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Repeat Doses of BAY1902607 in Healthy Males and Proof of Concept in Chronic Cough Patients

Primary Purpose

Cough

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BAY1902607
Matching placebo
Midazolam
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cough focused on measuring 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, heart rate), 12-lead ECG, clinical laboratory tests
  • Age: 18-45 years (inclusive) at the first screening visit
  • Non-smoker for at least 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, 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 treatment of cough according to the 2006 British Thoracic Society (BTS) guideline
  • Score of ≥ 40 mm on the Cough Severity visual analogue scale (VAS) at screening
  • 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 31 days (1 average menstrual cycle of 28 days plus approx. 5 half-lives of BAY 1902607) after the last dose. In addition during the study and for at least 31 days after the last dose women of child bearing potential are not allowed to donate oocytes.

Exclusion Criteria:

Part 1:

  • Relevant diseases potentially interfering with the study objectives (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 ability to taste, as revealed by the taste-disturbance questionnaire during screening and the predose procedures

Part 2:

  • FEV1(Forced Expiratory Volume in 1 second) or FVC(Forced Vital Capacity ) 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 screening
  • 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

  • Catharina Ziekenhuis
  • Isala
  • Queen's University
  • Birmingham Heartlands Hospital
  • Castle Hill Hospital
  • King's College Hospital - NHS Foundation Trust
  • Medicines Evaluation Unit
  • University Hospital of South Manchester

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose 1 of BAY1902607

Dose 2 of BAY1902607

Dose 3 of BAY1902607

Matching placebo

BAY1902607+Matching Placebo

Matching Placebo+BAY1902607

Arm Description

Part 1: From Day 1 until Day 12 the dose 1 of BAY1902607 will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, dose 1 of BAY1902607 will be given only once.

Part 1: From Day 1 until Day 12 the dose 2 of BAY1902607 will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, dose 2 of BAY1902607 will be given only once.

Part 1: From Day 1 until Day 12 the dose 3 of BAY1902607 will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, dose 3 of BAY1902607 will be given only once.

Part 1: From Day 1 until Day 12 the matching placebo will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, matching placebo will be given only once.

Part 2: Randomized crossover design in cough patients 4 different doses of BAY1902607+matching placebo

Part 2: Randomized crossover design in cough patients Matching placebo+4 different doses of BAY1902607

Outcomes

Primary Outcome Measures

Number of subjects with Treatment-Emergent Adverse Events (TEAEs) by Severity in Part 1
Number of subjects with Treatment-Emergent Adverse Events (TEAEs) by Severity in Part 2
AUC of midazolam without BAY1902607
Part 1
AUC of midazolam in combination with BAY1902607
Part 1
Cmax of midazolam in combination with BAY1902607
Part 1
Cmax of midazolam without BAY1902607
Part 1
Number of Coughs Experienced by the Patient Within a 24-hour Period (24- hour cough count/hour) in Part 2
Part 2: Coughs monitored by VitaloJAK cough recorder (Vitalograph)

Secondary Outcome Measures

Full Information

First Posted
May 14, 2018
Last Updated
February 7, 2021
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT03535168
Brief Title
Repeat Doses of BAY1902607 in Healthy Males and Proof of Concept in Chronic Cough Patients
Official Title
Two-part, Double-blind, Placebo-controlled, Randomized, Parallel-group Study: (Part 1) in Healthy Male Subjects to Assess Safety and Tolerability of Ascending Repeated Oral Doses of BAY1902607 Including Its Effect on the Pharmacokinetics of a Sub-therapeutic Dose of Midazolam (MDZ), Followed by (Part 2) a Two-way Crossover Administration of Four Different Doses of BAY1902607 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
February 2021
Overall Recruitment Status
Completed
Study Start Date
May 29, 2018 (Actual)
Primary Completion Date
September 25, 2019 (Actual)
Study Completion Date
October 11, 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
The primary objectives of this study: To investigate the safety and tolerability of ascending repeated oral doses of BAY1902607 in healthy subjects (Part 1). To investigate the effect of BAY1902607 on the pharmacokinetics (PK) of a sub-therapeutic 1 mg dose of midazolam (Part 1). To investigate the safety, tolerability and efficacy of BAY1902607 in patients with refractory chronic cough (Part 2).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cough
Keywords
Healthy volunteers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Part 1: Sequential parallel-group Part 2: Two-arm crossover
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
59 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose 1 of BAY1902607
Arm Type
Experimental
Arm Description
Part 1: From Day 1 until Day 12 the dose 1 of BAY1902607 will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, dose 1 of BAY1902607 will be given only once.
Arm Title
Dose 2 of BAY1902607
Arm Type
Experimental
Arm Description
Part 1: From Day 1 until Day 12 the dose 2 of BAY1902607 will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, dose 2 of BAY1902607 will be given only once.
Arm Title
Dose 3 of BAY1902607
Arm Type
Experimental
Arm Description
Part 1: From Day 1 until Day 12 the dose 3 of BAY1902607 will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, dose 3 of BAY1902607 will be given only once.
Arm Title
Matching placebo
Arm Type
Experimental
Arm Description
Part 1: From Day 1 until Day 12 the matching placebo will be given twice daily in approximately 12 hour intervals. On Day 0 and Day 13, matching placebo will be given only once.
Arm Title
BAY1902607+Matching Placebo
Arm Type
Experimental
Arm Description
Part 2: Randomized crossover design in cough patients 4 different doses of BAY1902607+matching placebo
Arm Title
Matching Placebo+BAY1902607
Arm Type
Experimental
Arm Description
Part 2: Randomized crossover design in cough patients Matching placebo+4 different doses of BAY1902607
Intervention Type
Drug
Intervention Name(s)
BAY1902607
Intervention Description
3 different doses over the course of part 1 and 4 different doses over the course of part 2.
Intervention Type
Drug
Intervention Name(s)
Matching placebo
Intervention Description
Matching placebo for BAY1902607
Intervention Type
Drug
Intervention Name(s)
Midazolam
Intervention Description
Part 1: The subjects will initially (Day -1) receive a sub-therapeutic dose of 1 mg midazolam as solution in the morning.
Primary Outcome Measure Information:
Title
Number of subjects with Treatment-Emergent Adverse Events (TEAEs) by Severity in Part 1
Time Frame
Approximately 5 weeks
Title
Number of subjects with Treatment-Emergent Adverse Events (TEAEs) by Severity in Part 2
Time Frame
Approximately 12 weeks
Title
AUC of midazolam without BAY1902607
Description
Part 1
Time Frame
At Day -1
Title
AUC of midazolam in combination with BAY1902607
Description
Part 1
Time Frame
At Day 13
Title
Cmax of midazolam in combination with BAY1902607
Description
Part 1
Time Frame
At Day 13
Title
Cmax of midazolam without BAY1902607
Description
Part 1
Time Frame
At Day -1
Title
Number of Coughs Experienced by the Patient Within a 24-hour Period (24- hour cough count/hour) in Part 2
Description
Part 2: Coughs monitored by VitaloJAK cough recorder (Vitalograph)
Time Frame
24 hours

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, heart rate), 12-lead ECG, clinical laboratory tests Age: 18-45 years (inclusive) at the first screening visit Non-smoker for at least 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, 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 treatment of cough according to the 2006 British Thoracic Society (BTS) guideline Score of ≥ 40 mm on the Cough Severity visual analogue scale (VAS) at screening 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 31 days (1 average menstrual cycle of 28 days plus approx. 5 half-lives of BAY 1902607) after the last dose. In addition during the study and for at least 31 days after the last dose women of child bearing potential are not allowed to donate oocytes. Exclusion Criteria: Part 1: Relevant diseases potentially interfering with the study objectives (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 ability to taste, as revealed by the taste-disturbance questionnaire during screening and the predose procedures Part 2: FEV1(Forced Expiratory Volume in 1 second) or FVC(Forced Vital Capacity ) 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 screening 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)
Facility Information:
Facility Name
Catharina Ziekenhuis
City
Eindhoven
State/Province
Noord-Brabant
ZIP/Postal Code
5623 EJ
Country
Netherlands
Facility Name
Isala
City
Zwolle
ZIP/Postal Code
8025 AB
Country
Netherlands
Facility Name
Queen's University
City
Belfast
State/Province
Antrim
ZIP/Postal Code
BT9 7BL
Country
United Kingdom
Facility Name
Birmingham Heartlands Hospital
City
Birmingham
State/Province
West Midlands
ZIP/Postal Code
B9 5SS
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
Medicines Evaluation Unit
City
Manchester
ZIP/Postal Code
M23 9GP
Country
United Kingdom
Facility Name
University Hospital of South Manchester
City
Manchester
ZIP/Postal Code
M23 9LT
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com 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 Study sponsors section of the portal.
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 results for studies related to Bayer products

Learn more about this trial

Repeat Doses of BAY1902607 in Healthy Males and Proof of Concept in Chronic Cough Patients

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