About this trial
In this single center, interventional pilot study, 40 participants at high risk for future exacerbation will be randomized to anakinra (v. placebo control) treatment for home administration as part of an asthma action plan (AAP) and monitored through their first moderate asthma exacerbation, triggering treatment dosing over a 26 week period. Key feasibility questions will be assessed in this pilot study to inform trial design and sample size selection for a future multi-site phase II clinical trial testing anakinra as a rescue treatment for moderate asthma exacerbations.
Eligibility criteria
Qualifiers
Provision of signed and dated informed consent form
Age ≥18 years
A history of physician-diagnosed persistent asthma or symptoms consistent with persistent asthma based on national or international guidelines for diagnosis and management of asthma.
Current use of controller therapy such as inhaled corticosteroid (ICS) or ICS in combination with long-acting beta agonist (LABA)
Disqualifiers
Physician diagnosis of other chronic pulmonary disease including cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema or congenital disorders of the lungs or airways.
History of undergoing bronchial thermoplasty.
Intubation for asthma in the last 12 months
History of malignancy except non-melanoma skin cancer within the last five years.
Trial design
Treatments tested in this trial
- Anakinra 100 Mg/0.67 Ml Inj Syringe
- Saline Placebo/0.67 Ml Inj Syringe
Treatment groups
Sponsors and collaborators
University of North Carolina, Chapel Hill
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator