Study to Assess the Safety and Efficacy of SelK2 on Airway Responses Following Allergen Challenge in Subjects With Asthma (Part 1) and in Subjects With Chronic Obstructive Pulmonary Disease (Part 2)
A Two Part, Randomised, Double-blind, Placebo-controlled, Phase 2 Parallel Group Study to Evaluate the Safety and Efficacy of Intravenously-Administered SelK2 on Airway Responses Following Allergen Challenge in Subjects With Asthma (Part 1) and to Evaluate the Safety and Efficacy of Intravenously-Administered SelK2 in Subjects With Chronic Obstructive Pulmonary Disease (Part 2)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
-
London, United Kingdom
- Queen Anne Street Medical Centre
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Manchester, United Kingdom
- Medicines Evaluation Unit Ltd.
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Part 1:
Key Inclusion Criteria
- Males or females, 18-65 years of age (inclusive)
- Body Mass Index (BMI) ≥ 18.0 and ≤ 35.0 kg/m2
- Documented physician-diagnosed asthma for ≥ 4 months prior to screening
- Pre-bronchodilator FEV1 ≥ 70% predicted at screening
- Documented allergy to at least one common allergen as confirmed by the skin prick test
- Dual responder to inhaled bronchial allergen challenges as manifested by positive allergen-induced early (EAR) and late airway bronchoconstriction (LAR) at screening
Key Exclusion Criteria
- Lung disease other than stable, mild asthma; e.g., worsening of asthma that requires a change in asthma therapy in the past 4 weeks or is deemed clinically significant by the investigator.
- A diagnosed current or recent (within previous 8 weeks of screening, or prior to randomisation) bacterial, protozoal, viral or parasitic infection; is suspected of or is at high risk of having a parasitic infection, or has a history of more than one episode of herpes zoster infection.
- Has a history of life-threatening asthma, defined as an asthma episode that required intubation and/or was associated with hypercapnea, respiratory arrest and/or hypoxic seizures.
- Has been hospitalised or has attended the emergency room for asthma in the 12 months prior to screening, or prior to randomisation.
- A history of tuberculosis (latent or active) or systemic fungal diseases.
Part 2:
Key Inclusion Criteria
- Male or female, 40 to 75 years of age, inclusive, at the time of informed consent.
- Confirmed diagnosis by a physician of COPD with symptoms compatible with COPD for at least 1 year prior to screening.
- BMI ≥ 18.0 and ≤ 35.0 kg/m2 at screening.
- Able to tolerate sputum induction and produce an adequate sputum sample with a neutrophil differential count > 55% at screening.
- Post-bronchodilator FEV1 ≥ 30% and ≤ 80% of the predicted normal, and post-bronchodilator FEV1/FVC < 0.7 at the time of Screening.
- Current or former tobacco smoker who has a smoking history of at least 10 pack years (Ten pack- years are defined as 20 cigarettes a day for 10 years, or 10 cigarettes a day for 20 years).
- Has a negative result in the blood test for tuberculosis (TB) at screening.
Key Exclusion Criteria
- COPD exacerbation requiring oral steroids and/or antibiotics, within the 8 weeks prior to screening or prior to randomisation.
- A positive sputum culture at Screening indicating ongoing infection.
- Other respiratory disorders: Subjects with a current diagnosis of asthma, active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, interstitial lung diseases, known alpha-1 antitrypsin deficiency or other active pulmonary diseases other than COPD.
- A history of life-threatening COPD including intensive care unit admission and/or requiring intubation within the last 5 years.
- A history of > 1 hospitalisation for COPD in the previous 1 year prior to screening.
- Previous lung resection, lung reduction surgery or lung transplantation.
- Requires supplemental oxygen, even on an occasional basis.
- Any infection requiring hospitalisation or intravenous antibiotics within 6 months prior to Screening or prior to randomisation.
- A diagnosed current or recent (within previous 8 weeks of screening, or prior to randomisation) bacterial, protozoal, viral or parasitic infection; is suspected of or is at high risk of having a parasitic infection, or has a history of more than one episode of herpes zoster infection.
- Active participation in a pulmonary rehabilitation program.
