Trial Outcomes & Findings for A Proof-of-mechanism Study of Multiple, Oral Doses of Fevipiprant (QAW039) in COPD Patients With Eosinophilia (NCT NCT03810183)

NCT ID: NCT03810183

Last Updated: 2021-10-08

Results Overview

Sputum eosinophil percentage of the total cell count was obtained from induced sputum samples. Sputum was processed to include preparation of slides for differential cellular count. As sputum eosinophil percentage has been found to follow a log-normal distribution, the analysis of this outcome measure was based on log10-transformed scale. The baseline measurement was defined as sputum eosinophil percentage prior to the first dosing (on log10-transformed scale).

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

Baseline, Week 6

Results posted on

2021-10-08

Participant Flow

Participants took part in 4 investigative sites in 2 countries (Germany and United Kingdom).

Participants were randomized 3:2 to active (QAW039 450 mg orally daily) vs. placebo arms. Randomization was stratified by current smoking status (current vs. ex-smoker).

Participant milestones

Participant milestones
Measure
QAW039 450 mg
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet.
Placebo
Placebo once daily for 6 weeks administered orally as a tablet.
Overall Study
STARTED
6
3
Overall Study
COMPLETED
4
2
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
QAW039 450 mg
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet.
Placebo
Placebo once daily for 6 weeks administered orally as a tablet.
Overall Study
Study terminated by Sponsor
2
1

Baseline Characteristics

A Proof-of-mechanism Study of Multiple, Oral Doses of Fevipiprant (QAW039) in COPD Patients With Eosinophilia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
QAW039 450 mg
n=6 Participants
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet.
Placebo
n=3 Participants
Placebo once daily for 6 weeks administered orally as a tablet.
Total
n=9 Participants
Total of all reporting groups
Age, Continuous
63.5 Years
STANDARD_DEVIATION 9.71 • n=5 Participants
67.3 Years
STANDARD_DEVIATION 6.35 • n=7 Participants
64.8 Years
STANDARD_DEVIATION 8.53 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
White
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 6

Population: All subjects with available data and no protocol deviations with relevant impact on data.

Sputum eosinophil percentage of the total cell count was obtained from induced sputum samples. Sputum was processed to include preparation of slides for differential cellular count. As sputum eosinophil percentage has been found to follow a log-normal distribution, the analysis of this outcome measure was based on log10-transformed scale. The baseline measurement was defined as sputum eosinophil percentage prior to the first dosing (on log10-transformed scale).

Outcome measures

Outcome measures
Measure
QAW039 450 mg
n=3 Participants
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet.
Placebo
n=2 Participants
Placebo once daily for 6 weeks administered orally as a tablet.
Change From Baseline in Sputum Eosinophil Percentage Based on Log-10 Transformed Scale at Week 6
-0.43373 Percentage
Standard Deviation 0.39740
-0.06689 Percentage
Standard Deviation 0.43094

Adverse Events

QAW039 450mg

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Total

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
QAW039 450mg
n=6 participants at risk
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet.
Placebo
n=3 participants at risk
Placebo once daily for 6 weeks administered orally as a tablet.
Total
n=9 participants at risk
Total
Infections and infestations
Nasopharyngitis
16.7%
1/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
0.00%
0/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Injury, poisoning and procedural complications
Fall
0.00%
0/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
33.3%
1/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Injury, poisoning and procedural complications
Foot fracture
16.7%
1/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
33.3%
1/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
22.2%
2/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Injury, poisoning and procedural complications
Joint injury
0.00%
0/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
33.3%
1/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Nervous system disorders
Headache
16.7%
1/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
0.00%
0/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Psychiatric disorders
Insomnia
16.7%
1/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
0.00%
0/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
16.7%
1/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
0.00%
0/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
Vascular disorders
Orthostatic hypotension
0.00%
0/6 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
33.3%
1/3 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
11.1%
1/9 • Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. Novartis does not prohibit any investigator from publishing. Any publications from a single site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER