Extension Study to Evaluate the Safety and Tolerability of Tezepelumab in Adults and Adolescents With Severe, Uncontrolled Asthma (DESTINATION)
A Multicentre, Double-blind, Randomized, Placebo Controlled, Parallel Group, Phase 3, Safety Extension Study to Evaluate the Safety and Tolerability of Tezepelumab in Adults and Adolescents With Severe Uncontrolled Asthma (DESTINATION)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Subjects who have not met investigational product discontinuation criteria and have attended the EOT visit in either study D5180C00007 or D5180C00009 will be offered the opportunity to consent for the Multicentre, Double-blind, Randomized, Parallel Group, Placebo Controlled, Phase 3, Safety Extension Study to Evaluate the Safety and Tolerability of Tezepelumab versus placebo in Adults and Adolescents (12 years of age and older) with a history of asthma exacerbations and inadequately controlled severe asthma receiving medium or high dose inhaled corticosteroid (ICS) plus at least one additional asthma controller medication with or without oral corticosteroids
Following treatment, subjects will enter a follow-up phase, determined by the predecessor study they had previously completed. Subjects will not receive IP during the follow-up phase. For subjects who entered the study from study D5180C00007 and did not meet IP Discontinuation criteria, the follow-up phase will extend from week 104 to Week 140. Subjects who entered the study from study D5180C00009 will have their follow-up phase extend to week 116.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, 1027
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Buenos Aires, Argentina, C1414AIF
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Caba, Argentina, C1425BEN
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Ciudad de Buenos Aires, Argentina, 1425
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Córdoba, Argentina, X5003DCE
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Mendoza, Argentina, 5500
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Nueve de julio, Argentina, B6500EZL
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Quilmes, Argentina, B1878FNR
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San Fernando, Argentina, B1646EBJ
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San Miguel de Tucuman, Argentina, T4000IAQ
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Kent Town, Australia, 5067
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Melbourne, Australia, 3004
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New Lambton, Australia, 2310
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Spearwood, Australia, 6163
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Westmead, Australia, 2145
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Woolloongabba, Australia, 4102
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Wien, Austria, 1130
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Wien, Austria, 1090
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Blumenau, Brazil, 89030-101
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Botucatu, Brazil, 18618-970
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Curitiba, Brazil, 80060-900
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Porto Alegre, Brazil, 90610-000
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Porto Alegre, Brazil, 91350-200
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Porto Alegre, Brazil, 9002-060
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Porto Alegre, Brazil, 90020-090
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Recife, Brazil, 50070-550
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Salvador, Brazil, 40060-330
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Santo Andre, Brazil, 09080-110
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Sao Bernardo do Campo, Brazil, 09750-420
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Sorocaba, Brazil, 18040-425
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Quebec, Canada, G1G 3Y8
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Alberta
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Calgary, Alberta, Canada, T2N 4Z6
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Sherwood Park, Alberta, Canada, T8L 0N2
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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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Windsor, Ontario, Canada, N8X 1T3
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Quebec
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Montreal, Quebec, Canada, H4J 1C5
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St Charles Borromee, Quebec, Canada, J6E 2B4
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Trois-Rivières, Quebec, Canada, G8T 7A1
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Brest Cedex 2, France, 29609
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Le Kremlin-Bicêtre, France, 94270
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Lyon Cedex 04, France, 69317
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Marseille Cedex 20, France, 13915
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Montpellier, France, 34090
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Nantes, France, 44093
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Paris, France, 75012
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Paris, France, 75018
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Pessac, France, 33604
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Strasbourg Cedex, France, 67091
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Bamberg, Germany, 96049
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Berlin, Germany, 10367
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Berlin, Germany, 10717
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Berlin, Germany, 10969
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Frankfurt, Germany, 60596
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Frankfurt am Main, Germany, 60596
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Hamburg, Germany, 20354
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Hamburg, Germany, 22299
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Hannover, Germany, 30625
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Hannover, Germany, D-30173
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Koblenz, Germany, 56068
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Landsberg, Germany, 86899
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Leipzig, Germany, 04357
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Lübeck, Germany, 23552
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Mainz, Germany, 55131
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Ashkelon, Israel, 7830604
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Haifa, Israel, 34362
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Jerusalem, Israel, 91031
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Jerusalem, Israel, 91120
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Kfar Saba, Israel, 49281
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Rehovot, Israel, 7661041
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Bucheon-si, Korea, Republic of, 420-767
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Cheongju-si, Korea, Republic of, 28644
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Daegu, Korea, Republic of, 41404
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Daegu, Korea, Republic of, 42415
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Jeju-do, Korea, Republic of, 63241
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Jeonju-si, Korea, Republic of, 54907
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Seongnam-si, Korea, Republic of, 13620
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Seoul, Korea, Republic of, 03722
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Seoul, Korea, Republic of, 05505
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Seoul, Korea, Republic of, 06351
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Seoul, Korea, Republic of, 06591
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Seoul, Korea, Republic of, 02447
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Seoul, Korea, Republic of, 03312
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Seoul, Korea, Republic of, 08308
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Seoul, Korea, Republic of, 150-713
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Seoul, Korea, Republic of, 158-710
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Suwon-si, Korea, Republic of, 16499
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Kraków, Poland, 31-559
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Wrocław, Poland, 53-301
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Łódź, Poland, 90-153
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Izhevsk, Russian Federation, 426035
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Moscow, Russian Federation, 115093
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Moscow, Russian Federation, 115522
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St-Petersburg, Russian Federation, 193231
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Jeddah, Saudi Arabia, 21423
