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.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10010952 |
E.1.2 | Term | COPD |
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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 AZD9668 compared to placebo treatment on neutrophil numbers and NE activity in induced sputum after administration of inhaled LPS. |
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E.2.2 | Secondary objectives of the trial |
(1) To investigate the effect of oral AZD9668 compared to placebo treatment on other inflammatory markers (IL-6, IL-1beta, IL-8, TNFa, MPO activity, LTB4) in induced sputum after challenge with inhaled Lipopolysaccharide (LPS) (2) To measure the concentration of AZD9668 in plasma and induced sputum after challenge with inhaled Lipopolysaccharide (LPS) following oral administration (3) To generate additional safety and tolerability data for AZD9668
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Provision of informed consent 2. Healthy male or female of non-childbearing potential (defined as cessation of regular menses for more than 12 months and an FSH of >20 IU/L or surgically sterile). 3. Aged 18-50 years inclusive. 4. Have a body mass index (BMI) between 18 and 30 kg/m2 inclusive and minimum body weight of 50 kg. 5. 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. 6. 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. 7. Demonstrate an FEV1 ≥80% of their predicted normal. 8. Demonstrate no evidence of airway obstruction by having an FEV1/FVC ratio >70%. 9. Have normal airway responsiveness to inhaled methacholine with a PC20 ≥16 mg/mL. 10. Have negative screens for serum Hepatitis B surface antigen, Hepatitis C antibodies and HIV. 11. Be able to produce a minimum of 200 μL sputum volume after induction with inhaled hypertonic saline. 12. Have a sputum eosinophilia ≤2% and a sputum neutrophilia ≤80%.
Pharmacognetics - For inclusion in the genetic research, subjects must fulfil the following criterion: 1. Provision of informed consent for genetic research
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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 and staff at the study site). 3. History of exposure to environmental LPS eg. swine farmers or extensive exposure to passive smoking. 4. Previous enrolment or randomisation to treatment in the present study. 5. 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. 6. Surgery or significant trauma within 3 months of Visit 1. 7. Symptoms, signs or laboratory findings suggestive of an ongoing infective illness at the time of enrolment. 8. A history of respiratory disease including asthma. 9. Participation in another study involving an LPS challenge during the past 12 months. 10. 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). 11. 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. 12. Symptoms of any clinically significant illness within 2 weeks prior to Visit 1. 13. Use of any prescribed medication in the 3 weeks prior to Visit 1 (other than paracetamol (up to 4 g/day), hormone replacement therapy (HRT) or over-the-counter preparations , herbal preparations or vitamins in the previous 7 days judged to be clinically irrelevant by the Investigator. 14. Subjects who are pyrexial with a body temperature of greater than 37.7°C . 15. A significant history of alcohol abuse or consumption of more than 28 units (male) or 21 units (female) of alcohol per week. 16. A significant history of drug abuse (including benzodiazepines) or positive drugs of abuse test. 17. Subjects who admit to belonging to a high-risk group for HIV infection according to the site’s standard practice. 18. Anticipated difficulty with venous access. 19. Subjects who in the opinion of the investigator should not, for reasons of the safety or compliance, participate in the study.
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary outcome variables are the changes in neutrophil numbers and NE activity in induced sputum following treatment with the active or placebo medication. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
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 | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
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 | No |
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 | |