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This is the first study in human patients with asthma that the sponsor is conducting in order to evaluate if there are signals that the investigational medication, AXP1275, may be a safe and effective treatment for asthma. The results of this study may help the sponsor to design additional studies.
This 2-way, randomized, double-blind crossover study in subjects with mild to moderate atopic asthma is designed to compare the responses to allergen and methacholine challenges within the same subject after approximately 2 weeks of treatment with AXP1275 50 mg or placebo. A total of 20 subjects with asthma with a dual (early and late) asthmatic response to an inhaled aeroallergen will be randomized to 1 of 2 treatment sequences (placebo then AXP1275 or AXP1275 then placebo) in a double-blind fashion to receive either oral AXP1275 or matching placebo, once-daily, for 14 days. The washout period between the 2 treatment periods will be 14 to 21 days.
A post-treatment follow-up visit will occur 14 ± 3 days after completion of the second treatment period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AXP1275 | Experimental | AXP1275 50 mg (2 × 25-mg capsules) once daily for 14 days |
|
| AXP1275 matching placebo | Placebo Comparator | AXP1275 matching placebo (2 capsules) once daily for 14 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AXP1275 | Drug | AXP1275 50 mg (2 × 25-mg capsules) |
| |
| AXP1275 matching placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Late Asthmatic Response | Area under the forced expiratory volume in 1 second (FEV1) curve from 3 to 7 hours after allergen challenge (AUC3-7h) on day 13 of both 14-day treatment periods. | From 3 to 7 hours after allergen challenge on day 13 of both 14-day treatment periods |
| Measure | Description | Time Frame |
|---|---|---|
| Early Asthmatic Response | Maximum percentage fall in FEV1 and AUC of FEV1 between 0 to 2 hours (AUC0-2h) after allergen challenge on day 13 of both 14-day treatment periods. | Between 0 to 2 hours after allergen challenge on day 13 of both 14-day treatment periods |
| Late Asthmatic Response-Secondary |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (AEs) | The incidence of treatment-emergent AEs will be summarized by system organ class, preferred term, and maximum severity or strongest relationship to study treatment for both treatments. Serious AEs and AEs leading to early withdrawal from the study will also be listed. | Throughout both 14-day treatment periods |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paul O'Byrne, MD | McMaster University | Principal Investigator |
| Louis-Philippe Boulet, MD | IUCPQ, Institut de cardiologie et de pneumologie de l'Hôpital Laval | Principal Investigator |
| Mark Fitzgerald, MD | University of British Columbia, Vancouver General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vancouver General Hospital, The Lung Centre | Vancouver | British Columbia | V5Z 1M9 | Canada | ||
| McMaster University |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| ID | Term |
|---|---|
| C000654308 | AXP1275 |
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| Drug |
AXP1275 matching placebo (2 capsules) |
|
Maximum percentage fall in FEV1 between 3 to 7 hours after allergen challenge on day 13 of both 14-day treatment periods. |
| Between 3 to 7 hours after allergen challenge on day 13 of both 14-day treatment periods |
| Total Asthmatic Response | Minimum FEV1 and AUC of FEV1 between 0-7 hours (AUC0 7h) after allergen challenge on day 13 of both 14-day treatment periods. | Between 0 to 7 hours after allergen challenge on day 13 of both 14-day treatment periods |
| FEV1 comparison | For FEV1 values at each time point on day 12, 13, and 14, the difference between the two treatments will be calculated. | At day 12, 13, and 14 of both 14-day treatment periods |
| Sputum eosinophil count | Induced sputum eosinophil count per mL of sputum on days 12, 13, and 14 of both 14-day treatment periods. | On days 12, 13, and 14 of both 14-day treatment periods |
| Sputum cell count (other) | Induced sputum cell count per mL of sputum for cells other than eosinophils (including basophils) on days 1, 12, 13, and 14 of both 14-day treatment periods. | On days 1, 12, 13, and 14 of both 14-day treatment periods |
| CCL13 and CCL17 concentrations | Comparison of the two treatments for changes in sputum concentrations of CCL13 and CCL17. | On days 12, 13, and 14 of both 14-day treatment periods |
| Provocative concentration of methacholine | Shift in the provocative concentration of methacholine resulting in a 20% reduction in FEV1 (PC20) between days 1 and 12 and between days 12 and 14 of both 14-day treatment periods. | Between days 1 and 12 and between days 12 and 14 of both 14-day treatment periods |
| Maximum exhaled nitric oxide (eNO) and AUC of eNO | Maximum eNO and AUC of eNO on days 13 and 14 (AUC0-24h) of both 14-day treatment periods. | On days 13 and 14 of both 14-day treatment periods |
| eNO comparison | For eNO values at each time point on day 13, and 14 of both 14-day treatment periods, the difference between the two treatments will be calculated. | On days 13 and 14 of both 14-day treatment periods |
| Clinical laboratory, vital signs, physical examination, and ECG changes |
Clinical safety laboratory tests data will be listed by subject and visit with values falling outside the normal range provided in a separate listing. Shifts from abnormally low/normal/abnormally high at baseline to the end of the study will be shown. Data on physical examinations, vital signs, and ECGs will be listed. |
| Baseline to the end of the study (14 +/- 3 days from the last of two treatments) |
| AXP1275 plasma concentrations | AXP1275 plasma concentrations will be evaluated to determine if steady-state has been reached (minimum concentration [Cmin] on day 6 or 7) and for study drug dosing compliance purposes. In addition, concentrations at other time points will be evaluated relative to individual pharmacodynamic responses associated with a given time point. | day 6 or 7 (predose), day 12 (3 hr post dose), day 13 (3 and 10 hr post dose), and day 14 (3 hr post dose) for the active treatment arm |
| Hamilton |
| Ontario |
| L8S 4K1 |
| Canada |
| IUCPQ, Institut de cardiologie et de pneumologie de l'Hôpital Laval | Québec | Quebec | G1V 4G5 | Canada |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |