Phase 2
N=47
A Clinical Trial to Test a Study Drug in Volunteers Who Develop Asthma Following Exercise
Asthma
Bottom Line
View on ClinicalTrials.gov: NCT00812929 ↗Enrolled (actual)
47
Serious AEs
0.0%
Results posted
Sep 2017
Primary outcome: Primary: Maximal Percentage Change From Pre-exercise Baseline Forced Expiratory Volume in 1 Second (FEV1) to the Minimum FEV1 Collected Within 60 Minutes Following the Exercise Challenge at 24 Hours Post Dose — -7.61; -6.33; -7.09; -7.28 Percent change
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Placebo (Drug); GSK2190915 (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Jun 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximal Percentage Change From Pre-exercise Baseline Forced Expiratory Volume in 1 Second (FEV1) to the Minimum FEV1 Collected Within 60 Minutes Following the Exercise Challenge at 24 Hours Post Dose |
-7.61; -6.33; -7.09; -7.28; -5.09 | — |
| SECONDARY Maximal Percentage Change From Pre-exercise Baseline FEV1 to the Minimum FEV1 Collected Within 60 Minutes Following the Exercise Challenge at 2 and 9.5 Hours Post Dose |
-15.55; -13.04; -12.95; -12.76; -9.25; -8.45 | — |
| SECONDARY Weighted Mean (WM) for FEV1 Percentage Change From Baseline Recorded During 0 to 60 Minutes Following Exercise Challenge (FEV1 WM0-60) |
-5.20; -4.26; -4.08; -3.69; -2.04; -2.43 | — |
| SECONDARY Time to FEV1 Recovery to Within 5 Percent of Baseline Following Exercise Challenge |
24.5; 15.0; 18.0; 10.0; 5.0; 5.0 | — |
| SECONDARY Number of Participants Using a Short Acting Beta-2 Agonist (Rescue Medication) During 0 to 90 Minutes Following Exercise Challenge |
1; 1; 2; 1; 0; 1 | — |
| SECONDARY Assessment of Vital Signs: Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
118.8; 117.2; 117.6; 117.4; 118.1; 120.1 | — |
| SECONDARY Assessment of Vital Signs: Heart Rate (HR) |
64.0; 63.0; 64.0; 63.6; 64.7; 67.5 | — |
| SECONDARY Number of Participants With Abnormal Electrocardiogram (ECG) Findings |
15; 20; 20; 18; 19; 17 | — |
| SECONDARY Assessment of Clinical Chemistry Parameters: Albumin, Total Protein |
44.5000; 44.9091; 44.4894; 44.8667; 44.9778; 45.8140 | — |
| SECONDARY Assessment of Clinical Chemistry Parameters: Alkaline Phosphatase (ALP), Alanine Amino Transferase (ALT), Aspartate Amino Transferase (AST), Gamma Glutamyl Transferase (GGT) |
76.6; 75.5; 75.6; 74.6; 75.3; 75.3 | — |
| SECONDARY Assessment of Clinical Chemistry Parameters: Direct Bilirubin, Total Bilirubin, Creatinine |
2.361; 2.332; 2.230; 2.318; 2.280; 2.443 | — |
| SECONDARY Assessment of Clinical Chemistry Parameters: Calcium, Chloride, Glucose, Potassium, Sodium, Urea/Blood Urea Nitrogen (BUN) |
2.35494; 2.36061; 2.35910; 2.35417; 2.35084; 2.37605 | — |
| SECONDARY Assessment of Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils (TN) (ANC - Absolute Neutrophil Count), Platelet Count, White Blood Cell Count (WBC) |
0.0306; 0.0281; 0.0276; 0.0316; 0.0298; 0.0242 | — |
| SECONDARY Assessment of Hematology Parameters: Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC) |
152.0; 152.9; 151.3; 152.4; 151.3; 151.1 | — |
| SECONDARY Assessment of Hematology Parameters: Hematocrit |
0.4463; 0.4503; 0.4431; 0.4480; 0.4465; 0.4440 | — |
| SECONDARY Assessment of Hematology Parameters: Mean Corpuscle Hemoglobin (MCH) |
30.27; 30.14; 30.30; 30.25; 30.14; 30.19 | — |
| SECONDARY Assessment of Hematology Parameters: Mean Corpuscle Volume (MCV) |
88.85; 88.75; 88.80; 88.96; 89.06; 88.74 | — |
| SECONDARY Assessment of Hematology Parameters: Red Blood Cell Count (RBC) |
5.038; 5.086; 5.005; 5.050; 5.030; 5.018 | — |
| SECONDARY Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
4; 4; 4; 0; 4; 0 | — |
| SECONDARY Percentage Change From Baseline in Blood Leukotriene B4 (LTB4) |
-37.32; -29.32; -87.65; -97.98; -98.43; -14.82 | — |
| SECONDARY Percentage Change From Baseline in Urine Leukotriene E4 (LTE4) |
-0.30; -19.68; -12.58; -9.71; -12.29; 6.61 | — |
| SECONDARY Derived Pharmacokinetic (PK) Parameters for GSK2190915 |
— | — |
Summary
This study is intended to determine the dose response and duration of action of GSK2190915 in mild asthmatic adult subjects who experience exercise-induced bronchoconstriction.
