AsthmaPhase 2NCT02249312
The Effect of BIIL 284 BS on Induced-sputum Variables in Patients With Bronchial Asthma
A Phase 2 study testing BIIL 284 BS in people with Asthma, run by Boehringer Ingelheim.
Trial summary
Study to evaluate the anti-inflammatory effect of BIIL 284 BS compared with placebo in patients with asthma Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Asthma
- What is being tested?
- BIIL 284 BS
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 38 participants
- Where
- No sites listed yet
- Study dates
- Jul 1999to Apr 2000
- 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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent signed and dated prior to participation into the study
- Males and females aged 18 - 65 years. Female patients of child bearing potential cannot participate in this study. Female patients are eligible to participate only if they are surgically sterilized or two years post menopausal. Women entering into this trial will have a pregnancy test before and after participation in the trial. Testing will be done during visit 1 and visit 5
- A documented diagnosis of asthma as defined by the American thoracic society i.e., episodic wheezing, chest tightness, cough and/or shortness of breath at least partially relieved by bronchodilator medication. No hospital admission in the last eight weeks for the treatment of asthma; no requirement for steroid therapy (systemic or inhaled) for the previous four weeks, nedocromil sodium or sodium cromoglycate in the previous two weeks; asthma therapy stable and limited to intermittent use of inhaled β2-agonists or anticholinergics on an as required basis, or occasional use of antihistamines. Predicted equations for forced expiratory volume in one second (FEV1) of Caucasians and African - Americans are those of Morris et. al. and Glindmeyer et. al. At visit 2, 3, and 5, immediately prior to the induced sputum test, but following albuterol administration, a patient's FEV1 must be above 60 % of predicted
- The presence of, at least, 25 % of neutrophils in induced sputum during screening visit 2 (this requirement refers to the neutrophils percentage exclusive of squamous cells)
- Ability to produce an adequate induced sputum sample (visit 2) as defined by: Volume > 1 ml, squamous cells < 80 % and ability to tolerate the procedure for at least 4 minutes with no bronchoconstriction (a fall in FEV1 > 20 %)
- Patients with PC20 methacholine <= 8 mg/ml as determined at visit 1
Show all 18Show fewer
- Non-smokers (patients who have never smoked) or ex-smokers for at least one year with a smoking history, no greater than five pack-years (1 pack year = 20 cigarettes per day for 1 year)
- Ability to be trained in the proper use of peak flow meter (Mini Wright peak flow meter, Clement Clarke, Inc.) and in performing and recording technically satisfactory pulmonary function tests
- Willing to attend an outpatient clinic on a regular basis and undergo three induced sputum challenges during which they will be confined to the investigational unit for up to two hours
- Ability to comply with the concomitant therapy restrictions
- Patients will be off all prescription drug therapy other than that specifically for asthma or hay fever. Over the counter (O.T.C.) drugs must be discontinued for at least two weeks prior to participation in the study. If any O.T.C. medication is needed by patients throughout the study, the investigator will call the clinical monitor and this will be reviewed on a case-by-case basis
- Patients will have no evidence of clinically relevant concomitant disease based upon complete medical history, full physical examination, chest x-ray (if not done in previous 6 months), electrocardiogram (ECG) and clinical laboratory tests. These tests should indicate that the patient is healthy except for changes related to asthma or atopy (e.g., eosinophilia based on a total eosinophil count). Patient may have a history of allergic rhinitis or urticaria.
- The following laboratory parameters must be within the normal range, or if not, be documented by the investigator as not clinically relevant:
- Routine urinalysis, Complete blood cell (CBC) (excluding White blood cell (WBC)) , Na, K, Ca, Cl, Gamma-glutamyl-transferase (GGT), Lactic dehydrogenase (LDH), bicarbonate, inorganic phosphorus, glucose, uric acid, triglyceride, total protein, albumin and cholesterol.
