E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
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 |
To evaluate the effect of treatment with once daily AQX-1125 on the LAR to IAC in subjects with mild to moderate atopic asthma. |
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E.2.2 | Secondary objectives of the trial |
To compare the differences in leukocytes, eosinophils and other inflammatory markers after 7 days of AQX-1125 treatment versus placebo in subjects with mild to moderate atopic asthma.
To evaluate the effect of once daily AQX-1125 treatment on the EAR to IAC and total asthmatic response to IAC in subjects with mild to moderate atopic asthma.
To evaluate the effect of once daily AQX-1125 treatment on lung function measured by FEV1 post IAC.
To compare differences in leukocytes and inflammatory markers in sputum after 7 days of AQX-1125 treatment versus placebo in subjects with mild to moderate atopic asthma.
To evaluate the effect of once daily AQX-1125 treatment on bronchial hyper-reactivity as measured by methacholine challenge on Day 7 and on exhaled nitric oxide on Days 6 and 7 in subjects with mild to moderate atopic asthma.
To evaluate the pharmacokinetics, safety and tolerability of AQX-1125 in subjects with mild to moderate atopic asthma.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Documented history of bronchial asthma, at least 6 months prior to the Screening Visit 1 and treated only with intermittent short-acting β2 agonist therapy, by inhalation.
2.Pre-bronchodilator FEV1≥70% of predicted at Screening Visit 1.
3.Demonstration of a positive wheal reaction on skin prick testing at screening, or within 12 months of screening.
4.Screening IAC demonstrating that the subject experiences both an EAR and an LAR
5.Methacholine PC20 (The provocation concentration of methacholine causing a 20% fall in FEV1) ≤16 mg/mL at Screening Visit 2.
6.No history of smoking within 6 months of Screening Visit 1, and with a total pack year history of ≤ 10 pack years.
7.Be able to give written signed informed consent
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E.4 | Principal exclusion criteria |
1.Past or present disease which, as judged by the Investigator, may affect the outcome of this study.
2.Respiratory tract infection or exacerbation of asthma within 4 weeks prior to the first dose of study drug.
3.Symptomatic allergic rhinitis.
4.History of life-threatening asthma.
5.Administration of systemic glucocorticosteroid therapy steroids within 6 weeks or topical or inhaled steroids within 1 month of Screening Visit 1.
6.Positive drug or alcohol result at Screening Visit 1 or on Day 1 of either treatment period. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines.
7.Subject has recently participated in a clinical trial and have received an investigational product
8.Subject is pregnant, planning to conceive or lactating.
9.History of being unable to tolerate or complete methacholine or allergen challenge tests.
10.Subjects, who, on more than 2 occasions, after 2 concurrent administrations of saline during the allergen challenge at screening, had a fall in FEV1 of greater than 10%.
11.Subject is undergoing allergen desensitisation therapy. History of immunotherapy in the 3 years prior to Screening Visit 1 or concurrently undergoing immunotherapy treatment.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the LAR which is defined as the baseline-corrected area under the FEV1 curve from 4 to 10 hours after allergen challenge (AUC4-10h) on Day 6 of each treatment period. |
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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 | No |
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 | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
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.8.2.4 | Number of treatment arms in the trial | 2 |
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.8.5 | 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 | No |
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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Last visit of last subject. |
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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 | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |