ClinicalTrials.gg
TerminatedNCT04441788Updated Dec 20, 2022Results posted

A Study to Assess the Safety, Tolerability, and Efficacy of ION-827359 in Participants With Mild to Moderate Chronic Obstructive Pulmonary Disease (COPD) With Chronic Bronchitis (CB)

A Phase 2 interventional study of ION-827359 and Placebo in Chronic Bronchitis and Chronic Obstructive Pulmonary Disease, sponsored by Ionis Pharmaceuticals, Inc.. Terminated at 15 sites in 4 countries. Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-12-20.

Sponsored by Ionis Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Business Decision to Terminate Study
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study was to evaluate the effect of ION-827359 on forced expiratory volume in 1 second (FEV1) in participants with mild to moderate COPD with CB.

Read the detailed description

This was a multi-center, double-blind, placebo-controlled, randomized, Phase 2a study of ION-827359 in up to 180 participants. The participants were randomized to receive oral inhalation of either ION-827359 or placebo for up to 13 weeks. At the end of 13 weeks, participants entered a 10-week post-treatment evaluation period.

02

Conditions studied

  • Chronic Bronchitis
  • Chronic Obstructive Pulmonary Disease

Keywords

  • Chronic Bronchitis
  • IONIS-ENaCRx
03

In context

Bronchitis, Chronic

209 studies on the registry are indexed under Bronchitis, Chronic; 14 are open to participants now.

This study's enrollment of 60 is below the median of 101 across 154 interventional studies indexed under Bronchitis, Chronic.

Browse Bronchitis, Chronic studies →

Lead sponsor

Ionis Pharmaceuticals, Inc. is the lead sponsor of 118 studies on the registry; 10 are open to participants now.

Of its 49 completed or terminated interventional studies of FDA-regulated products, 22 (45%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Must have given written (signed and dated) and any authorizations required by local law and be able to comply with all study requirements
  2. Males or females. Aged 40-70 inclusive at the time of informed consent
  3. Females must be non-pregnant and non-lactating, and either surgically sterile (e.g., tubal occlusion, hysterectomy, bilateral salpingectomy, bilateral oophorectomy) or
  4. \< 35.0 kg/m\^2
  5. Participants with a diagnosis of as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS)

    1. Ability to perform acceptable and reproducible spirometry
    2. Post-bronchodilator (4 puffs of albuterol) spirometry at Screening demonstrating the following:

    i. / forced vital capacity (FVC) ratio of \< 0.70 ii. FEV1 ≥ 50% and ≤ 90% of predicted normal

  6. Clinically stable COPD in the 4 weeks prior to Screening (Visit 1)
  7. Current and former smokers with smoking history of ≥ 20 pack years
  8. Meet SGRQ definition of CB
  9. CAT score ≥ 10

Exclusion criteria

Exclusion Criteria

  1. abnormalities in medical history (e.g., previous acute coronary syndrome within 6 months of screening, congestive heart failure, major surgery within 3 months of Screening) or physical examination
  2. Screening laboratory results as follows, or any other clinically significant abnormalities in screening laboratory values that would render a subject unsuitable for inclusion

