Efficacy and Safety of AQX-1125 in Unstable COPD

NCT ID: NCT01954628

Last Updated: 2017-06-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2015-12-31

Brief Summary

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The primary objective of this study is to evaluate the effect of 12 weeks of treatment with once daily administration of AQX-1125 compared to placebo in subjects following exacerbations of Chronic Obstructive Pulmonary Disease (COPD) by targeting the SHIP1 (Src Homology 2-containing Inositol-5'-Phosphatase 1) pathway.

Detailed Description

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Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide. Acute exacerbations of COPD are usually treated with steroids and/or antibiotics. Currently this conventional therapy has significant side effects including osteoporosis, cataracts and suppression of the immune system (from the steroids) and increasing bacterial resistance and other side effects from the use of antibiotics. During an acute exacerbation of COPD, the inflammation in the airways increases.

AQX-1125 represents a new type drug that based current data is thought decrease the inflammatory process and therefore may provide a therapeutic benefit in the treatment of COPD.

Conditions

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COPD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AQX-1125

1 x AQX-1125 capsule daily

Group Type EXPERIMENTAL

AQX-1125

Intervention Type DRUG

Synthetic SHIP1 activator

Placebo

1 x Placebo capsule daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo control

Interventions

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AQX-1125

Synthetic SHIP1 activator

Intervention Type DRUG

Placebo

Placebo control

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female aged ≥40 years at screening
2. History of COPD for at least 18 months prior to screening, characterised by excessive sputum production
3. Chronic productive cough for at least 3 months in each of the 2 years prior to screening (if other causes of productive cough have been excluded) and/or an exacerbation of COPD with predominantly bronchitic symptoms at enrolment
4. At least 2 documented exacerbations during the last 18 months prior to screening.
5. Presentation of a diagnosed acute exacerbation of COPD, or have recently (within 3 days) been discharged from hospital due to an acute exacerbation of COPD
6. Ability to perform pulmonary function testing and with documented fixed airway obstruction determined by an FEV1 /FVC \[forced vital capacity\] ratio (post-bronchodilator) of \<0.70 and a predicted FEV1 value of 30%-80% of normal within the 6 months prior to Visit 1.
7. Former smoker or current smoker, both with a smoking history of at least 10 pack years

Exclusion Criteria

1. Diagnosis of other relevant lung disease (e.g. asthma, cystic fibrosis \[CF\] or significant non-CF bronchiectasis)
2. Known alpha-1-antitrypsin deficiency
3. Treatment with roflumilast or theophylline within 1 month prior to screening
4. Lobar pneumonia, with current positive chest X-ray (CXR) or within the 3 months prior to screening including the presence of any new radiological infiltrate on CXR within the previous two weeks
5. Hospitalisation for more than 7 days for current acute exacerbation, or the requirement for intubation during hospitalisation
6. For outpatients, prior medical history indicating that previous exacerbations required \>3 weeks to stabilise
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aquinox Pharmaceuticals (Canada) Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephen B Shrewsbury, MD

Role: STUDY_DIRECTOR

Aquinox Pharmaceuticals (Canada) Inc.

Locations

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University of Cincinnati

Cincinnati, Ohio, United States

Site Status

Department of Respiratory & Sleep Medicine, Westmead Hospital

Wentworthville, New South Wales, Australia

Site Status

Department of Respiratory Medicine, Odense University Hospital

Odense, , Denmark

Site Status

Biomedicum Helsinki

Helsinki, , Finland

Site Status

Csongrád Megyei Melkasi Betegségek Szakkórháza

Deszk, , Hungary

Site Status

P3 Research

Wellington, , New Zealand

Site Status

Medical University of Lodz

Lodz, , Poland

Site Status

Lung and Allergy Clinic, Skåne University Hospital

Lund, , Sweden

Site Status

Countries

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United States Australia Denmark Finland Hungary New Zealand Poland Sweden

Related Links

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Other Identifiers

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AQX-1125-202

Identifier Type: -

Identifier Source: org_study_id

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