Study to Assess GW642444 in Asthma Patients
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Purpose
This is a study of GW642444M, a long-acting beta 2 specific agonist. This study will examine GW642444M via the inhaled route and will assess the efficacy, safety, tolerability, pharmacodynamics and pharmacokinetics of a single administration of three inhaled doses (25, 100 and 400 µg) of GW642444M in persistent asthmatics. This study will be a single-centre, placebo-controlled, dose-ascending, five-way crossover in 30 asthmatic patients.
Key assessments: efficacy, safety, tolerability, pharmacokinetics and pharmacodynamics will be assessed by measurement of FEV1, blood pressure, pulse rate, 12-lead ECGs, clinical laboratory safety tests, collection of adverse events and blood samples.
| Condition | Intervention | Phase |
|---|---|---|
|
Pulmonary Disease, Chronic Obstructive Asthma |
Drug: GW642444M Drug: GW642444H Other: placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Randomised, Double-blind, Placebo-controlled, Dose Ascending, Five-way Crossover Study, to Examine Efficacy, Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of a Single Administration of Three Inhaled Doses (25, 100 and 400 µg) of GW642444M |
- Adverse events [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Laboratory safety tests [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Holter monitoring [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Vital signs and 12-lead ECG) [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Mean change from baseline FEV1 24 hours after dosing. [ Time Frame: Day 1, on 5 separate occasions ] [ Designated as safety issue: No ]
- Supine systolic and diastolic blood pressure and supine heart rate [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
- QTc(B)and QTc(F) [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
- Potassium Max decrease from baseline [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
- Mean change from baseline(0-4h)potassium. [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
- Glucose Max increase from baseline [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
- Weighted mean change from baseline (0-4h)glucose [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
- Derived PK parameters: Cmax, Tmax, AUC(0-t), AUC(0-inf),PEFR [ Time Frame: Day 1 on 5 separate occasions ] [ Designated as safety issue: No ]
| Enrollment: | 14 |
| Study Start Date: | August 2006 |
| Study Completion Date: | January 2007 |
| Primary Completion Date: | January 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: GW642444M 12.5 |
Drug: GW642444M
M salt
Other Name: GW642444
|
| Experimental: GW642444M 100mcg |
Drug: GW642444M
M salt
Other Name: GW642444
|
| Experimental: GW642444M 400mcg |
Drug: GW642444M
M salt
Other Name: GW642444
|
| Experimental: GW642444H 100mcg |
Drug: GW642444H
H salt
|
| Experimental: Placebo |
Other: placebo
placebo
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Subjects with a documented history of persistent asthma, with the exclusion of other significant pulmonary diseases
- Female subjects of non-child bearing potential (i.e. post-menopausal or surgically sterile)
- Subjects who are current non-smokers, who have not used any inhaled tobacco products (snuff is permitted) in the 12 month period preceding the screening visit and who have a pack history of less than 10 pack years.
- Subjects with clinically stable persistent asthma within the 4 weeks preceding the screening visit and with a screening pre-bronchodilator FEV1 between 60 and 90% predicted (having abstained from bronchodilators for the required period). Predicted values are based on the ECCS 1993 normal ranges
- During the screening visit, subjects must demonstrate the presence of reversible airway disease, defined as an increase in FEV1 of greater than 12.0% over baseline and an absolute change of greater than 300 mL within 30 minutes following a single 400 mcg salbutamol dose.
- Subjects who are currently taking ICS at a total daily dose of 200 to 500 mcg of FP or equivalent ICS
Exclusion criteria:
- Subjects who have a past or present disease, which as judged by the Investigator and the Medical Monitor, which may affect the safety of the subject or outcome of this study
- A screening Holter ECG tracing that reveals clinically concerning arrhythmias (including, but not limited to, ventricular ectopic runs of 4 beats, R on T phenomena, bigeminy, trigeminy).
- A mean QTc(B) value at screening >430 msec (male) / >450 msec (female) or an ECG that is not suitable for QT measurements (e.g. poorly defined termination of the T wave).
- Any adverse reaction including immediate or delayed hypersensitivity to any ß2 agonist or sympathomimetic drug, or known or suspected sensitivity to the constituents of GW642444 inhalation powder (e.g., lactose or COA).
- Subjects weighing < 50 kg
- Subjects who have participated in any GSK study involving administration of COA.
Contacts and Locations| Australia, Victoria | |
| GSK Investigational Site | |
| Clayton, Victoria, Australia, 3168 | |
| New Zealand | |
| GSK Investigational Site | |
| Wellington, New Zealand, 6001 | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT00381667 History of Changes |
| Other Study ID Numbers: | B2C104604 |
| Study First Received: | September 26, 2006 |
| Last Updated: | May 31, 2012 |
| Health Authority: | New Zealand: Medsafe New Zealand: Health and Disability Ethics Committees New Zealand: Medicines and Medical Devices Safety Authority |
Keywords provided by GlaxoSmithKline:
|
safety GW642444M Single Dose pharmacodynamics |
pharmacokinetics GW642444H tolerability |
Additional relevant MeSH terms:
|
Asthma Chronic Disease Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Bronchial Diseases Respiratory Tract Diseases |
Lung Diseases, Obstructive Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Disease Attributes Pathologic Processes |
ClinicalTrials.gov processed this record on May 23, 2013