    1. Urine protein/creatinine (P/C) ratio ≥ 0.3 mg/mg. In the event of P/C ratio above this threshold eligibility may be confirmed by a quantitative total urine protein measurement of \< 300 mg/24 hr
    2. Positive test (including trace) for blood on urinalysis. In the event of a positive test eligibility may be confirmed with urine microscopy showing ≤ 5 red blood cells per high power field
    3. (ALT), aspartate aminotransferase (AST), , alkaline phosphatase (ALP), serum creatinine, blood urea nitrogen (BUN) > 1.5 × (ULN)
    4. count \< LLN
    5. Serum potassium > 5.2 mmol/L
    6. Estimated \< 60 mL/min (as determined by the Equation for creatinine clearance)
    7. A positive PCR test for SARS-CoV-2 at any time prior to randomization
  3. Any active infection requiring systemic antiviral or antimicrobial therapy that will not be completed prior to first day Study Drug product is administered to the participant (Study Day 1)
  4. Unwillingness to comply with study procedures, including follow-up, as specified by this protocol, or unwillingness to cooperate fully with the Investigator
  5. Clinically important pulmonary disease other than
  6. Asthma as a primary or main diagnosis according to the Global Initiative for Asthma (GINA) guidelines (GINA 2011) or other accepted guidelines. Participants with a past medical history of asthma (e.g. childhood or adolescence) may be included
  7. Treatment with systemic and/or antibiotics, and/or hospitalization for a COPD exacerbation within 4 weeks prior to enrolment (Visit 1)
  8. Acute upper or lower respiratory infection requiring antibiotics or antiviral medication within 4 weeks prior to enrolment (Visit 1)
  9. Long term oxygen therapy (LTOT)
  10. Participants participating in, or scheduled for, an intensive (active) COPD rehabilitation program (participants who are in the maintenance phase of a rehabilitation program are eligible to take part)
  11. Concomitant medication restrictions: Oral anticoagulants, oral steroids (e.g. prednisone or Medrol), theophylline, chronic azithromycin, or roflumilast
  12. Have any other conditions, which, in the opinion of the Investigator would make the subject unsuitable for inclusion, or could interfere with the subject participating in or completing the Study
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Single-dose of placebo was administered by oral inhalation via nebulizer, once every week for up to 13 weeks.

    Drug: Placebo

  • Experimental
    ION-827359 37.5 milligrams (mg)

    Single-dose of ION-827359 37.5 mg was administered by oral inhalation via nebulizer, once every week for up to 13 weeks.

    Drug: ION-827359

  • Experimental
    ION-827359 75 mg

    Single-dose of ION-827359 75 mg was administered by oral inhalation via nebulizer, once every week for up to 13 weeks.

    Drug: ION-827359

Interventions

  • DrugION-827359

    ION-827359 administered by oral inhalation

  • DrugPlacebo

    Placebo administered by oral inhalation

  • DrugION-827359

    ION-827359 administered by oral inhalation

06

What researchers measure

Primary outcomes

  1. Change From Baseline to the Primary Time Point in Forced Expiratory Volume in 1 Second (FEV1) Compared to Placebo

    FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Baseline was defined as the last non-missing measurement prior to the first study drug administration. The primary time point was defined as the average of weeks 13 and 14. FAS=Full analysis set.

    Time frame: From Baseline up to average of Weeks 13 and 14

Secondary outcomes

  1. Change From Baseline in the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Respiratory Symptoms (E-RS) Daily Symptom Diary Total Score to the Primary Time Point

    The E-RS scale is a participant-reported outcome (PRO) designed to measure the symptoms of participants with chronic obstructive pulmonary disease (COPD). The E-RS utilizes 11 respiratory symptom items from the existing and validated 14-item EXACT, which measures symptoms of exacerbation. The E-RS total score quantifies respiratory symptom severity, and 3 domains assess breathlessness (comprised of 5 items, score range \[0-17\]), cough and sputum (comprised of 3 items, score range \[0-11\]), and chest symptoms (comprised of 3 items, score range \[0-12\]). The E-RS was collected on the daily e-diary. The total score was derived by summing the 11-item scores and ranged between 0 to 40 with higher values indicating severe respiratory symptoms. The primary time point was defined as the average of weeks 13 and 14.

    Time frame: From Baseline up to average of weeks 13 and 14

  2. Change From Baseline in the Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) to the Week 14 Time Point

    The CAT is an eight-item questionnaire that was completed by the participant and is designed to quantify the impact of COPD symptoms on the health status of participants. Each item is rated on a 6-point scale ranging from 0 (no impairment) to 5 (maximum impairment). The total CAT score is calculated by summing the scores of all items and ranges from 0 to 40. Higher scores indicate a severe condition (more severe impact of COPD on a participant's life).

