Trial Outcomes & Findings for Quantifying Airway Inflammation With Radiologic Tests (NCT NCT00741013)

NCT ID: NCT00741013

Last Updated: 2014-05-26

Results Overview

Calculated Ki was used to measure the amount of lung inflammation before and after instillation of endotoxin to assess the effect of placebo, lovastatin, and rhAPC treatment

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

22 participants

Primary outcome timeframe

24 hours after endotoxin instillation

Results posted on

2014-05-26

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo Pill and Intravenous (i.v.) Placebo
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Overall Study
STARTED
7
8
7
Overall Study
COMPLETED
6
6
6
Overall Study
NOT COMPLETED
1
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo Pill and Intravenous (i.v.) Placebo
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Overall Study
Adverse Event
1
0
0
Overall Study
Withdrawal by Subject
0
0
1
Overall Study
Discovered failed screen after enrolled
0
2
0

Baseline Characteristics

Quantifying Airway Inflammation With Radiologic Tests

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Pill and Intravenous (i.v.) Placebo
n=7 Participants
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
n=8 Participants
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
n=7 Participants
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Total
n=22 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=99 Participants
8 Participants
n=107 Participants
7 Participants
n=206 Participants
22 Participants
n=7 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
2 Participants
n=107 Participants
1 Participants
n=206 Participants
5 Participants
n=7 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
6 Participants
n=107 Participants
6 Participants
n=206 Participants
17 Participants
n=7 Participants
Region of Enrollment
United States
7 participants
n=99 Participants
8 participants
n=107 Participants
7 participants
n=206 Participants
22 participants
n=7 Participants

PRIMARY outcome

Timeframe: 24 hours after endotoxin instillation

Calculated Ki was used to measure the amount of lung inflammation before and after instillation of endotoxin to assess the effect of placebo, lovastatin, and rhAPC treatment

Outcome measures

Outcome measures
Measure
Placebo Pill and Intravenous (i.v.) Placebo
n=6 Participants
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
n=6 Participants
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
n=6 Participants
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Change in Ki (Measure of [18F]Fluorodeoxyglucose ([18F]FDG) Uptake Determined by Patlak Graphical Analysis) in the Right Lung 24 Hours After LPS Instillation
18.8 Change in Ki
Standard Deviation 9.2
8.4 Change in Ki
Standard Deviation 4.3
14.2 Change in Ki
Standard Deviation 7.4

SECONDARY outcome

Timeframe: 24 hours after endotoxin instillation

Number of total nucleated cells isolated from the first aliquoe of BAL obtained to correlate with PET data.

Outcome measures

Outcome measures
Measure
Placebo Pill and Intravenous (i.v.) Placebo
n=6 Participants
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
n=6 Participants
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
n=6 Participants
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Number of Total Nucleated Cells From Bronchoalveolar Lavage (BAL) Fluid 24 Hours After Endotoxin Instillation
545 cells per cubic mm
Standard Deviation 425
311 cells per cubic mm
Standard Deviation 237
520 cells per cubic mm
Standard Deviation 196

Adverse Events

Placebo Pill and Intravenous (i.v.) Placebo

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Lovastatin Pill and i.v. Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo Pill and Recombinant Human Activated Protein C i.v.

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo Pill and Intravenous (i.v.) Placebo
n=7 participants at risk
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
n=8 participants at risk
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
n=7 participants at risk
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Respiratory, thoracic and mediastinal disorders
Decreased pulmonary function
14.3%
1/7 • Number of events 1
0.00%
0/8
0.00%
0/7

Other adverse events

Other adverse events
Measure
Placebo Pill and Intravenous (i.v.) Placebo
n=7 participants at risk
Control group receiving only placebo drug interventions
Lovastatin Pill and i.v. Placebo
n=8 participants at risk
Group receiving lovastatin as the primary drug intervention
Placebo Pill and Recombinant Human Activated Protein C i.v.
n=7 participants at risk
Group receiving recombinant human activated protein C (rhAPC) as the drug intervention
Respiratory, thoracic and mediastinal disorders
Cough
14.3%
1/7 • Number of events 1
25.0%
2/8 • Number of events 2
42.9%
3/7 • Number of events 3
General disorders
Fever
42.9%
3/7 • Number of events 4
25.0%
2/8 • Number of events 2
28.6%
2/7 • Number of events 2
General disorders
Headache
28.6%
2/7 • Number of events 2
25.0%
2/8 • Number of events 2
42.9%
3/7 • Number of events 3
Gastrointestinal disorders
Nausea
14.3%
1/7 • Number of events 1
0.00%
0/8
28.6%
2/7 • Number of events 2
Gastrointestinal disorders
Vomiting
14.3%
1/7 • Number of events 1
0.00%
0/8
14.3%
1/7 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Chest pain
28.6%
2/7 • Number of events 2
12.5%
1/8 • Number of events 1
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Sore throat
28.6%
2/7 • Number of events 2
0.00%
0/8
14.3%
1/7 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Shortness of breath
0.00%
0/7
12.5%
1/8 • Number of events 1
0.00%
0/7
Skin and subcutaneous tissue disorders
Rash under neck
0.00%
0/7
12.5%
1/8 • Number of events 1
0.00%
0/7
General disorders
Body ache
14.3%
1/7 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/7
Musculoskeletal and connective tissue disorders
Low back pain
0.00%
0/7
12.5%
1/8 • Number of events 1
0.00%
0/7
General disorders
General body discomfort
0.00%
0/7
12.5%
1/8 • Number of events 1
0.00%
0/7

Additional Information

Delphine L. Chen

Washington University School of Medicine

Phone: 314-362-7029

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place