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XC8 in the Treatment of Patients With Bronchial Asthma

Primary Purpose

Bronchial Asthma

Status
Completed
Phase
Phase 2
Locations
Russian Federation
Study Type
Interventional
Intervention
XC8 Oral Tablet
Placebo Oral Tablet
Sponsored by
PHARMENTERPRISES LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bronchial Asthma

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed the informed consent.
  2. Non-smoking men and women aged from 18 to 65 (inclusively).
  3. Diagnosis of bronchial asthma that was established not later than 12 months before screening (with mandatory documented evaluation of reversibility of bronchial obstruction assessed by pre- and post-bronchodilator spirometry).
  4. Stable therapy with low doses of inhaled corticosteroids with or without long-acting beta2-agonists for at least 3 months prior to screening (Step 2 and 3 according to GINA, 2015 guideline)
  5. Symptoms of partly controlled bronchial asthma during four weeks before screening (accordingly to GINA, 2015)
  6. Pre-bronchodilator FEV1 is 60-80% of predicted values (inclusive) *
  7. Consent of patient to use adequate methods of contraception throughout the study. The adequate methods of contraception are as follows:

    • Oral or transdermal contraceptives;
    • Condom or diaphragm (barrier method) with spermicide, or
    • Intrauterine device.
  8. Ability to follow all the requirements of the protocol

Exclusion Criteria:

  1. Pregnant or lactating women or women planning pregnancy during the clinical trial; women of childbearing potential (including not sterilized operatively and in postmenopausal period less than 2 years), not using appropriate methods of contraception
  2. Smoking within 1 year prior to screening; smoking history of more than 10 pack-year
  3. Severe exacerbations or not controlled bronchial asthma for 3 months before screening
  4. Chronic Obstructive Pulmonary Disease (COPD) or other lung diseases in addition to bronchial asthma.
  5. Inflammatory diseases of mouth
  6. Acute infection within 30 days of screening
  7. Participation in any clinical trial or use of any investigational product within 30 days of screening
  8. Use or indication to take other drugs for treatment of asthma (including antileukotrienes and theophylline extended release), except those permitted by the Protocol
  9. Indication for long-term administration of systemic steroidal or non-steroidal anti-inflammatory agents or agents affecting the immune system
  10. The need of periodical administration of antihistamines (stable doses of antihistamines for at least 1 month prior to screening and throughout the trial is allowed)
  11. Administration of immunosuppressant drugs within 3 months before screening
  12. Anaphylaxis, generalized urticaria or angioedema within 1 year prior to screening
  13. Known allergy, hypersensitivity or contraindication to receiving XC8 or its components
  14. Systemic autoimmune diseases or collagen vascular disease in history.
  15. History of malignancy within the past 5 years (except for basal cell carcinoma)
  16. Significant cardiac and vascular disease at the present time or for 12 months before screening, including chronic heart failure NYHA Class III or IV; severe arrhythmia requiring therapy with Class Ia, Ib, Ic and Class III antiarrhythmic drug; unstable angina; myocardial infarction; cardiac surgery and CABG; relevant cardiac valves disorders; transient ischemic attack or stroke; uncontrolled arterial hypertension with systolic pressure >180 mm Hg and diastolic pressure >110 mm Hg; pulmonary embolism or deep vein thrombosis.
  17. Nephrotic syndrome, moderate and severe chronic renal failure, or significant renal diseases with creatinine level of >1.5 mg/dL (132 μmol/L) in men and >1.4 mg/dL (123 μmol/L) in women or Glomerular Filtration Rate (GFR) < 60 ml/min.
  18. HIV, hepatitis B or C, hepatic cirrhosis in history; elevated level of serum aspartate aminotransferase (ASAT) or alanine aminotransferase (ALAT) ≥ 3 times of the upper limit of normal (UNL); elevated common bilirubin ≥ 2 times of UNL at the screening.
  19. Anemia (hemoglobin ≤10.5 g/dL in women and ≤ 11.5 g/dL in men); marked blood loss or sampling not less than one unit of donated blood (≥ 500 ml) or blood transfusion for previous 12 weeks.
  20. Any concomitant disease besides bronchial asthma which is not controlled with stable treatment.
  21. Drug or alcohol abuse at the moment of screening or in past which, at the discretion of the investigator, make the patient unfit for the study
  22. Inability to read or to write; unwillingness to understand and to follow the procedures of the study protocol; violation of the drug administration regimen or procedure execution that, at the discretion of the Investigator, can impact the results of the study or safety of the patient and interfere his further participation in the study; any other concomitant medical and serious mental conditions which make the patient unfit for participation in the clinical study, limit a validity of receiving of informed consent or can affect ability of the patient to take part in the study

