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Repeat Doses of BAY 1817080 in Healthy Males & Proof of Concept in Chronic Cough Patients

Primary Purpose

Cough

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
BAY1817080
Matching Placebo
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cough focused on measuring Refractory chronic cough, healthy volunteers

Eligibility Criteria

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

Inclusion Criteria:

Part 1

  • Male; healthy according to complete medical history, including the physical examination, vital signs (blood pressure, pulse rate), 12 lead ECG, clinical laboratory tests.
  • Age: 18-45 years (inclusive) at the first screening visit
  • Non-smoker for at least the past 6 months and with a pack year history of equal to or less than 5 years.
  • Subjects who are sexually active and have not been surgically sterilized must agree to use two reliable and acceptable methods of contraception simultaneously when having sexual intercourse with women of childbearing potential (one method used by the subject and one method used by the partner) during the study and for 90 days after receiving the investigational medicinal product and not to act as sperm donor for 90 days after dosing. [Acceptable methods of contraception include for example: (a) condoms (male or female) with or without a spermicidal agent, (b) diaphragm or cervical cap with spermicide, (c) intrauterine device, (d) hormone-based contraception.

Part 2:

  • Age: >18 years at the first screening visit
  • Refractory chronic cough for at least one year:

    • that has been shown to be unresponsive to at least 8 weeks of targeted treatment for identified underlying triggers including reflux disease, asthma and post-nasal drip or unexplained cough, and
    • for which no objective evidence of an underlying trigger can be determined after investigation.
  • Score of >40 mm on the Cough Severity visual analogue scale (VAS) at screening.
  • For male patients:

Male patients who are sexually active and have not been surgically sterilized must agree to use two reliable and acceptable methods of contraception simultaneously (one method used by the study patient and one method used by the partner) during the study and for 90 days after receiving the investigational medicinal product and not to act as sperm donor for 90 days after dosing. [Acceptable methods of contraception include for example: (a) condoms (male or female) with or without a spermicidal agent, (b) diaphragm or cervical cap with spermicide, (c) intrauterine device, (d) hormone-based contraception.

--For female patients: Confirmed post-menopausal woman (defined as exhibiting spontaneous amenorrhea for at least 12 months before screening or as exhibiting spontaneous amenorrhea for 6 months before screening with documented serum follicle-stimulating hormone (FSH) levels > 40 mIU/mL) or Woman without childbearing potential based on surgical treatment at least 6 weeks before screening such as bilateral tubal ligation, bilateral oophorectomy with or without hysterectomy (documented by medical report verification) or Woman of childbearing potential that agrees to use two reliable and acceptable methods of contraception simultaneously (one method used by the study patient and one method used by the partner) during the study and for at least 10 days after the last dose. Acceptable methods of contraception include for example: (a)condoms (male or female) with or without a spermicidal agent (b)diaphragm or cervical cap with spermicide (c) intrauterine device (d)hormone-based contraception.

Exclusion Criteria:

Part 1

  • Relevant diseases potentially interfering with the study's aims (e.g.respiratory diseases) within the four weeks before screening or between screening and randomization
  • Any febrile illness within the four weeks before screening or between screening and randomization
  • Medical history of hypogeusia/dysgeusia or the subject has a dysfunction in his/her ability to taste, as revealed by the taste disturbance questionnaire during screening and the pre dose procedures
  • Use of any over-the-counter cough mixture within the 24 hours before screening

Part 2:

  • FEV1 or FVC of less than 60% of predicted normal, at screening
  • History of upper or lower respiratory tract infection or recent significant change in pulmonary status within the 4 weeks before baseline visit
  • Current smoking habit or history of smoking within the 6 months before the screening visit.
  • History of smoking (at any time) for more than 20 pack-years in total (20 cigarettes per pack)

Sites / Locations

  • North Tyneside General Hospital
  • Birmingham Heartlands Hospital
  • Queen's University
  • Castle Hill Hospital
  • King's College Hospital - NHS Foundation Trust
  • University Hospital of South Manchester
  • Medicines Evaluation Unit

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Arm Label

Dose 1 of BAY1817080

Dose 2 of BAY1817080

Dose 3 of BAY1817080

Dose 4 of BAY1817080

Placebo

Placebo+BAY1817080

BAY1817080+Placebo

Arm Description

Study Part 1: Oral dose 1 of BAY1817080 twice daily with a loading dose administered three times on Day 1

