Status:

COMPLETED

Eosinophilic Airway Inflammation and Mepolizumab

Lead Sponsor:

University of Wisconsin, Madison

Conditions:

Asthma

Eligibility:

All Genders

18-50 years

Phase:

NA

Brief Summary

A drug (mepolizumab) that reduces allergic inflammation will affect the function of allergy cells called eosinophils which are produced by the body in response to allergen exposure.

Eligibility Criteria

Inclusion

  • Males or females age 18 to 50 yrs,
  • History of asthma based upon presence of asthma symptoms such as cough, shortness of breath, wheeze or chest tightness,
  • positive skin-prick test to a House Dust Mite extract,
  • Forced expiratory volume at one second \>70% predicted pre-albuterol, \> 80% predicted post albuterol
  • \>12% increase in Forced expiratory volume at one second following inhaled albuterol (180 µg) and/or
  • airway responsiveness to methacholine (PC20 \<8mg/ml).
  • \> 20% immediate drop in FEV1 following inhaled antigen challenge.
  • Safety laboratory assessments within normal ranges (labs to include complete blood count with differential, blood urea nitrogen, creatinine, aspartate aminotransferase, alanine aminotransferase, Prothrombin time, Partial Thromboplastin Time, and platelet count)
  • Female subjects of child-bearing potential must have a negative urine pregnancy test (urine HCG) within 48 hours of the methacholine challenge at Visit 2 and agree to use a reliable method of birth control for the duration of the study (reliable methods of birth control can include abstinence, barrier methods, oral contraceptives, injection contraceptives or skin absorption contraceptives).
  • In the opinion of the investigator, capable and willing to grant written informed consent and cooperate with study procedures and requirements.

Exclusion

  • Use of inhaled or systemic corticosteroids or leukotriene inhibitors within 1 month of screening.
  • Treatment with Omalizumab (anti-IgE) within 9 months of screening visit
  • Concomitant use of any other monoclonal antibody
  • Respiratory infection within 4 weeks of study
  • Unstable asthma as indicated by self-report of increased symptoms or increased beta-agonist use over the previous 2 weeks.
  • Female subjects who are pregnant, nursing or have a pregnancy planned during the course of study
  • Current smokers (defined as smoked within the last year) or a former smoker with a history of \>5 pack years.
  • Major health problems such as heart disease, type I and II diabetes or lung diseases other than asthma. Decisions regarding this criteria will be based upon the judgment of the investigator.
  • Previous malignancy.
  • Medication other than for asthma, allergies or contraception and that the investigator feels may interfere with the conduct of study (e.g. monoamine oxidase inhibitors and B-adrenergic antagonists in any form)
  • Known history of allergic reaction to previous antibody administration.
  • Prior treatment with an anti-interleukin-5 monoclonal antibody,
  • Use of an investigational drug within 30 days of entering the study,
  • History of noncompliance with medical regimens or subjects who are considered unreliable.

Key Trial Info

Start Date :

June 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2013

Estimated Enrollment :

38 Patients enrolled

Trial Details

Trial ID

NCT00802438

Start Date

June 1 2008

End Date

March 1 2013

Last Update

April 10 2019

Active Locations (1)

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1

University of Wisconsin- Madison

Madison, Wisconsin, United States, 53792-9988