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Study in Mild Asthmatic Patients

11 de octubre de 2016 actualizado por: GlaxoSmithKline

A Randomised, Double-blind, Placebo-controlled, 2-period Cross-over Study to Evaluate the Effect of Treatment With GSK2190915 on the Allergen-induced Asthmatic Response in Subjects With Mild Asthma

The purpose of this study is to determine the safety and usefulness of GSK2190915 in asthmatic patients who develop asthma symptoms following being challenged.

Descripción general del estudio

Estado

Terminado

Condiciones

Tipo de estudio

Intervencionista

Inscripción (Actual)

19

Fase

  • Fase 2

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Leiden, Países Bajos, 2333 CL
        • GSK Investigational Site
      • London, Reino Unido, NW10 7EW
        • GSK Investigational Site
      • London, Reino Unido, W1G 8HU
        • GSK Investigational Site
    • Lancashire
      • Manchester, Lancashire, Reino Unido, M23 9LT
        • GSK Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 55 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Males and females aged 18 to 55 years inclusive.
  2. Body mass index within the range 18.5-35.0 kilograms/metre2 (kg/m2).
  3. Female subjects must be of non childbearing potential including pre-menopausal females with documented (medical report verification) hysterectomy or double oophorectomy or postmenopausal defined as 12 months of spontaneous amenorrhea or 6 months of spontaneous amenorrhea with serum FSH levels > 40 mIU/mL and estradiol < 40 pg/ml (<140 pmol/L) or 6 weeks postsurgical bilateral oophorectomy with or without hysterectomy.
  4. Male subjects must agree to use one of the contraception methods listed in Section 8.1. This criterion must be followed from the time of the first dose of study medication until 5 terminal half-live post-last dose.
  5. Documented history of bronchial asthma, first diagnosed at least 6 months prior to the screening visit and currently being treated only with intermittent short-acting beta -agonist therapy by inhalation.
  6. Pre-bronchodilator FEV1 >70% of predicted at screening.
  7. Sensitivity to methacholine with a provocative concentration of methacholine resulting in a 20% fall in FEV1 (PC20 methacholine) of <8 mg/mL at screening
  8. Subjects who are able to produce acceptable induced sputum samples (as defined in the Study procedures Manual).
  9. Subjects who are current non-smokers who have not used any tobacco products in the 6-month period preceding the screening visit and have a pack history of ≤10 pack years.

    [number of pack years = (number of cigarettes per day/20) x number of years smoked]

  10. Demonstration of a positive wheal and flare reaction (≥3 mm relative to negative control) to at least one allergen from a battery of allergens (including house dust mite, grass pollen and cat hair) on skin prick testing at screening, or within 12 months of study start.
  11. Screening allergen challenge demonstrates that the subject experiences both an early and late asthmatic response. The early asthmatic response must include a fall in FEV1 of ≥20% from the post saline value, on at least one occasion, between 5 and 30 minutes after the final concentration of allergen. The late asthmatic response must include a fall in FEV1 of ≥ 15% from the post saline value, on at least three occasions, two of which must be consecutive, between 4 and 10 hours after the final concentration of allergen.
  12. Signed and dated written informed consent is obtained from the subject
  13. The subject is able to understand and comply with the protocol requirements, instructions and protocol-stated restrictions.

Exclusion Criteria:

A subject will not be eligible for inclusion in this study if any of the following criteria apply:

