Trial Outcomes & Findings for Oral Nadolol for the Treatment of Adults With Mild Asthma (NCT NCT00670267)

NCT ID: NCT00670267

Last Updated: 2016-05-11

Results Overview

The outcome measure describes the mean daily dose achieved by the subjects at study termination. This data includes one subject who terminated early, having reached 2.5mgs and subsequently reducing to 1.25mgs prior to dropping out.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

10 participants

Primary outcome timeframe

Baseline to end of study (105 days)

Results posted on

2016-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Open Label Treatment With Oral Nadolol
Dose escalation through 1.25mgs, 2.5mgs, 5.0mgs, 10mgs, 20mgs, and 40mgs of nadolol at 2 week intervals as tolerated.
Overall Study
STARTED
10
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Oral Nadolol for the Treatment of Adults With Mild Asthma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Open Label
n=10 Participants
nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Age, Categorical
<=18 years
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
32.6 years
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to end of study (105 days)

The outcome measure describes the mean daily dose achieved by the subjects at study termination. This data includes one subject who terminated early, having reached 2.5mgs and subsequently reducing to 1.25mgs prior to dropping out.

Outcome measures

Outcome measures
Measure
Open Label Treatment With Oral Nadolol
n=10 Participants
Dose escalation through 1.25mgs, 2.5mgs, 5.0mgs, 10mgs, 20mgs, and 40mgs of nadolol at 2 week intervals as tolerated. nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Mean Daily Dose at Study Termination Across Participants
29.6 mg
Standard Deviation 16.8

PRIMARY outcome

Timeframe: Baseline to end of study (105 days)

The outcome measure describes the final daily dose achieved by the subjects in this study. The subjects described below who finished on less than the highest dose (i.e., 1.25, 5, and 10mgs) had all been down-titrated one dose (i.e., from 2.5, 10, and 20mgs) prior to completing the study on the dose reported.

Outcome measures

Outcome measures
Measure
Open Label Treatment With Oral Nadolol
n=10 Participants
Dose escalation through 1.25mgs, 2.5mgs, 5.0mgs, 10mgs, 20mgs, and 40mgs of nadolol at 2 week intervals as tolerated. nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Daily Dose at Study Termination Across Participants
1.25mgs
1 participants
Daily Dose at Study Termination Across Participants
2.5mgs
0 participants
Daily Dose at Study Termination Across Participants
5.0mgs
1 participants
Daily Dose at Study Termination Across Participants
10.0mgs
1 participants
Daily Dose at Study Termination Across Participants
20mgs
0 participants
Daily Dose at Study Termination Across Participants
40mgs
7 participants

SECONDARY outcome

Timeframe: Baseline to end of study (105 days)

Population: Analysis excludes one early termination subject

Bronchoprovocation assessment was done by doubling doses of methacholine in accordance with the methodology recommended by the American Thoracic Society in the official policy statement adopted by the ATS Board of Directors, July 1999 (Guidelines for Methacholine and Exercise Challenge Testing-1999).

Outcome measures

Outcome measures
Measure
Open Label Treatment With Oral Nadolol
n=9 Participants
Dose escalation through 1.25mgs, 2.5mgs, 5.0mgs, 10mgs, 20mgs, and 40mgs of nadolol at 2 week intervals as tolerated. nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Change in Airway Hyper-reactivity Compared to Baseline (Change in PC20 Doubling Dose by Methacholine Challenge)
1.8 mg/mL
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Baseline to end of study (105 days)

Outcome measures

Outcome measures
Measure
Open Label Treatment With Oral Nadolol
n=10 Participants
Dose escalation through 1.25mgs, 2.5mgs, 5.0mgs, 10mgs, 20mgs, and 40mgs of nadolol at 2 week intervals as tolerated. nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Percent Change in FEV1% Predicted From Baseline to End of Study
-5.9 percent change in FEV1% predicted
Standard Deviation 9.7

SECONDARY outcome

Timeframe: Baseline to end of study (105 days)

In the E.F. Juniper Asthma Control Questionnaire, a lower number reflects better control of asthma symptoms. A positive change in ACQ score reflects a reduction in control compared to baseline; conversely, a negative change in ACQ score reflects an increase in control compared to baseline. The ACQ has 7 questions (the top scoring 5 symptoms, FEV1% pred. and daily rescue bronchodilator use). Patients are asked to recall how their asthma has been during the previous week and to respond to the symptom and bronchodilator use questions on a 7-point scale (0=no impairment, 6= maximum impairment). Clinic staff score the FEV1% predicted on a 7-point scale. The questions are equally weighted and the ACQ score is the mean of the 7 questions and therefore between 0 (totally controlled) and 6 (severely uncontrolled).

Outcome measures

Outcome measures
Measure
Open Label Treatment With Oral Nadolol
n=10 Participants
Dose escalation through 1.25mgs, 2.5mgs, 5.0mgs, 10mgs, 20mgs, and 40mgs of nadolol at 2 week intervals as tolerated. nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Change in Asthma Control Questionnaire (ACQ) Score Compared to Baseline
0.3 units on a scale
Standard Deviation 0.7

Adverse Events

Open Label

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Open Label
n=10 participants at risk
nadolol: Nadolol, oral taken daily, doses will be escalated every two weeks over 13 weeks following a 2 week run-in.
Reproductive system and breast disorders
Reduced pulmonary function
10.0%
1/10 • Number of events 1

Additional Information

N.A. Hanania, M.D.

Baylor College of Medicine

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place