Exploratory Study of Xolair in Chronic Obstructive Pulmonary Disease in Patients With Elevated IgE Levels

This study has been withdrawn prior to enrollment.
(Unable to find eligible subjects- study closed)
Sponsor:
Collaborator:
Novartis
Information provided by:
National Jewish Health
ClinicalTrials.gov Identifier:
NCT00851370
First received: February 4, 2009
Last updated: July 19, 2011
Last verified: April 2011
  Purpose

The objective is to conduct an exploratory study on the effect of Omalizumab on COPD patients with elevated IgE. Exploratory outcomes include to determine whether Omalizumab use: reduces exacerbations in COPD patients; or improves rescue medication use, decreases ICS use, modified Medical Research Council (MMRC) dyspnea score, St. George's Respiratory Questionnaire (SGRQ), 6-minute walk distance (6MWD), forced expiratory volume at one second (FEV1)(the latter 3 with BMI make up the BODE score), residual volume (RV), total lung capacity (TLC), exhaled nitric oxide (ENO), and determination C-reactive protein (CRP).


Condition Intervention Phase
Pulmonary Disease, Chronic Obstructive
Drug: Omalizumab (Xolair)
Drug: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Prevention
Official Title: Exploratory Study of Xolair (Omalizumab)to Improve Outcomes in Patients With COPD and Elevated IgE Levels, and Positive RAST or Skin Prick Tests

Resource links provided by NLM:


Further study details as provided by National Jewish Health:

Primary Outcome Measures:
  • COPD Exacerbations [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: January 2009
Estimated Study Completion Date: February 2011
Estimated Primary Completion Date: February 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Omalizumab Drug: Omalizumab (Xolair)
Bi-weekly
Other Name: Xolair
Placebo Comparator: Placebo Drug: Placebo
Bi-Weekly

  Eligibility

Ages Eligible for Study:   40 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Smoking-related COPD and aged between 40 and 70 yrs.
  • Total IgE of 30-700 IU and a positive RAST or skin prick test result to one or more perennial environmental allergens (e.g. dust mite (Dermatophagoides farinae, Dermatophagoides pteronyssinus), cockroach, dog, or cat.)
  • Any race or sex; women with childbearing potential are required to use an acceptable method for birth control and have a negative pregnancy test
  • History of ≥2 exacerbations during 2 yrs previous to the enrollment date
  • An exacerbation will be defined as an increase or new onset of more than one of the following: cough, sputum, wheezing, dyspnea, or chest tightness with a duration of at least 3 days requiring antibiotic or systemic steroid treatment. The severity of an exacerbation will be determined by the following:
  • Mild: Home management, with or without contacting a health care provider, or unscheduled office visit
  • Moderate: Requiring a visit to an emergency department
  • Severe: Requiring hospitalization
  • Very Severe: Requiring intubation and medical ventilation
  • Post-bronchodilator FEV1 30-64% of predicted; the first 5 subjects enrolled will be required to have post-bronchodilator FEV1 50-64%
  • Post-bronchodilator FEV1/FVC < 0.7
  • Smokers or ex-smokers with at least a 20 pack-year smoking history
  • Able to communicate meaningfully with the study personnel and to understand and read fluently in English
  • Written informed consent;
  • BODE score 3-10.

Exclusion Criteria:

  • History of Omalizumab use
  • Evidence of illicit drug use or abuse of alcohol.
  • Women of childbearing potential not using the contraception method(s) specified in this study (specify), as well as women who are breastfeeding
  • Known sensitivity to study drug(s) or class of study drug(s)
  • Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study (specify as required)
  • Use of any other investigational agent in the last 30 days
  • Continuous treatment with oral corticosteroids
  • Participating in another trial within 3 months prior to the beginning of the study
  • Non-compliance in taking medications
  • Planned for lung transplantation at the time of admission to the study or expected to be transplanted within 3 yrs
  • Alpha-1-antitrypsin deficiency
  • Cystic fibrosis
  • Bronchiectasis
  • History of infection or active infection due to Mycobacterium tuberculosis
  • Pneumoconiosis
  • Pulmonary restriction due to any other pulmonary disease, apart from the one concerned with the study population
  • Congestive heart failure class 2 or more of the New York Heart Association (NYHA)
  • Reduced life expectancy due to other disease (defined as having an expected mortality of ≥25% five years from enrollment)
  • Current use of ß-blockers
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00851370

Locations
United States, Colorado
National Jewish Health
Denver, Colorado, United States, 80206
Sponsors and Collaborators
National Jewish Health
Novartis
Investigators
Principal Investigator: Russell P Bowler, MD, PhD National Jewish Health
  More Information

Publications:
Responsible Party: Russell Bowler MD, PhD, National Jewish Health
ClinicalTrials.gov Identifier: NCT00851370     History of Changes
Other Study ID Numbers: NJ-241
Study First Received: February 4, 2009
Last Updated: July 19, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by National Jewish Health:
COPD
Exacerbation

Additional relevant MeSH terms:
Chronic Disease
Lung Diseases
Respiration Disorders
Pulmonary Disease, Chronic Obstructive
Lung Diseases, Obstructive
Disease Attributes
Pathologic Processes
Respiratory Tract Diseases
Omalizumab
Anti-Allergic Agents
Therapeutic Uses
Pharmacologic Actions
Anti-Asthmatic Agents
Respiratory System Agents

ClinicalTrials.gov processed this record on April 23, 2014