Study to Evaluate Efficacy and Safety of Benralizumab in Reducing Oral Corticosteroid Use in Adult Patients With Severe Asthma (PONENTE)
PONENTE: A Multicenter, Open-label, Phase 3b Efficacy and Safety Study of Benralizumab 30 mg Administered Subcutaneously to Reduce Oral Corticosteroid Use in Adult Patients With Severe Eosinophilic Asthma on High Dose Inhaled Corticosteroid Plus Long-acting β2 Agonist and Chronic Oral Corticosteroid Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, C1121ABE
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Caba, Argentina, C1012AAR
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Cap. Fed, Argentina, 1280
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Ciudad Autónoma de Bs. As., Argentina, 1426
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Ciudad Autónoma de Buenos Aire, Argentina, C1440BRR
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Florencio Varela, Argentina, 1888
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Mar del Plata, Argentina, 7600
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Mendoza, Argentina, M5500GIP
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Monte Grande, Argentina, 1842
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Ranelagh, Argentina, 1886
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Rosario, Argentina, 2000
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Rosario, Argentina, S2000DEJ
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Bruxelles, Belgium, 1200
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Erpent, Belgium, 5101
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Gent, Belgium, 9000
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Botucatu, Brazil, 18618-970
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Londrina, Brazil, 86057-970
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Maringa, Brazil, 87015-000
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Porto Alegre, Brazil, 90610-000
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Porto Alegre, Brazil, 91350-200
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Salvador, Brazil, 40060-330
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Santo Andre, Brazil, 09080-110
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Santo Andre, Brazil, 09060-650
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Sorocaba, Brazil, 18040-425
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Uberlandia, Brazil, 38411-186
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Quebec, Canada, G1V 4W2
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British Columbia
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Vancouver, British Columbia, Canada, V6Z 1Y6
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CA
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Vancouver, CA, Canada, V5Z 4E1
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Ontario
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Ajax, Ontario, Canada, L1S 2J5
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Mississauga, Ontario, Canada, L5A 3V4
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Ottawa, Ontario, Canada, K1H 1E4
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Toronto, Ontario, Canada, M4V 1R2
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Barranquilla, Colombia, 080020
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Bogota, Colombia, 110221
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Cali, Colombia, 76001000
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Cartagena, Colombia, 130013
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Floridablanca, Colombia, 681004
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Manizales, Colombia, 17001
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Medellin, Colombia, 5001000
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Herlev, Denmark, 2730
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Hvidovre, Denmark, 2650
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Vejle, Denmark, 7100
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Ålborg, Denmark, 9000
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ANGERS Cedex 9, France, 49933
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Besancon Cedex, France, 25030
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Colmar Cedex, France, 68024
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Marseille, France, 13300
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NICE Cedex 01, France, 06001
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Orléans, France, 45067
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Reims, France, 51092
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Suresnes Cedex, France, 92151
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Tours, France, 37000
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Bamberg, Germany, 96049
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Berlin, Germany, 12203
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Berlin, Germany, 13187
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Darmstadt, Germany, 64283
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Frankfurt, Germany, 60596
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Großhansdorf, Germany, 22927
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Heidelberg, Germany, 69126
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Köln, Germany, 51069
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Leipzig, Germany, 04207
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Lübeck, Germany, 23552
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Magdeburg, Germany, 39120
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München, Germany, 81675
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Firenze, Italy, 50134
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Milano, Italy, 20162
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Napoli, Italy, 80131
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Palermo, Italy, 90129
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Pisa, Italy, 56100
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Roma, Italy, 00185
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Sassari, Italy, 07100
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Tradate, Italy, 21049
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Del. Cuauhtemoc, Mexico, 06700
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Durango, Mexico, 43080
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Guadalajara, Mexico, 44130
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Guadalajara, Mexico, 44100
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Mérida, Mexico, 97070
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Veracruz, Mexico, 91910
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Villahermosa, Mexico, 86035
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Białystok, Poland, 15-044
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Białystok, Poland, 15-430
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Gdańsk, Poland, 80-214
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Kraków, Poland, 31-011
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Lubin, Poland, 59-300
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Ostrowiec Świętokrzyski, Poland, 27-400
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Poznań, Poland, 60-693
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Poznań, Poland, 60-823
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Rzeszów, Poland, 35-051
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Sosnowiec, Poland, 41-200
