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Chronic Obstructive Pulmonary DiseasePhase 1NCT02140346

A Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Repeat Doses of RV1729 for 28 Days in Patients With COPD

A Phase 1 study testing RV1729 28 day repeat dose in people with Chronic Obstructive Pulmonary Disease, run by Respivert Ltd 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

RV1729 is a new medicine being developed for the potential treatment of asthma and smoking related lung disease (also known as chronic obstructive pulmonary disease - COPD). The objective of this study is to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics repeat doses of RV1729 in patients… Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
RV1729 28 day repeat dose
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
2 sitesUnited Kingdom
Study dates
Aug 2014to Jul 2015
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 40 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sign an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
  • Be a man or a woman of non-child-bearing potential aged 40 to 75 years
  • Women of non-childbearing potential must be either amenorrhoeic >1 year with an appropriate clinical profile or permanently sterilised
  • Women must agree not to donate eggs (ova, oocytes) from Screening until at least 6 months after the final dose of study medication
  • Men must be willing to use one form of contraception (with documented failure rate less than 1%) and agree not to donate sperm from Screening to 90 days post last dose of study agent
  • Chronic obstructive pulmonary disease diagnosis with symptoms compatible with COPD for at least 1 year before Screening.
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  • Severity of disease: subjects who conform to the current severity classification for Global Initiative for Chronic Obstructive Lung Disease (GOLD, 2014) Grade II/III
  • On a background therapy of inhaled steroid with or without the addition of long-acting bronchodilators (either long-acting beta agonists [LABAs] or long-acting muscarinic antagonists [LAMAs]).
  • Be able to produce an acceptable induced sputum sample at the Screening visit.
  • Capable of complying with all study restrictions and procedures including ability to use the study inhaler correctly.
  • A current or previous smoker with a smoking history of ≥10 pack years.
  • Have a 12 lead ECG recording consistent with normal cardiac function at the Screening visit and pre-dose Day 1

Who cannot join

  • A history of life-threatening COPD including respiratory arrest, intensive care unit admission and/or requiring intubation.
  • A history of more than one hospitalisation for COPD in the 2 years before Screening.
  • Evidence of cor pulmonale, clinically significant pulmonary hypertension or chronic use of oxygen.
  • Upper or lower respiratory tract infection, including exacerbation of COPD, requiring augmentation of therapy within 6 weeks of Screening.
  • Other respiratory disorders: subjects with a history of asthma, active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis or other chronic pulmonary diseases.
  • A chest X-ray at Screening (or within 6 months prior to the Screening visit) showing abnormalities, which in the opinion of the Investigator are clinically significant and unrelated to COPD.
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  • A history of chronic disease including, but not limited to, unstable or uncontrolled hypertension (or been diagnosed with hypertension in the 6 months before Screening), sleep apnoea, cardiovascular, endocrine, neurological, hepatic, gastrointestinal, renal, haematological, urological, immunological or ophthalmic diseases that the Investigator believes are clinically significant e.g., unstable and could impact subject safety by participation in the study.
  • Previous lung resection or lung reduction surgery.
  • Vital sign assessments outside the following ranges: for inclusion blood pressure (after the subject is supine for 10 minutes) must be between 100 and 160 mmHg systolic, inclusive, and between 55 and 100 mmHg diastolic; heart rate must be between 40-100 bpm. These criteria must be met at Screening, Day -1 and pre-dose on Day 1.
  • Have a clinical abnormality or laboratory parameters outside the reference range at Screening or Day -1.
  • Liver function test results (ALT, aspartate amino transferase and gamma glutamyl transferase) >2 x ULN (upper limit of normal) at Screening or on Day -1.
  • Chronic liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • Positive test for human immunodeficiency virus (HIV) 1 and 2 antibodies, hepatitis B virus (HBV) infection or hepatitis C antibodies.
  • Unable or unwilling to undergo multiple venepuncture procedures or the subject has poor access to veins suitable for cannulation.
  • If a woman, has a positive serum pregnancy test at Screening.
  • Definite or suspected history of drug or alcohol abuse within the previous 5 years.
  • Positive test for alcohol or drugs of abuse, including cannabinoids, alcohol, opiates, cocaine, amphetamines, benzodiazepines or barbiturates at Screening or on Day -1 or Day 1.
  • History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >21 units for males, or >14 units for females.
  • History of clinically significant allergies that, in the opinion of the Investigator would contraindicate their participation.
  • Known allergy to the study drug or any of the excipients of the formulation or has previously been exposed to RV1729.
  • Donated blood or blood products or had substantial loss of blood (more than 500 mL) within 3 months before the first administration of study drug or intention to donate blood or blood products during the study.
  • Received an experimental drug or used an experimental medical device within 3 months or within a period less than five times the drug's half-life, whichever is longer, before the first dose of the study drug is scheduled.
  • Requires routine treatment for COPD using one (or more) of the therapies listed in the protocol within the 6 weeks before Screening.
  • A disclosed history or one known to the Investigator, of significant non-compliance in previous investigational studies or with prescribed medications.
  • Has had major surgery, (requiring general anaesthesia) within 6 weeks before the Screening visit, or will not have fully recovered from surgery, or has planned surgery from Screening through to the end of the study. Note: subjects with planned surgical procedures to be conducted under local anaesthesia may participate.
  • Employee of the Investigator or study centre, with direct involvement in the proposed study or other studies under the direction of that Investigator or study centre, as well as family members of the employees or the Investigator.
  • The subject is unable or unwilling to comply fully with the study protocol.
  • The subject is mentally or legally incapacitated.
  • Any other reason that the Investigator considers makes the subject unsuitable to participate.

