Status:

COMPLETED

Safety Study of an Aerosolized, Recombinant Alpha 1-Antitrypsin in Subjects With Alpha 1-Antitrypsin Deficiency

Lead Sponsor:

Baxalta now part of Shire

Collaborating Sponsors:

Arriva Pharmaceuticals, Inc.

Conditions:

Alpha1-antitrypsin Deficiency

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this randomized, double-blind, placebo-controlled study is to evaluate the short-term safety of inhaled recombinant alpha 1-antitrypsin (rAAT) in subjects with alpha 1-antitrypsin defic...

Eligibility Criteria

Inclusion

  • Male or female 18 years of age or older
  • Endogenous plasma AAT levels \< 11 µM (\< 80 mg/dL)
  • Baseline forced expiratory volume at one second (FEV1) that is \>= 50% of predicted, measured 30 minutes after a short-acting inhaled bronchodilator
  • Baseline arterial oxygen percent saturation (SaO2) within the normal limits for the individual study site
  • For subjects receiving an inhaled corticosteroid, β-2 agonist (eg, albuterol via metered dose inhaler \[MDI\]) or anticholinergic bronchodilator (eg, ipratropium bromide), treatment on a stable dose for at least 14 days prior to randomization
  • If female of childbearing potential, negative urine pregnancy test within 3 days prior to randomization and agreement to employ adequate birth control measures
  • No clinically significant abnormalities detected on a 12-lead electrocardiogram (ECG) performed no more than 7 days prior to randomization
  • Baseline laboratory results, obtained no more than 7 days prior to randomization, meeting the following criteria:
  • Serum aspartate transaminase (AST) and alanine transaminase (ALT) \<= 2 times upper limit of normal range (ULN)
  • Serum total bilirubin \<= 2 times ULN
  • \< 2+ proteinuria on urine dipstick
  • Serum creatinine \<= 1.5 times ULN
  • Absolute neutrophil count \>= 1500 cells/mm3
  • Hemoglobin \>= 10.0 g/dL
  • Platelet count \>= 100,000/mm3
  • Signed informed consent

Exclusion

  • Clinically significant pulmonary impairment, other than emphysema and/or chronic bronchitis
  • Clinically significant cardiac, hemostatic, or neurologic impairment, or other significant medical condition that, in the opinion of the investigator, would affect subject safety or compliance
  • Psychiatric or cognitive disturbance or illness, or recreational drug/alcohol use that, in the opinion of the investigator, would affect subject safety or compliance
  • Acute exacerbation of emphysema (as defined in Section 8.5.10) within 28 days prior to randomization
  • Pregnancy or lactation
  • Known history of allergy to yeast products
  • Medical history precluding the use of epinephrine or other rescue medication for treatment of anaphylaxis
  • Use of antihistamines within 7 days prior to randomization
  • Use of oral steroids, beta-blockers, or tricyclic antidepressants within 28 days prior to randomization
  • Use of another investigational drug or investigational device within 28 days prior to randomization
  • Any upper or lower respiratory infection within 28 days prior to randomization

Key Trial Info

Start Date :

January 7 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2003

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT00161707

Start Date

January 7 2003

End Date

October 1 2003

Last Update

May 5 2021

Active Locations (4)

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Page 1 of 1 (4 locations)

1

National Jewish Medical and Research Center

Denver, Colorado, United States, 80206

2

Shands Hospital at the University of Florida

Gainesville, Florida, United States, 32610

3

Cleveland Clinic Foundation, Department of Pulmonary and Critical Care Medicine

Cleveland, Ohio, United States, 44195

4

The University of Texas Health Science Center at Tyler

Tyler, Texas, United States, 75708-3154