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Bronchodilator Properties and Safety in Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
V0162
Placebo
Sponsored by
Pierre Fabre Medicament
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Asthma, COPD, broncodilator, airway, lung, inhalation, antimuscarinic

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Aged 18 to 65 years-old.
  • 18 ≤ BMI <30 kg/m².
  • Clinical history consistent asthma, in the judgement of the investigator.
  • Asthma controlled or partly controlled according to GINA 2012 criteria:
  • Asthma treated by ICS and LABA (fixed-dose combination or free combination) at stable dose for at least 3 months.
  • Able to replace the usual ICS and LABA therapy by ICS at the usual dose regimen and salbutamol as needed.
  • Able to stop salbutamol at least 6 hours before a study visit.
  • Able to perform at least 3 acceptable and reproducible FEV1 and FVC measurements according to ERS/ATS 2005 recommendations.

Exclusion Criteria:

  • Clinically significant respiratory conditions other than asthma (e.g. pneumonia, pneumothorax, atelectasis, bronchiectasis, chronic bronchitis, COPD, emphysema, pulmonary arterial hypertension, pulmonary fibrosis,etc.).
  • Upper or lower respiratory tract infection within 4 weeks.
  • Exacerbation (requiring oral corticosteroids or hospitalization) within 3 months.
  • Current smoker or former smoker less than 6 months or total lifetime smoking history greater than 10 pack-years.
  • Intolerance to salbutamol.
  • Intolerance to tiotropium (or any other atropine-derived compound).
  • Intolerance to one of the ingredients of the study product
  • Severe hepatic impairment, moderate to severe renal impairment, epilepsy, narrow angle glaucoma, gastrointestinal obstruction, moderate to severe prostatic hypertrophy, bladder neck obstruction.
  • Any acute or chronic disease that will not allow the participation in the study, in the judgement of the investigator.
  • Clinically relevant physical examination abnormality.

Sites / Locations

  • CRO

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

V0162 dose1

V0162 dose2

placebo

Arm Description

Placebo

Outcomes

Primary Outcome Measures

Normalised AUC 0-24h of FEV1 at day 8 of treatment period
FEV1 assessed by spirometry

Secondary Outcome Measures

Parameters of the pulmonary function
as well as the following criteria assessed the first day and the last day of each treatment period and the difference between the last day and the first day within each treatment periodadjusted for placebo effect: the normalised AUC0-9h of FEV1 (L), the normalised AUC0-12h of FEV1 (L), the peak of FEV1 (L) which is the higher observed post-dosing value, the trough of FEV1 (L) which is the last measurement before the next dosing (i.e. t24h), the normalised AUC0-9h,AUC0-12h, AUC0-24h, peak and trough of FVC, MEF25, MEF50, MEF75, and MEF25-75.
PEF
PEF measured using a peak-flow meter
Dyspnoea
The criteria will be the normalised AUC0-9h,AUC0-12h, and AUC0-24h of the dyspnoea measurements(mm) assessed the first and the last day of each treatment period, and the difference between the last and the first day within each treatment period.
Vital signs
12-lead standard ECG
Holter-ECG
Clinical laboratory tests (haematology, biochemistry, urinalysis)
AEs
Normalised AUC 0-24h of FEV1 at Day 1 of treatment period
FEV1 assessed by spirometry
Difference between day 8 and first day of treatment period in normalised AUC 0-24h of FEV1
FEV1 assessed by spirometry

Full Information

First Posted
September 5, 2013
Last Updated
September 16, 2014
Sponsor
Pierre Fabre Medicament
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1. Study Identification

Unique Protocol Identification Number
NCT01951222
Brief Title
Bronchodilator Properties and Safety in Asthma
Official Title
Bronchodilator Properties and Safety of a Repeated Dose of V0162 in Asthma.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
September 2013 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
April 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pierre Fabre Medicament

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Recent large clinical studies have demonstrated the interest of LAMA therapy in the management of asthma, when compared to LABA. V0162 is a compound with a very long lasting bronchodilator effect when compared to reference treatment in non-clinical models and in COPD patients. Secondary properties of V0162 (i.e.H1/H4 and PDE IV-inhibition) could enhance the efficacy of this antimuscarinic compound and could bring option in the treatment obstructive lung disease. The objective of the study is to assess the bronchodilator properties of V0162 during 8 days in adult patients with asthma usually treated with ICS and LABA. The study is a randomised, double-blind, placebo-controlled, 3-period crossover, preceded by an open-label active-control period before randomisation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma, COPD, broncodilator, airway, lung, inhalation, antimuscarinic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
Double
Allocation
Randomized
Enrollment
59 (Actual)

