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Phase 2 N=62 Randomized Quadruple-blind Treatment

Effects of cKit Inhibition by Imatinib in Patients With Severe Refractory Asthma (KIA)

Asthma

Enrolled (actual)
62
Serious AEs
12.9%
Results posted
May 2017
Primary outcome: Primary: Change in Mean Methacholine Responsiveness as Assessed by the Provocation Concentration Causing a 20% Fall in Forced Expiratory Volume in One Second (FEV1) (PC20) at Month 3 and 6 Versus Baseline — 1.73; 1.07 Log2 Ratio — p=<0.05

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Imatinib mesylate (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Brigham and Women's Hospital
Primary completion
Aug 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Mean Methacholine Responsiveness as Assessed by the Provocation Concentration Causing a 20% Fall in Forced Expiratory Volume in One Second (FEV1) (PC20) at Month 3 and 6 Versus Baseline
1.73; 1.07 <0.05 sig
SECONDARY
Serum Total Tryptase
-2.02; -0.56 <0.05 sig
SECONDARY
Bronchoalveolar Lavage (BAL) Fluid Tryptase Level
-0.74; 0.43 0.12
SECONDARY
Change in Maximum Post-Bronchodilator (BD) Forced Expiratory Volume in One Second (FEV1) %
0.01; -0.08 0.10
SECONDARY
Number of Asthma Exacerbations
16; 20 0.36
SECONDARY
FEV1 in Liters
0.046; 0 <0.05 sig
SECONDARY
FEV1%
2.3; 0.78 0.06
SECONDARY
Morning Peak Flow Measurement
7.3; -6.4 0.38
SECONDARY
Evening Peak Flow
8.3; -8.2 0.31
SECONDARY
Fractional Exhaled Nitric Oxide (FeNO)
7.89; -5.92 0.11
SECONDARY
Asthma Control Questionnaire (ACQ)
-0.62; -0.49 0.31
SECONDARY
Asthma Quality of Life Questionnaire (AQLQ)
0.55; 0.25 0.11
SECONDARY
Asthma Symptom Utility Index (ASUI)
0.07; 0.05 0.62
SECONDARY
BAL Neutrophil %
-0.8; -0.4 0.57
SECONDARY
BAL Eosinophil %
2.55; -2.63 0.15
SECONDARY
Bronchoalveolar Lavage (BAL) PGD2
12.2; -4.2 0.33
SECONDARY
Endobronchial Biopsy Total Tryptase-positive Mast Cells
-54.2; -32.3 0.11
SECONDARY
Endobronchial Biopsy Smooth Muscle Tryptase-positive Mast Cells
-102.7; -79.2 0.07
SECONDARY
Blood Eosinophils
-10.2; -2.6 0.94
SECONDARY
Airway Wall Thickness
-0.0040; -0.0027 0.13
SECONDARY
Airway Wall Area
0.0002; 0.0002 0.25
SECONDARY
Bronchoalveolar Lavage Histamine
2.1; -1.1 0.54
SECONDARY
Urinary Prostaglandin D2
-0.30; 0.39 0.18
SECONDARY
Bronchoalveolar Lavage Cysteinyl Leukotrienes
3.0; 6.5 0.56
SECONDARY
Urinary Leukotriene E4
0.07; 0.01 0.47
SECONDARY
Change in Sputum Supernatant Differential, Supernatant Tryptase and IL-13
SECONDARY
Change in Inflammatory Mediators in Exhaled Breath Condensate
SECONDARY
Change in Number of Self-Reported Asthma Symptom Free Days

Summary

The purpose of this study is to see whether a new investigational drug (Imatinib) may help improve asthma in people whose symptoms are not well controlled with high dose inhaled corticosteroid treatment.

Eligibility Criteria

Inclusion Criteria

  • Patients 18-65 years of age, diagnosed with asthma for at least 1 year;
  • Refractory asthma, defined as reporting that their asthma has not been completely controlled in the past 3 months despite continuous treatment with high-dose inhaled corticosteroids (ICS) and an additional controller medication, with or without continuous oral corticosteroids (OCS)

Exclusion Criteria

  • Current smoking or smoking history of greater than 10 pack-years
  • Any other significant respiratory or cardiac disease, or the presence of clinically important comorbidities, including uncontrolled diabetes, uncontrolled coronary artery disease
  • If subject cannot undergo bronchoscopy procedure due to safety reasons
  • Previous treatment with Imatinib
  • A history of acute heart failure or chronic left sided heart failure
  • Uncontrolled systemic arterial hypertension
  • History of major bleeding or intracranial hemorrhage
  • History of immunodeficiency diseases, including HIV
  • Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
  • Diagnosis of Hepatitis B or C.
  • History of alcohol abuse within 6 months of screening.
  • History of illicit drug abuse within 6 months of screening.
  • Regular use of anticoagulants (eg: Warfarin Sodium, Coumadin), amiodarone, carbamazepine, Cyclosporine, Rifampicin, or reverse transcriptase inhibitors
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01097694). 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.

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