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Evaluation of the Effect of AZD5069 in Patients With Bronchiectasis

A Phase II Randomised, Double-Blind, Placebo-Controlled, Parallel Group Study to Assess the Efficacy of 28-Day Oral Administration of AZD5069 Twice Daily in Patients With Bronchiectasis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01255592
Acronym
STRATUS
Enrollment
83
Registered
2010-12-07
Start date
2011-02-28
Completion date
2012-02-29
Last updated
2015-10-08

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

Conditions

Bronchiectasis, Lung Disease, Respiratory Diseases

Keywords

Bronchiectasis, Neutrophil, Respiratory disease, Sputum

Brief summary

The purpose of this study is to investigate the effect of AZD5069 in patients with bronchiectasis.

Interventions

Oral dose bid

DRUGPlacebo

Oral dose bid

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Male, or female of non-child bearing potential; ie, women who are permanently or surgically sterilised or post-menopausal. * Aged 18 to 80 years inclusive at screening (Visit 1) * Have a clinical diagnosis of idiopathic or post infective bronchiectasis as diagnosed with a historical high resolution computerised tomography (HRCT) or bronchogram * Be sputum producers with a history of chronic expectoration on most days of most weeks of the year. Patients should have a history of spontaneously producing sputum on a daily basis and should be able to provide at least 2 of the 3 required baseline sputum samples with an average of 3 mL or more. * Be on a stable treatment regimen, as judged by the investigator.

Exclusion criteria

* Any clinically significant disease or disorder * Patients with other latent or chronic infections or at risk of infection within 90 days before Visit 2 * An acute exacerbation or acute respiratory infection (upper or lower) requiring oral steroids or antibiotics within 30 days prior to Visit 2 * An FEV1 of \<30% of predicted normal at Visit 1 * Patients who have received live or live-attenuated vaccine in the 2 weeks prior to dosing (Visit 2) * Concomitant diagnosis of significant pulmonary disease other than bronchiectasis or COPD, including symptomatic asthma and allergic bronchopulmonary aspergillosis * Bronchiectasis associated with a generalised immunodeficiency disorder, where manifestations other than bronchiectasis predominate

Design outcomes

Primary

MeasureTime frameDescription
Ratio of Absolute Neutrophil Cell Count in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Secondary

MeasureTime frameDescription
Change From Baseline in Weight of 24-hour Sputum CollectionBaseline and end of treatment (Day 28)Patients collected all sputum produced during a 24-hour period at baseline and Day 28.
Change From Baseline in Slow Vital Capacity (SVC)Baseline to end of treatment (Day 28)Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. SVC is the measure of the change in volume of gas in the lungs from complete inspiration to complete expiration.
Change From Baseline in Forced Vital Capacity (FVC)Baseline to end of treatment (Day 28)Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. FVC is the maximum volume of air which can be exhaled or inspired during a forced maneuver.
Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)Baseline to end of treatment (Day 28)Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. FEV1 is the volume expired in the first second of maximal expiration after a full inspiration.
Change From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75)Baseline to end of treatment (Day 28)Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. FEF25-75 is flow rate during the middle half of forced vital capacity (25%-75% of the total volume (FVC) exhaled).
Transition Dyspnea Index (TDI) at End of Treatment (Day 28)Baseline to end of treatment (Day 28)TDI measures changes in dyspnea severity from the baseline as established by the Baseline Dyspnea Index (BDI). TDI is an interviewer-administered rating of severity of dyspnea that assesses Change in Functional Impairment, Change in Magnitude of Task, and Change in Magnitude of Effort domains on a 7-point scale ranging from -3 (major deterioration) to +3 (major improvement). Total score ranges from -9 to +9. The lower the score, the more deterioration in severity of dyspnea.
Change From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary CardBaseline and Last 7 days on treatmentThe Bronkotest diary card is a paper based diary card that was filled out by patients daily, recording values from morning and evening peak expiratory flow (PEF) measurements and answering 8 questions on signs and symptoms. Summary statistics for baseline (mean of the last 7 days prior to first dose) and change (mean of the last 7 days on treatment - baseline) only contain patients included in the analysis. For symptom scores a decrease is an improvement, for PEF an increase is an improvement.
Change From Baseline for the Symptom Scores of the Bronkotest Diary CardBaseline and Last 7 days on treatmentThe Bronkotest diary card is a paper based diary card that was filled out by patients daily, recording values from morning and evening peak expiratory flow (PEF) measurements and answering 8 questions on signs and symptoms. Symptom scores were recorded for night-time symptoms, breathing, sputum colour, sputum amount, sputum type, wellbeing, number of puffs of inhalers, and cough, generally scored on a scale from 0 (no symptoms) to 4 (worst symptoms). Summary statistics for baseline (mean of the last 7 days prior to first dose) and change (mean of the last 7 days on treatment - baseline) only contain patients included in the analysis. For symptom scores a decrease is an improvement, for PEF an increase is an improvement.
Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Baseline and end of treatment (Day 28)SGRQ-C total score shows the impact of COPD on patient's health status, and expressed as a percentage of impairment with scale from 0 (best health status) to 100 (worst possible status). The SGRQ-C contains 3 domains: Symptom (distress due to respiratory symptoms), Activity (disturbance of physical activity) and Impact (overall impact on daily life and well being). All three domains with scale from 0 (best health status) to 100 (worst possible status).
Ratio of Interleukin-1 Beta (IL-1β) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Interleukin-6 (IL-6) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Regulated on Activation, Normal T Cell Expressed and Secreted (RANTES) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of the Percentage Neutrophil Cell Count in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Growth-related Oncogene-α (GRO-α) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Interleukin-8 (IL-8) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Neutrophil Elastase Activity in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Serum Amyloid A (SAA) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of C-reactive Protein (CRP) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Growth-related Oncogene-α (GRO-α) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Interleukin-6 (IL-6) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Interleukin-1 Beta (IL-1β) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Interleukin-8 (IL-8) in Serum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.
Ratio of Monocyte Chemoattractant Protein-1 (MCP-1) in Sputum at End of Treatment Compared to BaselineEnd of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Countries

Czechia, Poland, United Kingdom

Participant flow

Recruitment details

This multicenter study was conducted in Europe between 27 December 2010 and 13 February 2012.

Participants by arm

ArmCount
AZD5069
AZD5069 80 mg bd
26
Placebo
Placebo bd
26
Total52

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event50
Overall StudyOther01
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicAZD5069PlaceboTotal
Age, Continuous66 years
STANDARD_DEVIATION 6.6
65 years
STANDARD_DEVIATION 8.8
65 years
STANDARD_DEVIATION 7.7
Race/Ethnicity, Customized
Asian
0 participants0 participants0 participants
Race/Ethnicity, Customized
Black or African American
0 participants0 participants0 participants
Race/Ethnicity, Customized
Other
0 participants0 participants0 participants
Race/Ethnicity, Customized
White
26 participants26 participants52 participants
Sex: Female, Male
Female
16 Participants12 Participants28 Participants
Sex: Female, Male
Male
10 Participants14 Participants24 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
22 / 2616 / 26
serious
Total, serious adverse events
1 / 260 / 26

Outcome results

Primary

Ratio of Absolute Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Ratio of Absolute Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline0.31 ratio90% Confidence Interval 165.925
PlaceboRatio of Absolute Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline1.00 ratio90% Confidence Interval 213.281
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection, and baseline as covariates. The analysis was done on log-transformed data. The results were back-transformed after the analysis on the log scale.p-value: 0.00490% CI: [0.17, 0.59]ANCOVA
Secondary

Change From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary Card

The Bronkotest diary card is a paper based diary card that was filled out by patients daily, recording values from morning and evening peak expiratory flow (PEF) measurements and answering 8 questions on signs and symptoms. Summary statistics for baseline (mean of the last 7 days prior to first dose) and change (mean of the last 7 days on treatment - baseline) only contain patients included in the analysis. For symptom scores a decrease is an improvement, for PEF an increase is an improvement.

