The primary objective of this study is to evaluate the effect of 12 weeks of treatment with once daily administration of AQX-1125 compared to placebo in subjects following exacerbations of Chronic Obstructive Pulmonary Disease (COPD) by targeting the SHIP1 (Src Homology 2-containing Inositol-5'-Phosphatase 1) pathway.
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide. Acute exacerbations of COPD are usually treated with steroids and/or antibiotics. Currently this conventional therapy has significant side effects including osteoporosis, cataracts and suppression of the immune system (from the steroids) and increasing bacterial resistance and other side effects from the use of antibiotics. During an acute exacerbation of COPD, the inflammation in the airways increases. AQX-1125 represents a new type drug that based current data is thought decrease the inflammatory process and therefore may provide a therapeutic benefit in the treatment of COPD.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
400
University of Cincinnati
Cincinnati, Ohio, United States
Department of Respiratory & Sleep Medicine, Westmead Hospital
Wentworthville, New South Wales, Australia
Department of Respiratory Medicine, Odense University Hospital
Odense, Denmark
Biomedicum Helsinki
Helsinki, Finland
The Primary Efficacy Variable Was the AAC for Daily EXACT Scores During the 12-week Treatment Period.
The primary variable (endpoint) of this study is the difference in the Area Above the Curve (AAC) for the daily EXACT score from baseline to Week 12 between subjects treated with AQX-1125 and placebo.The EXACT questionnaire is a patient reported outcome (PRO) measure designed to standardise the method for evaluating the frequency, severity and duration of acute exacerbations of COPD. The EXACT is a 14-item daily questionnaire where each item is assessed on a 5 or 6 point ordinal scale. Participants completed the EXACT questionnaire on a daily basis via an electronic diary from Day 1 (pre-dose) to Day 84 (week 12). Higher scores on the daily EXACT questionnaire indicate a more severe health state. When the post-treatment EXACT scores are lower (i.e. improved symptoms) than baseline EXACT, the AACs are positive.
Time frame: 12 weeks
Change From Baseline in COPD Assessment Tool (CAT) Score
The secondary objective is to evaluate the treatment effect of once daily administrations of AQX-1125 compared to placebo over 12 weeks on the COPD Assessment Tool (CAT) score.The CAT questionnaire measures the impact of COPD on wellbeing and daily life. Participants answer 8 questions on a scale from 0 (best) to 5 (worst). The total score ranges from 0 to 40 with higher scores indicating more impact. A negative change from baseline indicates improvement. The change in total CAT score from Day 1, before taking study drug (baseline), to end of the 12 week treatment period was compared between the two treatments using an ANOVA model adjusting for treatment and region and including the baseline score as a covariate.
Time frame: 12 weeks
Analysis of the Number of COPD Exacerbations (Medically Treated Event (MTE))
The secondary objective is to evaluate the treatment effect of once daily administrations of AQX-1125 compared to placebo over 12 weeks on the number of COPD exacerbations (MTE). COPD exacerbations were referred to as Medically Treated Exacerbations (MTEs) and identified as a change in symptoms and/or signs of COPD requiring prescription of one or both of: (1) Course of oral corticosteroids or (2) Antibiotic(s).
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Csongrád Megyei Melkasi Betegségek Szakkórháza
Deszk, Hungary
P3 Research
Wellington, New Zealand
Medical University of Lodz
Lodz, Poland
Lung and Allergy Clinic, Skåne University Hospital
Lund, Sweden
Time frame: 12 weeks
Time to First COPD Exacerbation
The secondary objective is to evaluate the treatment effect of once daily administrations of AQX-1125 compared to placebo over 12 weeks on the time to first exacerbation requiring medical intervention of oral corticosteroids and/or antibiotics.
Time frame: 12 weeks
The Number of Subjects With at Least One COPD Exacerbation.
The number of subjects that presented with a COPD exacerbation during the 12 week treatment period.
Time frame: 12 weeks
Change From Baseline in FEV1
The secondary objective is to evaluate the treatment effect of once daily administrations of AQX-1125 compared to placebo over 12 weeks on forced expiratory volume in 1 second \[FEV1\]. FEV1 was determined from post-bronchodilator spirometry testing done at clinic visits.
Time frame: 12 weeks
AQX-1125 Concentrations in Plasma (Trough Values)
The secondary objectives are to evaluate the pharmacokinetics (PK) of AQX-1125 in plasma.
Time frame: 12 weeks