- The following test may be outside the normal range to the extent indication:
- Test a; Liver function tests: serum glutamic oxaloacetic transaminase / aspartate aminotransferase (SGOT/AST), serum glutamic pyruvic transaminase / alanine transaminase (SGPT/ALT), total bilirubin (in patients with an isolated raised bilirubin and diagnosis of " suspected Gilbert's syndrome" will be accepted only after the effect of high carbohydrate meal or bilirubin level has been determined) and alkaline phosphatase with a cut off for exclusion by 10 % > ULN (upper limit of normal range for the measuring laboratory)
- Test b; Hematology: WBC with a cut off for exclusion by < 3.80 x 109 /L, neutrophils with a cut off for exclusion by < 2.00 x 109 /L, platelets with a cut off for exclusion by < 100 x 10**9 /L, hemoglobin with a cut off for exclusion by < 12 g/dL
- Test c; urea nitrogen and creatinine with a cut off for exclusion by 10 % > ULN
Who cannot join
- Viral respiratory tract infection, respiratory tract infection or asthma exacerbation within the six weeks preceding the study or, if hospitalized for their asthma in the last eight weeks
- Evidence of relevant concomitant disease based on complete medical history, full physical examination and clinical laboratory tests
- Known drug or alcohol dependence (absence of dependency for 10 years), history of significant allergic reactions to drugs or sensitivity to aspirin
- Use of an investigational new drug in the preceding month or six half lives (whichever is greater) prior to the first screen at visit 1
- Donate of blood during the preceding month of visit 1
- Patients receiving hyposensitization therapy who are not on a stable dose for the last three months before visit 1
About this study
Official title: The Effect of BIIL 284 BS (14 Day Treatment) on Induced-sputum Variables in Patients With Bronchial Asthma (a Double-blind, Randomized, Placebo-controlled Parallel Study)
Study to evaluate the anti-inflammatory effect of BIIL 284 BS compared with placebo in patients with asthma
- Conditions
- Asthma
- Being tested
- BIIL 284 BS, Placebo
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIIL 284 BSDrug
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| BIIIL | Experimental | Not described Receives: Drug: BIIL 284 BS |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of neutrophils in induced sputum differential cell count
Measured: Baseline, Day 1 and 14
Secondary outcomes (16)
Concentration of myeloperoxidase (MPO) in induced sputum
Measured: Baseline, Day 1 and 14
Concentration of Interleukin-8 (IL-8) in induced sputum
Measured: Baseline, Day 1 and 14
Concentration of tumor necrosis factor (TNF) alpha in induced sputum
Measured: Baseline, Day 1 and 14
Differential cell count in induced sputum
eosinophils, basophils, macrophages, lymphocytes and epithelia cells
Measured: Baseline, Day 1 and 14
Changes in expression of Epidermal growth Factor (EGF) receptors in induced sputum
only in US center
Measured: Day 1 and 14
Changes in expression of tissue growth factor (TGF) alpha in induced sputum
only in US center
Measured: Day 1 and 14
Changes in expression of MUC5AC (maximum use concentration) in induced sputum
only in US center
Measured: Day 1 and 14
Changes in forced expiratory volume in one second (FEV1)
assessed by spirometry
Measured: Up to Day 27 after drug administration
Changes in forced vital capacity (FVC)
assessed by spirometry
Measured: Up to Day 27 after drug administration
Changes in forced expiratory flow (FEF) 25-70%
assessed by spirometry
Measured: Up to Day 27 after drug administration
Changes in FEF50%
assessed by spirometry
Measured: Up to Day 27 after drug administration
Changes in FEF 75%
assessed by spirometry
Measured: Up to Day 27 after drug administration
Changes in peak expiratory flow rate (PEFR) a.m. versus p.m.by patients daily records
Measured: Up to Day 27 after drug administration
Physician's global evaluation of symptoms assessed on a 6 point severity scale
Measured: Baseline, Day 14
Inhibition of MAC-1 expression
Measured: Day 1 and 14
Number of patients with Adverse Events
Measured: Up to day 27 after drug administration
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Sep 2014 (estimated)
- Study startJul 1999
- Primary completionApr 2000
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- 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
- Double blind
- Enrolment
- 38 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02249312
- Sponsor's protocol ID
- 543.11
- Status last verified
- Sep 2014
- First submitted
- 23 Sep 2014
- Last updated
- 26 Sep 2014
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of BIIL 284 BS (14 Day Treatment) on Induced-sputum Variables in Patients With Bronchial Asthma (a Double-blind, Randomized, Placebo-controlled Parallel Study)
- ClinicalTrials.gov ID
- NCT02249312
- Acronym / sponsor ID
- 543.11
- Conditions
- Asthma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 38 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Jul 1999
- Primary completion
- Apr 2000 (actual)
- First posted
- 25 Sep 2014 (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.
