AsthmaPhase 2NCT00801853
A Study of the Treatment-Sparing Effects of AEROVANT™ AER 001 Inhalation Powder in Asthma Patients, AEROTRIAL
A Phase 2 study testing Aerovant in people with Asthma, run by Aerovance, Inc. at 71 sites in 4 countries.
Trial summary
A multi-center, Phase IIb, double-blind, randomized, placebo controlled, parallel-group, repeated-dose study in male and female patients with moderate to severe asthma in which patients will be stabilized on AEROVANT then doses of inhaled corticosteroids and LABA will be tapered. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- Aerovant
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 424 participants
- Where
- 71 sitesin 4 countries
- Study dates
- Mar 2009to Feb 2010
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female patient, ≥ 18 years of age with a documented clinical history of asthma, has been treated for asthma and, in the opinion of the Investigator, is not fully controlled on current asthma therapy.
- Patient satisfies, or has satisfied in the past, the GINA definition of moderate persistent to severe persistent asthma.
- Patient has been maintained on moderate-to-high doses of ICS and LABA in the form of combination therapy or as individual agents (equivalent to fluticasone ≥ 250 mcg bid and salmeterol ≥ 50 mcg bid for ≥ 4 weeks before Screening [Visit 1]).
- Patient has experienced an asthma exacerbation at least once in the past 2 years (defined here as use of physician prescribed oral corticosteroids or asthma requiring treatment increase approximately 4 times the baseline dose of inhaled corticosteroids or hospitalization due to asthma).
- Patient has a pre-bronchodilator FEV1 ≥ 50% but ≤ 95% of the predicted value at both Screening (Visit 1) and Visit 2.
- Patient demonstrates ≥ 12% reversibility (and a ≥ 200 mL difference) from prebronchodilator FEV1 within 15 to 30 minutes of receiving up to 4 puffs of a short-acting beta-agonist at Screening (Visit 1) or has ≥ 10% reversibility from pre-bronchodilator FEV1 plus a documented reversibility of ≥ 12% within the previous 12 months (documented methacholine or histamine sensitivity (PC20) <8mg/mL is also acceptable evidence or reversible airways disease).
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- Patient scores ≤ 20 on The Asthma Control Test™ at Screening (Visit 1) and Visit 2.
- Female patient of childbearing potential or male patient and his female partner are practicing adequate and effective forms of contraception and agree to continue for the duration of the study. If female, must have a negative urine pregnancy test.
- Patient has a pre-study medical history, physical examination, 12-Lead ECG, and safety laboratory test results within normal reference ranges or clinically acceptable to the Investigator.
- Patient is a non-smoker for at least 6 months before Screening (Visit 1) and has a < 10 pack/year history of smoking.
- Patient is medically stable for at least 8 weeks before Randomization (Visit 2), and the Investigator does not consider study participation to place the patient at increased risk of AEs (with the exception of possible asthma exacerbations).
- Patient is able and willing to give written informed consent.
Who cannot join
- Patient has a current diagnosis of respiratory disorder other than asthma (e.g., chronic bronchitis, bronchiectasis, emphysema, chronic obstructive pulmonary disease [COPD], etc).
- Patient has received oral corticosteroid treatment within 8 weeks of Randomization (Visit 2)or patient has been intubated for ventilation in the past 5 years.
- Patient has used any leukotriene antagonist within 1 week before Screening (Visit 1) or anti-IgE medications within 4 weeks of Screening (Visit 1).
- Female patient is pregnant, breastfeeding, or not using an adequate method of contraception.
- Patient has a clinically relevant medical history of very severs asthma that would preclude steroid reduction or sufficient compliance with the protocol.
- Patient uses concomitant medications, including herbal, over-the-counter, or prescription medicines that, in the opinion of the Investigator, may affect the outcome of study endpoints and/or well-being of the patient.
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- Patient has a history of alcohol or substance abuse within 2 years of Screening (Visit 1).
- Patient consumes more than 28 units (male) or 21 units (female) of alcohol a week (unit = 1 glass of wine = 1measure of spirits = ½ pint or 8 fluid ounces of beer).
- Patient cannot communicate reliably with the Investigator or is unlikely to cooperate with the requirements of the study.
- Patient has previously taken AEROVANT™ or another formulation of AER 001 (e.g., BAY 16-9996, pitrakinra).
- Patient has participated in any clinical trial involving use of an investigational drug within 12 weeks of first dose of study drug.
Trial locations and contacts
71 sites in 4 countries.
71 sites in 4 countries
United States38 sites
Johnston Memorial Hospital
Abingdon, Virginia
Allergy and Clinical Immunology
Bangor, Maine
The Brigham and Womens Hospital Inc.
