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NCT Number: NCT01730027

A Study to Evaluate Efficacy and Safety of ADC3680 in Subjects With Inadequately-Controlled Asthma

This randomised, double-blind, placebo-controlled study will evaluate the efficacy and safety of ADC3680 administered once daily as an add-on therapy to inhaled corticosteroids and when co-administered with montelukast in patients with inadequately-controlled asthma. Patients will be randomised to 3 Arms to receive ADC3680, placebo or montelukast.

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Pulmagen Investigational Site, Sisak, Croatia

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About this study

This is a multi-centre, randomised, placebo-controlled, double blind, parallel group 3-arm study (including montelukast as an active comparator) designed to compare the efficacy and safety of a once daily dose of ADC3680 with placebo in subjects with inadequately-controlled asthma despite receiving a low to moderate dose of an ICS controller therapy, over a 10 week treatment period. At the end of the 10 week treatment period open label montelukast (10 mg) will be added to ADC3680 and placebo arms for a two week extension period to assess whether efficacy of ADC3680 is enhanced by the addition of montelukast compared with montelukast alone. The montelukast arm will continue with 10 mg montelukast alone.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men and women aged 18 years to 50 years (inclusive)
  • Diagnosis of asthma (GINA 2011) including a demonstration of reversible airway obstruction
  • Pre-bronchodilator FEV1 value ≥ 40% and ≤ 85% of the predicted normal value at baseline
  • A score of 1.5 or greater on the Asthma Control Questionnaire at baseline
  • Daily use of low to moderate dose of ICS (equivalent to budesonide ≤ 800 µg per day)
  • Prescribed a short-acting inhaled bronchodilator as reliever therapy for relief of symptoms
  • A peripheral blood eosinophil count ≥ 0.25 x 109/L
  • Non-smoker or former smoker who has not smoked in the last six months
  • Body mass index (BMI) ≥ 17 and ≤ 35 kg/m2
  • Able to comply with the protocol requirements, instructions and restrictions
  • Able to provide signed and dated written informed consent

Exclusion criteria

  • Subjects with severe asthma exacerbation in the 4 weeks prior to consent
  • Subjects with respiratory tract infection in the 4 weeks prior to consent
  • Subjects with COPD or other relevant lung diseases
  • Subjects with clinically significant condition which may compromise subject safety or interfere with study evaluation

Other protocol-defined inclusion/exclusion criteria may apply.

Treatment and study plan

ADC3680

Drug

ADC3680 for 12 weeks plus montelukast for the last 2 weeks of the dosing period

Placebo

Drug

Placebo for 12 weeks plus montelukast for the last 2 weeks of the dosing period

Montelukast

Drug

montelukast for 12 weeks

Primary outcomes

  1. Efficacy of ADC3680 compared with placebo in improving lung function (FEV1)

    Time frame: 10 weeks

  2. Adding montelukast to ADC3680 in improving lung function (FEV1)

    Time frame: 2 weeks

Secondary outcomes

  1. Efficacy of ADC3680 compared with placebo on mean change in Asthma Control Questionnaire (ACQ) from baseline to Week 10

    Time frame: 10 weeks

  2. Efficacy of ADC3680 compared with placebo on mean change in trough pre-bronchodilator FEV1 % predicted from baseline to Week 2

    Time frame: 2 weeks

  3. Efficacy of ADC3680 compared with placebo on mean change in trough pre-bronchodilator FEV1 % predicted from baseline to Week 6

    Time frame: 6 weeks

  4. Efficacy of ADC3680 compared with placebo on mean change in trough pre-bronchodilator FEV1 % predicted from baseline to Week 10

    Time frame: 10 weeks

  5. Efficacy of ADC3680 compared with placebo on mean change in post-bronchodilator FEV1 from baseline to Week 10

    Time frame: 10 weeks

  6. Efficacy of ADC3680 compared with placebo on mean change in pre-bronchodilator PEF (in-clinic) from baseline to Week 2

    Time frame: 2 weeks

  7. Efficacy of ADC3680 compared with placebo on mean change in pre-bronchodilator PEF (in-clinic) from baseline to Week 6

    Time frame: 6 weeks

  8. Efficacy of ADC3680 compared with placebo on mean change in pre-bronchodilator PEF (in-clinic) from baseline to Week 10

    Time frame: 10 weeks

  9. Efficacy of ADC3680 compared with placebo on mean change in blood eosinophils from baseline to Week 10

    Time frame: 10 weeks

  10. Efficacy of ADC3680 compared with placebo on mean change in serum IgE from baseline to Week 10

    Time frame: 10 weeks

  11. Adding montelukast to ADC3680 on mean change in ACQ scores from Week 10 to Week 12

    Time frame: 2 weeks

  12. Adding montelukast to ADC3680 on mean change in trough pre-bronchodilator FEV1 % predicted from Week 10 to Week 12

    Time frame: 2 weeks

  13. Adding montelukast to ADC3680 on mean change in pre-bronchodilator PEF (in-clinic) from Week 10 to Week 12

    Time frame: 2 weeks

  14. Adding montelukast to ADC3680 on mean change in blood eosinophils from Week 10 to Week 12

    Time frame: 2 weeks

  15. Safety of ADC3680 compared to placebo

    Time frame: 10 weeks

    Safety evaluations will include incidence of Serious Adverse Events (from informed consent), severity & frequency of Adverse Events, change in laboratory values (haematology, clinical chemistry and urinalysis), change in vital signs (pulse, systolic and diastolic blood pressure), change in ECG and change in physical examination from baseline to week 10.

  16. Safety of a 2 week administration of ADC3680 in combination with montelukast

    Time frame: 2 weeks

    Safety evaluations will include incidence of Serious Adverse Events, severity & frequency of Adverse Events, change in laboratory values (haematology, clinical chemistry and urinalysis), change in vital signs (pulse, systolic and diastolic blood pressure), change in ECG and change in physical examination from week 10 to week 12.

Sponsors and collaborators

Lead sponsor

Pulmagen Therapeutics

Industry

Registry information

Official study title

A Randomised, Double Blind, Placebo-Controlled, Multi-Centre, Parallel Group Study to Evaluate the Efficacy and Safety of ADC3680 Administered Once Daily as an Add-On Therapy to Inhaled Corticosteroids and When Co-Administered With Montelukast in Subjects With Inadequately-Controlled Asthma.

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Nov 21, 2012
Registry last updated
Oct 6, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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