Title

14729-D9831C00002- 1 Month Biopsy Study
A Double-blind, Placebo-controlled, Randomised, Parallel Group Phase IIa Study to Evaluate the Histological Changes, Cellularity, Clinical Efficacy and Safety of AZD1981 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    azd-1981 ...
  • Study Participants

    52
The purpose of this study is to study histological changes, cellularity, clinical efficacy and safety of AZD1981 in patients with Chronic Obstructive Pulmonary Disease
Study Started
Nov 30
2008
Study Completion
Jun 30
2009
Results Posted
Feb 28
2014
Estimate
Last Update
Feb 28
2014
Estimate

Drug AZD1981

Oral tablet, twice daily, 4 weeks treatment

Drug Placebo

Placebo

AZD1981 Experimental

Placebo Placebo Comparator

Criteria

Inclusion Criteria:

Men or women 40 years or above
FEV1 between 40 and 80% of predicted normal value post-bronchodilator
Clinical diagnosis of COPD

Exclusion Criteria:

Other clinically relevant disease or disorders
Exacerbation of COPD within 30 days

Summary

AZD1981

Placebo

All Events

Event Type Organ System Event Term AZD1981 Placebo

Aggregated Pathology Score

Composite endpoint subscores: histological grade, immunohistochemistry grade, leucocyte counts. Each subscore measured on scale 1 (normal) to 5 (worst outcome). Composite score summed across the subscores, ranging from 3 (normal) to 15 (worst outcome). Change from baseline.

AZD1981

7.88
Score on a scale (Mean)
95% Confidence Interval: 7.43

Placebo

8.15
Score on a scale (Mean)
95% Confidence Interval: 7.68

Bronchoalveolar Lavage (BAL): Eosinophil Count (%)

Change in Bronchoalveolar Lavage (BAL): Eosinophil count (% of total) from baseline

AZD1981

-1.58
percentage (Mean)
95% Confidence Interval: -2.22

Placebo

-1.45
percentage (Mean)
95% Confidence Interval: -2.13

Bronchoalveolar Lavage (BAL): Neutrophil Count (%)

Change in Bronchoalveolar Lavage (BAL): Neutrophil count (% of total) from baseline

AZD1981

-2.24
percentage (Mean)
95% Confidence Interval: -12.94

Placebo

-5.67
percentage (Mean)
95% Confidence Interval: -16.75

Bronchoalveolar Lavage (BAL): Macrophages Count (%)

Change in Bronchoalveolar Lavage (BAL): Macrophages count (% of total) from baseline

AZD1981

9.84
percentage (Mean)
95% Confidence Interval: -1.51

Placebo

10.68
percentage (Mean)
95% Confidence Interval: -1.24

Bronchoalveolar Lavage (BAL): Lymphocytes Count (%)

Change in Bronchoalveolar Lavage (BAL): Lymphocytes count (% of total) from baseline

AZD1981

-1.47
percentage (Mean)
95% Confidence Interval: -3.04

Placebo

-0.37
percentage (Mean)
95% Confidence Interval: -2.02

Bronchoalveolar Lavage (BAL): Epithelial Cells Count (%)

Change in Bronchoalveolar Lavage (BAL): Epithelial cells count (% of total) from baseline

AZD1981

-4.18
percentage (Mean)
95% Confidence Interval: -11.80

Placebo

-2.98
percentage (Mean)
95% Confidence Interval: -10.98

Bronchoalveolar Lavage (BAL): Total Cells Count

Change in Bronchoalveolar Lavage (BAL): Total cells count from baseline

AZD1981

0.02
10^6/g (Mean)
95% Confidence Interval: -0.10

Placebo

0.04
10^6/g (Mean)
95% Confidence Interval: -0.10

Induced Sputum: Eosinophil Count (%)

Change in Induced sputum Eosinophil count (% of total) from baseline

AZD1981

-2.14
percentage (Mean)
95% Confidence Interval: -3.30

Placebo

-0.81
percentage (Mean)
95% Confidence Interval: -1.92

Induced Sputum: Neutrophils Count (%)

Change in Induced sputum Neutrophils count (% of total) from baseline

AZD1981

0.7
percentage (Mean)
95% Confidence Interval: -12.79

Placebo

3.73
percentage (Mean)
95% Confidence Interval: -8.84

Induced Sputum: Macrophages Count (%)

