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Study Evaluating the Effect of IMA-638 in Subjects With Persistent Asthma

Phase 2
Completed
Conditions
Asthma
Interventions
Biological: IMA-638
Other: placebo
Registration Number
NCT00425061
Lead Sponsor
Pfizer
Brief Summary

Primary purpose is to assess if IMA-638 is safe and improves asthma in subjects with persistent asthma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
159
Inclusion Criteria
  • Generally healthy men and women with persistent asthma, 18 to 70 years of age, with body weight between 50 kg and 115 kg.
  • History of treatment with a medium to high dose of inhaled corticosteroids (ICS), with or without long-acting beta-agonists (LABA), for at least 2 months prior to the screening visit and must remain constant during the study.
  • FEV1 ≥ 55% to ≤ 80% predicted and demonstrated improvement in FEV1 (L) with inhaled albuterol (salbutamol) (reversibility) of ≥ 12%.
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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2IMA-638-
1IMA-638-
3placebo-
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Morning (Ante Meridiem) Peak Expiratory Flow Rate (AM PEFR) at Day 112 - Stage 2/3Baseline, Day 112

The PEFR is a participant's maximum speed of expiration, as measured with a peak flow meter. All participants were issued with the peak flow meter and instructed to perform the activity in triplicate in the morning prior to taking bronchodilator. The best among the 3 readings was selected.

Change From Baseline in Morning (Ante Meridiem) Peak Expiratory Flow Rate (AM PEFR) at Day 112 - Stage 1Baseline, Day 112

The PEFR is a participant's maximum speed of expiration, as measured with a peak flow meter. All participants were issued with the peak flow meter and instructed to perform the activity in triplicate in the morning prior to taking bronchodilator. The best among the 3 readings was selected.

Secondary Outcome Measures
NameTimeMethod
Mean Number of Puffs of Rescue Medication Used - Stage 2/3Day 8, 28, 56, 84, 89, 91, 94, 98, 112

The rescue medication taken for needed symptoms was a SABA inhaler. Albuterol, 90 mcg/puff, was recommended for use.

Change From Baseline in Asthma Control Questionnaire-5 (ACQ-5) Score at Day 8, 28, 56, 84 and 112 - Stage 1Baseline, Day 8, 28, 56, 84, 112

ACQ-5 was a 5-item participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing). Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score was the mean of the responses. Mean scores of less than or equal to (=\<) 0.75 indicate well-controlled asthma, scores between 0.76 and less than (\<) 1.5 indicate partly controlled asthma, and a score greater than or equal to (\>=) 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

Change From Baseline in Pre-beta-agonist Forced Expiratory Volume in 1 Second (FEV1) at Day 8, 28, 56, 84 and 112 - Stage 1Baseline, Day 8, 28, 56, 84, 112

FEV1 is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration. FEV1 was obtained from spirometry, performed before study treatment administration. Participants performed the test in triplicate at each visit and the best of the 3 values was selected.

Change From Baseline in Pre-beta-agonist Forced Expiratory Volume in 1 Second (FEV1) at Day 8, 28, 56, 84 and 112 - Stage 2/3Baseline, Day 8, 28, 56, 84, 112

FEV1 is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration. FEV1 was obtained from spirometry, performed before study treatment administration. Participants performed the test in triplicate at each visit and the best of the 3 values was selected.

Change From Baseline in Airway Hyper-reactivity at Day 28 and 112Baseline, Day 28, 112

Airway hyper-reactivity was assessed using provocative concentration 20 (PC20). PC20 was the concentration of methacholine at which participants had 20 percent (%) decrease in FEV1. Results for PC20 were summarized together for all participants who received any dose of IMA-638 and for all participants who received placebo during any stage of the study as per investigator's discretion.

Change From Baseline in Asthma Control Questionnaire-5 (ACQ-5) Score at Day 8, 28, 56, 84 and 112 - Stage 2/3Baseline, Day 8, 28, 56, 84, 112

ACQ-5 was a 5-item participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing). Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score was the mean of the responses. Mean scores of =\< 0.75 indicate well-controlled asthma, scores between 0.76 and \< 1.5 indicate partly controlled asthma, and a score \>= 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

Forced Vital Capacity (FVC) - Stage 1Baseline, Day 8, 28, 56, 84, 112

FVC is the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.

Forced Mid-Expiratory Flow Rate 25 Percent (%) to 75% (FEF25-75) - Stage 2/3Baseline, Day 8, 28, 56, 84, 112

FEF25-75 is the average expiratory flow over the middle half of the FVC. FVC is the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.

