COPD
Conditions
Brief summary
The purpose of this study is to evaluate the safety, tolerability, and clinical activity of ASM-024 administered as a dry powder for inhalation formulation to patients with GOLD 2 or GOLD 3 COPD.
Detailed description
This is a Phase II, randomized, double-blind, placebo-controlled, two-way crossover study to evaluate the safety, tolerability, and clinical activity of a new, dry powder for inhalation formulation of ASM-024 administered twice daily for 14 days to patients with GOLD-2 or GOLD-3 COPD.
Interventions
ASM-024 b.i.d for 14 days
Placebo b.i.d. for 14 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female adult aged over 40 yrs with a clinically confirmed diagnosis of COPD at the severity stages of GOLD 2 (moderate) or 3 (severe); * Stable COPD for 1 month prior to screening * Stable smoker for at least three months prior to screening, or non-smoker, with a smoking history of ≥ 10 packs years; * FEV₁ ≥ 30 % and \< 70 % of the predicted normal value; * Normal 12-lead ECG
Exclusion criteria
* Clinically significant illness except COPD or surgery within 8 weeks prior to first administration of the study medication; * Significant medical history that, in the Investigator's opinion, may adversely affect participation; * History of allergy or significant adverse reaction to drugs similar to ASM-024, to nicotine, or to cholinergic drugs or any drugs with a similar chemical structure; * History of hypersensitivity (anaphylaxis, angioedema) to any drug; * Positive pregnancy test for female subjects; * Use of medications known to prolong QT/QTc interval; * Clinically significant 12 lead ECG at screening; * Clinically significant physical examination or laboratory findings or abnormal vital signs; * History of alcohol or drug abuse; * Positive hepatitis B or C or HIV test at Screening; * Investigational drug within 30 days of Screening; long-acting investigational drug within 90 days of screening; * Previous exposure to ASM-024; and * Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FEV₁ AUC (0 -6 h) | Day 14 |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in Functional Residual Capacity (FRC) | Days 1, 2, 3, &14 |
| Change from baseline in FEV₁ | Day 14 |
| Change from baseline in FEV₁/FVC | Days 1, 2, 3, & 14 |
| FVC AUC (0-6 h) | Days 1, 2, 3, & 14 |
| Change from baseline in Residual Volume (RV) | Days 1, 2, 3, & 14 |
| Peak change in FEV₁ | Days 1, 2, 3, & 14 |
| Change from baseline in Inspiratory Capacity (IC) | Days 1, 2, 3, & 14 |
| Use of rescue medication | From Day 1 to Day 14 |
Other
| Measure | Time frame |
|---|---|
| Safety and Tolerability | Physical examination: Day 14; vital signs: Days 1, 2, 3, & 14; 12-lead ECG: Days 1, 2, 3, & 14; AEs: from Day 1 to patient's final study visit; clinical laboratory evaluations: Day 14 |
Countries
Canada