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omeprazole and Airflow Obstruction, Chronic

omeprazole has been researched along with Airflow Obstruction, Chronic in 1 studies

Omeprazole: A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.
omeprazole : A racemate comprising equimolar amounts of (R)- and (S)-omeprazole.
5-methoxy-2-{[(4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl}-1H-benzimidazole : A member of the class of benzimidazoles that is 1H-benzimidazole which is substituted by a [4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl group at position 2 and a methoxy group at position 5.

Research

Studies (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Lazaar, AL1
Miller, BE1
Tabberer, M1
Yonchuk, J1
Leidy, N1
Ambery, C1
Bloomer, J1
Watz, H1
Tal-Singer, R1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Two Part, Phase IIa, Randomized, Placebo-controlled Study To Investigate The Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Clinical Efficacy of Oral Danirixin (GSK1325756) in Symptomatic COPD Subjects With Mild to Moderate Airflow Limita[NCT02130193]Phase 2102 participants (Actual)Interventional2014-02-13Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Assessment of Duration of EXACT-PRO Events in Part B

Duration is the length of time in days from onset to recovery. It was calculated as the difference in days between day of onset and day of recovery. Onset of event was identified as either an increase in EXACT-PRO score of >=12 points above the par. current mean Baseline for 2 consecutive days, with Day 1 of the 2 days serving as Day 1 onset of the event, or an increase of >=9 points above the par. current mean Baseline for 3 consecutive days, with Day 1 of the 3 days serving as Day 1 onset of the event. Duration was 3-day rolling average was used, which was initiated on Day 1 of onset and ended on Day 1 of Recovery. Recovery was defined as the first day in which par. experienced a persistent, sustained improvement in their condition i.e. decrease in the rolling average EXACT-PRO total score >=9 point from the maximum observed value (highest rolling average EXACT-PRO total score observed the first 14 days of the event) during the first 14 days of an event that is sustained for 7 days. (NCT02130193)
Timeframe: Up to Day 392 in Part B

InterventionDays (Mean)
Placebo33.7
DNX 75 mg31.5

Assessment of Severity of EXACT-PRO Events in Part B

EXACT-PRO tool was used to measure severity of COPD exacerbations in participants. Severity was indicated by the maximum EXACT-PRO total score during the course of event (from day of onset to day of recovery). (NCT02130193)
Timeframe: Up to Day 392 in Part B

InterventionScore on a scale (Mean)
Placebo48.8
DNX 75 mg49.7

Change From Baseline in Urine Power of Hydrogen (pH) at Day 14 in Part A

Urinalysis including urine pH was done at Screening and Day 14 in Part A. Baseline was considered as the measurement obtained at Screening (Day -1). The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionpH (Mean)
DNX 50 mg-0.06

Change From Baseline in Urine Specific Gravity of Urine in Part A

Urinalysis including urine specific gravity was done at Screening and Day 14 in Part A. Baseline was considered as the measurement obtained at Screening (Day -1). The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. (NCT02130193)
Timeframe: Up to Day 28 in Part A

Interventionurine specific gravity (Mean)
DNX 50 mg-0.0008

Number of EXACT-PRO Exacerbations Per Year in Part B

EXACT-PRO is a 14 item patient reported outcome instrument designed to capture information on the occurrence, frequency, severity, and duration of COPD exacerbations. The total score for EXACT-PRO ranges from 0-100, higher scores indicate more severe symptoms. For par. with less than 364 days on-treatment, the annual exacerbation rate was imputed as the number of recorded on-treatment exacerbations, divided by the number of 4-week treatment period intervals for which the par. was in the study, multiplied by 13. For par. with 364 or more days on-treatment, the annual exacerbation rate was calculated as the number of recorded exacerbations between study days 1 and 364. Statistical analysis was done using a Bayesian Cox model, assuming a negative binomial distribution for the underlying exacerbation rate. The exacerbation rates and the ratio (danirixin/placebo), were estimated and 95 percent credible intervals were produced using non-informative priors. 1 par. was excluded from analysis. (NCT02130193)
Timeframe: Up to Day 392 in Part B

InterventionExacerbations per year (Mean)
Placebo3.6
DNX 75 mg3.3

Number of Health Care Resource Utilization (HCRU) Defined COPD Exacerbations Per Year in Part B

HCRU COPD exacerbations are defined as moderate or severe exacerbations based on requirement of new prescription antibiotics or oral corticosteroids, hospitalization or emergency room visits for management of COPD exacerbation. For par. with less than 364 days on-treatment, the annual exacerbation rate was imputed as the number of recorded on-treatment exacerbations, divided by the number of 4-week treatment period intervals for which the par. was in the study, multiplied by 13. For par. with 364 or more days on-treatment, the annual exacerbation rate was calculated as the number of recorded exacerbations between study days 1 and 364. Statistical analysis was done using a Bayesian Cox model, assuming a negative binomial distribution for the underlying exacerbation rate. The exacerbation rates along with the ratio (danirixin/placebo), were estimated and corresponding 95 percent credible intervals were produced using non-informative priors. 1 par. was excluded from the analysis. (NCT02130193)
Timeframe: Up to Day 392 in Part B

