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A Study to Investigate How Safe and Well Tolerated RV568 is in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
RV568
RV568
Placebo
Sponsored by
Respivert Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring COPD

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female aged 40-75 years inclusive at the time of signing the informed consent.
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
  • COPD diagnosis: Subjects with a diagnosis of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines, with symptoms compatible with COPD for at least 1 year prior to screening.
  • Severity of Disease: subjects who conform to the current severity classification for GOLD Stage II/III disease in terms of post-bronchodilator spirometry at screening (Post-salbutamol FEV1/FVC ratio of ≤ 0.70 and post-salbutamol FEV1 ≥ 40 % and ≤ 80 % of predicted normal values calculated using ECCS reference equations)
  • Demonstrated ability to use the I-neb AAD system at screening.
  • Subject is a current or previous smoker with a smoking history of ≥ 10 pack years

Exclusion Criteria:

  • A history of life-threatening COPD including Intensive Care Unit admission and/or requiring intubation
  • A history of > 1 hospitalisation for COPD in the previous 2 years prior to screening.
  • Evidence of cor pulmonale or clinically significant pulmonary hypertension or chronic (in the opinion of the Investigator) use of oxygen.
  • Upper or lower respiratory tract infection, including exacerbation of COPD, within 6 weeks of screening.
  • Other respiratory disorders: Subjects with a current diagnosis of asthma, active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, interstitial lung diseases or other active pulmonary diseases.
  • Subjects with a history of chronic disease including, but not limited to, sleep apnoea, cardiovascular, endocrine, neurological, hepatic, gastrointestinal, renal, hematological, urological, immunological, or ophthalmic diseases that the Investigator believes are clinically significant.
  • Previous lung resection or lung reduction surgery.
  • Pregnant or nursing females.
  • Any abnormal or clinically significant ECG or laboratory values that the Investigator considers would put the subject at risk through participation. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included if the Investigator and the sponsor representative agree it is unlikely to introduce additional risk factors and will not interfere with study procedures.
  • ALT > 2 x ULN at the screening visit.
  • A positive pre-study Hepatitis B surface antigen, positive Hepatitis C antibody result, or positive test for HIV antibody at the screening visit (or within the 3 months prior to screening).
  • Positive test for drugs of abuse at screening that cannot be satisfactorily explained by a prescription history (e.g., recent use of codeine tablets).
  • History of alcohol abuse within the previous 6 months
  • Has had major surgery, (requiring general anesthesia) within 6 weeks before the screening visit, or will not have fully recovered from surgery, or planned surgery through the end of the study
  • Participated in any other clinical study of an NCE within 3 months, or in a study of a marketed drug within 1 month (or within 5 half-lives of the NCE or marketed drug, whichever is the longest) of first dose; or has participated in 4 studies in the previous 12 months.
  • A disclosed history, or one known to the Investigator, of significant noncompliance in previous investigational studies or with prescribed medications.
  • Allergy to any of the active or inactive ingredients in the study medication, or history of drug, or other allergy that, in the opinion of the Investigator or RespiVert medical monitor, would contraindicate their participation.
  • Donation of blood in excess of 500 mL within a 3 month period prior to dosing, or if study participation would result in blood loss in excess of 500 mL in a 3 month period.
  • Subject is mentally or legally incapacitated.
  • Has any condition or are taking a medication that, in the opinion of the Investigator, would make participation not be in the best interest (i.e., compromise the well-being) of the subject or that could prevent, limit, or confound the protocol-specified assessments.
  • Is an employee of the Investigator or study site, with direct involvement in the proposed study or other studies under the direction of that investigator or study site, as well as family members of the employees or the Investigator.
  • Any other reason that the Investigator considers makes the subject unsuitable to participate.
  • Subject has a history of unstable, or uncontrolled hypertension, or has been diagnosed with hypertension in last 6 months.

Sites / Locations

  • Quintiles Drug Research Unit at Guy's Hospital
  • Medicines Evaluation Unit (MEU)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

RV568 treatment group low dose

RV568 treatment group high dose

Placebo treatment group

Arm Description

Outcomes

Primary Outcome Measures

Safety and tolerability
Assessment of vital signs, ECG, adverse event assessment, clinical laboratory screening and spirometry.

Secondary Outcome Measures

Plasma RV568 levels
Assessment of lung function using a body plethysmograph
Assessment of markers of inflammation in sputum
Assessment of markers of inflammation in blood