    -

Sites / Locations

  • "Allergy and Immunology Center" LLC
  • "Pulmonology Research Institute" FMBA of Russia
  • Central Research Institute for Tuberculosis at Russian Medical Sciences
  • Moscow State Medical-Dentist University n.a. A.I. Evdokimov on basis of SMHI "City Hospital № 62", branch 5
  • Russian Medical Academy of postgraduate education of Ministry of Healthcare on basis of city's Clinical Hospital № 52
  • Ryazan State Medical University
  • State Budgetary Institution of Healthcare "Leningrad region Clinical Hospital"
  • Saint Petersburg State Monetary Healthcare Institution "Nicolaevskiy Hospital"
  • "Medical Researches Institute" LLC
  • State Healthcare Institution "Regional Clinical Hospital"
  • Federal State Budgetary Educational Institution of the Higher Education "Smolensk State Medical
  • State autonomous healthcare institution of Yaroslavl Region "Сlinical hospital for emergency medical care n. a. N.V. Solovyov"

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

XC8 2 mg

XC8 10 mg

XC8 100 mg

Placebo

Arm Description

XC8 2mg orally

XC8 10 mg orally

XC8 100 mg orally

Placebo 2 mg, 10 mg or 100 mg orally

Outcomes

Primary Outcome Measures

Change in Forced expiratory volume in 1 second (FEV1) in % of predicted value
To assess changes in FEV1 measured in % through spirometry testing

Secondary Outcome Measures

Change in Peak expiratory flow rate
To assess daily variability of Peak expiratory flow rate measured in the morning and evening
Change in Forced expiratory volume in 1 second (FEV1) in absolute values
To assess changes in FEV1 measured through spirometry testing
Change in FVC in % of predicted
To assess changes in FVC measured through spirometry testing
Change in FEV1/FVC in % of predicted
To assess changes in FEV1/FVC measured through spirometry testing
Change in FEF 25-75% in % of predicted
To assess changes in FEF 25-75% measured through spirometry testing
Change in frequency of using short-acting β2-agonists
To assess frequency of using short-acting β2-agonists for resolving BA symptoms recorded in Patient's diary
Proportion of patients with adequate BA control
To assess number of patients with adequate BA control by GINA 2015 criteria
Rate of severe exacerbations of BA
To assess number of patients with severe exacerbations of BA by GINA 2015 criteria
Change of eosinophils level in blood and sputum
To assess change of eosinophils level as part of laboratory analysis
Change of serum IgE level
To assess change of serum IgE level as part of laboratory analysis
Change of serum IgG level
To assess change of serum IgG level as part of laboratory analysis
Change of serum eosinophil cationic protein level
To assess change of serum eosinophil cationic protein as part of laboratory analysis
Change of serum tryptase level
To assess changes of serum tryptase as part of laboratory analysis
Number of Adverse events and Serious adverse event
Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. For each preferred term, frequency counts and percentages will be calculated by cohort.The nature, severity, seriousness, and relationship to study medication will be summarized for all study subjects

Full Information

First Posted
January 11, 2018
Last Updated
February 27, 2018
Sponsor
PHARMENTERPRISES LLC
Collaborators
EURRUS Biotech GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT03450434
Brief Title
XC8 in the Treatment of Patients With Bronchial Asthma
Official Title
Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial to Assess Efficacy, Safety and Optimal Dose of XC8 in Patients With Partly Controlled Bronchial Asthma Receiving Stable Treatment With Low Doses of Inhaled Corticosteroids With or Without Long-acting beta2-agonists
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
September 20, 2016 (Actual)
Primary Completion Date
September 27, 2017 (Actual)
Study Completion Date
September 27, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PHARMENTERPRISES LLC
Collaborators
EURRUS Biotech GmbH