Time frame: Baseline and Last 7 days on treatment

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary CardMorning PEF-5.3 L/minStandard Error 5.41
AZD5069Change From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary CardEvening PEF-7.3 L/minStandard Error 4.95
PlaceboChange From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary CardMorning PEF-5.9 L/minStandard Error 5.53
PlaceboChange From Baseline for the Morning PEF and Evening PEF of the Bronkotest Diary CardEvening PEF-10.6 L/minStandard Error 5.06
Comparison: Morning PEF: Analysis of covariance includes treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.93590% CI: [-12.81, 14.13]ANCOVA
Comparison: Evening PEF: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.65490% CI: [-9.02, 15.64]ANCOVA
Secondary

Change From Baseline for the Symptom Scores of the Bronkotest Diary Card

The Bronkotest diary card is a paper based diary card that was filled out by patients daily, recording values from morning and evening peak expiratory flow (PEF) measurements and answering 8 questions on signs and symptoms. Symptom scores were recorded for night-time symptoms, breathing, sputum colour, sputum amount, sputum type, wellbeing, number of puffs of inhalers, and cough, generally scored on a scale from 0 (no symptoms) to 4 (worst symptoms). Summary statistics for baseline (mean of the last 7 days prior to first dose) and change (mean of the last 7 days on treatment - baseline) only contain patients included in the analysis. For symptom scores a decrease is an improvement, for PEF an increase is an improvement.

Time frame: Baseline and Last 7 days on treatment

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardDescribe your breathing0.1 units on a scaleStandard Error 0.1
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardHow often do you cough?0.1 units on a scaleStandard Error 0.09
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardNight time symptom score0.4 units on a scaleStandard Error 0.12
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardWhat color is your sputum?-0.7 units on a scaleStandard Error 0.18
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardThe amount of sputum you produced0.1 units on a scaleStandard Error 0.08
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardType of sputum-0.3 units on a scaleStandard Error 0.09
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardHow do you feel?0.2 units on a scaleStandard Error 0.1
AZD5069Change From Baseline for the Symptom Scores of the Bronkotest Diary CardNumber of puffs of inhalers0.1 units on a scaleStandard Error 0.3
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardNumber of puffs of inhalers0.2 units on a scaleStandard Error 0.3
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardDescribe your breathing-0.1 units on a scaleStandard Error 0.1
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardThe amount of sputum you produced0.0 units on a scaleStandard Error 0.09
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardHow often do you cough?0.0 units on a scaleStandard Error 0.09
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardHow do you feel?-0.0 units on a scaleStandard Error 0.1
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardNight time symptom score0.1 units on a scaleStandard Error 0.12
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardType of sputum-0.1 units on a scaleStandard Error 0.09
PlaceboChange From Baseline for the Symptom Scores of the Bronkotest Diary CardWhat color is your sputum?-0.3 units on a scaleStandard Error 0.18
Comparison: Describe your breathing: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.32990% CI: [-0.09, 0.36]ANCOVA
Comparison: How often do you cough?: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.66490% CI: [-0.16, 0.27]ANCOVA
Comparison: Night time symptom score: Analysis of covariance includes treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.15290% CI: [-0.04, 0.54]ANCOVA
Comparison: What color is your sputum?: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.1590% CI: [-0.8, 0.05]ANCOVA
Comparison: The amount of sputum you produced: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.24890% CI: [-0.06, 0.35]ANCOVA
Comparison: Type of sputum: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.05390% CI: [-0.45, -0.04]ANCOVA
Comparison: How do you feel?: Analysis of covariance includes treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.17990% CI: [-0.04, 0.42]ANCOVA
Comparison: Number of puffs of inhalers: Analysis of covariance includes treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.94290% CI: [-0.75, 0.68]ANCOVA
Secondary

Change From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75)

Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. FEF25-75 is flow rate during the middle half of forced vital capacity (25%-75% of the total volume (FVC) exhaled).

