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AsthmaPhase 1NCT01577953

Safety, Tolerability, and Pharmacokinetics After a Single Dose of Orally Inhaled DNAzyme Solution for Nebulisation in Male Patients With Asthma

A Phase 1 study testing SB010 in people with Asthma, run by Sterna Biologicals GmbH & Co. KG at 1 site in Germany.

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

Asthma is a chronic inflammatory bronchial disorder with three distinct components: airway hyper-responsiveness (respiratory hypersensitivity), airway inflammation, and intermittent airway obstruction. Read more about this study

Who is it for?
Ages 18 to 45 years, men only
Conditions the study is for
Asthma
What is being tested?
SB010
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
24 participants
Where
1 siteGermany
Study dates
Apr 2012to Aug 2012
Phase
Phase 1
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 to 45 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Adult male Caucasian patients aged 18-45 years (both included).
  • Clinical diagnosis of mild to moderate, stable, persistent or intermittent asthma (according to GINA guidelines revised version 2010) for at least 6 months prior to screening.
  • Positive skin reactivity at screening or within the last 12 months to at least one allergen out of a variety of seasonal or non-seasonal specific allergens (e.g. pollen, animal epithelia, dust mite).
  • Patients not on concomitant treatments, except for short-acting beta-agonists and inhaled and topical corticosteroids on a stable dose, or able to change current asthma therapy, to discontinue prescribed anticholinergics, leukotriene receptor inhibitors, and long-acting beta 2-agonists after signature of informed consent as per required washout periods.
  • Screening forced expiratory volume (FEV1) value of >60% of the predicted normal value after a washout of at least 8 hours for short-acting beta 2-agonists, and 72 hours for long-acting beta 2-agonists, whatever is applicable. Predicted normal values to be used for calculation purposes are to be based on European Community for Steel and Coal predicted values.
  • Patients must demonstrate a PC 20 response to methacholine concentrations of ≤4 mg/mL at screening. (PC 20 = Concentration of the agonist in the inhaled substance leading to a fall in FEV1 of 20%).
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  • Pre-dose FEV1 value not below 20% of the reference absolute FEV1 value measured at screening [i.e. 0.8 x FEV1 (screening) ≥FEV1 pre-dose].
  • Patient has been informed both verbally and in writing about the objectives of the clinical trial, the methods, the anticipated benefits and potential risks and the discomfort to which he may be exposed, and has given written consent to participation in the trial prior to trial start and any trial-related procedure.
  • Except for asthma or atopic diseases like allergic rhinitis or atopic dermatitis assessed as healthy based on a screening examination including medical history, physical examination, vital signs, ECG assessment, pulmonary function testing, and clinical laboratory results.
  • Body weight according to a Body Mass Index ≥18.0 and ≤29.0 kg/m², and a body weight ≥60 and ≤90 kg.
  • Non-smokers or ex-smokers who had stopped smoking for at least 5 years prior to start of the clinical study. No history of smoking more than 10 pack-years.
  • Ability to inhale in an appropriate manner (patients will be trained to inhale from the AKITA2 APIXNEB® device with a placebo medication at the screening visit).
  • The patient must agree:
  • to use two methods of contraception in combination with his female partner, if she is of childbearing potential; this combination of contraceptive methods must be used from screening until at least 6 months after the last dose of Investigational Medicinal Product. At least one of the contraception methods must be a barrier contraception method. Contraceptive methods allowed include the following: condoms, diaphragm in combination with a spermicide, intrauterine device as well as for female partners oral contraception, contraception implants, OR
  • not to be sexually active at screening and accept using double-barrier contraception should he become sexually active during or within 6 months after the last dose of Investigational Medicinal Product, OR
  • to have been surgically sterilized prior to screening and accept to use a barrier method of contraception as well, OR
  • to have a partner who is post-menopausal and has had her last natural menstruation at least 24 months prior to screening, OR
  • to have a partner who has had a hysterectomy prior to screening, OR
  • to have a partner who has been surgically sterilized prior to screening