Trial locations and contacts

2 sites in 1 country.

United Kingdom2 sites
  • Study site

    Belfast, BT9 6AD

  • Study site

    Manchester, M23 9QZ

Other trials in United Kingdom

About this study

Official title: A Randomised, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Inhaled RV1729 in Patients With COPD

RV1729 is a new medicine being developed for the potential treatment of asthma and smoking related lung disease (also known as chronic obstructive pulmonary disease - COPD). The objective of this study is to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics repeat doses of RV1729 in patients with COPD for 28 days.

Being tested
RV1729 28 day repeat dose, RV1729 matching placebo 28 day repeat dose
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • RV1729 28 day repeat doseDrug

    Safety and tolerability of repeat doses

  • RV1729 matching placebo 28 day repeat doseDrug

    Safety and tolerability of repeat doses

Study groups in NCT02140346
Study groupRoleWhat they receive
28 day repeat dose (low dose)ExperimentalNot described
Receives: Drug: RV1729 28 day repeat dose; Drug: RV1729 matching placebo 28 day repeat dose
28 day repeat dose (high dose)ExperimentalNot described
Receives: Drug: RV1729 28 day repeat dose; Drug: RV1729 matching placebo 28 day repeat dose

What is being measured

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

  1. Incidence of treatment emergent adverse events

    Assessment of the number of adverse events reported by subjects following dosing

    Measured: 56 days

  2. ECG assessment (12 lead ECG)

    Change from pre-dose values

    Measured: 56 days

  3. Vital sign assessment (blood pressure and heart rate)

    Change from pre-dose values

    Measured: 56 days

  4. Clinical laboratory assessments (blood and urine samples)

    Change from pre-dose values

    Measured: 56 days

  5. Spirometry assessment (FEV1 & FVC)

    Change from pre-dose values

    Measured: 56 days

  6. Use of rescue medication

    Assessment of the number of occasions subjects are required to administer rescue medication

    Measured: 29 days

  7. Peak expiratory flow (PEF)

    Change from pre-dose values

    Measured: 56 days

Secondary outcomes (1)
  1. Plasma RV1729 levels

    Measured: Days 1, 14 & 28 - 9 samples per day; Days 7, 21, 26 and 27 - 1 sample per day; Days 31 to 56 - 5 samples

Timeline

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

  1. First posted16 May 2014 (estimated)
  2. Study startAug 2014
  3. Primary completionJul 2015
  4. Study completionJul 2015

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
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02140346
Sponsor's protocol ID
STN002
Other IDs
2014-000089-23, 2014
Status last verified
Jul 2015
First submitted
14 May 2014
Last updated
2 Jul 2015
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RV1729 28 day repeat dose in people with Chronic Obstructive Pulmonary Disease, run by Respivert Ltd 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 12 inclusion and 29 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 2 Jul 2015. 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. 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?

Incidence of treatment emergent adverse events (time frame: 56 days). The study lists 7 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 2 Jul 2015.

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