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Tarnów, Poland, 33-100
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Wieluń, Poland, 98-300
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Wrocław, Poland, 50-449
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Izhevsk, Russian Federation, 426061
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Kirov, Russian Federation, 610014
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Moscow, Russian Federation, 115478
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Omsk, Russian Federation, 644043
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Omsk, Russian Federation, 644112
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Saint Petersburg, Russian Federation, 194354
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Saint Petersburg, Russian Federation, 195257
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Ulyanovsk, Russian Federation, 432009
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Cádiz, Spain, 11009
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Marbella (Málaga), Spain, 29603
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Mérida, Spain, 06800
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Ourense, Spain, 32005
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Sant Joan Despí (Barcelona), Spain, 08970
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Santiago De Compostela-Coruña, Spain, 15706
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Zaragoza, Spain, 50009
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Lund, Sweden, 221 85
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Kaohsiung, Taiwan, 80756
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Kaohsiung Hsien, Taiwan, 83301
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Taichung, Taiwan, 40705
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Taichung, Taiwan, 40447
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Taipei, Taiwan, 235
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Taipei, Taiwan, 10449
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Taipei City, Taiwan, 110
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Yunlin, Taiwan, 640
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Bradford, United Kingdom, BND9 6RJ
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Cambridge, United Kingdom, CB2 0QQ
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London, United Kingdom, SE1 9RT
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London, United Kingdom, SW3 6HP
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Nottingham, United Kingdom, NG5 1PB
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Arizona
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Flagstaff, Arizona, United States, 86001
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California
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Los Angeles, California, United States, 90025
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Colorado
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Aurora, Colorado, United States, 80045
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Delaware
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Newark, Delaware, United States, 19713
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Florida
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Tampa, Florida, United States, 33607
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Winter Park, Florida, United States, 32789-4681
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Georgia
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Albany, Georgia, United States, 31707
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Atlanta, Georgia, United States, 30322
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Savannah, Georgia, United States, 31405
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Illinois
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Normal, Illinois, United States, 61761
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Kentucky
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Georgetown, Kentucky, United States, 40324
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Lakeside Park, Kentucky, United States, 41017
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Michigan
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Ann Arbor, Michigan, United States, 48109
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Minnesota
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Minneapolis, Minnesota, United States, 55402
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Saint Paul, Minnesota, United States, 55101
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Missouri
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Saint Louis, Missouri, United States, 63156
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New York
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New York, New York, United States, 10016
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North Carolina
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Chapel Hill, North Carolina, United States, 27599
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Greenville, North Carolina, United States, 27834
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Wilmington, North Carolina, United States, 28401
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Winston-Salem, North Carolina, United States, 27104
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Pennsylvania
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DuBois, Pennsylvania, United States, 15801
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South Carolina
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North Charleston, South Carolina, United States, 29406
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Peripheral blood eosinophil count of ≥150 cells/μL assessed by central lab at Visit 1 or ≥ 300 cells/μL in the past 12 months
- History of physician diagnosed asthma requiring continuous treatment with high dose ICS (high-dose ICS is budesonide/formoterol HFA ≥640/18 per day or equivalent, fluticasone propionate DPI > 500/day or equivalent, or authorized generics for these products) plus LABA for at least 6 months prior to Visit 1. The ICS and LABA can be contained within a combination product or given by separate inhalers. The ICS can also be given via nebulized solution for inhalation.
- Chronic oral corticosteroid therapy equivalent to a daily dose of at least 5 mg of prednisone, for at least 3 continuous months directly preceding Visit 1.
- Patient should be on a stable OCS dose for at least 4 weeks prior to Visit 1.
- Non-smokers, current smokers or former smokers with a smoking history of < or =20 pack-years at Visit 1
Exclusion Criteria:
- Clinically important pulmonary disease other than asthma or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts
- Known history of allergy or reaction to the study drug formulation
- History of anaphylaxis to any biologic therapy
- A helminth parasitic infection diagnosed within 24 weeks prior to the date informed consent is obtained that has not been treated with, or has failed to respond to, standard of care therapy
- Asthma exacerbation requiring use of systemic corticosteroids, or an increase in maintenance dose of OCS, or acute upper/lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to Visit 2 (first benralizumab dose)
- A history of known immunodeficiency disorder including history of a positive human immunodeficiency virus (HIV) test
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level ≥3 times the upper limit of normal (ULN) confirmed at Visit 1.
- Receipt of immunoglobulin or blood products within 30 days prior to the date informed consent is obtained
- Coincident primary adrenal failure (Addison's disease) or irreversible secondary hypoadrenalism due to another independent cause (e.g. pituitary tumour or its treatment)
- Co-existent inflammatory conditions for which chronic OCS doses are part of their maintenance treatment such as Giant Cell Arteritis, Polymyalgia Rheumatica
- Exclusion from genetic research may be for any of the exclusion criteria specified in the main study or allogeneic bone marrow transplant, Non-leukocyte depleted whole blood transfusion within 120 days of genetic sample collection
- Current night-shift workers
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Benralizumab
Benralizumab subcutaneous injection
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Benralizumab subcutaneous injection
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Patients Who Achieve 100% Reduction in Daily OCS Dose
Time Frame: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Patients who achieve 100% reduction in daily OCS dose that are sustained over at least 4 weeks without worsening of asthma
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Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Patients Who Achieve 100% Reduction or a Daily OCS Dose of <=5mg
Time Frame: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Patients who achieve 100% reduction or a daily OCS dose of <=5mg, if reason for no further OCS reduction is Adrenal Insufficiency, that are sustained over at least 4 weeks without worsening of asthma
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Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Patients Who Achieve a Daily OCS of ≤5mg
Time Frame: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Patients who achieve a daily OCS dose of ≤5 mg (regardless of reason for no further OCS reduction), that are sustained over at least 4 weeks without worsening of asthma
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Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Patients Who Achieve a ≥90%, ≥75%, and ≥50% Reduction in Daily OCS Dose
Time Frame: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Patients who achieve a ≥90%, ≥75%, and ≥50% reduction in daily OCS dose that are sustained over at least 4 weeks without worsening of asthma
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Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Change From Baseline in Average Daily OCS Dose (mg)
Time Frame: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Change from baseline in average daily OCS dose (mg) from start of OCS reduction to end of the OCS reduction phase
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Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Patients Who Achieve 100% Reduction in Daily OCS Dose From Main Study Baseline OCS Dose to the End of the Long Term Follow up Substudy
Time Frame: from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Patients who achieve 100% reduction in daily OCS dose that are sustained over at least 4 weeks without worsening of asthma
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from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Patients Who Achieve a Daily OCS Dose of ≤5 mg at the End of the Long Term Follow up Substudy
Time Frame: from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Patients who achieve a daily OCS dose of ≤5 mg (regardless of reason for no further OCS reduction), that are sustained over at least 4 weeks without worsening of asthma
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from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Patients Who Achieve ≥90%, ≥75%, ≥50% or >0% OCS Reduction From Main Study Baseline OCS Dose to the End of the Long Term Follow up Substudy
Time Frame: from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Patients who achieve a ≥90%, ≥75%, and ≥50% reduction in daily OCS dose that are sustained over at least 4 weeks without worsening of asthma
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from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Change in Daily OCS Dose (mg) From Main Study Baseline to the End of the Long Term Follow up Substudy
Time Frame: from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Change in average daily OCS dose (mg) from main study baseline to the end of the long term follow up substudy
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from main study baseline to the end of the long term follow up substudy, an average of approximate 922 days.
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Menzies-Gow A, Gurnell M, Heaney LG, Corren J, Bel EH, Maspero J, Harrison T, Jackson DJ, Price D, Lugogo N, Kreindler J, Burden A, de Giorgio-Miller A, Padilla K, Martin UJ, Garcia Gil E. Oral corticosteroid elimination via a personalised reduction algorithm in adults with severe, eosinophilic asthma treated with benralizumab (PONENTE): a multicentre, open-label, single-arm study. Lancet Respir Med. 2022 Jan;10(1):47-58. doi: 10.1016/S2213-2600(21)00352-0. Epub 2021 Oct 4. Erratum In: Lancet Respir Med. 2021 Dec;9(12):e114.
- Menzies-Gow A, Corren J, Bel EH, Maspero J, Heaney LG, Gurnell M, Wessman P, Martin UJ, Siddiqui S, Garcia Gil E. Corticosteroid tapering with benralizumab treatment for eosinophilic asthma: PONENTE Trial. ERJ Open Res. 2019 Sep 25;5(3):00009-2019. doi: 10.1183/23120541.00009-2019. eCollection 2019 Jul.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- D3250C00065
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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