A Study to Evaluate the Safety, Tolerability and Effects of MEDI-563 in Adults With Asthma

A Phase 1, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Effects of MEDI-563, A Humanized Anti-Interleukin-5 Receptor Alpha Monoclonal Antibody, on Airway Eosinophils in Adults With Atopic Asthma

Evaluate the safety and tolerability of MEDI-563 in adults with asthma and the effects of MEDI-563 on eosinophil counts in airway mucosal biopsies

Study Overview

• Status: Completed
• Conditions: Asthma
• Intervention / Treatment: Drug: MEDI-563; Drug: MEDI-563; Other: Placebo Comp.; Other: Placebo

Detailed Description

Evaluate the safety and tolerability of MEDI-563 in adults with atopic asthma; and evaluate the effects of MEDI-563 on eosinophil counts in airway mucosal biopsies 28 days after completion of dosing in adults with atopic asthma.

• Study Type: Interventional
• Enrollment (Actual): 27
• Phase: Phase 1

Contacts and Locations

Study Locations

• Canada
  • Quebec, Canada, G1V4G5
    • Research Site
  • Alberta
    • Calgary, Alberta, Canada, T2N4N1
      • Research Site
  • British Columbia
    • Vancouver,, British Columbia, Canada
      • Research Site
  • Ontario
    • Hamilton, Ontario, Canada, L8N3Z5
      • Research Site
  • Quebec
    • Montreal, Quebec, Canada, H2X 2P4
      • Research Site
• United States
  • Colorado
    • Denver, Colorado, United States, 80206
      • Research Site
  • Pennsylvania
    • Pittsburgh, Pennsylvania, United States, 15213
      • Research Site
  • Texas
    • Galveston, Texas, United States, 77555-0561
      • Research Site
    • Houston, Texas, United States, 77030
      • Research Site
    • Houston, Texas, United States
      • Research Site
  • Wisconsin
    • Madison, Wisconsin, United States, 53792
      • Research Site

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Male or female adults, 18 through 65 years of age at time of randomization;
• Written informed consent obtained from the subject prior to beginning study procedures or receipt of any study medication;
• Previously documented diagnosis of asthma of ≥ 1 year duration, based on episodic symptoms of airflow obstruction; post-bronchodilator reversibility of airflow obstruction ≥ 12% (in USA only - if subject does not achieve this during screening, proof of ≥12% reversibility within 1 year of randomization is acceptable) or proof of a positive response to a methacholine challenge during screening with prior approval from MedImmune (in USA only - within 1 year of randomization is acceptable) as represented by a provoking concentration of methacholine to cause a 20% fall in FEV1 (PC20) < 8 mg/ml [American Thoracic Society (ATS), 2000)]; and exclusion of alternative pulmonary diagnoses (eg, cystic fibrosis, COPD);
• Asthma symptoms are adequately controlled on a therapeutic regimen that has not changed in the last 4 weeks prior to Study Day 0, and the subject is willing to maintain the same therapeutic regimen and doses from the time of screening to the time of the first follow-up bronchoscopy with airway mucosal biopsies (Study Day 28 for Cohort 1; Study Day 84 for Cohort 2);
• Pre-bronchodilator FEV1/forced vital capacity (FVC) ratio that is below the age-adjusted normal limit as defined by the 2007 National Heart Lung and Blood Institute Asthma guidelines (Appendix D) and post-bronchodilator FEV1 ≥ 65% at screening;
• Must have ≥ 2.5% eosinophils in sputum;
• Have had no hospitalizations due to asthma in the last year prior to screening;
• Women of childbearing potential, unless surgically sterile or at least 1 year post-menopausal, must use 2 effective methods of avoiding pregnancy
• Able to complete the follow-up period as required by the protocol;
• Willing to forego other forms of experimental treatment and study procedures during the study and during an 84-day period after the last dose of study drug;
• Able to provide spirometric readings that meet ATS standards

Exclusion Criteria:

