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Effect of OC000459 on Eosinophilic Airway Inflammation in Severe Asthma

Primary Purpose

Severe Eosinophilic Asthma

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
OC000459
Placebo
Sponsored by
Chiesi Farmaceutici S.p.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Severe Eosinophilic Asthma

Eligibility Criteria

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

Inclusion Criteria:

  • Show evidence of reversible airflow obstruction documented within the previous 12 months or prior to Randomisation.
  • Meet the European Respiratory Society/American Thoracic Society (ERS/ATS) criteria for severe asthma at Screening.
  • Have documented evidence of eosinophilic airway inflammation during the 12 months prior to Screening.
  • Have evidence of eosinophilic airway inflammation at Screening as reflected by an induced sputum eosinophil count of ≥3%.
  • Subjects who are taking oral corticosteroids (OCS) must be receiving a 20 mg prednisolone equivalent dose, or less, daily for at least four weeks before the first dose of study drug. The dose of OCS should be unchanged for at least 14 days prior to the Baseline visit.

Exclusion Criteria:

  • Treatment with XolairTM or anti-Th2 biologicals within 6 months prior to screening.
  • Subjects with clinically significant abnormal serum biochemistry, haematology and urine examination values
  • Subjects who have been hospitalised in the last 3 months.
  • History of more than 2 episodes of confirmed bacterial lower respiratory tract infection or current lower respiratory tract infection.
  • Subjects are current smokers or have a smoking history of >15 pack years.
  • Significant comorbidity that in the Investigator's opinion is likely to impact the subject's participation in a 26 week study.
  • Presence of a clinically important lung condition other than asthma, malignancy or previous history of cancer in remission for less than 12 months, clinically important liver or kidney disease, uncontrolled clinically significant cardiovascular disease, hypereosinophilic syndromes such as Churg-Strauss Syndrome or eosinophilic oesophagitis.

Sites / Locations

  • University of Oxford

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

OC000459

Placebo

Arm Description

Once daily dose of 50mg OC000459 tablets orally for 12/24 weeks

Once daily dose of placebo tablets orally for 12/24 weeks

Outcomes

Primary Outcome Measures

Compare the effect of OC000459 50mg given once daily with placebo on the induced sputum eosinophil counts.

Secondary Outcome Measures

The effect on pre- and post-bronchodilator spirometry using forced expiratory volume in one second (FEV1).
The effect of OC000459 on fractional exhaled nitric oxide (FeNO).
Measuring quality of life using standardised asthma quality of life questionnaire (AQLQ(S)).
Statistical comparison from baseline on induced sputum eosinophil count.

Full Information

First Posted
September 4, 2015
Last Updated
August 27, 2019
Sponsor
Chiesi Farmaceutici S.p.A.
Collaborators
Atopix Therapeutics, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02560610
Brief Title
Effect of OC000459 on Eosinophilic Airway Inflammation in Severe Asthma
Official Title
The Effect of OC000459 on Eosinophilic Airway Inflammation and Asthma Control in Subjects With Refractory Eosinophilic Asthma: a Randomised, Double-blind, Placebo Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
September 2016 (Actual)
Primary Completion Date
August 2, 2018 (Actual)
Study Completion Date
August 2, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chiesi Farmaceutici S.p.A.
Collaborators
Atopix Therapeutics, Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim is to study the effect of OC000459 on eosinophilic airway inflammation and asthma control in subjects with severe, refractory eosinophilic asthma.
Detailed Description
At week 12 subjects not on oral corticosteroids (OCS) will complete the treatment period and return after 4 weeks for final follow up visit. Those subjects who were taking OCS at baseline will continue for a maximum of 12 additional weeks, double blind period during which their current OCS treatment will be titrated down according to their clinical response.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
OC000459
Arm Type
Active Comparator
Arm Description
Once daily dose of 50mg OC000459 tablets orally for 12/24 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Once daily dose of placebo tablets orally for 12/24 weeks
Intervention Type
Drug
Intervention Name(s)
OC000459
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Compare the effect of OC000459 50mg given once daily with placebo on the induced sputum eosinophil counts.
Time Frame
Mean change from baseline and week 12
Secondary Outcome Measure Information:
Title
The effect on pre- and post-bronchodilator spirometry using forced expiratory volume in one second (FEV1).
Time Frame
Every 4 weeks up to week 12
Title
The effect of OC000459 on fractional exhaled nitric oxide (FeNO).
Time Frame
At 4,8 and 12 weeks
Title
Measuring quality of life using standardised asthma quality of life questionnaire (AQLQ(S)).
Time Frame
At weeks 4,8 and 12
Title
Statistical comparison from baseline on induced sputum eosinophil count.
Time Frame
At weeks 4,8 and 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Show evidence of reversible airflow obstruction documented within the previous 12 months or prior to Randomisation. Meet the European Respiratory Society/American Thoracic Society (ERS/ATS) criteria for severe asthma at Screening. Have documented evidence of eosinophilic airway inflammation during the 12 months prior to Screening. Have evidence of eosinophilic airway inflammation at Screening as reflected by an induced sputum eosinophil count of ≥3%. Subjects who are taking oral corticosteroids (OCS) must be receiving a 20 mg prednisolone equivalent dose, or less, daily for at least four weeks before the first dose of study drug. The dose of OCS should be unchanged for at least 14 days prior to the Baseline visit. Exclusion Criteria: Treatment with XolairTM or anti-Th2 biologicals within 6 months prior to screening. Subjects with clinically significant abnormal serum biochemistry, haematology and urine examination values Subjects who have been hospitalised in the last 3 months. History of more than 2 episodes of confirmed bacterial lower respiratory tract infection or current lower respiratory tract infection. Subjects are current smokers or have a smoking history of >15 pack years. Significant comorbidity that in the Investigator's opinion is likely to impact the subject's participation in a 26 week study. Presence of a clinically important lung condition other than asthma, malignancy or previous history of cancer in remission for less than 12 months, clinically important liver or kidney disease, uncontrolled clinically significant cardiovascular disease, hypereosinophilic syndromes such as Churg-Strauss Syndrome or eosinophilic oesophagitis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ian Pavord, Professor
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Oxford
City
Oxford
State/Province
Oxfordshire
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://www.clinicaltrialsregister.eu/ctr-search/trial/2015-001833-26/results
Description
Study Record on EU Clinical Trials Register including results

Learn more about this trial

Effect of OC000459 on Eosinophilic Airway Inflammation in Severe Asthma

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