Study Part 1: Oral dose 2 of BAY1817080 twice daily with a loading dose administered three times on Day 1

Study Part 1: Oral dose 3 of BAY1817080 twice daily with a loading dose administered three times on Day 1

Study Part 1: Oral dose 4 of BAY1817080 twice daily with a loading dose administered three times on Day 1

Study Part 1: Oral dose of matching placebo twice daily with a loading dose administered three times on Day 1

Study Part 2: Randomized crossover design in cough patients Placebo+4 different doses of BAY1817080

Study Part 2: Randomized crossover design in cough patients 4 different doses of BAY1817080+Placebo

Outcomes

Primary Outcome Measures

Frequency of treatment emergent adverse events in study part 1
Severity of treatment emergent adverse events in study 1
The intensity of an AE is classified according to the following categories: Mild: A type of adverse event that is usually transient and may require only minimal treatment or therapeutic intervention. The event does not generally interfere with usual activities of daily living. Moderate: A type of adverse event that is usually alleviated with additional specific therapeutic intervention. The event interferes with usual activities of daily living, causing discomfort but poses no significant or permanent risk of harm to the research participant. Severe: A type of adverse event that requires intensive therapeutic intervention. The event interrupts usual activities of daily living, or significantly affects clinical status
Frequency of treatment emergent adverse events in study part 2
Severity of treatment emergent adverse events in study part 2
The intensity of an AE is classified according to the following categories: Mild: A type of adverse event that is usually transient and may require only minimal treatment or therapeutic intervention. The event does not generally interfere with usual activities of daily living. Moderate: A type of adverse event that is usually alleviated with additional specific therapeutic intervention. The event interferes with usual activities of daily living, causing discomfort but poses no significant or permanent risk of harm to the research participant. Severe: A type of adverse event that requires intensive therapeutic intervention. The event interrupts usual activities of daily living, or significantly affects clinical status
24-hour cough counts
24 hour cough counts
24 hour cough counts
24 hour cough counts
24 hour cough counts
24 hour cough counts