• Participation in any previous MEDI-563 clinical study;
• Known history of allergy or adverse reactions to any component of the study drug formulation;
• Lung disease other than asthma (eg, COPD, cystic fibrosis, eosinophilic pneumonia);
• Current use of any systemic or inhaled immunosuppressive drugs [oral (up to a maximum dose of 10 mg/day or 20 mg every other day) and inhaled corticosteroids are allowed if dose has been stable for at least 4 weeks prior to study drug administration on Study Day 0].
• Current use of any β-blocker (eg, propranolol);
• Acute illnesses or evidence of clinically significant active infection, such as fever ≥ 38.0ºC (100.5ºF) at screening and through the time of the study drug administration on Study Day 0;
• Receipt of any investigational drug therapy, intravenous immunoglobulin (IVIG), or monoclonal therapy (eg, Xolair) within 30 days or within 5-half lives prior to study drug administration on Study Day 0 through End of Study/Study Termination (Study Day 84 for Cohort 1 or Study Day 140 for Cohort 2);
• Pregnancy (women of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to study drug administration on Study Day 0);
• Breastfeeding or lactating;
• History of alcohol or drug abuse < 1 year prior to Study Day 0;
• History of cancer, apart from basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy > 1 year prior to Study Day 0;
• History of a previous episode of active TB or a positive TB skin test without completion of an appropriate course of treatment;
• A history of coagulation disorders that would contraindicate mucosal biopsies;
• History of immunodeficiency or infection with HIV-1, HIV-2, or hepatitis A, B, or C virus;
• History of use of tobacco products within 2 years of baseline (Study Day 0) or history of smoking ≥ 10 pack-years;
• Elective surgery planned from the time of screening through first follow-up bronchoscopy with airway mucosal biopsies (Study Day 28 or Study Day 84, as applicable);
• Evidence of any systemic disease or respiratory disease (other than asthma), history of any disease, or any finding upon physical examination, screening laboratory test, chest X-ray (CXR), or ECG that, in the opinion of the investigator or medical monitor, may compromise the safety of the subject in the study or confound the analysis of the study results;
• Any employee of the research site who is involved with the conduct of the study;
• History of lidocaine allergy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: Double

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: 4; Placebo	Other: Placebo Comp.; Placebo SC
Placebo Comparator: 5; Placebo	Other: Placebo; Placebo as a single IV infusion (Certain number of subjects)
Experimental: 1; MEDI-563	Drug: MEDI-563; 1.0 mg/kg IV: MEDI-563; Drug: MEDI-563; 100 mg, 200 mg SC
Experimental: 2; MEDI-563	Drug: MEDI-563; 1.0 mg/kg IV: MEDI-563; Drug: MEDI-563; 100 mg, 200 mg SC

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Evaluate the safety and tolerability of MEDI-563 in adults with atopic asthma and evaluate the effects of MEDI-563 on eosinophil counts in airway mucosal biopsies 28 days after completion of dosing in adults with atopic asthma.	Study Day 84 or Day 140 - (dose-driven)

Secondary Outcome Measures

Outcome Measure	Time Frame
Evaluate the pharmacokinetics (PK) of MEDI-563 in adults with atopic asthma, and evaluate the immunogenicity (IM) of MEDI-563 in adults with atopic asthma.	Day 84 or 140

Collaborators and Investigators

• Sponsor: MedImmune LLC
• Investigators: Study Director: David Gossage, M.D., MBA, MedImmune LLC

Publications and helpful links

General Publications

• Chachi L, Diver S, Kaul H, Rebelatto MC, Boutrin A, Nisa P, Newbold P, Brightling C. Computational modelling prediction and clinical validation of impact of benralizumab on airway smooth muscle mass in asthma. Eur Respir J. 2019 Nov 14;54(5):1900930. doi: 10.1183/13993003.00930-2019. Print 2019 Nov. No abstract available.

Study record dates

Study Major Dates

• Study Start: January 1, 2008
• Primary Completion (Actual): January 1, 2011
• Study Completion (Actual): March 1, 2011

Study Registration Dates

• First Submitted: April 11, 2008
• First Submitted That Met QC Criteria: April 11, 2008
• First Posted (Estimate): April 16, 2008

Study Record Updates

• Last Update Posted (Estimate): October 10, 2012
• Last Update Submitted That Met QC Criteria: October 9, 2012
• Last Verified: October 1, 2012

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Immune System Diseases; Lung Diseases; Hypersensitivity, Immediate; Bronchial Diseases; Lung Diseases, Obstructive; Respiratory Hypersensitivity; Hypersensitivity; Asthma; Anti-Asthmatic Agents; Respiratory System Agents; Benralizumab
• Other Study ID Numbers: MI-CP166