Atherosclerosis
Conditions
Keywords
SB-480848, methacholine challenge, asthma, inhaled steroid
Brief summary
The purpose of this study is to compare the effects of SB-480848 with placebo in subjects with asthma.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female subjects who have documented persistent asthma for at least 3 months * Subjects must have been on a stable, low-dose ICS for a minimum of 4 weeks prior to the screening visit. * Aged 18-65 years, at screening * FEV1 greater than or equal to 70% predicted (ECCS, 1993) * Subjects must show an increase in FEV1 greater than or equal to 12% (and an absolute change \>200mL) within 30 minutes following inhalation of 4 puffs of albuterol/salbutamol or 1 nebulized treatment of 2.5mg or have historical, documented evidence of reversibility, within 12 months prior to screening * Subjects must be willing to replace their inhaled, short-acting β2-agonist with study provided albuterol/salbutamol * Patient must be capable of giving informed consent and comply with the study requirements and timetable. Inclusion Criteria following run in period (Prior to randomisation) Subjects will be screened based on the inclusion and
Exclusion criteria
noted above. During the run-in period \[Day -14 to Day 1\], subjects will be asked to maintain a diary card and document the number of puffs of rescue inhaled, short-acting β2-agonists taken, asthma-related symptoms and night time awakenings as well as morning and evening PEF measurements. On the morning of Day 0, subjects will be eligible for randomisation into the study if all of the following criteria are met: * Subjects required, on average less than or 2 puffs per day of study provided albuterol/ salbutamol during the last 7-day period prior to Day 0 \[from Day -7 to Day 1\] * Subjects had asthma symptoms on less than or 5 out of the last 7 consecutive days of the run-in period * FEV1 greater than or equal to 70% predicted (ECCS, 1993). * FEV1 must be within ± 15% of the FEV1 value at beginning of screening. * Compliance with completion of the diary card.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FEV1 | 6 hours post-dose, Days 7, 14 and 21 |
Secondary
| Measure | Time frame |
|---|---|
| Blood levels of LpPLA2 and CD62 concentrations over 21-day dosing period with SB-480848 and placebo | over 21-day dosing period |
| Measurements of FEF25-75 and peak expiratory flow following single and repeat oral doses of SB-480848. | — |
| Methacholine challenge Amounts of certain chemicals/proteins in blood Amount of drug in the blood | before dosing and after 21 days of dosing |
| Urinary leukotriene concentrations after 21 days of dosing with SB-480848 and Placebo. | after 21 days |
| Measurements of PC20 on Day 21 +24hrs after dosing with SB-480848 and placebo. | Day 21 +24hrs after dosing |
| Blood drug levels of SB-553253 [metabolite of SB-480848] may be assessed, as appropriate. | — |
| Assessment of vitals, ECGs, safety labs and number of puffs of rescue inhaled, short-acting β2-agonists taken, asthma-related symptoms and night time awakenings, number of subjects withdrawn due to worsening of asthma on SB- 480848 and placebo. | — |
| Measurements of FEV1 following single doses of SB-480848 and placebo. | — |
Countries
Germany, United States