Who cannot join

  • Presence of clinically significant diseases other than asthma or atopic diseases (cardiovascular, renal, hepatic, gastrointestinal, hematological, neurological, genitourinary, autoimmune, endocrine, metabolic, etc), which, in the opinion of the investigator, may either put the patient at risk because of participation in the trial, or diseases which may influence the results of the study or the patient's ability to take part in it.
  • Presence of relevant pulmonary diseases or history of thoracic surgery, such as:
  • Known active tuberculosis
  • Non-small cell lung cancer
  • Pulmonary arterial hypertension
  • History of interstitial lung or pulmonary thromboembolic disease
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  • Pulmonary resection during the past 12 months
  • History of allergic asthma
  • History of bronchiectasis secondary to respiratory diseases (e.g., cystic fibrosis, Kartagener's syndrome, etc.)
  • History of chronic bronchitis, emphysema, allergic bronchopulmonary aspergillosis or respiratory infection within the 4 preceding weeks of the first morning IMP administration
  • Any absolute or relative contraindications for methacholine challenge: e.g., severe or moderate airflow limitation (FEV1 <60% predicted or <1.5 L), heart attack or stroke in the last 3 months, uncontrolled hypertension, known aortic aneurysm, current use of cholinesterase inhibitor medication.
  • Hospitalisation or emergency room treatment for acute asthma in the 3 months prior to screening, between screening and the start of the treatment period.
  • Intubation (ever) or hospitalisation for longer than 24 hours for the management of an asthma exacerbation within the preceding 3 months of the screening visit.
  • History of allergic reactions to any active or inactive ingredients of the nebuliser solution.
  • ECG abnormalities of clinical relevance (e.g., QTc according to Bazett's >440 ms, PR ≥210 ms; or QRS ≥120 ms).
  • Patients with a resting heart rate <45 bpm and >90 bpm, systolic blood pressure <100 mmHg and >140 mmHg, diastolic blood pressure <60 mmHg and >90 mmHg.
  • Proneness to orthostatic dysregulation, fainting, or blackouts.
  • History or presence of any malignancy except for basalioma.
  • Clinically relevant abnormalities in clinical chemical, haematological or in any other laboratory variables.
  • Chronic or clinically relevant acute infections.
  • Positive results in any of the following virology tests: Hepatitis B surface antigen, Hepatitis B core antibodies, Hepatitis C antibodies, human immunodeficiency virus (HIV)-1, and HIV -2 antibodies.
  • Positive drug screen.
  • History of previous administration of SB010 or any other registered or investigational oligonucleotide-based drug.
  • History or presence of alcohol or drug abuse.
  • Treatment with any known enzyme inducing or inhibiting agents (St. John's Wort, barbiturates, phenothiazines, cimetidine, ketoconazole etc.) within 30 days before administration of IMP or during the trial.
  • Use of any medication (including over-the-counter medication such as herbal products) except allowed concomitant medication within 2 weeks (for biologics: 6 months) before administration of IMP or within <10 times the elimination half-life of the respective drug, or the duration of the pharmacodynamic effect, whatever is longer, or anticipated concomitant medication during the treatment period.
  • Consumption of any enzyme inducing or inhibiting aliments and beverages (e.g., broccoli, Brussels sprout, star fruit, etc.) within 14 days prior to administration of IMP or during the trial.
  • Consumption of any caffeine- or theophylline-containing product as well as grapefruit and grapefruit-containing products 12 h before administration of IMP.
  • Vegetarian diet or other peculiar dietary habits which would preclude the patient's acceptance of standardised meals.
  • Surgery of the gastrointestinal tract except for appendectomy or herniotomy.
  • Planned donation of germ cells, blood, organs, bone marrow during the course of the trial or within 6 months thereafter.
  • Participation in another clinical trial with an investigational drug or device within the last 3 months. For biologics, the minimum exclusion period is at least 6 months or the time of duration of the pharmacodynamic effect or 10 times the half-life of the respective drug whatever is longer before inclusion in this trial.
  • Blood donation within the last 30 days before screening.
  • Lack of ability or willingness to give informed consent.
  • Anticipated non-availability for trial visits/procedures.
  • Anticipated lack of willingness or inability to cooperate adequately.
  • Vulnerable patients (e.g., persons kept in detention).

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Clinical Airway Research Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM)

    Hanover, 30625

Other trials in Germany

About this study

Official title: Phase-Ib Study in Male Patients With Stable Allergic Asthma With Airway Hyperresponsiveness to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Orally Inhaled Single Doses of SB010, a Human GATA-3-specific DNAzyme Solution for Nebulisation - A Randomised, Double-blind, Placebo-controlled, Parallel-group (Per Dose Level) Dose-escalation Study in Asthmatic Patients

Asthma is a chronic inflammatory bronchial disorder with three distinct components: airway hyper-responsiveness (respiratory hypersensitivity), airway inflammation, and intermittent airway obstruction. One of the characteristics of the disease is an inflammatory reaction of the immune system caused by cytokine production. A substantial number of asthma patients do not satisfactorily respond to steroid therapy and consequently have an unmet medical need for novel targeted therapies with improved specificity, tolerability, and compliance.

Novel therapeutic strategies for the treatment of chronic inflammatory diseases by targeting early disease-causing mechanisms are a promising approach for the treatment of asthma. The transcription factor GATA-3 plays a key role in mediating the asthmatic immune response and has been shown to be necessary and sufficient for the production of cytokines interleukin (IL)-4, IL-5, and IL-13. The active drug substance of the investigational medicinal product SB010 is hgd40. SB010 belongs to a new class of antisense oligonucleotide therapeutics, the 10-23 DNA (deoxyribonucleic acid)zymes (antisense oligonucleotide).

Read more

DNAzymes are catalytically active nucleic acids that cleave complementary RNA (ribonucleic acid) molecules. By cleaving GATA-3 mRNA, hgd40 reduces specific cytokine production and thereby reduces key features of allergic airway inflammation. DNAzymes are generated completely by chemical synthesis and can be produced under Good Manufacturing Practice (GMP) controlled conditions. The DNAzymes are not biological drugs, i.e. they are not generated by use of any living organism including cell culture or bacteria. The molecules are highly water-soluble and will be applied as solution directly in their synthesized form.

The current study will evaluate the safety and tolerability of increasing single doses of inhaled SB010 in male patients with asthma who have airway hyperresponsiveness(demonstrated by methacholine bronchial challenge test).

Conditions
Asthma
Being tested
SB010, Placebo
Keywords
Antisense oligonucleotide, Asthma, Patients with asthma, Phase 1b, Transcription factor GATA-3, Oral inhalation
Medical subject headings
Asthma

What participants receive

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

  • SB010Drug

    Also called The active drug substance of SB010 is hgd40.

    Three consecutive ascending dose groups (A, B, and C) are planned, with a total of 24 patients with asthma. Each dose group will consist of 8 patients (n=6 receiving active drug and n=2 receiving placebo). Each patient will participate in one dose group only.

    Dose escalation to the second and third dose level will occur after satisfactory review of safety and tolerability and after review of the pharmacokinetic data (exposure control, up to 4 hours after administration) of the preceding dose group by the Safety Board.

    Dose levels:

    Dose group A: 5 mg hgd40 in 2 mL solution (concentration: 2.5 mg/mL); Dose group B: 10 mg hgd40 in 2 mL solution (concentration: 5.0 mg/mL); Dose group C: 20 mg hgd40 in 2 mL solution (concentration: 10.0 mg/mL).

  • PlaceboDrug

    Three consecutive ascending dose groups (A, B, and C) are planned, with a total of 24 patients with asthma. Each dose group will consist of 8 patients (n=6 receiving active drug and n=2 receiving placebo). Each patient will participate in one dose group only.

    Dose escalation to the second and third dose level will occur after satisfactory review of safety and tolerability and after review of the pharmacokinetic data (exposure control, up to 4 hours after administration) of the preceding dose group by the Safety Board.

Study groups in NCT01577953
Study groupRoleWhat they receive
SB010ExperimentalThe drug SB010 is administered in phosphate-buffered saline solution, inhaled via a controlled breathing system over a 5 to 10 min.
Receives: Drug: SB010
PlaceboPlacebo comparatorThe placebo (phosphate-buffered saline) is administered as a solution inhaled via a controlled breathing system over a 5 to 10 min.
Receives: Drug: Placebo

What is being measured

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

  1. Limiting dose of inhaled ascending single dose of SB010.

    Safety will be monitored as adverse events, vital signs, clinical chemistry, haematology, coagulation, urinalysis, electrocardiogram, pulmonary function testing (serial spirometric measurements), body temperature, overall tolerability. These will be monitored during the study period Days 1 to 4; at the follow up visit Day 12±2; during a follow-up phone call Day 30±3; at the end of study Day 60±4. The maximum duration will be 92 days for a particular patient.

    Measured: up to Day 60±4; maximum of 92 days for a particular patient.

Secondary outcomes (3)
  1. Number of participants with any dose-limiting adverse effects.

    Safety will be monitored as adverse events, vital signs, clinical chemistry, haematology, coagulation, urinalysis, electrocardiogram, pulmonary function testing (serial spirometric measurements), body temperature, overall tolerability.

    Measured: during the study period Days 1 to 4; at the follow up visit Day 12±2; during a follow-up phone call Day 30±3; at the end of study Day 60±4; maximum of 92 days for a particular patient.

  2. Single-dose plasma concentration of hgd40 over time after inhalation of SB010.

    The following pharmacokinetic parameters will be determined in plasma samples over 4 days: Area under the plasma concentration-time curve zero to infinity; Area under the plasma concentration-time curve (dose adjusted); Area under the concentration-time curve until the last sampling time; Concentration maximum; Concentration maximum (dose adjusted); Time of maximum concentration; Apparent terminal elimination half-life.

    Measured: during study period Days 1 to 4.

  3. Systemic activity of biomarkers.

    The following biomarkers will be determined in serum (exploratory evaluation): IL-4, IL-5, IL-10, IL-13, IFN-gamma (using validated multiplex immune assay system), and tryptase (using enzyme-linked immunoassay).

    IL=Interleukin; IFN=Interferon.

    Measured: at screening Day -28 to -2; during study period Day 1 to 4; at follow up visit day 12±2; at end of study Day 60±4.

Timeline

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

  1. First posted16 Apr 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionAug 2012
  4. Study completionAug 2012

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01577953
Sponsor's protocol ID
SB010/03/2011
Other IDs
2011-006112-31
Status last verified
Nov 2012
First submitted
11 Apr 2012
Last updated
29 Apr 2014
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SB010 in people with Asthma, run by Sterna Biologicals GmbH & Co. KG at 1 site in Germany.

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 19 inclusion and 37 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 29 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Limiting dose of inhaled ascending single dose of SB010. (time frame: up to Day 60±4; maximum of 92 days for a particular patient.). 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 29 Apr 2014.

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