InterventionExacerbations per year (Mean)
Placebo2.9
DNX 75 mg3.2

Time to First EXACT-PRO Event in Part B

The hazard ratio for the DNX versus placebo comparison, along with 95% credible interval and posterior probability was derived and a Bayesian Cox proportional hazards model was used for statistical analysis. The analysis was performed on ITT Population. One participant was excluded from analysis. (NCT02130193)
Timeframe: Up to Day 392 in Part B

InterventionDays (Mean)
Placebo101.0
DNX 75 mg114.7

Time to First HCRU COPD Exacerbation in Part B

HCRU COPD exacerbations are defined as moderate or severe exacerbations based on requirement of new prescription antibiotics or oral corticosteroids, hospitalization or emergency room visits for management of COPD exacerbation. The time to the first on-treatment HRCU exacerbation were summarized by treatment group. It was analyzed using a Bayesian Cox proportional hazards model. The hazard ratio for the danirixin vs. placebo comparison, along with 95 percent credible interval, was derived, with terms for treatment group, smoking status and country. Posterior probabilities of the ratio of the percentage of par. with an HCRU exacerbation, adjusted for time to first exacerbation, in the danirixin group relative to the placebo group were calculated. 1 par. was excluded from analysis. (NCT02130193)
Timeframe: Up to Day 392 in Part B

InterventionDays (Mean)
Placebo166.3
DNX 75 mg172.7

Area Under the Blood Concentration-time Curve (AUC) Over Dosing Interval (AUC[0-12]) of Danirixin in Part A

AUC (0-12) of danirixin was derived from the PK samples collected at pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 14 in Part A. PK analysis of danirixin was conducted by non-compartmental methods. A Bayesian random effects model was performed adjusting for the trial as a random effect. A non-informative normal prior distribution was used. Point estimates and corresponding 90 percent credible intervals were constructed. (NCT02130193)
Timeframe: Pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 14 in Part A

InterventionHour*ng/mL (Geometric Mean)
Day 1 doseDay 14 dose
DNX 50 mg2203.5222838.526

AUC(0-12) of Danirixin in Part B

AUC (0-12) of danirixin was derived from the PK samples collected at pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 364; and at pre-dose and 2 hours on Day 28, 56 and 168 in Part B. PK analysis of danirixin was conducted by non-compartmental methods. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02130193)
Timeframe: Pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 364; and at pre-dose and 2 hours on Day 28, 56 and 168 in Part B

InterventionHour*ng/mL (Geometric Mean)
Day 1 dose, n=44Day 364 dose, n=36
DNX 75 mg2388.3034366.995

Change From Baseline for COPD Assessment Test (CAT) at the Indicated Time Points in Part B

The CAT is a validated, 8 item questionnaire which has been developed designed to measure overall COPD-related health status for the initial assessment and longitudinal follow up of par. with COPD. Participants completed each question by rating their experience on a 6 point scale ranging from 0 (no impairment) to 5 (maximum impairment) with a total scoring range of 0 - 40. CAT was assessed at Baseline (Day 1), Day 28, Day 112, Day 168, Day 280 and Day 364 where Baseline was considered as score on Day 1. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionScore on a scale (Mean)
Day 28; n= 43, 37Day 112; n= 44, 39Day 168; n= 43, 37Day 280; n= 36, 35Day 364; n= 38, 34
DNX 75 mg-0.7-1.0-1.5-1.2-2.1
Placebo-0.6-0.5-0.8-0.60.7

Change From Baseline in FEV1 and FVC at the Indicated Time Points in Part B

FEV1 and FVC were performed at Screening and on Day 1, 28, 56, 112, 168, 280, 364 and at Follow-up (Day 378 to 392) in Part B. FEV1 and FVC assessments at each time point (post-bronchodilator) were taken in triplicate. The maximum of the triplicate assessments were used. Baseline was considered as the measurement obtained at Day 1 pre-dose. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. Statistical analysis was performed using a repeated measures mixed effects model in a Bayesian framework. The estimate of the treatment difference and corresponding 95 percent credible interval was constructed for the difference between danirixin and placebo for each visit. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionLiter (Mean)
FEV1, Day 28, n=47, 44FEV1, Day 56, n=46, 41FEV1, Day 112, n=45, 39FEV1, Day 168, n=44, 39FEV1, Day 280, n=39, 37FEV1, Day 364, n=39, 37FVC, Day 28, n=47, 44FVC, Day 56, n=46, 41FVC, Day 112, n=45, 39FVC, Day 168, n=44, 39FVC, Day 280, n=39, 37FVC, Day 364, n=39, 37
DNX 75 mg0.0480.0170.0880.0150.0430.0280.0220.0360.014-0.0050.0410.008
Placebo-0.0180.0480.0110.018-0.012-0.0090.0270.0460.024-0.061-0.020-0.021

