En undersøgelse til evaluering af sikkerhed og effektivitet af Lebrikizumab hos deltagere med kronisk obstruktiv lungesygdom (KOL)
En fase II, randomiseret, dobbeltblind, placebokontrolleret undersøgelse for at vurdere effektiviteten og sikkerheden af Lebrikizumab hos patienter med kronisk obstruktiv lungesygdom og en historie med eksacerbationer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Buenos Aires, Argentina, C1426ABP
- Centro Médico Dra de Salvo
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Mar del Plata, Argentina, B7602DCK
- Instituto Ave Pulmo
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Quilmes, Argentina, B1878FNR
- Centro Respiratorio Quilmes
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San Miguel de Tucumán, Argentina, T4000IAR
- Investigaciones en Patologias Respiratorias
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Santa Fe, Argentina, S3000ASF
- Instituto Del Buen Aire
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Rousse, Bulgarien, 7002
- Specialized Hospital For Active Treatment of Pneumophthisiatric Diseases; Dept of Pneumonology
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Sofia, Bulgarien, 1233
- Fifth MHAT - Sofia EAD
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Sofia, Bulgarien, 1202
- MHC - Sofia, EOOD
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Sofia, Bulgarien, 2233
- National Multiprofile Transport Hospital Tzar Boris Ill; Clinic of Internal Diseases
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Stara Zagora, Bulgarien, 6000
- Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
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Veliko Tarnovo, Bulgarien, 5000
- Medical Center Tara OOD
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Ontario
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Hamilton, Ontario, Canada, L8N 4A6
- St. Joseph's Healthcare Hamilton
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Hamilton, Ontario, Canada, L8N 3Z5
- McMaster University Medical Centre
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Toronto, Ontario, Canada, M5T 3A9
- Inspiration Research
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Hvidovre, Danmark, 2650
- Hvidovre Hospital, Lungemedicinsk Afdeling
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København NV, Danmark, 2400
- Lungemedicinsk afd. L, Bispebjerg Hospital
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Odense C, Danmark, 5000
- Odense Universitetshospital, Lungemedicinsk Forskningsenhed
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Alabama
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Birmingham, Alabama, Forenede Stater, 35216
- Achieve Clinical Research, LLC
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California
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Northridge, California, Forenede Stater, 91324
- California Medical Research Associates, Inc.
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Palm Springs, California, Forenede Stater, 92262
- Palmtree Clinical research Inc
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Florida
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Miami, Florida, Forenede Stater, 33126
- Finlay Medical Research
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Port Orange, Florida, Forenede Stater, 32127
- Progressive Medical Research
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Georgia
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Columbus, Georgia, Forenede Stater, 31904
- Columbus Regional Research Institute
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Savannah, Georgia, Forenede Stater, 31405
- Southeast Regional Res Group
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Louisiana
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Lake Charles, Louisiana, Forenede Stater, 70601
- Centex Studies
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Missouri
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St Louis, Missouri, Forenede Stater, 63141
- The Clinical Research Ctr
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New Jersey
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Berlin, New Jersey, Forenede Stater, 08009
- Comprehensive Clinical Research Inc.
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New York
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Jamaica, New York, Forenede Stater, 11435
- ISA Clinical Research
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North Carolina
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Gastonia, North Carolina, Forenede Stater, 28054
- Gastonia Pharmaceutical Research
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Oregon
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Medford, Oregon, Forenede Stater, 97504
- Clinical Research Inst. of Southern Oregon, Pc
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South Carolina
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Spartanburg, South Carolina, Forenede Stater, 29303
- S. Carolina Pharmaceutical Research
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Texas
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Houston, Texas, Forenede Stater, 77058
- Centex Studies
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Houston, Texas, Forenede Stater, 77030
- Baylor College of Medicine; Ben Taub Hospital- Guntupalli
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Washington
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Everett, Washington, Forenede Stater, 98208
- Western Washington Medical Group
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Spokane, Washington, Forenede Stater, 99202
- Premier Clinical Research
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Tacoma, Washington, Forenede Stater, 98405
- MultiCare Health Center of Washington
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Querétaro, Mexico, 76800
- Centro Integral Médico SJR SC
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Durango
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Durango, Durango, Mexico, 34080
- Centro de Investigacion y Atencion Integral Durango CIAID
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Jalisco
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Santa Cecilia, Jalisco, Mexico, 44700
- Instituto Jalisciense de Investigacion Clinica S.A. de C.V.