Boston, Massachusetts
Colorado Asthma and Allergy Research Centers, P.C.
Centenniel, Colorado
Bernstein Clinical Research Center
Cincinnati, Ohio
New Horizons Clinical Research
Cincinnati, Ohio
Pulmonary Consultants of North Idaho
Coeur d'Alene, Idaho
Asthma and Allergy Associates P.C. and Research Center
Colorado Springs, Colorado
National Jewish Health
Denver, Colorado
Allergy and Asthma Associates/Oak Street Medical P.C.
Eugene, Oregon
Deaconess Clinic Downtown
Evansville, Indiana
Greenville Pharmaceutical Research
Greenville, South Carolina
Baylor College of Medicine
Houston, Texas
Allergy and Asthma Specialists Medical Group
Huntington Beach, California
Florida Center for Asthma and Allergy Research
Miami, Florida
Cardiopulmonary Associates of Missoula
Missoula, Montana
Pulmonary Associates of Mobile, P.C.
Mobile, Alabama
ENT and Allergy Associates
Newburgh, New York
North East Medical Research Associates, Inc
North Dartmouth, Massachusetts
Allergy, Asthma and Clinical Research Center
Oklahoma City, Oklahoma
IPS Research
Oklahoma City, Oklahoma
Asthma and Allergy Research of New Jersey Inc.
Philadelphia, Pennsylvania
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Allergy Associates Research Center
Portland, Oregon
Asthma, Nasal Disease and Allergy Research Center of New England
Providence, Rhode Island
Allergy and Asthma Research Center, P.A.
San Antonio, Texas
Discovery Clinical Trials, LLC
San Antonio, Texas
Allergy Associates Medical Group Inc.
San Diego, California
Institute of Healthcare Assessment Inc.
San Diego, California
Allergy and Asthma Associates of Santa Clara Valley Research Center
San Jose, California
Allergy and Immunology Associates Ltd
Scottsdale, Arizona
Spartanburg Medical Research
Spartanburg, South Carolina
Pulmonary and Allergy Associates
Summit, New Jersey
Allergy and Asthma Diagnostic Treatment Center
Tallahassee, Florida
Asthma and Allergy Research Associates, PA
Upland, Pennsylvania
Partners in Asthma and Allergy Care, P.A.
Valrico, Florida
Allergy and Asthma Clinical Research Inc.
Walnut Creek, California
Wake Forest University
Winston-Salem, North Carolina
United Kingdom12 sites
Barnsley District Hospital
Barnsley
Birmingham Heartlands Hospital
Birmingham
Queens Hospital
Burton-on-Trent
Woolpit Health Centre
Bury St Edmunds
Addenbrookes Hospital
Cambridge
Avondale Surgery
Chesterfield
Chesterfield Royal Hospital
Chesterfield
Colchester General Hospital
Colchester
Gartnavel General Hospital
Glasgow
Glenfield Hospital
Leicester
Hammersmith Hospital
London
Morriston Hospital
Swansea
Hungary11 sites
Dr. Kenessey Albert Kórház - Rendelőintézet
Balassagyarmat
Gyógyír XI Kht ( XI Kerületi Tüdőgondozó)
Budapest
Margit Kórház
Csorna
Csongrád Megyei Önkormányzat Mellkasi Betegségek Szakkórháza
Deszk
Érd Városi Önkormányzat Szakorvosi Rendelőintézet
Érd
Szabolcs-Szatmár-Bereg Megyei Önkormányzat Jósa András Oktató Kórház
Nyíregyháza
Siofok Varos Korhaz-Rendelointezet
Siófok
Szarvasi Tüdőgyógyász Kft.
