;
  • Patients with home oxygen requirements.
  • A known allergy to excipients of the MN-221 drug product;
  • A known allergy to other beta agonists;
  • Currently on medication/s that are recognized to have risk of Torsades de Pointes

Sites / Locations

  • Central Texas Health Research
  • Sylvana Research Associates

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

MN-221

PLACEBO

Arm Description

If the participants qualify, they will be randomized into one of two arms for 4 days. The arms are either Placebo (no medication) or MN-221 intravenously infused.

If the participants qualify, they will be randomized into one of two arms for 4 days. The arms are either Placebo (no medication) or MN-221 intravenously infused.

Outcomes

Primary Outcome Measures

Number of Participants with Adverse Events as a Measure of Safety and Tolerability
The recording of AEs will start after the subject has signed the consent form and will end at the Hour 24 phone interview. Investigator(s) will monitor each subject closely for AEs and the Investigator will record all observed or volunteered AEs.

Secondary Outcome Measures

MN-221 and primary metabolite levels will be analyzed by liquid chromatography/mass spectrometry/mass spectrometry.
Blood samples will be analyzed for MN-221 and primary metabolite levels by liquid chromatography/mass spectrometry (LC/MS/MS.
Evaluation of respiratory parameters (FEV1, peak flow, accessory muscle use, respiratory rate)

Full Information

First Posted
February 8, 2012
Last Updated
May 17, 2012
Sponsor
MediciNova
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1. Study Identification

Unique Protocol Identification Number
NCT01551316
Brief Title
Safety Study to Evaluate MN-221 in Chronic Obstructive Pulmonary Disease (COPD) Patients
Official Title
A Phase Ib Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety of Repeated Administration, Intravenous MN-221 in Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Completed
Study Start Date
March 2012 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MediciNova

4. Oversight

5. Study Description

Brief Summary
In MediciNova's clinical development plan for MN-221, it was recognized that treatment of COPD exacerbations may necessitate more than one single i.v. infusion and that patients in this population may have more co-morbidities (and concomitant medications) than has been generally studied so far. Thus, the primary objective of this clinical study is to determine the repeated administration safety and tolerability of intravenous (i.v.) MN-221 compared to placebo with repeated administration over several days in moderate to severe COPD patients who may also have co-morbidities and concomitant medications (CM) common in this population. Secondary outcomes include pharmacokinetics (PK) and preliminary efficacy (FEV1). This Phase 1b trial follows naturally upon a Phase 1b COPD trial completed last year (MN-221-CL-010) and is additionally well-supported by relevant animal safety data and human clinical trial information.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
Keywords
safety, pharmacokinetics, spirometry

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MN-221
Arm Type
Experimental
Arm Description
If the participants qualify, they will be randomized into one of two arms for 4 days. The arms are either Placebo (no medication) or MN-221 intravenously infused.
Arm Title
PLACEBO
Arm Type
Experimental
Arm Description
If the participants qualify, they will be randomized into one of two arms for 4 days. The arms are either Placebo (no medication) or MN-221 intravenously infused.
Intervention Type
Drug
Intervention Name(s)
MN-221
Other Intervention Name(s)
Bedoradrine Sulfate
Intervention Description
This drug is intravenously infused and delivers 1200 mcg to the patient in 1 hour duration. This dose is repeated over 4 days (Day 1 1200 mcg once; Day 2 1200 mcg twice; Day 3 1200 mcg twice; Day 4 1200 mcg once).
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
This intervention consists of a placebo intravenous infusion, one that contains no active medication. During the double-blind procedure, patients will be infused with placebo intravenously one time on Day 1, twice on Days 2 and 3, and one time on Day 4.
Primary Outcome Measure Information:
Title
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Description
The recording of AEs will start after the subject has signed the consent form and will end at the Hour 24 phone interview. Investigator(s) will monitor each subject closely for AEs and the Investigator will record all observed or volunteered AEs.
Time Frame
Treatment Days 1- 5
Secondary Outcome Measure Information:
Title
MN-221 and primary metabolite levels will be analyzed by liquid chromatography/mass spectrometry/mass spectrometry.
Description
Blood samples will be analyzed for MN-221 and primary metabolite levels by liquid chromatography/mass spectrometry (LC/MS/MS.
Time Frame
Treatment Days 1-5
Title
Evaluation of respiratory parameters (FEV1, peak flow, accessory muscle use, respiratory rate)
Time Frame
Screening, Treatment Days 1,3,5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female 40-75 years of age, inclusive; History of physician-diagnosed (e.g., by clinical history, >15-pack year history of smoking, physical examination, and spirometry) COPD treated for ≥ 3 months prior to Visit 1 Pre-Screening; FEV1 ≥ 30% and < 80% predicted and FEV1/FVC ratio < 0.7 at Visit 1 Pre-Screening and Visit 2 Screening; Negative urine pregnancy test for all females unless the subject is post-menopausal (≥ 24 months of spontaneous amenorrhea) or surgically sterile (hysterectomy, bilateral ovariectomy or bilateral tubal ligation); Negative urine drug screen for cocaine, phencyclidine (PCP), methamphetamine; Negative alcohol breath test; Electrocardiogram (ECG) without serious abnormality and with QTcB and QTcF < 460 milliseconds (msec); Ability to wash-out of concomitant LABA and Theophylline, if ongoing, for 7-8 days (i.e., Visit 2 Screening through 5-Day Treatment Period). Legally effective written informed consent obtained prior to starting any study procedures. Subject willing and able to comply with the protocol and procedures, as judged by Investigator. Exclusion Criteria: Sustained release methylxanthine (e.g. Theophylline) or long acting beta agonists ≤ 48 hours prior to treatment start (Day 1); Acute exacerbation of COPD requiring emergency treatment ≤ 30 days of screening or hospitalization ≤ 60 days of Visit 2 Screening; Antibiotic therapy for respiratory infection ≤ 15 days of Visit 2 Screening; Presence of active respiratory disease such as pneumonia and acute exacerbation of chronic bronchitis; Hypokalemia defined as a potassium level <3.0 mmol/L at Visit 2 Screening. note: Subjects <3.0 mmol/L may be re-screened at Visit 2 Screening after receiving potassium replacement therapy; Significant clinical laboratory abnormality that, in the opinion of the Investigator, may put the subject at risk; Significant renal, hepatic, endocrine, neurologic or other systemic disease that, in the opinion of the Investigator, may put the subject at undue risk; Uncontrolled hypertension (defined as a blood pressure ≥ 170/100 mm Hg at Visit 1 Pre-Screening) and/or uncontrolled angina, uncontrolled diabetes, uncontrolled congestive heart failure (CHF), uncontrolled serious arrhythmia; Myocardial infarction within 6 months of treatment start; Pregnant or lactating females; Participation in another clinical study with an investigational drug within 30 days of Visit 1 Pre-Screening; Patients with home oxygen requirements. A known allergy to excipients of the MN-221 drug product; A known allergy to other beta agonists; Currently on medication/s that are recognized to have risk of Torsades de Pointes
Facility Information:
Facility Name
Central Texas Health Research
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
Facility Name
Sylvana Research Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

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Safety Study to Evaluate MN-221 in Chronic Obstructive Pulmonary Disease (COPD) Patients

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