A Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease
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Purpose
This study is intended to determine the safety and tolerance of regadenoson in subjects with asthma or chronic obstructive pulmonary disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Asthma Coronary Artery Disease Pulmonary Disease, Chronic Obstructive |
Drug: Regadenoson Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Diagnostic |
| Official Title: | A Phase 4, Multi-Center, Double-Blind, Randomized, Placebo-Controlled Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease (COPD). |
- Percentage of Subjects Who Had a >15% Decrease in Forced Expiratory Volume in 1 Second (FEV1) at the 2-hour Postbaseline Assessment [ Time Frame: 2 Hours post dose ] [ Designated as safety issue: Yes ]FEV1 data was obtained by spirometry measures.
- Use of Short-acting Bronchodilators for Treatment of Symptoms After Study Drug Administration [ Time Frame: Within 2 Hours of study drug administration ] [ Designated as safety issue: Yes ]
The data represents the numbers of subjects using short acting bronchodilators at time of selected Adverse Event (AE).
Short acting bronchodilators are defined as medications coded to drugs for obstructive airway disease.
The selected respiratory symptomatic AEs included the following preferred terms: dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea, & wheezing.
- Use of Short-acting Bronchodilators for Treatment of Symptoms After Study Drug Administration [ Time Frame: Within 24 Hours of study drug administration ] [ Designated as safety issue: Yes ]
The data represents the numbers of subjects using short acting bronchodilators at time of selected Adverse Event (AE).
Short acting bronchodilators are defined as medications coded to drugs for obstructive airway disease.
The selected respiratory symptomatic AEs included the following preferred terms: dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea, & wheezing.
- Change From Baseline to the 2 Hour Post-dose Assessment for FEV1 Absolute Values [ Time Frame: Baseline and Hour 2 ] [ Designated as safety issue: Yes ]
FEV1 data was obtained by spirometry measurements.
Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
- Change From Baseline to the 2 Hour Post-dose Assessment for FEV1 Percent Predicted [ Time Frame: Baseline and Hour 2 ] [ Designated as safety issue: Yes ]
FEV1 data was obtained by spirometry measurements.
Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
- Change From Baseline to the 2 Hour Post-dose Assessment for Forced Vital Capacity (FVC) [ Time Frame: Baseline and Hour 2 ] [ Designated as safety issue: Yes ]
FVC data was obtained by spirometry measurements.
Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
- Change From Baseline to the 2 Hour Post-dose Assessment for FEV1/ FVC Ratio [ Time Frame: Baseline and Hour 2 ] [ Designated as safety issue: Yes ]
FEV1 and FVC data was obtained by spirometry measurements.
Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
- Change From Baseline to the 2 Hour Post-dose Assessment for Oxygen Saturation Measured by Pulse Oximetry [ Time Frame: Baseline and Hour 2 ] [ Designated as safety issue: Yes ]Change from Baseline is calculated as the Hour 2 measurement minus the Baseline measurement.
- Percentage of Selected Respiratory Adverse Events [ Time Frame: Within 24 Hours of study drug administration ] [ Designated as safety issue: Yes ]
The selected respiratory Adverse Events are dyspnoea, dyspnoea exertional, obstructive airways disorder, tachypnoea and wheezing.
Subjects may have reported more than one type of Adverse Event.
| Enrollment: | 1009 |
| Study Start Date: | April 2009 |
| Study Completion Date: | October 2009 |
| Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Placebo - Asthma
Matching intravenous (IV) bolus injection, subjects with Asthma
|
Drug: Placebo
IV
|
|
Experimental: Regadenoson - Asthma
0.4mg / 5mL intravenous bolus injection, subjects with Asthma
|
Drug: Regadenoson
IV
Other Names:
|
|
Placebo Comparator: Placebo - COPD
Matching intravenous bolus injection, subjects with Chronic Obstructive Pulmonary Disease (COPD)
|
Drug: Placebo
IV
|
|
Experimental: Regadenoson - COPD
0.4mg / 5mL intravenous bolus injection, subjects with Chronic Obstructive Pulmonary Disease (COPD)
|
Drug: Regadenoson
IV
Other Names:
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject has asthma or stable chronic obstructive pulmonary disease (COPD).
- Subject has a diagnosis of coronary artery disease (CAD) or risk factors for CAD as determined by a current medical diagnosis of at least 2 of the following conditions: Type 2 diabetes, hypertension, hypercholesterolemia, current or history of cigarette smoking (minimum 10 pack-years exposure) or obesity Body Mass Index (BMI > 30).
- Subject must abstain from smoking 3 hours prior and 8 hours post study drug administration.
- Subject must abstain from any intake of foods and beverages containing a methylated xanthine derivative (i.e. caffeine, theobromine, or methylxanthine) within 12 hours prior to study drug administration through the Follow-Up visit, as these foods may reduce the effects of regadenoson.
- Subject is able to safely abstain from theophylline for 12 hours prior to the Day 1 visit, as determined by the Investigator
- Asthma subject's frequency and severity of symptoms have remained unchanged within 30 days prior to study drug administration
- Asthma subject has FEV1 ≥60% predicted
- COPD subject has FEV1/FVC < 0.70
Exclusion Criteria:
- Female subject who is pregnant, lactating or of childbearing potential who refuses to use a medically acceptable form of contraception until the Follow-Up visit is complete.
- Subject started on a course of corticosteroids, steroid combination with long-acting Beta2-agonist (LABA) (oral or inhaled) or anticholinergic, or has undergone a change in dose of such medications ≤ 30 days prior to study drug administration (subject on a stable dose of such medications for > 30 days prior to study drug administration is allowed).
- Subject started leukotriene antagonists (e.g., montelukast), cromones (e.g., cromolyn sodium) or 5-lipoxygenase antagonists (e.g. zileuton or zyflo) or has undergone a change in dose of medications in these drug classes ≤ 7 days prior to study drug administration (subject on a stable dose of these medications for > 7 days prior to study drug administration is allowed).
- Subject has a history of second or third degree heart block or sinus node dysfunction unless the subject has a functioning pacemaker.
- Subject has symptomatic hypotension (temporary and reversible conditions that no longer exist are allowed).
- Subject is allergic or intolerant to aminophylline.
- Subject has had a respiratory infection within 2 weeks prior to randomization.
- Subject has had surgery within 3 months prior to randomization.
Contacts and Locations
Show 49 Study Locations| Study Director: | Use Central Contact | Astellas Pharma Global Development |
More Information
Additional Information:
Publications:
| Responsible Party: | Astellas Pharma Inc |
| ClinicalTrials.gov Identifier: | NCT00862641 History of Changes |
| Other Study ID Numbers: | 3606-CL-3001 |
| Study First Received: | March 15, 2009 |
| Results First Received: | November 15, 2010 |
| Last Updated: | September 12, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Astellas Pharma Inc:
|
regadenoson CVT 3146 asthma coronary artery disease pulmonary disease, chronic obstructive |
Additional relevant MeSH terms:
|
Chronic Disease Coronary Artery Disease Coronary Disease Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Bronchial Diseases Respiratory Tract Diseases Immune System Diseases Disease Attributes Heart Diseases Cardiovascular Diseases Arterial Occlusive Diseases Vascular Diseases |
Asthma Myocardial Ischemia Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Pathologic Processes Arteriosclerosis Regadenoson Adenosine A2 Receptor Antagonists Purinergic P1 Receptor Antagonists Purinergic Antagonists Purinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 13, 2013