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Chronic Obstructive Pulmonary Disease (COPD)Phase 1NCT02059434

Two-part Pharmacokinetic and Pharmacodynamic Study of LAS190792 in Patients With Asthma and COPD

A Phase 1 study testing LAS190792 Dose 1, LAS190792 Dose 2 and LAS190792 Dose 3 in people with Chronic Obstructive Pulmonary Disease (COPD) and Asthma, run by AstraZeneca at 2 sites in United Kingdom.

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

The purpose of this study is to assess the safety and tolerability of single doses of LAS190792 administered by inhalation to patients with mild persistent asthma and moderate to severe chronic obstructive pulmonary disease (COPD) and also to assess the ability of LAS190792 to produce bronchodilation (opening of the… Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
LAS190792 Dose 1, LAS190792 Dose 2 and LAS190792 Dose 3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
55 participants
Where
2 sitesUnited Kingdom
Study dates
1 Sep 2013to 6 Oct 2014
Phase
Phase 1
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult male subjects aged 18 to 70 years
  • Body mass index (BMI) 18.5 to 30 kg/m2 at screening
  • Clinical diagnosis of mild persistent asthma (according to GINA guidelines) for at least 6 months prior to screening
  • Ability to change current asthma therapy, to discontinue previous prescribed medications after signature of informed consent as per required washout periods
  • Screening FEV1 value of ≥70% of the predicted normal value after a washout of at least 5 h for short-acting beta2-agonists and 72 h for long-acting beta2-agonists
  • FEV1 reversibility of ≥12% and an absolute increase of at least 200 mL over the baseline value within 30 min after inhalation of 400 µg of salbutamol
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  • Subjects using intermittent salbutamol and / or subjects on a stable dose or regimen of low dose ICS (as defined by the GINA guidelines) at least 4 weeks prior to screening
  • Predose FEV1 value of first treatment period within the range of ±20% of the FEV1 measured at screening prior to salbutamol inhalation
  • Subjects who are otherwise healthy as determined by medical history, physical examination, 12-lead ECG findings
  • Normal blood pressure (defined as SBP between 100 and 140 mmHg, and DBP between 50 and 90 mmHg) at screening, measured after resting in supine position for 5 minutes.
  • Subjects whose clinical laboratory test results are not clinically relevant and are acceptable to the Investigator
  • Subjects who are negative for hepatitis B surface antigen (HBsAg), hepatitis B core (HBc) antibody (IgM), hepatitis C antibody and human immunodeficiency virus (HIV) I and II antibodies at screening
  • Subjects who are able and willing to provide written informed consent
  • Subjects able to perform repeatable pulmonary function testing for FEV1 according to the American Thoracic Society (ATS) / European Respiratory Society (ERS) 2005 criteria at screening
  • Adult male and non-childbearing potential women subjects aged ≥40 years with a clinical diagnosis of stable moderate to severe COPD according to GOLD guidelines at screening
  • Females must be of non-childbearing potential, confirmed at screening
  • Post-salbutamol FEV1 <80% and ≥30% of the predicted normal value and post-salbutamol FEV1 / forced vital capacity (FVC) <70%
  • Ability to change current COPD therapy, to discontinue previous prescribed medications after signature of informed consent
  • No evidence of clinically significant respiratory and / or cardiovascular conditions or laboratory abnormalities
  • No other relevant pulmonary disease or history of thoracic surgery
  • No contraindication to the use of anticholinergic drugs such as known symptomatic prostatic hypertrophy, bladder neck obstruction, narrow-angle glaucoma, or beta2-agonists usage
  • Subjects who are negative for HBsAg, HBc IgM, hepatitis C antibody and HIV I and II antibodies at screening
  • Subjects who are able and willing to provide written informed consent
  • Subjects able to perform repeatable pulmonary function testing for FEV1 according to the ATS / ERS 2005 criteria at screening

