Extension Study to Evaluate the Safety and Tolerability of Tezepelumab in Adults and Adolescents With Severe, Uncontrolled Asthma (DESTINATION)

May 9, 2023 updated by: AstraZeneca

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)

Subjects who completed either D5180C00007 or D5180C00009 will be offered the opportunity to consent for the 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. The study consists of a treatment phase, followed by a follow-up phase where subjects will not receive IP. The length of the follow up phase is determined by which study the subject had previously completed.

Study Overview

Status

Completed

Conditions

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

Interventional

Enrollment (Actual)

951

Phase

  • Phase 3

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, 1027
        • Research Site
      • Buenos Aires, Argentina, C1414AIF
        • Research Site
      • Caba, Argentina, C1425BEN
        • Research Site
      • Ciudad de Buenos Aires, Argentina, 1425
        • Research Site
      • Córdoba, Argentina, X5003DCE
        • Research Site
      • Mendoza, Argentina, 5500
        • Research Site
      • Nueve de julio, Argentina, B6500EZL
        • Research Site
      • Quilmes, Argentina, B1878FNR
        • Research Site
      • San Fernando, Argentina, B1646EBJ
        • Research Site
      • San Miguel de Tucuman, Argentina, T4000IAQ
        • Research Site
      • Kent Town, Australia, 5067
        • Research Site
      • Melbourne, Australia, 3004
        • Research Site
      • New Lambton, Australia, 2310
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      • Spearwood, Australia, 6163
        • Research Site
      • Westmead, Australia, 2145
        • Research Site
      • Woolloongabba, Australia, 4102
        • Research Site
      • Wien, Austria, 1130
        • Research Site
      • Wien, Austria, 1090
        • Research Site
      • Blumenau, Brazil, 89030-101
        • Research Site
      • Botucatu, Brazil, 18618-970
        • Research Site
      • Curitiba, Brazil, 80060-900
        • Research Site
      • Porto Alegre, Brazil, 90610-000
        • Research Site
      • Porto Alegre, Brazil, 91350-200
        • Research Site
      • Porto Alegre, Brazil, 9002-060
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      • Porto Alegre, Brazil, 90020-090
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      • Recife, Brazil, 50070-550
        • Research Site
      • Salvador, Brazil, 40060-330
        • Research Site
      • Santo Andre, Brazil, 09080-110
        • Research Site
      • Sao Bernardo do Campo, Brazil, 09750-420
        • Research Site
      • Sorocaba, Brazil, 18040-425
        • Research Site
      • Quebec, Canada, G1G 3Y8
        • Research Site
    • Alberta
      • Calgary, Alberta, Canada, T2N 4Z6
        • Research Site
      • Sherwood Park, Alberta, Canada, T8L 0N2
        • Research Site
    • Ontario
      • Ajax, Ontario, Canada, L1S 2J5
        • Research Site
      • Mississauga, Ontario, Canada, L5A 3V4
        • Research Site
      • Ottawa, Ontario, Canada, K1H 1E4
        • Research Site
      • Windsor, Ontario, Canada, N8X 1T3
        • Research Site
    • Quebec
      • Montreal, Quebec, Canada, H4J 1C5
        • Research Site
      • St Charles Borromee, Quebec, Canada, J6E 2B4
        • Research Site
      • Trois-Rivières, Quebec, Canada, G8T 7A1
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      • Brest Cedex 2, France, 29609
        • Research Site
      • Le Kremlin-Bicêtre, France, 94270
        • Research Site
      • Lyon Cedex 04, France, 69317
        • Research Site
      • Marseille Cedex 20, France, 13915
        • Research Site
      • Montpellier, France, 34090
        • Research Site
      • Nantes, France, 44093
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      • Paris, France, 75012
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      • Paris, France, 75018
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      • Pessac, France, 33604
        • Research Site
      • Strasbourg Cedex, France, 67091
        • Research Site
      • Bamberg, Germany, 96049
        • Research Site
      • Berlin, Germany, 10367
        • Research Site
      • Berlin, Germany, 10717
        • Research Site
      • Berlin, Germany, 10969
        • Research Site
      • Frankfurt, Germany, 60596
        • Research Site
      • Frankfurt am Main, Germany, 60596
        • Research Site
      • Hamburg, Germany, 20354
        • Research Site
      • Hamburg, Germany, 22299
        • Research Site
      • Hannover, Germany, 30625
        • Research Site
      • Hannover, Germany, D-30173
        • Research Site
      • Koblenz, Germany, 56068
        • Research Site
      • Landsberg, Germany, 86899
        • Research Site
      • Leipzig, Germany, 04357
        • Research Site
      • Lübeck, Germany, 23552
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      • Mainz, Germany, 55131
