Phase 3
N=1,205
Efficacy and Safety Study of Benralizumab Added to High-dose Inhaled Corticosteroid Plus LABA in Patients With Uncontrolled Asthma
Asthma
Bottom Line
View on ClinicalTrials.gov: NCT01928771 ↗Enrolled (actual)
1,205
Serious AEs
13.5%
Results posted
May 2017
Primary outcome: Primary: Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils >=300/uL — 0.73; 0.65; 1.33 events/year — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Benralizumab (Biological); Placebo (Biological)
- Age
- Pediatric, Adult, Older Adult · 12+ yrs
- Sex
- All
- Sponsor
- AstraZeneca
- Primary completion
- Apr 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils >=300/uL |
0.73; 0.65; 1.33 | <0.001 sig |
| SECONDARY Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils < 300/uL |
0.85; 1.00; 1.21 | 0.047 sig |
| SECONDARY Annual Asthma Exacerbation Rate Resulting Emergency Room Visits and Hospitalizations |
0.11; 0.06; 0.18 | 0.053 |
| SECONDARY Number of Patients With >=1 Asthma Exacerbations |
100; 93; 135 | <0.001 sig |
| SECONDARY Time to First Asthma Exacerbation |
NA; NA; 300 | <0.001 sig |
| SECONDARY Mean Change From Baseline to Week 48 in Pre-bronchodilator FEV1 (L) Value for Baseline Eosinophils >=300/uL |
0.353; 0.398; 0.237 | 0.022 sig |
| SECONDARY Mean Change From Baseline to Week 48 in Pre-bronchodilator FEV1 (L) Value for Baseline Eosinophils <300/uL |
0.115; 0.238; 0.140 | 0.644 |
| SECONDARY Mean Change From Baseline to Week 48 in Asthma Symptom Score for Baseline Eosinophils >=300/uL |
-1.15; -1.34; -1.03 | 0.442 |
| SECONDARY Mean Change From Baseline to Week 48 in Asthma Symptom Score for Baseline Eosinophils <300/uL |
-0.98; -1.04; -0.78 | 0.169 |
| SECONDARY Change in Asthma Rescue Medication |
-2.74; -2.78; -2.18 | 0.1 |
| SECONDARY Home Lung Function Assessment Based on Morning PEF |
45.857; 36.994; 22.059 | 0.001 sig |
| SECONDARY Home Lung Function Assessment Based on Evening PEF |
36.806; 33.460; 14.784 | 0.002 sig |
| SECONDARY Proportion of Night Awakening Due to Asthma |
-0.314; -0.380; -0.26 | 0.964 |
| SECONDARY Mean Change From Baseline to Week 48 in ACQ-6 for Baseline Eosinophils >=300/uL |
-1.33; -1.47; -1.12 | 0.111 |
| SECONDARY Mean Change From Baseline to Week 48 in ACQ-6 for Baseline Eosinophils <300/uL |
-0.77; -1.14; -0.89 | 0.99 |
| SECONDARY Pharmacokinetics of Benralizumab |
NA; NA; 632.84; 629.89; 1368.98; 1273.7 | — |
| SECONDARY Immunogenicity of Benralizumab |
47; 58; 21; 2; 3; 10 | — |
| SECONDARY Extend of Exposure |
285.86; 288.02; 289.38 | — |
| SECONDARY Mean Change From Baseline to Week 48 in AQLQ(S)+12 |
1.44; 1.56; 1.25 | 0.081 |
| SECONDARY Mean Change From Baseline to Week 48 in EQ-5D-5L VAS |
13.5; 16.5; 12.5 | — |
| SECONDARY Mean Work Productivity Loss Due to Asthma |
23.31; 26.11; 35.36 | — |
| SECONDARY Mean Productivity Loss Due to Asthma in Classroom |
30.97; 27.17; 49.1 | — |
| SECONDARY Number of Participants That Utilized Health Care Resources |
14; 12; 20; 20; 10; 26 | — |
| SECONDARY Patient and Clinician's Responder Assessment to Treatment |
80; 76; 88; 59; 58; 58 | — |
Summary
The purpose of this study is to determine whether Benralizumab reduces the number of asthma exacerbations in patients who remain uncontrolled on high doses of ICS-LABA.
Eligibility Criteria
Inclusion Criteria
- Written informed consent for study participation must be obtained prior to any study related procedures being performed (local regulations are to be followed in determining the assent/consent requirements for children and parent[s]/guardian[s]) and according to international guidelines and/or applicable European Union guidelines.
- Female and Male aged 12 to 75 years inclusively, at the time of visit 1. For those patients, who are 17 on the day of Visit 1 but will turn 18 after this day, will be considered an adolescent for the purposes of this trial.
- 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.
- For subjects 18 years of age and older, the ICS dose must be >500 mcg/day fluticasone propionate dry powder formulation or equivalent daily.
- For subjects ages 12-17, the ICS dose must be ≥500 mcg /day fluticasone propionate dry powder formulation or equivalent daily.
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 (NCT01928771). 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.