- A history of tuberculosis (latent or active) or systemic fungal diseases.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SelK2 (Part 1)
I.V., multiple-dose (Day 1 and Day 22)
|
I.V., multiple-dose (Day 1 and Day 22)
|
|
Placebo Comparator: Placebo (Part 1)
I.V., multiple-dose (Day 1 and Day 22)
|
I.V., multiple-dose (Day 1 and Day 22)
|
|
Experimental: SelK2 (Part 2)
I.V., single-dose (Day 1)
|
I.V., single-dose (Day 1)
|
|
Placebo Comparator: Placebo (Part 2)
I.V., single-dose (Day 1)
|
I.V., single-dose (Day 1)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Maximum percentage fall in FEV1 from pre-challenge between 3 and 8 hours (LAR) after administration of allergen inhalation challenge (Part 1).
Time Frame: Pre-challenge to between 3 and 8 hours after administration of allergen inhalation challenge
|
Pre-challenge to between 3 and 8 hours after administration of allergen inhalation challenge
|
|
Change from baseline in percentage of neutrophils in sputum (Part 2).
Time Frame: Change from baseline to Day 22
|
Change from baseline to Day 22
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
AUC for the percent fall in FEV1 from pre-challenge between 3 and 8 hours (LAR) after the administration of allergen inhalation challenge (Part 1).
Time Frame: Pre-challenge to between 3 and 8 hours after administration of allergen inhalation challenge
|
Pre-challenge to between 3 and 8 hours after administration of allergen inhalation challenge
|
|
|
Change from baseline and change during challenge in percentage of eosinophils in sputum (Part 1)
Time Frame: Change from baseline to 8 and 24 hours post allergen challenge
|
Change from baseline to 8 and 24 hours post allergen challenge
|
|
|
Maximum percentage fall in FEV1 and AUC for the percent fall in FEV1 from pre-challenge between 0 and 2 hours after the administration of allergen inhalation challenge (EAR) (Part 1).
Time Frame: Pre-challenge to between 0 and 2 hours after the administration of allergen inhalation challenge
|
Pre-challenge to between 0 and 2 hours after the administration of allergen inhalation challenge
|
|
|
Maximum percentage fall in FEV1 and AUC for the percent fall in FEV1 between 0 and 8 hours (entire asthmatic response) after the administration of allergen inhalation challenge (Part 1)
Time Frame: Pre-challenge to between 0 and 8 hours after the administration of allergen inhalation challenge
|
Pre-challenge to between 0 and 8 hours after the administration of allergen inhalation challenge
|
|
|
Change from baseline in pre-challenge FEV1 (Part 1).
Time Frame: Change from baseline to Day 29
|
Change from baseline to Day 29
|
|
|
Change from baseline in percentage of neutrophils (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, and 29
|
Change from baseline to Days 4, 8, 15, and 29
|
|
|
Change from baseline in absolute and percentage cell counts for immune cells in induced sputum samples and blood (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, 22, and 29
|
Change from baseline to Days 4, 8, 15, 22, and 29
|
|
|
Change from baseline in FEV1 and post-bronchodilator FEV1 (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, 22, and 29
|
Change from baseline to Days 4, 8, 15, 22, and 29
|
|
|
Change from baseline in pre- and post-bronchodilator impulse oscillometry (IOS) (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, 22, and 29
|
Change from baseline to Days 4, 8, 15, 22, and 29
|
|
|
Change from baseline in pre- and post-bronchodilator whole body plethysmography (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, 22, and 29
|
Change from baseline to Days 4, 8, 15, 22, and 29
|
|
|
Change from baseline in COPD Assessment Test (CAT) scores (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, 22, and 29
|
Scores range from 0-40 with 40 being associated with the worst outcome.
|
Change from baseline to Days 4, 8, 15, 22, and 29
|
|
Change from baseline in Breathlessness Cough and Sputum Scale (BCSS) scores (Part 2).
Time Frame: Change from baseline to Days 4, 8, 15, 22, and 29
|
Scores range from 0-12 with 12 being associated with the worst outcome.
|
Change from baseline to Days 4, 8, 15, 22, and 29
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Jonathan Stocker, Ph.D., Tetherex Pharmaceuticals Corporation
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SELK2-00006
- 2020-001027-13 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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