search
Back to results

Effect of ADC4022 Co-Administered With Budesonide on Pulmonary Inflammation in Subjects With Moderate to Severe COPD

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Theophylline - ADC4022
Placebo
Budesonide
Sponsored by
Pulmagen Therapeutics
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:

  • Confirmed diagnosis of COPD that has been symptomatic for at least 2 years
  • The subject has moderate to severe COPD, as defined by the American Thoracic Society and the European Respiratory Society
  • The subject can produce an adequate sputum specimen after induction
  • The subject has a history of ≥ 10-pack years of cigarette smoking
  • The subject has either a ≤15% increase or ≤200 ml increase in FEV1 from pre-dose following a fixed dose of bronchodilator therapy
  • The subject is able to provide written, informed consent to participate

Exclusion Criteria:

  • The subject has experienced a respiratory tract infection and/or an exacerbation of COPD within 30 days
  • The subject uses systemic corticosteroids (oral or parenteral)
  • The subject has received long term oxygen therapy within 30 days
  • The subject has a previous history or diagnosis of asthma
  • The subject has a chest x-ray within the past 12 months which is diagnostic of an active or clinically significant disease other than COPD
  • The subject has a history or presence of active tuberculosis, cystic fibrosis, bronchiectasis, lung cancer or sarcoidosis or any other clinically important lung diseases
  • The subject has had radiation or chemotherapy within the previous 12 months
  • The subject has a history of anaphylaxis associated with medicinal products
  • The subject is pregnant, intends to become pregnant, or is breast feeding
  • The subject's alcohol intake is excessive.
  • The subject participated in another study (for a marketed drug) within 3 months before the start of this study or (for an investigational drug) within 4 months before the start of this study.

Other inclusion/exclusion criteria may also apply

Sites / Locations

  • Silisian Medical University
  • Jagiellonian University of Medicine
  • Medical University in Lodz
  • National Tuberculosis and Lung Diseases Research Institute
  • Warsaw University Medical School
  • Glenfield Hospital
  • The London Chest Hospital
  • Medicines Evaluation Unit

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

Pulmonary inflammation: Cell counts (neutrophils, macrophages, eosinophils and lymphocytes) in induced sputum samples

Secondary Outcome Measures

Pulmonary inflammation: Cytokine IL-8 concentration in induced sputum
Pulmonary inflammation: CD8+ and CD68+ from bronchial biopsy
Tolerability to ADC4022

Full Information

First Posted
March 6, 2008
Last Updated
February 27, 2009
Sponsor
Pulmagen Therapeutics
search

1. Study Identification

Unique Protocol Identification Number
NCT00634413
Brief Title
Effect of ADC4022 Co-Administered With Budesonide on Pulmonary Inflammation in Subjects With Moderate to Severe COPD
Official Title
A Phase II, Randomised, Double-Blind, Placebo-Controlled Pilot Efficacy Study of ADC4022 on Markers of Pulmonary Inflammation in Subjects With Moderate to Severe COPD
Study Type
Interventional

2. Study Status

Record Verification Date
February 2009
Overall Recruitment Status
Completed
Study Start Date
February 2008 (undefined)
Primary Completion Date
December 2008 (Actual)
Study Completion Date
January 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pulmagen Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the tolerability and efficacy of inhaled theophylline (ADC4022) on markers of pulmonary inflammation (white blood cells) in induced sputum and in bronchial biopsy samples in subjects with moderate to severe Chronic Obstructive Pulmonary Disease (COPD) when co-administered with budesonide and compared to placebo.

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
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
91 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Theophylline - ADC4022
Other Intervention Name(s)
ADC4022
Intervention Description
Inhaled theophylline (ADC4022) administered twice daily for 28 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Inhaled matching placebo administered twice daily for 28 days
Intervention Type
Drug
Intervention Name(s)
Budesonide
Other Intervention Name(s)
Pulmicort
Intervention Description
Inhaled budesonide twice daily for 28 days
Primary Outcome Measure Information:
Title
Pulmonary inflammation: Cell counts (neutrophils, macrophages, eosinophils and lymphocytes) in induced sputum samples
Time Frame
Baseline and after 4 weeks treatment
Secondary Outcome Measure Information:
Title
Pulmonary inflammation: Cytokine IL-8 concentration in induced sputum
Time Frame
Baseline and after 4 weeks treatment
Title
Pulmonary inflammation: CD8+ and CD68+ from bronchial biopsy
Time Frame
Baseline and after 4 weeks treatment
Title
Tolerability to ADC4022
Time Frame
Baseline, during 4 weeks treatment and after 1 week of follow-up

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: Confirmed diagnosis of COPD that has been symptomatic for at least 2 years The subject has moderate to severe COPD, as defined by the American Thoracic Society and the European Respiratory Society The subject can produce an adequate sputum specimen after induction The subject has a history of ≥ 10-pack years of cigarette smoking The subject has either a ≤15% increase or ≤200 ml increase in FEV1 from pre-dose following a fixed dose of bronchodilator therapy The subject is able to provide written, informed consent to participate Exclusion Criteria: The subject has experienced a respiratory tract infection and/or an exacerbation of COPD within 30 days The subject uses systemic corticosteroids (oral or parenteral) The subject has received long term oxygen therapy within 30 days The subject has a previous history or diagnosis of asthma The subject has a chest x-ray within the past 12 months which is diagnostic of an active or clinically significant disease other than COPD The subject has a history or presence of active tuberculosis, cystic fibrosis, bronchiectasis, lung cancer or sarcoidosis or any other clinically important lung diseases The subject has had radiation or chemotherapy within the previous 12 months The subject has a history of anaphylaxis associated with medicinal products The subject is pregnant, intends to become pregnant, or is breast feeding The subject's alcohol intake is excessive. The subject participated in another study (for a marketed drug) within 3 months before the start of this study or (for an investigational drug) within 4 months before the start of this study. Other inclusion/exclusion criteria may also apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Neil Barnes, MD PhD
Organizational Affiliation
London Chest Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Silisian Medical University
City
Katowice-Ligota
ZIP/Postal Code
40-752
Country
Poland
Facility Name
Jagiellonian University of Medicine
City
Krakow
ZIP/Postal Code
31-066
Country
Poland
Facility Name
Medical University in Lodz
City
Lodz
ZIP/Postal Code
90-153
Country
Poland
Facility Name
National Tuberculosis and Lung Diseases Research Institute
City
Warsaw
ZIP/Postal Code
01-138
Country
Poland
Facility Name
Warsaw University Medical School
City
Warsaw
ZIP/Postal Code
02-097
Country
Poland
Facility Name
Glenfield Hospital
City
Leicester
State/Province
Leicestershire
ZIP/Postal Code
LE3 9QP
Country
United Kingdom
Facility Name
The London Chest Hospital
City
London
ZIP/Postal Code
E2 9JX
Country
United Kingdom
Facility Name
Medicines Evaluation Unit
City
Manchester
ZIP/Postal Code
M23 9QZ
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Effect of ADC4022 Co-Administered With Budesonide on Pulmonary Inflammation in Subjects With Moderate to Severe COPD

We'll reach out to this number within 24 hrs