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Chronic Obstructive Pulmonary DiseasePhase 2NCT01153321

Investigation of the Effect of Oral Treatment With 100 mg AZD2423 in Subjects With Mild Chronic Obstructive Pulmonary Disease (COPD)

A Phase 2 study testing AZD2423 in people with Chronic Obstructive Pulmonary Disease and Lung Disease, run by AstraZeneca at 1 site in Germany.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the study is to find out if AZD2423 can reduce inflammation in the lungs of patients with mild COPD. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
AZD2423
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
71 participants
Where
1 siteGermany
Study dates
Oct 2010to Jul 2011
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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Only women of non-child bearing potential are included in the study i.e. women who are permanently or surgically sterilised or post menopausal.
  • ≥ 40 years of age at Visit 1
  • Clinical diagnosis of COPD (GOLD stage 1)
  • FEV1 ≥ 80% of the predicted normal post-bronchodilator at Visit 1 (GOLD stage 1)
  • FEV1/FVC <70% post-bronchodilator at Visit 1 (GOLD stage 1)

Who cannot join

  • Any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the subject at risk or influence the way the drug works
  • Any clinically relevant abnormal findings in physical examination, blood or urine test results, vital signs or ECG at Visit 1 that may put the subject at risk during the study, affect their ability or take part or influence the results of the study
  • A past history or current indication of renal (kidney) failure
  • Subjects at risk of active tuberculosis or of disease reactivation
  • Subjects who have had any clinically significant illness within 4 weeks before Visit 2 (start of treatment)

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Research Site

    Hanover, Hannover

Other trials in Germany

About this study

Official title: A Single-Centre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group, Phase IIa Study to Investigate the Effects of 100mg AZD2423 as an Oral Tablet in Subjects With Mild COPD Following Segmental Endobronchial LPS Instillation

The purpose of the study is to find out if AZD2423 can reduce inflammation in the lungs of patients with mild COPD.

Being tested
AZD2423, AZD2423 Placebo
Keywords
Respiratory disease, chronic obstructive pulmonary disease
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Lung Diseases, Respiration Disorders

What participants receive

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

  • AZD2423Drug

    100mg Oral dose od

  • AZD2423 PlaceboDrug

    Oral dose od

Study groups in NCT01153321
Study groupRoleWhat they receive
1ExperimentalOral treatment
Receives: Drug: AZD2423
2Placebo comparatorOral treatment
Receives: Drug: AZD2423 Placebo

What is being measured

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

  1. Absolute Monocyte Count in BAL Post-LPS Challenge

    Monocyte count in BAL post-LPS challenge (Day 11)

    Measured: Day 11

Secondary outcomes (53)
  1. Total Neutrophils in Biopsy Sample (Post-LPS Challenge)

    Pre-challenge = Day 11. Biopsies taken from left lingula. Cells counted in subepithelium.

    Measured: Day 11

  2. Total Macrophages in Biopsy Sample (Post-LPS Challenge)

    Post-LPS challenge data (Day 11). Post-LPS challenge biopsies taken from right middle lobe. Cells counted in subepithelium.

    Measured: Day 11

  3. CD45+ in Biopsy Sample (Post-LPS Challenge)

    Post-LPS challenge data (Day 11). Post-LPS challenge biopsies taken from right middle lobe. Cells counted in subepithelium.

    Measured: Day 11

  4. CD3+ in Biopsy Sample (Post-LPS Challenge)

    Post-LPS challenge data (Day 11). Post-LPS challenge biopsies taken from right middle lobe. Cells counted in subepithelium.

    Measured: Day 11

  5. Biopsy PAS Reaction Grade (Post-LPS Challenge)

    Biopsies stained using PAS method. Graded on subjective scale (1=normal; 2=PAS positive cell hypertrophy; 3=PAS positive cell hyperplasia; 4=Metaplasia with PAS positive cells throughout mucosa; 5=Metaplasia and/or squamous plates with loss of PAS positive cells).