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Jeddah, Saudi Arabia, 22252
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Bellville, South Africa, 7530
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Cape Town, South Africa, 7700
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Cape Town, South Africa, 7764
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Durban, South Africa, 4001
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Durban, South Africa, 4091
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Durban, South Africa, 4092
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Durban, South Africa, 4450
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Johannesburg, South Africa, 1724
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Johannesburg, South Africa, 2113
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Johannesburg, South Africa, 1829
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Lenasia Ext8, South Africa, 1820
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Meadowdale, Germiston, South Africa, 1614
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Middelburg, South Africa, 1055
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Parow, South Africa, 7505
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Umkomaas, South Africa, 4170
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Kaohsiung, Taiwan, 80756
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Taichung, Taiwan, 40447
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Taipei, Taiwan, 235
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Ankara, Turkey, 06230
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Ankara, Turkey, 06280
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Bursa, Turkey, 16059
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Istanbul, Turkey, 34098
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Dnipro, Ukraine, 49007
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Ivano-Frankivsk, Ukraine, 76018
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Kharkiv Region, Ukraine, 61075
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Kherson, Ukraine, 73000
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Lutsk, Ukraine, 43000
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Vinnytsia, Ukraine, 21029
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Alabama
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Dothan, Alabama, United States, 36303
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Arizona
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Gilbert, Arizona, United States, 85234
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California
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Bakersfield, California, United States, 93301
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Huntington Beach, California, United States, 92647
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Long Beach, California, United States, 90808
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Los Angeles, California, United States, 90025
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Newport Beach, California, United States, 92663
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Northridge, California, United States, 91324
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Palm Desert, California, United States, 92260
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Rolling Hills Estates, California, United States, 90274
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Walnut Creek, California, United States, 94598
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Westminster, California, United States, 92683
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Connecticut
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New Haven, Connecticut, United States, 06519
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Florida
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Kissimmee, Florida, United States, 34744
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Kissimmee, Florida, United States, 34746
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Port Charlotte, Florida, United States, 33952
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Sarasota, Florida, United States, 34239
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Tampa, Florida, United States, 33607
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Winter Park, Florida, United States, 32789-4681
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Idaho
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Boise, Idaho, United States, 83706
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Louisiana
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Zachary, Louisiana, United States, 70791
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Maryland
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White Marsh, Maryland, United States, 21162
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Massachusetts
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Boston, Massachusetts, United States, 02115
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Michigan
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Ann Arbor, Michigan, United States, 48109
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Missouri
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Saint Louis, Missouri, United States, 63141
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Nebraska
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Lincoln, Nebraska, United States, 68510
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Nevada
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Las Vegas, Nevada, United States, 89119
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New Jersey
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Northfield, New Jersey, United States, 08225
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New York
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Bronx, New York, United States, 10459
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Bronx, New York, United States, 10461
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Brooklyn, New York, United States, 11235
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North Carolina
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Charlotte, North Carolina, United States, 28207
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Durham, North Carolina, United States, 27705
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Winston-Salem, North Carolina, United States, 27104
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Ohio
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Cincinnati, Ohio, United States, 45229
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Cincinnati, Ohio, United States, 45236
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Oklahoma
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Edmond, Oklahoma, United States, 73034
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Oklahoma City, Oklahoma, United States, 73120
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Oregon
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Medford, Oregon, United States, 97504
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
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South Carolina
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Anderson, South Carolina, United States, 29621
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Columbia, South Carolina, United States, 29204
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Greenville, South Carolina, United States, 29607
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Texas
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Amarillo, Texas, United States, 79109
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Boerne, Texas, United States, 78006
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McKinney, Texas, United States, 75069
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McKinney, Texas, United States, 75071
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Plano, Texas, United States, 75093
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San Antonio, Texas, United States, 78251
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Virginia
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Manassas, Virginia, United States, 20110
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Wisconsin
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Cudahy, Wisconsin, United States, 53110
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Madison, Wisconsin, United States, 53792
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Ha Noi, Vietnam, 100000
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Hanoi, Vietnam, 10000
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Ho Chi Minh, Vietnam, 700000
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Provision of signed and dated written informed consent
- Negative urine test for female subjects of childbearing potential prior to administration of IP at visit 1
- Females of childbearing potential who are sexually active with a nonsterilized male partner must use a highly effective method of contraception from screening, and must agree to continue using such precautions for 16 weeks after the final dose of IP.