Who cannot join

  • Subjects who do not conform to the above inclusion criteria
  • Current smokers, subjects with a smoking history during the last 12 months or subjects with a smoking history of more than 10 pack-years
  • Other relevant pulmonary disease or history of thoracic surgery
  • Subjects with a BMI ≥40 kg/m2 (only applicable for Part 2)
  • Subjects with any clinically relevant history or presence of abnormality from the medical history and/or physical examination (only applicable for Part 1)
  • Current evidence or recent history of any clinically significant and unstable disease (other than COPD) or abnormality that could put the subject at risk or could confound the results of the study (only applicable for Part 2)
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  • Subjects with a surgical history clinically relevant for the purpose of the study
  • History of malignancy of any organ system, treated or untreated within the past 5 years, with the exception of localised basal cell carcinoma of the skin
  • Subjects with serious adverse reaction or serious hypersensitivity to Spiriva (for Part 2 only), indacaterol (for Part 2 only), or the formulation excipients (eg, lactose) or other drugs in the same pharmacologic class (for Part 1 and Part 2)
  • Current diagnosis of COPD (for Part 1 only) or history of / or current diagnosis for asthma (for Part 2 only)
  • Recent history of asthma / COPD exacerbation requiring hospitalisation or need for increased maintenance treatments for asthma / COPD within 6 weeks prior to screening or randomisation
  • Use of daily oxygen therapy >10 h per day (for Part 2 only)
  • Use of systemic steroids for respiratory reasons within 3 months prior to screening
  • Lower respiratory tract infection within 6 weeks prior to screening or randomisation
  • Upper respiratory tract infection requiring antibiotics within 4 weeks prior to screening or randomisation
  • Current history of tuberculosis, bronchiectasis or other non-specific pulmonary disease
  • QTcF interval >430 ms at screening or prior to randomisation, or history of long QT syndrome (for Part 1 only)
  • QTcF interval, >450 ms for males and >470 ms for females at screening or prior to randomisation, or history of long QT syndrome (for Part 2 only)
  • Subjects with a history of excessive use or abuse of alcohol or with a history of drug abuse within the past 2 years
  • Subjects who are positive for drugs of abuse and alcohol tests at screening and prior to randomisation
  • Donation or loss >400 ml of blood and plasma within the previous 3 months prior to screening
  • Subjects consuming more than 14 (female subjects) or 21 (male subjects) units of alcohol a week
  • Subjects with a significant infection or known inflammatory process at screening or prior to randomisation
  • Subjects with acute gastrointestinal symptoms at the time of screening or prior to randomisation
  • Subjects with an acute infection such as influenza at the time of screening or prior to randomisation
  • Male subjects who do not agree to follow instructions to avoid pregnancies
  • Subjects who are not able to adhere to the restrictions on prior and concomitant medications
  • Subjects who intend to use any concomitant medication not permitted by the protocol or who have not undergone the required washout period for a particular prohibited medication
  • Subjects who have used any investigational drug within 3 months prior to screening or within the equivalent time of 6 half-lives of receiving the last administration, whichever is longer
  • Subjects who have received the last dose of investigational product more than 3 months ago but who are on an extended follow-up
  • Subjects who are vegans or who have medical dietary restrictions
  • Subjects unable to communicate reliably with the Investigator
  • Subjects who are unlikely to co-operate with the requirements of the study

Trial locations and contacts

2 sites in 1 country.

United Kingdom2 sites
  • Quintiles Drug Research Unit at Guy's Hospital

    London, SE1 1YR

  • Medicines Evaluation Unit Ltd (MEU)

    Manchester, M23 9QZ

Other trials in United Kingdom

About this study

Official title: A 2-Part, Randomised, Placebo-Controlled, Safety, Tolerability, Pharmacokinetic And Pharmacodynamic Study Of LAS190792 Delivered By Inhalation In Asthmatic And Chronic Obstructive Pulmonary Disease (COPD) Subjects

The purpose of this study is to assess the safety and tolerability of single doses of LAS190792 administered by inhalation to patients with mild persistent asthma and moderate to severe chronic obstructive pulmonary disease (COPD) and also to assess the ability of LAS190792 to produce bronchodilation (opening of the airways).

Read the detailed description

This study is an integrated Phase I protocol divided into 2 parts.

Part one: a single ascending dose study (6 LAS190792 dose levels) in 16 male subjects with mild asthma. LAS190792 will be administered (by the Genuair® inhaler) under supervision at the study centre, according to the randomisation scheme. One dose level will be administered per week with 2 to 3 weeks between each dose level for the safety and pharmacokinetic data review.