Change From Baseline in Forced Expiratory Volume in One Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points in Part A

FEV1 measures how much air a person can exhale during a forced breath in 1 second. FVC is the total amount of air exhaled during the FEV test. FEV1 and FVC were performed at Screening and on Day 1, 14 and at Follow-up visit (Day 21 to 28). FEV1 and FVC assessments at each time point (post-bronchodilator) were taken in triplicate. The maximum of the triplicate assessments were used. Baseline was considered as the measurement obtained at Day 1 pre-dose. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionLiter (Mean)
FEV1, Day 14FVC, Day 14
DNX 50 mg0.09780.2233

Change From Baseline in Urine pH in Part B

Urinalysis including urine pH was done at Screening and on Day 28, 168 and 364 in Part B. Baseline was considered as the measurement obtained at Screening (Day -1). The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionpH (Mean)
Day 28, n=45, 43Day 168, n=40, 35Day 364, n=36, 35
DNX 75 mg-0.10-0.13-0.07
Placebo-0.17-0.18-0.29

Change From Baseline in Urine Specific Gravity of Urine in Part B

Urinalysis including urine specific gravity was done at Screening and on Day 28, 168 and 364 in Part B. Baseline was considered as the measurement obtained at Screening (Day -1). The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
Interventionurine specific gravity (Mean)
Day 28, n=45, 43Day 168, n=40, 35Day 364, n=36, 35
DNX 75 mg-0.0008-0.00020.0013
Placebo-0.0011-0.00120.0004

Cmax of Danirixin in Part B

Cmax of danirixin was derived from the PK samples collected at pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 364; and at pre-dose and 2 hours on Day 28, 56 and 168 in Part B. PK analysis of danirixin was conducted by non-compartmental methods. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02130193)
Timeframe: Pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 364; and at pre-dose and 2 hours on Day 28, 56 and 168 in Part B

Interventionng/mL (Geometric Mean)
Day 1 dose, n=44Day 364 dose, n=36
DNX 75 mg517.784756.391

Maximum Observed Plasma Concentration (Cmax) of Danirixin in Part A

Cmax of danirixin was derived from the Pharmacokinetics (PK) samples collected at pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 14 in Part A. PK analysis of danirixin was conducted by non-compartmental methods. PK Concenteration Population comprised of par. in the ITT Population and who had provided at least one on-treatment blood sample for determination of danirixin concentration. (NCT02130193)
Timeframe: Pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 14 in Part A

InterventionNanogram per milliliter (ng/mL) (Geometric Mean)
Day 1 doseDay 14 dose
DNX 50 mg397.785512.576

Monthly Weighted Means of Exacerbations of Chronic Pulmonary Disease Tool-respiratory Symptoms (EXACT-RS) Total Score in Part B

EXACT-RS is a tool which consists of 11 items from the 14 item EXACT- patient reported outcomes (EXACT-PRO) instrument, intended to capture information related to the respiratory symptoms of COPD, i.e. breathlessness, cough, sputum production, chest congestion and chest tightness. The EXACT-RS has a scoring range of 0-40, higher scores indicate more severe symptoms. A par. had at least 10 days of diary data in any month to contribute a non-missing weighted mean AUC of daily values; otherwise the weighted mean for that month were considered missing. A mixed effects model in a Bayesian framework with repeated measures were performed on the EXACT-RS monthly weighted mean AUC data. The posterior mean and corresponding 95 percent credible interval were calculated. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionScore on a scale (Mean)
EXACT-RS, 1 month, n=48,45EXACT-RS, 2 month, n=47,44EXACT-RS, 3 month, n=46,41EXACT-RS, 4 month, n=46,41EXACT-RS, 5 month, n=46,40EXACT-RS, 6 month, n=44,39EXACT-RS, 7 month, n=44,39EXACT-RS, 8 month, n=43,39EXACT-RS, 9 month, n=40,38EXACT-RS, 10 month, n=39,38EXACT-RS, 11 month, n=39,37EXACT-RS, 12 month, n=39,37
DNX 75 mg11.811.610.510.610.610.410.310.310.710.310.510.5
Placebo12.412.512.512.412.012.412.312.412.213.012.212.5

