A Phase 2a Study to Assess Safety, Daily Symptoms, Pharmacokinetics (PK), and Biomarkers of YPL-001 in Chronic Obstructive Pulmonary Disease (COPD) Patients

Sponsor
Yungjin Pharm. Co., Ltd. (Industry)
Overall Status
Completed
CT.gov ID
NCT02272634
Collaborator
(none)
61
4
3
29.2
15.3
0.5

Study Details

Study Description

Brief Summary

This is a Phase 2a, proof-of-concept, multicenter, randomized, double-blind, double dummy, 3-treatment, parallel study, with low and high YPL 001 doses (low dose and high dose twice daily [BID]) and a placebo control in moderate to severe Chronic Obstructive Pulmonary Disease (COPD) patients.

Condition or Disease Intervention/Treatment Phase
  • Drug: YPL-001 80 mg
  • Drug: YPL-001 160 mg
  • Drug: Placebo
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
61 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blind, Placebo Controlled, Multicenter Phase 2a Study to Assess Safety, Daily Respiratory Symptoms, Pharmacokinetics, and Biomarker Variations After Administration of Either YPL-001, or Placebo in Patients With Moderate-to-Severe Chronic Obstructive Pulmonary Disease
Actual Study Start Date :
Jun 4, 2015
Actual Primary Completion Date :
Nov 8, 2017
Actual Study Completion Date :
Nov 8, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment A

Multiple oral YPL-001 80 mg doses (1 x 80 mg tablet + 1 x 1 YPL-001 80 mg matching placebo tablet) are administered approximately every 12 hours under fasting conditions for 55 consecutive days.

Drug: YPL-001 80 mg
twice daily [BID]

Experimental: Treatment B

Multiple oral YPL-001 160 mg doses (2 x 80 mg tablets) are administered approximately every 12 hours under fasting conditions for 55 consecutive days.

Drug: YPL-001 160 mg
twice daily [BID]

Placebo Comparator: Treatment C

Multiple oral matching placebo (2 x 1 YPL-001 80 mg matching placebo tablets) will be administered approximately every 12 hours under fasting conditions for 55 consecutive days.

Drug: Placebo
twice daily [BID]

Outcome Measures

Primary Outcome Measures

  1. Treatment-Emergent Adverse Event Frequency by Treatment - Number of Patients Reporting Events [Up to Day 56]

    A TEAE was defined as an AE that was starting or worsening at the time of or after study drug administration. All AEs collected by the clinics and recorded in the CRF were captured in the database and were listed in by-patient data listings.

  2. Treatment-Emergent Adverse Event Frequency by Treatment - Adverse Events [Up to Day 56]

    A TEAE was defined as an AE that was starting or worsening at the time of or after study drug administration. All AEs collected by the clinics and recorded in the CRF were captured in the database and were listed in by-patient data listings.

  3. Treatment-Emergent Adverse Event Frequency by Treatment, Severity, and Relationship to Drug - Number of Patients Reporting Events [Up to Day 56]

    When a patient experienced the same AE at more than one level of severity, the patient was counted once under the highest severity.

  4. Treatment-Emergent Adverse Event Frequency by Treatment, Severity, and Relationship to Drug - Adverse Events [Up to Day 56]

    When a patient experienced the same AE at more than one level of severity, the patient was counted once under the highest severity.

Secondary Outcome Measures

  1. Change From Baseline in Main Peak Expiratory Flow (PEF) Measured Daily [Baseline to Day 55]

    The PEF assessments are made daily prior to each dose from Day 1 of the Run-in Period to Day 56 of the Treatment Period. Three measurements were made at each time point using a hand held PEF meter. Readings not performed in the clinical research unit (CRU) were recorded in the patient e-diary. All PEF assessments were performed before administration of a bronchodilator where possible. Baseline is Day 1 predose measurement.

  2. Change From Baseline of Symptom Severity Score for Symptoms of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation [Baseline to Day 55]

    Patient is asked to record the major (sputum quality, color, consistency) and minor (cough, wheeze, sore throat, nasal congestion, discharge, and body temperature above 100°F) symptoms of COPD exacerbation via the e-diary before each dosing. Baseline is Day 1 predose measurement Breathlessness(Dyspnea) Screen: 0(None)-10(Extreme): 0: better condition, 10: worse condition Sputum Quantity Screen: None(better)-greater than 1/4 cup(worse) Sputum Color Screen: White(better)-Brown(condition) Sputum Consistency Screen: Watery(better)-Thick(worse) Peak Flow Measurement Screen: 60(better)-800(worse) Symptoms Screen: (Temperature over 100F / Cough/Wheeze/Sore Throat/ Nasal Congestion) Nasal Discharge Screen(Yes/No) * quantitative data were summarized including sample size, arithmetic mean, standard deviation, CV, min and max. Symptom score catecorizes normal(0-0.5), mild(1-1.5), moderate(2-2.5), severe(3-3.5)

  3. Change From Baseline in Dyspnea (Modified Borg Dyspnea Scale) [Baseline to Day 55]

    Severity level of patient's dyspnea is accessed via the modified Borg dyspnea scale programmed within the e-diary. The modified Borg dyspnea scale is a self-administered categorical scale with a score from 0 to 10, where 0 (as a measure of dyspnea) corresponds to the sensation of normal breathing (absence of dyspnea) and 10 corresponds to the patient's maximum possible sensation of dyspnea.

  4. Change From Baseline of Calculated Score From Duke Activity Status Index (DASI) [Baseline to Day 55]

    Patient's functional capacity and activity status were accessed via the DASI programmed within the e-diary. DASI is a self-administered 12-item questionnaire that assesses daily activities such as personal care, ambulation, household tasks, sexual function and recreation with respective metabolic costs. Each item has a specific weight based on the metabolic cost. The final score ranges between 0 and 58.2 points. The higher score shows the better the functional capacity.

Other Outcome Measures

  1. Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) [Baseline (Screen) to Day 55]

    Forced expiratory volume in 1 second (FEV1) is the amount of air that can be exhaled in one second. FEV1 is measured by spirometry performed at approximately the same time of day on each visit to avoid diurnal variation. A positive change from baseline in FEV1 indicates improvement in lung function.

  2. Change From Baseline in Inspiratory Capacity (IC) [Baseline (Screening) to Day 55]

    Inspiratory capacity (IC) is the maximum volume of air that can be inhaled into the lungs from the normal resting position after breathing out normally. IC is measured by spirometry performed at approximately the same time of day on each visit to avoid diurnal variation.

  3. Change From Baseline in Forced Expiratory Volume in 1 Second/Forced Vital Capacity (FEV1/FVC) Ratio [Baseline to Day 55]

    The ratio is calculated as the amount of air expelled from the lungs in one second after a full inspiration (FEV1) divided by the volume of air that can forcibly be blown out after a full inspiration (FVC).

  4. Transition Dyspnea Index (TDI) Focal Score [Baseline to Day 55]

    Dyspnea at baseline (Day -1) will be assessed with the Baseline Dyspnea Index (BDI). This instrument has 3 domains (functional impairment, magnitude of task and magnitude of effort) with the values added for a combined focal score. Functional impairment determines the impact of breathlessness on the ability to carry out activities; magnitude of task determines the type of task that causes breathlessness, magnitude of effort establishes the level of effort that results in breathlessness. The BDI scores range from 0 (very severe impairment) to 4 (no impairment) for each domain with the baseline focal score consisting of the sum of each domain (0 to 12). Dyspnea throughout the study will be performed at the time points. The change from baseline is measured by the Transition Dyspnea Index (TDI) score which ranges from -3 (major deterioration) to +3 (major improvement) for each domain with the TDI focal score consisting in the sum of each domain (-9 to +9).

  5. Change From Baseline in Chronic Obstructive Pulmonary Disease Assessment Test (CAT) [Baseline to Day 55]

    The chronic obstructive pulmonary disease assessment test (CAT) is a short and simple questionnaire of 8 items completed by patients to be performed at the time points. Scores for each of the 8 items are summed to give a single, final score ranging from 0 (no impact on daily activities) to 40 (very high impact on daily activity).

  6. Change in Percentage of Total Cells in Bronchoalveolar Lavage (BAL) [Baseline (Day -1) and Day 55]

    The bronchoalveolar lavage (BAL) samples were collected at baseline and again at the completion of the study for pharmacodynamics (PD) assessments of biomarkers. BAL samples are at analyzed for total cell count (cells/mL) of white blood cell, macrophages, lymphocytes, neutrophils, and eosinophils as a percentage of total cells.

