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AsthmaPhase 2NCT00507130

A Study to Evaluate the Safety and Tolerability of the Administration of MEDI-528 When Administered in Multiple Doses to Adults With Mild Persistent Asthma

A Phase 2 study testing MEDI528 0.3 mg/kg, MEDI528 1 mg/kg and MEDI528 3 mg/kg in people with Asthma, run by MedImmune LLC at 9 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this study is to evaluate the safety and tolerability of escalating multiple SC doses of MEDI-528 in adult patients with mild persistent asthma. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Asthma
What is being tested?
MEDI528 0.3 mg/kg, MEDI528 1 mg/kg and MEDI528 3 mg/kg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
36 participants
Where
9 sitesin 2 countries
Study dates
Jul 2007to Sep 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female adults, age 18 through 65 years of age at time of screening;
  • Weight ≤ 100 kg and body mass index ≤ 35;
  • Written informed consent obtained from the patient prior to receipt of any study medication or beginning study procedures;
  • Previously documented diagnosis of asthma based on episodic symptoms of airflow obstruction such as wheezing or chest tightness, with alternative diagnoses (e.g., chronic obstructive pulmonary disease) ruled out;
  • Currently receiving treatment with short-acting β2 agonists, ICS at doses ≤ 264 μg/day fluticasone or equivalent, or both (National Heart, Lung, and Blood Institute [NHLBI], 2002);
  • FEV1 or peak expiratory flow (PEF) ≥ 80% of predictable value;
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  • Have had a diagnosis of mild persistent asthma, defined as having asthma symptoms with a frequency of more than twice a week but less than once daily, or nighttime symptoms with a frequency of more than twice a month but less than once a week (NHLBI, 2002);
  • Have AHR based on documented clinical history of either methacholine inhalation challenge with PC20 ≤ 16 mg/mL or partial reversibility of ≤ 12% in FEV1 within the past 18 months (including screening);
  • Able to provide spirometry readings that meet American Thoracic Society/European Respiratory Society standards (Miller, 2005);
  • Sexually active females, unless surgically sterile or at least 1 year post-menopausal, must use an effective method of avoiding pregnancy (including oral, implanted, or transdermal contraceptives, intrauterine device, female condom, diaphragm with spermicide, cervical cap, abstinence, use of a condom by the sexual partner or sterile sexual partner) for 21 days prior to the first dose of study drug, and must agree to continue using such precautions through Study Day 150. Cessation of birth control after this point should be discussed with a responsible physician. Sexually active males, unless surgically sterile, must likewise use an effective method of birth control (condom) and must agree to continue using such precautions through Study Day 150;
  • Ability to complete the study period, including follow-up period, of up to 150 days; and
  • Willing to forego other forms of experimental treatment and study procedures during the study.

