Phase 4
N=40
A Study to Evaluate the Effect of Dupilumab on Exercise Capacity in Adult Patients With Asthma
Asthma
Bottom Line
View on ClinicalTrials.gov: NCT04203797 ↗Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Apr 2024
Primary outcome: Primary: Change From Baseline to Week 12 in Constant Work Rate Exercise Endurance Time - CWRET (Constant Work Rate Exercise Test) — 0.923; 1.742 Minutes
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- dupilumab (Drug); Matching placebo (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Regeneron Pharmaceuticals
- Primary completion
- Jul 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline to Week 12 in Constant Work Rate Exercise Endurance Time - CWRET (Constant Work Rate Exercise Test) |
0.923; 1.742 | — |
| SECONDARY Change From Baseline to Week 12 in Average Number of Steps Walked Per Day |
-1066.11; 925.92 | — |
| SECONDARY Change From Baseline to Week 12 in Total Energy Expenditure |
23.40; 59.36 | — |
| SECONDARY Change From Baseline to Week 12 in the Mean Duration of Moderate-to-vigorous Physical Activity |
-11.01; 9.38 | — |
| SECONDARY Change From Baseline to Week 12 in Pre- and Post-exercise Forced Expiratory Volume in One Second (FEV1) |
0.2123; 0.4205; 0.2550; 0.2902; 0.2416; 0.4156 | — |
Summary
The primary objective of the study is to demonstrate that dupilumab treatment improves exercise capacity in patients with moderate-to-severe asthma.
The secondary objectives of the study are:
* To demonstrate that dupilumab treatment increases physical activity of daily living in patients with moderate-to-severe asthma
* To demonstrate that dupilumab treatment improves pre- and post-exercise lung function in patients with moderate-to-severe asthma
Eligibility Criteria
Key Inclusion Criteria
- A physician diagnosis of asthma
- Pre-bronchodilator FEV1 between 30% and 75% predicted at both the screening and baseline visits
- Bronchodilator reversibility defined as >200 mL and 12% increase in FEV1 post-administration of a short-acting beta agonist (SABA). A patient may also qualify if there is a documented history of bronchodilator reversibility or positive methacholine challenge test within 12 months prior to the screening visit
- Stable background therapy for at least 3 months with a stable dose ≥4 weeks prior to the baseline visit of a medium-to-high dose ICS (fluticasone propionate ≥250 to 1000 μg twice daily [BID] or equivalent) in combination with at least a second controller medication (eg, long-acting beta agonist [LABA], long-acting muscarinic antagonist [LAMA], leukotriene receptor antagonist [LTRA], theophylline, etc.); a third controller is allowed and with the same stabilization requirements
- Blood eosinophil count ≥300 cells/μL for patients not on maintenance OCS at the screening visit
- ACQ-5 score ≥1.5 at the screening and baseline visits
Key Exclusion Criteria
- Body mass index >35 kg/m2 at screening
- Current smoking, vaping or tobacco chewing or cessation of any of these within 6 months prior to randomization, or >10 pack years smoking history
- Patients who require supplemental oxygen at screening
- Clinically significant cardiac disease as described in the protocol
- Uncontrolled hypertension at screening or baseline
- Participation in exercise or physical rehabilitation program within last 6 months prior to screening or planned during the study
- Previous use of dupilumab
- Anti-IgE therapy (eg, omalizumab [Xolair®]) within 130 days prior to visit 1 or any other biologic therapy (including anti-IL5, anti-IL-5R, anti-IL4Rα, anti-IL-13 mAb) or systemic immunosuppressant (eg, methotrexate, any anti-tumor necrosis factor mAbs, Janus kinase inhibitors, B- and/or T-cell targeted immunosuppressive therapies) to treat inflammatory disease or autoimmune disease (eg, rheumatoid arthritis, inflammatory bowel disease, primary biliary cirrhosis, systemic lupus erythematosus, multiple sclerosis) and other diseases, within 3 months or 5 half-lives prior to screening, whichever is longer
- Exposure to another investigative drug (monoclonal antibodies as well as small molecules) within a period prior to screening, of <3 months or <5 half-lives (whichever is longer)
- Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study
- Women of childbearing potential (WOCBP)* who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment, during the study, and for at least 12 weeks after the last dose
NOTE: Other protocol defined inclusion/exclusion criteria apply
Data sourced from ClinicalTrials.gov (NCT04203797). 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.