Time frame: Baseline to end of treatment (Day 28)

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75)-0.04 liters/secondStandard Error 0.063
PlaceboChange From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75)-0.07 liters/secondStandard Error 0.062
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.79190% CI: [-0.13, 0.17]ANCOVA
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. FEV1 is the volume expired in the first second of maximal expiration after a full inspiration.

Time frame: Baseline to end of treatment (Day 28)

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)-0.01 litersStandard Error 0.044
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (FEV1)-0.01 litersStandard Error 0.043
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.96690% CI: [-0.11, 0.1]ANCOVA
Secondary

Change From Baseline in Forced Vital Capacity (FVC)

Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. FVC is the maximum volume of air which can be exhaled or inspired during a forced maneuver.

Time frame: Baseline to end of treatment (Day 28)

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline in Forced Vital Capacity (FVC)0.07 litersStandard Error 0.056
PlaceboChange From Baseline in Forced Vital Capacity (FVC)0.06 litersStandard Error 0.054
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.92990% CI: [-0.12, 0.14]ANCOVA
Secondary

Change From Baseline in Slow Vital Capacity (SVC)

Lung function tests consisted of 3 forced expiratory maneuvers in which the patient expired forcefully from total lung capacity to residual volume, recorded using a spirometer. SVC is the measure of the change in volume of gas in the lungs from complete inspiration to complete expiration.

Time frame: Baseline to end of treatment (Day 28)

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline in Slow Vital Capacity (SVC)0.05 litersStandard Error 0.067
PlaceboChange From Baseline in Slow Vital Capacity (SVC)-0.05 litersStandard Error 0.063
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.28490% CI: [-0.05, 0.26]ANCOVA
Secondary

Change From Baseline in Weight of 24-hour Sputum Collection

Patients collected all sputum produced during a 24-hour period at baseline and Day 28.

Time frame: Baseline and end of treatment (Day 28)

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline in Weight of 24-hour Sputum Collection3.51 gramsStandard Error 2.455
PlaceboChange From Baseline in Weight of 24-hour Sputum Collection-3.26 gramsStandard Error 2.195
Comparison: The 24-hour sputum weight on Visit 4 was compared between groups using ANCOVA (additive model) with treatment and inhaled corticosteroids/P. aeruginosa infection as fixed effects and baseline as a covariate.p-value: 0.04790% CI: [1.22, 12.33]ANCOVA
Secondary

Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)

SGRQ-C total score shows the impact of COPD on patient's health status, and expressed as a percentage of impairment with scale from 0 (best health status) to 100 (worst possible status). The SGRQ-C contains 3 domains: Symptom (distress due to respiratory symptoms), Activity (disturbance of physical activity) and Impact (overall impact on daily life and well being). All three domains with scale from 0 (best health status) to 100 (worst possible status).

Time frame: Baseline and end of treatment (Day 28)

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Total score-1.75 units on a scaleStandard Error 2.402
AZD5069Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Symptom domain-3.16 units on a scaleStandard Error 2.356
AZD5069Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Activity domain-0.46 units on a scaleStandard Error 3.216
AZD5069Change From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Impact domain-1.83 units on a scaleStandard Error 2.742
PlaceboChange From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Impact domain-1.45 units on a scaleStandard Error 2.689
PlaceboChange From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Total score-0.09 units on a scaleStandard Error 2.355
PlaceboChange From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Activity domain0.85 units on a scaleStandard Error 3.153
PlaceboChange From Baseline Total and Domain Scores in St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)Symptom domain1.72 units on a scaleStandard Error 2.309
Comparison: Total score: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.62590% CI: [-7.32, 4]ANCOVA
Comparison: Symptom domain: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.15190% CI: [-10.49, 0.74]ANCOVA
Comparison: Activity domain: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.77390% CI: [-8.91, 6.28]ANCOVA
Comparison: Impact domain: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.9290% CI: [-6.84, 6.07]ANCOVA
Secondary

