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A Clinical Trial to Study the Effects of Revamilast in Patients With Chronic Persistent Asthma
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Purpose
Asthma is a common, chronic inflammatory disease of the bronchial airways, with a reported prevalence in most industrialized countries of between 5 to 10 % of the adult population. Asthma is clinically characterized by repeated episodes of wheezing, breathlessness, chest tightness, and coughing; usually in the presence of variable airflow obstruction that is often reversible either spontaneously or with treatment (The Global Initiative for Asthma (GINA), 2009).
Drug treatment of asthma has focused on anti-inflammatory therapy in all but the mildest, intermittent cases. Inhaled corticosteroids have been shown to be anti-inflammatory in asthma, but chronic use of these agents may be associated with a range of side effects, especially at high doses. In asthma, there remains a need for the development of novel anti-inflammatory therapies that are at least equally effective and possess a superior safety profile in comparison to corticosteroids.
This is a randomized, double-blind, triple dummy, placebo controlled, parallel group, dose ranging study. The study will be conducted in adult patients with a diagnosis of chronic persistent asthma with an Forced Expiratory Volume in one second(FEV1) of 50% to 80% of the predicted value. Study will enroll 448 patients globally (278 from India) across different centers.
Patients will be recruited after providing written informed consent. After screening and run in period, patient will be randomized (patient meeting randomization criteria) in 1:1:1:1 ratio to receive either one of the three dose regimens of revamilast or placebo.
The primary objective of the study is to evaluate the effect of revamilast on lung function as assessed by Forced Expiratory Volume in one second (FEV1) after the therapy (12 weeks). Secondary objective includes area under curve for FEV1, Change in asthma symptoms, patient / investigator's global assessments and safety. Patients will be followed for safety and efficacy assessment at week 1, 4, 8 12 and 14 after start of therapy.
| Condition | Intervention | Phase |
|---|---|---|
| Asthma | Drug: Revamilast Drug: Placebo | Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase II, 12-week Randomized, Double-blind, Triple Dummy, Parallel Group, Placebo-controlled, Dose Range Finding Study to Evaluate Safety, Tolerability and Efficacy of Revamilast in Patients With Chronic Persistent Asthma |
- Change in Forced Expiratory Volume in One Second (FEV1) from baseline to week 12 [ Time Frame: Baseline to 12 weeks ]
- Change in morning pre-dose Forced Vital Capacity (FVC) from baseline to week 12 [ Time Frame: baseline to 12 weeks ]
- Area under the curve of Forced Expiratory Volume in One Second (FEV1) [ Time Frame: 12 weeks ]
- Change in asthma day time symptom score from baseline to week 12 [ Time Frame: Baseline to 12 weeks ]
- Frequency and severity of asthma exacerbations during treatment period [ Time Frame: 12 weeks ]
- Change in investigator global impression from baseline to week 12 [ Time Frame: Baseline to 12 weeks ]An investigator-rated test measured on a 7-point scale, used to rate change in a patient's condition over the course of the study.
- Change in patient global impression from baseline to week 12 [ Time Frame: Baseline to 12 weeks ]A patient-rated test measured on a 7-point scale, used to rate change in a patient's condition over the course of the study.
- Change in morning pre-dose Peak Expiratory Flow (PEF) from baseline to week 12 [ Time Frame: Baseline to 12 weeks ]
- Change in morning pre-dose PEF25-75% (Forced expiratory flow 25-75%) from baseline to week 12 [ Time Frame: Baseline to 12 weeks ]
| Enrollment: | 273 |
| Study Start Date: | October 2011 |
| Study Completion Date: | April 2013 |
| Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Low dose
Low dose revamilast
|
Drug: Revamilast
Tablet. Low dose, Once daily for 12 weeks
|
|
Experimental: Medium dose
Medium dose Revamilast
|
Drug: Revamilast
Medium dose, Once daily for 12 weeks
|
|
Experimental: High dose
High dose Revamilast
|
Drug: Revamilast
High dose, Once daily for 12 weeks
|
|
Placebo Comparator: Placebo
Matching placebo in triple dummy format
|
Drug: Placebo
Placebo tablet in triple dummy format, Once daily for 12 weeks
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years (Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The patient provides written informed consent to participate in the study
- Male or female patient aged 18 to 65 years
- Documented diagnosis of asthma
- Forced Expiratory Volume in One Second (FEV1) between 50% and 80% of the predicted value
- Patient judged by the investigator to be in otherwise good stable health based on medical history, physical examination, and routine laboratory data
- Female participants must have a negative pregnancy test at screening visit
- Males must agree to use barrier contraception while on study medication and for 90 days after taking the last dose of study medication
Exclusion Criteria:
- Pregnant or lactating women
- Female subjects on hormone replacement therapy or hormonal contraceptives
- Suffering from relevant lung diseases (other than asthma) causing impairment in lung function
- Past smoker with a history of ≥10 pack per year or current smoker
- Recent change in the patient's usual asthma treatment
-
Patients with risk factors for asthma exacerbation during the study, including (any of the following):
- Current requirement for > 8 puffs per day of reliever medication.
- Hospitalization for asthma
- Treatment with systemic corticosteroid therapy within 3 months
- Evidence of current or recent neoplastic disease
- Clinically significant cardiovascular, haematological, endocrine, neurological, gastrointestinal, psychiatric, metabolic, immunologic, infectious, hepatic, renal, gynaecological disease or other condition that the investigator considers detrimental to the patient's participation in the study or that may prevent the successful completion of the study
- Positive serology for an infectious disease (including hepatitis B or C) at screening and known case of human immunodeficiency virus [HIV]
- Patients who have been hospitalized for any psychiatric illness in the past year, or are diagnosed with major depression
- Clinically significant ECG Abnormality at baseline
- Patients with documented or suspected or current history of alcohol and drug abuse
- Patients who have undergone lung surgery in the previous year
- Participation in an investigational drug trial during 30 days preceding screening
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT01436890
Show 42 Study Locations
| Study Director: | Dr Ballari Brahmachari | Glenmark Pharmaceuticals Ltd |
More Information
| Responsible Party: | Glenmark Pharmaceuticals Ltd. India |
| ClinicalTrials.gov Identifier: | NCT01436890 History of Changes |
| Other Study ID Numbers: |
GRC 4039-204 2011-000270-57 ( EudraCT Number ) |
| Study First Received: | September 14, 2011 |
| Last Updated: | June 20, 2013 |
Keywords provided by Glenmark Pharmaceuticals Ltd. India:
|
Chronic Persistent Asthma |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on September 20, 2017