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
A multicenter, double-blind, randomized, parallel-group comparative Phase II clinical study to assess the efficacy and safety of different doses of XC8 vs Placebo in patients with partly controlled bronchial asthma receiving stable treatment with low doses of inhaled corticosteroids with or without long-acting beta2-agonists during 12-weeks treatment period. Study design was developed by Pharmenterprises LLS, Russia in cooperation with Eurrus Biotech GmbH, Austria and FGK Clinical Research GmbH, Germany. The primary objective of the study was to evaluate the effect of different doses of XC8 on change in pre-bronchodilator forced expiratory volume in 1 second (FEV1) (% of predicted value) at Week 12 as compared to baseline at Week 0 vs. Placebo in patients with partly controlled bronchial asthma (BA).
Detailed Description
Twenty Russian centers were approved for participation in this study. Twelve centers were initiated. Patients were enrolled in 12 centers. The study consisted of 4 periods: Screening, Run-In Period, Treatment Period, and Follow-up. All eligible patients were randomized into one of four treatment groups in a ratio of 1:1:1:1. Treatment group of XC8 2 mg daily (30 patients) Treatment group of XC8 10 mg daily (30 patients) Treatment group of XC8 100 mg daily (30 patients) Treatment group of Placebo (30 patients) The study drug was manufactured by order Pharmenterprises LLS, Russia and Eurrus Biotech GmbH, Austria. During the treatment period (12 weeks) patients took the study drug or Placebo once a day in addition to stable low doses of Inhaled Corticosteroids (ICS) with or without long-acting beta2-agonists (LABA). The follow-up period lasted for 4 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bronchial Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
At Visit 2, Week -1 the patients who meet all inclusion/exclusion criteria were included in the single-blind placebo run-in period. At Visit 3, Week 0 all patients were randomized to 4 treatment groups in 1:1:1:1 ratio (30 patients per each group of XC8 2 mg, 10 mg or 100 mg; and 30 patients to Placebo group).
Masking
ParticipantInvestigator
Masking Description
Single-blinding was conducted during the run-in period of the study (each patient received simultaneously 3 tablets of Placebo matching 2, 10, and 100 mg XC8), the form of the package (a blister with three lines of tablets of each dosage), corresponding package labeling of the study drug (IP kit numbers). Double-blinding in the treatment period was provided by Placebo masking (each patient received simultaneously 3 tablets corresponding to 2 mg or Placebo, 10 mg or Placebo, 100 mg or Placebo), the form of the package (a blister with three lines of tablets of each dosage), corresponding package labeling of the study drug (IP kit numbers) and distribution of the drug by IWRS.
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
XC8 2 mg
Arm Type
Experimental
Arm Description
XC8 2mg orally
Arm Title
XC8 10 mg
Arm Type
Experimental
Arm Description
XC8 10 mg orally
Arm Title
XC8 100 mg
Arm Type
Experimental
Arm Description
XC8 100 mg orally
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo 2 mg, 10 mg or 100 mg orally
Intervention Type
Drug
Intervention Name(s)
XC8 Oral Tablet
Other Intervention Name(s)
Histamine glutarimide
Intervention Description
1 tablet of XC8 in a dose according to the treatment group + 2 tablets of placebo (in total 3 tablets) once daily in the morning during 12 weeks of treatment period.
Intervention Type
Drug
Intervention Name(s)
Placebo Oral Tablet
Intervention Description
Placebo (in total 3 tablets) once daily in the morning during 12 weeks of treatment period.
Primary Outcome Measure Information:
Title
Change in Forced expiratory volume in 1 second (FEV1) in % of predicted value
Description
To assess changes in FEV1 measured in % through spirometry testing
Time Frame
Week 0 - Week 12
Secondary Outcome Measure Information:
Title
Change in Peak expiratory flow rate
Description
To assess daily variability of Peak expiratory flow rate measured in the morning and evening
Time Frame
Week 0 - Week 12
Title
Change in Forced expiratory volume in 1 second (FEV1) in absolute values
Description
To assess changes in FEV1 measured through spirometry testing
Time Frame
Week 0 - Week 12
Title
Change in FVC in % of predicted
Description
To assess changes in FVC measured through spirometry testing
Time Frame
Week 0 - Week 12
Title
Change in FEV1/FVC in % of predicted
Description
To assess changes in FEV1/FVC measured through spirometry testing
Time Frame
Week 0 - Week 12
Title
Change in FEF 25-75% in % of predicted
Description
To assess changes in FEF 25-75% measured through spirometry testing
Time Frame
Week 0 - Week 12
Title
Change in frequency of using short-acting β2-agonists
Description
To assess frequency of using short-acting β2-agonists for resolving BA symptoms recorded in Patient's diary
Time Frame
Week 0 - Week 12
Title
Proportion of patients with adequate BA control
Description
To assess number of patients with adequate BA control by GINA 2015 criteria
Time Frame
Week 6 and Week 12
Title
Rate of severe exacerbations of BA
Description
To assess number of patients with severe exacerbations of BA by GINA 2015 criteria
Time Frame
Week 0 - Week 12
Title
Change of eosinophils level in blood and sputum
Description
To assess change of eosinophils level as part of laboratory analysis
Time Frame
Week 0 - Week 12
Title
Change of serum IgE level
Description
To assess change of serum IgE level as part of laboratory analysis
Time Frame
Week 0 - Week 12
Title
Change of serum IgG level
Description
To assess change of serum IgG level as part of laboratory analysis
Time Frame
Week 0 - Week 12
Title
Change of serum eosinophil cationic protein level
Description
To assess change of serum eosinophil cationic protein as part of laboratory analysis
Time Frame
Screening - Week 0 - Week 12
Title
Change of serum tryptase level
Description
To assess changes of serum tryptase as part of laboratory analysis
Time Frame
Screening - Week 0 - Week 12
Title
Number of Adverse events and Serious adverse event
Description
Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. For each preferred term, frequency counts and percentages will be calculated by cohort.The nature, severity, seriousness, and relationship to study medication will be summarized for all study subjects
Time Frame
Week 0 - Week 12

