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Evaluate the Safety of MN-221 in Subjects With Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

Sponsor
MediciNova (Industry)
Overall Status
Completed
CT.gov ID
NCT01013142
Collaborator
(none)
48
Enrollment
7
Locations
2
Arms
3.9
Duration (Months)
6.9
Patients Per Site
1.7
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The objective of this clinical study is to determine the safety of intravenous MN-221 compared to placebo when administered in subjects diagnosed with stable moderate to severe COPD.

Condition or Disease Intervention/Treatment Phase
  • Drug: MN-221 (Dose Group 1)
  • Drug: MN-221 (Dose Group 2)
  • Drug: MN-221 (Dose Group 3)
 Phase 1

Detailed Description

This is a randomized, double-blind, placebo-controlled, multi-center dose escalation study in subjects diagnosed with stable moderate to severe COPD. The study will be conducted in approximately 6 Clinical Research Units (CRUs).

Subjects with a diagnosis of stable moderate to severe COPD will be screened and must demonstrate an improvement in FEV1 after bronchodilator treatment of at least 12% at Screen Visit 1. The subject's degree of dyspnea will be captured on the British Medical Research Council (MRC) questionnaire, and severity will be determined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) spirometric criteria. Subjects meeting entry criteria at Screen Visit 1 will be asked to return to the CRU for Screen Visit 2 within 14 days of Visit 1. Subjects confirming entry criteria including degree of COPD severity by spirometry at Screen Visit 2 will be randomized to receive either MN-221 or placebo. Serial spirometry will be performed over the 8 hour treatment period after initiation of study drug administration. Subjects will be discharged from the CRU after completing the Hour 8 study procedures and asked to return approximately 24 hours after initiation of study drug for follow up safety assessments including spirometry. A study diary will be provided to each subject upon discharge from the CRU to complete as instructed and return it to the site at the 24 hour Follow-up Visit.

There will be three dose levels and each will include approximately 16 subjects randomized to receive either MN-221 or placebo in 3:1 ratio (12 subjects receive MN-221:4 subjects receive placebo). A risk/benefit evaluation will be performed by the study's Safety Review Committee at completion of each dose level prior to escalating to the next dose level.

Safety and efficacy will be monitored throughout the treatment period. Blood samples for PK parameters and metabolite identification will be obtained.

Study Design

Study Type:
Interventional
Actual Enrollment :
48 participants
Allocation:
Randomized
Intervention Model:
Single Group Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase I Randomized, Double-blind, Placebo-controlled Dose Escalation Study to Evaluate the Safety and Efficacy of MN-221 When Administered Intravenously to Subjects With Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
Study Start Date :
Nov 1, 2009
Actual Primary Completion Date :
Mar 1, 2010
Actual Study Completion Date :
Mar 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: MN-221

Drug: MN-221 (Dose Group 1)
i.v. infusion of MN-221 (300 mcg) or placebo over 1 hour

Drug: MN-221 (Dose Group 2)
i.v. infusion of MN-221 (600 mcg) or placebo over 1 hour

Drug: MN-221 (Dose Group 3)
i.v. infusion of MN-221 (1,200 mcg) or placebo over 1 hour
Placebo Comparator: MN-221 Placebo

Drug: MN-221 (Dose Group 1)
i.v. infusion of MN-221 (300 mcg) or placebo over 1 hour

Drug: MN-221 (Dose Group 2)
i.v. infusion of MN-221 (600 mcg) or placebo over 1 hour

Drug: MN-221 (Dose Group 3)
i.v. infusion of MN-221 (1,200 mcg) or placebo over 1 hour

Outcome Measures

Primary Outcome Measures

  1. Adverse events, cardiac and ECG parameters, vital signs, physical exam and clinical laboratory assessments. [Hour 0 (treatment) through Hour 24 (follow-up)]

Secondary Outcome Measures

  1. Pharmacokinetic parameters of MN-221. [Pre-dose to Hour 24 post-dose]

  2. Forced expiratory volume in one second (FEV1). [Pre-dose to Hour 24 post-dose]

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

  1. Male or female 40-65 years of age, inclusive;

  2. History of physician-diagnosed COPD treated for ≥ 3 months ;

  3. FEV1 ≥ 30% < 80% and FEV1/FVC ratio < 0.7 at screening;

  4. An increase in FEV1 of at least 12%, over the pre-albuterol FEV1 within 30 minutes after inhalation of albuterol;

  5. Negative urine pregnancy test for all females unless the subject is post-menopausal (≥ 24 months of spontaneous amenorrhea) or surgically sterile (hysterectomy, bilateral ovariectomy or bilateral tubal ligation);

  6. Negative urine drug screen for cocaine, PCP, methamphetamine;

  7. ECG with no evidence of ischemic heart disease or dysrhythmias and otherwise normal or with findings considered not clinically significant at screening;

  8. QTcB and QTcF < 450 msec;

  9. No clinical evidence of active ischemic heart disease as determined by the Investigator; and

  10. Legally effective written informed consent obtained prior to starting any study procedures.

Exclusion Criteria:

  1. Beta agonist and/or anticholinergic via inhaler or intravenously ≤ 6 hours of screening;

  2. Sustained release methylxanthine (e.g. Theophylline) or long acting beta agonists ≤ 24 hours prior to screening;

  3. A diagnosis of clinically significant myocardial or valvular disease; including cardiomyopathy, congestive heart failure, or pulmonary edema;

  4. Acute exacerbation of COPD requiring emergency treatment ≤ 30 days of screening or hospitalization ≤ 90 days of screening;

  5. Antibiotic therapy for respiratory infection ≤ 30 days of screening;

  6. Presence of active respiratory disease such as pneumonia, or acute bronchitis;

  7. History or presence of tachyarrhythmias, with the exception of sinus tachycardia;

  8. Hypokalemia defined as a potassium level ≤ 3.0 mmol/L at screening;

  9. Significant renal, hepatic, endocrine, metabolic, neurologic or other systemic disease;

  10. Uncontrolled hypertension defined as a blood pressure ≥ 170/100 mm Hg at screening;

  11. Pregnant or lactating females;

  12. Participation in another clinical study with an investigational drug within 30 days of screening;

  13. A known allergy to excipients of the MN-221 drug product;

  14. A known allergy to other beta agonists;

  15. Previous exposure to MN-221; or

  16. Use of beta blockers, MAO inhibitors, or tricyclic antidepressants ≤ 2 weeks prior to screening.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Dedicated Phase I Phoenix Arizona United States 85013
2 California Research Medical Group, INC Fullerton California United States 92835
3 Vita Research Solutions & Medical Center, Inc. Tamarac Florida United States 33319
4 Florida Pulmonary Research Institue, LLC Winter Park Florida United States 32789
5 Vince and Associates Clinical Research Overland Park Kansas United States 66211
6 Gulf Coast Research, LLC Lafayette Louisiana United States 70503
7 SNBL CLinical Pharmacology Center Baltimore Maryland United States 21201

Sponsors and Collaborators

  • MediciNova

Investigators

  • Study Director: Alan W Dunton, MD, MediciNova

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
MediciNova
ClinicalTrials.gov Identifier:
NCT01013142
Other Study ID Numbers:
  • MN-221-CL-010
First Posted:
Nov 13, 2009
Last Update Posted:
May 13, 2015
Last Verified:
May 1, 2015
Keywords provided by MediciNova
COPD
Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive

Study Results

No Results Posted as of May 13, 2015