Monthly Weighted Means of Exacerbations of EXACT-PRO Total Score in Part B

EXACT-PRO is a 14 item patient reported outcome instrument designed to capture information on the occurrence, frequency, severity, and duration of COPD exacerbations. The total score for EXACT-PRO ranges from 0-100, higher scores indicate more severe symptoms. A par. had at least 10 days of diary data in any month to contribute a non-missing weighted mean AUC of daily values; otherwise the weighted mean for that month were considered missing. A mixed effects model in a Bayesian framework with repeated measures were performed on the EXACT-PRO monthly weighted mean AUC data. The posterior mean and corresponding 95 percent credible interval were calculated. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionScore on a scale (Mean)
EXACT-PRO, 1 month, n=48,45EXACT-PRO, 2 month, n=47,44EXACT-PRO, 3 month, n=46,41EXACT-PRO, 4 month, n=46,41EXACT-PRO, 5 month, n=46,40EXACT-PRO, 6 month, n=44,39EXACT-PRO, 7 month, n=44,39EXACT-PRO, 8 month, n=43,38EXACT-PRO, 9 month, n=40,36EXACT-PRO, 10 month, n=39,37EXACT-PRO, 11 month, n=39,36EXACT-PRO, 12 month, n=39,35
DNX 75 mg35.535.333.633.933.833.833.333.735.233.734.635.0
Placebo36.536.536.436.435.936.836.536.536.337.436.036.7

Monthly Weighted Means of EXACT-RS Domain Scores in Part B

EXACT-RS is a tool which consists of 11 items from the 14 item EXACT-PRO instrument, intended to capture information related to the respiratory symptoms of COPD. EXACT-RS domains included breathlessness, cough and chest symptoms. The EXACT-RS has a scoring range of 0-40, higher scores indicate more severe symptoms. A par. had at least 10 days of diary data in any month to contribute a non-missing weighted mean AUC of daily values; otherwise the weighted mean for that month were considered missing. A mixed effects model in a Bayesian framework with repeated measures were performed. The posterior mean and corresponding 95 percent credible interval were calculated. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionScore on a scale (Mean)
EXACT-RS-breath, 1 month, n=48,45EXACT-RS-breath, 2 month, n=47,44EXACT-RS-breath, 3 month, n=46,41EXACT-RS-breath, 4 month, n=46,41EXACT-RS-breath, 5 month, n=46,40EXACT-RS-breath, 6 month, n=44,39EXACT-RS-breath, 7 month, n=44,39EXACT-RS-breath, 8 month, n=43,39EXACT-RS-breath, 9 month, n=40,38EXACT-RS-breath, 10 month, n=39,38EXACT-RS-breath, 11 month, n=39,37EXACT-RS-breath, 12 month, n=39,37EXACT-RS-chest, 1 month, n=48,45EXACT-RS-chest, 2 month, n=47,44EXACT-RS-chest, 3 month, n=46,41EXACT-RS-chest, 4 month, n=46,41EXACT-RS-chest, 5 month, n=46,40EXACT-RS-chest, 6 month, n=44,39EXACT-RS-chest, 7 month, n=44,39EXACT-RS-chest, 8 month, n=43,39EXACT-RS-chest, 9 month, n=40,38EXACT-RS-chest, 10 month, n=39,38EXACT-RS-chest, 11 month, n=39,37EXACT-RS-chest, 12 month, n=39,37EXACT-RS-cough, 1 month, n=48,45EXACT-RS-cough, 2 month, n=47,44EXACT-RS-cough, 3 month, n=46,41EXACT-RS-cough, 4 month, n=46,41EXACT-RS-cough, 5 month, n=46,40EXACT-RS-cough, 6 month, n=44,39EXACT-RS-cough, 7 month, n=44,39EXACT-RS-cough, 8 month, n=43,39EXACT-RS-cough, 9 month, n=40,38EXACT-RS-cough, 10 month, n=39,38EXACT-RS-cough, 11 month, n=39,37EXACT-RS-cough, 12 month, n=39,37
DNX 75 mg5.55.55.05.05.04.84.64.95.14.85.04.92.52.42.22.32.32.32.22.32.42.22.32.43.83.73.33.33.33.43.43.23.33.23.33.2
Placebo6.06.36.06.05.86.05.95.95.86.15.85.92.62.72.92.82.82.92.82.92.93.13.03.03.83.53.63.63.43.53.63.63.53.83.53.6

Number of Participants With Abnormal 12-lead ECG in Part B

12-lead ECG was taken on Day 1 pre-dose and on Day 28, 168 and at Follow-up (Day 378 to 392) in Part B using an ECG machine. Participants with abnormal-NCS and abnormal-CS findings were sumarized. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Abnormal-NCS, Day 28, n=47, 44Abnormal-CS, Day 28, n=47, 44Abnormal-NCS, Day 168, n=44, 38Abnormal-CS, Day 168, n=44, 38
DNX 75 mg161110
Placebo200150

Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) in Part A

12-lead ECG was taken on Day 1 pre-dose and on Follow-up visit (Day 21 to 28) in Part A using an ECG machine. Triplicate reading were taken on Day 1 pre-dose. Participants with abnormal-clinically not significant (NCS) and abnormal-clinically significant (CS) findings were sumarized. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionParticipants (Number)
Abnormal-NCS, Day 1, pre-doseAbnormal-CS, Day 1, pre-doseAbnormal-NCS, Day 1, pre-dose 2Abnormal-CS, Day 1, pre-dose 2Abnormal-NCS, Day 1, pre-dose 3Abnormal-CS, Day 1, pre-dose 3
DNX 50 mg302020

Number of Participants With Any Adverse Event (AE) and, Serious Adverse Event (SAE) in Part A

An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention, events associated with liver injury and impaired liver function were categorized as SAE. Participants with any AE or SAE were summarized. Participants with AE or SAE occurrences >= 5 percent were summarized. All Subjects Population comprised of all participants who were screened and for whom a record existed on the study database. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionParticipants (Number)
AESAEs
DNX 50 mg51

Number of Participants With Any AE and SAE in Part B

An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention, events associated with liver injury and impaired liver function were categorized as SAE. Participants with AE or SAE occurrences >= 5 percent were summarized. (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
AESAEs
DNX 75 mg2510
Placebo2510

Number of Participants With Clinical Chemistry Values of Potential Clinical Importance in Part A

Blood samples were collected at Screening and Day 14 in Part A to evaluate clinical chemistry parameters which included alanine aminotransferase (ALT), albumin, alkaline phosphatase (ALP), aspartate aminotransferase (AST), total bilirubin, calcium, bicarbonate, chloride, creatinine, direct bilirubin, gamma glutamyl transferase (GGT), glucose, potassium, total protein, sodium, blood urea nitrogen (BUN) and uric acid. Additional liver monitoring chemistry (ALT, AST, ALP and total and direct bilirubin) was done on Day 1 pre-dose. Clinical chemistry values of potential clinical importance were presented as 'High' or 'Low' values based on the reference laboratory standards. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionParticipants (Number)
GGT, Day 14, lowGGT, Day 14, highUric acid, Day 14, lowUric acid, Day 14, high
DNX 50 mg0208

Number of Participants With Clinical Chemistry Values of Potential Clinical Importance in Part B

Blood samples were collected at Screening and on Day 28, 168 and 364 in Part B to evaluate clinical chemistry parameters which included ALT, albumin, ALP, AST, total bilirubin, calcium, bicarbonate, chloride, creatinine, direct bilirubin, GGT, glucose, potassium, total protein, sodium, BUN and uric acid. Clinical chemistry values of potential clinical importance were presented as 'High' or 'Low' values based on the reference laboratory standards. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Creatinine, Day 28, low, n=47, 44Creatinine, Day 28, high, n=47, 44GGT, Day 28, low, n=47, 44GGT, Day 28, high, n=47, 44Uric acid, Day 28, low, n=47, 44Uric acid, Day 28, high, n=47, 44ALP, Day 84, low, n=46, 40ALP, Day 84, high, n=46, 40ALT, Day 84, low, n=46, 40ALT, Day 84, high, n=46, 40AST, Day 84, low, n=46, 40AST, Day 84, high, n=46, 40GGT, Day 168, low, n=43, 39GGT, Day 168, high, n=43, 39Uric acid, Day 168, low, n=43, 39Uric acid, Day 168, high, n=43, 39Direct bilirubin, Day 364, low, n=39, 37Direct bilirubin, Day 364, high, n=39, 37Total bilirubin, Day 364, low, n=39, 37Total bilirubin, Day 364, high, n=39, 37GGT, Day 364, low, n=39, 37GGT, Day 364, high, n=39, 37Uric acid, Day 364, low, n=39, 37Uric acid, Day 364, high, n=39, 37
DNX 75 mg010304401010101039000001037
Placebo000704700000005043010105039

Number of Participants With Hematology Values of Potential Clinical Importance in Part A

Blood samples were collected at Screening and Day 14 in Part A to evaluate hematology parameters which included hemoglobin, hematocrit, basophils, eosinophils, lymphocytes, monocytes, neutrophils, mean corpuscular hemoglobin concentration (MCHC), mean corpuscular hemoglobin (MCH), mean corpuscular volume (MCV), red blood cell (RBC) count, white blood cell (WBC) count, platelet count and reticulocyte count. Hematology values of potential clinical importance were presented as 'High' or 'Low' values based on the reference laboratory standards. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionParticipants (Number)
RBC count, Day 14, lowCategory title 2. RBC count, Day 14, high
DNX 50 mg10

