Evaluating inhaled PT007 for asthma treatment
A Phase II, Randomized, Double-blind, Single-dose, Placebo-controlled, 3-Period, 3-Treatment, Crossover, Multicenter Study to Compare the Bronchodilatory Effect and Safety of PT007 to Placebo MDI and Open-Label Ventolin® Evohaler in Adult Participants With Asthma
PHASE2 · AstraZeneca · NCT06644924
This study is testing a new inhaled asthma treatment called PT007 to see if it works better than a placebo and Ventolin for adults with asthma.
Quick facts
| Phase | PHASE2 |
|---|---|
| Study type | Interventional |
| Enrollment | 102 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | AstraZeneca (industry) |
| Drugs / interventions | omalizumab, mepolizumab, reslizumab |
| Locations | 26 sites (Encinitas, California and 25 other locations) |
| Trial ID | NCT06644924 on ClinicalTrials.gov |
What this trial studies
This Phase II clinical trial investigates the efficacy and safety of inhaled PT007 (AS MDI) compared to a placebo and Ventolin Evohaler in adults aged 18 to 65 with asthma. The study employs a randomized, double-blind, placebo-controlled, crossover design, where participants will receive each treatment in a randomized order over multiple visits. The trial aims to assess the bronchodilatory effects of the interventions by measuring lung function improvements after administration. Participants will undergo a screening period followed by a treatment phase and a follow-up assessment.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 to 65 with a documented history of asthma and specific lung function criteria.
Not a fit: Patients with asthma who do not meet the eligibility criteria or have severe uncontrolled asthma may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a new effective treatment option for asthma patients, improving their lung function and overall quality of life.
How similar studies have performed: Other studies have shown success with similar bronchodilator approaches, indicating potential for this treatment to be effective.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria:
Age
1. Participant must be aged 18 to 65 years (inclusive), at the time of signing the informed consent.
Type of Participant and Disease Characteristics
2. Participants should have a documented history of physician-diagnosed asthma ≥ 6 months prior to Visit 1.
3. Must be receiving one of the following required inhaled asthma therapies listed below for at least the last 30 days:
1. Only SABA, which is used as needed for rescue.
2. Low to medium doses of ICS (alone or in combination with LABA), used regularly as maintenance asthma therapy.
4. Pre-BD FEV1 of ≥ 40% of the PN value at Visit 1, after withholding SABA for ≥ 6 hours (and Visit 1a and/or Visit 1b, if applicable).
5. Confirmed FEV1 reversibility to 4 actuations of Ventolin HFA, defined as a post-Ventolin HFA increase in FEV1 at 30 minutes of ≥ 12% and ≥ 200 mL at either Visit 1, Visit 1a, or Visit 1b; only 2 reversibility testing attempts are allowed.
6. Demonstrate acceptable spirometry performance (ie, meet ATS/ERS acceptability/repeatability criteria).
7. Willing and, in the opinion of the investigator, able to adjust current asthma therapy, as required by the protocol.
8. Demonstrate acceptable MDI administration technique. Note: Use of a spacer device during the screening and randomized treatment periods is not permitted.
Weight
9. Body mass index \< 40 kg/m2. Sex and Contraceptive/Barrier Requirements
10. Contraceptive use by females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
11. Female participants: A participant of childbearing potential, must have a negative urine pregnancy test at Visit 1 (to be read locally).
Participants not of childbearing potential are defined as those who are physiologically incapable of becoming pregnant, including any participant who is 2 years postmenopausal, or surgically sterile (defined as having a bilateral oophorectomy, hysterectomy, tubal ligation, or other permanent birth control measures).
Participants aged ≥ 50 years will be considered postmenopausal if they have been amenorrheic for 12 consecutive months or more following cessation of all exogenous hormonal treatment.
Participants aged \< 50 years will be considered postmenopausal if they have been amenorrheic for 12 consecutive months or more following cessation of exogenous hormonal treatment and in the absence of any alternative medical cause, as judged by the investigator.
12. Participants of childbearing potential must use a highly effective form of contraception from signing of the ICF to 14 days after the last study intervention. Highly effective birth control methods are listed below:
Total sexual abstinence is an acceptable method provided it is the usual lifestyle of the participant (defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments).
Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation):
* Oral
* Intravaginal (eg, NuvaRing®)
* Transdermal (eg, Evra Patch™, Xulane™)
Progestogen-only hormonal contraception associated with inhibition of ovulation:
* Oral
* Injectable (eg, Depo-Provera™)
* Implantable (eg, Implanon®) Intrauterine device or intrauterine hormone-releasing system Bilateral tubal occlusion Male partner sterilization/vasectomy with documentation of azoospermia prior to the female participant's entry into the study, and this male is the sole partner for that participant. The documentation on male sterility can come from the site personnel's review of participant's medical records, medical examination and/or semen analysis, or medical history interview provided by her or her partner.
Note: Periodic abstinence (calendar, ovulation, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), declaration of abstinence for the duration of exposure to study intervention, spermicides only, and lactational amenorrhea method are not acceptable methods of contraception.
Informed Consent
13. Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
Other Inclusion Criteria
14. Compliance: must be willing to remain at the study site as required per protocol to complete all visit assessments.
Exclusion Criteria:
5.2 Exclusion Criteria
Participants are excluded from the study if any of the following criteria apply:
Medical Conditions and History
1. Any evidence of chronic obstructive pulmonary disease or other significant lung disease (eg, chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, or bronchopulmonary dysplasia). Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the participant at risk through participation, or that could affect the efficacy or safety analysis.
2. Life-threatening asthma defined as any history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episode(s) within the last 5 years.
3. Upper respiratory infection not resolved within 7 days of Visit 1 and throughout the screening period.
4. Hospitalizations for asthma exacerbation within the last 3 months prior to Visit 1.
5. Historical or current evidence of a clinically significant disease including, but not limited to: cardiovascular (eg, congestive heart failure, known aortic aneurysm, clinically significant cardiac arrhythmia, participants with known QTcF ≥ 480 ms, coronary heart disease), hepatic, renal, hematological, neuropsychological, endocrine (eg, uncontrolled diabetes mellitus, uncontrolled thyroid disorder, Addison's disease, Cushing's syndrome), or gastrointestinal (eg, poorly controlled peptic ulcer, gastroesophageal reflux disease). Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the participant at risk through study participation, or that could affect the efficacy or safety analysis if the disease/condition exacerbated during the study.
6. Cancer not in complete remission for at least 5 years prior to Visit 1. Note: Participants with squamous cell carcinoma of the skin or basal cell carcinoma of the skin or cervical carcinoma in situ are eligible, if in the opinion of the investigator, the condition has been adequately worked up and clinically controlled, and the participant's participation in the study would not represent a safety concern.
7. Hospitalized for psychiatric disorder or attempted suicide within one year prior to Visit 1.
8. History of psychiatric disease, intellectual deficiency, poor motivation, or other conditions limiting informed consent validity.
9. Received a live attenuated vaccination within 7 days of Visit 1. Prior/Concomitant Therapy
10. Oral/systemic corticosteroid use (any dose) within 6 weeks of Visit 1.
11. Chronic use of oral corticosteroids (≥ 3 weeks use in the 3 months prior to Visit 1).
12. Received any marketed (eg, omalizumab, mepolizumab, reslizumab) or investigational biologic within 3 months or 5 half-lives, whichever is longer, or any other medication specifically prohibited by the protocol within the indicated exclusionary time periods.
13. Received tiotropium within 2 weeks of Visit 1.
14. Received treatment for lower respiratory infection or asthma exacerbation within 6 weeks of Visit 1.
15. Unable to abstain from protocol-defined prohibited medications during screening and the study.
16. Using any herbal products by inhalation or nebulizer within 2 weeks of Visit 1 and does not agree to stop during the study duration.
Prior/Concurrent Clinical Study Experience
17. Treatment with investigational study intervention (or device) in another clinical study within the last 30 days or 5 half-lives, whichever is longer, prior to Visit 1.
18. Hypersensitivity to β2-agonists or any component of the investigational MDI or any component of Ventolin Evohaler or HFA (or Pulmicort Flexhaler, if applicable).
Other Exclusions
19. Significant abuse of alcohol or drugs in the opinion of the investigator.
20. Current smokers, former smokers with \> 10 pack-years history, or former smokers who stopped smoking \< 6 months (including all forms of tobacco, e-cigarettes \[vaping\], and marijuana).
21. Study investigators, sub-investigators, coordinators, and their employees or immediate family members, or employees of the sponsor.
22. Judgment by the investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements.
23. For female participants only: currently pregnant (confirmed with positive pregnancy test) or breastfeeding.
Where this trial is running
Encinitas, California and 25 other locations
- Research Site — Encinitas, California, United States (NOT_YET_RECRUITING)
- Research Site — Los Angeles, California, United States (NOT_YET_RECRUITING)
- Research Site — Los Angeles, California, United States (NOT_YET_RECRUITING)
- Research Site — Newport Beach, California, United States (NOT_YET_RECRUITING)
- Research Site — San Diego, California, United States (NOT_YET_RECRUITING)
- Research Site — San Jose, California, United States (NOT_YET_RECRUITING)
- Research Site — Stockton, California, United States (NOT_YET_RECRUITING)
- Research Site — Clearwater, Florida, United States (NOT_YET_RECRUITING)
- Research Site — Miami, Florida, United States (RECRUITING)
- Research Site — Tallahassee, Florida, United States (NOT_YET_RECRUITING)
- Research Site — Tampa, Florida, United States (NOT_YET_RECRUITING)
- Research Site — White Marsh, Maryland, United States (RECRUITING)
- Research Site — Columbia, Missouri, United States (NOT_YET_RECRUITING)
- Research Site — Saint Charles, Missouri, United States (NOT_YET_RECRUITING)
- Research Site — Saint Louis, Missouri, United States (NOT_YET_RECRUITING)
- Research Site — Saint Louis, Missouri, United States (RECRUITING)
- Research Site — Raleigh, North Carolina, United States (RECRUITING)
- Research Site — Medford, Oregon, United States (NOT_YET_RECRUITING)
- Research Site — Portland, Oregon, United States (NOT_YET_RECRUITING)
- Research Site — Gaffney, South Carolina, United States (WITHDRAWN)
- Research Site — North Charleston, South Carolina, United States (NOT_YET_RECRUITING)
- Research Site — Austin, Texas, United States (NOT_YET_RECRUITING)
- Research Site — El Paso, Texas, United States (NOT_YET_RECRUITING)
- Research Site — San Antonio, Texas, United States (NOT_YET_RECRUITING)
- Research Site — Victoria, Texas, United States (NOT_YET_RECRUITING)
- Research Site — Milwaukee, Wisconsin, United States (NOT_YET_RECRUITING)
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Asthma, Asthma, Bronchial, Bronchial Asthma, Bronchial Diseases, Respiratory Tract Diseases, Lung Diseases, Obstructive, Lung Diseases, Respiratory Hypersensitivity