Full Information

First Posted
November 16, 2011
Last Updated
May 2, 2012
Sponsor
Respivert Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT01475292
Brief Title
A Study to Investigate How Safe and Well Tolerated RV568 is in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Official Title
A Randomised, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Safety and Tolerability of Treatment With Repeat Doses of Inhaled RV568 in Patients With COPD
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
April 2012 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Respivert Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
RV568 is being developed as a possible treatment of diseases such as smoking related lung disease (also known as Chronic Obstructive Pulmonary Disease - COPD) and asthma. The main purpose of this study is to examine the safety of RV568 in COPD patients. Two dose strengths of RV568 and a placebo will be tested in this study, which will be given by inhaling a liquid suspension from a nebuliser once a day for 2 weeks.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RV568 treatment group low dose
Arm Type
Experimental
Arm Title
RV568 treatment group high dose
Arm Type
Experimental
Arm Title
Placebo treatment group
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
RV568
Intervention Description
RV568 50 ug administered via a nebuliser once daily for 14 days
Intervention Type
Drug
Intervention Name(s)
RV568
Intervention Description
RV568 100 ug administered via a nebuliser once daily for 14 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo administered via a nebuliser once daily for 14 days
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Assessment of vital signs, ECG, adverse event assessment, clinical laboratory screening and spirometry.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Plasma RV568 levels
Time Frame
0,15,30,45 min and 1,2,4,6,8,10,12 & 24 hours post dose on Days 1 & 14, 0,1 & 2 hours post dose on Day 7 and one time point on Days 4, 21 & 28
Title
Assessment of lung function using a body plethysmograph
Time Frame
2 week treatment period
Title
Assessment of markers of inflammation in sputum
Time Frame
2 week treatment period
Title
Assessment of markers of inflammation in blood
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged 40-75 years inclusive at the time of signing the informed consent. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form. COPD diagnosis: Subjects with a diagnosis of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines, with symptoms compatible with COPD for at least 1 year prior to screening. Severity of Disease: subjects who conform to the current severity classification for GOLD Stage II/III disease in terms of post-bronchodilator spirometry at screening (Post-salbutamol FEV1/FVC ratio of ≤ 0.70 and post-salbutamol FEV1 ≥ 40 % and ≤ 80 % of predicted normal values calculated using ECCS reference equations) Demonstrated ability to use the I-neb AAD system at screening. Subject is a current or previous smoker with a smoking history of ≥ 10 pack years Exclusion Criteria: A history of life-threatening COPD including Intensive Care Unit admission and/or requiring intubation A history of > 1 hospitalisation for COPD in the previous 2 years prior to screening. Evidence of cor pulmonale or clinically significant pulmonary hypertension or chronic (in the opinion of the Investigator) use of oxygen. Upper or lower respiratory tract infection, including exacerbation of COPD, within 6 weeks of screening. Other respiratory disorders: Subjects with a current diagnosis of asthma, active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, interstitial lung diseases or other active pulmonary diseases. Subjects with a history of chronic disease including, but not limited to, sleep apnoea, cardiovascular, endocrine, neurological, hepatic, gastrointestinal, renal, hematological, urological, immunological, or ophthalmic diseases that the Investigator believes are clinically significant. Previous lung resection or lung reduction surgery. Pregnant or nursing females. Any abnormal or clinically significant ECG or laboratory values that the Investigator considers would put the subject at risk through participation. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included if the Investigator and the sponsor representative agree it is unlikely to introduce additional risk factors and will not interfere with study procedures. ALT > 2 x ULN at the screening visit. A positive pre-study Hepatitis B surface antigen, positive Hepatitis C antibody result, or positive test for HIV antibody at the screening visit (or within the 3 months prior to screening). Positive test for drugs of abuse at screening that cannot be satisfactorily explained by a prescription history (e.g., recent use of codeine tablets). History of alcohol abuse within the previous 6 months Has had major surgery, (requiring general anesthesia) within 6 weeks before the screening visit, or will not have fully recovered from surgery, or planned surgery through the end of the study Participated in any other clinical study of an NCE within 3 months, or in a study of a marketed drug within 1 month (or within 5 half-lives of the NCE or marketed drug, whichever is the longest) of first dose; or has participated in 4 studies in the previous 12 months. A disclosed history, or one known to the Investigator, of significant noncompliance in previous investigational studies or with prescribed medications. Allergy to any of the active or inactive ingredients in the study medication, or history of drug, or other allergy that, in the opinion of the Investigator or RespiVert medical monitor, would contraindicate their participation. Donation of blood in excess of 500 mL within a 3 month period prior to dosing, or if study participation would result in blood loss in excess of 500 mL in a 3 month period. Subject is mentally or legally incapacitated. Has any condition or are taking a medication that, in the opinion of the Investigator, would make participation not be in the best interest (i.e., compromise the well-being) of the subject or that could prevent, limit, or confound the protocol-specified assessments. Is an employee of the Investigator or study site, with direct involvement in the proposed study or other studies under the direction of that investigator or study site, as well as family members of the employees or the Investigator. Any other reason that the Investigator considers makes the subject unsuitable to participate. Subject has a history of unstable, or uncontrolled hypertension, or has been diagnosed with hypertension in last 6 months.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Leonard Siew, MD
Organizational Affiliation
Quintiles Drug Research Unit at Guy's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Quintiles Drug Research Unit at Guy's Hospital
City
London
Country
United Kingdom
Facility Name
Medicines Evaluation Unit (MEU)
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

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A Study to Investigate How Safe and Well Tolerated RV568 is in Patients With Chronic Obstructive Pulmonary Disease (COPD)

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