Who cannot join

  • Receipt of MEDI-528 in any previous clinical study or prior randomization into the trial;
  • History of allergy or reaction to any component of the MEDI-528 formulation;
  • Lung disease other than persistent asthma (e.g. chronic bronchitis);
  • FEV1 < 80% of predicted values;
  • History of severe asthma or asthma exacerbation requiring intubation;
  • Use of systemic immunosuppressive drugs including systemic corticosteroids or ICS with doses > 264 μg/day fluticasone or equivalent within 4 weeks prior to Study Day 0;
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  • Use of long-acting β2 agonists, theophylline, cromolyn sodium, nedocromil sodium, leukotriene receptor antagonists, or any other inhaled or systemic medication for asthma (except short-acting β2 agonists or ICS at doses ≤ 264 μg/day fluticasone or equivalent) within the 2 weeks prior to Study Day 0;
  • Current use of any β-adrenergic antagonist (e.g., propranolol);
  • Any disease or illness, other than asthma, that may require the use of systemic corticosteroids during the study period;
  • Acute illnesses or evidence of significant active infection, such as fever ≥ 38.0°C (100.5°F) at screening and up through time of the first dose of study drug;
  • Current allergy vaccination therapy (desensitization immunotherapy), with less than 3 months of stable maintenance doses prior to screening;
  • Receipt of any investigational drug therapy within 30 days or any biologic(s) within 5 half-lives of the agent prior to the first dose of study drug through Study Day 150;
  • Receipt of any therapy with a leukocyte-depleting agent unless recovery in white cell count has been documented before screening;
  • Pregnancy (sexually active females must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to study drug administration on Study Day 0);
  • Lactating or breastfeeding woman;
  • Evidence of infection with hepatitis B or C virus, or human immunodeficiency virus-1 or -2 (HIV-1 or HIV-2), or active infection with hepatitis A;
  • History of significant systemic disease (e.g., cancer, infection, hematological, renal, hepatic, coronary artery disease or other cardiovascular disease, endocrinologic, neurologic, rheumatologic, or gastrointestinal disease);
  • History of cancer other than non-melanoma skin cancer or cervical carcinoma-in-situ treated with apparent success with curative therapy (remission for ≥ 1 year prior to screening);
  • History of primary immunodeficiency;
  • History of pancreatitis;
  • History of use of tobacco products of more than one cigarette per month or equivalent within 1 year prior to randomization or history of smoking of ≥ 10 pack-years;
  • Elective surgery planned during the study period through Study Day 150;
  • Clinically significant abnormalities on physical examination (other than asthma) prior to the first dose of study drug (including but not limited to splenomegaly); Clinically significant abnormality, as determined by the investigator, on 12-lead ECG, MRI, or chest radiograph at the time of screening;
  • At the time of screening, any abnormality of the following measurements: hemoglobin, total white blood cell count (WBC), platelet count, aspartate transaminase (AST), alanine transaminase (ALT), amylase, or serum creatinine above the upper limits of normal (ULN); or other abnormal laboratory values in the screening panel that, in the opinion of the principal investigator, are judged to be clinically significant;
  • Evidence of any systemic disease or respiratory disease (other than asthma), any finding upon physical examination or history of any disease that, in the opinion of the investigator or medical monitor, may compromise the safety of the patient in the study or confound the analysis of the study; or
  • Employees of the clinical study site or any other individuals involved with the conduct of the study, or family members of such individuals.

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

United States6 sites
  • Colorado Allergy & Asthma Centers, PC

    Denver, Colorado, 80230

  • Clinical Research Institute, Inc.

    Minneapolis, Minnesota, 55402

  • Northeast Medical Research Associates, Inc.

    North Dartmouth, Massachusetts, 02747

  • North Carolina Clinical Research

    Raleigh, North Carolina, 27607

  • Spartanburg Medical Research

    Spartanburg, South Carolina, 29303

  • Toledo Center for Clinical Research

    Sylvania, Ohio, 43560

Other trials in United States

Canada3 sites
  • McMaster University

    Hamilton, Ontario, L8N 3Z5

  • Hôpital du Sacré-Coeur de Montréal

    Montreal, Quebec, H4J 1C5

  • Hopital Laval

    Québec, Quebec, G1V 4G5

Other trials in Canada

About this study

Official title: A Phase 2A, Randomized, Double-Blind, Placebo-Controlled,Dose-Escalation Study to Evaluate the Safety and Tolerability of Multiple-Dose Subcutaneous Administration of MEDI-528, A Humanized Anti-Interleukin-9 Monoclonal Antibody,When Administered to Adults With Mild Persistent Asthma

The primary objective of this study is to evaluate the safety and tolerability of escalating multiple SC doses of MEDI-528 in adult patients with mild persistent asthma.

Read the detailed description

The secondary objectives of this study are to:

  1. Assess the PK of MEDI-528; and
  2. Assess the IM of MEDI-528 in this patient population.
Conditions
Asthma
Being tested
MEDI528 0.3 mg/kg, MEDI528 1 mg/kg, MEDI528 3 mg/kg, PLACEBO
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI528 0.3 mg/kgBiological

    MEDI-528 at a dose of 0.3 mg/kg administered twice weekly as a subcutaneous (SC) dose for 4 weeks

  • MEDI528 1 mg/kgBiological

    MEDI-528 at a dose of 1 mg/kg administered twice weekly as a subcutaneous (SC) dose for 4 weeks