Ratio of C-reactive Protein (CRP) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of C-reactive Protein (CRP) in Serum at End of Treatment Compared to Baseline1.28 ratio
PlaceboRatio of C-reactive Protein (CRP) in Serum at End of Treatment Compared to Baseline0.83 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.11290% CI: [0.98, 2.4]ANCOVA
Secondary

Ratio of Growth-related Oncogene-α (GRO-α) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Growth-related Oncogene-α (GRO-α) in Serum at End of Treatment Compared to Baseline5.45 ratio
PlaceboRatio of Growth-related Oncogene-α (GRO-α) in Serum at End of Treatment Compared to Baseline0.99 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: <0.00190% CI: [4.18, 7.23]ANCOVA
Secondary

Ratio of Growth-related Oncogene-α (GRO-α) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Growth-related Oncogene-α (GRO-α) in Sputum at End of Treatment Compared to Baseline2.77 ratio
PlaceboRatio of Growth-related Oncogene-α (GRO-α) in Sputum at End of Treatment Compared to Baseline0.85 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: <0.00190% CI: [2.19, 4.79]ANCOVA
Secondary

Ratio of Interleukin-1 Beta (IL-1β) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Interleukin-1 Beta (IL-1β) in Serum at End of Treatment Compared to Baseline1.45 ratio
PlaceboRatio of Interleukin-1 Beta (IL-1β) in Serum at End of Treatment Compared to Baseline0.93 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.00190% CI: [1.28, 1.91]ANCOVA
Secondary

Ratio of Interleukin-1 Beta (IL-1β) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Interleukin-1 Beta (IL-1β) in Sputum at End of Treatment Compared to Baseline0.63 ratio
PlaceboRatio of Interleukin-1 Beta (IL-1β) in Sputum at End of Treatment Compared to Baseline0.91 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.2290% CI: [0.42, 1.14]ANCOVA
Secondary

Ratio of Interleukin-6 (IL-6) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Interleukin-6 (IL-6) in Serum at End of Treatment Compared to Baseline1.13 ratio
PlaceboRatio of Interleukin-6 (IL-6) in Serum at End of Treatment Compared to Baseline0.97 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.28190% CI: [0.92, 1.47]ANCOVA
Secondary

Ratio of Interleukin-6 (IL-6) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Interleukin-6 (IL-6) in Sputum at End of Treatment Compared to Baseline3.68 ratio
PlaceboRatio of Interleukin-6 (IL-6) in Sputum at End of Treatment Compared to Baseline0.82 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: <0.00190% CI: [3.05, 6.54]ANCOVA
Secondary

Ratio of Interleukin-8 (IL-8) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Interleukin-8 (IL-8) in Serum at End of Treatment Compared to Baseline5.90 ratio
PlaceboRatio of Interleukin-8 (IL-8) in Serum at End of Treatment Compared to Baseline0.97 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: <0.00190% CI: [4.42, 8.35]ANCOVA
Secondary

Ratio of Interleukin-8 (IL-8) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Interleukin-8 (IL-8) in Sputum at End of Treatment Compared to Baseline0.81 ratio
PlaceboRatio of Interleukin-8 (IL-8) in Sputum at End of Treatment Compared to Baseline0.80 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.91790% CI: [0.71, 1.48]ANCOVA
Secondary

Ratio of Monocyte Chemoattractant Protein-1 (MCP-1) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Monocyte Chemoattractant Protein-1 (MCP-1) in Sputum at End of Treatment Compared to Baseline0.91 ratio
PlaceboRatio of Monocyte Chemoattractant Protein-1 (MCP-1) in Sputum at End of Treatment Compared to Baseline0.92 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.96890% CI: [0.78, 1.27]ANCOVA
Secondary

Ratio of Neutrophil Elastase Activity in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Neutrophil Elastase Activity in Sputum at End of Treatment Compared to Baseline0.34 ratio
PlaceboRatio of Neutrophil Elastase Activity in Sputum at End of Treatment Compared to Baseline1.95 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.11190% CI: [0.03, 1.08]ANCOVA
Secondary