Part two: A 5-way , crossover, single dose study (of LAS190792 [two doses], indacaterol, tiotropium and placebo) in 40 male and non-childbearing potential women subjects with moderate to severe COPD. Each treatment period will be separated by a washout period of at least 7 to 14 days. The aim is to ensure at least 30 subjects complete Part 2 of the study. The primary comparison for bronchodilation will be between LAS190792 doses and placebo. Other treatment comparisons (indacaterol or tiotropium vs placebo and LAS190792 vs indacaterol or tiotropium) will be considered additional.

Being tested
LAS190792 Dose 1, LAS190792 Dose 2, LAS190792 Dose 3, LAS190792 Dose 4, LAS190792 Dose 5
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Asthma

What participants receive

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

  • LAS190792 Dose 1Drug

  • LAS190792 Dose 2Drug

  • LAS190792 Dose 3Drug

  • LAS190792 Dose 4Drug

  • LAS190792 Dose 5Drug

  • LAS190792 Dose 6Drug

  • LAS190792 Dose 1 (Part 2)Drug

  • LAS190792 Dose 2 (Part 2)Drug

  • Tiotropium 18 μgDrug

    Also called Spiriva

  • Indacaterol 150 μgDrug

    Also called Onbrez

  • PlaceboDrug

Study groups in NCT02059434
Study groupRoleWhat they receive
LAS190792 Dose 1 (Part 1)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 1
LAS190792 Dose 2 (Part 1)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 2
LAS190792 Dose 3 (Part 1)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 3
LAS190792 Dose 4 (Part 1)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 4
LAS190792 Dose 5 (Part 1)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 5
LAS190792 Dose 6 (Part 1)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 6
Placebo (Part 1)Placebo comparatorSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: Placebo
LAS190792 Dose 1 (Part 2)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 1 (Part 2)
LAS190792 Dose 2 (Part 2)ExperimentalSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: LAS190792 Dose 2 (Part 2)
Tiotropium 18 μgActive comparatorSingle dose, oral inhalation by HandiHaler® single-dose DPI
Receives: Drug: Tiotropium 18 μg
Indacaterol 150 μgActive comparatorSingle dose, oral inhalation by Breezhaler® single-dose DPI
Receives: Drug: Indacaterol 150 μg
Placebo (Part 2)Placebo comparatorSingle dose, oral inhalation by Genuair® single-dose dry powder inhaler (DPI)
Receives: Drug: Placebo

What is being measured

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

  1. Subjects With ≥1 Treatment-emergent Adverse Event

    Adverse events (AEs) are any unfavorable and unintended medical occurrence during the subject's participation in the study (including deterioration of a pre-existing medical condition, an abnormal value in a laboratory assessment, an ECG abnormality, a 12-lead 24-hour ECG-Holter abnormality, a blood pressure abnormal value, paradoxal bronchospasm or an abnormal finding in the physical examination) and will be coded using the current Medical Dictionary for Regulatory Activities (MedDRA).

    Measured: 30 Days

  2. Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second)

    Trough is defined as the mean of the FEV1 values obtained at 23 hours and at 24 hours after morning investigational product administration.

    Measured: Day 2

Secondary outcomes (3)
  1. Maximum Observed Plasma Concentration (Cmax)

    Measured: Up to 36 hours after investigational product administration

  2. Time to Maximum Observed Plasma Concentration (Tmax)

    Measured: Up to 36 hours after investigational product administration

  3. Area Under the Concentration-time Curve From Zero to the Time of the Last Measurable Concentration

    Measured: Up to 36 hours after investigational product administration

Timeline

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

  1. First posted11 Feb 2014 (estimated)
  2. Study start1 Sep 2013
  3. Primary completion6 Oct 2014
  4. Study completion6 Oct 2014

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
Crossover
Masking
Single blind
Who is masked
Participant
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02059434
Sponsor's protocol ID
M-190792-01
Other IDs
2013-001758-93
Status last verified
Mar 2019
First submitted
7 Feb 2014
Last updated
21 Jun 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing LAS190792 Dose 1, LAS190792 Dose 2 and LAS190792 Dose 3 in people with Chronic Obstructive Pulmonary Disease (COPD) and Asthma, run by AstraZeneca at 2 sites in United Kingdom.

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 24 inclusion and 33 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 21 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United Kingdom. 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?

Yes. Results are posted in the registry (first posted 21 Jun 2019). 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?

Subjects With ≥1 Treatment-emergent Adverse Event (time frame: 30 Days). 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?
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 Jun 2019.

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