    Measured: Day 11

  6. Biopsy Epithelium Grade (Post-LPS Challenge)

    Biopsies (from right middle lobe) were assessed for routine histopathology. Epithelial morphology was graded on subjective scale from 1 to 5. 1=normal; 2=PAS positive cell hypertrophy; 3=PAS positive cell hyperplasia; 4=Metaplasia with PAS positive cells throughout mucosa; 5=Metaplasia and/or squamous plates with loss of PAS positive cells

    Measured: Day 11

  7. Eosinophils in BAL (Post-LPS Challenge)

    Post-LPS challenge eosinophil differential in BAL. LPS challenge and post-challenge BAL conducted at right middle lobe.

    Measured: Day 11

  8. Lymphocytes in BAL (Post-LPS Challenge)

    Post-LPS challenge lymphocyte differential in BAL. LPS challenge and post-challenge BAL conducted at right middle lobe.

    Measured: Day 11

  9. Neutrophils in BAL (Post-LPS Challenge)

    Post-LPS challenge neutrophil differential in BAL. LPS challenge and post-challenge BAL conducted at right middle lobe.

    Measured: Day 11

  10. Macrophages in BAL (Post-LPS Challenge)

    Post-LPS challenge macrophage differential in BAL. LPS challenge and post-challenge BAL conducted at right middle lobe.

    Measured: Day 11

  11. TNF α Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge TNF α concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  12. CCL2 Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge CCL2 concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  13. IL-1β Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge IL-1β concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  14. IL-6 Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge IL-6 concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  15. IL-8 Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge IL 8 concentration in BAL. LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  16. RANTES Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge RANTES concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  17. SP-D Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge SP-D concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

  18. SAA Concentration in Blood (Pre-LPS Challenge)

    SAA concentration in blood pre-LPS challenge (Day 10).

    Measured: Day 10

  19. SAA Concentration in Blood (Post-LPS Challenge)

    SAA concentration in blood post-LPS challenge (Day 11)

    Measured: Day 11

  20. CCL2 Concentration in Blood (Pre-LPS Challenge)

    CCL2 concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  21. CCL2 Concentration in Blood (Post-LPS Challenge)

    CCL2 concentration in blood post-LPS challenge (Day 11).

    Measured: Day 11

  22. IL-1β Concentration in Blood (Pre-LPS Challenge)

    IL-1β concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  23. IL-1β Concentration in Blood (Post-LPS Challenge)

    IL-1β concentration in blood post-LPS challenge (Day 11)

    Measured: Day 11

  24. IL-6 Concentration in Blood (Pre-LPS Challenge)

    IL-6 concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  25. IL-6 Concentration in Blood (Post-LPS Challenge)

    IL-6 concentration in blood post-LPS challenge (Day 11)

    Measured: Day 11

  26. IL-8 Concentration in Blood (Pre-LPS Challenge)

    IL-8 concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  27. IL-8 Concentration in Blood (Post-LPS Challenge)

    IL-8 concentration in blood post-LPS challenge (Day 11)

    Measured: day 11

  28. TNF-α Concentration in Blood (Pre-LPS Challenge)

    TNF-α concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  29. TNF-α Concentration in Blood (Post-LPS Challenge)

    TNF-α concentration in blood post-LPS challenge (Day 11)

    Measured: Day 11

  30. SP-D Concentration in Blood (Pre-LPS Challenge)

    SP-D concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  31. SP-D Concentration in Blood (Post-LPS Challenge)

    SP-D concentration in blood post-LPS challenge (Day 11)

    Measured: Day 11

  32. CC16 Concentration in Blood (Pre-LPS Challenge)

    CC16 concentration in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  33. CC16 Concentration in Blood (Post-LPS Challenge)

    CC16 concentration in blood post-LPS challenge (Day 11)

    Measured: Day 11

  34. Basophils in Blood (Pre-LPS Challenge)

    Basophils in blood pre-LPS challenge (Day 10)