Change in Induced sputum Macrophages count (% of total) from baseline

AZD1981

1.31
percentage (Mean)
95% Confidence Interval: -11.95

Placebo

-7.79
percentage (Mean)
95% Confidence Interval: -20.27

Induced Sputum: Lymphocytes Count (%)

Change in Induced sputum Lymphocytes count (% of total) from baseline

AZD1981

-0.01
percentage (Mean)
95% Confidence Interval: -0.21

Placebo

0.02
percentage (Mean)
95% Confidence Interval: -0.17

Induced Sputum: Epithelial Cells Count (%)

Change in Induced sputum Epithelial cells count (% of total) from baseline

AZD1981

-0.5
percentage (Mean)
95% Confidence Interval: -6.01

Placebo

4.11
percentage (Mean)
95% Confidence Interval: -1.04

Induced Sputum: Total Cells Count

Change in Induced sputum Total cells count from baseline

AZD1981

-1.07
10^6/g (Mean)
95% Confidence Interval: -3.21

Placebo

-1.69
10^6/g (Mean)
95% Confidence Interval: -4.07

Forced Expiratory Volume in 1 Second (FEV1)

Change in Forced Expiratory Volume in 1 second (FEV1) from baseline to end of treatment

AZD1981

-4.77
percentage change (Mean)
95% Confidence Interval: -15.94

Placebo

6.16
percentage change (Mean)
95% Confidence Interval: -5.66

Clinical Chronic Obstructive Pulmonary Disease (COPD) The Clinical COPD Questionnaire (CCQ)

Change in total CCQ score from baseline to last measurement on treatment. scored on a scale of 0 - 6. 0 =(low symptoms)-6 =(high symptoms)

AZD1981

-0.38
Scores on a scale (Mean)
95% Confidence Interval: -0.69

Placebo

-0.34
Scores on a scale (Mean)
95% Confidence Interval: -0.68

Peak Expiratory Flow (PEF) Morning

Mean change in Peak Expiratory Flow (PEF) morning from baseline to the average of the treatment period

AZD1981

2.57
L/min (Mean)
95% Confidence Interval: -9.55

Placebo

-4.14
L/min (Mean)
95% Confidence Interval: -16.96

Peak Expiratory Flow (PEF) Evening

Mean change in Peak Expiratory Flow (PEF) evening from baseline to the average of the treatment period

AZD1981

1.31
L/min (Mean)
95% Confidence Interval: -13.03

Placebo

1.46
L/min (Mean)
95% Confidence Interval: -14.27

Chronic Obstructive Pulmonary Disease (COPD) Symptom Night-time Awakenings Score

Mean change in COPD symptom night-time awakening score from baseline to the average of the treatment period. 0=(no symptom)-4=(no sleep)

AZD1981

-0.23
Score on a scale (Mean)
95% Confidence Interval: -0.47

Placebo

-0.24
Score on a scale (Mean)
95% Confidence Interval: -0.49

Chronic Obstructive Pulmonary Disease (COPD) Symptom Breathing Score

Mean change in COPD symptom breathing score from baseline to the average of the treatment period. 0= (none) - 4 =(severe).

AZD1981

-0.25
Score on a scale (Mean)
95% Confidence Interval: -0.47

Placebo

-0.21
Score on a scale (Mean)
95% Confidence Interval: -0.45

Chronic Obstructive Pulmonary Disease (COPD) Symptom Cough Score

Mean change in COPD symptom cough score from baseline to the average of the treatment period. 0= (none) - 4= (almost constant)

AZD1981

-0.39
Score on a scale (Mean)
95% Confidence Interval: -0.63

Placebo

-0.35
Score on a scale (Mean)
95% Confidence Interval: -0.61

Chronic Obstructive Pulmonary Disease (COPD) Symptom Sputum Score

Mean change in COPD symptom sputum score from baseline to the average of the treatment period. 0= (none) - 4= (severe).

AZD1981

-0.32
Score on a scale (Mean)
95% Confidence Interval: -0.52

Placebo

-0.38
Score on a scale (Mean)
95% Confidence Interval: -0.60

Adverse Event (AE)

Number of participants with an Adverse Event

AZD1981

17.0
Participants

Placebo

14.0
Participants

Total

51
Participants

Age, Continuous

61
Years (Mean)
Full Range: 41.0 to 80.0

Sex: Female, Male

Overall Study

AZD1981

Placebo

Drop/Withdrawal Reasons

Placebo