A Placebo and Active Controlled Study of ONO-6950 in Asthmatic Patients
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Purpose
The primary objectives of this study are:
i. to determine the effect of single oral doses (20 and 200 mg) of ONO-6950 versus placebo on exercise induced bronchoconstriction (EIB) as percent attenuation in the decrease of forced expiratory volume in 1 second (FEV1) after exercise challenge
ii. to determine the safety and tolerability of single dose administrations of 20 and 200 mg of ONO-6950 in asthmatic patients.
The secondary objectives of this study are:
i. to compare the effect of different (20 and 200 mg) single oral doses of ONO-6950 versus montelukast (10 mg) on EIB as percent attenuation in the decrease of FEV1 after exercise challenge
ii. to determine the ratio of responders/non-responders in FEV1 for different (20 and 200 mg) single oral doses of ONO-6950 in comparison to montelukast (10 mg) and placebo.
| Condition | Intervention | Phase |
|---|---|---|
|
Asthma |
Drug: ONO-6950 Drug: Montelukast Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Double-blind, Placebo-controlled, Four-way Crossover Study to Compare the Safety and Efficacy of ONO-6950 20 mg and 200 mg QD Versus Placebo and Montelukast (Singulair) in Asthmatic Patients Who Experience Exercise-induced Bronchoconstriction |
- Inhibition of maximum fall in Forced Expiratory Volume in One Second (FEV1) after exercise [ Time Frame: 60 minutes following the exercise challenge ] [ Designated as safety issue: No ]
- AUC (0-30 min) [ Time Frame: 30 minutes following the exercise challenge ] [ Designated as safety issue: No ]area under the concentration time curve integrating fall in FEV1 following exercise over the 30 minute interval immediately following exercise
- AUC (0-60 min) [ Time Frame: 60 minutes following the exercise challenge ] [ Designated as safety issue: No ]area under the concentration time curve integrating fall in FEV1 following exercise over the 60 minute interval immediately following exercise
- Time to recovery of FEV1 to within 5% of the pre-exercise baseline [ Time Frame: 90 minutes following the exercise challenge ] [ Designated as safety issue: No ]
- Proportion of patients using a short acting beta agonist (rescue medication) [ Time Frame: 90 minutes following the exercise challenge ] [ Designated as safety issue: No ]
- Ratio of responder/non-responder in FEV1 [ Time Frame: 60 minutes following the exercise challenge ] [ Designated as safety issue: No ]
| Enrollment: | 59 |
| Study Start Date: | March 2012 |
| Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Experimental 200 mg dose |
Drug: ONO-6950
200 mg QD, single dose
|
| Experimental: Experimental 20 mg dose |
Drug: ONO-6950
20 mg QD, single dose
|
| Active Comparator: Active Comparator Montelukast |
Drug: Montelukast
10 mg Montelukast, QD single dose
|
| Placebo Comparator: Placebo Comparator |
Drug: Placebo
Placebo to match ONO-6950 tablets or leukotriene receptor antagonist (LTRA) tablets dosed in a similar manner
|
Detailed Description:
The study will examine if ONO-6950 could alleviate EIB in asthmatic patients. Eligible patients will complete a randomized, double-blind, four-way crossover study. During each of four evaluation periods, patients will be administered a single dose of either 20 or 200 mg ONO-6950, 10 mg Montelukast, or placebo. Each evaluation period include various assessments following exercise challenge in an ambulatory setting.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients of both genders, between 18 to 60 years of age, with bronchial asthma for at least 6 months and history of exercise induced bronchospasm
- Patients with FEV1 ≥ 70% of predicted after withholding short-acting β agonists for at least 8 hours prior to testing
- Screening exercise challenge demonstrates that the patient experiences a fall in FEV1 of ≥ 20%
- Non-smokers with free from the usage of nicotine-containing products at least for a year prior to screening
Exclusion Criteria:
- Previous history of life-threatening asthma, respiratory tract infection and/or exacerbation of asthma within 6 weeks prior to the first screening visit
- History of being unable to tolerate or complete an exercise challenge and clinically significant multiple drug or food allergies
- Past or present disorders and diseases including, but are not limited to cardiovascular, malignancy, hepatic, renal, hematological, neurological, psychiatric, endocrine, or pulmonary other than asthma
- Patients with Seasonal Allergic Rhinitis (SAR) or seasonal allergic asthma,with significant symptoms that may confound study assessment
- Significant safety laboratory, ECG, or vital sign abnormalities that would place the patient at undue risk during the study procedures
Contacts and Locations| United States, California | |
| Los Angeles Clinical Site 110 | |
| Los Angeles, California, United States, 90025 | |
| San Diego Clinical Site 140 | |
| San Diego, California, United States, 92123 | |
| United States, Colorado | |
| Denver Clinical Site 160 | |
| Denver, Colorado, United States, 80230 | |
| United States, Massachusetts | |
| North Dartmouth Clincial Site 150 | |
| North Dartmouth, Massachusetts, United States, 02747 | |
| United States, Minnesota | |
| Minneapolis Clinical Site 190 | |
| Minneapolis, Minnesota, United States, 55402 | |
| United States, New Jersey | |
| Princeton Clinical Site 170 | |
| Princeton, New Jersey, United States, 08558 | |
| United States, North Carolina | |
| Raleigh Clinical Site 130 | |
| Raleigh, North Carolina, United States, 27607 | |
| United States, Texas | |
| New Braunfeis Clinical Site 120 | |
| New Braunfels, Texas, United States, 78130 | |
| San Antonio Clinical Site 180 | |
| San Antonio, Texas, United States, 78229 | |
| Study Director: | Ono Pharma USA, Inc. | Ono Pharmaceutical Co. Ltd |
More Information
No publications provided
| Responsible Party: | Ono Pharmaceutical Co. Ltd ( Ono Pharma USA Inc ) |
| ClinicalTrials.gov Identifier: | NCT01536041 History of Changes |
| Other Study ID Numbers: | ONO-6950POU006 |
| Study First Received: | February 15, 2012 |
| Last Updated: | January 28, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Ono Pharmaceutical Co. Ltd:
|
asthma Adult |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
Montelukast Leukotriene Antagonists Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013