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Mexico CITY (federal District)
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México, Mexico CITY (federal District), Mexico, 14050
- Centro Respiratorio de México
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Oaxaca
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Oaxaca City, Oaxaca, Mexico, 68000
- Oaxaca Site Management Organization
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Grodzisk Mazowiecki, Polen, 05-825
- Mazowieckie Centrum Badan Klinicznych S.C.
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Lublin, Polen, 02-090
- MS Clinsearch Specjalistyczny NZOZ Janusz Milanowski Katarzyna Szmygin-Milanowska Spó?ka Jawna
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Lódz, Polen, 90-153
- Poradnia Pulmonologiczna dla Doroslych
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Ruda ?l?ska, Polen, 41-707
- Niepubliczny Zaklad Opieki Zdrowotnej PROFILAKTYKA Wladyslaw Pierzchala
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Wroclaw, Polen, 54-239
- NZOZ Lekarze Specjalisci
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Moscow, Rusland, 125367
- Central Clinical Hospital #1 of RZhD JCS
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Moscow, Rusland, 105077
- FSI Scientific Research Inst
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Novosibirsk, Rusland, 630087
- State Novosibirsk Regional Clinical Hospital
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Novosibirsk, Rusland, 630099
- LLC Reafan
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Novosibirsk, Rusland, 630008
- Novosibirsk Municipal Clinical Hospital For Emergency Medicine #2
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Saint Petersburg, Rusland, 190068
- LLC Medical Center "Alliance-Biomedical - Russian Group"
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Tomsk, Rusland, 634050
- Siberian State Medical University
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Sankt-Peterburg
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Saint Petersburg, Sankt-Peterburg, Rusland, 197022
- SBEI HPE "The First St.Petersburg State Medical University n.a. acad. I.P.Pavlova"of MoH of RF
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Saint Petersburg, Sankt-Peterburg, Rusland, 197089
- St. Petersburg State Medical University n.a. I.P. Pavlov
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Balassagyarmat, Ungarn, 2660
- Dr. Kenessey Albert Korhaz Es Rendelointezet; Tudoosztaly (Pulmonolgy Dept )
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Győr, Ungarn, 9024
- Petz Aladar Megyei Oktato Korhaz
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Komárom, Ungarn, 2900
- Selye János Kórház és Rendel?intézet; Allergológiai Szakrendelés
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Miskolc, Ungarn, 3529
- CRU Hungary Kft
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Mohács, Ungarn, 7700
- Mohacsi Korhaz
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Mátraháza, Ungarn, 3233
- Matrai Állami Gyógyintézet ; Bronchológia
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Szombathely, Ungarn, 9700
- Markusovszky Egyetemi Oktatokorhaz; Tudogondozo
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Százhalombatta, Ungarn, 2440
- Farmakontroll Bt.
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Dokumenteret historie med KOL større end eller lig med (>/=) 12 måneder før besøg 1
- Post-bronkodilatator FEV1/FVC mindre end (<) 0,70 ved besøg 1 eller 2
- Post bronkodilatator FEV1 <80 % forudsagt ved besøg 1 eller 2
- Dokumenteret anamnese med en eller flere akutte KOL-eksacerbationer, der kræver behandling med systemiske kortikosteroider og/eller antibiotika eller hospitalsindlæggelse inden for 12 måneder før besøg 1
- Nuværende tobaksryger eller tidligere ryger (har holdt op med at ryge i mindst 6 måneder før besøg 1) med en historie med rygning >/=10 pakkeår (20 cigaretter/dag i 10 år)
- På behandling med inhalerede kortikosteroider (ICS) i >/= 6 måneder før besøg 1
- På en kvalificeret bronkodilatator medicin i >/= 6 måneder før besøg 1
- Røntgen af thorax eller computertomografi (CT) scanning inden for 6 måneder før besøg 1 eller røntgen af thorax før besøg 2, der bekræfter fravær af klinisk signifikant lungesygdom udover KOL
- Påvist overholdelse af baggrundsmedicin til KOL-inhalator under screeningsperioden
- For kvindelige deltagere i den fødedygtige alder, brug af enkelte eller kombinerede præventionsmetoder under undersøgelsens varighed
Ekskluderingskriterier:
- Anamnese med alvorlig allergisk reaktion eller anafylaktisk reaktion på biologisk middel eller kendt overfølsomhed over for lebrikizumab-injektion
- Anamnese med anden klinisk signifikant lungesygdom end KOL
- Diagnose af alfa-1-antitrypsin-mangel
- Operation eller procedure for reduktion af lungevolumen inden for 12 måneder før besøg 1
- Supplerende iltbehov >2 liter/minut (L/min) i hvile eller ved anstrengelse
- Nuværende diagnose af astma
- Deltagere, der deltager i eller er planlagt til et intensivt KOL-rehabiliteringsprogram
- Vedligeholdelse oral kortikosteroidbehandling
- Behandling med systemiske kortikosteroider inden for 4 uger før besøg 1 eller i screeningsperioden
- Ustabil iskæmisk hjertesygdom eller andre relevante kardiovaskulære lidelser
- Anvendelse af en immunmodulerende eller immunsuppressiv behandling inklusive monoklonale antistoffer (inkluderer anti-interleukin-13 (IL) eller anti-IL-4/IL-13-terapi)
- Kropsvægt <40 kg
- Enhver infektion, der resulterede i hospitalsindlæggelse i >/= 24 timer og/eller behandling med orale, intravenøse (IV) eller intramuskulære (IM) antibiotika inden for 4 uger før besøg 1 eller under screening
- Øvre eller nedre luftvejsinfektion inden for 4 uger før besøg 1 eller under screening
- Aktiv parasitisk eller Listeria monocytogenes-infektion inden for 6 måneder før besøg 1 eller under screening
- Modtog en levende svækket vaccine inden for 4 uger før besøg 1 eller under screening
- Aktiv tuberkulose, der kræver behandling inden for 12 måneder før besøg 1
- Human immundefekt virus (HIV) eller anden kendt immundefekt
- Hepatitis eller kendt levercirrhose
- Aspartataminotransferase (AST), alaninaminotransferase (ATL) eller total bilirubinstigning >/= 2,0 x øvre normalgrænse (ULN) under screening
- Klinisk signifikant abnormitet på screening elektrokardiogram (EKG) eller laboratorietest
- Historie om alkohol- eller stofmisbrug
- Gravid eller ammende
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Lebrikizumab: Biomarkør-høj
Lebrikizumab vil blive administreret subkutant én gang hver 4. uge i op til 24 uger til de deltagere, der anses for at være biomarkør-høje.
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Lebrikizumab 125 milligram (mg) vil blive administreret subkutant én gang hver 4. uge.
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Eksperimentel: Lebrikizumab: Biomarkør-lav
Lebrikizumab vil blive administreret subkutant én gang hver 4. uge i op til 24 uger til de deltagere, der anses for at have lav biomarkør.
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Lebrikizumab 125 milligram (mg) vil blive administreret subkutant én gang hver 4. uge.
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Placebo komparator: Placebo: Biomarkør-høj
Matchende placebo vil blive administreret subkutant hver 4. uge i op til 24 uger til de deltagere, der anses for at være biomarkør-høje.
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Matchende placebo vil blive administreret subkutant én gang hver 4. uge.
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Placebo komparator: Placebo: Biomarkør-lav
Matchende placebo vil blive administreret subkutant én gang hver 4. uge i op til 24 uger til de deltagere, der anses for at have lav biomarkør.
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Matchende placebo vil blive administreret subkutant én gang hver 4. uge.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in One Second (FEV1) at Week 12
Tidsramme: Baseline, Week 12
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Adjusted mean change from baseline in pre-bronchodilator FEV1 (assessed using spirometry) at Week 12 was calculated.
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Baseline, Week 12
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Rate of Moderate or Severe COPD Exacerbation
Tidsramme: Baseline up to Week 24
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A moderate COPD exacerbation was defined as new or increased COPD symptoms (for example, dyspnea, sputum volume, and sputum purulence) for at least 2 consecutive days that lead to treatment with systemic corticosteroids and/or antibiotics. A severe COPD exacerbation was defined as new or increased COPD symptoms (for example, dyspnea, sputum volume, and sputum purulence) for at least 2 consecutive days that lead to hospitalization. Adjusted exacerbation rate per year was calculated. Results are reported as a 'Number' representing the unadjusted annualized rate of COPD exacerbations per person-year. The total number of exacerbations observed during the period was defined as starting at the date of randomization and ending at most 172 days after randomization (including data collected during safety follow-up in the case of early drug discontinuation) regardless of adherence to study drug divided by the total patient-weeks at risk divided by 52 weeks per year. |
Baseline up to Week 24
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Change From Baseline in Post-bronchodilator FEV1 at Week 24
Tidsramme: Baseline, Week 24
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Adjusted mean change from baseline in post-bronchodilator FEV1 at Week 24 was calculated.
