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Dr Clinical Trials
+41 616878333
global.trial_information@roche.com


More information about this study, what is involved and how to take part can be found on the study website.

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Be Part of Research - Trial Details - A clinical trial to compare the safety and effectiveness of selnoflast with a placebo and understand how the body processes selnoflast in people with moderate to severe asthma

A clinical trial to compare the safety and effectiveness of selnoflast with a placebo and understand how the body processes selnoflast in people with moderate to severe asthma

Medical Conditions

Moderate to severe asthma


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Asthma is a common long-term lung condition caused by swelling (inflammation) of the airways that causes occasional breathing difficulties. Inflammation is the body’s normal reaction (immune response) to an injury, infection, or irritation – in people with asthma, the body overreacts. The current standard treatment for asthma is inhaled corticosteroids (ICS) and bronchodilators (medications that open the airways); however, many people have uncontrolled symptoms and asthma attacks (exacerbations), and new treatments are needed. The body produces a protein called NLRP3 that can amplify the immune response and inflammation. A drug called selnoflast blocks the activity of NLRP3 and could reduce inflammation in the lungs of people with asthma. Selnoflast is an experimental drug, which means that health authorities (like the U.S. Food and Drug Administration, Health Canada, Medicines and Healthcare Products Regulatory Agency, and European Medicines Agency) have not approved selnoflast for the treatment of asthma. Selnoflast has been tested in healthy people and in people with ulcerative colitis in other studies and is being tested in people with Parkinson’s disease and coronary artery disease.
This clinical trial aims to compare what happens to selnoflast once it is in the body and what selnoflast does to the body and the disease when compared with placebo – which looks like a drug but has no active ingredient – in people with asthma.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

04 Apr 2024 30 Sep 2025

This clinical trial is recruiting people with moderate to severe asthma (determined by the amount and type of treatment people receive). People who take part in this clinical trial (participants) will be given the clinical trial treatment selnoflast OR placebo for 6 weeks, in addition to their usual asthma medication. The clinical trial doctor will see them every 1–2 weeks. These clinic visits will include checks to see how the participant responds to the treatment and any side effects they may have (visits 4 and 6 may take place at home, although home visits may not be available to all participants).
The total time of participation in the clinical trial will be about 11 weeks including follow-up. Participants can stop trial treatment and leave the clinical trial at any time.

Everyone who joins this clinical trial will be split into 2 groups randomly (like flipping a coin) and given either:
- Selnoflast OR placebo capsule to be taken orally (swallowed) twice a day for 6 weeks
Participants will have an equal chance of being placed in either group. Over the 6-week treatment period, all participants will receive a placebo for at least 2 weeks during the study. Participants will also continue their usual asthma medication throughout the study.
This is a ‘placebo-controlled’ clinical trial, which means that one of the groups will be given a substance with no active ingredients (also known as a ‘placebo’); it looks like the drug being tested but does not contain any real medicine. Comparing results from the different groups helps the researchers know whether any changes seen result from the drug or occur by chance. This is a double-blinded trial, which means that neither the participant nor the clinical trial doctor can choose or know the group the participant is in until the trial is over. This helps to prevent bias and expectations about what will happen. However, the participant’s clinical trial doctor can find out which group the participant is in, if their safety is at risk.


People can take part in this trial if they are 18–80 years old and have been diagnosed with asthma for at least 1 year. People must also:
- Be taking certain treatments for asthma for at least 3 months, including an ICS and a long-acting (slow-release) bronchodilator
- Have not smoked for at least 6 months
- Provide sputum (also known as phlegm – a thick type of mucus made in the lung) sample by coughing

You can take part if:


Current inclusion criteria as of 30/09/2024:
1. Documented physician-diagnosed asthma for at least 12 months prior to Screening.
2. Treatment with non-biologic asthma controller therapy for ≥3 months prior to screening and no changes in controller dosing regimens within 4 weeks prior to screening or during the screening period, or anticipated need for changes throughout the study.
3. Morning pre-bronchodilator forced expiratory volume in 1 second (FEV1) of 40% - 90% of predicted at screening.
4. Demonstrated post-bronchodilator reversibility of FEV1 ≥12% and ≥200 millilitres (mL) at Screening, or at least one documented historic evidence of lung function variability within 5 years prior to screening
5. Non-smoker or former smoker. A former smoker is defined as someone with smoking history who has not used inhaled tobacco or cannabis products within 6 months prior to Screening. Current smoking is not permitted.
6. Asthma Control Questionnaire, 5-item version (ACQ-5) score ≥1.5 at screening
7. hs-CRP ≥1 milligrams per liter (mg/L) at screening.
8. Body mass index (BMI) within the range of 18 - 40 kilograms per square meter (kg/m2) (inclusive).
9. Ability to provide


You may not be able to take part if:


