E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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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 | 10006445 |
E.1.2 | Term | Bronchiectasis |
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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 |
To investigate whether AZD9668 shows evidence of efficacy in bronchiectasis patients by investigation of:
· Absolute and percentage neutrophil cell count in the sputum · Signs and symptoms of bronchiectasis (including effects on quality of life)
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E.2.2 | Secondary objectives of the trial |
· To investigate the effect of AZD9668 on Neutrophil Elastase (NE) activity in sputum
· To investigate the effect of AZD9668 on other inflammatory markers in sputum
· To investigate the effect of AZD9668 on inflammatory markers in blood
· To investigate the safety and tolerability of 28 days’ dosing with AZD9668 in bronchiectasis patients
· To confirm AZD9668 exposure in plasma and in spontaneously produced sputum
· To investigate the effect of AZD9668 on urine desmosine (marker of tissue degradation)
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Provision of informed consent prior to any study specific procedures
2. Male or female of non-child bearing potential (defined as amenorrhoeic for 12 months and follicle stimulating hormone (FSH) plasma concentration within the post-menopausal range as defined by the laboratory) or surgically sterile (defined as having undergone bilateral oophrectomy and/or hysterectomy; tubal ligation on its own is not adequate), between 18 and 80 years
3. Have a clinical diagnosis of idiopathic or post infective bronchiectasis as diagnosed with a historical high resolution computerised tomography (HRCT) or bronchogram
4. Be sputum producers with a history of chronic expectoration on most days of most weeks of the year. Patients should have a history of spontaneously producing an average of 3 ml or more sputum on a daily basis and should be able to provide at least 2 of the 3 required baseline sputum samples
5. Have normal laboratory values at Visit 1, unless the investigator considers an abnormality to be clinically irrelevant
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E.4 | Principal exclusion criteria |
1. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site)
2. Previous randomization of treatment in the present study
3. 'Participation (defined as administration of at least one dose of investigational product) in another clinical study within 12 weeks of Visit 1.
4. Bronchiectasis associated with a generalised immunodeficiency disorder, where manifestations other than bronchiectasis predominate
5. Concomitant diagnosis of significant pulmonary disease other than bronchiectasis or COPD, including symptomatic asthma and allergic bronchopulmonary aspergillosis
6. An FEV1 of <30% of predicted normal at Visit 1
7. Any ECG abnormality at Visit 1 (including a QTc interval of >450 msec for males and >470 msec for females, or any arrhythmia) which in the opinion of the investigator may put the patient at risk or interfere with study assessments.
8. An acute exacerbation (defined as an increase in respiratory symptoms requiring hospitalisation and/or a course of oral glucocorticosteroids and/or antibiotics, either prescribed or self administered); or acute respiratory infection (upper or lower) requiring oral steroids or antibiotics in the 6 weeks prior to Visit 2
9. Other acute infections requiring treatment in the 4 weeks prior to Visit 2
10. Use of prohibited medications as detailed in Section 6.5 of the Protocol
11. A past history of or current clinical or laboratory evidence of renal disease, or a calculated creatinine clearance (Cockcroft-Gault formula) of ≤60 ml/min at Visit 1
12. Any other clinical disease or disorder (including insulin dependent diabetes) which, in the opinion of the investigator, may either put the patient at risk because of participation in the study, or may influence the results of the study, or the patient’s ability to participate in the study
13. History of excessive alcohol consumption or chronic alcohol induced disease
14. Donation of >1350 mL of blood in the 12 months or 500 mL of blood in the 3 months before the end of the study
15. Suspected or known risk of the patient transmitting HIV, Hepatitis B or C
16. Scheduled in patient surgery or hospitalisation during the course of the study
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E.5 End points |
E.5.1 | Primary end point(s) |
Absolute and percentage neutrophil cell count in sputum
Bronkotest © diary card
24 hour sputum collection weight
St George’s Respiratory Questionnaire
Lung function tests
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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 | Yes |
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 | Yes |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
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) | 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 | Yes |
E.8.1.6 | Cross over | No |
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
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 7 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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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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The end of the entire study is defined as ''the last visit of the last patient 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 | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |