A Clinical Trial to Study the Effects of Revamilast in Patients With Chronic Persistent Asthma

NCT ID: NCT01436890

Last Updated: 2013-06-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

273 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2013-04-30

Brief Summary

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Asthma is a common, chronic inflammatory disease of the bronchial airways, with a reported prevalence in most industrialized countries of between 5 to 10 % of the adult population. Asthma is clinically characterized by repeated episodes of wheezing, breathlessness, chest tightness, and coughing; usually in the presence of variable airflow obstruction that is often reversible either spontaneously or with treatment (The Global Initiative for Asthma (GINA), 2009).

Drug treatment of asthma has focused on anti-inflammatory therapy in all but the mildest, intermittent cases. Inhaled corticosteroids have been shown to be anti-inflammatory in asthma, but chronic use of these agents may be associated with a range of side effects, especially at high doses. In asthma, there remains a need for the development of novel anti-inflammatory therapies that are at least equally effective and possess a superior safety profile in comparison to corticosteroids.

This is a randomized, double-blind, triple dummy, placebo controlled, parallel group, dose ranging study. The study will be conducted in adult patients with a diagnosis of chronic persistent asthma with an Forced Expiratory Volume in one second(FEV1) of 50% to 80% of the predicted value. Study will enroll 448 patients globally (278 from India) across different centers.

Patients will be recruited after providing written informed consent. After screening and run in period, patient will be randomized (patient meeting randomization criteria) in 1:1:1:1 ratio to receive either one of the three dose regimens of revamilast or placebo.

The primary objective of the study is to evaluate the effect of revamilast on lung function as assessed by Forced Expiratory Volume in one second (FEV1) after the therapy (12 weeks). Secondary objective includes area under curve for FEV1, Change in asthma symptoms, patient / investigator's global assessments and safety. Patients will be followed for safety and efficacy assessment at week 1, 4, 8 12 and 14 after start of therapy.

Detailed Description

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Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Low dose

Low dose revamilast

Group Type EXPERIMENTAL

Revamilast

Intervention Type DRUG

Tablet. Low dose, Once daily for 12 weeks

Medium dose

Medium dose Revamilast

Group Type EXPERIMENTAL

Revamilast

Intervention Type DRUG

Medium dose, Once daily for 12 weeks

High dose

High dose Revamilast

Group Type EXPERIMENTAL

Revamilast

Intervention Type DRUG

High dose, Once daily for 12 weeks

Placebo

Matching placebo in triple dummy format

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablet in triple dummy format, Once daily for 12 weeks

Interventions

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Revamilast

Tablet. Low dose, Once daily for 12 weeks

Intervention Type DRUG

Revamilast

Medium dose, Once daily for 12 weeks

Intervention Type DRUG

Revamilast

High dose, Once daily for 12 weeks

Intervention Type DRUG

Placebo

Placebo tablet in triple dummy format, Once daily for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. The patient provides written informed consent to participate in the study
2. Male or female patient aged 18 to 65 years
3. Documented diagnosis of asthma
4. Forced Expiratory Volume in One Second (FEV1) between 50% and 80% of the predicted value
5. Patient judged by the investigator to be in otherwise good stable health based on medical history, physical examination, and routine laboratory data
6. Female participants must have a negative pregnancy test at screening visit
7. Males must agree to use barrier contraception while on study medication and for 90 days after taking the last dose of study medication

Exclusion Criteria

1. Pregnant or lactating women
2. Female subjects on hormone replacement therapy or hormonal contraceptives
3. Suffering from relevant lung diseases (other than asthma) causing impairment in lung function
4. Past smoker with a history of ≥10 pack per year or current smoker
5. Recent change in the patient's usual asthma treatment
6. Patients with risk factors for asthma exacerbation during the study, including (any of the following):

* Current requirement for \> 8 puffs per day of reliever medication.
* Hospitalization for asthma
* Treatment with systemic corticosteroid therapy within 3 months
7. Evidence of current or recent neoplastic disease
8. Clinically significant cardiovascular, haematological, endocrine, neurological, gastrointestinal, psychiatric, metabolic, immunologic, infectious, hepatic, renal, gynaecological disease or other condition that the investigator considers detrimental to the patient's participation in the study or that may prevent the successful completion of the study
9. Positive serology for an infectious disease (including hepatitis B or C) at screening and known case of human immunodeficiency virus \[HIV\]
10. Patients who have been hospitalized for any psychiatric illness in the past year, or are diagnosed with major depression
11. Clinically significant ECG Abnormality at baseline
12. Patients with documented or suspected or current history of alcohol and drug abuse
13. Patients who have undergone lung surgery in the previous year
14. Participation in an investigational drug trial during 30 days preceding screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glenmark Pharmaceuticals S.A.

INDUSTRY

Sponsor Role collaborator

Glenmark Pharmaceuticals Ltd. India

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr Ballari Brahmachari

Role: STUDY_DIRECTOR

Glenmark Pharmaceuticals Ltd

Locations

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HORNMED s.r.o.

Brno, , Czechia

Site Status

Sdružená pneumologická a anesteziologická ambulance

Jindřichův Hradec, , Czechia

Site Status

Private pulmonatory ambulance

Neratovice, , Czechia

Site Status

Vasavi Hospital and Research Centre

Hyderabad, Andhra Pradesh, India

Site Status

Saboo hospital and research centre

Hyderabad, Andhra Pradesh, India

Site Status

Kunal Institute of Medical Specialities Pvt. Ltd

Hyderabad, Andhra Pradesh, India

Site Status

Narayana Medical College & Hospital

Nellore, Andhra Pradesh, India

Site Status

Yashoda Hospital

Secunderabad, Andhra Pradesh, India

Site Status

T B and Chest Disease Hospital

Mormugao, Goa, India

Site Status

Rutuja Allergy , Chest and General Clinic

Ponda, Goa, India

Site Status

Gujarat Pulmonary & Critical Care Clinic

Ahmedabad, Gujarat, India

Site Status

Chest and Maternity Centre

Bangalore, Karnataka, India

Site Status

M S Ramaiah Medical College & Teaching Hospital

Bangalore, Karnataka, India

Site Status

Narayanan Hrudayalaya Hospital

Bangalore, Karnataka, India

Site Status

Kasturba Medical College Hospital

Mangalore, Karnataka, India

Site Status

Westfort Hi-tech Hospital Ltd

Thrissur, Kerala, India

Site Status

Indore Chest Centre

Indore, Madhya Pradesh, India

Site Status

Prince Aly Khan Hospital

Mumbai, Maharashtra, India

Site Status

The Bhatia Hospital

Mumbai, Maharashtra, India

Site Status

KRIMS Hospitals

Nagpur, Maharashtra, India

Site Status

Getwell Hospital & Research Institute

Nagpur, Maharashtra, India

Site Status

Chest Research Foundation

Pune, Maharashtra, India

Site Status

MAMC & Associated Lok Nayak Hospitals

New Delhi, New Delhi, India

Site Status

Shwaas Center, Navkar Hospital

Jaipur, Rajasthan, India

Site Status

Asthma Bhawan

Jaipur, Rajasthan, India

Site Status

Dr Khippal's Clinic

Jaipur, Rajasthan, India

Site Status

Chennai Thoracic Research Institute

Chennai, Tamil Nadu, India

Site Status

Christian Medical College

Vellore, Tamil Nadu, India

Site Status

National Allergy Asthma Bronchitis Institute

Kolkata, West Bengal, India

Site Status

NZOZ 'Promedica'

Bialystok, , Poland

Site Status

Nzoz Clinica Vitae

Gdansk, , Poland

Site Status

Landa Specjalistyczne Gabinety Lekarskie

Krakow, , Poland

Site Status

Prywatna Praktyka Lekarska

Krakow, , Poland

Site Status

Prywatny Gabinet Specjalistyczny

Lodz, , Poland

Site Status

Cdt Medicus

Lubin, , Poland

Site Status

Centrum Alergologii Teresa Hofman

Poznan, , Poland

Site Status

Centrum Medyczne Lucyna Andrzej Dymek

Strzelce Opolskie, , Poland

Site Status

State Healthcare Institution

Elektrostal, , Russia

Site Status

Central Clinical Hospital of Russian Academy of Science

Moscow, , Russia

Site Status

State Healthcare Institution of Moscow

Moscow, , Russia

Site Status

State Educational Healthcare Institution

Saratov, , Russia

Site Status

London Chest Hospital Department of Respiratory Medicine

London, UK, United Kingdom

Site Status

Countries

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Czechia India Poland Russia United Kingdom

Other Identifiers

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2011-000270-57

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GRC 4039-204

Identifier Type: -

Identifier Source: org_study_id

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