Blood Eosinophils Levels - Stage 1Baseline, Day 8, 28, 56, 84, 112
Serum Interleukin-13 (IL-13) Level - Stage 1Baseline, Day 8, 28, 56, 84, 112
Serum Interleukin-13 (IL-13) Level - Stage 2/3Baseline, Day 8, 28, 56, 84, 112
Forced Vital Capacity (FVC) - Stage 2/3Baseline, Day 8, 28, 56, 84, 112

FVC is the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.

Forced Mid-Expiratory Flow Rate 25 Percent (%) to 75% (FEF25-75) - Stage 1Baseline, Day 8, 28, 56, 84, 112

FEF25-75 is the average expiratory flow over the middle half of the FVC. FVC is the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.

Blood Eosinophils Levels - Stage 2/3Baseline, Day 8, 28, 56, 84, 112
Percentage of Participants Who Required Treatment With Systemic Steroids for Clinical Exacerbation of Asthma - Stage 1Baseline up to Day 112
Mean Number of Puffs of Rescue Medication Used - Stage 1Day 8, 28, 56, 84, 89, 91, 94, 98, 112

The rescue medication taken for needed symptoms was a short acting beta agonist (SABA) inhaler. Albuterol, 90 microgram (mcg)/puff, was recommended for use.

Percentage of Participants Who Required Treatment With Systemic Steroids for Clinical Exacerbation of Asthma - Stage 2/3Baseline up to Day 112
Log 10-transformed Serum Total Immunoglobulin E (IgE) Levels - Stage 1Baseline, Day 28, 56, 84, 112

Log 10-transformed serum total IgE levels were expressed in Log-10 International units/milliliter (IU/mL).

Log 10-transformed Serum Total Immunoglobulin E (IgE) Levels - Stage 2/3Baseline, Day 28, 56, 84, 112

Log 10-transformed serum total IgE levels were expressed in Log-10 International units/milliliter (IU/mL).

Trial Locations

Locations (80)

Allergy and Clinical Immunology

🇺🇸

Pittsburgh, Pennsylvania, United States

Allergy and Asthma Care Center of Southern California

🇺🇸

Long Beach, California, United States

Alabama Allergy & Asthma Clinic

🇺🇸

Montgomery, Alabama, United States

Allergy & Respiratory Center

🇺🇸

Canton, Ohio, United States

Regional Allergy and Asthma Consultants, P.A.

🇺🇸

Asheville, North Carolina, United States

North Carolina Clinical Research

🇺🇸

Raleigh, North Carolina, United States

Alpha Medical Research Inc.

🇨🇦

Mississauga, Ontario, Canada

Allergy and Asthma Research Group

🇺🇸

Eugene, Oregon, United States

Allergy and Asthma Associates

🇺🇸

Houston, Texas, United States

Clinical Trials North Houston

🇺🇸

Houston, Texas, United States

Allergy and Asthma Assoc

🇺🇸

Las Vegas, Nevada, United States

New Horizons Clinical Research

🇺🇸

Cincinnati, Ohio, United States

Sharp Rees-Stealy Medical Group

🇺🇸

San Diego, California, United States

Waterbury Pulmonary Associates

🇺🇸

Waterbury, Connecticut, United States

Brandon-Valico Center for Allergy & Asthma Research, LLC

🇺🇸

Valrico, Florida, United States

Roberson Allergy & Asthma

🇺🇸

West Palm Beach, Florida, United States

Clinical Research Specialists

🇺🇸

Metairie, Louisiana, United States

Allergy and Arthritis Family

🇺🇸

Gardner, Massachusetts, United States

Center for Clinical Research

🇺🇸

Taunton, Massachusetts, United States

Mississippi Asthma and Allergy Clinic, P.A.

🇺🇸

Jackson, Mississippi, United States

Princeton Center for Clinical Research

🇺🇸

Skillman, New Jersey, United States

Montana Medical Research, Inc

🇺🇸

Missoula, Montana, United States

Clinical Research Institute

🇺🇸

Minneapolis, Minnesota, United States

Allergy Asthma and Immunology

🇺🇸

San Antonio, Texas, United States

College Park Family Care Center

🇺🇸

Overland Park, Kansas, United States

Kansas City Allergy & Asthma

🇺🇸

Overland Park, Kansas, United States

Pacific Coast Allergy

🇺🇸

Crescent City, California, United States

ABM Research Center

🇺🇸

Fresno, California, United States

Allergy Medical Clinic

🇺🇸

Los Angeles, California, United States

Advances in Medicine

🇺🇸

Rancho Mirage, California, United States

Penisula Research Associates

🇺🇸

Rolling Hills Estates, California, United States

Allergy Associates Medical Group, Inc.