  7. Change in Concentrations of Inflammatory Marker in Bronchoalveolar Lavage (BAL) [Baseline (Day -1) and Day 55]

    The bronchoalveolar lavage (BAL) samples are collected at baseline and again at the completion of the study for pharmacodynamics (PD) assessments of biomarkers. BAL samples are analyzed for concentrations of tumor necrosis factor (TNF)-alpha, interleukin (IL)-1β, IL-4, IL-5, IL-6, IL-8, IL-13, Myeloperoxidase (MPO), neutrophil elastase (ELA2), monocyte chemotactic protein-1 (MCP-1), myeloperoxidase(MPO), and matrix metalloproteinase-9 (MMP-9).

  8. Change in Percentage of Total Cells in Blood [Baseline to Day 55]

    The blood samples are collected at the the time points of the study for pharmacodynamics (PD) assessments of biomarkers. The blood samples are analyzed for inflammatory markers (total and differential cell counts as absolute and percentage for neutrophils, macrophages, eosinophils and lymphocytes).

  9. Change in Concentrations of Inflammatory Marker in Plasma/Blood [Baseline to Day 55]

    The blood samples are collected at the the time points of the study for pharmacodynamics (PD) assessments of biomarkers. The blood samples are analyzed for concentrations of C-reactive protein (CRP), fibrinogen, TNF-α, IL-1β, IL-4, IL-5, IL-6, IL-8, IL-13, MCP-1, and MMP-9. Baseline is Day 1 predose measurement.

  10. Number of Participants With COPD Exacerbation [Baseline to Day 56]

    Number of COPD exacerbation during 8-week treatment. COPD exacerbations are defined as a new onset or worsening of at least one respiratory symptom (i.e. dyspnea, cough, sputum purulence or volume, or wheeze) present for at least 3 consecutive days, documented change or increase in COPD-related treatment due to worsening symptoms or documented COPD-related hospitalizations or emergency room visits.

  11. Change From Baseline in Forced Vital Capacity (FVC) [Baseline (Screen) to Day 55]

    Forced vital capacity (FVC) is the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC is measured by spirometry performed at approximately the same time of day on each visit to avoid diurnal variation. A positive change from baseline in FVC indicates improvement in lung function.

Eligibility Criteria

Criteria

Ages Eligible for Study:
30 Years to 85 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adult males and/or females, 30 to 85 years of age (inclusive).

  • History of COPD for at least 12 months prior to screening.

  • Diagnosed with COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines with symptoms compatible with COPD for at least 12 months prior to screening.

  • Classified as moderate to severe COPD based on the current severity classification GOLD Stage 2-3 disease in terms of post-bronchodilator spirometry at screening

  • etc.

Exclusion Criteria:
  • History of life-threatening COPD including respiratory arrest, intensive care unit admission and/or requiring intubation.

  • History of more than 2 hospitalizations for COPD within 12 months prior to screening.

  • Presentation of an acute exacerbation of COPD that will be associated with increase sputum volume or change in sputum color within 4 weeks before Day 1 of the Run-in Period.

  • Evidence of pulmonary heart disease, or clinically significant pulmonary hypertension.

  • etc.

Contacts and Locations

Locations

Site City State Country Postal Code
1 UAB Lung Health Center Birmingham Alabama United States 35249
2 Florida Pulmonary Research Institute, LLC Winter Park Florida United States 32789
3 Aventiv Research Inc. Columbus Ohio United States 43213
4 Temple Lung Center, Temple University Hospital Philadelphia Pennsylvania United States 191140

Sponsors and Collaborators

  • Yungjin Pharm. Co., Ltd.

Investigators

  • Principal Investigator: Gerard J Criner, MD, Temple University
  • Principal Investigator: Mark T Dransfield, MD, The Kirklin Clinic of UAB Hospital

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Yungjin Pharm. Co., Ltd.
ClinicalTrials.gov Identifier:
NCT02272634
Other Study ID Numbers:
  • YPL-001_YJP-130403
First Posted:
Oct 23, 2014
Last Update Posted:
Jun 25, 2021
Last Verified:
Jun 1, 2021
Keywords provided by Yungjin Pharm. Co., Ltd.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title YPL-001 Low Dose YPL-001 High Dose Placebo
Arm/Group Description Active arm including patients who receive the YPL-001 low dose. YPL-001 low dose: twice daily [BID] Active arm including patients who receive the YPL-001 high dose, YPL-001 high dose: twice daily [BID] Control arm including patients who receive the placebo drug. Placebo: twice daily [BID]
Period Title: Overall Study
STARTED 20 21 20
COMPLETED 19 20 19
NOT COMPLETED 1 1 1

Baseline Characteristics

Arm/Group Title Treatment A Treatment B Treatment C Total
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of placebo BID on Days 1 - 55 and QD on Day 56 AM Total of all reporting groups
Overall Participants 20 21 20 61
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
65.7
(8.66)
60.4
(6.50)
61.7
(7.95)
62.6
(7.98)
Sex: Female, Male (Count of Participants)
Female
8
40%
8
38.1%
9
45%
25
41%
Male
12
60%
13
61.9%
11
55%
36
59%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
1
5%
0
0%
0
0%
1
1.6%
Not Hispanic or Latino
19
95%
21
100%
20
100%
60
98.4%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
Asian
0
0%
0
0%
0
0%
0
0%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
Black or African American
5
25%
6
28.6%
5
25%
16
26.2%
White
15
75%
15
71.4%
15
75%
45
73.8%
More than one race
0
0%
0
0%
0
0%
0
0%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
Region of Enrollment (Count of Participants)
United States
20
100%
21
100%
20
100%
61
100%
Body mass index (kg/m²) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg/m²]
28.34
(4.759)
27.77
(3.838)
26.19
(4.711)
27.44
(4.465)

Outcome Measures

1. Primary Outcome
Title Treatment-Emergent Adverse Event Frequency by Treatment - Number of Patients Reporting Events
Description A TEAE was defined as an AE that was starting or worsening at the time of or after study drug administration. All AEs collected by the clinics and recorded in the CRF were captured in the database and were listed in by-patient data listings.
Time Frame Up to Day 56

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Safety data for all discontinued patients included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of placebo BID on Days 1 - 55 and QD on Day 56 AM
Measure Participants 20 21 20
Number of Patients With AEs
10
50%
8
38.1%
14
70%
Number of Patients Without AEs
10
50%
13
61.9%
6
30%
2. Primary Outcome
Title Treatment-Emergent Adverse Event Frequency by Treatment - Adverse Events
Description A TEAE was defined as an AE that was starting or worsening at the time of or after study drug administration. All AEs collected by the clinics and recorded in the CRF were captured in the database and were listed in by-patient data listings.
Time Frame Up to Day 56

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Safety data for all discontinued patients included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of placebo BID on Days 1 - 55 and QD on Day 56 AM
Measure Participants 20 21 20
Total Number of AEs
18
14
23
Eye disorders
1
1
0
Gastrointestinal disorders
3
1
1
Infections and infestations
5
3
6
Injury, poisoning and procedural complications
0
0
2
Metabolism and nutrition disorders
1
0
0
Musculoskeletal and connective tissue disorders
1
2
0
Nervous system disorders
0
1
0
Respiratory, thoracic and mediastinal disorders
5
4
13
Skin and subcutaneous tissue disorders
0
1
1
Surgical and medical procedures
1
1
0
Vascular disorders
1
0
0
3. Primary Outcome
Title Treatment-Emergent Adverse Event Frequency by Treatment, Severity, and Relationship to Drug - Number of Patients Reporting Events
Description When a patient experienced the same AE at more than one level of severity, the patient was counted once under the highest severity.
Time Frame Up to Day 56

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Safety data for all discontinued patients included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of placebo BID on Days 1 - 55 and QD on Day 56 AM
Measure Participants 20 21 20
Number of Patients With AEs
10
50%
8
38.1%
14
70%
Severity: Mild
3
15%
3
14.3%
4
20%
Severity: Moderate
7
35%
5
23.8%
9
45%
Severity: Severe
0
0%
0
0%
1
5%
Relationship to Drug: Unrelated
9
45%
7
33.3%
14
70%
Relationship to Drug: Unlikely
0
0%
1
4.8%
0
0%
Relationship to Drug: Possible
1
5%
0
0%
0
0%
Relationship to Drug: Probable
0
0%
0
0%
0
0%
Relationship to Drug: Definite
0
0%
0
0%
0
0%
4. Primary Outcome
Title Treatment-Emergent Adverse Event Frequency by Treatment, Severity, and Relationship to Drug - Adverse Events
Description When a patient experienced the same AE at more than one level of severity, the patient was counted once under the highest severity.
Time Frame Up to Day 56

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Safety data for all discontinued patients included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of placebo BID on Days 1 - 55 and QD on Day 56 AM
Measure Participants 20 21 20
Number of Adverse Events
18
14
23
Severity: Mild
9
8
11
Severity: Moderate
9
6
11
Severity: Severe
0
0
1
Relationship to Drug: Unrelated
17
12
23
Relationship to Drug: Unlikely
0
2
0
Relationship to Drug: Possible
1
0
0
Relationship to Drug: Probable
0
0
0
Relationship to Drug: Definite
0
0
0
5. Secondary Outcome
Title Change From Baseline in Main Peak Expiratory Flow (PEF) Measured Daily
Description The PEF assessments are made daily prior to each dose from Day 1 of the Run-in Period to Day 56 of the Treatment Period. Three measurements were made at each time point using a hand held PEF meter. Readings not performed in the clinical research unit (CRU) were recorded in the patient e-diary. All PEF assessments were performed before administration of a bronchodilator where possible. Baseline is Day 1 predose measurement.
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Baseline (Day1)
250.0
(109.82)
254.9
(68.61)
240.7
(68.21)
Day55
282.8
(123.61)
277.9
(92.08)
247.6
(96.17)
6. Secondary Outcome
Title Change From Baseline of Symptom Severity Score for Symptoms of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
Description Patient is asked to record the major (sputum quality, color, consistency) and minor (cough, wheeze, sore throat, nasal congestion, discharge, and body temperature above 100°F) symptoms of COPD exacerbation via the e-diary before each dosing. Baseline is Day 1 predose measurement Breathlessness(Dyspnea) Screen: 0(None)-10(Extreme): 0: better condition, 10: worse condition Sputum Quantity Screen: None(better)-greater than 1/4 cup(worse) Sputum Color Screen: White(better)-Brown(condition) Sputum Consistency Screen: Watery(better)-Thick(worse) Peak Flow Measurement Screen: 60(better)-800(worse) Symptoms Screen: (Temperature over 100F / Cough/Wheeze/Sore Throat/ Nasal Congestion) Nasal Discharge Screen(Yes/No) * quantitative data were summarized including sample size, arithmetic mean, standard deviation, CV, min and max. Symptom score catecorizes normal(0-0.5), mild(1-1.5), moderate(2-2.5), severe(3-3.5)
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Symptom monitoring data for all discontinued patients were included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Baseline (Day 1)
0.63
(0.812)
0.17
(0.297)
0.47
(0.757)
Day 55
0.26
(0.504)
0.18
(0.351)
0.50
(0.876)
7. Secondary Outcome
Title Change From Baseline in Dyspnea (Modified Borg Dyspnea Scale)
Description Severity level of patient's dyspnea is accessed via the modified Borg dyspnea scale programmed within the e-diary. The modified Borg dyspnea scale is a self-administered categorical scale with a score from 0 to 10, where 0 (as a measure of dyspnea) corresponds to the sensation of normal breathing (absence of dyspnea) and 10 corresponds to the patient's maximum possible sensation of dyspnea.
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Symptom monitoring data for all discontinued patients were included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Baseline (Day 1)
3.88
(1.996)
4.05
(1.746)
3.18
(2.512)
Day 55
3.76
(2.463)
3.88
(2.147)
3.31
(2.323)
8. Secondary Outcome
Title Change From Baseline of Calculated Score From Duke Activity Status Index (DASI)
Description Patient's functional capacity and activity status were accessed via the DASI programmed within the e-diary. DASI is a self-administered 12-item questionnaire that assesses daily activities such as personal care, ambulation, household tasks, sexual function and recreation with respective metabolic costs. Each item has a specific weight based on the metabolic cost. The final score ranges between 0 and 58.2 points. The higher score shows the better the functional capacity.
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
All available data for patients who received at least one dose of the investigational product (i.e., YPL-001) or placebo. Symptom monitoring data for all discontinued patients included in this set for the time points for which their data are available.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [score on a scale]
-0.267
(3.7696)
-2.844
(9.8016)
1.137
(4.8336)
9. Other Pre-specified Outcome
Title Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
Description Forced expiratory volume in 1 second (FEV1) is the amount of air that can be exhaled in one second. FEV1 is measured by spirometry performed at approximately the same time of day on each visit to avoid diurnal variation. A positive change from baseline in FEV1 indicates improvement in lung function.
Time Frame Baseline (Screen) to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [L]
-0.088
(0.2721)
-0.002
(0.1974)
0.011
(0.1533)
10. Other Pre-specified Outcome
Title Change From Baseline in Inspiratory Capacity (IC)
Description Inspiratory capacity (IC) is the maximum volume of air that can be inhaled into the lungs from the normal resting position after breathing out normally. IC is measured by spirometry performed at approximately the same time of day on each visit to avoid diurnal variation.
Time Frame Baseline (Screening) to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [L]
-0.158
(0.3148)
-0.097
(0.4357)
-0.304
(0.4709)
11. Other Pre-specified Outcome
Title Change From Baseline in Forced Expiratory Volume in 1 Second/Forced Vital Capacity (FEV1/FVC) Ratio
Description The ratio is calculated as the amount of air expelled from the lungs in one second after a full inspiration (FEV1) divided by the volume of air that can forcibly be blown out after a full inspiration (FVC).
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [ratio]
-1.8
(6.21)
-0.2
(4.63)
2.0
(4.98)
12. Other Pre-specified Outcome
Title Transition Dyspnea Index (TDI) Focal Score
Description Dyspnea at baseline (Day -1) will be assessed with the Baseline Dyspnea Index (BDI). This instrument has 3 domains (functional impairment, magnitude of task and magnitude of effort) with the values added for a combined focal score. Functional impairment determines the impact of breathlessness on the ability to carry out activities; magnitude of task determines the type of task that causes breathlessness, magnitude of effort establishes the level of effort that results in breathlessness. The BDI scores range from 0 (very severe impairment) to 4 (no impairment) for each domain with the baseline focal score consisting of the sum of each domain (0 to 12). Dyspnea throughout the study will be performed at the time points. The change from baseline is measured by the Transition Dyspnea Index (TDI) score which ranges from -3 (major deterioration) to +3 (major improvement) for each domain with the TDI focal score consisting in the sum of each domain (-9 to +9).
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [units on a scale]
2.2
(2.68)
1.1
(2.75)
2.9
(2.84)
13. Other Pre-specified Outcome
Title Change From Baseline in Chronic Obstructive Pulmonary Disease Assessment Test (CAT)
Description The chronic obstructive pulmonary disease assessment test (CAT) is a short and simple questionnaire of 8 items completed by patients to be performed at the time points. Scores for each of the 8 items are summed to give a single, final score ranging from 0 (no impact on daily activities) to 40 (very high impact on daily activity).
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [units on a scale]
-1.2
(6.14)
-1.3
(5.11)
0.0
(7.38)
14. Other Pre-specified Outcome
Title Change in Percentage of Total Cells in Bronchoalveolar Lavage (BAL)
Description The bronchoalveolar lavage (BAL) samples were collected at baseline and again at the completion of the study for pharmacodynamics (PD) assessments of biomarkers. BAL samples are at analyzed for total cell count (cells/mL) of white blood cell, macrophages, lymphocytes, neutrophils, and eosinophils as a percentage of total cells.
Time Frame Baseline (Day -1) and Day 55

Outcome Measure Data

Analysis Population Description
All patients who received at least one dose of YPL-001 or placebo and provide at least one post-baseline PD measurement.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 20 20
WBC
5.2
(23.16)
-2.3
(22.87)
-5.6
(21.16)
Eosinohils
-50.8
(49.25)
38.3
(150.97)
61.2
(261.73)
Lymphocytes
37.8
(111.26)
2.7
(75.89)
19.4
(121.45)
Macrophages
45.9
(136.88)
9.3
(55.48)
59.8
(124.05)
Neutrophils
57.0
(152.70)
83.5
(252.98)
1.1
(106.19)
15. Other Pre-specified Outcome
Title Change in Concentrations of Inflammatory Marker in Bronchoalveolar Lavage (BAL)
Description The bronchoalveolar lavage (BAL) samples are collected at baseline and again at the completion of the study for pharmacodynamics (PD) assessments of biomarkers. BAL samples are analyzed for concentrations of tumor necrosis factor (TNF)-alpha, interleukin (IL)-1β, IL-4, IL-5, IL-6, IL-8, IL-13, Myeloperoxidase (MPO), neutrophil elastase (ELA2), monocyte chemotactic protein-1 (MCP-1), myeloperoxidase(MPO), and matrix metalloproteinase-9 (MMP-9).
Time Frame Baseline (Day -1) and Day 55

Outcome Measure Data

Analysis Population Description
All patients who received at least one dose of YPL-001 or placebo and provide at least one post-baseline PD measurement.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 17 20 18
ELA2(neutrophil elastage)
46.36
(154.476)
714.18
(1864.367)
155.57
(523.538)
IL-13
34.47
(187.126)
321.42
(1168.485)
160.25
(243.317)
IL-1ß
79.65
(216.674)
223.62
(618.896)
45.43
(207.504)
IL-4
11.12
(101.995)
121.13
(258.496)
155.36
(276.287)
IL-5
49.97
(161.255)
220.88
(523.979)
213.86
(341.157)
IL-6
-7.41
(79.289)
130.15
(354.531)
53.48
(153.791)
IL-8
50.61
(178.116)
173.57
(600.987)
45.40
(222.303)
MCP-1
90.05
(224.213)
155.50
(601.606)
252.95
(816.196)
MMP-9
28.38
(201.899)
565.88
(2067.142)
43.31
(242.912)
MPO
64.14
(243.237)
275.50
(693.932)
62.14
(199.545)
TNF-a
14.04
(114.456)
268.19
(863.815)
124.20
(266.423)
16. Other Pre-specified Outcome
Title Change in Percentage of Total Cells in Blood
Description The blood samples are collected at the the time points of the study for pharmacodynamics (PD) assessments of biomarkers. The blood samples are analyzed for inflammatory markers (total and differential cell counts as absolute and percentage for neutrophils, macrophages, eosinophils and lymphocytes).
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
All patients who received at least one dose of YPL-001 or placebo and provide at least one post-baseline PD measurement.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
WBC
5.229
(23.1568)
-2.289
(22.8687)
-5.572
(21.1569)
Eosinophils
7.61728
(78.203389)
20.06903
(91.240833)
57.36857
(226.50576)
Lymphocytes
10.21926
(35.449159)
-1.58746
(23.455210)
14.24407
(26.363322)
Monocytes
0.05858
(24.446709)
30.65211
(65.329419)
1.67563
(46.936967)
Neutrophils
1.62215
(24.058407)
0.13700
(10.8890617)
-3.29570
(10.559662)
17. Other Pre-specified Outcome
Title Change in Concentrations of Inflammatory Marker in Plasma/Blood
Description The blood samples are collected at the the time points of the study for pharmacodynamics (PD) assessments of biomarkers. The blood samples are analyzed for concentrations of C-reactive protein (CRP), fibrinogen, TNF-α, IL-1β, IL-4, IL-5, IL-6, IL-8, IL-13, MCP-1, and MMP-9. Baseline is Day 1 predose measurement.
Time Frame Baseline to Day 55

Outcome Measure Data

Analysis Population Description
All patients who received at least one dose of YPL-001 or placebo and provide at least one post-baseline PD measurement.
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
ELA2
-7.13
(30.726)
-17.01
(33.050)
-26.33
(30.972)
IL-13
5.158
(45.4151)
10.197
(53.7029)
-1.622
(5.5691)
IL-1ß
44.9813
(149.88595)
32.7901
(121.71539)
4.7453
(72.39394)
IL-4
68.849
(280.7619)
22.678
(98.3923)
-19.865
(35.6127)
IL-5
73.36
(214.724)
20.57
(257.416)
-5.30
(99.117)
IL-6
-26.0682
(36.92257)
-35.8383
(82.30541)
-48.4230
(51.59468)
IL-8
26.916
(47.0832)
6.986
(54.7421)
57.464
(176.8141)
MCP1
20.019
(86.8398)
-13.923
(31.9128)
51.441
(173.5531)
MMP9
-10.922
(52.3542)
-9.087
(39.4842)
-27.524
(34.8440)
MPO
-6.051
(21.3202)
-9.661
(26.7605)
-14.232
(26.6217)
TNF-α
-10.499
(24.7753)
-16.184
(25.6551)
-1.585
(27.5520)
CRP
-12.087
(102.3304)
29.028
(345.0216)
-61.732
(40.0405)
Fibrinogen
0.5
(15.39)
-0.4
(13.88)
-7.7
(22.38)
18. Other Pre-specified Outcome
Title Number of Participants With COPD Exacerbation
Description Number of COPD exacerbation during 8-week treatment. COPD exacerbations are defined as a new onset or worsening of at least one respiratory symptom (i.e. dyspnea, cough, sputum purulence or volume, or wheeze) present for at least 3 consecutive days, documented change or increase in COPD-related treatment due to worsening symptoms or documented COPD-related hospitalizations or emergency room visits.
Time Frame Baseline to Day 56

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 and QD on Day 56 AM Multiple oral doses of placebo BID on Days 1 - 55 and QD on Day 56 AM
Measure Participants 20 21 20
Count of Participants [Participants]
3
15%
2
9.5%
5
25%
19. Other Pre-specified Outcome
Title Change From Baseline in Forced Vital Capacity (FVC)
Description Forced vital capacity (FVC) is the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC is measured by spirometry performed at approximately the same time of day on each visit to avoid diurnal variation. A positive change from baseline in FVC indicates improvement in lung function.
Time Frame Baseline (Screen) to Day 55

Outcome Measure Data

Analysis Population Description
Analysis population included data obtained from all the subjects who were enrolled in the study and received at least one dose of the investigational drug and had primary efficacy endpoint after administration of the investigational drug
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
Measure Participants 19 21 20
Mean (Standard Deviation) [L]
-0.087
(0.3475)
0.007
(0.2290)
-0.105
(0.3117)

Adverse Events

Time Frame 56 days
Adverse Event Reporting Description
Arm/Group Title Treatment A Treatment B Treatment C
Arm/Group Description Multiple oral doses of YPL-001 80 mg BID on Days 1 - 55 Multiple oral doses of YPL-001 160 mg BID on Days 1 - 55 Multiple oral doses of placebo BID on Days 1 - 55
All Cause Mortality
Treatment A Treatment B Treatment C
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/20 (0%) 0/21 (0%) 0/20 (0%)
Serious Adverse Events
Treatment A Treatment B Treatment C
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/20 (0%) 0/21 (0%) 1/20 (5%)
Respiratory, thoracic and mediastinal disorders
Acute Exacerbation of COPD 0/20 (0%) 0/21 (0%) 1/20 (5%)
Other (Not Including Serious) Adverse Events
Treatment A Treatment B Treatment C
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 10/20 (50%) 8/21 (38.1%) 14/20 (70%)
Eye disorders
Dry eye 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Eye irritation 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Gastrointestinal disorders
Diarrhoea 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Dry mouth 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 1
Dyspepsia 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Large intestine polyp 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Nausea 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Infections and infestations
Bronchitis 1/20 (5%) 1 0/21 (0%) 0 1/20 (5%) 1
Bronchopneumonia 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Epididymitis 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Folliculitis 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Gastroenteritis viral 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Herpes zoster 0/20 (0%) 0 0/21 (0%) 0 0/20 (0%) 0
Nasopharyngitis 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 0
Subcutaneous abscess 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 0
Upper respiratory tract infection 0/20 (0%) 0 0/21 (0%) 0 2/20 (10%) 2
Urinary tract infection 1/20 (5%) 1 2/21 (9.5%) 2 0/20 (0%) 0
Injury, poisoning and procedural complications
Chest injury 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 1
Skeletal injury 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 1
Metabolism and nutrition disorders
Diabetes mellitus 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Musculoskeletal and connective tissue disorders
Back pain 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Neck pain 1/20 (5%) 1 1/21 (4.8%) 1 0/20 (0%) 0
Nervous system disorders
Dizziness 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 3/20 (15%) 3 2/21 (9.5%) 2 5/20 (25%) 5
Cough 0/20 (0%) 0 2/21 (9.5%) 2 5/20 (25%) 5
Dyspnoea 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Oropharyngeal pain 1/20 (5%) 1 0/21 (0%) 0 1/20 (5%) 1
Rhinitis allergic 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 1
Rhinorrhoea 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 1
Skin and subcutaneous tissue disorders
Drug eruption 0/20 (0%) 0 0/21 (0%) 0 1/20 (5%) 1
Rash 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Surgical and medical procedures
Large intestinal polypectomy 0/20 (0%) 0 1/21 (4.8%) 1 0/20 (0%) 0
Tooth extraction 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0
Vascular disorders
Hypertension 1/20 (5%) 1 0/21 (0%) 0 0/20 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Director of Clinical Trials
Organization Yungjin Pharm. Co., Ltd.
Phone 82-2-2041-8318
Email mhlee2017@yungjin.co.kr
Responsible Party:
Yungjin Pharm. Co., Ltd.
ClinicalTrials.gov Identifier:
NCT02272634
Other Study ID Numbers:
  • YPL-001_YJP-130403
First Posted:
Oct 23, 2014
Last Update Posted:
Jun 25, 2021
Last Verified:
Jun 1, 2021