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AsthmaPhase 2NCT00590720

A Phase 2A Study to Evaluate the Safety and Effect on Exercise Challenge Testing of MEDI-528 in Adults With Asthma

A Phase 2 study testing MEDI528 50 mg in people with Asthma, run by MedImmune LLC at 12 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The main objective of this study is to evaluate the safety and tolerability of multiple fixed doses of MEDI-528 in adult patients with stable asthma and exercise-induced bronchoconstriction (EIB). Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Asthma
What is being tested?
MEDI528 50 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
11 participants
Where
12 sitesin 2 countries
Study dates
Mar 2008to Oct 2009
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 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients must meet all of the following criteria:
  • Male or female adults, age 18 through 50 years at the time of screening;
  • Weight 50-100 kg and body mass index ≤ 35;
  • Written informed consent obtained from the patient prior to receipt of any study medication or beginning study procedures;
  • Documented clinical history of asthma and receiving stable treatment for ≥ 1 month prior to Study Day 0;
  • Airway hyperresponsiveness (AHR) on methacholine inhalation challenge testing at screening (or a documented history within the past 6 months), with provoking concentration of methacholine to cause a 20% fall in FEV1(subscript) (PC20) ≤ 8 mg/mL (Crapo, 2000);
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  • Exercise-induced bronchoconstriction (EIB) with a decrease in FEV1 (subscript) of ≥ 15% from pre-exercise challenge testing level at screening;
  • Able to provide spirometry readings that meet American Thoracic Society (ATS) and European Respiratory Society (ERS) standards (Miller, 2005);
  • Women of childbearing potential, unless surgically sterile or at least 1 year post-menopausal, must use two effective methods of avoiding pregnancy (including oral, transdermal, or implanted contraceptives, intrauterine device, female condom, spermicide, diaphragm, cervical cap, abstinence, contraceptive foam, or use of a condom by the sexual partner or sterile sexual partner) from screening through Study Day 0, and must agree to continue using such precautions through Study Day 150. Cessation of birth control after this point should be discussed with a responsible physician. Men, unless surgically sterile, must likewise use an effective method of birth control (condom with spermicide) and must agree to continue using such precautions from screening through Study Day 150;
  • Able to complete the study period, including follow-up period, of up to approximately 150 days; and
  • Willing to forego other forms of experimental treatment and study procedures during the study and for 30 days after the follow-up period is completed.

Who cannot join

  • Patients must have none of the following criteria:
  • Receipt of MEDI-528 in any previous clinical study;
  • History of allergy or reaction to any component of the study drug formulation;
  • Lung disease other than asthma (eg, chronic obstructive pulmonary disease, cystic fibrosis);
  • Forced expiratory volume in 1 second (FEV1-subscript) < 70% of predicted values at screening;
  • Use of systemic immunosuppressive drugs including systemic corticosteroids, ICS with doses > 800 μg/day budesonide (or another ICS of equivalent dose), long-acting β2 agonists, cromolyn sodium, nedocromil sodium, leukotriene receptor antagonists, theophylline, or omalizumab from screening through Study Day 150;
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  • Current use of any β-adrenergic antagonist (eg, propranolol);
  • Any disease or illness, other than asthma, that is likely to require the use of systemic corticosteroids during the study period;
  • Acute illnesses or evidence of significant active infection, such as fever ≥ 38.0°C (100.5°F) from screening through Study Day 0;
  • Current allergy vaccination therapy (desensitization immunotherapy);
  • Receipt of any investigational drug therapy within 30 days or any biologic(s) within 5 half-lives of the agent prior to screening;
  • Pregnancy (women of child bearing potential, unless surgically sterile or at least 1 year postmenopausal, must have a negative serum and urine pregnancy test at screening before methacholine inhalation challenge testing and a negative urine pregnancy test prior to study drug administration on Study Day 0);
  • Breastfeeding or lactating woman;
  • Evidence of infection with hepatitis B or C virus or HIV-1 or HIV-2, or active infection with hepatitis A; must have negative HIV-1, HIV-2, hepatitis A, B, and C tests at screening;
  • History of cancer other than basal cell carcinoma of the skin or cervical carcinoma-in-situ treated with apparent success with curative therapy more than 1 year prior to Study Day 0;
  • History of primary immunodeficiency
  • History of pancreatitis or currently active gastroduodenal ulcer;
  • Current use of tobacco products or a history of use of tobacco products of more than one cigarette per month or equivalent within 1 year prior to randomization or history of smoking of ≥ 10 pack-years;
  • History of life-long urinary retention;
  • History of anaphylaxis (defined as immediate life-threatening event requiring medical invention);
  • Elective surgery planned from screening through Study Day 150;
  • Clinically significant abnormality, as determined by the investigator, on 12-lead ECG or chest radiograph at screening;
  • History of any disease, evidence of any current disease (other than asthma), any finding upon physical examination, or any laboratory abnormality, that, in the opinion of the investigator or medical monitor, may compromise the safety of the patient in the study or confound the analysis of the study; or
  • Any employee of the research site who is involved with the conduct of the study.

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

United States9 sites
  • Bernstein Clinical Research Center

    Cincinnati, Ohio, 45231

  • National Jewish Medical and Research Center

    Denver, Colorado, 80206

  • Northeast Medical Research Associates, Inc

    No. Dartmouth, Massachusetts, 02747

  • Sneeze,Wheeze & Itch Associates, LLC

    Normal, Illinois, 61761

  • Creighton University

    Omaha, Nebraska, 68131

  • Institute of Healthcare Assessment, Inc

    San Diego, California, 92120

  • The Clinical Research Center, LLC

    St Louis, Missouri, 63141

  • Univ. of South Florida, Asthma, Allergy & Immunology Clinical Research Unit

    Tampa, Florida, 33613

  • Waterbury Pulmonary Associates

    Waterbury, Connecticut, 06708

Other trials in United States

Canada3 sites
  • Calgary COPD & Asthma Program

    Calgary, Alberta, T2N4N1

  • Centre de Recherche Appliquee en Allergie de Quebec

    Québec, Quebec, G1V4M6

  • UHN- Toronto Western Hospital

    Toronto, Ontario, M5T2S8

Other trials in Canada

About this study

Official title: A Phase 2A, Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Study to Evaluate the Safety and Effect on Exercise Challenge Testing of Multiple Fixed Subcutaneous Doses of MEDI-528, A Humanized Anti-Interleukin-9 Monoclonal Antibody, in Adults With Stable Asthma and Exercise-Induced Bronchoconstriction

The main objective of this study is to evaluate the safety and tolerability of multiple fixed doses of MEDI-528 in adult patients with stable asthma and exercise-induced bronchoconstriction (EIB).

Read the detailed description

The primary objective of this study is to evaluate the safety and tolerability of multiple fixed escalating SC doses of MEDI-528 in adult patients with stable asthma and exercise-induced bronchoconstriction (EIB).

Conditions
Asthma
Being tested
MEDI528 50 mg, PLACEBO
Keywords
Asthma, Bronchitis
Medical subject headings
Asthma, Bronchitis

What participants receive

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

  • MEDI528 50 mgBiological

    MEDI-528 at a dose of 50 mg administered as a subcutaneous injection twice weekly for 4 weeks

  • PLACEBOOther

    Placebo administered as a subcutaneous injection twice weekly for 4 weeks

Study groups in NCT00590720
Study groupRoleWhat they receive
MEDI528 50 mgExperimentalMEDI-528 at a dose of 50 mg administered as a subcutaneous injection twice weekly for 4 weeks
Receives: Biological: MEDI528 50 mg
PLACEBOPlacebo comparatorPlacebo administered as a subcutaneous injection twice weekly for 4 weeks
Receives: Other: PLACEBO

What is being measured

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

  1. Incidence of Adverse Events

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

    Measured: Days 0 - 150

  2. Incidence of Serious Adverse Events

    Number of participants experiencing serious adverse events

    Measured: Days 0 - 150

Secondary outcomes (17)
  1. Incidence of Anti-drug Antibodies (ADA) to MEDI-528

    Number of participants with ADA to MEDI-528

    Measured: Days 0, 28, 56, 119, and 150

  2. Absolute Maximum Change in Forced Expiratory Volume in 1 Second (FEV1)

    The clinical activity of MEDI-528 on exercise-induced bronchoconstriction was measured by exercise challenge testing expressed as the maximum change in FEV1 measured before and after exercising on Day 28.

    Measured: Day 28 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  3. Absolute Maximum Change in Forced Expiratory Volume in 1 Second (FEV1)

    The clinical activity of MEDI-528 on exercise-induced bronchoconstriction was measured by exercise challenge testing expressed as the maximum change in FEV1 before and after exercise on Day 56.

    Measured: Day 56 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  4. Absolute Maximum Change in Forced Expiratory Volume in 1 Second (FEV1)

    The clinical activity of MEDI-528 on exercise-induced bronchoconstriction was measured by exercise challenge testing expressed as the maximum change in FEV1 before and after exercise on Day 150.