Study to evaluate the anti-inflammatory effect of BIIL 284 BS compared with placebo in patients with asthma
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BIIIL | Experimental | Drug: BIIL 284 BS |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Written informed consent signed and dated prior to participation into the study
- Males and females aged 18 - 65 years. Female patients of child bearing potential cannot participate in this study. Female patients are eligible to participate only if they are surgically sterilized or two years post menopausal. Women entering into this trial will have a pregnancy test before and after participation in the trial. Testing will be done during visit 1 and visit 5
- A documented diagnosis of asthma as defined by the American thoracic society i.e., episodic wheezing, chest tightness, cough and/or shortness of breath at least partially relieved by bronchodilator medication. No hospital admission in the last eight weeks for the treatment of asthma; no requirement for steroid therapy (systemic or inhaled) for the previous four weeks, nedocromil sodium or sodium cromoglycate in the previous two weeks; asthma therapy stable and limited to intermittent use of inhaled β2-agonists or anticholinergics on an as required basis, or occasional use of antihistamines. Predicted equations for forced expiratory volume in one second (FEV1) of Caucasians and African - Americans are those of Morris et. al. and Glindmeyer et. al. At visit 2, 3, and 5, immediately prior to the induced sputum test, but following albuterol administration, a patient's FEV1 must be above 60 % of predicted
- The presence of, at least, 25 % of neutrophils in induced sputum during screening visit 2 (this requirement refers to the neutrophils percentage exclusive of squamous cells)
- Ability to produce an adequate induced sputum sample (visit 2) as defined by: Volume > 1 ml, squamous cells < 80 % and ability to tolerate the procedure for at least 4 minutes with no bronchoconstriction (a fall in FEV1 > 20 %)
Key exclusion criteria (6 listed)
- Viral respiratory tract infection, respiratory tract infection or asthma exacerbation within the six weeks preceding the study or, if hospitalized for their asthma in the last eight weeks
- Evidence of relevant concomitant disease based on complete medical history, full physical examination and clinical laboratory tests
- Known drug or alcohol dependence (absence of dependency for 10 years), history of significant allergic reactions to drugs or sensitivity to aspirin
- Use of an investigational new drug in the preceding month or six half lives (whichever is greater) prior to the first screen at visit 1
- Donate of blood during the preceding month of visit 1
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 |
|---|---|---|
| BIIL 284 BS | Drug | BIIIL |
| Placebo | Drug | Placebo |
Primary outcome
Percentage of neutrophils in induced sputum differential cell count
Time frame: Baseline, Day 1 and 14
16 secondary outcomes
Concentration of myeloperoxidase (MPO) in induced sputum
Time frame: Baseline, Day 1 and 14
Concentration of Interleukin-8 (IL-8) in induced sputum
Time frame: Baseline, Day 1 and 14
Concentration of tumor necrosis factor (TNF) alpha in induced sputum
Time frame: Baseline, Day 1 and 14
Differential cell count in induced sputum
Time frame: Baseline, Day 1 and 14
Changes in expression of Epidermal growth Factor (EGF) receptors in induced sputum
Time frame: Day 1 and 14
Changes in expression of tissue growth factor (TGF) alpha in induced sputum
Time frame: Day 1 and 14
Changes in expression of MUC5AC (maximum use concentration) in induced sputum
Time frame: Day 1 and 14
Changes in forced expiratory volume in one second (FEV1)
Time frame: Up to Day 27 after drug administration
Changes in forced vital capacity (FVC)
Time frame: Up to Day 27 after drug administration
Changes in forced expiratory flow (FEF) 25-70%
Time frame: Up to Day 27 after drug administration
Changes in FEF50%
Time frame: Up to Day 27 after drug administration
Changes in FEF 75%
Time frame: Up to Day 27 after drug administration
Changes in peak expiratory flow rate (PEFR) a.m. versus p.m.by patients daily records
Time frame: Up to Day 27 after drug administration
Physician's global evaluation of symptoms assessed on a 6 point severity scale
Time frame: Baseline, Day 14
Inhibition of MAC-1 expression
Time frame: Day 1 and 14
Number of patients with Adverse Events
Time frame: Up to day 27 after drug administration
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 26 Sep 2014.
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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.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BIIL 284 BS in people with Asthma, run by Boehringer Ingelheim.
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 18 inclusion and 6 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 26 Sep 2014. Status can change between updates, so confirm with the study contact before making plans.
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?
Percentage of neutrophils in induced sputum differential cell count (time frame: Baseline, Day 1 and 14). 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 26 Sep 2014.