Tiotropium Efficacy Against Allergen Induced Early Asthmatic Responses

University of Saskatchewan

Status and phase

Completed

Phase 4

Conditions

Allergic Asthma

Treatments

Drug: tiotropium bromide monohydrate (Spiriva Respimat)

Drug: matching placebo

Study type

Interventional

Funder types

Other

Identifiers

NCT04648813

BIO REB 1959

Details and patient eligibility

About

The study will compare the effect of inhaled tiotropium versus placebo on allergen induced early asthmatic responses in individuals with atopic asthma.

Full description

This is a single center, double-blind, randomized, placebo-controlled, crossover study. The study will consist of two one week treatment periods, one with tiotropium (two inhalations/5mcg/day) and one with placebo (2inhalations/day). A minimum two week washout period between treatments is required. Four visits over the course of approximately 4 weeks will be required to complete the study. Procedures at each visit are as follows:

Visit 1:

Participants will undergo consent procedures and if consent is provided measurements of FeNO, spirometry, airway responsiveness to methacholine, skin prick testing, skin titration endpoint testing and sputum induction will be performed. If participants meet eligibility criteria following these assessments, treatment 1 will be dispensed and the first dose administered. The participant will then self administer the treatment for the next six days (i.e. a total of 7 days of treatment) before returning for Visit 2.

Visit 2:

A final dose of treatment 1 will be administered. At 30 minutes post dose, FeNO testing, spirometry measurements and allergen inhalation challenge will be performed. Five hours after the allergen challenge, FeNO will again be measured and sputum induction will be performed.

Visits 3 and 4:

Visits 3 and 4 will be identical to Visit 1 and 2 except that no skin prick testing or skin titration endpoint testing will be required. At Visit 3 participants will be crossed over to treatment 2 and the first dose will be administered. Participants will self administer treatment 2 for the next six days before returning for Visit 4.

The primary endpoint will be the EAR PD20, the amount of allergen required to induce an early asthmatic response (i.e. a fall in FEV1 post allergen inhalation of 20% or more) tiotropium versus placebo.

Enrollment

15 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

signed informed consent
diagnosis of mild asthma with a minimum 3 months history at the time of enrolment into the trial
pre-bronchodilator FEV1 80% or greater than the predicted value
positive response to inhaled methacholine (i.e. MCh PD20 ≤ 400mcg)
evidence of atopy (i.e. positive skin prick test to an allergen that is appropriate for use in allergen inhalation challenge)
no respiratory infection within 4 weeks of Visit 1
no allergen exposure within 4 weeks of Visit 1
current non-smoker (ex-nicotine smoker with < 10 pack years evaluated case by case)
use of β2 agonist rescue medications less than daily and no more than 4 times per week
general good health with no other medical condition, medication use or lifestyle activities that would potentially alter the outcome of the allergen challenge

Exclusion criteria

currently pregnant or breast-feeding
current daily use of other inhaled recreational products (e.g. cannabis, e-cigarettes or other vaping products; occasional use requires 24 hour withhold)
diagnosis or evidence of narrow angle glaucoma
diagnosis or evidence of urinary retention
known hypersensitivity to tiotropium, atropine or its derivatives (e.g. ipratropium) or components of tiotropium formulation (e.g. benzalkonium chloride)
history of anaphylaxis or angioedema
current use of :
inhaled corticosteroid including combination therapies
inhaled muscarinic antagonists - except study treatment (e.g. ipratropium bromide)
long-acting beta2-agonists (LABA; e.g. formoterol)
leukotriene receptor antagonists (e.g. montelukast)
biologics (e.g. benralizumab)
allergen immunotherapy
mast cell stabilizers (e.g. nedocromil sodium)