Szarvas
Men For Care Kft. Százhalom Egészségügyi Központ
Százhalombatta
Vas Megyei Markusovszky Lajos Általános, Rehabilitációs és Gyógyfürdő Kórház
Szombathely
Komárom-Esztergom Megyei Önkormányzat Szent Borbála Kórháza
Tatabánya
Poland10 sites
Prywatny Gabinet Internistyczno - Alergologiczny
Bialystok
10 Wojskowy Szpital Kliniczny z Poliklinika Kliniczny Oddzial Pulmonologiczny
Bydgoszcz
Specjalistyczny Zespol Chorob Pluc i Gruzlicy w Bystrej
Bystra
Medcare NZOZ
Gdansk
All-Med
Krakow
NZOZ Centrum Alergologii prof. Krzysztof Buczylko
Lodz
Poradnia Alergologii i Chorob Pluc SPZOZ Uniwersytecki Szpital Kliniczny nr 1 im Norberta Barlicki
Lodz
AlergoTest SC
Lublin
NZOZ Centrum Medyczne Lucyna Andrzej Dymek
Strzelce Opolskie
Alergomed Specjalistyczna Przychodnia Lekarska sp zoo
Tarnów
About this study
Official title: A Phase IIb Study to Investigate the Treatment-Sparing Effects of AEROVANT™ AER 001 Inhalation Powder in Asthma Patients Not Fully Controlled on Current Therapy
A multi-center, Phase IIb, double-blind, randomized, placebo controlled, parallel-group, repeated-dose study in male and female patients with moderate to severe asthma in which patients will be stabilized on AEROVANT then doses of inhaled corticosteroids and LABA will be tapered. The hypothesis is that AEROVANT will improve asthma symptom control and decrease the need for inhaled corticosteroids and LABA, thus improving exacerbation incidence compared to placebo. Incidence of asthma exacerbation is the primary endpoint.
- Conditions
- Asthma
- Being tested
- Aerovant, placebo
- Keywords
- asthma, allergy, atopy, atopic, wheeze
- Medical subject headings
- Asthma, Hypersensitivity, Respiratory Sounds
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AerovantDrug
Also called AER 001 DPI, BAY 16-9996, pitrakinra
Aerovant 1mg bid (dry powder)
AerovantDrug
Also called AER 001 DPI, BAY 16-9996, pitrakinra
Aerovant 3mg bid (dry powder)
AerovantDrug
Also called AER 001 DPI, BAY 16-9996, pitrakinra
Aerovant 10mg bid (dry powder)
placeboOther
placebo control (dry powder)
| Study group | Role | What they receive |
|---|---|---|
| Aerovant 1 | Experimental | Aerovant 1mg bid Receives: Drug: Aerovant |
| Aerovant 2 | Experimental | Aerovant 3mg bid Receives: Drug: Aerovant |
| Aerovant 3 | Experimental | Aerovant 10mg bid Receives: Drug: Aerovant |
| Placebo Control | Placebo comparator | Placebo Control Receives: Other: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of exacerbation
Measured: 4 months
Secondary outcomes (9)
In-clinic and daily pulmonary function
Measured: 4 months
Time to exacerbation after randomization
Measured: 4 months
Change from baseline in daily asthma symptom scores
Measured: 4 months
Change from baseline in daily beta-agonist reliever use
Measured: 4 months
Change from baseline in total IgE
Measured: 4 months
Change from baseline in fractional concentration of expired nitric oxide (FENO)
Measured: 4 months
Population pharmacokinetics
Measured: 4 months
General safety evaluation including lung function, blood pressure, heart rate, respiratory rate, temperature, ECG parameters, safety laboratory tests.
Measured: 4 months
SNP analysis for IL-4 and IL-13 relevant genes (Exploratory)
Measured: 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2008 (estimated)
- Study startMar 2009
- Primary completionFeb 2010
- Study completionFeb 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 424 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Aerovance, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Sally Wenzel, M.D., Principal investigator, University of Pittsburgh
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00801853
- Sponsor's protocol ID
- PPD/2007/AER 001 DPI/2b
- Status last verified
- Nov 2009
- First submitted
- 1 Dec 2008
- Last updated
- 27 Jan 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Slager RE, Otulana BA, Hawkins GA, Yen YP, Peters SP, Wenzel SE, Meyers DA, Bleecker ER. IL-4 receptor polymorphisms predict reduction in asthma exacerbations during response to an anti-IL-4 receptor alpha antagonist. J Allergy Clin Immunol. 2012 Aug;130(2):516-22.e4. doi: 10.1016/j.jaci.2012.03.030. Epub 2012 Apr 26.
