A Phase 1/2a Study Evaluating the Effects of ARO-MUC5AC Inhalation Solution in Healthy Subjects and Patients with Muco-Obstructive Lung Disease
- Conditions
- Asthma and Chronic obstructive pulmonary diseaseMedDRA version: 20.0Level: PTClassification code: 10003553Term: Asthma Class: 100000004855MedDRA version: 26.1Level: PTClassification code: 10009033Term: Chronic obstructive pulmonary disease Class: 100000004855Therapeutic area: Diseases [C] - Respiratory Tract Diseases [C08]
- Registration Number
- CTIS2024-514809-67-00
- Lead Sponsor
- Arrowhead Pharmaceuticals Inc.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 111
1. Asthma Cohorts: Male or nonpregnant, nonlactating female volunteers, 10. Asthma Cohorts: Chest x-ray taken at Screening that, according to the Investigator, excludes significant alternative respiratory disease, 11. Asthma Cohorts: Able and willing to provide written informed consent prior to the performance of any study-specific procedures, 12. Asthma Cohorts: BMI between 18.0 and 35.0 kg/m2 at Screening, 13. Asthma Cohorts: A 12-lead ECG at Screening with no abnormalities that may compromise participant’s safety in this study, 14. Asthma Cohorts: Nonsmoker (defined as someone who has not smoked a cigarette for at least 6 months) with current nonsmoking status confirmed by urine cotinine at Screening AND previous smoking history prior to 6 months must be <10 pack-years. Subjects may be on nicotine replacement (patch or gum). Nicotine e-cigarettes (vapor) are not permitted. A positive urine cotinine result due to nicotine replacement is acceptable for enrollment at the discretion of the PI., 15. COPD Cohorts: Male or nonpregnant, nonlactating female volunteers, 16. COPD Cohorts: Age 40 to 70 years at Screening, 17. COPD Cohorts: Diagnosis of COPD for at least 12 months prior to Screening, based on source verifiable medical record, confirmed with a post-bronchodilator ratio of FEV1 to FVC < 0.7 at Screening, 18. COPD Cohorts: History of chronic bronchitis (defined as both cough and phlegm most days a week” or several days a week”) elicited on the SGRQ-C at Screening, 19. COPD Cohorts: Current smoker or ex-smoker (meaning >1 year of smoking cessation) with a smoking history of = 10 pack-years, 2. Asthma Cohorts: Age 18 to 65 years at Screening. Age 19 to 65 years at Screening, where applicable according to local regulation, 20. COPD Cohorts: Post-bronchodilator ppFEV1 between 40% and 80% inclusive at Screening, prior to sputum induction, 21. COPD Cohorts: Subjects treated with either single, double, or triple therapy for COPD, as described below: a) Single therapy consisting of: long-acting beta agonist (LABA) or long-acting muscarinic antagonist (LAMA); b) Double therapy consisting of: LABA + LAMA, or LABA + inhaled corticosteroid (ICS), or LAMA + ICS; c) Triple therapy consisting of: LABA + LAMA + ICS; and d) Please note that additional use of other agents, such as azithromycin or roflumilast, will not exclude the subject, 22. COPD Cohorts: All treatments for COPD have been stable for at least 1 month prior to Screening (meaning no new medications or changes in dose quantity or dose frequency) and subject is willing to continue this treatment regimen without change for study duration., 23. COPD Cohorts: Able and willing to provide written informed consent prior to the performance of any study-specific procedures, 24. COPD Cohorts: BMI between 18.0 and 35.0 kg/m2 at Screening, 25. COPD Cohorts: A 12-lead ECG at Screening with no abnormalities that may compromise participant’s safety in this study, 26. COPD Cohorts: Participants of childbearing potential must agree to use a highly effective form of contraception in addition to a condom, during the study and for at least 90 days following the end of the study or last dose of study drug, whichever is later. Subjects must not donate sperm or eggs during the study and for at least 90 days following the end of the study or last dose of study drug, whichever is later, 27. COPD Cohorts: Able and willing to comply with all study assessments and adhere to the protocol schedule, 28. COPD Cohort
1. Asthma Cohorts: Acute lower respiratory infection or asthma exacerbation within 30 days prior to first dose, 10. Asthma Cohorts: Seropositive for HBV or HCV (positive result for anti-HCV antibody must be confirmed with positive HCV RNA test for exclusion), 11. Asthma Cohorts: Uncontrolled hypertension (SBP >150 mmHg or DBP >100 mmHg) at Screening, 12. Asthma Cohorts: A history of Torsades de Pointes, ventricular rhythm disturbances (eg, ventricular tachycardia or fibrillation), pathologic sinus bradycardia (<50 bpm with symptoms), heart block (excluding first-degree block, being PR prolongation only), congenital long QT syndrome, new ST segment elevation or depression, or new Q wave on ECG. Participants with a history of atrial arrhythmias may be enrolled if the PI judges the safety risk to be low. Participants with a history of cardiac rhythm abnormality that has been treated with a device (eg, pacemaker) may be enrolled if the PI judges the safety risk to be low, 13. Asthma Cohorts: A family history of congenital long QT syndrome or unexplained sudden cardiac death, 14. Asthma Cohorts: Use of medications known to prolong the QTc interval within 30 days prior to first dose (eg, azithromycin), 15. Asthma Cohorts: Use of theophylline within 30 days prior to first dose, 16. Asthma Cohorts: Symptomatic heart failure (per NYHA guidelines), unstable angina, myocardial infarction, severe cardiovascular disease (ejection fraction <20%), TIA, or CVA within 24 weeks prior to first dose, 17. Asthma Cohorts: History of malignancy within the past 5 years except for adequately treated basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ cervical cancer. Participants with other curatively treated malignancies who have no evidence of metastatic disease and >5-year disease-free interval may be enrolled if the PI judges the risk of recurrence to be low, 18. Asthma Cohorts: History of major surgery within 12 weeks prior to first dose, 19. Asthma Cohorts: Unwilling to limit alcohol consumption to within moderate limits for the duration of the study, as follows: not more than 14 units per week for women and 21 units per week for men (1 unit=150 mL of wine, 360 mL of beer, or 45 mL of 40% alcohol), 2. Asthma Cohorts: Acute upper respiratory infection within 7 days prior to first dose: a) In the case of an upper respiratory infection within 7 days of the first dose, the PI may elect to extend the Screening period to >28 days such that the first dose is given >7 days following clinical resolution of the infection. In no case will the Screening period be extended to >45 days, 20. Asthma Cohorts: Use of illicit drugs (such as cocaine, PCP) within 1 year prior to Screening or positive urine drug screen at Screening (a urine drug screen deemed positive due to prescription medications or for benzodiazepines, opioids, or marijuana is acceptable and inclusion is at the discretion of the PI). Subjects who smoke or vape prescription THC/marijuana may be enrolled if the PI judges the safety risk to be low, 21. Asthma Cohorts: Use of an investigational agent or device within 30 days or 5 half-lives (whichever is longer) prior to first dose or current participation in an investigational study, 22. Asthma Cohorts: Donation or loss of whole blood (excluding the volume of blood that will be drawn during the Screening procedures of this study) prior to first dose as follows: 50 mL to 499 mL of whole blood within 30 days, or more than 499
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method