Patients with Chronic Obstructive Pulmonary Disease (COPD) suffer from frequent and recurrent acute exacerbations (AECB) which are associated with enormous healthcare expenditures and significant morbidity, specifically an increased risk of death, a decline in pulmonary function and a significant change in quality of life. Bacteria appear to have an important role in acute exacerbations in chronic bronchitis and COPD. Studies of acute exacerbations in COPD have shown a reduction in bacterial load with prolonged exacerbation-free interval. In addition, recent studies indicate that acquisition of a new strain of H. influenzae, M. catarrhalis, S. pneumoniae or P. aeruginosa are responsible for many of these exacerbations. Chronic inflammation and bacterial infection predispose many patients to frequent and recurrent acute exacerbations. Mpex believes that intermittent administration of inhaled MP-376 in high risk patients will decrease the incidence of acute exacerbations by both by lowering the organism burden, and resultant inflammation, as well as pre-emptive eradication of any newly acquired bacterial strains.
This study will be a Phase 2, multi-center, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, and efficacy of MP-376 inhalation solution given daily for 5 days in a 28 day treatment cycle to COPD patients. Study with completed results acquired from Horizon in 2024.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
322
Unnamed facility
Haleyville, Alabama, United States
Unnamed facility
Hueytown, Alabama, United States
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Mobile, Alabama, United States
Unnamed facility
Montgomery, Alabama, United States
Unnamed facility
Glendale, Arizona, United States
Unnamed facility
Exacerbation Rate
The number of acute exacerbations per patient-year of study participation, where an acute exacerbation was defined as a deterioration in respiratory symptoms that required treatment with antibiotics, corticosteroids, hospitalization or a combination of those treatments.
Time frame: From randomization to the patients final study visit (up to 12 months)
Duration of Acute Exacerbation
From the beginning of antibiotics and/or systemic corticosteroids to the end of antibiotics and/or systemic corticosteroids, whichever was longer, for treatment of the first acute exacerbation
Time frame: from randomization to the patient's final study visit (up to 12 months)
Percent Change in Forced Vital Capacity (FVC)
The percent change in the amount of air a patient can inhale
Time frame: from baseline to the conclusion of the fourth 28-day treatment cycle (4 months)
Percent Change in Forced Expiratory Volume in 1 Second (FEV1)
The percent change in the amount of air a patient can exhale in 1 second
Time frame: from baseline to the conclusion of the fourth 28-day treatment cycle (4 months)
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Phoenix, Arizona, United States
Unnamed facility
Chula Vista, California, United States
Unnamed facility
Lomita, California, United States
Unnamed facility
Long Beach, California, United States
Unnamed facility
Mission Viejo, California, United States
...and 29 more locations