A Study of AZD0292 in Chinese Participants With Bronchiectasis and Chronic Pseudomonas Aeruginosa Colonization (BREEZE)
A Phase II Randomized, Double-blind, Placebo-controlled, Parallel Study to Evaluate the Efficacy, Safety, and PK of AZD0292 in Chinese Participants With Bronchiectasis and Chronic Pseudomonas Aeruginosa Colonization
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
AZD0292 is a bispecific IgG1k mAb being evaluated for the prevention of exacerbations in bronchiectasis patients chronically colonized with PsA.
This Phase II study aims to assess the efficacy, safety, and PK of AZD0292 administered IV, as compared to placebo in participants 18 years of age and older.
The population of this study will be Chinese NCFBE patients with frequent pulmonary exacerbations due to chronic PsA airway colonization. These PsA associated pulmonary exacerbations contribute to a decline in lung function, impair quality of life and increase mortality, highlighting the urgent need for effective therapeutic options.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
-
-
-
Anyang, China, 455099
- Recruiting
- Research Site
-
Beijing, China, 100020
- Recruiting
- Research Site
-
Beijing, China, 100034
- Recruiting
- Research Site
-
Beijing, China, 100730
- Not yet recruiting
- Research Site
-
Changsha, China, 410005
- Not yet recruiting
- Research Site
-
Chengdu, China, 610014
- Recruiting
- Research Site
-
Chengdu, China, 611130
- Recruiting
- Research Site
-
Chengdu, China, 610078
- Recruiting
- Research Site
-
Chizhou, China, 247099
- Recruiting
- Research Site
-
Haikou, China, 570311
- Recruiting
- Research Site
-
Hefei, China, 230061
- Recruiting
- Research Site
-
Hohhot, China, 010010
- Not yet recruiting
- Research Site
-
Hohhot, China, 010050
- Recruiting
- Research Site
-
Jinan, China, 250013
- Recruiting
- Research Site
-
Jinhua, China, 321000
- Recruiting
- Research Site
-
Jining, China, 272006
- Not yet recruiting
- Research Site
-
Kunming, China, 650032
- Recruiting
- Research Site
-
Langfang, China, 065000
- Recruiting
- Research Site
-
Linhai, China, 317000
- Recruiting
- Research Site
-
Liuzhou, China, 545006
- Recruiting
- Research Site
-
Nanchang, China, 330006
- Recruiting
- Research Site
-
Nanchang, China, 330000
- Recruiting
- Research Site
-
Nanning, China, 530021
- Recruiting
- Research Site
-
Shanghai, China, 200032
- Recruiting
- Research Site
-
Shanghai, China, 201199
- Recruiting
- Research Site
-
Shanghai, China, 200065
- Recruiting
- Research Site
-
Shanghai, China, 200080
- Not yet recruiting
- Research Site
-
Shanghai, China, 200240
- Recruiting
- Research Site
-
Shenyang, China, 110004
- Not yet recruiting
- Research Site
-
Taicang, China, 215400
- Recruiting
- Research Site
-
Taizhou, China, 318000
- Recruiting
- Research Site
-
Wenzhou, China, 325000
- Recruiting
- Research Site
-
Xinxiang, China, 453100
- Recruiting
- Research Site
-
Xuzhou, China, 221000
- Recruiting
- Research Site
-
Zaozhuang, China, 277102
- Recruiting
- Research Site
-
Zhangzhou, China, 363099
- Recruiting
- Research Site
-
Zhengzhou, China, 450000
- Not yet recruiting
- Research Site
-
Zhengzhou, China, 450006
- Recruiting
- Research Site
-
Zhuzhou, China, 412007
- Recruiting
- Research Site
-
Zibo, China, 255036
- Recruiting
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant must be ≥ 18 years of age at the time of signing the informed consent/assent.
- Weight ≥ 35 kg.
- Bronchiectasis diagnosed by a physician and confirmed by CT demonstrating abnormal bronchial dilation in ≥ 1 lobe. Note: A historical CT scan within the past 5 years is acceptable. If not available, a CT scan should be conducted at screening to confirm eligibility.
- Participants who are receiving appropriate standard of care therapy per local guidelines and have a documented history of ≥ 2 moderate exacerbations or ≥ 1 severe exacerbation in the preceding 12 months requiring antibiotics
- Participants who are clinically stable and free from an exacerbation of bronchiectasis for 4 weeks prior to randomization
- Participants with pre- or post-bronchodilator FEV1 ≥ 25% predicted value at screening.
- Presence of positive (PCR or culture) PsA in an airway sample at least once in the last 24 months prior to screening
- Presence of culture positive PsA in sputum at least within 5 weeks of randomization. Participants who have previously received PsA eradication therapy, as determined appropriate by their treating provider, but remain colonized with PsA are eligible for the study.
- Capable of giving signed informed consent/assent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol
Exclusion Criteria:
- Primary lung diagnosis other than bronchiectasis
- Evidence of active tuberculosis or active nontuberculous mycobacteria being treated or requiring treatment. Participants currently receiving treatment for active TB or nontuberculous mycobacteria may be considered after completion of an appropriate course of therapy
- Evidence of an active allergic bronchopulmonary aspergillosis being treated or requiring treatment
- Need for long term supplemental oxygen. Oxygen use for ambulation and relief of breathlessness after exercise is allowed
- Malignancy, current or within the previous 5 years, except for stable prostate cancer, adequately treated non-invasive basal cell and squamous cell carcinoma of the skin and cervical carcinoma in situ treated with apparent success more than one year prior to enrolment
- AIDS or Advanced human immunodeficiency virus disease (CD4 count of < 200 cells/mm3)
- History of severe adverse reaction associated with a mAb, and/or history of severe allergic reaction (eg, anaphylaxis that required the use of epinephrine/adrenaline or hospitalization), and/or history of immune complex disease (Type III hypersensitivity reactions) to monoclonal antibody administration
- Treatment with long term anti-PsA antibiotics, macrolides, or DPP-1 inhibitors, which are newly initiated within the 3 months prior to screening
- Chronic immunosuppressive therapy (including prednisolone > 5 mg or equivalent) newly initiated within the last 3 months
- Receipt of investigational products indicated for the treatment or prevention of bronchiectasis exacerbations or expected receipt during the study
- Participation with a study intervention used within the last 30 days or 5 half-lives of the investigational product from the other clinical study, whichever is longer, prior to screening.
- Female participants who are pregnant, lactating, or WOCBP and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Placebo administered starting on Day 1, subsequent administrations per schedule of assessments.
|
Placebo administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.
|
|
Experimental: AZD0292
AZD0292 administered starting on Day 1, subsequent administrations per schedule of assessments.
|
AZD0292 administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Annualized rate of exacerbations over a variable follow-up time
Time Frame: Min 28 weeks, max 52 weeks
|
To evaluate the effect of IV AZD0292 compared to placebo on the rate of moderate-to severe pulmonary exacerbations in participants with NCFBE and chronic colonization with PsA
|
Min 28 weeks, max 52 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Annualized rate of severe exacerbations over a variable follow-up time
Time Frame: Min 28 weeks, max 52 weeks
|
To evaluate the effect of AZD0292 compared to placebo on severe exacerbations in participants with NCFBE and chronic colonization with PsA
|
Min 28 weeks, max 52 weeks
|
|
Incidence of ADA and ADA titers to AZD0292
Time Frame: At specified timepoints between Week 0 and Final Dose +12 weeks
|
To evaluate the immunogenicity of IV doses of AZD0292 in participants with bronchiectasis and chronic colonization with PsA
|
At specified timepoints between Week 0 and Final Dose +12 weeks
|
|
Incidence of AEs, SAEs, AESIs and MAAEs
Time Frame: Occurrence of AEs; first dose through 12 weeks after last study intervention administration. Occurrence of SAEs, AESIs, and MAAEs; through study completion (Final Dose+24 weeks)
|
To assess the safety of AZD0292 compared with placebo in participants with bronchiectasis and chronic colonization with PsA
|
Occurrence of AEs; first dose through 12 weeks after last study intervention administration. Occurrence of SAEs, AESIs, and MAAEs; through study completion (Final Dose+24 weeks)
|
|
Change from baseline in QoL-B-RSS
Time Frame: Over the observation period (Week 0 to Last Dose+4 weeks)
|
To evaluate the effect of AZD0292 compared to placebo on quality of life, as assessed by QoL-B-RSS over the observation period
|
Over the observation period (Week 0 to Last Dose+4 weeks)
|
|
Change from baseline in SGRQ score
Time Frame: Over the observation period (Week 0 to Last Dose+4 weeks)
|
To evaluate the effect of AZD0292 compared to placebo on quality of life, as assessed by SGRQ over the observation period.
|
Over the observation period (Week 0 to Last Dose+4 weeks)
|
|
Time to first moderate or severe exacerbation
Time Frame: Time Frame: Through study completion (Final Dose +24 weeks)
|
To evaluate the effect of AZD0292 compared to placebo on time to first pulmonary exacerbation in participants with NCFBE and chronic colonization with PsA.
|
Time Frame: Through study completion (Final Dose +24 weeks)
|
|
Serum PK Concentrations
Time Frame: At specified timepoints between Week 0 and Final Dose +12 weeks
|
To evaluate the PK of IV doses of AZD0292 in participants with bronchiectasis and chronic colonization with PsA
|
At specified timepoints between Week 0 and Final Dose +12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Other Study ID Numbers
Other Study ID Numbers
- D7700C00010
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal.
All request will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.