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Dose-response effects of TPI ASM8 in asthmatics after allergen
Gauvreau; Pageau; Seguin; Carballo; Gauthier; D'Anjou; Campbell; Watson; Mistry; Parry-Billings; Killian; Renzi
Allergy. 2011;66(9):1242-1248.
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Abstract
BACKGROUND: TPI ASM8 contains two modified antisense oligonucleotides (AON) targeting the beta subunit (beta(c) ) of the IL-3, IL-5, GM-CSF receptors and the chemokine receptor CCR3. A previous study suggested that TPI ASM8 had broader effects than just inhibition of eosinophils in asthmatics. OBJECTIVE: We assessed whether TPI ASM8 caused a dose-dependent attenuation in the inflammatory and physiological changes after inhaled allergen challenge (AIC). METHODS: This single-center, open-label, stepwise-ascending dose study was conducted in fourteen stable, mild allergic asthmatics. Following placebo AIC, subjects underwent AIC after 4 days treatment with 1, 2, and 4 mg BID and finally 8 mg once daily (OD) of TPI ASM8, inhaled via the I-Neb nebuliser. Treatments were separated by 2-3-week washout periods. RESULTS: TPI ASM8 was safe and well tolerated at all doses. TPI ASM8 8 mg OD reduced eosinophils in sputum after AIC (by 60.9% at 7 h and 68.4% at 24 h post-AIC, P=0.016 and P=0.007, respectively). Additionally, TPI ASM8 8 mg OD significantly attenuated the early and late airway responses as shown by the reduction in the area under the curve by 45% (P=0.016) and 59%, (P=0.0015), respectively, the increase in eosinophil cationic protein (ECP) by up to 57% (P=0.021), and airway responsiveness to methacholine by more than 1 doubling dose (P=0.012). A dose-response relationship was noted, and efficacy was maintained with once per day administration. CONCLUSIONS: TPI ASM8 attenuated a broad range of inflammatory and physiological changes after AIC, suggesting that CCR3, IL-3, and GM-CSF also are important targets for the management of asthma
Keyword(s)
Adolescent; Adult; Allergens; Anti-Asthmatic Agents; Asthma; Canada; Cytokine Receptor Common beta Subunit; Dose-Response Relationship,Drug; Eosinophil Cationic Protein; Eosinophils; Female; Gene Expression Regulation; Humans; Male; Phosphorothioate Oligonucleotides; RNA,Messenger; Receptors,CCR3; Research; Research Support; Respiratory Hypersensitivity; Sputum; Young Adult; administration & dosage; adverse effects; drug effects; drug therapy; genetics; immunology; methods; pharmacokinetics; therapeutic use
Bibliographic metadata
- Related website PM:21605124
- DA - 20110802IS - 1398-9995 (Electronic)IS - 0105-4538 (Linking)LA - engPT - Clinical TrialPT - Journal ArticlePT - Research Support, Non-U.S. Gov'tRN - 0 (Allergens)RN - 0 (Anti-Asthmatic Agents)RN - 0 (CCR3 protein, human)RN - 0 (Cytokine Receptor Common beta Subunit)RN - 0 (Phosphorothioate Oligonucleotides)RN - 0 (RNA, Messenger)RN - 0 (Receptors, CCR3)RN - 0 (TPI ASM8)SB - IM