- Female or male subjects who have not met investigational product discontinuation criteria and have attended the EOT visit in either study D5180C00007 (NAVIGATOR) or D5180C00009 (SOURCE)
To enter the extended follow-up phase of the study, the following inclusion criteria also apply:
- Provision of signed and dated Addendum for Extended Follow-up to informed consent, as well as assent by adolescent subjects where applicable, prior to any mandatory study specific procedures, sampling and analyses before Extended Follow Up.
- Must have entered DESTINATION from D5180C00007 study and have completed IP dosing to Week 100, have not met IP Discontinuation criteria and have attended the EOT Visit.
Exclusion Criteria:
- Any clinically important pulmonary disease other than asthma
- Any disorder, including, but not limited to cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment that is not stable
- History of chronic alcohol or drug abuse within 12 months prior to visit 1
- Current malignancy or malignancy that developed during a predecessor study
- Major surgery or planned surgical procedures requiring general anesthesia or inpatient status for > 1 day during the conduct of the study
- Treatment with systemic immunosuppressive/immunomodulating drugs except for OCS used in the treatment of asthma/asthma exacerbations within the last 12 weeks prior to randomization
- Concurrent enrolment in another clinical study involving an IP
- Any clinically meaningful abnormal finding in physical examination, vital signs, ECG,haematology, clinical chemistry, or urinalysis during the predecessor study
- Pregnant, breastfeeding, or lactating
To enter the extended follow-up phase of the study (which extends from week 104 to week 140), the following exclusion criteria also apply:
- Discontinuation of IP during the treatment period of DESTINATION.
- Entered DESTINATION from D5180C00009 (SOURCE) study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo
Placebo: Placebo subcutaneous injection
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Placebo subcutaneous injection
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Experimental: Tezepelumab
Tezepelumab subcutaneous injection
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Tezepelumab 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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Exposure Adjusted Incidence Rates of AEs/SAEs
Time Frame: Baseline (Week 0 in predecessor study) to Week 104. For subjects switching treatments from placebo in the predecessor to tezepelumab in DESTINATION, all data collected after first dose of tezepelumab are excluded.
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Includes adverse events with an onset date between the date of first dose of IP in the predecessor and minimum (date of last dose of IP + 33 days, date of death, date of study withdrawal, day prior to start of another biologic).
The analysis is based on the Safety Analysis Set.
Exposure adjusted rates are defined as number of subjects with AEs divided by total time at risk across all subjects, multiplied by 100
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Baseline (Week 0 in predecessor study) to Week 104. For subjects switching treatments from placebo in the predecessor to tezepelumab in DESTINATION, all data collected after first dose of tezepelumab are excluded.
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Total Time at Risk
Time Frame: Baseline (Week 0 in predecessor study) to Week 104. For subjects switching treatments from placebo in the predecessor to tezepelumab in DESTINATION, all data collected after first dose of tezepelumab are excluded.
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Includes time between the date of first dose of IP in the predecessor and minimum (date of last dose of IP + 33 days, date of death, date of study withdrawal, day prior to start of another biologic).
The analysis is based on the Safety Analysis Set.
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Baseline (Week 0 in predecessor study) to Week 104. For subjects switching treatments from placebo in the predecessor to tezepelumab in DESTINATION, all data collected after first dose of tezepelumab are excluded.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Annualized Asthma Exacerbation Rate (AAER)
Time Frame: Baseline (Week 0 in predecessor study) to Week 104. For subjects switching treatments from placebo in the predecessor to tezepelumab in DESTINATION, all data collected after first dose of tezepelumab are excluded.
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The annualized exacerbation rate is based on exacerbations reported by the investigator in the eCRF.
The analysis is based on the primary population (Full Analysis Set)
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Baseline (Week 0 in predecessor study) to Week 104. For subjects switching treatments from placebo in the predecessor to tezepelumab in DESTINATION, all data collected after first dose of tezepelumab are excluded.
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Andrew Menzies-Gow, MD, Royal Brompton Hospital, United Kingdom
Publications and helpful links
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- D5180C00018
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.
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.
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