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An Evaluation of VR942 in Healthy Volunteers and Patients With Mild Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
VR942 delivered via a Vectura Dry Powder Inhaler
Placebo delivered via a Vectura Dry Powder Inhaler
Sponsored by
Vectura Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for Part I & 2:

  • Male or female subject.
  • Female subjects of non-childbearing potential
  • Weigh at least 50 kg, and body mass index 18.0-31.0
  • Peak inspiratory flow (PIF) of at least 60 L/min for at least 2 sec
  • Forced expiratory volume in 1 sec (FEV1)/forced vital capacity (FVC) ratio of at least 0.7 at the screening visit
  • Willingness to give written consent to participate after reading the information and consent form
  • Willingness to give written consent to have data entered into The Over volunteering Prevention System.
  • Additional inclusion criteria for Part 1:
  • Healthy subjects with FEV1 and FVC of at least 80% of the predicted value at the screening visit
  • Additional inclusion criteria for Part 2:
  • Patients with documented clinical history of mild bronchial asthma (mild as defined by the GINA guidelines1) for at least 6 months before the screening visit
  • Patient FEV1 and FVC of at least 70% of the predicted value at the screening visit

Exclusion Criteria for Part 1 & 2:

  • Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-trial screening assessment
  • Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the subject's participation in the trial or make it unnecessarily hazardous (excluding mild asthma in Part 2)
  • Impaired endocrine, thyroid, hepatic, respiratory (excluding mild asthma in Part 2) or renal function, diabetes mellitus, coronary heart disease, cancer, or history of any psychotic mental illness
  • Respiratory tract infection within 4 weeks before the screening visit
  • History of surgery or medical intervention, or planned surgery or medical intervention
  • Presence or history of severe adverse reaction to any drug, or sensitivity to components of the trial medication
  • Use of a prescription or over-the-counter medicine, with the exception of acetaminophen (paracetamol), during the 7 days before the first dose of trial medication. For Part 2 only, inhaled short-acting ß2 agonists, and ICS (stable dose with at least 2 weeks documented use of ≥80% compliance before screening and Day -1) are permitted
  • Participation in another clinical trial of a new chemical entity, new device, or a prescription medicine within the 3 months before dosing, or participation within 5 half-lives of receiving an experimental drug (whichever is longer)
  • Presence or history of drug or alcohol abuse
  • Evidence of drug abuse on urine testing, or a positive test for alcohol
  • Current smoker; or ex-smokers who (a) gave up less than 1 year ago, or (b) who have a history of more than 10 pack-years
  • Blood pressure and heart rate at the screening examination outside the ranges 90-140 mm Hg systolic, 40-90 mm Hg diastolic; heart rate 40-100 beats/min.
  • Loss of more than 400 mL blood, eg as a blood donor, or donation of blood products, during the 3 months before the trial
  • Positive test for hepatitis B, hepatitis C, or HIV
  • Possibility that the subject will not cooperate with the requirements of the protocol, including effective use of the DPI
  • Additional exclusion criteria for Part 2:
  • Life-threatening asthmatic episode in the past
  • Asthmatic episode or respiratory tract infection requiring steroid treatment in the past 3 months
  • Use of the following medicines within the specified time before screening:

    • Long-acting ß2 agonists; At any time before screening
    • Anti IgE therapy; 6 months
    • Inhaled corticosteroids (>500 µg per day of beclometasone dipropionate (BDP) or equivalent); 8 weeks
    • Oral or injectable steroids; 8 weeks
    • Intranasal or topical steroids; 4 weeks
    • Leukotriene antagonists; 2 weeks
    • Xanthines (excluding caffeine), anticholinergics, cromoglycates; 1 week

Sites / Locations

  • Vectura Study Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

VR942 Dose 1

VR942 Dose 2

VR942 Dose 3

VR942 Dose 4

VR942 Dose 5

Arm Description

VR942 Dose 1

VR942 Dose 2

VR942 Dose 3

VR942 Dose 4

VR942 Dose 5

Outcomes

Primary Outcome Measures

Number of participants with adverse events as a measure of the safety and tolerability of single doses of VR942 in healthy subjects and repeated doses of VR942 in mild asthmatics
o Vital signs, physical examinations, any AEs or adverse device effects, laboratory tests, spirometry, and ECG variables

Secondary Outcome Measures

The pharmacodynamics of repeat doses of VR942 in mild asthmatics
o Change in biomarker levels
The pharmacokinetic profile of single (Part 1) and repeated doses (part 2) of VR942 (time frame 4 and 14 days for Part 1 & 2 respectively):
Part 1: Cmax, tmax, t½, AUC0-t, AUC0-∞ and Kel Part 2: Cmax, tmax, and AUC0-τ (post-dose on Day 1) Ctrough on Days 2, 9 and 10 Cmax, tmax, t½, AUC0-t, AUC0-τ, Kel (post-dose on Day 10) Accumulation ratio Racc (Cmax on Day 10/Cmax on Day 1), (AUC0-τ on Day 10/AUC0-τ on Day 1) and (Cmin on Day 10/Cmin on Day 2)
The number of used blisters and inhalers that do not meet the performance characteristics of the device intended by the manufacturer
o Examination of a sample of used blisters and inhalers will be conducted

Full Information

First Posted
May 29, 2015
Last Updated
December 19, 2016
Sponsor
Vectura Limited
Collaborators
UCB Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT02473939
Brief Title
An Evaluation of VR942 in Healthy Volunteers and Patients With Mild Asthma
Official Title
A Randomised, Double-blind, Placebo-controlled, Dose-escalation Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of Single Inhaled Doses of VR942 in Healthy Subjects and Repeated Doses in Mild Asthmatics
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
June 2015 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vectura Limited
Collaborators
UCB Pharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to Evaluate the safety, tolerability, pharmacodynamics and pharmacokinetics of single inhaled doses of VR942 in healthy subjects (part 1) and repeated doses in mild asthmatics (part 2).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
85 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VR942 Dose 1
Arm Type
Experimental
Arm Description
VR942 Dose 1
Arm Title
VR942 Dose 2
Arm Type
Experimental
Arm Description
VR942 Dose 2
Arm Title
VR942 Dose 3
Arm Type
Experimental
Arm Description
VR942 Dose 3
Arm Title
VR942 Dose 4
Arm Type
Experimental
Arm Description
VR942 Dose 4
Arm Title
VR942 Dose 5
Arm Type
Experimental
Arm Description
VR942 Dose 5
Intervention Type
Drug
Intervention Name(s)
VR942 delivered via a Vectura Dry Powder Inhaler
Intervention Type
Drug
Intervention Name(s)
Placebo delivered via a Vectura Dry Powder Inhaler
Primary Outcome Measure Information:
Title
Number of participants with adverse events as a measure of the safety and tolerability of single doses of VR942 in healthy subjects and repeated doses of VR942 in mild asthmatics
Description
o Vital signs, physical examinations, any AEs or adverse device effects, laboratory tests, spirometry, and ECG variables
Time Frame
28 days
Secondary Outcome Measure Information:
Title
The pharmacodynamics of repeat doses of VR942 in mild asthmatics
Description
o Change in biomarker levels
Time Frame
28 days
Title
The pharmacokinetic profile of single (Part 1) and repeated doses (part 2) of VR942 (time frame 4 and 14 days for Part 1 & 2 respectively):
Description
Part 1: Cmax, tmax, t½, AUC0-t, AUC0-∞ and Kel Part 2: Cmax, tmax, and AUC0-τ (post-dose on Day 1) Ctrough on Days 2, 9 and 10 Cmax, tmax, t½, AUC0-t, AUC0-τ, Kel (post-dose on Day 10) Accumulation ratio Racc (Cmax on Day 10/Cmax on Day 1), (AUC0-τ on Day 10/AUC0-τ on Day 1) and (Cmin on Day 10/Cmin on Day 2)
Time Frame
4 and 14 days for Part 1 and 2 respectively
Title
The number of used blisters and inhalers that do not meet the performance characteristics of the device intended by the manufacturer
Description
o Examination of a sample of used blisters and inhalers will be conducted