  • MEDI528 3 mg/kgBiological

    MEDI-528 at a dose of 3 mg/kg administered twice weekly as a subcutaneous (SC) dose for 4 weeks

  • PLACEBOOther

    Placebo administered twice weekly as a subcutaneous (SC) dose for 4 weeks

Study groups in NCT00507130
Study groupRoleWhat they receive
MEDI528 0.3 mg/kgExperimentalMEDI-528 at a dose of 0.3 mg/kg administered twice weekly as a subcutaneous (SC) dose for 4 weeks
Receives: Biological: MEDI528 0.3 mg/kg
MEDI528 1 mg/kgExperimentalMEDI-528 at a dose of 1 mg/kg administered twice weekly as a subcutaneous (SC) dose for 4 weeks
Receives: Biological: MEDI528 1 mg/kg
MEDI528 3 mg/kgExperimentalMEDI-528 at a dose of 3 mg/kg administered twice weekly as a subcutaneous (SC) dose for 4 weeks
Receives: Biological: MEDI528 3 mg/kg
PLACEBOPlacebo comparatorPlacebo administered twice weekly as a subcutaneous (SC) dose for 4 weeks
Receives: Other: PLACEBO

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Adverse Events

    Number of participants experiencing adverse events (includes both adverse events and serious adverse events)

    Measured: Days 0 - 150

  2. Incidence of Abnormal Troponin Levels

    Number of participants with troponin levels greater than upper limit of normal

    Measured: Days 0, 14, 28, 56, 84, and 150

  3. Incidence of Abnormal Clinically Significant Electrocardiogram (ECG) Results

    Number of participants with abnormal clinically significant ECG results

    Measured: Days -14 to -1, 14, 28, 56, 84, and 150

  4. Incidence of Abnormal Clinically Significant Magnetic Resonance Imaging (MRI) Results

    Number of participants experiencing abnormal clinically significant MRI results

    Measured: Days -14 to -1 and 28

  5. Incidence of Serious Adverse Events

    Number of participants experiencing serious adverse events

    Measured: Days 0 - 150

Secondary outcomes (4)
  1. Incidence of Anti-drug Antibodies (ADA) to MEDI-528

    Number of participants with ADA to MEDI-528

    Measured: Days 0, 28, 56, 84, 119, and 150

  2. Time to Observed Maximum Serum Concentration (Tmax)

    Tmax of MEDI-528

    Measured: Days 0, 3, 7, 10, 14, 17, 21, 24, 26, 28, 31, 35, 42, 49, 56, 70, 84, 119, and 150

  3. Observed Maximum Serum Concentration (Cmax)

    Cmax of MEDI-528

    Measured: Days 0, 3, 7, 10, 14, 17, 21, 24, 26, 28, 31, 35, 42, 49, 56, 70, 84, 119, and 150

  4. Terminal Phase Half-life (T1/2)

    T1/2 of MEDI-528

    Measured: Days 0, 3, 7, 10, 14, 17, 21, 24, 26, 28, 31, 35, 42, 49, 56, 70, 84, 119, and 150

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jul 2007 (estimated)
  2. Study startJul 2007
  3. Primary completionJul 2008
  4. Study completionSep 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00507130
Sponsor's protocol ID
MI-CP131
Other IDs
NCT00507130
Status last verified
Oct 2013
First submitted
23 Jul 2007
Last updated
11 Dec 2013
Data monitoring committee
No

Publications

  • Parker JM, Oh CK, LaForce C, Miller SD, Pearlman DS, Le C, Robbie GJ, White WI, White B, Molfino NA; MEDI-528 Clinical Trials Group. Safety profile and clinical activity of multiple subcutaneous doses of MEDI-528, a humanized anti-interleukin-9 monoclonal antibody, in two randomized phase 2a studies in subjects with asthma. BMC Pulm Med. 2011 Feb 28;11:14. doi: 10.1186/1471-2466-11-14.

    PubMed 21356110

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI528 0.3 mg/kg, MEDI528 1 mg/kg and MEDI528 3 mg/kg in people with Asthma, run by MedImmune LLC at 9 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Dec 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Adverse Events (time frame: Days 0 - 150). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00507130, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Dec 2013.

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