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NCT02657408

Clinical Trial to Assess Pharmacodynamic Effects on Segmental Endotoxin Induced Inflammatory Response of BI 1026706 Versus Placebo

Completed Phase 1 Results posted Last updated 10 July 2019
What this trial tests

Phase 1 trial testing BI 1026706 in Healthy in 57 participants. Completed in 13 March 2017.

Timeline
11 March 2016
Primary endpoint
14 February 2017
13 March 2017

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment57
Start date11 March 2016
Primary completion14 February 2017
Estimated completion13 March 2017
Sites1 location across Germany

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

Eligibility, any sex, with Healthy. 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.

Total Cell Count of Neutrophils in Bronchoalveolar Lavage (BAL) Fluid After 24 Hours of the Segmental Lipopolysaccharide (LPS) Challenge Primary · Day 29

Total cell count of neutrophils in Bronchoalveolar Lavage (BAL) fluid after 24 hours of the segmental Lipopolysaccharide (LPS) challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the Least Square (LS) means obtained by fitting an Analysis of variance (ANOVA) model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method.

GroupValue95% CI
Placebo687.02± 109.315
BI 1026706872.61± 145.019
Differential Cell Count of Neutrophils in BAL Fluid 24 h After Segmental LPS Challenge. Secondary · Day 29

Differential cell count of neutrophils in BAL fluid 24 h after segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method.

GroupValue95% CI
Placebo54.83± 3.094
BI 102670655.41± 3.266
Total Cell Count of Eosinophil in BAL Fluid After 24 Hours of the Segmental LPS Challenge Secondary · Day 29

Total cell count of eosinophil in BAL fluid after 24 hours of the segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method.

GroupValue95% CI
Placebo6.95± 2.744
BI 102670610.72± 4.420
Differential Cell Count of Eosinophil in BAL Fluid 24 h After Segmental LPS Challenge. Secondary · Day 29

Differential cell count of eosinophil in BAL fluid 24 h after segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method.

GroupValue95% CI
Placebo0.55± 0.200
BI 10267060.65± 0.246
Total Cell Count of Monocyte in BAL Fluid After 24 Hours of the Segmental LPS Challenge Secondary · Day 29

Total cell count of monocyte in BAL fluid after 24 hours of the segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method. Monocyte cell count is the only cell count which was assessed by means of flow cytometry.

GroupValue95% CI
Placebo240.04± 34.306
BI 1026706310.79± 46.393
Differential Cell Count of Monocyte in BAL Fluid 24 h After Segmental LPS Challenge. Secondary · Day 29

Differential cell count of monocyte (determined by flow cytometry) in BAL fluid 24 h after segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method. Monocyte cell count is the only cell count which was assessed by means of flow cytometry.

GroupValue95% CI
Placebo19.16± 1.058
BI 102670619.73± 1.138
Total Cell Count of Macrophage+Monocyte in BAL Fluid After 24 Hours of the Segmental LPS Challenge Secondary · Day 29

Total cell count of macrophage+monocyte BAL fluid after 24 hours of the segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method. Cytospin microscopy method cannot clearly differentiate between macrophages and monocytes, the total and differential cell count of macrophages and monocytes are presented together.

GroupValue95% CI
Placebo488.95± 52.417
BI 1026706575.43± 64.431
Differential Cell Count of Macrophage+Monocyte in BAL Fluid 24 h After Segmental LPS Challenge. Secondary · Day 29

Differential cell count of macrophage+monocyte in BAL fluid 24 h after segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method. Cytospin microscopy method cannot clearly differentiate between macrophages and monocytes, the total and differential cell count of macrophages and monocytes are presented together.

GroupValue95% CI
Placebo39.03± 2.499
BI 102670636.54± 2.444
Total Cell Count of Lymphocyte in BAL After 24 Hours of the Segmental LPS Challenge Secondary · Day 29

Total cell count of lymphocyte after 24 hours of the segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method.

GroupValue95% CI
Placebo20.99± 3.976
BI 102670616.91± 3.346
Differential Cell Count of Lymphocyte in BAL Fluid 24 h After Segmental LPS Challenge. Secondary · Day 29

Differential cell count of lymphocyte in BAL fluid 24 h after segmental LPS challenge. The adjusted geometric means (gMeans) are obtained by exponentiating the LS means obtained by fitting an ANOVA model on the natural log transformed endpoint values, adjusted for treatment effect. Standard errors are derived using the delta method.

GroupValue95% CI
Placebo1.67± 0.283
BI 10267061.07± 0.190

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose administration of the study medication to 4 days after last drug administration; up to 35 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/28 (4%)
Deaths: 0/28
BI 1026706
Serious: 1/29 (3%)
Deaths: 0/29

Serious adverse events (3 terms)

ReactionSystemPlaceboBI 1026706
Post procedural complicationInjury, poisoning and procedural complications
PresyncopeNervous system disorders
Calculus urinaryRenal and urinary disorders
Other adverse events (17 terms — click to expand)

ReactionSystemPlaceboBI 1026706
HeadacheNervous system disorders
Post procedural complicationInjury, poisoning and procedural complications
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Lower respiratory tract infectionInfections and infestations
Procedural complicationInjury, poisoning and procedural complications
Procedural painInjury, poisoning and procedural complications
Abdominal pain upperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Respiratory tract infectionInfections and infestations
RhinitisInfections and infestations
Procedural headacheInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
AgitationPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Post procedural complication, Presyncope, Calculus urinary.

Data from ClinicalTrials.gov NCT02657408 adverse events section.

Sponsor's own description

The primary and secondary objectives of the current study are the assessments of anti-inflammatory pharmacodynamic effects on segmental endotoxin induced inflammatory response after 4 weeks treatment with BI 1026706.

Publications & conference data

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

  1. Transcriptomic characterization of the human segmental endotoxin challenge model.
    Gress C, Litzenburger T, Schmid R, Xiao K, et al · · 2024 · cited 2× · PMID 38242945 · DOI 10.1038/s41598-024-51547-0
  2. The effect of bradykinin 1 receptor antagonist BI 1026706 on pulmonary inflammation after segmental lipopolysaccharide challenge in healthy smokers.
    Gress C, Vogel-Claussen J, Badorrek P, Müller M, et al · · 2023 · cited 1× · PMID 37562641 · DOI 10.1016/j.pupt.2023.102246

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02657408.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing