Phase 1
Completed N=120
Safety, Tolerability and Pharmacokinetics and Effect on Inflammation of Oral BI 1026706 in Patients With COPD
Pulmonary Disease, Chronic Obstructive
Source: ClinicalTrials.gov NCT02642614 ↗
Enrolled (actual)
120
Serious AEs
2.5%
Results posted
Aug 2019
Primary outcomePrimary: Safety and Tolerability of BI 1026706, as Assessed by Frequency (in Percent) of Patients With Treatment Emergent Adverse Events (TEAEs) Over the Treatment Period. — 60.0; 46.7; 66.7; 53.3 Percentage of Patients
Summary
The main objective of the current trial is to investigate safety, tolerability, pharmacokinetics and effect on inflammation of oral BI 1026706 administered twice daily for 4 weeks in patients with COPD.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Safety and Tolerability of BI 1026706, as Assessed by Frequency (in Percent) of Patients With Treatment Emergent Adverse Events (TEAEs) Over the Treatment Period. |
60.0; 46.7; 66.7; 53.3 | — |
| SECONDARY Change in Absolute Number of Neutrophil in Sputum at the End of the Planned Treatment Period |
2.12; 3.37; 3.35; 3.06 | 0.1540 |
| SECONDARY Maximum Measured Concentration of BI 1026706 in Plasma (Cmax) After the First Dose (Morning of Day 1) |
39.0; 145; 524 | — |
| SECONDARY Time From Dosing to Maximum Concentration of BI 1026706 in Plasma (Tmax) After the First Dose (Morning of Day 1) |
1.00; 1.02; 1.00 | — |
| SECONDARY Area Under the Concentration-time Curve of BI 1026706 in Plasma (AUC 0-12h) After the First Dose (Morning of Day 1) |
138; 489; 1840 | — |
| SECONDARY Maximum Measured Concentration of BI 1026706 in Plasma at Steady State Over a Uniform Dosing Interval Tau (Cmax, ss) After the Last Dose (Morning of Day 28) |
51.2; 185; 870 | — |
| SECONDARY Time From Dosing to Maximum Concentration of BI 1026706 in Plasma (Tmax, ss) After the Last Dose (Morning of Day 28) |
1.00; 1.50; 0.767 | — |
| SECONDARY Area Under the Concentration-time Curve of BI 1026706 in Plasma at Steady State Over a Uniform Dosing Interval Tau (AUC Tau, ss) After the Last Dose (Morning of Day 28) |
197; 781; 3850 | — |
Eligibility Criteria
Inclusion criteria
- Signed informed consent consistent with ICH-Good Clinical Practice (GCP) guidelines and local legislation prior to participation in the trial. Medication washout and medication restrictions are allowed only after signed informed consent is obtained.
- Males or females not of childbearing potential between 40 and 80 years (each inclusive) of age, on the day of patient´s signature of informed consent.
- All patients must have a documented diagnosis of COPD according to Global Initiative for Chronic Obstructive Lung Disease (GOLD).
- Post-bronchodilator forced expiratory volume (FEV)1 of >=40% and 450 ms), pulse/heart rate outside 50 to 90 bpm at Visit 1 (if confirmed by pulse rate measurement over 60 seconds), or any other relevant ECG finding.
- Patients with a history of additional risk factors for Torsades de Pointes (such as heart failure, hypokalemia, or family history of Long QT Syndrome).
- Patients with known active tuberculosis.
- Patients with clinically relevant bronchiectasis, as assessed by the investigator.
- Patients with any respiratory infection (such as common cold, acute sinusitis, or similar illnesses) or COPD exacerbation within 6 weeks prior to the screening visit (Visit 1) or between the screening visit and randomization.
- Patients who have undergone thoracotomy with pulmonary resection (patients with a history of thoracotomy for other reasons should be evaluated as per exclusion criterion No. 1).
- Patients with a malignancy for which the patient has undergone resection, radiation therapy or chemotherapy within the last 5 years. Patients with treated basal cell carcinoma or fully cured squamous cell carcinoma are allowed to participate.
- Patients with a history of and/or active significant alcohol or drug abuse as assessed by the investigator.
- Patients who are being treated with non-permitted concomitant medication.
- Patients who have taken an investigational drug within 4 weeks prior to Visit 1 or if screening occurs within six half-lives of intake of another investigational drug (whichever is greater).
- Patients with surgery of the gastrointestinal tract that could interfere with kinetics of the trial medication as assessed by the investigator.
- Patients with veins unsuited for venipuncture (for instance, veins which are difficult to locate, access or puncture, veins with a tendency to rupture during or after puncture) as assessed by the investigator.
- Patients who are unable to comply with the dietary regimen.
- Patients who have been previously randomized in this study.
- Patients who have donated more than 100 mL blood in the 4 weeks prior to Visit 1 and between Visit 1 and Visit 3 or patients who have the intention to donate blood between Visit 3 and four weeks after the end of trial visit.
- Patients who are pregnant or breastfeeding
- Male patients who do not agree to minimize the risk of female partners becoming pregnant from the first dosing day until 3 months after the trial medication treatment has finished.
- Patient is assessed as unsuitable for inclusion by the investigator; for instance, because he or she is not considered to comply with study requirements
Data sourced from ClinicalTrials.gov (NCT02642614). 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. Informational only — not medical advice.