        • Research Site
      • Ashkelon, Israel, 7830604
        • Research Site
      • Haifa, Israel, 34362
        • Research Site
      • Jerusalem, Israel, 91031
        • Research Site
      • Jerusalem, Israel, 91120
        • Research Site
      • Kfar Saba, Israel, 49281
        • Research Site
      • Rehovot, Israel, 7661041
        • Research Site
      • Bucheon-si, Korea, Republic of, 420-767
        • Research Site
      • Cheongju-si, Korea, Republic of, 28644
        • Research Site
      • Daegu, Korea, Republic of, 41404
        • Research Site
      • Daegu, Korea, Republic of, 42415
        • Research Site
      • Jeju-do, Korea, Republic of, 63241
        • Research Site
      • Jeonju-si, Korea, Republic of, 54907
        • Research Site
      • Seongnam-si, Korea, Republic of, 13620
        • Research Site
      • Seoul, Korea, Republic of, 03722
        • Research Site
      • Seoul, Korea, Republic of, 05505
        • Research Site
      • Seoul, Korea, Republic of, 06351
        • Research Site
      • Seoul, Korea, Republic of, 06591
        • Research Site
      • Seoul, Korea, Republic of, 02447
        • Research Site
      • Seoul, Korea, Republic of, 03312
        • Research Site
      • Seoul, Korea, Republic of, 08308
        • Research Site
      • Seoul, Korea, Republic of, 150-713
        • Research Site
      • Seoul, Korea, Republic of, 158-710
        • Research Site
      • Suwon-si, Korea, Republic of, 16499
        • Research Site
      • Kraków, Poland, 31-559
        • Research Site
      • Wrocław, Poland, 53-301
        • Research Site
      • Łódź, Poland, 90-153
        • Research Site
      • Izhevsk, Russian Federation, 426035
        • Research Site
      • Moscow, Russian Federation, 115093
        • Research Site
      • Moscow, Russian Federation, 115522
        • Research Site
      • St-Petersburg, Russian Federation, 193231
        • Research Site
      • Jeddah, Saudi Arabia, 21423
        • Research Site
      • Jeddah, Saudi Arabia, 22252
        • Research Site
      • Bellville, South Africa, 7530
        • Research Site
      • Cape Town, South Africa, 7700
        • Research Site
      • Cape Town, South Africa, 7764
        • Research Site
      • Durban, South Africa, 4001
        • Research Site
      • Durban, South Africa, 4091
        • Research Site
      • Durban, South Africa, 4092
        • Research Site
      • Durban, South Africa, 4450
        • Research Site
      • Johannesburg, South Africa, 1724
        • Research Site
      • Johannesburg, South Africa, 2113
        • Research Site
      • Johannesburg, South Africa, 1829
        • Research Site
      • Lenasia Ext8, South Africa, 1820
        • Research Site
      • Meadowdale, Germiston, South Africa, 1614
        • Research Site
      • Middelburg, South Africa, 1055
        • Research Site
      • Parow, South Africa, 7505
        • Research Site
      • Umkomaas, South Africa, 4170
        • Research Site
      • Kaohsiung, Taiwan, 80756
        • Research Site
      • Taichung, Taiwan, 40447
        • Research Site
      • Taipei, Taiwan, 235
        • Research Site
      • Ankara, Turkey, 06230
        • Research Site
      • Ankara, Turkey, 06280
        • Research Site
      • Bursa, Turkey, 16059
        • Research Site
      • Istanbul, Turkey, 34098
        • Research Site
      • Dnipro, Ukraine, 49007
        • Research Site
      • Ivano-Frankivsk, Ukraine, 76018
        • Research Site
      • Kharkiv Region, Ukraine, 61075
        • Research Site
      • Kherson, Ukraine, 73000
        • Research Site
      • Lutsk, Ukraine, 43000
        • Research Site
      • Vinnytsia, Ukraine, 21029
        • Research Site
    • Alabama
      • Dothan, Alabama, United States, 36303
        • Research Site
    • Arizona
      • Gilbert, Arizona, United States, 85234
        • Research Site
    • California
      • Bakersfield, California, United States, 93301
        • Research Site
      • Huntington Beach, California, United States, 92647
        • Research Site
      • Long Beach, California, United States, 90808
        • Research Site
      • Los Angeles, California, United States, 90025
        • Research Site
      • Newport Beach, California, United States, 92663
        • Research Site
      • Northridge, California, United States, 91324
        • Research Site
      • Palm Desert, California, United States, 92260
        • Research Site
      • Rolling Hills Estates, California, United States, 90274
        • Research Site
      • Walnut Creek, California, United States, 94598
        • Research Site
      • Westminster, California, United States, 92683
        • Research Site
    • Connecticut
      • New Haven, Connecticut, United States, 06519
        • Research Site
    • Florida
      • Kissimmee, Florida, United States, 34744
        • Research Site
      • Kissimmee, Florida, United States, 34746
        • Research Site
