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Proof of concept trial of the role of clopidogrel in preventing allergen induced inflammation in asthma

Proof of concept clinical trial examining the effect of clopidogrel on allergen challenge in asthma - Proof of concept clinical trial of clopidogrel in asthma

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2012-003698-25-GB
Enrollment
Unknown
Registered
2012-11-30
Start date
2013-02-26
Completion date
Unknown
Last updated
2014-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

asthma MedDRA version: 16.1 Level: LLT Classification code 10001705 Term: Allergic asthma System Organ Class: 100000004855

Interventions

Trade Name: Clopidogrel Product Name: clopidogrel Pharmaceutical Form: Tablet INN or Proposed INN: clopidogrel CAS Number: 94188-84-8 Other descriptive name: methyl 2-(2-chlorophenyl)-2-(6,7-dihydro-

Sponsors

University Hospital Southampton NHS Foundation Trust
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Confirmed diagnosis of asthma Only taking as required short acting beta agonists as treatment Baseline forced expiratory volume in one second (FEV1)>80% predicted Age 18-50 years For female patients: menopausal >2yr or with childbearing potential but taking efficient contraception and having a negative pregnancy test. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 24 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range 0

Exclusion criteria

Exclusion criteria: Current smoker, ex-smoker who quit 10 pack years Current use of aspirin, selective serotonin reuptake inhibitors, any other anticoagulant medication, or medication which interacts adversely with clopidogrel Diagnosis or documented history of bronchopulmonary aspergillosis or uncontrolled infections Any clinically significant cardiopulmonary abnormalities not related to pre-existing asthma Past or present tuberculosis, systemic lupus erythematosis or multiple sclerosis Any clinically significant neurological, renal, endocrine, gastrointestinal, hepatic or haematological abnormalities uncontrolled with standard treatment History of psychiatric, medical or surgical disorders that may interfere with study Clinical history suggestive of respiratory infection in month preceding study Alcohol or recreational drug abuse Diagnosis of immunodeficiency requiring treatment Treatment with immunomodulators (inhaled corticosteroids in two months or oral corticosteroids in six months prior to study) Ongoing allergen desensitisation therapy Regular use of sedatives, hypnotics, tranquillisers Positive hepatitis viral antigens or antibodies Blood donation within 3 months of the study Live immunisation <4 wks prior to study Inability to understand directions for study assessment Inability to be contacted in case of emergency Participation in another study at the same time or within a prior 3-month period

Design outcomes

Primary

MeasureTime frame
Main Objective: To study the influence of clopidogrel on the inflammation following inhaled allergen challenge in asthma to enable a better understanding of the underlying pathology of asthma, and to assess whether clopidogrel might become a useful treatment.;Secondary Objective: To identify potential markers reflective of the disease process in asthma that might be potentially usable as a biomarker that could aid in the diagnosis and management of disease. To measure speech and breathing patterns in asthma to see if these can aid diagnosis or monitoring of asthma.;Primary end point(s): Change in sputum eosinophil count after allergen challenge;Timepoint(s) of evaluation of this end point: 8 days after commencing 7 day course of clopidogrel

Secondary

MeasureTime frame
Secondary end point(s): Provoking concentration of methacholine inducing 20% fall in forced expiratory volume in 1 second. Sputum concentrations of tissue factor, tissue factor inhibitor, thrombin activatable finbrinolysis inhibitor and P-selectin. Change in peripheral blood eosinophil and platelet counts. Change in urine fibrin degradation products and leukotriene E4.;Timepoint(s) of evaluation of this end point: 8 days after commencing 7 day course of clopidogrel

Countries

United Kingdom

Contacts

Public ContactDr Christopher Grainge

University Hospital Southampton NHS Foundation Trust

c.l.grainge@southampton.ac.uk02380798410

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026