8. Arms, Groups, and Interventions

Arm Title
V0162 dose1
Arm Type
Experimental
Arm Title
V0162 dose2
Arm Type
Experimental
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
V0162
Intervention Type
Other
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Normalised AUC 0-24h of FEV1 at day 8 of treatment period
Description
FEV1 assessed by spirometry
Time Frame
At the 8th day of treatment period
Secondary Outcome Measure Information:
Title
Parameters of the pulmonary function
Description
as well as the following criteria assessed the first day and the last day of each treatment period and the difference between the last day and the first day within each treatment periodadjusted for placebo effect: the normalised AUC0-9h of FEV1 (L), the normalised AUC0-12h of FEV1 (L), the peak of FEV1 (L) which is the higher observed post-dosing value, the trough of FEV1 (L) which is the last measurement before the next dosing (i.e. t24h), the normalised AUC0-9h,AUC0-12h, AUC0-24h, peak and trough of FVC, MEF25, MEF50, MEF75, and MEF25-75.
Time Frame
Day 1 and Day 8 of treatment period
Title
PEF
Description
PEF measured using a peak-flow meter
Time Frame
Morning and evening from Day 1 to day 8 of treatment period
Title
Dyspnoea
Description
The criteria will be the normalised AUC0-9h,AUC0-12h, and AUC0-24h of the dyspnoea measurements(mm) assessed the first and the last day of each treatment period, and the difference between the last and the first day within each treatment period.
Time Frame
Day 1 to Day 8 of treatment period
Title
Vital signs
Time Frame
Visit 2, and at Visit 3 to Visit 10 (within 30 min pre-dose and 15 min, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 24 h post-dose during the in-clinic visits) and at Visit 11
Title
12-lead standard ECG
Time Frame
at Visit 1, at Visit 3 to Visit 10 (within 30 min pre-dose and 15 min, 1 h, 6 h, 24 h post-dose) and at Visit 11
Title
Holter-ECG
Time Frame
At Visit 3 to Visit 10 : from 30 min pre-dose to 12 hours post-dose
Title
Clinical laboratory tests (haematology, biochemistry, urinalysis)
Time Frame
Visit 1 and Visit 11
Title
AEs
Time Frame
From Visit 1 to Visit 11
Title
Normalised AUC 0-24h of FEV1 at Day 1 of treatment period
Description
FEV1 assessed by spirometry
Time Frame
The first day of treatment period
Title
Difference between day 8 and first day of treatment period in normalised AUC 0-24h of FEV1
Description
FEV1 assessed by spirometry
Time Frame
Difference between day 8 and first day of treatement period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged 18 to 65 years-old. 18 ≤ BMI <30 kg/m². Clinical history consistent asthma, in the judgement of the investigator. Asthma controlled or partly controlled according to GINA 2012 criteria: Asthma treated by ICS and LABA (fixed-dose combination or free combination) at stable dose for at least 3 months. Able to replace the usual ICS and LABA therapy by ICS at the usual dose regimen and salbutamol as needed. Able to stop salbutamol at least 6 hours before a study visit. Able to perform at least 3 acceptable and reproducible FEV1 and FVC measurements according to ERS/ATS 2005 recommendations. Exclusion Criteria: Clinically significant respiratory conditions other than asthma (e.g. pneumonia, pneumothorax, atelectasis, bronchiectasis, chronic bronchitis, COPD, emphysema, pulmonary arterial hypertension, pulmonary fibrosis,etc.). Upper or lower respiratory tract infection within 4 weeks. Exacerbation (requiring oral corticosteroids or hospitalization) within 3 months. Current smoker or former smoker less than 6 months or total lifetime smoking history greater than 10 pack-years. Intolerance to salbutamol. Intolerance to tiotropium (or any other atropine-derived compound). Intolerance to one of the ingredients of the study product Severe hepatic impairment, moderate to severe renal impairment, epilepsy, narrow angle glaucoma, gastrointestinal obstruction, moderate to severe prostatic hypertrophy, bladder neck obstruction. Any acute or chronic disease that will not allow the participation in the study, in the judgement of the investigator. Clinically relevant physical examination abnormality.
Facility Information:
Facility Name
CRO
City
Gauting
Country
Germany

12. IPD Sharing Statement

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Bronchodilator Properties and Safety in Asthma

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