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Bronchodilator Properties and Safety in Asthma

16. september 2014 oppdatert av: Pierre Fabre Medicament

Bronchodilator Properties and Safety of a Repeated Dose of V0162 in Asthma.

Recent large clinical studies have demonstrated the interest of LAMA therapy in the management of asthma, when compared to LABA.

V0162 is a compound with a very long lasting bronchodilator effect when compared to reference treatment in non-clinical models and in COPD patients. Secondary properties of V0162 (i.e.H1/H4 and PDE IV-inhibition) could enhance the efficacy of this antimuscarinic compound and could bring option in the treatment obstructive lung disease. The objective of the study is to assess the bronchodilator properties of V0162 during 8 days in adult patients with asthma usually treated with ICS and LABA. The study is a randomised, double-blind, placebo-controlled, 3-period crossover, preceded by an open-label active-control period before randomisation.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

59

Fase

  • Fase 2

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 65 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Aged 18 to 65 years-old.
  • 18 ≤ BMI <30 kg/m².
  • Clinical history consistent asthma, in the judgement of the investigator.
  • Asthma controlled or partly controlled according to GINA 2012 criteria:
  • Asthma treated by ICS and LABA (fixed-dose combination or free combination) at stable dose for at least 3 months.
  • Able to replace the usual ICS and LABA therapy by ICS at the usual dose regimen and salbutamol as needed.
  • Able to stop salbutamol at least 6 hours before a study visit.
  • Able to perform at least 3 acceptable and reproducible FEV1 and FVC measurements according to ERS/ATS 2005 recommendations.

Exclusion Criteria:

  • Clinically significant respiratory conditions other than asthma (e.g. pneumonia, pneumothorax, atelectasis, bronchiectasis, chronic bronchitis, COPD, emphysema, pulmonary arterial hypertension, pulmonary fibrosis,etc.).
  • Upper or lower respiratory tract infection within 4 weeks.
  • Exacerbation (requiring oral corticosteroids or hospitalization) within 3 months.
  • Current smoker or former smoker less than 6 months or total lifetime smoking history greater than 10 pack-years.
  • Intolerance to salbutamol.
  • Intolerance to tiotropium (or any other atropine-derived compound).
  • Intolerance to one of the ingredients of the study product
  • Severe hepatic impairment, moderate to severe renal impairment, epilepsy, narrow angle glaucoma, gastrointestinal obstruction, moderate to severe prostatic hypertrophy, bladder neck obstruction.
  • Any acute or chronic disease that will not allow the participation in the study, in the judgement of the investigator.
  • Clinically relevant physical examination abnormality.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Placebo komparator: placebo
Placebo
Eksperimentell: V0162 dose1
Eksperimentell: V0162 dose2

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Normalised AUC 0-24h of FEV1 at day 8 of treatment period
Tidsramme: At the 8th day of treatment period
FEV1 assessed by spirometry
At the 8th day of treatment period

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Parameters of the pulmonary function
Tidsramme: Day 1 and Day 8 of treatment period

as well as the following criteria assessed the first day and the last day of each treatment period and the difference between the last day and the first day within each treatment periodadjusted for placebo effect:

  • the normalised AUC0-9h of FEV1 (L),
  • the normalised AUC0-12h of FEV1 (L),
  • the peak of FEV1 (L) which is the higher observed post-dosing value,
  • the trough of FEV1 (L) which is the last measurement before the next dosing (i.e. t24h),
  • the normalised AUC0-9h,AUC0-12h, AUC0-24h, peak and trough of FVC, MEF25, MEF50, MEF75, and MEF25-75.
Day 1 and Day 8 of treatment period
PEF
Tidsramme: Morning and evening from Day 1 to day 8 of treatment period
PEF measured using a peak-flow meter
Morning and evening from Day 1 to day 8 of treatment period
Dyspnoea
Tidsramme: Day 1 to Day 8 of treatment period
The criteria will be the normalised AUC0-9h,AUC0-12h, and AUC0-24h of the dyspnoea measurements(mm) assessed the first and the last day of each treatment period, and the difference between the last and the first day within each treatment period.
Day 1 to Day 8 of treatment period
Vital signs
Tidsramme: Visit 2, and at Visit 3 to Visit 10 (within 30 min pre-dose and 15 min, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 24 h post-dose during the in-clinic visits) and at Visit 11
Visit 2, and at Visit 3 to Visit 10 (within 30 min pre-dose and 15 min, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 24 h post-dose during the in-clinic visits) and at Visit 11
12-lead standard ECG
Tidsramme: at Visit 1, at Visit 3 to Visit 10 (within 30 min pre-dose and 15 min, 1 h, 6 h, 24 h post-dose) and at Visit 11
at Visit 1, at Visit 3 to Visit 10 (within 30 min pre-dose and 15 min, 1 h, 6 h, 24 h post-dose) and at Visit 11
Holter-ECG
Tidsramme: At Visit 3 to Visit 10 : from 30 min pre-dose to 12 hours post-dose
At Visit 3 to Visit 10 : from 30 min pre-dose to 12 hours post-dose
Clinical laboratory tests (haematology, biochemistry, urinalysis)
Tidsramme: Visit 1 and Visit 11
Visit 1 and Visit 11
AEs
Tidsramme: From Visit 1 to Visit 11
From Visit 1 to Visit 11
Normalised AUC 0-24h of FEV1 at Day 1 of treatment period
Tidsramme: The first day of treatment period
FEV1 assessed by spirometry
The first day of treatment period
Difference between day 8 and first day of treatment period in normalised AUC 0-24h of FEV1
Tidsramme: Difference between day 8 and first day of treatement period
FEV1 assessed by spirometry
Difference between day 8 and first day of treatement period

Samarbeidspartnere og etterforskere

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Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. september 2013

Primær fullføring (Faktiske)

1. april 2014

Studiet fullført (Faktiske)

1. april 2014

Datoer for studieregistrering

Først innsendt

5. september 2013

Først innsendt som oppfylte QC-kriteriene

23. september 2013

Først lagt ut (Anslag)

26. september 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

17. september 2014

Siste oppdatering sendt inn som oppfylte QC-kriteriene

16. september 2014

Sist bekreftet

1. september 2013

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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