Efficacy and Safety of QGE031versus Placebo and Omalizumab in Patients Aged 18-75 Years With Asthma

August 7, 2017 updated by: Novartis Pharmaceuticals

A Multi-center, Randomized, Double-blind, Placebo and Active-controlled Study With Exploratory Dose-ranging to Investigate the Efficacy and Safety of 16 Weeks Treatment With Subcutaneous (s.c.) QGE031 in Asthma Patients Not Adequately Controlled With High-dose Inhaled Corticosteroids and Long Acting β2-agonists

This study assessed the effect on asthma control of different dose levels and regimens of QGE031 in asthma patients that are inadequately controlled with inhaled steroid and beta-2 agonist medication. Safety was assessed also. Comparison was to placebo and omalizumab. Information from this study was planned to support the design of future studies.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

471

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Buenos Aires, Argentina, B1842DID
        • Novartis Investigative Site
      • Buenos Aires, Argentina, C1125ABE
        • Novartis Investigative Site
      • Mendoza, Argentina, M5500CBA
        • Novartis Investigative Site
      • Mendoza, Argentina, M5500FIK
        • Novartis Investigative Site
      • Santa Fe, Argentina, S3000FIL
        • Novartis Investigative Site
    • Buenos Aires
      • Caba, Buenos Aires, Argentina, C1122AAK
        • Novartis Investigative Site
      • Caba, Buenos Aires, Argentina, C1426ABP
        • Novartis Investigative Site
      • Mar del Plata, Buenos Aires, Argentina, 7600
        • Novartis Investigative Site
    • Capital Federal
      • Caba, Capital Federal, Argentina, C1430CKE
        • Novartis Investigative Site
    • Rosario
      • Santa Fe, Rosario, Argentina, S2000DBS
        • Novartis Investigative Site
    • Santa Fe
      • Rosario, Santa Fe, Argentina, S2000CXH
        • Novartis Investigative Site
      • Rosario, Santa Fe, Argentina, S2000AII
        • Novartis Investigative Site
    • Tucuman
      • San Miguel de Tucuman, Tucuman, Argentina, 4000
        • Novartis Investigative Site
      • Quebec, Canada, G1V 4W2
        • Novartis Investigative Site
    • Ontario
      • Ottawa, Ontario, Canada, K1Y 4G2
        • Novartis Investigative Site
    • Quebec
      • Montreal, Quebec, Canada, H3G 1L5
        • Novartis Investigative Site
      • St-Charles-Borromée, Quebec, Canada, J6E 2B4
        • Novartis Investigative Site
      • Breclav, Czechia, 690 02
        • Novartis Investigative Site
      • Brno, Czechia, 615 00
        • Novartis Investigative Site
      • Tabor, Czechia, 390 01
        • Novartis Investigative Site
    • CZE
      • Teplice, CZE, Czechia, 415 01
        • Novartis Investigative Site
    • Czech Republic
      • Brno, Czech Republic, Czechia, 639 00
        • Novartis Investigative Site
      • Trutnov, Czech Republic, Czechia, 541 01
        • Novartis Investigative Site
      • Helsinki, Finland, 00290
        • Novartis Investigative Site
      • Tampere, Finland, 33520
        • Novartis Investigative Site
      • Turku, Finland, 20521
        • Novartis Investigative Site
      • Le Kremlin Bicetre, France, 94275
        • Novartis Investigative Site
      • Marseille, France, 13915
        • Novartis Investigative Site
      • Montpellier, France, 34059
        • Novartis Investigative Site
      • Strasbourg, France, 67091
        • Novartis Investigative Site
      • Frankfurt, Germany, 60596
        • Novartis Investigative Site
      • Hamburg, Germany, 20354
        • Novartis Investigative Site
      • Homburg, Germany, 66421
        • Novartis Investigative Site
      • Leipzig, Germany, 04103
        • Novartis Investigative Site
      • Leipzig, Germany, 04275
        • Novartis Investigative Site
      • Mainz, Germany, 55131
        • Novartis Investigative Site
      • Roth, Germany, 91154
        • Novartis Investigative Site
      • Rüdersdorf, Germany, 15562
        • Novartis Investigative Site
      • Guatemala City, Guatemala, 01011
        • Novartis Investigative Site
    • GTM
      • Guatemala City, GTM, Guatemala, 01010
        • Novartis Investigative Site
      • Guatemala City, GTM, Guatemala, 01011
        • Novartis Investigative Site
      • Budapest, Hungary, 1121
        • Novartis Investigative Site
      • Debrecen, Hungary, 4032
        • Novartis Investigative Site
      • Pecs, Hungary, 7635
        • Novartis Investigative Site
      • Torokbalint, Hungary, 2045
        • Novartis Investigative Site
    • Goa
      • Panjim, Goa, India, 403 002
        • Novartis Investigative Site
    • Gujrat
      • Karamsad, Gujrat, India, 388325
        • Novartis Investigative Site
    • Nagpur
      • Dhantoli, Nagpur, India, 12
        • Novartis Investigative Site
      • Haifa, Israel, 3436212
        • Novartis Investigative Site
      • Jerusalem, Israel, 91031
        • Novartis Investigative Site
      • Jerusalem, Israel, 9112001
        • Novartis Investigative Site
      • Kfar-Saba, Israel, 4428164
        • Novartis Investigative Site
      • Petach Tikva, Israel, 49100
        • Novartis Investigative Site
      • Rehovot, Israel, 7610001
        • Novartis Investigative Site
    • ME
      • Messina, ME, Italy, 98125
        • Novartis Investigative Site
    • MI
      • Milano, MI, Italy, 20123
        • Novartis Investigative Site
    • PD
      • Padova, PD, Italy, 35128
        • Novartis Investigative Site
    • PI
      • Pisa, PI, Italy, 56124
        • Novartis Investigative Site
    • RE
      • Reggio Emilia, RE, Italy, 42123
        • Novartis Investigative Site
    • VR
      • Verona, VR, Italy, 37126
        • Novartis Investigative Site
      • Gwangju, Korea, Republic of, 501-757
        • Novartis Investigative Site
      • Seoul, Korea, Republic of, 120-752
        • Novartis Investigative Site
      • Seoul, Korea, Republic of, 156-755
        • Novartis Investigative Site
    • Chungcheongbuk-do
      • Cheongju-si, Chungcheongbuk-do, Korea, Republic of, 28644
        • Novartis Investigative Site
    • Gyeonggi-Do
      • Bucheon-Si, Gyeonggi-Do, Korea, Republic of, 14584
        • Novartis Investigative Site
    • Gyeonggi-do
      • Suwon, Gyeonggi-do, Korea, Republic of, 16499
        • Novartis Investigative Site
    • Korea
      • Seoul, Korea, Korea, Republic of, 08308
        • Novartis Investigative Site
    • Distrito Federal
      • México, D.F., Distrito Federal, Mexico, 06700
        • Novartis Investigative Site
    • Jalisco
      • Guadalajara, Jalisco, Mexico, 44130
        • Novartis Investigative Site
      • Panama City, Panama
        • Novartis Investigative Site
      • Bialystok, Poland, 15-276
        • Novartis Investigative Site
      • Lodz, Poland, 90-153
        • Novartis Investigative Site
      • Coimbra, Portugal, 3041-853
        • Novartis Investigative Site
      • Lisboa, Portugal, 1749-035
        • Novartis Investigative Site
      • Lisboa, Portugal, 1169-024
        • Novartis Investigative Site
      • Porto, Portugal, 4100-180
        • Novartis Investigative Site
      • Vila Nova de Gaia, Portugal, 4434-502
        • Novartis Investigative Site
      • Brasov, Romania, 500112
        • Novartis Investigative Site
      • Brasov, Romania, 500281
        • Novartis Investigative Site
      • Brasov, Romania, 500086
        • Novartis Investigative Site
      • Bucuresti, Romania, 011461
        • Novartis Investigative Site
      • Bucuresti, Romania, 050159
        • Novartis Investigative Site
      • Cluj Napoca, Romania, 400139
        • Novartis Investigative Site
      • Cluj-Napoca, Romania, 400371
        • Novartis Investigative Site
      • Pitesti, Romania, 110114
        • Novartis Investigative Site
    • District 1
      • Bucuresti, District 1, Romania, 10457
        • Novartis Investigative Site
    • District 3
      • Bucharest, District 3, Romania, 030303
        • Novartis Investigative Site
      • Bucharest, District 3, Romania, 030317
        • Novartis Investigative Site
    • Jud. Constanta
      • Constanta, Jud. Constanta, Romania, 900002
        • Novartis Investigative Site
    • ROM
      • Bucharest, ROM, Romania, 12071
        • Novartis Investigative Site
      • Barnaul, Russian Federation, 656045
        • Novartis Investigative Site
      • Chelyabinsk, Russian Federation, 454021
        • Novartis Investigative Site
      • Chelyabinsk, Russian Federation, 454000
        • Novartis Investigative Site
      • Moscow, Russian Federation, 127018
        • Novartis Investigative Site
      • Moscow, Russian Federation, 119992
        • Novartis Investigative Site
      • Moscow, Russian Federation, 125315
        • Novartis Investigative Site
      • N.Novgorod, Russian Federation, 603126
        • Novartis Investigative Site
      • Nizhny Novgorod, Russian Federation, 603018
        • Novartis Investigative Site
      • Penza, Russian Federation, 440026
        • Novartis Investigative Site
      • Ryazan, Russian Federation, 390026