    Measured: Day 150 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  5. Percent Maximum Change in Forced Expiratory Volume in 1 Second (FEV1)

    The clinical activity of MEDI-528 on exercise-induced bronchoconstriction was measured by exercise challenge testing expressed as the percent maximum change in FEV1 before and after exercise on Day 28.

    Measured: Day 28 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  6. Percent Maximum Change in Forced Expiratory Volume in 1 Second (FEV1)

    The clinical activity of MEDI-528 on exercise-induced bronchoconstriction was measured by exercise challenge testing expressed as the percent maximum change in FEV1 before and after exercise on Day 56.

    Measured: Day 56 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  7. Percent Maximum Change in Forced Expiratory Volume in 1 Second (FEV1)

    The clinical activity of MEDI-528 on exercise-induced bronchoconstriction was measured by exercise challenge testing expressed as the percent maximum change in FEV1 before and after exercise on Day 150.

    Measured: Day 150 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  8. Area Under the Curve (AUC) of Forced Expiratory Volume in 1 Second (FEV1)

    AUC of FEV1 at Day 28

    Measured: Day 28 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  9. Area Under the Curve (AUC) of Forced Expiratory Volume in 1 Second (FEV1)

    AUC of FEV1 at Day 56

    Measured: Day 56 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  10. Area Under the Curve (AUC) of Forced Expiratory Volume in 1 Second (FEV1)

    AUC of FEV1 at Day 150

    Measured: Day 150 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  11. Time to Return in Minutes to 90 Percent of Baseline Forced Expiratory Volume in 1 Second (FEV1)

    Time to return in minutes to 90 percent of baseline FEV1 (prior to exercise) after 30 minues of exercise on Day 28

    Measured: Day 28 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  12. Time to Return in Minutes to 90 Percent of Baseline Forced Expiratory Volume in 1 Second (FEV1)

    Time to return in minutes to 90 percent of baseline FEV1 (prior to exercise) after exercise on Day 56

    Measured: Day 56 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  13. Time to Return in Minutes to 90 Percent of Baseline Forced Expiratory Volume in 1 Second (FEV1)

    Time to return in minutes to 90 percent of baseline FEV1 (prior to exercise) after exercise on Day 150

    Measured: Day 150 (15 minutes prior to exercise and 5, 10, 15, 20, and 30 minutes after exercise)

  14. Mean Trough Concentration (Cmin)

    Cmin of MEDI-528

    Measured: Days 0, 3, 7, 10, 14, 17, 21, 24, 28, 32, 37, 42, 56, 70, 84, 119, and 150

  15. Mean Trough Concentration at Last Measurable Time Point (Cmin_last)

    Cmin_last of MEDI-528

    Measured: Days 0, 3, 7, 10, 14, 17, 21, 24, 28, 32, 37, 42, 56, 70, 84, 119, and 150

  16. Half-life (T1/2)

    T1/2 of MEDI-528

    Measured: Days 0, 3, 7, 10, 14, 17, 21, 24, 28, 32, 37, 42, 56, 70, 84, 119, and 150

  17. Accumulation Index

    Ratio of trough concentrations after first (Day 0) and last (Day 24) dose of MEDI-528

    Measured: Days 0 and 24

Timeline

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

  1. First posted11 Jan 2008 (estimated)
  2. Study startMar 2008
  3. Primary completionDec 2008
  4. Study completionOct 2009

Why it stopped: Study is replaced by MI-CP198 per CPM.

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
11 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00590720
Sponsor's protocol ID
MI-CP143
Status last verified
Feb 2014
First submitted
26 Dec 2007
Last updated
21 Mar 2014
Data monitoring committee
Yes

Publications

  • Parker JM, Oh CK, LaForce C, Miller SD, Pearlman DS, Le C, Robbie GJ, White WI, White B, Molfino NA; MEDI-528 Clinical Trials Group. Safety profile and clinical activity of multiple subcutaneous doses of MEDI-528, a humanized anti-interleukin-9 monoclonal antibody, in two randomized phase 2a studies in subjects with asthma. BMC Pulm Med. 2011 Feb 28;11:14. doi: 10.1186/1471-2466-11-14.

    PubMed 21356110

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI528 50 mg in people with Asthma, run by MedImmune LLC at 12 sites in 2 countries.

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 24 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: stopped early, as of the sponsor's last update on 21 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, 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 21 Mar 2014). 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?

Incidence of Adverse Events (time frame: Days 0 - 150). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00590720, which also lists 1 linked publication.

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 21 Mar 2014.

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Clinical Trial NCT00590720 | AzTrials