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Safety, Tolerability and Pharmacokinetics of ASM-024 Administered to Healthy Subjects and Subjects With Moderate Asthma

Primary Purpose

Asthma

Status
Terminated
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
ASM-024
Sponsored by
Asmacure Ltée
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Healthy Volunteers:

  • Healthy male or female adult, 18 to 55 years of age ; non-smoker or former smoker;
  • Normal lung function; and
  • Normal 12-lead ECG

Asthmatics:

  • Male or female adult, 18 to 60 years of age with diagnosis of moderate asthma according to the GINA Guidelines and on regular inhaled corticosteroids with or without short or long-acting beta 2-agonists;
  • Non-smoker or former smoker;
  • FEV1 ≥ 70 % predicted in the absence of medications for asthma;
  • Baseline methacholine PC20 ≤ 16 mg/mL; and
  • Normal 12-lead ECG.

Exclusion Criteria:

Healthy Volunteers:

  • Clinically significant illness or surgery within 8 weeks prior to first administration of the study medication;
  • Significant medical history that, in the Investigator's opinion, may adversely affect participation;
  • History of allergy or significant adverse reaction to drugs similar to ASM-024, to nicotine, or to cholinergic drugs or any drugs with a similar chemical structure;
  • History of hypersensitivity (anaphylaxis, angioedema) to any drug;
  • Use of any drug known to induce or inhibit hepatic drug metabolism, within 30 days prior to first administration of the study medication;
  • Positive pregnancy test for female subjects;
  • Use of medications known to prolong QT/QTc interval within 14 days prior to the first administration of the study medication;
  • Clinically significant 12 lead ECG abnormalities at Screening;;
  • Clinically significant physical examination or laboratory findings at Screening;
  • History of alcohol or drug abuse;
  • Tobacco use within 12 months prior to Screening, or nicotine-containing products within 6 months prior to Screening. History of smoking must be ≤ 10 pack-years;
  • Positive hepatitis B or C or HIV test at Screening;
  • Investigational drug within 30 days prior to first administration of the study medication, or long-acting investigational drug within 90 days prior to first administration of the study medication;
  • Previous exposure to ASM-024; and
  • Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control.

Asthmatics:

  • Clinically significant illness or surgery within 8 weeks prior to first administration of the study medication;
  • Significant medical history that, in the Investigator's opinion, may adversely affect participation;
  • History of allergy or significant adverse reaction to drugs similar to ASM-024, to nicotine, or to cholinergic drugs or any drugs with a similar chemical structure;
  • History of hypersensitivity (anaphylaxis, angioedema) to any drug;
  • Use of any drug known to induce or inhibit hepatic drug metabolism, within 30 days prior to first administration of the study medication;
  • Positive pregnancy test for female subjects;
  • Use of medications known to prolong QT/QTc interval;
  • Clinically significant 12 lead ECG at Screening;
  • Clinically significant physical examination or laboratory findings or abnormal vital signs;
  • Baseline methacholine PC20 > 16 mg/mL at Screening;
  • History of illicit drug use or alcohol abuse within 12 months of Screening;
  • Tobacco use within 12 months prior to Screening, or nicotine-containing products within 6 months prior to Screening. History of smoking must be ≤ 10 pack-years;
  • Positive hepatitis B or C or HIV test at Screening;
  • Any of the following concomitant medications preceding the administration of methacholine during Screening and preceding the administration of the study medication at Visit 1: (i) oral or i.v. corticosteroids within 1 month; (ii) inhaled or intranasal corticosteroids within 48 hours; (iii) long-acting beta-2-agonists within 48 hours; (iv) short-acting beta-2-agonists within 8 hours; (v) anticholinergic aerosol within 24 hours; (vi) theophyline-containing products within 48 hours; (vii) NSAIDs within 7 days preceding the administration of methacholine during Screening and throughout the study; and (viii) antihistaminic drugs within 3 days;
  • Investigational drug within 30 days of Screening; long-acting investigational drug within 90 days of Screening;
  • Previous exposure to ASM-024; and
  • Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control.

Sites / Locations

  • PharmaNet
  • Institut universitaire de cardiologie et de pneumologie de Québec

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Arm Label

Healthy Subjects - ASM-024 Single Administration

Healthy Subjects - Placebo

Healthy Subjects - ASM-024 Repeat Administration

Healthy Subjects - Placebo Repeat Administration

Subjects with Asthma

Arm Description

Single administration of ascending doses of ASM-024

Single administration of placebo

Repeat administration of ascending doses of ASM-024

Repeat administration of ascending doses of placebo

Repeat administration of ascending doses of ASM-024 or placebo in a crossover fashion

Outcomes

Primary Outcome Measures

adverse events, spirometry

Secondary Outcome Measures

Full Information

First Posted
February 14, 2013
Last Updated
February 9, 2015
Sponsor
Asmacure Ltée
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1. Study Identification

Unique Protocol Identification Number
NCT01793298
Brief Title
Safety, Tolerability and Pharmacokinetics of ASM-024 Administered to Healthy Subjects and Subjects With Moderate Asthma
Official Title
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Multiple Ascending Doses of ASM-024 Administered by Dry Powder Inhalation to Healthy Subjects and Subjects With Stable Moderate Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Terminated
Why Stopped
Lack of efficacy
Study Start Date
March 2013 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Asmacure Ltée

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and tolerability of the dry powder formulation of ASM-024 following single and multiple administration by inhalation of ascending doses in healthy subjects and subjects with stable moderate asthma.
Detailed Description
This is a phase I/II, randomized, double-blind, placebo-controlled study of single ascending and multiple ascending doses of ASM-024 administered by dry powder inhalation to healthy subjects and subjects with stable moderate asthma. The goal of this study is to evaluate the safety, tolerability and pharmacokinetic profile of a new, dry powder formulation of ASM-024. The doses that will be tested in subjects with asthma will be determined based on the information collected first in healthy volunteers. In addition to standard safety and tolerability evaluations, the acute effects of the study medication on the airways will be assessed.

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 1, Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
55 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Healthy Subjects - ASM-024 Single Administration
Arm Type
Experimental
Arm Description
Single administration of ascending doses of ASM-024
Arm Title
Healthy Subjects - Placebo
Arm Type
Placebo Comparator
Arm Description
Single administration of placebo
Arm Title
Healthy Subjects - ASM-024 Repeat Administration
Arm Type
Experimental
Arm Description
Repeat administration of ascending doses of ASM-024
Arm Title
Healthy Subjects - Placebo Repeat Administration
Arm Type
Placebo Comparator
Arm Description
Repeat administration of ascending doses of placebo
Arm Title
Subjects with Asthma
Arm Type
Experimental
Arm Description
Repeat administration of ascending doses of ASM-024 or placebo in a crossover fashion
Intervention Type
Drug
Intervention Name(s)
ASM-024
Intervention Description
Ascending doses of ASM-024
Primary Outcome Measure Information:
Title
adverse events, spirometry
Time Frame
up to 7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy Volunteers: Healthy male or female adult, 18 to 55 years of age ; non-smoker or former smoker; Normal lung function; and Normal 12-lead ECG Asthmatics: Male or female adult, 18 to 60 years of age with diagnosis of moderate asthma according to the GINA Guidelines and on regular inhaled corticosteroids with or without short or long-acting beta 2-agonists; Non-smoker or former smoker; FEV1 ≥ 70 % predicted in the absence of medications for asthma; Baseline methacholine PC20 ≤ 16 mg/mL; and Normal 12-lead ECG. Exclusion Criteria: Healthy Volunteers: Clinically significant illness or surgery within 8 weeks prior to first administration of the study medication; Significant medical history that, in the Investigator's opinion, may adversely affect participation; History of allergy or significant adverse reaction to drugs similar to ASM-024, to nicotine, or to cholinergic drugs or any drugs with a similar chemical structure; History of hypersensitivity (anaphylaxis, angioedema) to any drug; Use of any drug known to induce or inhibit hepatic drug metabolism, within 30 days prior to first administration of the study medication; Positive pregnancy test for female subjects; Use of medications known to prolong QT/QTc interval within 14 days prior to the first administration of the study medication; Clinically significant 12 lead ECG abnormalities at Screening;; Clinically significant physical examination or laboratory findings at Screening; History of alcohol or drug abuse; Tobacco use within 12 months prior to Screening, or nicotine-containing products within 6 months prior to Screening. History of smoking must be ≤ 10 pack-years; Positive hepatitis B or C or HIV test at Screening; Investigational drug within 30 days prior to first administration of the study medication, or long-acting investigational drug within 90 days prior to first administration of the study medication; Previous exposure to ASM-024; and Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control. Asthmatics: Clinically significant illness or surgery within 8 weeks prior to first administration of the study medication; Significant medical history that, in the Investigator's opinion, may adversely affect participation; History of allergy or significant adverse reaction to drugs similar to ASM-024, to nicotine, or to cholinergic drugs or any drugs with a similar chemical structure; History of hypersensitivity (anaphylaxis, angioedema) to any drug; Use of any drug known to induce or inhibit hepatic drug metabolism, within 30 days prior to first administration of the study medication; Positive pregnancy test for female subjects; Use of medications known to prolong QT/QTc interval; Clinically significant 12 lead ECG at Screening; Clinically significant physical examination or laboratory findings or abnormal vital signs; Baseline methacholine PC20 > 16 mg/mL at Screening; History of illicit drug use or alcohol abuse within 12 months of Screening; Tobacco use within 12 months prior to Screening, or nicotine-containing products within 6 months prior to Screening. History of smoking must be ≤ 10 pack-years; Positive hepatitis B or C or HIV test at Screening; Any of the following concomitant medications preceding the administration of methacholine during Screening and preceding the administration of the study medication at Visit 1: (i) oral or i.v. corticosteroids within 1 month; (ii) inhaled or intranasal corticosteroids within 48 hours; (iii) long-acting beta-2-agonists within 48 hours; (iv) short-acting beta-2-agonists within 8 hours; (v) anticholinergic aerosol within 24 hours; (vi) theophyline-containing products within 48 hours; (vii) NSAIDs within 7 days preceding the administration of methacholine during Screening and throughout the study; and (viii) antihistaminic drugs within 3 days; Investigational drug within 30 days of Screening; long-acting investigational drug within 90 days of Screening; Previous exposure to ASM-024; and Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yvon Cormier, M.D.
Organizational Affiliation
Asmacure Ltée
Official's Role
Study Chair
Facility Information:
Facility Name
PharmaNet
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1P 0A2
Country
Canada
Facility Name
Institut universitaire de cardiologie et de pneumologie de Québec
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1V 4G5
Country
Canada

12. IPD Sharing Statement

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Safety, Tolerability and Pharmacokinetics of ASM-024 Administered to Healthy Subjects and Subjects With Moderate Asthma

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