TC-6987 for the Treatment of Mild to Moderate Asthma

Study Overview
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Brief Summary
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This study is designed to determine whether TC-6987 improves respiratory function in subjects with asthma by reducing airway hyper-responsiveness and inflammation.

Detailed Description
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Asthma is a common, chronic inflammatory disorder of the airways that affects an estimated 20 to 22 million people in the United States. It is characterized by variable and recurring symptoms, notably airflow obstruction, bronchial hyperresponsiveness, and an underlying inflammation. The bronchospasm is caused by inflammation of the muscles surrounding the air passageways, making them smaller, thus more difficult for air to freely move in and out of the lungs. Cardinal symptoms of asthma include coughing, chest tightness, shortness of breath and wheezing. These symptoms are often more severe in the morning and late night, and usually reversible with medications. Clinically, asthma is typically classified according to the frequency of symptoms, forced expiratory volume in 1 second (FEV1), and peak expiratory flow rate. The rationale for this Phase II proof of concept study is to demonstrate that TC-6987 improves respiratory function in subjects with asthma, compared to placebo, as measured by the Baseline FEV1 on Day 1 compared to the End-of-Treatment FEV1 on Day 28 or Early Withdrawal (EW); and also to assess the safety and tolerability profile of TC-6987 in subjects with asthma.

Official Title
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A Phase II Multicenter, Randomized, Double-Blind,Parallel Group, Placebo-Controlled Study to Assess the Efficacy, Safety, Tolerability and Pharmacokinetic Parameters of TC-6987 in Subjects With Persistent Mild to Moderate Asthma

Conditions
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Asthma

Intervention / Treatment
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* Drug: TC-6987
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A clinical diagnosis of persistent mild to moderate asthma requiring at least 3 months of daily treatment with inhaled corticosteroids (ICS). A FEV1 value at Screening that is 60-90% of predicted FEV1. Age 18 to 65, males or females. Exclusion Criteria: Diagnosis or presence of other pulmonary diseases including chronic obstructive pulmonary disease (COPD) and emphysema. Previous life-threatening asthma, such as asthma requiring intubation or ICU admission for asthma. Prolonged hospitalization for asthma within the past year (emergency room treatments using nebulized beta-agonists is permitted). Not able and willing to stop the use of long-acting beta-agonists (LABAs), cromolyn sodium, methylxanthines, anticholinergic agents, leukotriene inhibitors, or any other non-ICS or non-SABA prescription or over-the-counter anti-asthma medication, including antihistamines, during Screening and during the Study. Use of moderate to strong cytochrome P450 3A4 (CYP3A4) inhibitors. Use of oral steroids within the last 1 month, or use of >/= 3 steroid bursts in the last 12 months. History of upper respiratory tract infection (URI) requiring treatment during the last month prior to Screening. Tobacco use within 3 months prior to Screening, or > 5 pack-year lifetime tobacco use. Use of smoking cessation therapy within 3 months prior to Screening. Uncontrolled Gastroesophageal reflux disease (GERD). Subjects on a stable dose of non-prescription or prescription medications who have been symptom free for 4 wks prior to screening are eligible. History within past 6 months of alcohol abuse or illicit drug abuse. Myocardial infarction within 12 months prior to Screening. Known hypothyroidism, vitamin B12, or folic acid deficiency. Known systemic infection (HBV, HCV, HIV, TB). FSH level of < 35 IU/L and a LH level < 25 IU/L. Urine cotinine level > 50 ng/ml. Body Mass Index (BMI) <15 and >35. Participation in another clinical trial in the past 3 months.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: TC-6987<br> | Drug: TC-6987<br>* TC-6987 50 mg capsule given once daily on Days 1 to 28<br>|
| Placebo Comparator: Placebo<br> | Drug: Placebo<br>* Matching placebo capsule given once daily on Days 1 to 28<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in FEV1 status on Day 28 compared to baseline as a function of treatment (TC-6987 versus placebo) | Co-primary efficacy endpoints: the change in FEV1 from pre dose on Day 1 to pre dose on Day 28 the change in FEV1 from pre dose on Day 1 to 2 h post dose on Day 28 | Day 28 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Asthma Control Days | Number of Asthma Control Days from 14 days prior to Day 1, compared to the 14 days prior to Day 28, as a function of Treatment | Day 1 | 
| Decrease in FEV1 after methacholine dose as a function of treatment | Percentage of patients in which methacholine dose decreases FEV1 by 20% (PC20) at Day 29 compared to Day -1 | Day 29 | 
| Number of Asthma Control Days | Number of Asthma Control Days from 14 days prior to Day 1, compared to the 14 days prior to Day 28, as a function of Treatment | Day 28 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Asthma, Mild to Moderate Asthma