Current exclusion criteria as of 30/09/2024:1. History of malignancy within 5 years prior to screening.2. History of any clinically significant hepatic disease or cirrhosis.3. Known immunodeficiency including, but not limited to, human immunodeficiency virus (HIV) infection.4. Respiratory infection (including upper respiratory and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections) within 2 weeks prior to screening or during the Screening period.5. Other infection requiring oral or intravenous (IV) antibiotics, antivirals, or antimycotics within 2 weeks prior to screening or during the Screening period.6. History of tuberculosis or a positive Interferon-Gamma Release Assay (IGRA) test at screening.7. Presence of hepatitis B surface antigen (HBsAg) at Screening or within 3 months prior to dosing.8. Positive hepatitis C (HCV) antibody test result at Screening or within 3 months prior to starting study treatment.9. Vaccine(s) within 4 weeks prior to Screening

Previous exclusion criteria:1. History of malignancy within 5 years prior to screening.2. History of any clinically significant hepatic disease or cirrhosis.3. Known immunodeficiency including, but not limited to, human immunodeficiency virus (HIV) infection.4. Respiratory infection (including upper respiratory and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections) within 6 weeks prior to screening.5. Other infection requiring oral or intravenous (IV) antibiotics, antivirals, or antimycotics within 2 weeks prior to screening6. History of tuberculosis or a positive Interferon-Gamma Release Assay (IGRA) test.7. Presence of hepatitis B surface antigen (HBsAg) at Screening or within 3 months prior to dosing.8. Positive hepatitis C (HCV) antibody test result at Screening or within 3 months prior to starting study treatment.9. Vaccine(s) within 4 weeks prior to Screening


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Nottingham City Hospital
    Hucknall Road
    Nottingham
    NG5 1PB
  • The Royal Liverpool University Hospital
    Prescot Street
    Liverpool
    L7 8XP
  • Glenfield General Hospital
    Groby Road
    Leicester
    LE3 9QP
  • IKF Pneumologie
    Frankfurt am Main
    60596
  • Medicines Evaluation Unit Ltd.
    Manchester
    M23 9QZ
  • Queen Anne Street Medical Centre Limited
    Queen Anne Street Medical Centre 18-22 Queen Anne Street
    London
    W1G 8HU
  • Queen's University Belfast
    NICRN Respiratory Research Office
    Belfast
    BT9 7AB
  • Centre for Lung Health
    Vancouver
    V5Z 1M9
  • University of Saskatchewan
    Saskatoon
    S7N 0W8
  • St. Joseph's Healthcare Hamilton
    Hamilton
    L8N 4A6
  • Institut universitaire de cardiologie et de pneumologie de Québec (Hôpital Laval)
    Quebec City
    G1V 4G5
  • University Hospital - London Health Sciences Centre
    London
    N6A 5A5
  • McGill University Health Centre - Glen Site
    Montreal
    H4A 3J1
  • University of Calgary, Heritage Medial Research Clinic; Pharmacy Research Service
    Calgary
    T2N 4Z6
  • LungenClinic Großhansdorf GmbH
    Grosshansdorf
    22927
  • IKF Pneumologie Mainz Helix Medical Excellence Center Mainz
    Mainz
    55128
  • CHU Sart-Tilman
    Liège
    4000
  • Universitair Medisch Centrum Groningen
    Groningen
    9713 GZ

The safety or effectiveness of the experimental treatment or use may not be fully known at the time of the trial. Most trials involve some risks to the participant. However, it may not be greater than the risks related to routine medical care or the natural progression of the health condition. People who would like to participate will be told about any risks and benefits of taking part in the clinical trial, as well as any additional procedures, tests, or assessments they will be asked to undergo. All of these will be described in an informed consent document (a document that provides people with the information they need to decide to volunteer for the clinical trial).
Participants may have side effects (an unwanted effect of a drug or medical treatment) from the drugs used in this clinical trial. Side effects can be mild to severe, even life-threatening, and vary from person to person. Participants will be closely monitored during the clinical trial; safety assessments will be performed regularly. Participants will be told about the known side effects of selnoflast, and possible side effects based on human and laboratory studies or knowledge of similar drugs. Selnoflast and placebo will be given as oral capsules. Participants will be told about any known side effects of swallowing capsules and will be informed how to take the study medication. Participants will have the opportunity to discuss any concerns they may have about the clinical trial and its treatment.
Participants' health may or may not improve from participation in the clinical trial. Still, the information collected may help other people with similar medical conditions in the future. Participants will be informed about the results of the clinical trial in due course.

Dr Clinical Trials
+41 616878333
global.trial_information@roche.com



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by F.Hoffmann-La Roche Ltd. and funded by F. Hoffmann-La Roche Ltd.




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Read full details for Trial ID: ISRCTN73873157

Or CPMS 57069

Last updated 04 April 2025

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