Asthma
Conditions
Brief summary
The purpose of this study is to determine whether RNS60, in combination with budesonide, is safe in mild to moderate asthmatics when taken by nebulization over a 28-day period, compared to a 28-day control period.
Interventions
RNS60, 2ml, nebulized twice daily.
Normal Saline placebo, 2 ml, nebulized twice daily.
Budesonide, in either 0.25 mg or 0.5 mg per 2 ml concentration in liquid suspension, nebulized once per day in combination with RNS60 or NS.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female non-smokers, aged between 18 and 65 years. * Clinical diagnosis of mild to moderate asthma meeting NHLBI 2007 guidelines as outlined in Appendix A. * Subjects who have a currently prescribed inhaled corticosteroid medication to treat asthma, alone or in combination with other medications, with usage of 1 month (≥ 95% compliance) or more on the inhaled corticosteroid treatment. * Normal 12-lead ECG at Screening. * Normal single view chest x-ray at Screening. * Men and women of reproductive potential who commit to use adequate contraception during the study and for 1 month following the last day of treatment (Day 57). * Women of childbearing potential who have a negative pregnancy test (serum HCG) at the time of study entry, and again on Day 22. * Subjects, or their legal guardians, must be capable of understanding the purpose and risks of the study and provide written, voluntary, informed consent.
Exclusion criteria
* Chronic or acute disease that might interfere with the evaluation of RNS60. * Pregnancy, intent to become pregnant, or breastfeeding. * Current or prior malignancies (excluding non-melanoma skin carcinoma or in situ carcinoma of the cervix that has been adequately treated). * Positive viral serology test for Human Immunodeficiency Virus (HIV-1), HBsAG and Hepatitis C antibody. * Positive urine drug screen (UDS) for drugs of abuse including alcohol and cotinine at the time of study entry and again on Day 22. * Infections that require intravenous antibiotic therapy. * Significant organ dysfunction, including cardiac, renal, liver, central nervous system, pulmonary, vascular, gastrointestinal, endocrine, or metabolic (e.g., creatinine ≥ 1.6 mg/dL; ALT or AST ≥ 1.5x the upper limit of normal), history of myocardial infarction, congestive heart failure, or arrhythmias within 6 months prior to study entry. * Treatment with a humanized or chimeric antibody therapy within 4 weeks prior to study entry. * Treatment with any investigational drugs, therapies, or medical devices within 4 weeks prior to study entry. * Any use of antidepressants or other psychiatric medicine within 4 weeks prior to study entry and/or during the study treatment period. * Use of any over-the-counter asthma treatments, including Primatene Mist, during the 8-week active study period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Forced expiratory volume in 1 second (FEV1) | Baseline to 56 days | Evidence that RNS60 in combination with budesonide does not cause bronchoconstriction, as measured by FEV1 scores. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in peak expiratory flow | Baseline to 56 days | Evidence that RNS60 in combination with budesonide does not cause bronchoconstriction, as measured by daily peak expiratory flow values. |
| Change in quality of life | 56 days | Evidence that RNS60 in combination with budesonide does not reduce patient's quality of life, as measured by weekly QOL questionnaire over 28 days. |
| Change in rescue inhaler usage | 56 days | Evidence that RNS60 in combination with budesonide does not increase rescue inhaler usage, as measured by patient diary. |
Countries
United States