Secondary Outcome Measures

Full Information

First Posted
September 28, 2017
Last Updated
January 24, 2023
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT03310645
Brief Title
Repeat Doses of BAY 1817080 in Healthy Males & Proof of Concept in Chronic Cough Patients
Official Title
Two-part, Double-blind, Placebo-controlled, Randomized, Parallel-group Study: (Part 1) in Healthy Male Volunteers to Assess Safety and Tolerability of Ascending Repeated Oral Doses of BAY1817080, Followed by (Part 2), Two-way Crossover Administration of Four Different Doses in Patients With Refractory Chronic Cough to Assess Safety, Tolerability and Efficacy for Proof of Concept
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
December 7, 2017 (Actual)
Primary Completion Date
May 28, 2019 (Actual)
Study Completion Date
June 19, 2019 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
To investigate the safety and tolerability of ascending repeated oral doses of BAY1817080 in healthy volunteers(Part1). To investigate the safety, tolerability and efficacy of BAY1817080 in patients with refractory chronic cough(Part2).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cough
Keywords
Refractory chronic cough, healthy volunteers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Part 1: Ascending multiple doses in healthy volunteers Part 2: Ascending doses within two-way crossover design in patients
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
double blind
Allocation
Randomized
Enrollment
87 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose 1 of BAY1817080
Arm Type
Experimental
Arm Description
Study Part 1: Oral dose 1 of BAY1817080 twice daily with a loading dose administered three times on Day 1
Arm Title
Dose 2 of BAY1817080
Arm Type
Experimental
Arm Description
Study Part 1: Oral dose 2 of BAY1817080 twice daily with a loading dose administered three times on Day 1
Arm Title
Dose 3 of BAY1817080
Arm Type
Experimental
Arm Description
Study Part 1: Oral dose 3 of BAY1817080 twice daily with a loading dose administered three times on Day 1
Arm Title
Dose 4 of BAY1817080
Arm Type
Experimental
Arm Description
Study Part 1: Oral dose 4 of BAY1817080 twice daily with a loading dose administered three times on Day 1
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Study Part 1: Oral dose of matching placebo twice daily with a loading dose administered three times on Day 1
Arm Title
Placebo+BAY1817080
Arm Type
Experimental
Arm Description
Study Part 2: Randomized crossover design in cough patients Placebo+4 different doses of BAY1817080
Arm Title
BAY1817080+Placebo
Arm Type
Experimental
Arm Description
Study Part 2: Randomized crossover design in cough patients 4 different doses of BAY1817080+Placebo
Intervention Type
Drug
Intervention Name(s)
BAY1817080
Intervention Description
4 different doses over the course of study
Intervention Type
Drug
Intervention Name(s)
Matching Placebo
Intervention Description
Matching placebo for BAY1817080
Primary Outcome Measure Information:
Title
Frequency of treatment emergent adverse events in study part 1
Time Frame
Up to 5 weeks
Title
Severity of treatment emergent adverse events in study 1
Description
The intensity of an AE is classified according to the following categories: Mild: A type of adverse event that is usually transient and may require only minimal treatment or therapeutic intervention. The event does not generally interfere with usual activities of daily living. Moderate: A type of adverse event that is usually alleviated with additional specific therapeutic intervention. The event interferes with usual activities of daily living, causing discomfort but poses no significant or permanent risk of harm to the research participant. Severe: A type of adverse event that requires intensive therapeutic intervention. The event interrupts usual activities of daily living, or significantly affects clinical status
Time Frame
Up to 5 weeks
Title
Frequency of treatment emergent adverse events in study part 2
Time Frame
Up to 12 weeks
Title
Severity of treatment emergent adverse events in study part 2
Description
The intensity of an AE is classified according to the following categories: Mild: A type of adverse event that is usually transient and may require only minimal treatment or therapeutic intervention. The event does not generally interfere with usual activities of daily living. Moderate: A type of adverse event that is usually alleviated with additional specific therapeutic intervention. The event interferes with usual activities of daily living, causing discomfort but poses no significant or permanent risk of harm to the research participant. Severe: A type of adverse event that requires intensive therapeutic intervention. The event interrupts usual activities of daily living, or significantly affects clinical status
Time Frame
Up to 12 weeks
Title
24-hour cough counts
Time Frame
At week 1 in period A
Title
24 hour cough counts
Time Frame
At week 2 in period A
Title
24 hour cough counts
Time Frame
At week 3 in period A
Title
24 hour cough counts
Time Frame
At week 1 in period B
Title
24 hour cough counts
Time Frame
At week 2 in period B
Title
24 hour cough counts
Time Frame
At week 3 in period B