      • Port Charlotte, Florida, United States, 33952
        • Research Site
      • Sarasota, Florida, United States, 34239
        • Research Site
      • Tampa, Florida, United States, 33607
        • Research Site
      • Winter Park, Florida, United States, 32789-4681
        • Research Site
    • Idaho
      • Boise, Idaho, United States, 83706
        • Research Site
    • Louisiana
      • Zachary, Louisiana, United States, 70791
        • Research Site
    • Maryland
      • White Marsh, Maryland, United States, 21162
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, United States, 02115
        • Research Site
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • Research Site
    • Missouri
      • Saint Louis, Missouri, United States, 63141
        • Research Site
    • Nebraska
      • Lincoln, Nebraska, United States, 68510
        • Research Site
    • Nevada
      • Las Vegas, Nevada, United States, 89119
        • Research Site
    • New Jersey
      • Northfield, New Jersey, United States, 08225
        • Research Site
    • New York
      • Bronx, New York, United States, 10459
        • Research Site
      • Bronx, New York, United States, 10461
        • Research Site
      • Brooklyn, New York, United States, 11235
        • Research Site
    • North Carolina
      • Charlotte, North Carolina, United States, 28207
        • Research Site
      • Durham, North Carolina, United States, 27705
        • Research Site
      • Winston-Salem, North Carolina, United States, 27104
        • Research Site
    • Ohio
      • Cincinnati, Ohio, United States, 45229
        • Research Site
      • Cincinnati, Ohio, United States, 45236
        • Research Site
    • Oklahoma
      • Edmond, Oklahoma, United States, 73034
        • Research Site
      • Oklahoma City, Oklahoma, United States, 73120
        • Research Site
    • Oregon
      • Medford, Oregon, United States, 97504
        • Research Site
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19140
        • Research Site
    • South Carolina
      • Anderson, South Carolina, United States, 29621
        • Research Site
      • Columbia, South Carolina, United States, 29204
        • Research Site
      • Greenville, South Carolina, United States, 29607
        • Research Site
    • Texas
      • Amarillo, Texas, United States, 79109
        • Research Site
      • Boerne, Texas, United States, 78006
        • Research Site
      • McKinney, Texas, United States, 75069
        • Research Site
      • McKinney, Texas, United States, 75071
        • Research Site
      • Plano, Texas, United States, 75093
        • Research Site
      • San Antonio, Texas, United States, 78251
        • Research Site
    • Virginia
      • Manassas, Virginia, United States, 20110
        • Research Site
    • Wisconsin
      • Cudahy, Wisconsin, United States, 53110
        • Research Site
      • Madison, Wisconsin, United States, 53792
        • Research Site
      • Ha Noi, Vietnam, 100000
        • Research Site
      • Hanoi, Vietnam, 10000
        • Research Site
      • Ho Chi Minh, Vietnam, 700000
        • Research 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

13 years to 81 years (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

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

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 Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Placebo
Placebo: Placebo subcutaneous injection
Placebo subcutaneous injection
Experimental: Tezepelumab
Tezepelumab subcutaneous injection
Tezepelumab subcutaneous injection

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
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
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.
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.
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.
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.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
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)
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.

Collaborators and Investigators

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

Sponsor

Collaborators

Investigators

  • Principal Investigator: Andrew Menzies-Gow, MD, Royal Brompton Hospital, United Kingdom

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

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 (Actual)

January 7, 2019

Primary Completion (Actual)

October 26, 2021

Study Completion (Actual)

May 18, 2022

Study Registration Dates

First Submitted

October 11, 2018

First Submitted That Met QC Criteria

October 11, 2018

First Posted (Actual)

October 15, 2018

Study Record Updates

Last Update Posted (Actual)

June 6, 2023

Last Update Submitted That Met QC Criteria

May 9, 2023

Last Verified

May 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • D5180C00018

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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