Status:
UNKNOWN
IMD-1041 Chronic Obstructive Pulmonary Disease: Proof of Concept (POC) Study
Lead Sponsor:
Institute of Medicinal Molecular Design, Inc.
Conditions:
Chronic Obstructive Pulmonary Disease
Eligibility:
All Genders
40-80 years
Phase:
PHASE2
Brief Summary
COPD is a lung disease in which the lung is damaged, making it hard to breathe. In COPD, the airways/tubes that carry air in and out of the lungs are partly obstructed, making it difficult to get air ...
Detailed Description
The dose level of IMD 1041 has been selected based on previous clinical trials. The dose to be studied, 400mg, is considered to be efficacious, and is supported by the clinical data in healthy subject...
Eligibility Criteria
Inclusion
- Males and non-pregnant, non-lactating females aged 40 to 80 years of age at the time of the screening visit. (Women of childbearing potential will be allowed to enter the trial only if they are using one medically approved (i.e., mechanical or pharmacological) contraceptive measure. A female is considered to be of childbearing potential unless she has had an hysterectomy, is at least one year post-menopausal, or has undergone tubal ligation. All women of childbearing potential must have a negative pregnancy test at screening visit and week 12 (Visit 3)
- Patients with a clinical diagnosis of COPD, grade 2 or 3 according to the GOLD guidelines 2007 and stable airway obstruction
- Patients with a post salbutamol FEV1 ≥ 30% of the predicted value, \< 80% of the predicted value (i.e., 30% ≤ 100 x observed post-salbutamol FEV1/predicted FEV1 \<80%) or who is deemed suitable by the Investigator (at either screening or baseline)
- Post-salbutamol FEV1/forced vital capacity (FVC) \<70% (i.e,. 100 x post-salbutamol FEV1/FVC \<70%)
- Current, or ex-cigarette smokers with a smoking history of at least 10 pack-years
- Patients who have the ability to produce a viable sputum sample (≤ 50% squamous cells)
- Predominant current diagnosis of smoking related COPD
- Patients who were eligible and able to participate in the trial and who consented to do so in writing after the purpose and nature of the investigation had been explained to them
Exclusion
- History or current diagnosis of asthma, allergic rhinitis or atopy. N.B. Misdiagnosed asthma or childhood asthma is acceptable, however must be confirmed by the Investigator
- Eosinophil count \>600 cells/mm3
- A respiratory tract infection (including the upper respiratory tract) or COPD exacerbation in the 6 weeks prior to the screening visit
- Patients who have been hospitalised for an acute COPD exacerbation in the 12 months or an exacerbation in the last 3 months which was treated with oral steroids prior to the screening visit
- Use of long-term oxygen therapy (≥15 hours/day)
- Clinically significant respiratory conditions defined as: Known active tuberculosis, History of interstitial lung or pulmonary thromboembolic disease, Pulmonary resection during the past 12 months, History of life-threatening COPD, History of bronchiectasis secondary to respiratory diseases other than COPD (e.g., cystic fibrosis, Kartagener's syndrome, etc), Patients who in the Investigator's opinion may need pulmonary rehabilitation or a thoracotomy during the trial
- Clinically significant cardiovascular conditions defined as: Myocardial infarction during the last 6 months, Unstable arrhythmia which required changes in the pharmacological therapy or other intervention during the last 12 months, or newly diagnosed arrhythmia within the previous 3 months, Hospitalisation within the previous 12 months for heart failure functional classes III (marked limitation of activity and only comfortable at rest) and IV (need of complete rest, confinement to bed or chair, discomfort at any physical activity and presence of symptoms at rest) as per the New York Heart Association
- Patients with any other serious or uncontrolled physical or mental dysfunction at the discretion of the Investigator, which could place the patient at higher risk derived from his/her participation in the study, could confound the results of the trial, or is likely to prevent the patient from complying with the requirements of the trial or completing the trial period
- Patients who are not able to perform reproducible spirometry attempts at the screening visit or during the repeat at baseline
- Clinically relevant abnormalities in the results of laboratory, ECG parameters (QTc \> 470 milliseconds), or physical examination at the screening evaluation if the abnormality defines a disease state listed as an exclusion criterion, except for those related to COPD
- Patients with a history of drug and/or alcohol abuse that may prevent compliance with trial activities
- Treatment with any IMP within 3 month prior to screening visit
- Changes to any concomitant therapy either for COPD or any other well-controlled illness within 1 month prior to screening visit
- Treatment with a prohibited medication as detailed in Section 5.8
Key Trial Info
Start Date :
July 1 2008
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
May 1 2009
Estimated Enrollment :
50 Patients enrolled
Trial Details
Trial ID
NCT00883584
Start Date
July 1 2008
End Date
May 1 2009
Last Update
April 23 2009
Active Locations (2)
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1
King Edward VII Hospital (Imperial College, London)
Windsor, Berkshire, United Kingdom, SL4 3DP
2
Medicines Evaluation Unit, Wythenshawe Hospital
Manchester, United Kingdom, M23 9QZ