Phase 3
Completed N=1,306
Efficacy and Safety Study of Benralizumab in Adults and Adolescents Inadequately Controlled on Inhaled Corticosteroid Plus Long-acting β2 Agonist
Source: ClinicalTrials.gov NCT01914757 ↗Enrolled (actual)
1,306
Serious AEs
11.3%
Results posted
Jan 2017
Primary outcomePrimary: Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Patients With Baseline Eosinophils >=300/uL — 0.6; 0.66; 0.93 Events/year — p=0.002
◆ Published Evidence
Highly cited
139citations · ~35 / year
Clinical Remission in Severe Asthma: A Pooled Post Hoc Analysis of the Patient Journey with Benralizumab.
Summary
The purpose of this study is to determine whether Benralizumab reduces the exacerbation rate in patients with a history of asthma exacerbations and uncontrolled asthma receiving ICS-LABA with or without oral corticosteroids and additional asthma controllers.
Linked Publications (5)
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Clinical Remission in Severe Asthma: A Pooled Post Hoc Analysis of the Patient Journey with Benralizumab.
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Ability of Serum IgE Concentration to Predict Exacerbation Risk and Benralizumab Efficacy for Patients with Severe Eosinophilic Asthma.
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Benralizumab efficacy for patients with fixed airflow obstruction and severe, uncontrolled eosinophilic asthma.
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Blood eosinophil count group shifts and kinetics in severe eosinophilic asthma.
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Rapid onset of effect of benralizumab on morning peak expiratory flow in severe, uncontrolled asthma.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Patients With Baseline Eosinophils >=300/uL |
0.6; 0.66; 0.93 | 0.002 sig |
| SECONDARY Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Patients With Baseline Eosinophils <300/uL |
0.78; 0.73; 1.21 | 0.015 sig |
| SECONDARY Mean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline Eosinophils >=300/uL |
0.34; 0.332; 0.206 | 0.005 sig |
| SECONDARY Mean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline Eosinophils <300/uL |
0.221; 0.164; 0.135 | 0.268 |
| SECONDARY Mean Change From Baseline to Week 56 Asthma Symptoms Score for Patients With Baseline Eosinophils >=300/uL |
-1.33; -1.4; -1.2 | 0.224 |
| SECONDARY Mean Change From Baseline to Week 56 Asthma Symptoms Score for Patients With Baseline Eosinophils <300/uL |
-1.05; -0.95; -0.88 | 0.287 |
| SECONDARY Change in Asthma Rescue Medication Use |
-2.0; -2.92; -2.65 | 0.603 |
| SECONDARY Home Lung Function Assessments Based on PEF |
41.745; 43.375; 23.961; 35.142; 39.270; 15.448 | 0.029 sig |
| SECONDARY Proportion of Nights With Awakening Due to Asthma |
-0.373; -0.431; -0.372 | 0.4 |
| SECONDARY Mean Change From Baseline to Week 56 in ACQ-6 for Patients With Baseline Eosinophils >=300/uL |
-1.34; -1.49; -1.21 | 0.043 sig |
| SECONDARY Mean Change From Baseline to Week 56 in ACQ-6 for Patients With Baseline Eosinophils <300/uL |
-1.22; -1.06; -0.83 | 0.078 |
| SECONDARY Number of Patients With >=1 Asthma Exacerbation |
84; 95; 126 | <0.001 sig |
| SECONDARY Time to First Asthma Exacerbation |
84; 95; 126 | <0.001 sig |
| SECONDARY Annual Rate of Asthma Exacerbation Resulting Emergency Room Visits and Hospitalizations |
0.04; 0.05; 0.04 | 0.837 |
| SECONDARY Pharmacokinetics of Benralizumab |
NA; NA; 650.04; 703.16; 894.86; 939.45 | — |
| SECONDARY Immunogenicity of Benralizumab |
63; 64; 13; 5; 5; 5 | — |
| SECONDARY Extent of Exposure |
344.14; 331.64; 336.69 | — |
| SECONDARY Mean Change From Baseline to Week 56 in AQLQ(S)+12 |
1.44; 1.61; 1.32 | 0.119 |
| SECONDARY Change From Baseline to Week 56 in EQ-5D-5L VAS |
13.8; 15.5; 12.1 | — |
| SECONDARY Mean Work Productivity Loss Due to Asthma |
26.56; 24.44; 27.29 | — |
| SECONDARY Mean Productivity Loss Due to Asthma in Classroom |
19.92; 14; 33.5 | — |
| SECONDARY Number of Participants That Utilized Health Care Resources |
11; 14; 12; 11; 12; 18 | — |
| SECONDARY Patient and Clinician Assessment of Response to Treatment |
109; 96; 97; 82; 71; 65 | — |
Eligibility Criteria
Inclusion Criteria
- Provision of informed consent prior to any study specific procedures
- Female and male aged 12 to 75 years, inclusively, at the time of Visit 1
- History of physician-diagnosed asthma requiring treatment with medium-to-high dose ICS (>250µg fluticasone dry powder formulation equivalents total daily dose) and a LABA, for at least 12 months prior to Visit 1.
- Documented treatment with ICS and LABA for at least 3 months prior to Visit 1 with or without oral corticosteroids and additional asthma controllers. The ICS and LABA can be parts of a combination product or given by separate inhalers. The ICS dose must be greater than or equal to 500 μg/day fluticasone propionate dry powder formulation or equivalent daily. For ICS/LABA combination preparations, the mid-strength approved maintenance dose in the local country will meet this ICS criterion.
Exclusion criteria
- Clinically important pulmonary disease other than asthma (e.g. active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g. allergic bronchopulmonary aspergillosis/mycosis, Churg- Strauss syndrome, hypereosinophilic syndrome)
- Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:
- Affect the safety of the patient throughout the study
- Influence the findings of the studies or their interpretations
- Impede the patient's ability to complete the entire duration of study
- Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run-in period
- Any clinically significant abnormal findings in physical examination, vital signs, haematology, clinical chemistry, or urinalysis during screening/run-in period, which in the opinion of the Investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patient's ability to complete entire duration of the study
Data sourced from ClinicalTrials.gov (NCT01914757) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.