  1. Past or present disease, which as judged by the investigator or medical monitor, may affect the outcome of this study. These diseases include, but are not limited to, cardiovascular disease, malignancy, gastrointestinal disease, hepatic disease, renal disease, haematological disease, neurological disease, endocrine disease or pulmonary disease (including but not confined to chronic bronchitis, emphysema, bronchiectasis or pulmonary fibrosis).
  2. Clinically significant abnormalities in safety laboratory analysis at screening.
  3. Subject has known history of hypertension or is hypertensive at screening. Hypertension at screening is defined as persistent systolic BP >150 mmHg or diastolic BP > 90mmHg.
  4. Respiratory tract infection and/or exacerbation of asthma within 4 weeks prior to the first dose of study medication.
  5. History of life-threatening asthma, defined as an asthma episode that required intubation and/or was associated with hypercapnia, respiratory arrest and/or hypoxic seizures.
  6. Symptomatic with hay fever at screening or predicted to have symptomatic hayfever during the time of study.
  7. Administration of oral or injectable steroids within 5 weeks of screening or intranasal and/or inhaled steroids within 4 weeks of the screening visit.
  8. Unable to abstain from other medications including non-steroidal anti-inflammatory drugs (NSAIDs), anti-depressant drugs, anti-histamines and anti-asthma, anti-rhinitis or hay fever medication, other than short acting inhaled beta-agonists and paracetamol (up to 4 g per day) for the treatment of minor ailments eg headache from 14 days before screening until the follow-up visit.
  9. Unable to abstain from short acting beta agonists as described in the restrictions section.
  10. If, after 2 concurrent administrations of saline during the allergen challenge at screening the subjects still have a fall in FEV1 of greater than 10%.
  11. The subject has participated in a study with a new molecular entity during the previous 3 months or has participated in 4 or more clinical studies in the previous 12 months prior to the first dosing day.
  12. History of being unable to tolerate or complete methacholine and/or allergen challenge tests.
  13. Subject is undergoing allergen desensitisation therapy.
  14. There is a risk of non-compliance with study procedures.
  15. History of blood donation (500 mL) within 3 months of starting the clinical study.
  16. The subject regularly drinks more than 28 units of alcohol in a week if male, or 21 units per week if female. One unit of alcohol is defined as a medium (125 ml) glass of wine, half a pint (250 ml) of beer or one measure (25 ml) of spirits.
  17. The subject has a screening QTc value of >450msec, PR interval outside the range 120 to 220msec or an ECG that is not suitable for QT measurements (e.g. poorly defined termination of the T-wave).
  18. The subject has tested positive for hepatitis C antibody or hepatitis B surface antigen.
  19. The subject has tested positive for HIV antibodies.
  20. The subject has a positive pre-study urine cotinine/ breath carbon monoxide test or urine drug or urine or breath alcohol screen. A minimum list of drugs that will be screened for include Amphetamines, Barbiturates, Cocaine, Opiates, Cannabinoids and Benzodiazepines.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación cruzada
  • Enmascaramiento: Triple

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador de placebos: Placebo
Matching Intervention Drug
Experimental: GSK2190915
Intervention
GSK2190915 is a high affinity 5-lipoxygenase-activating protein (FLAP) inhibitor
Otros nombres:
  • GSK2190915

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Change in FEV1% from 0-2 hrs
Periodo de tiempo: 0-2 hours
0-2 hours

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
Late Asthmatic Response (LAR): minimum FEV1 and weighted mean FEV1 between 4-10 hours after allergen challenge on Day 3 of each treatment period.
Periodo de tiempo: 4 - 10 hours after allergen challenge
4 - 10 hours after allergen challenge
Incidence of treatment emergent adverse events.
Periodo de tiempo: Duration of Study
Duration of Study
Vital signs, ECG, FEV1, Biomarkers(LTE4, LTB4 and IgE) and safety laboratory parameters.
Periodo de tiempo: Duration of Study
Duration of Study
Assessment of FEV1 post-dose on Days 1, 3, (post-dose on Days 3 prior to allergen challenge) and Day 6 of each treatment period.
Periodo de tiempo: upto Day 3
upto Day 3
Concentration of exhaled nitric oxide post-dose on Day 3, 4 and 6 of each treatment period.
Periodo de tiempo: Day 3 - 6
Day 3 - 6
Provocative concentration of methacholine resulting in a 20% reduction in FEV1 (PC20) on Day 4 of each treatment period.
Periodo de tiempo: Day 4
Day 4
Biomarkers (LTE4, LTB4 and IgE) of inflammation in blood, urine and sputum of each treatment period.
Assessment of established markers of anti-inflammatory activity in sputum on Day 4 and Day 6.
Periodo de tiempo: Day 4
Day 4
Derived appropriate PK parameters for GSK2190915.
Periodo de tiempo: Duration of Study
Duration of Study

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de diciembre de 2008

Finalización primaria (Actual)

1 de septiembre de 2009

Finalización del estudio (Actual)

1 de septiembre de 2009

Fechas de registro del estudio

Enviado por primera vez

5 de septiembre de 2008

Primero enviado que cumplió con los criterios de control de calidad

5 de septiembre de 2008

Publicado por primera vez (Estimar)

8 de septiembre de 2008

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

12 de octubre de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

11 de octubre de 2016

Última verificación

1 de octubre de 2016

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Sí

Descripción del plan IPD

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Datos del estudio/Documentos

  1. Especificación del conjunto de datos
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  2. Informe de estudio clínico
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  3. Formulario de informe de caso anotado
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  4. Formulario de consentimiento informado
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  5. Protocolo de estudio
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  6. Conjunto de datos de participantes individuales
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  7. Plan de Análisis Estadístico
    Identificador de información: 111834
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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