Tiotropium Efficacy Against Allergen Induced Early Asthmatic Responses

Study Overview
=================
Brief Summary
-----------------
The study will compare the effect of inhaled tiotropium versus placebo on allergen induced early asthmatic responses in individuals with atopic asthma.

Detailed Description
-----------------
This is a single center, double-blind, randomized, placebo-controlled, crossover study. The study will consist of two one week treatment periods, one with tiotropium (two inhalations/5mcg/day) and one with placebo (2inhalations/day). A minimum two week washout period between treatments is required. Four visits over the course of approximately 4 weeks will be required to complete the study. Procedures at each visit are as follows: Visit 1: Participants will undergo consent procedures and if consent is provided measurements of FeNO, spirometry, airway responsiveness to methacholine, skin prick testing, skin titration endpoint testing and sputum induction will be performed. If participants meet eligibility criteria following these assessments, treatment 1 will be dispensed and the first dose administered. The participant will then self administer the treatment for the next six days (i.e. a total of 7 days of treatment) before returning for Visit 2. Visit 2: A final dose of treatment 1 will be administered. At 30 minutes post dose, FeNO testing, spirometry measurements and allergen inhalation challenge will be performed. Five hours after the allergen challenge, FeNO will again be measured and sputum induction will be performed. Visits 3 and 4: Visits 3 and 4 will be identical to Visit 1 and 2 except that no skin prick testing or skin titration endpoint testing will be required. At Visit 3 participants will be crossed over to treatment 2 and the first dose will be administered. Participants will self administer treatment 2 for the next six days before returning for Visit 4. The primary endpoint will be the EAR PD20, the amount of allergen required to induce an early asthmatic response (i.e. a fall in FEV1 post allergen inhalation of 20% or more) tiotropium versus placebo.

Official Title
-----------------
Tiotropium Efficacy Against Allergen Induced Early Asthmatic Responses

Conditions
-----------------
Allergic Asthma

Intervention / Treatment
-----------------
* Drug: tiotropium bromide monohydrate (Spiriva Respimat)
* Drug: matching placebo


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: signed informed consent diagnosis of mild asthma with a minimum 3 months history at the time of enrolment into the trial pre-bronchodilator FEV1 80% or greater than the predicted value positive response to inhaled methacholine (i.e. MCh PD20 ≤ 400mcg) evidence of atopy (i.e. positive skin prick test to an allergen that is appropriate for use in allergen inhalation challenge) no respiratory infection within 4 weeks of Visit 1 no allergen exposure within 4 weeks of Visit 1 current non-smoker (ex-nicotine smoker with < 10 pack years evaluated case by case) use of β2 agonist rescue medications less than daily and no more than 4 times per week general good health with no other medical condition, medication use or lifestyle activities that would potentially alter the outcome of the allergen challenge Exclusion Criteria: currently pregnant or breast-feeding current daily use of other inhaled recreational products (e.g. cannabis, e-cigarettes or other vaping products; occasional use requires 24 hour withhold) diagnosis or evidence of narrow angle glaucoma diagnosis or evidence of urinary retention known hypersensitivity to tiotropium, atropine or its derivatives (e.g. ipratropium) or components of tiotropium formulation (e.g. benzalkonium chloride) history of anaphylaxis or angioedema current use of : inhaled corticosteroid including combination therapies inhaled muscarinic antagonists - except study treatment (e.g. ipratropium bromide) long-acting beta2-agonists (LABA; e.g. formoterol) leukotriene receptor antagonists (e.g. montelukast) biologics (e.g. benralizumab) allergen immunotherapy mast cell stabilizers (e.g. nedocromil sodium)

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

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: tiotropium bromide monohydrate (Spiriva Respimat)<br> | Drug: tiotropium bromide monohydrate (Spiriva Respimat)<br>* administered daily, 2 inhalations/5mcg per dose for a total of 8 doses<br>|
| Placebo Comparator: matching placebo<br> | Drug: matching placebo<br>* administered daily, 2 inhalations per dose for a total of 8 doses<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EAR PD20 | amount of inhaled allergen required to induce a 20% fall in FEV1 | 30 minutes post last dose of treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Airway inflammation | level of FeNO (fractional exhaled nitric oxide) in parts per billion (ppb) | pre-treatment, 30 minutes post final dose and 5 hours post allergen inhalation challenge | 
| Airway inflammation | change in number of sputum differential cell counts, specifically eosinophils | pre treatment and 5 hours post allergen inhalation challenge |