    Time frame: From Baseline to Week 14

  3. Change From Baseline in St. George's Respiratory Questionnaire - COPD Specific (SGRQ-C) Total Score to the Week 14 Time Point

    The SGRQ is a participant completed, a disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in participants with obstructive airway disease. The shorter 40-item version (SGRQ-C) which does not specify a Recall Period and has been validated specifically for COPD participants was used in this study. It consists of 40 items each weighted from 0 to a possible maximum of 100. Items 1-7 produced the symptoms score, 9-12 the activity score, and items 8, 10, 11, 13 and 14 the impacts score. Each component sub-score was calculated as a percentage of the summed weights of each item out of the sum of the maximum possible weight for that component (range 0-100). The total score was calculated by summing the weights to all positive responses in each component, where a positive item indicated the presence of symptoms, expressed as a percentage (range 0-100). Higher scores indicated a worse outcome (more limitations)

    Time frame: From Baseline to Week 14

  4. Change From Baseline in Post-Bronchodilator FEV1

    Post-bronchodilator FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation after administration of bronchodilator. Baseline was defined as the last non-missing measurement prior to the first study drug administration.

    Time frame: From Baseline to end of treatment (EOT) [Up to Week 14]

  5. Cmax: Maximum Observed Plasma Concentration for ION-827359

    Time frame: Days 1 and 85

  6. Tmax: Time to Reach the Maximum Plasma Concentration for ION-827359

    Time frame: Days 1 and 85

  7. AUC[0-24h]: Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours for ION-827359

    Time frame: Days 1 and 85

  8. Percentage of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) Based on Severity

    An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of medicinal (investigational) product, whether or not the AE is considered related to the medicinal (investigational) product. A TEAE is defined as any AE starting or getting worse on or after the first dose of the study drug. The severity of a TEAE was assessed by the investigator and classified into one of the following: mild, moderate, and severe.

    Time frame: Up to Week 24

  9. Percentage of Participants With Clinically Significant Change in Laboratory Values

    Laboratory parameters for serum chemistry, hematology, urinalysis, coagulation, complement, and lipids were assessed.

    Time frame: Up to Week 24

  10. Percentage of Participants With Clinically Significant Change in Vital Sign Parameters

    Vital signs included assessment of heart rate, blood pressure, respiratory rate, and temperature.

    Time frame: Up to Week 24

  11. Percentage of Participants With Clinically Significant Change in Electrocardiogram (ECG) Findings

    ECG parameters of ventricular rate, PR interval, QRS duration, QT, or QTc were assessed.

    Time frame: Up to Week 24

07

Results

Posted Dec 20, 2022
Limitations and caveats
The study was terminated based on the toxicology findings from a 9-month study and participants who had not completed the treatment period were instructed to terminate dosing and return for an end of study visit, followed by the 10-week follow-up period.

Participant flow

60 participants were randomized at 11 study centers in Czech Republic, Germany, Hungary and the United Kingdom.

Participant flow — Overall Study
MilestonePlaceboION-827359 37.5 Milligrams (mg)ION-827359 75 mg
Started202119
Completed343
Not completed171716
Withdrew: Voluntary withdrawl010
Withdrew: Ineligibility100
Withdrew: Adverse event004
Withdrew: Study terminated by sponsor161612

Outcome measures

PrimaryChange From Baseline to the Primary Time Point in Forced Expiratory Volume in 1 Second (FEV1) Compared to Placebo

FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Baseline was defined as the last non-missing measurement prior to the first study drug administration. The primary time point was defined as the average of weeks 13 and 14. FAS=Full analysis set.

Time frame:
From Baseline up to average of Weeks 13 and 14
Reported as:
Mean · liters
Change From Baseline to the Primary Time Point in Forced Expiratory Volume in 1 Second (FEV1) Compared to Placebo
litersPlaceboION-827359 37.5 mgION-827359 75 mg
Change From Baseline to the Primary Time Point in Forced Expiratory Volume in 1 Second (FEV1) Compared to Placebo0.0642 ± 0.2506-0.0240 ± 0.35810.1336 ± 0.1087
SecondaryChange From Baseline in the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Respiratory Symptoms (E-RS) Daily Symptom Diary Total Score to the Primary Time Point

The E-RS scale is a participant-reported outcome (PRO) designed to measure the symptoms of participants with chronic obstructive pulmonary disease (COPD). The E-RS utilizes 11 respiratory symptom items from the existing and validated 14-item EXACT, which measures symptoms of exacerbation. The E-RS total score quantifies respiratory symptom severity, and 3 domains assess breathlessness (comprised of 5 items, score range \[0-17\]), cough and sputum (comprised of 3 items, score range \[0-11\]), and chest symptoms (comprised of 3 items, score range \[0-12\]). The E-RS was collected on the daily e-diary. The total score was derived by summing the 11-item scores and ranged between 0 to 40 with higher values indicating severe respiratory symptoms. The primary time point was defined as the average of weeks 13 and 14.

Time frame:
From Baseline up to average of weeks 13 and 14
Reported as:
Mean · score on a scale
Change From Baseline in the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Respiratory Symptoms (E-RS) Daily Symptom Diary Total Score to the Primary Time Point
score on a scalePlaceboION-827359 37.5 mgION-827359 75 mg
Change From Baseline in the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Respiratory Symptoms (E-RS) Daily Symptom Diary Total Score to the Primary Time Point-1.08 ± 1.171-1.41 ± 2.486-1.99 ± 4.217
SecondaryChange From Baseline in the Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) to the Week 14 Time Point

The CAT is an eight-item questionnaire that was completed by the participant and is designed to quantify the impact of COPD symptoms on the health status of participants. Each item is rated on a 6-point scale ranging from 0 (no impairment) to 5 (maximum impairment). The total CAT score is calculated by summing the scores of all items and ranges from 0 to 40. Higher scores indicate a severe condition (more severe impact of COPD on a participant's life).

Time frame:
From Baseline to Week 14
Reported as:
Mean · score on a scale
Change From Baseline in the Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) to the Week 14 Time Point
score on a scalePlaceboION-827359 37.5 mgION-827359 75 mg
Change From Baseline in the Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) to the Week 14 Time Point-2.6 ± 2.51-0.6 ± 3.780.0 ± 1.73
SecondaryChange From Baseline in St. George's Respiratory Questionnaire - COPD Specific (SGRQ-C) Total Score to the Week 14 Time Point

The SGRQ is a participant completed, a disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in participants with obstructive airway disease. The shorter 40-item version (SGRQ-C) which does not specify a Recall Period and has been validated specifically for COPD participants was used in this study. It consists of 40 items each weighted from 0 to a possible maximum of 100. Items 1-7 produced the symptoms score, 9-12 the activity score, and items 8, 10, 11, 13 and 14 the impacts score. Each component sub-score was calculated as a percentage of the summed weights of each item out of the sum of the maximum possible weight for that component (range 0-100). The total score was calculated by summing the weights to all positive responses in each component, where a positive item indicated the presence of symptoms, expressed as a percentage (range 0-100). Higher scores indicated a worse outcome (more limitations)

Time frame:
From Baseline to Week 14
Reported as:
Mean · score on a scale
Change From Baseline in St. George's Respiratory Questionnaire - COPD Specific (SGRQ-C) Total Score to the Week 14 Time Point
score on a scalePlaceboION-827359 37.5 mgION-827359 75 mg
Change From Baseline in St. George's Respiratory Questionnaire - COPD Specific (SGRQ-C) Total Score to the Week 14 Time Point-15.93 ± 19.515-1.74 ± 3.839-0.76 ± 2.350
SecondaryChange From Baseline in Post-Bronchodilator FEV1

Post-bronchodilator FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation after administration of bronchodilator. Baseline was defined as the last non-missing measurement prior to the first study drug administration.

Time frame:
From Baseline to end of treatment (EOT) [Up to Week 14]
Reported as:
Mean · liters
Change From Baseline in Post-Bronchodilator FEV1
litersPlaceboION-827359 37.5 mgION-827359 75 mg
Change From Baseline in Post-Bronchodilator FEV10.0663 ± 0.06850.0320 ± 0.23790.1180 ± 0.1006
SecondaryCmax: Maximum Observed Plasma Concentration for ION-827359
Time frame:
Days 1 and 85
Reported as:
Geometric mean · nanogram per milliliter (ng/mL)
Cmax: Maximum Observed Plasma Concentration for ION-827359
nanogram per milliliter (ng/mL)ION-827359 37.5 mgION-827359 75 mg
Day 185.6 ± 198203 ± 52.6
Day 8553.5 ± NA195 ± 124
SecondaryTmax: Time to Reach the Maximum Plasma Concentration for ION-827359
Time frame:
Days 1 and 85
Reported as:
Median · hours
Tmax: Time to Reach the Maximum Plasma Concentration for ION-827359
hoursION-827359 37.5 mgION-827359 75 mg
Day 11.54 (0.567 to 2.05)1.64 (0.667 to 2.12)
Day 851.98 (1.98 to 1.98)3.11 (1.73 to 4.48)
SecondaryAUC[0-24h]: Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours for ION-827359
Time frame:
Days 1 and 85
Reported as:
Geometric mean · hours*nanogram per milliliter (h*ng/mL)
AUC[0-24h]: Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours for ION-827359
hours*nanogram per milliliter (h*ng/mL)ION-827359 37.5 mgION-827359 75 mg
Day 1528 ± 1901323 ± 66.0
Day 85312 ± NA2416 ± 252
SecondaryPercentage of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) Based on Severity

An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of medicinal (investigational) product, whether or not the AE is considered related to the medicinal (investigational) product. A TEAE is defined as any AE starting or getting worse on or after the first dose of the study drug. The severity of a TEAE was assessed by the investigator and classified into one of the following: mild, moderate, and severe.

Time frame:
Up to Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) Based on Severity
percentage of participantsPlaceboION-827359 37.5 mgION-827359 75 mg
Mild10.514.315.8
Moderate52.638.163.2
Severe10.505.3
SecondaryPercentage of Participants With Clinically Significant Change in Laboratory Values

Laboratory parameters for serum chemistry, hematology, urinalysis, coagulation, complement, and lipids were assessed.

Time frame:
Up to Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Clinically Significant Change in Laboratory Values
percentage of participantsPlaceboION-827359 37.5 mgION-827359 75 mg
Percentage of Participants With Clinically Significant Change in Laboratory Values000
SecondaryPercentage of Participants With Clinically Significant Change in Vital Sign Parameters

Vital signs included assessment of heart rate, blood pressure, respiratory rate, and temperature.

Time frame:
Up to Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Clinically Significant Change in Vital Sign Parameters
percentage of participantsPlaceboION-827359 37.5 mgION-827359 75 mg
Percentage of Participants With Clinically Significant Change in Vital Sign Parameters000
SecondaryPercentage of Participants With Clinically Significant Change in Electrocardiogram (ECG) Findings

ECG parameters of ventricular rate, PR interval, QRS duration, QT, or QTc were assessed.

Time frame:
Up to Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Clinically Significant Change in Electrocardiogram (ECG) Findings
percentage of participantsPlaceboION-827359 37.5 mgION-827359 75 mg
Percentage of Participants With Clinically Significant Change in Electrocardiogram (ECG) Findings000