Ratio of Regulated on Activation, Normal T Cell Expressed and Secreted (RANTES) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Regulated on Activation, Normal T Cell Expressed and Secreted (RANTES) in Sputum at End of Treatment Compared to Baseline0.99 ratio
PlaceboRatio of Regulated on Activation, Normal T Cell Expressed and Secreted (RANTES) in Sputum at End of Treatment Compared to Baseline1.07 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.6790% CI: [0.68, 1.26]ANCOVA
Secondary

Ratio of Serum Amyloid A (SAA) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Serum Amyloid A (SAA) in Serum at End of Treatment Compared to Baseline1.18 ratio
PlaceboRatio of Serum Amyloid A (SAA) in Serum at End of Treatment Compared to Baseline0.89 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.36790% CI: [0.79, 2.26]ANCOVA
Secondary

Ratio of the Percentage Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Ratio of the Percentage Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline0.66 ratio90% Confidence Interval 29.746
PlaceboRatio of the Percentage Neutrophil Cell Count in Sputum at End of Treatment Compared to Baseline1.02 ratio90% Confidence Interval 56.883
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection, and baseline as covariates. The analysis was done on log-transformed data. The results were back-transformed after the analysis on the log scale.p-value: 0.00890% CI: [0.49, 0.84]ANCOVA
Secondary

Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Serum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Serum at End of Treatment Compared to Baseline1.02 ratio
PlaceboRatio of Tumor Necrosis Factor Alpha (TNF-α) in Serum at End of Treatment Compared to Baseline0.97 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.24190% CI: [0.98, 1.12]ANCOVA
Secondary

Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Sputum at End of Treatment Compared to Baseline

Ratio of the mean of 3 visits at the end of the treatment period to the mean of the 3 baseline visits.

Time frame: End of treatment values from 3 visits (day 21 to 28) and baseline values from 3 visits.

Population: The PD analysis set comprised all patients who received at least 1 dose of study medication and for whom PD samples (absolute and percentage neutrophil cell count in sputum, sputum collection weight, inflammatory markers in sputum and serum) were available (assumed not to be affected by factors such as protocol violations).

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD5069Ratio of Tumor Necrosis Factor Alpha (TNF-α) in Sputum at End of Treatment Compared to Baseline1.29 ratio
PlaceboRatio of Tumor Necrosis Factor Alpha (TNF-α) in Sputum at End of Treatment Compared to Baseline0.91 ratio
Comparison: Analysis of covariance included treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and baseline as covariates.p-value: 0.19390% CI: [0.91, 2.24]ANCOVA
Secondary

Transition Dyspnea Index (TDI) at End of Treatment (Day 28)

TDI measures changes in dyspnea severity from the baseline as established by the Baseline Dyspnea Index (BDI). TDI is an interviewer-administered rating of severity of dyspnea that assesses Change in Functional Impairment, Change in Magnitude of Task, and Change in Magnitude of Effort domains on a 7-point scale ranging from -3 (major deterioration) to +3 (major improvement). Total score ranges from -9 to +9. The lower the score, the more deterioration in severity of dyspnea.

Time frame: Baseline to end of treatment (Day 28)

Population: The efficacy analysis set included all patients who were randomized (defined as having a randomization code recorded on the demography case report form), received at least one dose of study medication, and contributed sufficient data for at least one efficacy endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD5069Transition Dyspnea Index (TDI) at End of Treatment (Day 28)-1 units on a scaleStandard Error 0.5
PlaceboTransition Dyspnea Index (TDI) at End of Treatment (Day 28)-0 units on a scaleStandard Error 0.5
Comparison: The ANCOVA model used TDI as the response variable with treatment, inhaled corticosteroids, Pseudomonas aeruginosa infection and BDI as covariates.p-value: 0.43390% CI: [-1.6, 0.6]ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026