Eligibility Criteria
Inclusion Criteria
- Males and females aged 18 to 55 years inclusive.
- Female subjects must be of non childbearing potential including pre-menopausal females with documented hysterectomy or double oophorectomy or tubal ligation or postmenopausal defined as 12 months of spontaneous amenorrhea or 6 months of spontaneous amenorrhea with serum FSH levels > 40 mIU/mL and estradiol 70% of predicted at screening.
- Exercise induced bronchoconstriction, as defined as a 20-40% decrease in FEV1 compared to baseline immediately following exercise challenge at screening.
- Current non-smokers who have not used any tobacco products in the 6-month period preceding the screening visit with a pack history of less than or equal to 10 pack years [number of pack years = (number of cigarettes per day/20) x number of years smoked]
- Has provided signed and dated written informed consent
- Is able to understand and comply with the protocol requirements, instructions and protocol-stated restrictions.
Exclusion Criteria
- Chronic use of inhaled corticosteroids (ICS) for the treatment of persistent asthma.
- Past or present disease, which as judged by the investigator or medical monitor, may affect the outcome of this study or the subject's safety. These diseases include, but are not limited to, cardiovascular disease, malignancy, hepatic disease, gastrointestinal disease, renal disease, haematological disease, neurological disease, endocrine disease or pulmonary disease (with the exception of asthma, but including chronic bronchitis, emphysema, bronchiectasis or pulmonary fibrosis).
- Treated for or diagnosed with clinical depression within six months of screening or has a history of significant psychiatric illness.
- Known history of hypertension or is hypertensive at screening which, in the opinion of the Investigator, deems the subject unfit to complete exercise challenge. Hypertension at screening is defined as persistent systolic BP >150 mmHg or diastolic BP > 90mmHg.
- Known history of gastrointestinal bleeding.
- Respiratory tract infection within 2 weeks prior to the first dose of study medication.
- Asthma exacerbations requiring treatment with oral corticosteroids: any exacerbations within 4 weeks of the screening visit or two or more exacerbations within 2 months of the screening visit or admittance to hospital for an asthma exacerbation within 6 months of the screening visit.
- History of life-threatening asthma, defined as an asthma episode that required intubation and/or was associated with hypercapnoea, respiratory arrest and/or hypoxic seizures.
- History of alcohol/drug abuse or dependence within 12 months of the study. Abuse of alcohol defined as an average weekly intake of >14 drinks/week for men or >7 drinks/week for women. One drink is equivalent to (12 g alcohol) = 5 ounces (150 ml) of wine or 12 ounces (360 ml) of beer or 1.5 ounces (45 ml) of 80 proof distilled spirits.
- Use of prescription or non-prescription drugs (including CYP 3A4 inhibitors and inducers, vitamins and dietary or herbal supplements), from 14 days before screening until the follow-up visit, unless in the opinion of the Investigator and sponsor the medication will not interfere with the study. Inhaled beta-2 agonists and acetaminophen (up to 4 g per day) for the treatment of minor ailments, eg headache, are permitted. Hormone replacement therapy (HRT) is also permitted for post-menopausal females.
- Unable to washout the following protocol defined prohibited medications within the defined times:
Medication Exclusion Period Oral or injectable corticosteroids - No use within 5 weeks of the screening visit Inhaled, Intranasal and topical steroids - No use within 4 weeks of the screening visit Long acting beta-2 agonists - No use within 48 hours of an exercise challenge or dosing or lung function testing Short acting beta-2 agonists - No use within 6 hours of an exercise challenge or dosing or lung function testing
- Following exercise challenge during t
Data sourced from ClinicalTrials.gov (NCT00812929). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.