COPD Clinical Trial
Official title:
A Phase II, Randomized, Double Blind, Placebo Controlled, Three-way Crossover Study to Assess the Bronchodilator Effect of RPL554 Administered in Addition to Open Label Tiotropium/Olodaterol in Patients With COPD
The study investigates the effect of 3 days of twice daily treatment of two different doses of RPL554 (a phosphodiesterase [PDE]3/4 inhibitor) or placebo, each administered in addition to once daily tiotropium/olodaterol (Respimat) in patients with moderate to severe chronic obstructive pulmonary disease (COPD). Patients will receive each of the three treatment combinations in a randomized sequence using a crossover design
RPL554 is a dual inhibitor of phosphodiesterase 3 (PDE3) and phosphodiesterase 4 (PDE4) which
are known to have a role in modulating the inflammatory airway response in respiratory
diseases, including COPD. PDE3 inhibitors act as bronchodilators whilst PDE4 inhibitors have
anti-inflammatory properties and there is also evidence to suggest that combined inhibition
of PDE3 and PDE4 can have additive or synergistic anti-inflammatory and bronchodilator. The
two doses of RPL554 (1.5 mg and 6 mg)have been selected based on the results from prior
studies investigating single and multiple ascending doses in healthy subjects, single doses
in asthmatics, single/multiple ascending doses in COPD patients, and 3 days of dosing in COPD
patients. These doses were demonstrated to be both effective as a bronchodilator and well
tolerated.
The purpose of the study is to investigate if RPL554 has an additive bronchodilator effect
when administered in combination with a commonly used anticholinergic/β-agonist combination
medication, tiotropium/olodaterol (Respimat), in this patient population measured by the peak
forced expiratory volume in one second (FEV1), and forced vital capacity (FVC).
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