        • Novartis Investigative Site
      • Saint Petersburg, Russian Federation, 197022
        • Novartis Investigative Site
      • Saratov, Russian Federation, 410012
        • Novartis Investigative Site
      • St-Petersburg, Russian Federation, 193312
        • Novartis Investigative Site
      • St. Petersburg, Russian Federation, 194354
        • Novartis Investigative Site
      • Yaroslavl, Russian Federation, 150003
        • Novartis Investigative Site
      • Singapore, Singapore, 169608
        • Novartis Investigative Site
      • Singapore, Singapore, 308433
        • Novartis Investigative Site
      • Bardejov, Slovakia, 085 01
        • Novartis Investigative Site
      • Bratislava, Slovakia, 826 06
        • Novartis Investigative Site
      • Kosice, Slovakia, 04001
        • Novartis Investigative Site
      • Prievidza, Slovakia, 97101
        • Novartis Investigative Site
      • Ruzomberok, Slovakia, 034 26
        • Novartis Investigative Site
      • Trencin, Slovakia, 91101
        • Novartis Investigative Site
    • Slovak Republic
      • Bratislava, Slovak Republic, Slovakia, 831 03
        • Novartis Investigative Site
      • Nitra, Slovak Republic, Slovakia, 949 01
        • Novartis Investigative Site
      • Cape Town, South Africa, 7531
        • Novartis Investigative Site
      • Cape Town, South Africa, 7505
        • Novartis Investigative Site
      • Durban, South Africa, 4001
        • Novartis Investigative Site
      • Aydin, Turkey, 09100
        • Novartis Investigative Site
      • Fatih / Istanbul, Turkey, 34098
        • Novartis Investigative Site
      • Istanbul, Turkey, 34093
        • Novartis Investigative Site
      • Istanbul, Turkey, 34854
        • Novartis Investigative Site
      • Izmir, Turkey, 35040
        • Novartis Investigative Site
      • Mersin, Turkey, 33079
        • Novartis Investigative Site
      • Birmingham, United Kingdom, B9 5SS
        • Novartis Investigative Site
      • East Yorkshire, United Kingdom, HU16 5JQ
        • Novartis Investigative Site
      • Southampton, United Kingdom, SO16 6YD
        • Novartis Investigative Site
    • West Yorkshire
      • Bradford, West Yorkshire, United Kingdom, BD9 6RJ
        • Novartis Investigative Site
    • California
      • Fresno, California, United States, 93720
        • Novartis Investigative Site
      • Hawaiian Gardens, California, United States, 90716
        • Novartis Investigative Site
      • Riverside, California, United States, 92506
        • Novartis Investigative Site
      • San Jose, California, United States, 95117
        • Novartis Investigative Site
      • Vista, California, United States, 92083
        • Novartis Investigative Site
    • Indiana
      • Evansville, Indiana, United States, 47713
        • Novartis Investigative Site
    • Kentucky
      • Owensboro, Kentucky, United States, 42301
        • Novartis Investigative Site
    • Maryland
      • Columbia, Maryland, United States, 21044
        • Novartis Investigative Site
      • Waldorf, Maryland, United States, 20602
        • Novartis Investigative Site
    • Michigan
      • Novi, Michigan, United States, 48375
        • Novartis Investigative Site
    • Minnesota
      • Minneapolis, Minnesota, United States, 55402
        • Novartis Investigative Site
    • Nebraska
      • Omaha, Nebraska, United States, 68130
        • Novartis Investigative Site
      • Papillion, Nebraska, United States, 68046
        • Novartis Investigative Site
    • New York
      • Brooklyn, New York, United States, 11229
        • Novartis Investigative Site
      • Mineola, New York, United States, 11501
        • Novartis Investigative Site
    • Ohio
      • Cincinnati, Ohio, United States, 45231
        • Novartis Investigative Site
    • Rhode Island
      • Lincoln, Rhode Island, United States, 02865
        • Novartis Investigative Site
    • South Carolina
      • Mount Pleasant, South Carolina, United States, 29464
        • Novartis Investigative Site
      • Summerville, South Carolina, United States, 29485
        • Novartis Investigative Site
    • Utah
      • Salt Lake City, Utah, United States, 84108
        • Novartis Investigative Site
    • Virginia
      • Fairfax, Virginia, United States, 22030
        • Novartis Investigative Site
    • Washington
      • Everett, Washington, United States, 98208
        • Novartis Investigative Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Key Inclusion Criteria:

  • A diagnosis of allergic asthma , uncontrolled on current medication.
  • History of at least 1 asthma exacerbation during the last 1 year
  • Forced Expiratory Volume in one second (FEV1) of ≥ 40% and ≤ 80% of the predicted normal value; reversibility following administration of bronchodilator must also be demonstrated (historical positive reversibility or bronchoprovocation result can be used).

Key Exclusion Criteria:

  • Baseline IgE levels or body weight outside the omalizumab dosing table.
  • Use of tobacco products within the previous 6 months (Social occasional smokers may be included).
  • Recent asthma attack/exacerbation or asthma worsening/ respiratory infection.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: QGE031 240 mg every 2 weeks (q2w)
Participants received QGE031 240 mg subcutaneously (s.c.) q2w for 16 weeks.
QGE031 was supplied as 120 mg liquid in vial per 1 mL
EXPERIMENTAL: QGE031 240 mg q4w
Participants received QGE031 240 mg s.c. q4w for 16 weeks.
QGE031 was supplied as 120 mg liquid in vial per 1 mL
EXPERIMENTAL: QGE031 180 mg q2w
Participants received QGE031 180 mg s.c. q2w for 16 weeks.
QGE031 was supplied as 120 mg liquid in vial per 1 mL
EXPERIMENTAL: QGE031 120 mg q2w
Participants received QGE031 120 mg s.c. q2w for 16 weeks.
QGE031 was supplied as 120 mg liquid in vial per 1 mL
EXPERIMENTAL: QGE031 36 mg q2w
Participants received QGE031 36 mg s.c. q2w for 16 weeks.
QGE031 was supplied as 120 mg liquid in vial per 1 mL
EXPERIMENTAL: QGE031 12 mg q2w
Participants received QGE031 12 mg s.c. q2w for 16 weeks.
QGE031 was supplied as 120 mg liquid in vial per 1 mL
ACTIVE_COMPARATOR: Omalizumab (as per locally approved dosing table)
Participants received omalizumab as per locally approved dosing table s.c. q2w or q4w for 16 weeks.
Omalizumab was supplied as 150 mg lyophilisate in vial
Other Names:
  • Xolair
PLACEBO_COMPARATOR: Placebo to QGE031 240 mg q2w
Participants received matching placebo to QGE031 240 mg s.c. q2w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL
PLACEBO_COMPARATOR: Placebo to QGE031 240 mg q4w
Participants received placebo to QGE031 240 mg s.c. q2w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL
PLACEBO_COMPARATOR: Placebo to QGE031 180 mg q2w
Participants received QGE031 180 mg s.c. q2w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL
PLACEBO_COMPARATOR: Placebo to QGE031 120 mg q2w
Participants received QGE031 120 mg s.c. q2w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL
PLACEBO_COMPARATOR: Placebo to QGE031 36 mg q2w
Participants received QGE031 36 mg s.c. q2w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL
PLACEBO_COMPARATOR: Placebo to QGE031 12 mg q2w
Participants received QGE031 12 mg s.c. q2w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL
PLACEBO_COMPARATOR: Placebo to omalizumab
Participants received placebo to omalizumab s.c. q2w or q4w for 16 weeks.
Placebo to QGE031 and Omalizumab was supplied as QGE031 0 mg in vial per 1 mL

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percentage of QGE031 Participants With Clinically Important Improvement of <= -0.5 in the Asthma Control Questionnaire 7 (ACQ-7) Score Compared to Placebo
Time Frame: Week 16
The ACQ-7 measures asthma symptom control and consisted of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway caliber (FEV1 % predicted). All 7 questions of the ACQ were equally weighted. Items 1-6 scored along a 7-point response scale, where 0 = good controlled and 6 = poor controlled. The 7th item on % predicted FEV1 (pre-bronchodilator) was scored by clinic staff on a 7-point scale (0 - > 95%; 1 - 90-95%; 2 - 80-89%; 3 - 70-79%; 4 - 60-69%; 5 - 50-59%; 6 - < 50%). The average score of the 7 questions was calculated as the sum of scores divided by the number of questions that were answered by the participants, as long as there were at least 6 questions answered and the missing items were neither question 1 nor question 7.
Week 16

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change From Baseline in ACQ-7 Score
Time Frame: Baseline, Weeks 4, 8, 12, 16 and 28
The ACQ-7 measures asthma symptom control and consisted of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway caliber (FEV1 % predicted). All 7 questions of the ACQ were equally weighted. Items 1-6 scored along a 7-point response scale, where 0 = good controlled and 6 = poor controlled. The 7th item on % predicted FEV1 (pre-bronchodilator) was scored by clinic staff on a 7-point scale (0 - > 95%; 1 - 90-95%; 2 - 80-89%; 3 - 70-79%; 4 - 60-69%; 5 - 50-59%; 6 - < 50%). The average score of the 7 questions was calculated as the sum of scores divided by the number of questions that were answered by the participants, as long as there were at least 6 questions answered and the missing items were neither question 1 nor question 7. A negative change from baseline indicates improvement.
Baseline, Weeks 4, 8, 12, 16 and 28
Percentage of Participants With a Change From Baseline in ACQ-7 Score Less Than -1.1
Time Frame: Week 16
The ACQ-7 measures asthma symptom control and consisted of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway caliber (FEV1 % predicted). All 7 questions of the ACQ were equally weighted. Items 1-6 scored along a 7-point response scale, where 0 = good controlled and 6 = poor controlled. The 7th item on % predicted FEV1 (pre-bronchodilator) was scored by clinic staff on a 7-point scale (0 - > 95%; 1 - 90-95%; 2 - 80-89%; 3 - 70-79%; 4 - 60-69%; 5 - 50-59%; 6 - < 50%). The average score of the 7 questions was calculated as the sum of scores divided by the number of questions that were answered by the participants, as long as there were at least 6 questions answered and the missing items were neither question 1 nor question 7.
Week 16
Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Score
Time Frame: Baseline, Week 16, Week 28
The AQLQ is a 32-item disease specific questionnaire designed to measure functional impairments that are most important to participants with asthma. The 32 items in the AQLQ were divided into four domain-specific scores and a total score as follows: Activity limitations = Mean of Items 1, 2, 3, 4, 5, 11, 19, 25, 28, 31, 32 (11 items); Symptoms = Mean of Items 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 29, 30 (12 items); Emotional function = Mean of Items 7, 13, 15, 21, 27 (5 items); Environmental stimuli = Mean of Items 9, 17, 23, 26 (4 items); and Overall Score = Mean of Items 1 to 32 (32 items). Each item of the AQLQ was equally weighted and scored along a 7-point scale, where 1 indicates maximal impairment and 7 indicates no impairment. Thus, higher scores indicate better asthma-related quality of life. The mean overall score ranged from 1 to 7. A positive change from baseline indicates improvement.
Baseline, Week 16, Week 28
Change From Baseline in Mean Number of Puffs of Morning, Evening and Total Daily Asthma Rescue Medication
Time Frame: Baseline, Week 16
Participants recorded their use of rescue medication into an electronic diary (eDiary). A negative change from baseline indicates improvement.
Baseline, Week 16

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2012

Primary Completion (ACTUAL)

January 1, 2016

Study Completion (ACTUAL)

January 1, 2016

Study Registration Dates

First Submitted

October 19, 2012

First Submitted That Met QC Criteria

October 25, 2012

First Posted (ESTIMATE)

October 30, 2012

Study Record Updates

Last Update Posted (ACTUAL)

August 11, 2017

Last Update Submitted That Met QC Criteria

August 7, 2017

Last Verified

August 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • CQGE031B2201
  • 2012-002298-69 (EUDRACT_NUMBER)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Asthma

Clinical Trials on QGE031

Search Similar Trials