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Part 1 Male; healthy according to complete medical history, including the physical examination, vital signs (blood pressure, pulse rate), 12 lead ECG, clinical laboratory tests Age: 18-45 years (inclusive) at the first screening visit. Non-smoker for at least the past 6 months and with a pack year history of equal to or less than 5 years. Subjects who are sexually active and have not been surgically sterilized must agree to use two reliable and acceptable methods of contraception simultaneously when having sexual intercourse with women of childbearing potential (one method used by the subject and one method used by the partner) during the study and for 90 days after receiving the investigational medicinal product and not to act as sperm donor for 90 days after dosing. [Acceptable methods of contraception include for example: (a) condoms (male or female) with or without a spermicidal agent, (b) diaphragm or cervical cap with spermicide, (c) intrauterine device, (d) hormone-based contraception. Part 2: Age: >18 years at the first screening visit Refractory chronic cough for at least one year: that has been shown to be unresponsive to at least 8 weeks of targeted treatment for identified underlying triggers including reflux disease, asthma and post-nasal drip or unexplained cough, and for which no objective evidence of an underlying trigger can be determined after investigation. Score of >40 mm on the Cough Severity visual analogue scale (VAS) at screening. For male patients: Male patients who are sexually active and have not been surgically sterilized must agree to use two reliable and acceptable methods of contraception simultaneously (one method used by the study patient and one method used by the partner) during the study and for 90 days after receiving the investigational medicinal product and not to act as sperm donor for 90 days after dosing. [Acceptable methods of contraception include for example: (a) condoms (male or female) with or without a spermicidal agent, (b) diaphragm or cervical cap with spermicide, (c) intrauterine device, (d) hormone-based contraception. --For female patients: Confirmed post-menopausal woman (defined as exhibiting spontaneous amenorrhea for at least 12 months before screening or as exhibiting spontaneous amenorrhea for 6 months before screening with documented serum follicle-stimulating hormone (FSH) levels > 40 mIU/mL) or Woman without childbearing potential based on surgical treatment at least 6 weeks before screening such as bilateral tubal ligation, bilateral oophorectomy with or without hysterectomy (documented by medical report verification) or Woman of childbearing potential that agrees to use two reliable and acceptable methods of contraception simultaneously (one method used by the study patient and one method used by the partner) during the study and for at least 10 days after the last dose. Acceptable methods of contraception include for example: (a)condoms (male or female) with or without a spermicidal agent (b)diaphragm or cervical cap with spermicide (c) intrauterine device (d)hormone-based contraception. Exclusion Criteria: Part 1 Relevant diseases potentially interfering with the study's aims (e.g.respiratory diseases) within the four weeks before screening or between screening and randomization Any febrile illness within the four weeks before screening or between screening and randomization Medical history of hypogeusia/dysgeusia or the subject has a dysfunction in his/her ability to taste, as revealed by the taste disturbance questionnaire during screening and the pre dose procedures Use of any over-the-counter cough mixture within the 24 hours before screening Part 2: FEV1 or FVC of less than 60% of predicted normal, at screening History of upper or lower respiratory tract infection or recent significant change in pulmonary status within the 4 weeks before baseline visit. Current smoking habit or history of smoking within the 6 months before the screening visit. History of smoking (at any time) for more than 20 pack-years in total (20 cigarettes per pack)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
Facility Name
North Tyneside General Hospital
City
North Shields
State/Province
Tyne And Wear
ZIP/Postal Code
NE29 8NH
Country
United Kingdom
Facility Name
Birmingham Heartlands Hospital
City
Birmingham
State/Province
West Midlands
ZIP/Postal Code
B9 5SS
Country
United Kingdom
Facility Name
Queen's University
City
Belfast
ZIP/Postal Code
BT9 7AB
Country
United Kingdom
Facility Name
Castle Hill Hospital
City
Cottingham
ZIP/Postal Code
HU16 5JQ
Country
United Kingdom
Facility Name
King's College Hospital - NHS Foundation Trust
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
University Hospital of South Manchester
City
Manchester
ZIP/Postal Code
M23 9LT
Country
United Kingdom
Facility Name
Medicines Evaluation Unit
City
Manchester
ZIP/Postal Code
M23 9QZ
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
There are no current plans to share data. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
Citations:
PubMed Identifier
35624408
Citation
Friedrich C, Francke K, Gashaw I, Scheerans C, Klein S, Fels L, Smith JA, Hummel T, Morice A. Safety, Pharmacodynamics, and Pharmacokinetics of P2X3 Receptor Antagonist Eliapixant (BAY 1817080) in Healthy Subjects: Double-Blind Randomized Study. Clin Pharmacokinet. 2022 Aug;61(8):1143-1156. doi: 10.1007/s40262-022-01126-1. Epub 2022 May 28.
Results Reference
derived
PubMed Identifier
33986030
Citation
Morice A, Smith JA, McGarvey L, Birring SS, Parker SM, Turner A, Hummel T, Gashaw I, Fels L, Klein S, Francke K, Friedrich C. Eliapixant (BAY 1817080), a P2X3 receptor antagonist, in refractory chronic cough: a randomised, placebo-controlled, crossover phase 2a study. Eur Respir J. 2021 Nov 18;58(5):2004240. doi: 10.1183/13993003.04240-2020. Print 2021 Nov.
Results Reference
derived
Links:
URL
http://www.clinicaltrialsregister.eu/
Description
Click here to find information about studies related to Bayer Healthcare products conducted in Europe.
URL
https://clinicaltrials.bayer.com/
Description
Click here to find information for studies related to Bayer products. To find this study enter the ClinicalTrials.gov identifier (NCT) number or Bayer Study Identifier (ID) in the search field.

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Repeat Doses of BAY 1817080 in Healthy Males & Proof of Concept in Chronic Cough Patients

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