- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02433535
Trial of Simvastatin for the Treatment of Severe Asthma
Randomized Trial of Simvastatin for the Treatment of Severe Asthma
This purpose of this clinical trial is to determine if a statin drug, Simvastatin, added to inhaled corticosteroids and bronchodilators can reduce systemic and airway inflammation, improve lung function and symptoms, and reduce acute exacerbations in patients with severe asthma who are already on controller inhaler therapy.
This proposed investigator-initiated, single-center, early Phase II, cross-over, randomized clinical trial, titled "Randomized Trial of Simvastatin for the Treatment of Severe Asthma", will be conducted at the University of California, Davis Medical Center (UCDMC) in Sacramento, CA. This trial will evaluate Simvastatin for treatment of asthma in subjects with severe asthma (as defined by the American Thoracic Society (ATS)), who are already taking inhaler controller therapy. The investigators plan to enroll 24 patients with severe allergic asthma.
The investigators hypothesize that treatment with Simvastatin 40 mg (administered once daily) will not only improve indicators of airway and systemic allergic/Th2 inflammation, but will also reduce acute exacerbations and improve lung function. All patients will be on standard controller therapy including appropriate doses of inhaled corticosteroids and long-acting bronchodilators.
Study Overview
Detailed Description
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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Sacramento, California, United States, 95817
- CTSC Clinical Research Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- statin-naïve adults >18 years old with the ATS definition of severe asthma,
- on ICS and LABA,
- confirmation of allergic asthma (serum IgE >100 kU/L, positive radioallergosorbent test (RAST) panel, and/or peripheral blood absolute eosinophil count of ≥700/mm3),
- clinically stable for 4 weeks.
Exclusion Criteria:
- baseline FEV1 <30% predicted,
- current smokers or ex-smokers with >5 pack-years of smoking history,
- pregnant women, nursing/lactating mothers, or women of childbearing potential who are actively attempting to become pregnant,
- nasal or sinus surgery or trauma within 3 months of study participation,
- ischemic heart disease,
- liver disease, and
- the concurrent use of the following medications (amiodarone, verapamil, diltiazem, gemfibrozil, cyclosporine, antifungal azoles (itraconazole, ketoconazole, or voriconazole), and danazol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Simvastatin
Simvastatin 40 mg daily will be given for 12 weeks.
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Simvastatin is used to lower cholesterol, however, it also possess anti-inflammatory and immunomodulatory properties that may also alleviate allergic airway inflammation in asthma.
Other Names:
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Placebo Comparator: Placebo
A placebo capsule will be given daily for 12 weeks.
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A placebo pill will be given to the placebo group.
There will be no detectible differences between study drug pill and placebo pill.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Th2 gene expression in nasal epithelial cells.
Time Frame: Before and after 12 weeks of drug or placebo intervention.
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IL13, eotaxin-1,-2,-3, STAT6) by RT-PCR.
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Before and after 12 weeks of drug or placebo intervention.
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Exhaled nitric oxide (ENO)
Time Frame: Before and after 12 weeks of drug or placebo intervention.
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ENO will be measured using our NIOX-Mino portable NO analyzer.
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Before and after 12 weeks of drug or placebo intervention.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acute Exacerbations
Time Frame: Before and after 12 weeks of drug or placebo intervention.
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Assessed as a rate per month.
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Before and after 12 weeks of drug or placebo intervention.
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Lung function
Time Frame: Before and after 12 weeks of drug or placebo intervention.
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FEV1, FVC, and FEV/FVC ratio.
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Before and after 12 weeks of drug or placebo intervention.
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Asthma symptom control score
Time Frame: Before and after 12 weeks of drug or placebo intervention.
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Asthma Control Test score (5 question survey).
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Before and after 12 weeks of drug or placebo intervention.
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Immune System Diseases
- Lung Diseases
- Hypersensitivity, Immediate
- Bronchial Diseases
- Lung Diseases, Obstructive
- Respiratory Hypersensitivity
- Hypersensitivity
- Asthma
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Simvastatin
Other Study ID Numbers
- 522110
- 522110-3 (Other Identifier: UC Davis)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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