Phase 2
N=44
Effect of OC459 on the Response to Rhinovirus Challenge in Asthma
Asthma · Rhinovirus · Picornaviridae Infections · Common Cold
Bottom Line
View on ClinicalTrials.gov: NCT02660489 ↗Enrolled (actual)
44
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcome: Primary: Total Lower Respiratory Symptom Score — 21; 18 score on a scale — p=0.78
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- OC459 (Drug); Placebo (Drug); Rhinovirus (Other)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Imperial College London
- Primary completion
- Feb 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Total Lower Respiratory Symptom Score |
21; 18 | 0.78 |
| SECONDARY Change in Asthma Control Questionnaire (ACQ)-6 Score |
-0.01; 0.17 | 0.49 |
| SECONDARY Percentage Change in Peak Expiratory Flow Rate |
-16.9; -13.1 | 0.50 |
| SECONDARY Change in Forced Expiratory Volume in 1 Second (FEV1) |
-18.5; -12.7 | 0.36 |
| SECONDARY Change in Exhaled Nitric Oxide (FeNO) |
58; 23 | 0.12 |
| SECONDARY Changes in Airway Hyper Responsiveness (Histamine) |
-0.1; -0.64 | 0.12 |
| SECONDARY Viral Load (in Nasal Lavage Samples) |
445861; 215782 | 0.75 |
| SECONDARY Total Upper Respiratory Symptom Score |
33; 41 | 0.66 |
Summary
The aim of this study is to assess the effectiveness of a CRTH2 receptor antagonist, OC459, in preventing or attenuating the worsening of asthma symptoms during rhinovirus infection. The study is a double blind, randomised trial in which half the subjects will receive OC459 and the other half placebo, before being inoculated with rhinovirus, that would normally induce a worsening of asthma symptoms i.e. an exacerbation.
Eligibility Criteria
Inclusion Criteria
- Age 18--55 years
- Male or female
- Clinical diagnosis of asthma for at least 6 months prior to screening
- An Asthma Control Questionnaire (ACQ) Score >0.75
- Positive histamine challenge test (PC20 <8 µg/ml, or <12 µg/ml and bronchodilator response ≥ 12%)
- Worsening asthma symptoms with infection since last change in asthma therapy
- Positive skin prick test to common aeroallergens (e.g. animal epithelia, dust mite)
- Treatment comprising inhaled corticosteroids (ICS) or combination inhaler (Long -Acting Beta Agonist with ICS), with a daily ICS dose of at least 100mcg fluticasone or equivalent.
- Participant is willing for their GP to be informed of their participation.
- English speaker
Exclusion Criteria
- Presence of clinically significant diseases other than asthma, which, in the opinion of the investigator, may either put the patient at risk because of participation in the trial, or diseases which may influence the results of the study or the patient's ability to take part in it
- Smoking history over past 12 months
- Seasonal allergic rhinitis symptoms at screening
- Asthma exacerbation or viral illness within the previous 6 weeks
- Current or concomitant use of oral steroids, anti--leukotrienes or monoclonal antibodies
- Pregnant or breast-feeding women (patients should not be enrolled if they plan to become pregnant during the time of study participation)
- Contact with infants <6 months or immunocompromised persons, elderly and infirm at home or at work
- Subjects who have known evidence of lack of adherence to medications and/or ability to follow physician's recommendations
Data sourced from ClinicalTrials.gov (NCT02660489). 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.