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Phase 2 N=52 Randomized Triple-blind Treatment

Evaluation of the Effect of AZD5069 in Patients With Bronchiectasis

Bronchiectasis · Lung Disease · Respiratory Diseases

Enrolled (actual)
52
Serious AEs
1.9%
Results posted
Oct 2015
Primary outcome: Primary: Ratio of Absolute Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline — 0.31; 1.00 ratio — p=0.004

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
AZD5069 (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
AstraZeneca
Primary completion
Feb 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Ratio of Absolute Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline
0.31; 1.00 0.004 sig
SECONDARY
Ratio of the Percentage Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline
0.66; 1.02 0.008 sig
SECONDARY
Change From Baseline in Weight of 24-hour Sputum Collection
3.51; -3.26 0.047 sig
SECONDARY
Change From Baseline in Slow Vital Capacity (SVC)
0.05; -0.05 0.284
SECONDARY
Change From Baseline in Forced Vital Capacity (FVC)
0.07; 0.06 0.929
SECONDARY
Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
-0.01; -0.01 0.966
SECONDARY
Change From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75)
-0.04; -0.07 0.791
SECONDARY
Transition Dyspnea Index (TDI) at End of Treatment (Day 28)
-1; -0 0.433
SECONDARY
Change From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary Card
-5.3; -5.9; -7.3; -10.6 0.935
SECONDARY
Change From Baseline for the Symptom Scores of the Bronkotest Diary Card
0.1; -0.1; 0.1; 0.0; 0.4; 0.1 0.329
SECONDARY
Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)
-1.75; -0.09; -3.16; 1.72; -0.46; 0.85 0.625
SECONDARY
Ratio of Interleukin-1 Beta (IL-1β) in Sputum at End of Treatment Compared to Baseline
0.63; 0.91 0.220
SECONDARY
Ratio of Interleukin-6 (IL-6) in Sputum at End of Treatment Compared to Baseline
3.68; 0.82 <0.001 sig
SECONDARY
Ratio of Regulated on Activation, Normal T Cell Expressed and Secreted (RANTES) in Sputum at End of Treatment Compared to Baseline
0.99; 1.07 0.670
SECONDARY
Ratio of Monocyte Chemoattractant Protein-1 (MCP-1) in Sputum at End of Treatment Compared to Baseline
0.91; 0.92 0.968
SECONDARY
Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Sputum at End of Treatment Compared to Baseline
1.29; 0.91 0.193
SECONDARY
Ratio of Growth-related Oncogene-α (GRO-α) in Sputum at End of Treatment Compared to Baseline
2.77; 0.85 <0.001 sig
SECONDARY
Ratio of Interleukin-8 (IL-8) in Sputum at End of Treatment Compared to Baseline
0.81; 0.80 0.917
SECONDARY
Ratio of Neutrophil Elastase Activity in Sputum at End of Treatment Compared to Baseline
0.34; 1.95 0.111
SECONDARY
Ratio of Serum Amyloid A (SAA) in Serum at End of Treatment Compared to Baseline
1.18; 0.89 0.367
SECONDARY
Ratio of C-reactive Protein (CRP) in Serum at End of Treatment Compared to Baseline
1.28; 0.83 0.112
SECONDARY
Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Serum at End of Treatment Compared to Baseline
1.02; 0.97 0.241
SECONDARY
Ratio of Growth-related Oncogene-α (GRO-α) in Serum at End of Treatment Compared to Baseline
5.45; 0.99 <0.001 sig
SECONDARY
Ratio of Interleukin-6 (IL-6) in Serum at End of Treatment Compared to Baseline
1.13; 0.97 0.281
SECONDARY
Ratio of Interleukin-1 Beta (IL-1β) in Serum at End of Treatment Compared to Baseline
1.45; 0.93 0.001 sig
SECONDARY
Ratio of Interleukin-8 (IL-8) in Serum at End of Treatment Compared to Baseline
5.90; 0.97 <0.001 sig

Summary

The purpose of this study is to investigate the effect of AZD5069 in patients with bronchiectasis.

Eligibility Criteria

Inclusion Criteria

  • Male, or female of non-child bearing potential; ie, women who are permanently or surgically sterilised or post-menopausal.
  • Aged 18 to 80 years inclusive at screening (Visit 1)
  • Have a clinical diagnosis of idiopathic or post infective bronchiectasis as diagnosed with a historical high resolution computerised tomography (HRCT) or bronchogram
  • Be sputum producers with a history of chronic expectoration on most days of most weeks of the year. Patients should have a history of spontaneously producing sputum on a daily basis and should be able to provide at least 2 of the 3 required baseline sputum samples with an average of 3 mL or more.
  • Be on a stable treatment regimen, as judged by the investigator.

Exclusion Criteria

  • Any clinically significant disease or disorder
  • Patients with other latent or chronic infections or at risk of infection within 90 days before Visit 2
  • An acute exacerbation or acute respiratory infection (upper or lower) requiring oral steroids or antibiotics within 30 days prior to Visit 2
  • An FEV1 of <30% of predicted normal at Visit 1
  • Patients who have received live or live-attenuated vaccine in the 2 weeks prior to dosing (Visit 2)
  • Concomitant diagnosis of significant pulmonary disease other than bronchiectasis or COPD, including symptomatic asthma and allergic bronchopulmonary aspergillosis
  • Bronchiectasis associated with a generalised immunodeficiency disorder, where manifestations other than bronchiectasis predominate
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01255592). 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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