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Efficacy and Safety Study of Two Dose Levels of AZD2115 in Subjects With Moderate to Severe COPD

Primary Purpose

Chronic Obstructive Pulmonary Disease (COPD)

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AZD2115 Dose 1
AZD 2115, Dose 2
Placebo MDI
Sponsored by
Pearl Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease (COPD)

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Chronic Obstructive Pulmonary Disease Diagnosis: Subjects with an established clinical history of COPD for more than 1 year at Screening, according to the COPD GOLD guidelines.
  • Current or former smokers with a history of ≥10 pack years of cigarette smoking.
  • Post-bronchodilator FEV1/FVC ratio of <70%.
  • Pre-bronchodilator FEV1 must be <80% predicted
  • Women of non-child bearing potential (ie., physiologically incapable of becoming pregnant, including any female who is 2 years post-menopausal); or women of child bearing potential, has a negative serum pregnancy test at Screening and agrees to acceptable contraceptive methods for the duration of the study.

Exclusion Criteria:

  • Pregnancy: Women who are pregnant or lactating.
  • Significant diseases other than COPD, ie., disease or condition which, in the opinion of the Investigator, may put the subject at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study.
  • Primary diagnosis of asthma.
  • Alpha-1 antitrypsin deficiency as the cause of COPD
  • Other active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, idiopathic interstitial pulmonary fibrosis, primary pulmonary hypertension, or uncontrolled sleep apnea.
  • Poorly controlled COPD (hospitalization due to poorly controlled COPD within 3 months of Screening or requiring treatment with corticosteroids or antibiotics in the 6 week interval prior to Screening or during Screening.
  • Unstable ischemic heart disease, left ventricular failure, or documented myocardial infarction within 12 months of Randomization.
  • Clinically significant abnormal ECG.

Sites / Locations

  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

AZD2115 Dose 1

AZD 2115 Dose 2

Placebo MDI

Arm Description

AZD 2115, Dose 1 administered as two inhalations BID

AZD 2115, Dose 2 administered as two inhalations BID

Placebo MDI administered as two inhalations BID

Outcomes

Primary Outcome Measures

Forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 12 hours (AUC0-12) relative to baseline

Secondary Outcome Measures

Change from baseline in morning pre dose trough FEV1
Peak change in FEV1
Forced vital capacity (FVC) AUC0-12 relative to baseline
Peak change in FEV1
Change from baseline in 12-hour post dose trough FEV1
Time to onset of action

Full Information

First Posted
April 2, 2014
Last Updated
August 28, 2020
Sponsor
Pearl Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02109406
Brief Title
Efficacy and Safety Study of Two Dose Levels of AZD2115 in Subjects With Moderate to Severe COPD
Official Title
A Randomized, Double Blind, Chronic Dosing (14 Days), Three Period, Placebo Controlled, Cross Over, Multi Center Study to Assess Efficacy and Safety of Two Dose Levels of AZD2115 MDI in Subjects With Moderate to Severe COPD
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
May 2014 (undefined)
Primary Completion Date
September 2014 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pearl Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase IIa dose-ranging, randomized, double-blind, chronic-dosing (14 Days), three-period, placebo-controlled, multi-center, cross-over study to assess the efficacy and safety of two dose levels of a dual pharmacology molecule with the combined properties of a long-acting muscarinic antagonist (LAMA) and a long-acting beta-agonist (LABA); (AZD2115) delivered by a metered-dose inhaler (MDI) in subjects with moderate to severe chronic obstructive pulmonary disease (COPD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease (COPD)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AZD2115 Dose 1
Arm Type
Experimental
Arm Description
AZD 2115, Dose 1 administered as two inhalations BID
Arm Title
AZD 2115 Dose 2
Arm Type
Experimental
Arm Description
AZD 2115, Dose 2 administered as two inhalations BID
Arm Title
Placebo MDI
Arm Type
Placebo Comparator
Arm Description
Placebo MDI administered as two inhalations BID
Intervention Type
Drug
Intervention Name(s)
AZD2115 Dose 1
Intervention Description
AZD 2115, Dose 1 administered as two inhalations BID
Intervention Type
Drug
Intervention Name(s)
AZD 2115, Dose 2
Intervention Description
AZD 2115, Dose 2 administered as two inhalations BID
Intervention Type
Drug
Intervention Name(s)
Placebo MDI
Intervention Description
Placebo MDI administered as two inhalations BID
Primary Outcome Measure Information:
Title
Forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 12 hours (AUC0-12) relative to baseline
Time Frame
14 Days
Secondary Outcome Measure Information:
Title
Change from baseline in morning pre dose trough FEV1
Time Frame
14 Days
Title
Peak change in FEV1
Time Frame
14 Days
Title
Forced vital capacity (FVC) AUC0-12 relative to baseline
Time Frame
14 Days
Title
Peak change in FEV1
Time Frame
Day 1
Title
Change from baseline in 12-hour post dose trough FEV1
Time Frame
14 Days
Title
Time to onset of action
Time Frame
Day 1
Other Pre-specified Outcome Measures:
Title
Pharmacokinetics
Description
Cmax, AUC0-12, AUC0-t, tmax, Apparent elimination half-life (t1/2), Apparent volume of distribution (Vd/F), Apparent total body clearance (CL/F)
Time Frame
Day 1 through Day 15
Title
Safety
Description
Safety will be assessed by adverse events (AEs), physical examination findings, dry mouth and tremor assessments, paradoxical bronchospasm, vital signs, electrocardiogram (ECG), and laboratory assessments.
Time Frame
Day1 through Day 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chronic Obstructive Pulmonary Disease Diagnosis: Subjects with an established clinical history of COPD for more than 1 year at Screening, according to the COPD GOLD guidelines. Current or former smokers with a history of ≥10 pack years of cigarette smoking. Post-bronchodilator FEV1/FVC ratio of <70%. Pre-bronchodilator FEV1 must be <80% predicted Women of non-child bearing potential (ie., physiologically incapable of becoming pregnant, including any female who is 2 years post-menopausal); or women of child bearing potential, has a negative serum pregnancy test at Screening and agrees to acceptable contraceptive methods for the duration of the study. Exclusion Criteria: Pregnancy: Women who are pregnant or lactating. Significant diseases other than COPD, ie., disease or condition which, in the opinion of the Investigator, may put the subject at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study. Primary diagnosis of asthma. Alpha-1 antitrypsin deficiency as the cause of COPD Other active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, idiopathic interstitial pulmonary fibrosis, primary pulmonary hypertension, or uncontrolled sleep apnea. Poorly controlled COPD (hospitalization due to poorly controlled COPD within 3 months of Screening or requiring treatment with corticosteroids or antibiotics in the 6 week interval prior to Screening or during Screening. Unstable ischemic heart disease, left ventricular failure, or documented myocardial infarction within 12 months of Randomization. Clinically significant abnormal ECG.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shahid Siddiqui, MD
Organizational Affiliation
Pearl Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Pearl Therapeutics Study Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Charleston
State/Province
South Carolina
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Spartanburg
State/Province
South Carolina
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Efficacy and Safety Study of Two Dose Levels of AZD2115 in Subjects With Moderate to Severe COPD

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