🇺🇸

San Diego, California, United States

Allergy & Asthma Assoc of Santa Clara Valley Research Ctr

🇺🇸

San Jose, California, United States

Aero Allergy Research Labs of Savannah, Inc. 505 Eisenhower

🇺🇸

Savannah, Georgia, United States

Fort Wayne Medical Institute

🇺🇸

Fort Wayne, Indiana, United States

Bensch Research Associates

🇺🇸

Stockton, California, United States

Allergy and Immunology Medical Group

🇺🇸

Vista, California, United States

Abraham Research, PLLC

🇺🇸

Crescent Springs, Kentucky, United States

South Bend Clinic

🇺🇸

South Bend, Indiana, United States

The Clinical Research Center LLC

🇺🇸

St Louis, Missouri, United States

Midwest Clinical Research LLC

🇺🇸

St. Louis, Missouri, United States

Pulmonary and Allergy Associates

🇺🇸

Sellersville, Pennsylvania, United States

AAPRI Clinical Research Institute

🇺🇸

Lincoln, Rhode Island, United States

Pulmonary & Critical Care Services, P.C.5 Palisades Dr., Su

🇺🇸

Albany, New York, United States

Allergy and Asthma Research Center of El Paso

🇺🇸

El Paso, Texas, United States

Toledo Center for Clinial Researcch

🇺🇸

Sylvania, Ohio, United States

Valley Clinical Research Center

🇺🇸

Bethlehem, Pennsylvania, United States

Allergy & Asthma Research of New Jersey

🇺🇸

Philadelphia, Pennsylvania, United States

Family Center for Asthma & Allergic Diseases

🇺🇸

Friendswood, Texas, United States

Clinical Trial Network

🇺🇸

Houston, Texas, United States

The Allergy and Asthma Clinic of Central Texas

🇺🇸

Killeen, Texas, United States

Alabama Allergy and Asthma Center

🇺🇸

Birmingham, Alabama, United States

Allergy, Asthma & Clinical Research Center

🇺🇸

Oklahoma City, Oklahoma, United States

National Jewish Medical & Research Center

🇺🇸

Denver, Colorado, United States

Colorado Allergy and Asthma Centers

🇺🇸

Denver, Colorado, United States

Allergy Associates Research Center

🇺🇸

Portland, Oregon, United States

Midwest Allergy and Asthma Clinic

🇺🇸

Omaha, Nebraska, United States

Auroroa Health Care, Inc.

🇺🇸

Milwaukee, Wisconsin, United States

Clinical Research Institute of Southern Oregon

🇺🇸

Medford, Oregon, United States

Little Rock Allergy & Asthma

🇺🇸

Little Rock, Arkansas, United States

Allergy and Asthma Research Centre

🇨🇦

Ottawa, Ontario, Canada

East Tennessee Center for Clinical Research

🇺🇸

Knoxville, Tennessee, United States

Alexander Medical Innovations Inc.

🇨🇦

Niagara Falls, Ontario, Canada

Allergic Disease and Asthma Center Research, PA

🇺🇸

Greenville, South Carolina, United States

CIC Mauricie Inc.

🇨🇦

Trois-Rivieres, Quebec, Canada

Recherche Invascor Inc

🇨🇦

Longueuil, Quebec, Canada

Timber Lane Allergy and Asthma Research LLC

🇺🇸

South Burlington, Vermont, United States

Hopital du Sacre-Coeur de Montreal

🇨🇦

Montreal, Quebec, Canada

AAC Research, PC

🇺🇸

Mount Pleasant, South Carolina, United States

Allergy, Asthma and Dermatology Research Center, LLC 3975 Me

🇺🇸

Lake Oswego, Oregon, United States

AAIR Research Center

🇺🇸

Rochester, New York, United States

Lovelace Scientific Resources

🇺🇸

Austin, Texas, United States

Virginia Adult & Pediatric Allergy & Asthma, P.C.

🇺🇸

Richmond, Virginia, United States

University of Wisconsin Medical School

🇺🇸

Madison, Wisconsin, United States

San Jose Clinical Research, Inc.

🇺🇸

San Jose, California, United States

Allergy & Asthma Clinical Research, Inc.

🇺🇸

Walnut Creek, California, United States

Georgia Pollens CRC, Inc.

🇺🇸

Albany, Georgia, United States

DataQuest Medical Research

🇺🇸

Lawrenceville, Georgia, United States

Allergy and Asthma Center of Chicago

🇺🇸

River Forest, Illinois, United States

Montefiore Medical Center

🇺🇸

Bronx, New York, United States

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