Adverse events

Collected over Up to Week 24. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/19 (0%)1/19 (5.3%)14/19 (73.7%)
ION-827359 37.5 mg0/21 (0%)1/21 (4.8%)8/21 (38.1%)
ION-827359 75 mg0/19 (0%)1/19 (5.3%)16/19 (84.2%)
Most frequent serious events
Most frequent serious events
EventPlaceboION-827359 37.5 mgION-827359 75 mg
Atrial flutterCardiac disorders1/190/210/19
BronchospasmRespiratory, thoracic and mediastinal disorders0/190/211/19
DyspnoeaRespiratory, thoracic and mediastinal disorders0/190/211/19
DiarrhoeaGastrointestinal disorders0/191/210/19
Most frequent other events
Showing 10 of 43
Most frequent other events
EventPlaceboION-827359 37.5 mgION-827359 75 mg
CoughRespiratory, thoracic and mediastinal disorders1/195/217/19
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders5/190/214/19
DyspnoeaRespiratory, thoracic and mediastinal disorders0/192/215/19
DiarrhoeaGastrointestinal disorders2/194/210/19
NasopharyngitisInfections and infestations3/191/210/19
Sputum increasedRespiratory, thoracic and mediastinal disorders0/190/212/19
Throat irritationRespiratory, thoracic and mediastinal disorders2/190/210/19
HeadacheNervous system disorders0/191/212/19
Burning sensationGeneral disorders0/192/210/19
Chest painRespiratory, thoracic and mediastinal disorders1/190/211/19

Baseline characteristics

Safety population included all the participants who were randomized and received at least 1 dose of study drug.

Age, Continuous
Age, Continuous(years)PlaceboION-827359 37.5 mgION-827359 75 mgTotal
Mean61.3 ± 4.5461.8 ± 5.8661.8 ± 5.3961.6 ± 5.23
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboION-827359 37.5 mgION-827359 75 mgTotal
Female97521
Male10141438
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboION-827359 37.5 mgION-827359 75 mgTotal
Hispanic or Latino0000
Not Hispanic or Latino19211959
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboION-827359 37.5 mgION-827359 75 mgTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White19211858
More than one race0011
Unknown or Not Reported0000
Forced Expiratory Volume in 1 Second (FEV1)
Forced Expiratory Volume in 1 Second (FEV1)(liters)PlaceboION-827359 37.5 mgION-827359 75 mgTotal
Mean1.8317 ± 0.46701.9311 ± 0.66081.6536 ± 0.34981.8097 ± 0.5193
08

Study locations

15 sites
  • MediTrial s.r.o.
    Jindrichuv Hradec, 37701, Czechia
  • Plicni ambulance Kralupy
    Kralupy Nad Vltavou, 27801, Czechia
  • CEFISPIRO s.r.o.
    Lovosice, 410 02, Czechia
  • Plicni Ambulance Rokycany, s.r.o.
    Rokycany, 33701, Czechia
  • PNEUMOLOGIE VARNSDORF s.r.o.
    Varnsdorf, 40747, Czechia
  • Pneumologisches Studienzentrum Markgrafenstrasse
    Berlin, 10969, Germany
  • MECS Research GmbH
    Berlin, 12203, Germany
  • Pneumologisches Forschungsinstitut an der LungenClinic Grosshansdorf GmbH
    Grosshansdorf, 22927, Germany
  • Hamburger Institut far Therapieforschung GmbH
    Hamburg, 20354, Germany
  • KLB Gesundheitsforschung Lubeck GmbH
    Lübeck, 23552, Germany
  • IKF Pneumologie Mainz Helix Medical Excellence Center Mainz
    Mainz, 55128, Germany
  • ZMS-Zentrum fur medizinische Studien GmbH
    Warendorf, 48231, Germany
  • Csongrad Megyei Mellkasi Betegsegek Szakkorhaza
    Deszk, 6772, Hungary
  • Selye Janos Korhaz, Rendelointezet
    Komarom, 2900, Hungary
  • Queen Anne Street Medical Centre, Heart Lung Center
    London, Nw1 8HU, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2020 to primary completion in Apr 2021, 4 months.

Results were first posted in Dec 2022, 1 year 7 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 18, 2020
First posted
Jun 22, 2020
StartActual
Dec 22, 2020
Primary completionActual
Apr 27, 2021
CompletionActual
Aug 9, 2021
Results first posted
Dec 20, 2022
Last update
Dec 20, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04441788
Responsible party
Sponsor
First posted
Jun 22, 2020
Start date
Dec 22, 2020
Primary completion
Apr 27, 2021
Completion
Aug 9, 2021
Results posted
Dec 20, 2022
Last update
Dec 20, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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