Safety of SCH 527123 in Subjects With Neutrophilic Asthma
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 37
- 主要终点
- Number of Participants Who Maintained an Absolute Peripheral Blood Neutrophil Count >=1500/µL
研究概览
简要总结
4-Week Safety Study in Subjects with Neutrophilic Asthma
详细描述
Effect of treatment with navarixin (MK-7123, SCH 527123) on sputum neutrophils and asthma symptoms
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 to <=70 years of age, either sex, any race.
- •Induced sputum neutrophil count >=40% of total white blood cells and <10 million/mL at Screening.
- •Documented diagnosis of asthma (within past 5 years), determined by at least one of the following: >=12% and 200 mL improvement in Forced Expiratory Volume in 1 second (FEV1) post-bronchodilator, and/or airway hyperresponsiveness (eg, positive methacholine challenge <8 mg/mL).
- •Nonsmoker or previous smoker with cumulative smoking history less than 20 pack-years (pack-year = 20 cigarettes smoked daily for 1 year). Previous smokers may not have smoked within 1 year prior to Screening.
- •Must not have had an exacerbation of asthma for 4 weeks prior to Screening and must be on a stable medication regimen for asthma at least 4 weeks prior to Screening.
- •Must be receiving >=800 mcg/day of beclomethasone dipropionate (BDP) or equivalent for at least 3 months prior to Screening (and on stable dose for at least 4 weeks prior to Screening).
- •Must be willing to give written informed consent to participate in the study
- •Must be capable of complying with the dosing regimen, adhere to the visit schedule, and participate in all treatment procedures, including sputum induction.
- •Female subject of childbearing potential must have a negative serum pregnancy test at Screening and must be using a medically acceptable, highly effective, adequate form of birth control (ie, failure rate <1% per year when used consistently and correctly) prior to Screening and agree to continue using it while in the study (Screening and Treatment Periods). Medically acceptable, highly effective forms of birth control are hormonal implants, oral contraceptives, medically acceptable prescribed intrauterine devices (IUDs), and monogamous relationship with a male partner who has had a vasectomy. Female subject who is not of childbearing potential must have a medical record of being surgically sterile (eg, hysterectomy, tubal ligation), or be at least 1 year postmenopausal. Absence of menses for at least 1 year will indicate that a female is postmenopausal. A female subject should be encouraged to continue using a highly effective method of birth control for 30 days following the end of treatment.
- •Male subject must agree to use an adequate form of contraception for the duration of the study and agree to have sexual relations only with women who use a highly effective birth control method.
排除标准
- •Chronic Obstructive Pulmonary Disease (COPD)/other relevant lung disease (other than asthma).
- •4 weeks prior to/or Screening: upper/lower respiratory tract infection.
- •Prohibited medications received more recently than indicated washout prior to Screening
- •Screening: Inadequate amount or difficulty producing sputum.
- •Screening: Sputum neutrophil count over 10 million/mL.
- •Screening: peripheral blood neutrophil (PBN) count <3000/µL.
- •Post-bronchodilator FEV1 <1L.
- •Clinically significant chronic infectious disease(s) (eg, Human Immunodeficiency Virus [HIV], hepatitis B or C).
- •Allergy/sensitivity to study drug/excipients.
- •Breast-feeding, pregnant/intends to become pregnant during study.
- •Requiring mechanical ventilation for respiratory event within 6 months of Screening.
- •Medical condition(s) (eg, hematologic, cardiovascular, renal, hepatic, neurologic, or metabolic) or medication that may interfere with effect of study medication.
- •Within 30 days of Screening: any other investigational drug.
- •Participation in any other clinical study.
- •Part of the staff personnel involved with the study.
- •Family member of investigational study staff.
研究组 & 干预措施
Navarixin
Navarixin (MK-7123, SCH 527123) 30 mg capsule, to be taken by mouth once daily in the morning for 4 weeks
干预措施: Navarixin (Drug)
Navarixin
Navarixin (MK-7123, SCH 527123) 30 mg capsule, to be taken by mouth once daily in the morning for 4 weeks
干预措施: Rescue medication (Drug)
Placebo
Placebo capsule to match navarixin, to be taken by mouth once daily in the morning for 4 weeks
干预措施: Placebo (Drug)
Placebo
Placebo capsule to match navarixin, to be taken by mouth once daily in the morning for 4 weeks
干预措施: Rescue medication (Drug)
结局指标
主要结局
Number of Participants Who Maintained an Absolute Peripheral Blood Neutrophil Count >=1500/µL
时间窗: Up to 4 weeks
Peripheral blood neutrophil counts were performed on Day 2 and Weeks 1, 2, 3, and 4 of the treatment period
次要结局
- Mean Change From Baseline in Sputum Absolute Neutrophil Count(Baseline and while on study drug (up to 4 weeks))
- Mean Change From Baseline in Total Asthma Symptom Score(Baseline and Weeks 1, 2, 3, and 4)
- Change From Baseline in Post-Bronchodilator Forced Expiratory Volume in One Second (FEV1)(Baseline and up to 4 weeks)
- Change From Baseline in Asthma Quality of Life Questionnaire With Standardized Activities (AQLQ[S])(Baseline and up to 4 weeks)
- Number of Participants With an Adverse Event (AE)(Up to 5 weeks)
- Number of Participants With an Electrocardiogram Adverse Event(Week 4)
- Number of Participants With a Laboratory Adverse Event(Up to 5 weeks)
- Number of Participants Who Discontinued the Study Because of an Adverse Event(Up to 5 weeks)
- Number of Participants Who Discontinued Treatment Because of an Adverse Event or a Protocol-defined Clinical Event(Up to 4 weeks)
- Maximum Plasma Concentration of Navarixin (Cmax)(Week 1, 2, 3, and 4)