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: Signed the informed consent. Non-smoking men and women aged from 18 to 65 (inclusively). Diagnosis of bronchial asthma that was established not later than 12 months before screening (with mandatory documented evaluation of reversibility of bronchial obstruction assessed by pre- and post-bronchodilator spirometry). Stable therapy with low doses of inhaled corticosteroids with or without long-acting beta2-agonists for at least 3 months prior to screening (Step 2 and 3 according to GINA, 2015 guideline) Symptoms of partly controlled bronchial asthma during four weeks before screening (accordingly to GINA, 2015) Pre-bronchodilator FEV1 is 60-80% of predicted values (inclusive) * Consent of patient to use adequate methods of contraception throughout the study. The adequate methods of contraception are as follows: Oral or transdermal contraceptives; Condom or diaphragm (barrier method) with spermicide, or Intrauterine device. Ability to follow all the requirements of the protocol Exclusion Criteria: Pregnant or lactating women or women planning pregnancy during the clinical trial; women of childbearing potential (including not sterilized operatively and in postmenopausal period less than 2 years), not using appropriate methods of contraception Smoking within 1 year prior to screening; smoking history of more than 10 pack-year Severe exacerbations or not controlled bronchial asthma for 3 months before screening Chronic Obstructive Pulmonary Disease (COPD) or other lung diseases in addition to bronchial asthma. Inflammatory diseases of mouth Acute infection within 30 days of screening Participation in any clinical trial or use of any investigational product within 30 days of screening Use or indication to take other drugs for treatment of asthma (including antileukotrienes and theophylline extended release), except those permitted by the Protocol Indication for long-term administration of systemic steroidal or non-steroidal anti-inflammatory agents or agents affecting the immune system The need of periodical administration of antihistamines (stable doses of antihistamines for at least 1 month prior to screening and throughout the trial is allowed) Administration of immunosuppressant drugs within 3 months before screening Anaphylaxis, generalized urticaria or angioedema within 1 year prior to screening Known allergy, hypersensitivity or contraindication to receiving XC8 or its components Systemic autoimmune diseases or collagen vascular disease in history. History of malignancy within the past 5 years (except for basal cell carcinoma) Significant cardiac and vascular disease at the present time or for 12 months before screening, including chronic heart failure NYHA Class III or IV; severe arrhythmia requiring therapy with Class Ia, Ib, Ic and Class III antiarrhythmic drug; unstable angina; myocardial infarction; cardiac surgery and CABG; relevant cardiac valves disorders; transient ischemic attack or stroke; uncontrolled arterial hypertension with systolic pressure >180 mm Hg and diastolic pressure >110 mm Hg; pulmonary embolism or deep vein thrombosis. Nephrotic syndrome, moderate and severe chronic renal failure, or significant renal diseases with creatinine level of >1.5 mg/dL (132 μmol/L) in men and >1.4 mg/dL (123 μmol/L) in women or Glomerular Filtration Rate (GFR) < 60 ml/min. HIV, hepatitis B or C, hepatic cirrhosis in history; elevated level of serum aspartate aminotransferase (ASAT) or alanine aminotransferase (ALAT) ≥ 3 times of the upper limit of normal (UNL); elevated common bilirubin ≥ 2 times of UNL at the screening. Anemia (hemoglobin ≤10.5 g/dL in women and ≤ 11.5 g/dL in men); marked blood loss or sampling not less than one unit of donated blood (≥ 500 ml) or blood transfusion for previous 12 weeks. Any concomitant disease besides bronchial asthma which is not controlled with stable treatment. Drug or alcohol abuse at the moment of screening or in past which, at the discretion of the investigator, make the patient unfit for the study Inability to read or to write; unwillingness to understand and to follow the procedures of the study protocol; violation of the drug administration regimen or procedure execution that, at the discretion of the Investigator, can impact the results of the study or safety of the patient and interfere his further participation in the study; any other concomitant medical and serious mental conditions which make the patient unfit for participation in the clinical study, limit a validity of receiving of informed consent or can affect ability of the patient to take part in the study -
Facility Information:
Facility Name
"Allergy and Immunology Center" LLC
City
Krasnodar
ZIP/Postal Code
350007
Country
Russian Federation
Facility Name
"Pulmonology Research Institute" FMBA of Russia
City
Moscow
ZIP/Postal Code
105077
Country
Russian Federation
Facility Name
Central Research Institute for Tuberculosis at Russian Medical Sciences
City
Moscow
ZIP/Postal Code
107564
Country
Russian Federation
Facility Name
Moscow State Medical-Dentist University n.a. A.I. Evdokimov on basis of SMHI "City Hospital № 62", branch 5
City
Moscow
ZIP/Postal Code
121552
Country
Russian Federation
Facility Name
Russian Medical Academy of postgraduate education of Ministry of Healthcare on basis of city's Clinical Hospital № 52
City
Moscow
ZIP/Postal Code
123995
Country
Russian Federation
Facility Name
Ryazan State Medical University
City
Ryazan'
ZIP/Postal Code
390005
Country
Russian Federation
Facility Name
State Budgetary Institution of Healthcare "Leningrad region Clinical Hospital"
City
Saint Petersburg
ZIP/Postal Code
194291
Country
Russian Federation
Facility Name
Saint Petersburg State Monetary Healthcare Institution "Nicolaevskiy Hospital"
City
Saint Petersburg
ZIP/Postal Code
19510
Country
Russian Federation
Facility Name
"Medical Researches Institute" LLC
City
Saint Petersburg
ZIP/Postal Code
196084
Country
Russian Federation
Facility Name
State Healthcare Institution "Regional Clinical Hospital"
City
Saratov
ZIP/Postal Code
410053
Country
Russian Federation
Facility Name
Federal State Budgetary Educational Institution of the Higher Education "Smolensk State Medical
City
Smolensk
ZIP/Postal Code
214019
Country
Russian Federation
Facility Name
State autonomous healthcare institution of Yaroslavl Region "Сlinical hospital for emergency medical care n. a. N.V. Solovyov"
City
Yaroslavl,
ZIP/Postal Code
150003
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33095411
Citation
Romanova J, Chikina E, Rydlovskaya A, Pohl W, Renner A, Zeifman A, Chuchalin A, Nebolsin V. New Anti-Chemokine Oral Drug XC8 in the Treatment of Asthma Patients with Poor Response to Corticosteroids: Results of a Phase 2A Randomized Controlled Clinical Trial. Pulm Ther. 2020 Dec;6(2):351-369. doi: 10.1007/s41030-020-00134-5. Epub 2020 Oct 23.
Results Reference
derived

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XC8 in the Treatment of Patients With Bronchial Asthma

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