E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chronic Obstructive Pulmonary Disease (COPD) |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to investigate the effect of AZD8309 compared to placebo treatment on neutrophil numbers in induced sputum after administration of inhaled LPS. |
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E.2.2 | Secondary objectives of the trial |
1. Investigate the effect of AZD8309 compared to placebo treatment on soluble mediators in induced sputum after administration of inhaled LPS. 2. Investigate the effect of AZD8309 compared to placebo treatment on cells and inflammatory mediators in blood after administration of inhaled LPS. 3. Generate additional safety and tolerability data for AZD8309 dosed at 300 mg bid. 4. Preliminary investigation of the relationship between exposure and a change in neutrophils in sputum may be undertaken if appropriate.
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Provision of informed consent 2. Able to comply with study procedures 3. Healthy male or female of non-child bearing potential (defined as cessation of regular menses for more than 12 months and an FSH of >20 IU/L or surgically sterile) 4. Aged 18-50 years inclusive 5. Have a body mass index (BMI) between 18 and 30 kg/m2 inclusive and minimum body weight of 50 kg. 6. Have a normal physical examination, laboratory values, 12-lead ECG and vital signs (blood pressure and pulse), unless the Investigator considers an abnormality to be clinically irrelevant. 7. Be non-smokers, or ex-smokers who have not smoked (or used any other nicotine products) in the 12 months preceding Visit 1 with a pack-year history of less than 10. 8. Be non-atopic as defined by negative skin prick test to common aeroallergens either from a test conducted in the previous 3 years of Visit 1 or at Visit 1 screening. 9. Demonstrate an FEV1 =80% of their predicted normal 10. Demonstrate no evidence of airway obstruction by having and FEV1/FVC ratio > 70%. 11. Have normal airway responsiveness to inhaled methacholine with a PC20=16 mg/ml. 12. Have negative screens for serum Hepatitis B surface antigen, Hepatitis C antibodies and HIV. 13. Be able to produce a minimum of 200 µL sputum volume after induction with inhaled hypertonic saline. 14. Have a sputum eosinophilia < 2% and a sputum neutrophilia < 80%. This sputum neutrophil count is based on the published sputum cell counts in healthy volunteers by Belda et al., 2000. 80% is the mean cell differential plus 2 S.D.s
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E.4 | Principal exclusion criteria |
1. A history or presence of conditions known to interfere with the absorption, distribution, metabolism or excretion of drugs eg, haematological, gastrointestinal, hepatic or renal disease etc. 2. Involvement in the planning and conduct of the study (applies to both AstraZeneca staff or staff at the study site) 3. Previous enrolment or randomisation of treatment in the present study. 4. A definite or suspected personal or family history of intolerance or hypersensitivity to drugs and/or their excipients, judged to be clinically relevant by the Investigator. 5. Surgery or significant trauma within 3 months of Visit 1. 6. Participation in any clinical study with an investigational drug in the 4 months prior to Visit 1, or participation in a study with a new formulation of a marketed drug in the 3 months prior to Visit 1, or participation in a methodology study in the month prior to Visit 1 (Note: participation is identified as the completion of a treatment –related visit). 7. Donation of more than 1200 mL of blood within 12 months of Visit 1, or donation of blood in total > 500 mL within 3 months prior to Visit 1. 8. Symptoms of any clinically significant illness within 2 weeks prior to Visit 1. 9. Use of any prescribed medication in the 3 weeks prior to Visit 1 (other than hormone replacement therapy (HRT) or over-the-counter preparations (other than paracetamol, maximum 1 g qid) or any herbal preparations and vitamins in the previous 7 days, at the investigators discretion. 10. Subjects who are pyrexial with a body temperature of greater than 37.7oC on days 1 or 3, or as judged by the Investigator. 11. A significant history of alcohol abuse or consumption of more than 28 units (male) or 21 units (female) of alcohol per week. 12. A significant history of drug abuse (including benzodiazepines) or positive drugs of abuse test. 13. Subjects who admit to belonging to a high risk group for HIV infection according to the site’s standard practice. 14. Anticipated difficulty with venous access. 15. Subjects who in the opinion of the Investigator should not, for reasons of the safety or compliance, participate in the study. 16 Symptoms, signs or laboratory findings suggestive of an ongoing infective illness as judged by the investigator at the time of enrolment 17 A history of respiratory disease including asthma
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint will be a measurement of neutrophil numbers in induced sputum after administeration of inhaled lipopolysaccharide (LPS), in subjects after administration of AZD8309 compared with placebo. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Information not present in EudraCT |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Information not present in EudraCT |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
E.8.5 | The trial involves multiple Member States | Information not present in EudraCT |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Information not present in EudraCT |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 4 |