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Baseline, Week 24
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Change From Baseline in Pre-bronchodilator FEV1 at Week 24
Tidsramme: Baseline, Week 24
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Adjusted mean change from baseline in pre-bronchodilator FEV1 at Week 24 was calculated.
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Baseline, Week 24
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Time to First COPD Exacerbation
Tidsramme: Baseline up to Week 24
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COPD exacerbation was defined as new or increased COPD symptoms (for example, dyspnea, sputum volume, and sputum purulence) for at least 2 consecutive days.
Time to first COPD exacerbation was estimated using Kaplan-Meier analysis.
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Baseline up to Week 24
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Change From Baseline in Health-Related Quality of Life as Assessed by the Overall Score of the Saint George's Respiratory Questionnaire for COPD (SGRQ-C) at Week 24
Tidsramme: Baseline, Week 24
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SGRQ-C was assessed by asking participants to recall their COPD-related experiences and to respond to 40 questions included within three domains: symptoms (7 items), activity (13 items), and impacts (20 items).
Overall SGRQ-C score ranged from 0 to 100, where lower score indicated better health-related quality of life.
Change from baseline in overall SGRQ-C score at Week 24 was reported.
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Baseline, Week 24
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Change From Baseline in COPD Symptoms as Measured by the Overall Score of the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) at Week 24
Tidsramme: Baseline, Week 24
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EXACT comprised of 14-item questionnaire containing four domains: breathlessness (5 items), cough and sputum (3 items), chest symptoms (3 items), and additional attributes (3 items).
Overall EXACT score was the average of domain scores.
It ranged from 0 to 100, where higher score indicated a more severe condition.
Change from baseline in overall EXACT score at Week 24 was reported.
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Baseline, Week 24
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Change From Baseline in Cough and Sputum as Measured by the Cough and Sputum Domain Score of the EXACT at Week 24
Tidsramme: Baseline, Week 24
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EXACT comprised of 14-item questionnaire containing four domains: breathlessness (5 items), cough and sputum (3 items), chest symptoms (3 items), and additional attributes (3 items).
Cough and Sputum domain score ranged from 0 to 100, where higher score indicated a more severe condition.
Change from baseline in cough and sputum domain EXACT score at Week 24 was reported.
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Baseline, Week 24
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Change From Baseline in Dyspnea as Assessed by the Baseline Dyspnea Index/Transition Dyspnea Index (BDI/TDI) at Week 24
Tidsramme: Baseline, Week 24
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The BDI scores ranged from 0 (very severe impairment) to 4 (no impairment) for each of 3 domains (functional impairment, magnitude of task, and magnitude of effort) and were summed to determine the BDI total score (0 to 12).
The TDI scores ranged from -3 (major deterioration) to +3 (major improvement) for each of the 3 domains (functional impairment, magnitude of task, and magnitude of effort).
The sum of all domains yielded the TDI total score (-9 to +9).
Change from baseline in BDI/TDI at Week 24 was reported.
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Baseline, Week 24
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Percentage of Participants With Anti-Therapeutic Antibody (ATA) to Lebrikizumab
Tidsramme: Baseline up to Week 36
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This outcome measure was planned to be analyzed only in overall lebrikizumab arm.
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Baseline up to Week 36
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Minimum Observed Serum Trough Concentration (Cmin) of Lebrikizumab
Tidsramme: Pre-dose (Hour 0) at Weeks 4 and 12, at Week 24
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This outcome measure was planned to be analyzed only in overall lebrikizumab arm.
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Pre-dose (Hour 0) at Weeks 4 and 12, at Week 24
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Elimination Half-Life (t1/2) of Lebrikizumab
Tidsramme: Pre-dose (Hour 0) on Day 1 (Baseline) and Weeks 1, 4, 12, 24, 28, and 36
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Elimination half-life was defined as the time measured for the serum concentration to decrease by one half.
This outcome measure was planned to be analyzed only in overall lebrikizumab arm.
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Pre-dose (Hour 0) on Day 1 (Baseline) and Weeks 1, 4, 12, 24, 28, and 36
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Clinical Trials, Hoffmann-La Roche
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- WB29804
- 2015 (U.S. NIH-bevilling/kontrakt: American Sleep Medicine Foundation)
- 2015-001122-42 (EudraCT nummer)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .