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NCT00974675

A Study to Assess Pharmacokinetics, Safety and Tolerability of Multiple Doses of CAT-354 in Subjects With Moderate Asthma

Terminated Phase 1 Results posted Last updated 2 May 2017
What this trial tests

Phase 1 trial testing CAT-354 1mg/kg in Moderate Asthma in 23 participants. Terminated before completion.

Timeline
29 September 2006
Primary endpoint
3 August 2007
3 August 2007

Quick facts

Lead sponsorMedImmune LLC
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment23
Start date29 September 2006
Primary completion3 August 2007
Estimated completion3 August 2007
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

MedImmune LLC — full company profile →

Who can join

Adults 18 to 60, any sex, with Moderate Asthma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Observed Serum Concentration (Cmax) for CAT-354 After First Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
GroupValue95% CI
CAT-354 1 mg/kg30.3± 5.18
CAT-354 5 mg/kg156.8± 34.55
CAT-354 10 mg/kg306.3± 31.39
Maximum Observed Serum Concentration (Cmax) for CAT-354 After Second Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 28; Day 35
GroupValue95% CI
CAT-354 1 mg/kg35.0± 6.81
CAT-354 5 mg/kg161.0± 32.81
CAT-354 10 mg/kg298.0± NA
Maximum Observed Serum Concentration (Cmax) for CAT-354 After Third Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 56; Day 63, 84, 105 and 147
GroupValue95% CI
CAT-354 1 mg/kg41.1± 4.77
CAT-354 5 mg/kg178.7± 25.41
CAT-354 10 mg/kg393.0± NA
Area Under the Serum Concentration Time Curve From Time Zero to Last Measurable Concentration (AUC[0 - t]) for CAT-354 After First Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21
GroupValue95% CI
CAT-354 1 mg/kg299.6± 42.03
CAT-354 5 mg/kg1691.3± 302.70
CAT-354 10 mg/kg3106.3± 719.25
Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0 - Infinity]) for CAT-354 After First Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21

AUC (0 - infinity) = Area under the serum concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - infinity). It is obtained from AUC (0 - t) plus AUC (t - infinity).

GroupValue95% CI
CAT-354 1 mg/kg428.0± 83.33
CAT-354 5 mg/kg2314.3± 392.91
CAT-354 10 mg/kg3861.3± 662.42
Apparent Terminal Elimination Phase Half-Life (t[1/2]el) for CAT-354 After First Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21

Terminal elimination phase half-life is the time measured for the serum concentration to decrease by one half.

GroupValue95% CI
CAT-354 1 mg/kg16.6± 2.67
CAT-354 5 mg/kg16.1± 3.60
CAT-354 10 mg/kg11.8± 1.86
Clearance (CL) for CAT-354 After First Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21

Clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Clearance was normalized by the body weight of the participant.

GroupValue95% CI
CAT-354 1 mg/kg2.41± 0.45
CAT-354 5 mg/kg2.23± 0.46
CAT-354 10 mg/kg2.64± 0.42
Volume of Distribution (Vd) for CAT-354 After First Dose Primary · Pre-dose, 10 minutes and 12 hours post-end of infusion on Day 0; Day 4, 7, 14 and 21

Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Volume of distribution was normalized to the body weight of the participant.

GroupValue95% CI
CAT-354 1 mg/kg56.7± 8.04
CAT-354 5 mg/kg51.0± 10.36
CAT-354 10 mg/kg44.0± 0.79
Observed Serum Drug Concentration for CAT-354 28 Days (C28) After First Dose Primary · Pre-dose on Day 28
GroupValue95% CI
CAT-354 1 mg/kg5.3± 1.33
CAT-354 5 mg/kg27.1± 4.91
CAT-354 10 mg/kg40.7± NA
Observed Serum Drug Concentration for CAT-354 28 Days (C28) After Second Dose Primary · Pre-dose on Day 56
GroupValue95% CI
CAT-354 1 mg/kg7.7± 1.63
CAT-354 5 mg/kg36.0± 11.51
CAT-354 10 mg/kg59.4± NA
Observed Serum Concentration for CAT-354 28 Days (C28) After Third Dose Primary · Day 84
GroupValue95% CI
CAT-354 1 mg/kg8.6± 1.99
CAT-354 5 mg/kg40.6± 12.26
CAT-354 10 mg/kg79.6± NA
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) Secondary · Day 0 to Day 147

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Day 147 that were absent before treatment or that worsened relative

TEAEs
GroupValue95% CI
CAT-354 1 mg/kg8
CAT-354 5 mg/kg8
CAT-354 10 mg/kg3
Placebp4
TESAEs
GroupValue95% CI
CAT-354 1 mg/kg0
CAT-354 5 mg/kg1
CAT-354 10 mg/kg0
Placebp0

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 0 to 147. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

1 mg/kg
Serious: 0/8 (0%)
Deaths:
5 mg/kg
Serious: 1/8 (13%)
Deaths:
10 mg/kg
Serious: 0/3 (0%)
Deaths:
Placebo
Serious: 0/4 (0%)
Deaths:

Serious adverse events (1 terms)

ReactionSystem1 mg/kg5 mg/kg10 mg/kgPlacebo
Lower respiratory tract infectionInfections and infestations
Other adverse events (32 terms — click to expand)

ReactionSystem1 mg/kg5 mg/kg10 mg/kgPlacebo
NasopharyngitisInfections and infestations
HeadacheNervous system disorders
BlepharospasmEye disorders
Abdominal distensionGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Epigastric discomfortGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Chest discomfortGeneral disorders
Feeling hot and coldGeneral disorders
Infusion site painGeneral disorders
PainGeneral disorders
Lower respiratory tract infectionInfections and infestations
PertussisInfections and infestations
PyelonephritisInfections and infestations
TonsillitisInfections and infestations
Procedural painInjury, poisoning and procedural complications
Urine analysis abnormalInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
TendonitisMusculoskeletal and connective tissue disorders
Disturbance in attentionNervous system disorders
DizzinessNervous system disorders
LethargyNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
Pharyngolaryngeal painRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Sinus congestionRespiratory, thoracic and mediastinal disorders
EczemaSkin and subcutaneous tissue disorders
Rash papularSkin and subcutaneous tissue disorders

Most-reported serious reactions: Lower respiratory tract infection.

Data from ClinicalTrials.gov NCT00974675 adverse events section.

Sponsor's own description

The study includes participants with moderate asthma who were randomly assigned to receive the study medication (CAT-354) or placebo.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. IL-4/IL-13 axis as therapeutic targets in allergic rhinitis and asthma.
    Nur Husna SM, Md Shukri N, Mohd Ashari NS, Wong KK. · · 2022 · cited 65× · PMID 35663523 · DOI 10.7717/peerj.13444
  2. A phase 1 study evaluating the pharmacokinetics, safety and tolerability of repeat dosing with a human IL-13 antibody (CAT-354) in subjects with asthma.
    Singh D, Kane B, Molfino NA, Faggioni R, et al · · 2010 · cited 51× · PMID 20064211 · DOI 10.1186/1471-2466-10-3
  3. Pharmacokinetics of tralokinumab in adolescents with asthma: implications for future dosing.
    Baverel PG, Jain M, Stelmach I, She D, et al · · 2015 · cited 22× · PMID 26182954 · DOI 10.1111/bcp.12725
  4. Anti-interleukin-13 and anti-interleukin-4 agents versus placebo, anti-interleukin-5 or anti-immunoglobulin-E agents, for people with asthma.
    Gallagher A, Edwards M, Nair P, Drew S, et al · · 2021 · cited 19× · PMID 34664263 · DOI 10.1002/14651858.cd012929.pub2

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