    Measured: day 10

  35. Basophils in Blood (Post-LPS Challenge)

    Basophils in blood post-LPS challenge (Day 11)

    Measured: Day 11

  36. Eosinophils in Blood (Pre-LPS Challenge)

    Eosinophils in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  37. Eosinophils in Blood (Post-LPS Challenge)

    Eosinophils in blood post-LPS challenge (Day 11)

    Measured: Day 11

  38. Lymphocytes in Blood (Pre-LPS Challenge)

    Lymphocytes in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  39. Lymphocytes in Blood (Post-LPS Challenge)

    Lymphocytes in blood post-LPS challenge (Day 11)

    Measured: Day 11

  40. Monocytes in Blood (Pre-LPS Challenge)

    Monocytes in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  41. Monocytes in Blood (Post-LPS Challenge)

    Monocytes in blood post-LPS challenge (Day 11)

    Measured: Day 11

  42. Neutrophils in Blood (Pre-LPS Challenge)

    Neutrophils in blood pre-LPS challenge (Day 10)

    Measured: Day 10

  43. Neutrophils in Blood (Post-LPS Challenge)

    Neutrophils in blood post-LPS challenge (Day 11)

    Measured: Day 11

  44. Maximum Plasma Concentration (Cmax) of AZD2423 at Steady State

    Steady state pharmacokinetic (PK) profile measured on Day 10

    Measured: Day 10 pre-dose, 20 and 40 minutes post-dose, 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose

  45. Time to Cmax (Tmax) of AZD2423 at Steady State

    Steady state PK profile measured on Day 10

    Measured: Day 10 pre-dose, 20 and 40 minutes post-dose, 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose

  46. Area Under the Plasma Concentration-time Curve From Zero to 24 Hours (AUC(0-24)) of AZD2423 at Steady State

    Steady state PK profile measured on Day 10

    Measured: Day 10 pre-dose, 20 and 40 minutes post-dose, 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose

  47. Area Under the Plasma Concentration-time Curve From Zero to 8 Hours (AUC(0-8)) of AZD2423 at Steady State

    Steady state PK profile measured on Day 10

    Measured: Day 10 pre-dose, 20 and 40 minutes post-dose, 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose

  48. Number of Participants With Clinically Relevant Treatment-related Changes in Laboratory Variables Other Than Monocytes

    Measured: up to 47 days (visit 1 to visit 6)

  49. Number of Participants With Clinically Relevant Changes in Vital Signs

    Measured: up to 47 days (visit 1 to visit 6)

  50. Number of Participants With Clinically Relevant Changes in Electrocardiogram (ECG) Variables

    Measured: up to 47 days (visit 1 to visit 6)

  51. Number of Participants With Clinically Relevant Changes in Physical Examination

    Measured: up to 47 days (visit 1 to visit 6)

  52. Number of Participants With Treatment-related or Clinically Relevant Changes in Spirometry (Forced Expiratory Volume in 1 Second [FEV1], Forced Vital Capacity [FVC] Pre-bronchodilator)

    Measured: up to 47 days (visit 1 to visit 6)

  53. CC16 Concentration in BAL (Post-LPS Challenge)

    Post-LPS challenge CC16 concentration in BAL (Day 11). LPS challenge and post-LPS challenge BAL conducted at right middle lobe.

    Measured: Day 11

Timeline

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

  1. First posted30 Jun 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionJul 2011
  4. Study completionJul 2011

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
71 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01153321
Sponsor's protocol ID
D3320C00001
Other IDs
2010-020141-26
Status last verified
Mar 2015
First submitted
28 Jun 2010
Last updated
10 Apr 2015
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AZD2423 in people with Chronic Obstructive Pulmonary Disease and Lung Disease, run by AstraZeneca at 1 site in Germany.

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 5 inclusion and 5 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 10 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 23 Oct 2014). 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?

Absolute Monocyte Count in BAL Post-LPS Challenge (time frame: Day 11). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Apr 2015.

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