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AsthmaPhase 2NCT00394654

A Study to Evaluate the Efficacy of MEDI-528 on Late Asthmatic Response With Atopic Asthma

A Phase 2 study testing MEDI-528 9 mg/kg in people with Asthma, run by MedImmune LLC at 3 sites in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase 2a, randomized multicenter study to evaluate the efficacy of MEDI-528 on LAR in adult patients with atopic asthma. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Asthma
What is being tested?
MEDI-528 9 mg/kg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
3 sitesCanada
Study dates
Nov 2006to Jan 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female adults, age 18 through 65 years of age at the time of screening;
  • Written informed consent obtained from the patient prior to receipt of any study medication or beginning study procedures;
  • Previously documented diagnosis of asthma of > 1 year duration, based on episodic symptoms of airflow obstruction, at least partial reversibility of airflow obstruction, with alternative diagnoses (e.g., chronic obstructive pulmonary disease) ruled out;
  • AHR in the methacholine challenge test with a PC20 (provoking concentration of methacholine to cause a 20% fall in FEV1) ≤ 16 mg/mL (Crapo, 2000);
  • Have dual response of EAR, defined as a decrease in FEV1 ≥ 20% at 0 to 3 hours after inhalation, and LAR, defined as a decrease in FEV1 ≥ 15% 3 to 7 hours after inhalation, to inhaled allergen;
  • Asthma symptoms are adequately controlled on short-acting β2 agonists (e.g., albuterol) alone;
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  • Have had no significant changes in regular asthma medications and no acute asthma exacerbations requiring corticosteroid rescue, hospitalization, or emergency department visits for at least 4 weeks prior to screening and up through the time of the first dose of study drug on Study Day 0.
  • Sexually active women, unless surgically sterile or at least 1 year post-menopausal, must have used an effective method of avoiding pregnancy (including oral or implanted contraceptives, intrauterine device, female condom, diaphragm with spermicide, cervical cap, abstinence, use of a condom by the sexual partner or sterile sexual partner) for 21 days prior to the first dose of study drug on Study Day 0, and must agree to continue using such precautions through Study Day 126. Cessation of birth control after this point should be discussed with a responsible physician. Sexually active men, unless surgically sterile, must likewise use an effective method of birth control (condom) and must agree to continue using such precautions through Study Day 126;
  • Able to complete the follow-up period through Study Day 126, as required by the protocol.
  • Willing to forego other forms of experimental treatment and study procedures during the study; and
  • Able to provide spirometric readings that meet American Thoracic Society (ATS) standards (ATS, 1995).

Who cannot join

  • Receipt of MEDI-528 in any previous clinical study;
  • History of allergy or adverse reactions to any component of the MEDI-528 formulation;
  • Lung disease other than allergic asthma (e.g. chronic bronchitis);
  • Current use of any systemic or inhaled immunosuppressive drugs, including systemic and inhaled corticosteroids (topical corticosteroids are permitted), long-acting β2 agonists, leukotriene antagonists, cromolyn sodium, nedocromil sodium, theophylline or any inhaled or systemic medication for asthma other than short-acting β2 agonists, for at least 4 weeks prior to study drug administration on Study Day 0.
  • Current use of any β-adrenergic antagonist (e.g. propranolol).
  • Any disease or illness, other than asthma, that may require the use of systemic corticosteroids during the study period.
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  • Acute illnesses or evidence of clinically significant active infection, such as fever ³ 38.0°C (100.5°F) at screening and through the time of the study drug administration on Study Day 0;
  • Current allergy-vaccination therapy (i.e., desensitization immunotherapy) with less than 3 months of stable maintenance doses prior to the baseline allergen inhalation challenge;
  • Receipt of any investigational drug therapy within 30 days or any biologic(s) within 5 half-lives of the agent prior to the first dose of study drug through Study Day 150;
  • Receipt of any therapy with a leukocyte-depleting agent unless recovery in white cell count has been documented before screening;
  • Pregnancy (sexually active females must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to study drug administration on Study Day 0);
  • Is a nursing mother at the time of study enrollment;
  • Evidence of infection with hepatitis B or C virus, or HIV-1 or HIV-2, or active infection with hepatitis A;
  • History of significant systemic disease (e.g., cancer; infection; coronary artery disease or other cardiovascular disease; or hematological, renal, hepatic, endocrinologic, neurologic, rheumatologic, or gastrointestinal disease);
  • History of cancer other than nonmelanoma skin cancer or cervical carcinoma-in-situ that have been treated successfully with curative therapy;
  • History of primary immunodeficiency;
  • History of pancreatitis;
  • History of use of tobacco products within 2 years of baseline or history of smoking >= 10 pack-years;
  • Elective surgery planned from the time of screening through Study Day 126;
  • Clinically significant abnormalities (other than asthma) upon physical examination prior to study drug administration on Study Day 0;
  • Clinically significant abnormality, as determined by the investigator, on 12-lead ECG or chest radiograph at the time of screening;
  • At the time of screening, any of the following abnormalities: aspartate transaminase (AST), alanine transaminase (ALT), or amylase > 1.5 × above the upper limits of normal (ULN); or serum creatinine > 1.3 × ULN; or any other abnormal laboratory values in the screening panel that, in the opinion of the principal investigator (PI), are judged to be clinically significant; or
  • Evidence of any systemic disease or respiratory disease (other than asthma), any finding upon physical examination or history of any disease that, in the opinion of the PI or medical monitor, may compromise the safety of the patient in the study or confound the analysis of the study.

Trial locations and contacts

3 sites in 1 country.

Canada3 sites
  • McMaster University

    Hamilton, Ontario, L8N 3Z5

  • Hopital Laval

    Québec, Quebec, G1V 4G5

  • University of Saskatchewan

    Saskatoon, Saskatchewan, S7N 0W8

Other trials in Canada

About this study

Official title: A Phase 2A, Randomized, Double-Blind, Placebo-Controlled Multicenter Study to Evaluate the Efficacy of MEDI-528, a Humanized Anti-Interleukin-9 Monoclonal Antibody, on Late Asthmatic Response Induced By Allergen Inhalation In Adults With Atopic Asthma

This is a Phase 2a, randomized multicenter study to evaluate the efficacy of MEDI-528 on LAR in adult patients with atopic asthma.

Read the detailed description

This study (MI-CP138) is a Phase 2a, randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy of MEDI-528 on LAR in adult patients with atopic asthma. Approximately three investigative sites in Canada will participate in this study, with up to 40 evaluable patients randomized in a 1:1 ratio to receive MEDI-528 (9.0 mg/kg) or placebo as a single IV infusion.

Conditions
Asthma
Being tested
MEDI-528 9 mg/kg, Placebo
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI-528 9 mg/kgBiological

    MEDI-528 at a single dose of 9 mg/kg administered as an intravenous infusion

  • PlaceboOther

    Placebo administered as a single intravenous infusion

Study groups in NCT00394654
Study groupRoleWhat they receive
MEDI528 9 mg/kgExperimentalMEDI-528 at a single dose of 9 mg/kg administered as an intravenous infusion
Receives: Biological: MEDI-528 9 mg/kg
PLACEBOPlacebo comparatorPlacebo administered as a single intravenous infusion
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Effect of MEDI-528 on Late Asthmatic Response (LAR) After Inhaled Allergen Challenge at Day 7

    Change from baseline (percent reduction) in mean maximum decline of forced expiratory volume in one second (FEV1) during LAR at 3 to 7 hours after an inhaled allergen challenge.

    Measured: Day 7

  2. Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28

    Change from baseline (percent reduction) in mean maximum decline of FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

    Measured: Day 28

  3. Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 56

    Change from baseline (percent reduction) in mean maximum decline of FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

    Measured: Day 56

  4. Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 7

    Change from baseline (percent reduction) in mean maximum decline of area under the concentration-time curve (AUC) of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

    Measured: Day 7

  5. Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28

    Change from baseline (percent reduction) in mean maximum decline of AUC of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

    Measured: Day 28

  6. Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 56

    Change from baseline (percent reduction) in mean maximum decline of AUC of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

    Measured: Day 56

Secondary outcomes (23)
  1. Incidence of Adverse Events

    Number of participants experiencing adverse events (includes both adverse events and serious adverse events)

    Measured: Days 0 - 126

  2. Incidence of Serious Adverse Events

    Number of participants experiencing serious adverse events

    Measured: Days 0 - 126

  3. Incidence of Anti-drug Antibodies (ADA) to MEDI-528

    Number of participants with ADA to MEDI-528

    Measured: Days 0, 27, 55, 84, and 126

  4. Time to Observed Maximum Serum Concentration (Tmax)

    Tmax of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  5. Time to Observed Maximum Sputum Concentration (Tmax)

    Tmax of MEDI-528 in sputum

    Measured: Days -21 to -7, 7, 28, and 56

  6. Time to Observed Maximum Nasal Lavage Concentration (Tmax)

    Tmax of MEDI-528 in nasal lavage

    Measured: Days -6 to -1, 8, 29, and 57

  7. Observed Maximum Serum Concentration (Cmax)

    Cmax of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  8. Observed Maximum Sputum Concentration (Cmax)

    Cmax of MEDI-528 in sputum

    Measured: Days -21 to -7, 7, 28, and 56

  9. Observed Maximum Nasal Lavage Concentration (Cmax)

    Cmax of MEDI-528 in nasal lavage

    Measured: Days -6 to -1, 8, 29, and 57

  10. Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]

    AUC(0-t) of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  11. Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]

    AUC(0-t) of MEDI-528 in sputum

    Measured: Days -21 to -7, 7, 28, and 56

  12. Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]

    AUC(0-t) of MEDI-528 in nasal lavage

    Measured: Days -6 to -1, 8, 29, and 57

  13. Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]

    AUC(0-infinity) of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  14. Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]

    AUC(0-infinity) of MEDI-528 in sputum

    Measured: Days -21 to -7, 7, 28, and 56

  15. Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]

    AUC(0-infinity) of MEDI-528 in nasal lavage

    Measured: Days -6 to -1, 8, 29, and 57

  16. Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]

    AUC(ext) of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  17. Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]

    AUC(ext) of MEDI-528 in sputum

    Measured: Days -21 to -7, 7, 28, and 56

  18. Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]

    AUC(ext) of MEDI-528 in nasal lavage

    Measured: Days -6 to -1, 8, 29, and 57

  19. Terminal Phase Half-Life (T1/2)

    T1/2 of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  20. Terminal Phase Half-Life (T1/2)

    T1/2 of MEDI-528 in sputum

    Measured: Days -21 to -7, 7, 28, and 56

  21. Terminal Phase Half-Life (T1/2)

    T1/2 of MEDI-528 in nasal lavage

    Measured: Days -6 to -1, 8, 29, and 57

  22. Total Body Clearance (CL)

    CL of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

  23. Terminal Phase Volume of Distribution (Vz)

    Vz of MEDI-528 in serum

    Measured: Days 0, 6, 7, 27, 55, 84, and 126

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Nov 2006 (estimated)
  2. Study startNov 2006
  3. Primary completionAug 2007
  4. Study completionJan 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00394654
Sponsor's protocol ID
MI-CP138
Other IDs
NCT00394654
Status last verified
Oct 2013
First submitted
31 Oct 2006
Last updated
11 Dec 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI-528 9 mg/kg in people with Asthma, run by MedImmune LLC at 3 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Dec 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Effect of MEDI-528 on Late Asthmatic Response (LAR) After Inhaled Allergen Challenge at Day 7 (time frame: Day 7). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Dec 2013.

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