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for Part I & 2: Male or female subject. Female subjects of non-childbearing potential Weigh at least 50 kg, and body mass index 18.0-31.0 Peak inspiratory flow (PIF) of at least 60 L/min for at least 2 sec Forced expiratory volume in 1 sec (FEV1)/forced vital capacity (FVC) ratio of at least 0.7 at the screening visit Willingness to give written consent to participate after reading the information and consent form Willingness to give written consent to have data entered into The Over volunteering Prevention System. Additional inclusion criteria for Part 1: Healthy subjects with FEV1 and FVC of at least 80% of the predicted value at the screening visit Additional inclusion criteria for Part 2: Patients with documented clinical history of mild bronchial asthma (mild as defined by the GINA guidelines1) for at least 6 months before the screening visit Patient FEV1 and FVC of at least 70% of the predicted value at the screening visit Exclusion Criteria for Part 1 & 2: Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-trial screening assessment Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the subject's participation in the trial or make it unnecessarily hazardous (excluding mild asthma in Part 2) Impaired endocrine, thyroid, hepatic, respiratory (excluding mild asthma in Part 2) or renal function, diabetes mellitus, coronary heart disease, cancer, or history of any psychotic mental illness Respiratory tract infection within 4 weeks before the screening visit History of surgery or medical intervention, or planned surgery or medical intervention Presence or history of severe adverse reaction to any drug, or sensitivity to components of the trial medication Use of a prescription or over-the-counter medicine, with the exception of acetaminophen (paracetamol), during the 7 days before the first dose of trial medication. For Part 2 only, inhaled short-acting ß2 agonists, and ICS (stable dose with at least 2 weeks documented use of ≥80% compliance before screening and Day -1) are permitted Participation in another clinical trial of a new chemical entity, new device, or a prescription medicine within the 3 months before dosing, or participation within 5 half-lives of receiving an experimental drug (whichever is longer) Presence or history of drug or alcohol abuse Evidence of drug abuse on urine testing, or a positive test for alcohol Current smoker; or ex-smokers who (a) gave up less than 1 year ago, or (b) who have a history of more than 10 pack-years Blood pressure and heart rate at the screening examination outside the ranges 90-140 mm Hg systolic, 40-90 mm Hg diastolic; heart rate 40-100 beats/min. Loss of more than 400 mL blood, eg as a blood donor, or donation of blood products, during the 3 months before the trial Positive test for hepatitis B, hepatitis C, or HIV Possibility that the subject will not cooperate with the requirements of the protocol, including effective use of the DPI Additional exclusion criteria for Part 2: Life-threatening asthmatic episode in the past Asthmatic episode or respiratory tract infection requiring steroid treatment in the past 3 months Use of the following medicines within the specified time before screening: Long-acting ß2 agonists; At any time before screening Anti IgE therapy; 6 months Inhaled corticosteroids (>500 µg per day of beclometasone dipropionate (BDP) or equivalent); 8 weeks Oral or injectable steroids; 8 weeks Intranasal or topical steroids; 4 weeks Leukotriene antagonists; 2 weeks Xanthines (excluding caffeine), anticholinergics, cromoglycates; 1 week
Facility Information:
Facility Name
Vectura Study Site
City
London
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
30146344
Citation
Burgess G, Boyce M, Jones M, Larsson L, Main MJ, Morgan F, Phillips P, Scrimgeour A, Strimenopoulou F, Vajjah P, Zamacona M, Palframan R. Randomized study of the safety and pharmacodynamics of inhaled interleukin-13 monoclonal antibody fragment VR942. EBioMedicine. 2018 Sep;35:67-75. doi: 10.1016/j.ebiom.2018.07.035. Epub 2018 Aug 23.
Results Reference
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An Evaluation of VR942 in Healthy Volunteers and Patients With Mild Asthma

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