Phase 2
N=62
Effects of cKit Inhibition by Imatinib in Patients With Severe Refractory Asthma (KIA)
Asthma
Bottom Line
View on ClinicalTrials.gov: NCT01097694 ↗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
| Outcome | Result | p-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
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.