Number of Participants With Hematology Values of Potential Clinical Importance in Part B

Blood samples were collected at Screening and on Day 28, 168, and 364 in Part B to evaluate hematology parameters which included hemoglobin, hematocrit, basophils, eosinophils, lymphocytes, monocytes, neutrophils, MCHC, MCH, MCV, RBC count, WBC count, platelet count and reticulocyte count. Hematology values of potential clinical importance were presented as 'High' or 'Low' values based on the reference laboratory standards. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Platelet count, Day 28, low, n=46, 43Platelet count, Day 28, high, n=46, 43RBC count, Day 28, low, n=46, 43RBC count, Day 28, high, n=46, 43Platelet count, Day 168, low, n=43, 38Platelet count, Day 168, high, n=43, 38RBC count, Day 168, low, n=44, 38RBC count, Day 168, high, n=44, 38WBC count, Day 168, low, n=44, 38WBC count, Day 168, high, n=44, 38Platelet count, Day 364, low, n=39, 36Platelet count, Day 364, high, n=39, 36RBC count, Day 364, low, n=39, 36RBC count, Day 364, high, n=39, 36
DNX 75 mg10101010001010
Placebo00000120010020

Number of Participants With Patient Global Impression of Change (PGIC)Score in Part B

Participants completed a PGIC questions at Week 4, 8, 16, 24, 40 and 52. Response options were on a 7 point Likert scale ranging from much better to much worse. PGIC was re-coded from a categorical to numerical value prior to analysis as: much worse = -3, worse = -2, slightly worse = -1, no change = 0, slightly better = 1, better = 2, much better = 3.A categorical summary of PGIC is presented by treatment and visit.Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Week 4; much worse; n= 44, 39Week 4; worse; n= 44, 39Week 4; slightly worse; n= 44, 39Week 4; no change; n= 44, 39Week 4; slightly better; n= 44, 39Week 4; better; n= 44, 39Week 4; much better; n= 44, 39Week 8; much worse; n= 44, 39Week 8; worse; n= 44, 39Week 8; slightly worse; n= 44, 39Week 8; no change; n= 44, 39Week 8; slightly better; n= 44, 39Week 8; better; n= 44, 39Week 8; much better; n= 44, 39Week 16; much worse; n= 45, 40Week 16; worse; n= 45, 40Week 16; slightly worse; n= 45, 40Week 16; no change; n= 45, 40Week 16; slightly better; n= 45, 40Week 16; better; n= 45, 40Week 16; much better; n= 45, 40Week 24; much worse; n= 44, 38Week 4; worse; n= 44, 38Week 24; slightly worse; n= 44, 38Week 24; no change; n= 44, 38Week 24; slightly better; n= 44, 38Week 24; better; n= 44, 38Week 24; much better; n= 44, 38Week 40; much worse; n= 37, 36Week 40; worse; n= 37, 36Week 40; slightly worse; n= 37, 36Week 40; no change; n=37, 36Week 40; slightly better; n=37, 36Week 40; better; n= 37, 36Week 40; much better; n= 37, 36Week 52; much worse; n= 39, 35Week 52; worse; n= 39, 35Week 52; slightly worse; n= 39, 35Week 52; no change; n= 39, 35Week 52; slightly better; n= 39, 35Week 52; better; n= 39, 35Week 52; much better; n= 39, 35
DNX 75 mg140171241015181041113171323123139820171277210715453
Placebo01118159011616154100021203101315168102391472013149111

Number of Participants With Patient Global Rating of Severity (PGRS) Score in Part B

PGRS is a single global question and was asked to participants to rate their COPD severity on a four point scale ranging from 1-4 (1=mild, 2=moderate, 3=severe, 4=very severe). Participants completed PGRS at Week 0, 4, 8, 16, 24, 40 and 52. Baseline was considered as score on Day 1. A categorical summary of PGRS is presented by treatment and visit.Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Baseline; mild; n= 47, 43Baseline; moderate; n= 47, 43Baseline; severe; n= 47, 43Baseline; very severe; n= 47, 43Week 4; mild; n= 44, 39Week 4; moderate; n= 44, 39Week 4; severe; n= 44, 39Week 4; very severe; n= 44, 39Week 8; mild; n= 44, 40Week 8; moderate; n= 44, 40Week 8; severe; n= 44, 40Week 8; very severe; n= 44, 40Week 16; mild; n= 45, 40Week 16; moderate; n= 45, 40Week 16; severe; n= 45, 40Week 16; very severe; n= 45, 40Week 24; mild; n= 44, 38Week 24; moderate; n= 44, 38Week 24; severe; n= 44, 38Week 24; very severe; n= 44, 38Week 40; mild; n= 37, 36Week 40; moderate; n= 37, 36Week 40; severe; n= 37, 36Week 40; very severe; n= 37, 36Week 52; mild; n= 39, 36Week 52; n= moderate; n= 39, 36Week 52; severe; n= 39, 36Week 52; very severe; n= 39, 36
DNX 75 mg62980727417294082660923609216072360
Placebo102115172710043271628110631707219062490

