Status:

TERMINATED

A Study Of ¹²⁹XE MRI To Assess Disease Progression In Patients With COPD Treated With Or Without Azithromycin And Standard-of-Care Medications

Lead Sponsor:

Genentech, Inc.

Conditions:

Chronic Obstructive Pulmonary Disease

Eligibility:

All Genders

40+ years

Phase:

PHASE2

Brief Summary

This study will test whether daily use of azithromycin will reduce the rate of exacerbations and improve lung ventilation and perfusion assessed by XE-MRI. The sensitivity of XE-MRI to detect COPD pro...

Eligibility Criteria

Inclusion

  • Current or former smokers with years ≥ 10 pack years
  • mMRC dyspnea score \> 1
  • Post-bronchodilator FEV-1/forced vital capacity (FVC) \<0.70 at Visit 1 or Visit 2
  • Cohort A: GOLD Stage 2-4 COPD with a history of ≥ 2 moderate/severe exacerbations within a 12-month period in the 24 months prior to screening
  • Cohort B: GOLD Stage 1 COPD with a history of ≥1 moderate/severe exacerbations within a 12-month period in the 24 months prior to screening
  • Receiving SOC background drug therapy as per GOLD or British Thoracic Society (BTS) guidance for COPD for 12 weeks prior to screening Visit 1
  • On an eligible bronchodilator medication (LABA ± LAMA) ± ICS therapy for ≥12 weeks prior to Visit 1
  • Chest X-ray or CT scan within 6 months prior to Visit 1, or during the screening period (prior to Visit 2), that confirms the absence of clinically significant lung disease besides COPD
  • Use of contraceptive measures

Exclusion

  • Diagnosis of significant respiratory disease other than COPD
  • Comorbid conditions that may interfere with the evaluation of an investigational medical product
  • Known sensitivity or allergy to azithromycin
  • A COPD exacerbation and or pneumonia within 4 weeks prior to Visit 1
  • Use of systemic corticosteroids within 4 weeks (oral or intravenous) or within 12 weeks (intramuscular IM) prior to screening Visit 1
  • MRI is contraindicated
  • Any known arrhythmia, bradycardia or severe cardiac insufficiency
  • Participant can not hold breath for 15 seconds
  • Participant does not fit in the ¹²⁹XE vest coil used for MRI
  • Pregnant, lactating, or intending to become pregnant during the study or within 4 weeks after the last dose of the investigational medical product
  • History or evidence of substance abuse that would pose a risk to participants safety, interfere with the conduct of the study, or have an impact on the study results
  • For participants in Cohort A: Known significant hearing impairment as indicated by a score of ≥ 26 on the Hearing Handicap Inventory in the Elderly-Screening Questionnaire or as determined by the investigator
  • History of Clostridium difficile (C. difficile) diarrhea Clinically significant ECG changes, which in the opinion of investigator warrants further investigation or with a QTc interval \> 450 ms

Key Trial Info

Start Date :

November 16 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 29 2023

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT04353661

Start Date

November 16 2021

End Date

June 29 2023

Last Update

December 24 2024

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Duke Asthma Allergy and Airway Center

Durham, North Carolina, United States, 27705-2671

2

University of Virginia Health System

Charlottesville, Virginia, United States, 22908