Status:

WITHDRAWN

Exploratory Study of Xolair in Chronic Obstructive Pulmonary Disease in Patients With Elevated IgE Levels

Lead Sponsor:

National Jewish Health

Collaborating Sponsors:

Novartis

Conditions:

Pulmonary Disease, Chronic Obstructive

Eligibility:

All Genders

40-70 years

Phase:

PHASE2

Brief Summary

The objective is to conduct an exploratory study on the effect of Omalizumab on COPD patients with elevated IgE. Exploratory outcomes include to determine whether Omalizumab use: reduces exacerbations...

Eligibility Criteria

Inclusion

  • Smoking-related COPD and aged between 40 and 70 yrs.
  • Total IgE of 30-700 IU and a positive RAST or skin prick test result to one or more perennial environmental allergens (e.g. dust mite (Dermatophagoides farinae, Dermatophagoides pteronyssinus), cockroach, dog, or cat.)
  • Any race or sex; women with childbearing potential are required to use an acceptable method for birth control and have a negative pregnancy test
  • History of ≥2 exacerbations during 2 yrs previous to the enrollment date
  • An exacerbation will be defined as an increase or new onset of more than one of the following: cough, sputum, wheezing, dyspnea, or chest tightness with a duration of at least 3 days requiring antibiotic or systemic steroid treatment. The severity of an exacerbation will be determined by the following:
  • Mild: Home management, with or without contacting a health care provider, or unscheduled office visit
  • Moderate: Requiring a visit to an emergency department
  • Severe: Requiring hospitalization
  • Very Severe: Requiring intubation and medical ventilation
  • Post-bronchodilator FEV1 30-64% of predicted; the first 5 subjects enrolled will be required to have post-bronchodilator FEV1 50-64%
  • Post-bronchodilator FEV1/FVC \< 0.7
  • Smokers or ex-smokers with at least a 20 pack-year smoking history
  • Able to communicate meaningfully with the study personnel and to understand and read fluently in English
  • Written informed consent;
  • BODE score 3-10.

Exclusion

  • History of Omalizumab use
  • Evidence of illicit drug use or abuse of alcohol.
  • Women of childbearing potential not using the contraception method(s) specified in this study (specify), as well as women who are breastfeeding
  • Known sensitivity to study drug(s) or class of study drug(s)
  • Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study (specify as required)
  • Use of any other investigational agent in the last 30 days
  • Continuous treatment with oral corticosteroids
  • Participating in another trial within 3 months prior to the beginning of the study
  • Non-compliance in taking medications
  • Planned for lung transplantation at the time of admission to the study or expected to be transplanted within 3 yrs
  • Alpha-1-antitrypsin deficiency
  • Cystic fibrosis
  • Bronchiectasis
  • History of infection or active infection due to Mycobacterium tuberculosis
  • Pneumoconiosis
  • Pulmonary restriction due to any other pulmonary disease, apart from the one concerned with the study population
  • Congestive heart failure class 2 or more of the New York Heart Association (NYHA)
  • Reduced life expectancy due to other disease (defined as having an expected mortality of ≥25% five years from enrollment)
  • Current use of ß-blockers

Key Trial Info

Start Date :

January 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2011

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00851370

Start Date

January 1 2009

End Date

February 1 2011

Last Update

March 29 2017

Active Locations (1)

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National Jewish Health

Denver, Colorado, United States, 80206