Number of Participants With Physician's Global Assessment (PGA) Readings in Part B

The PGA is a single item clinician reported outcome measure assessing the overall severity of COPD. Physicians rated disease severity on a four point scale ranging from 1-4 (1=mild, 2=moderate, 3=severe, 4=very severe) at Week 0, 4, 8, 16, 24, 40 and 52. Baseline was considered as score on Day 1. A categorical summary of PGA is presented by treatment and visit.Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Baseline; mild; n= 47, 43Baseline; moderate; n= 47, 43Baseline; severe; n= 47, 43Baseline; very severe; n= 47, 43Week 4; mild; n= 44, 39Week 4; moderate; n= 44, 39Week 4; severe; n= 44, 39Week 4; very severe; n= 44, 39Week 8; mild; n= 44, 40Week 8; moderate; n= 44, 40Week 8; severe; n= 44, 40Week 8; very severe; n= 44, 40Week 16; mild; n= 46, 40Week 16; moderate; n= 46, 40Week 16; severe; n= 46, 40Week 16; very severe; n= 46, 40Week 24; mild; n= 44, 38Week 24; moderate; n= 44, 38Week 24; severe; n= 44, 38Week 24; very severe; n= 44, 38Week 40; mild; n= 37, 36Week 40; moderate; n= 37, 36Week 40; severe; n= 37, 36Week 40; very severe; n= 37, 36Week 52; mild; n= 39, 36Week 52; n= moderate; n= 39, 36Week 52; severe; n= 39, 36Week 52; very severe; n= 39, 36
DNX 75 mg237408273183020632209254062820112410
Placebo53570102860103130122950832404303072840

Number of Participants With Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Pulse Rate and Respiratory Rate Abnormalities of Potential Clinical Importance in Part B

Vital signs including SBP, DBP, pulse rate and respiratory rate were taken on Day 1 pre-dose and on Day 28, 56, 112, 168, 280, 364 and at Follow-up (Day 378 to 392) in Part B. Measurements were obtained in a semi-supine/ supine position after 5 minutes rest. The mean of replicate assessments at any given time point was used as the value for that time point. SBP <90 or >160 mmHg, DBP <40 or >110 mmHg, pulse rate <35 or >120 bpm and respiratory rate <8 or >30 breaths per minute were considered as values of potential clinical importance and were presented as 'High' or 'Low' values. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
SBP, Day 1, low, n=48, 45SBP, Day 1, high, n=48, 45SBP, Day 28, low, n=47, 44SBP, Day 28, high, n=47, 44SBP, Day 56, low, n=46, 41SBP, Day 56, high, n=46, 41SBP, Day 112, low, n=46, 40SBP, Day 112, high, n=46, 40SBP, Day 168, low, n=44, 39SBP, Day 168, high, n=44, 39SBP, Day 280, low, n=39, 37SBP, Day 280, high, n=39, 37SBP, Day 364, low, n=39, 37SBP, Day 364, high, n=39, 37DBP, Day 280, low, n=39, 37DBP, Day 280, high, n=39, 37Respiratory rate, Day 1, low, n=48, 45Respiratory rate, Day 1, high, n=48, 45Respiratory rate, Day 56, low, n=46, 41Respiratory rate, Day 56, high, n=46, 41Respiratory rate, Day 112, low, n=46, 40Respiratory rate, Day 112, high, n=46, 40Respiratory rate, Day 168, low, n=44, 39Respiratory rate, Day 168, high, n=44, 39
DNX 75 mg020302020302040000000001
Placebo000002030212010111021000

Number of Participants With Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Pulse Rate, Respiratory Rate and Body Temperature Abnormalities of Potential Clinical Importance in Part A

Vital signs including SBP, DBP, pulse rate, respiratory rate and body temperature were taken on Day 1 pre-dose and on Day 14 and at Follow-up (Day 21 to 28) in Part A. Measurements were obtained in a semi-supine/ supine position after 5 minutes rest. The mean of replicate assessments at any given time point was used as the value for that time point. SBP <90 or >160 millimeter of mercury (mmHg); DBP <40 or >110 mmHg, pulse rate <35 or >120 beats per minute (bpm) and respiratory rate <8 or >30 breaths per minute were considered as values of potential clinical importance and were presented as 'High' or 'Low' values. Intent-to-Treat (ITT) Population comprised of all randomized par. who received at least one dose of study medication. (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionParticipants (Number)
SBP, Day 14, lowSBP, Day 14, highDBP, Day 14, lowDBP, Day 14, high
DNX 50 mg0201