PubMed 22541248
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IIb Study to Investigate the Treatment-Sparing Effects of AEROVANT™ AER 001 Inhalation Powder in Asthma Patients Not Fully Controlled on Current Therapy
- ClinicalTrials.gov ID
- NCT00801853
- Acronym / sponsor ID
- PPD/2007/AER 001 DPI/2b
- Conditions
- Asthma
- Keywords
- asthma, allergy, atopy, atopic, wheeze
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 424 participants (estimated)
- Lead sponsor
- Aerovance, Inc.Industry (pharma, biotech, devices)
- Study start
- Mar 2009
- Primary completion
- Feb 2010 (actual)
- Study completion
- Feb 2010 (actual)
- First posted
- 4 Dec 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A multi-center, Phase IIb, double-blind, randomized, placebo controlled, parallel-group, repeated-dose study in male and female patients with moderate to severe asthma in which patients will be stabilized on AEROVANT then doses of inhaled corticosteroids and LABA will be tapered. The hypothesis is that AEROVANT will improve asthma symptom control and decrease the need for inhaled corticosteroids and LABA, thus improving exacerbation incidence compared to placebo. Incidence of asthma exacerbation is the primary endpoint.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Aerovant 1 | Experimental | Drug: AerovantAerovant 1mg bid |
| Aerovant 2 | Experimental | Drug: AerovantAerovant 3mg bid |
| Aerovant 3 | Experimental | Drug: AerovantAerovant 10mg bid |
| Placebo Control | Placebo comparator | Other: placeboPlacebo Control |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Male or female patient, ≥ 18 years of age with a documented clinical history of asthma, has been treated for asthma and, in the opinion of the Investigator, is not fully controlled on current asthma therapy.
- Patient satisfies, or has satisfied in the past, the GINA definition of moderate persistent to severe persistent asthma.
- Patient has been maintained on moderate-to-high doses of ICS and LABA in the form of combination therapy or as individual agents (equivalent to fluticasone ≥ 250 mcg bid and salmeterol ≥ 50 mcg bid for ≥ 4 weeks before Screening [Visit 1]).
- Patient has experienced an asthma exacerbation at least once in the past 2 years (defined here as use of physician prescribed oral corticosteroids or asthma requiring treatment increase approximately 4 times the baseline dose of inhaled corticosteroids or hospitalization due to asthma).
- Patient has a pre-bronchodilator FEV1 ≥ 50% but ≤ 95% of the predicted value at both Screening (Visit 1) and Visit 2.
Key exclusion criteria (11 listed)
- Patient has a current diagnosis of respiratory disorder other than asthma (e.g., chronic bronchitis, bronchiectasis, emphysema, chronic obstructive pulmonary disease [COPD], etc).
- Patient has received oral corticosteroid treatment within 8 weeks of Randomization (Visit 2)or patient has been intubated for ventilation in the past 5 years.
- Patient has used any leukotriene antagonist within 1 week before Screening (Visit 1) or anti-IgE medications within 4 weeks of Screening (Visit 1).
- Female patient is pregnant, breastfeeding, or not using an adequate method of contraception.
- Patient has a clinically relevant medical history of very severs asthma that would preclude steroid reduction or sufficient compliance with the protocol.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AerovantAlso: AER 001 DPI, BAY 16-9996, pitrakinraAerovant 1mg bid (dry powder) | Drug | Aerovant 1 |
| AerovantAlso: AER 001 DPI, BAY 16-9996, pitrakinraAerovant 3mg bid (dry powder) | Drug | Aerovant 2 |
| AerovantAlso: AER 001 DPI, BAY 16-9996, pitrakinraAerovant 10mg bid (dry powder) | Drug | Aerovant 3 |
| placeboplacebo control (dry powder) | Other | Placebo Control |
Primary outcome
Incidence of exacerbation
Time frame: 4 months
9 secondary outcomes
In-clinic and daily pulmonary function
Time frame: 4 months
Time to exacerbation after randomization
Time frame: 4 months
Change from baseline in daily asthma symptom scores
Time frame: 4 months
Change from baseline in daily beta-agonist reliever use
Time frame: 4 months
Change from baseline in total IgE
Time frame: 4 months
Change from baseline in fractional concentration of expired nitric oxide (FENO)
Time frame: 4 months
Population pharmacokinetics
Time frame: 4 months
General safety evaluation including lung function, blood pressure, heart rate, respiratory rate, temperature, ECG parameters, safety laboratory tests.
Time frame: 4 months
SNP analysis for IL-4 and IL-13 relevant genes (Exploratory)
Time frame: 4 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2011.
- Derived from this study: PubMed 22541248Slager RE, Otulana BA, Hawkins GA, Yen YP, Peters SP, Wenzel SE, Meyers DA, Bleecker ER. IL-4 receptor polymorphisms predict reduction in asthma exacerbations during response to an anti-IL-4 receptor alpha antagonist. J Allergy Clin Immunol. 2012 Aug;130(2):516-22.e4. doi: 10.1016/j.jaci.2012.03.030. Epub 2012 Apr 26.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sally Wenzel, M.D. principal investigator
University of Pittsburgh
71 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Aerovant in people with Asthma, run by Aerovance, Inc. at 71 sites in 4 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 12 inclusion and 11 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 27 Jan 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 71 sites in United States, United Kingdom, Hungary, Poland. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 exacerbation (time frame: 4 months). 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 NCT00801853, 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 27 Jan 2011.