E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Asthma with sensitization to aspergillus and isolation in sputum.
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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 |
In people with asthma who have evidence of a colonisation of their breathing tubes with a mould/fungus called Aspergillus fumigatus,will the treatment of this mould with the aim of the eradication from the breathing tubes reduce the frequency of severe asthma episodes (exacerbations) and improve the quality of life in patients with asthma. |
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E.2.2 | Secondary objectives of the trial |
Secondary outcome measures will be: •The percentage of patients whose sputum is no longer cultures AF after three months of treatment with Voriconazole and at the end of the study. •The change in the sputum eosinophil and total sputum neutrophil count in the Voriconazole versus the placebo group after three months of treatment and at the end of the study as meter of airway inflammation. •The change in FEV1 between the treatment and placebo group after treatment and at the end of the study, a measurement of breathing function. •The number of course of antibiotics between the treatment and placebo groups. •The improvement in symptoms and quality of life measurements at the end of the treatment and at the end of the study.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Inclusion criteria Aged 18 and over Able to give consent Diagnosis of asthma and fungal sensitization or allergic bronchopulmonary aspergillosis. |
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E.4 | Principal exclusion criteria |
Exclusion criteria Age under 18 Unable to give informed consent A principle diagnosis of COPD or bronchiectasis History of non compliance with medication, or unable to produce sputum. A co-morbid condition likely to increase the risk of side effects Pregnancy or possibility of becoming pregnant during the treatment phase of the study. |
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E.5 End points |
E.5.1 | Primary end point(s) |
There will be two primary outcome measures. Improvement in quality of life after three months of treatment and the number of severe exacerbations requring treatment with systemic glucocorticoids (SA) over the 12 months of the study. The study will be powered on severe exacerbations.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
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 | 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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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 | 2 |
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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End of trial will be 1 year after the screening visit of the last recruited patient allowing for a period of treatment and observation. |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 2 |