Number of Participants With Urinalysis Dipstick Results in Part A

Test strip urinalysis was done for glucose, ketones, occult blood and protein at Screening and Day 14 in Part A. Results were presented as negative, trace, 1+, 2+ and 3+ for glucose, ketones, occult blood and protein. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02130193)
Timeframe: Up to Day 28 in Part A

InterventionParticipants (Number)
Occult blood, Day 14, negative, n=9Glucose, Day 14, negative, n=9Ketones, Day 14, negative, n=9Protein, Day 14, 1+, n=9Protein, Day 14, negative, n=9Urine microscopy-RBC, Day 14, not seen, n=1Urine microscopy-WBC, Day 14, not seen, n=1
DNX 50 mg9991811

Number of Participants With Urinalysis Dipstick Results in Part B

Test strip urinalysis was done for glucose, ketones, occult blood and protein at Screening and on Day 28, 168, 224 and 364 in Part B. Results were presented as negative, trace, 1+, 2+ and 3+ for glucose, ketones, occult blood and protein. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02130193)
Timeframe: Up to Day 392 in Part B

,
InterventionParticipants (Number)
Occult blood, Day 28, trace, n=47, 44Occult blood, Day 28, 1+, n=47, 44Occult blood, Day 28, negative, n=47, 44Glucose, Day 28, trace, n=47, 44Glucose, Day 28, 1+, n=47, 44Glucose, Day 28, 3+, n=47, 44Glucose, Day 28, negative, n=47, 44Ketones, Day 28, trace, n=47, 44Ketones, Day 28, negative, n=47, 44Protein, Day 28, trace, n=47, 44Protein, Day 28, 1+, n=47, 44Protein, Day 28, negative, n=47, 44Occult blood, Day 168, trace, n=42, 36Occult blood, Day 168, 1+, n=42, 36Occult blood, Day 168, 3+, n=42, 36Occult blood, Day 168, negative, n=42, 36Glucose, Day 168, 2+, n=42, 36Glucose, Day 168, negative, n=42, 36Ketones, Day 168, trace, n=42, 36Ketones, Day 168, negative, n=42, 36Protein, Day 168, trace, n=42, 36Protein, Day 168, 1+, n=42, 36Protein, Day 168, 2+, n=42, 36Protein, Day 168, negative, n=42, 36Occult blood, Day 224, negative, n=1, 0Glucose, Day 224, negative, n=1, 0Ketones, Day 224, negative, n=1, 0Protein, Day 224, negative, n=1, 0Occult blood, Day 364, trace, n=38, 36Occult blood, Day 364, 1+, n=38, 36Occult blood, Day 364, negative, n=38, 36Glucose, Day 364, trace, n=38, 36Glucose, Day 364, 2+, n=38, 36Glucose, Day 364, negative, n=38, 36Ketones, Day 364, trace, n=38, 36Ketones, Day 364, negative, n=38, 36Protein, Day 364, trace, n=38, 36Protein, Day 364, 1+, n=38, 36Protein, Day 364, 2+, n=38, 36Protein, Day 364, negative, n=38, 36
DNX 75 mg2042102412421241210330360361203300002133003603602133
Placebo0344010463442243311371413392113811113233113633531133

Time of Occurrence of Cmax (Tmax) of Danirixin in Part A

Tmax of danirixin was derived from the PK samples collected at pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 14 in Part A. PK analysis of danirixin was conducted by non-compartmental methods. (NCT02130193)
Timeframe: Pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 14 in Part A

InterventionHour (Median)
Day 1 doseDay 14 dose
DNX 50 mg1.0172.000

Tmax of Danirixin in Part B

Tmax of danirixin was derived from the PK samples collected at pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 364; and at pre-dose and 2 hours on Day 28, 56 and 168 in Part B. PK analysis of danirixin was conducted by non-compartmental methods. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02130193)
Timeframe: Pre-dose and at 0.5, 1, 2, 4, 6, 8, 10 and 12 hour post-dose on Day 1 and Day 364; and at pre-dose and 2 hours on Day 28, 56 and 168 in Part B

InterventionHour (Median)
Day 1 dose, n=44Day 364 dose, n=36
DNX 75 mg2.0001.100

Trials

1 trial available for omeprazole and Airflow Obstruction, Chronic

ArticleYear
Effect of the CXCR2 antagonist danirixin on symptoms and health status in COPD.
    The European respiratory journal, 2018, Volume: 52, Issue:4

    Topics: Administration, Oral; Aged; Female; Health Status; Humans; Male; Middle Aged; Omeprazole; Piperidine

2018