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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
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.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: AstraZeneca Clinical Study Information Center
- Telefonnummer: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Studiesteder
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Anyang, Kina, 455099
- Rekruttering
- Research Site
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Beijing, Kina, 100020
- Rekruttering
- Research Site
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Beijing, Kina, 100034
- Rekruttering
- Research Site
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Beijing, Kina, 100730
- Ikke rekrutterer endnu
- Research Site
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Changsha, Kina, 410005
- Ikke rekrutterer endnu
- Research Site
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Chengdu, Kina, 610014
- Rekruttering
- Research Site
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Chengdu, Kina, 611130
- Rekruttering
- Research Site
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Chengdu, Kina, 610078
- Rekruttering
- Research Site
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Chizhou, Kina, 247099
- Rekruttering
- Research Site
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Haikou, Kina, 570311
- Rekruttering
- Research Site
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Hefei, Kina, 230061
- Rekruttering
- Research Site
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Hohhot, Kina, 010010
- Ikke rekrutterer endnu
- Research Site
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Hohhot, Kina, 010050
- Rekruttering
- Research Site
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Jinan, Kina, 250013
- Rekruttering
- Research Site
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Jinhua, Kina, 321000
- Rekruttering
- Research Site
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Jining, Kina, 272006
- Ikke rekrutterer endnu
- Research Site
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Kunming, Kina, 650032
- Rekruttering
- Research Site
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Langfang, Kina, 065000
- Rekruttering
- Research Site
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Linhai, Kina, 317000
- Rekruttering
- Research Site
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Liuzhou, Kina, 545006
- Rekruttering
- Research Site
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Nanchang, Kina, 330006
- Rekruttering
- Research Site
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Nanchang, Kina, 330000
- Rekruttering
- Research Site
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Nanning, Kina, 530021
- Rekruttering
- Research Site
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Shanghai, Kina, 200032
- Rekruttering
- Research Site
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Shanghai, Kina, 201199
- Rekruttering
- Research Site
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Shanghai, Kina, 200065
- Rekruttering
- Research Site
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Shanghai, Kina, 200080
- Ikke rekrutterer endnu
- Research Site
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Shanghai, Kina, 200240
- Rekruttering
- Research Site
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Shenyang, Kina, 110004
- Ikke rekrutterer endnu
- Research Site
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Taicang, Kina, 215400
- Rekruttering
- Research Site
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Taizhou, Kina, 318000
- Rekruttering
- Research Site
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Wenzhou, Kina, 325000
- Rekruttering
- Research Site
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Xinxiang, Kina, 453100
- Rekruttering
- Research Site
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Xuzhou, Kina, 221000
- Rekruttering
- Research Site
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Zaozhuang, Kina, 277102
- Rekruttering
- Research Site
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Zhangzhou, Kina, 363099
- Rekruttering
- Research Site
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Zhengzhou, Kina, 450000
- Ikke rekrutterer endnu
- Research Site
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Zhengzhou, Kina, 450006
- Rekruttering
- Research Site
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Zhuzhou, Kina, 412007
- Rekruttering
- Research Site
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Zibo, Kina, 255036
- Rekruttering
- Research Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Placebo komparator: Placebo
Placebo administreret startende på dag 1, efterfølgende administrationer pr. Vurderingsplan.
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Placebo administreret startende på dag 1 via IV -infusion, efterfølgende administrationer pr. Vurderingsplan.
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Eksperimentel: AZD0292
AZD0292 administered starting on Day 1, subsequent administrations per schedule of assessments.
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AZD0292 administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Annualized rate of exacerbations over a variable follow-up time
Tidsramme: Min 28 weeks, max 52 weeks
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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
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Min 28 weeks, max 52 weeks
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Årlig sats for alvorlige forværringer over en variabel opfølgningstid
Tidsramme: Min 28 uger, Max 52 uger
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For at evaluere effekten af AZD0292 sammenlignet med placebo på alvorlige forværringer hos deltagere med NCFBE og kronisk kolonisering med PSA
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Min 28 uger, Max 52 uger
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Forekomst af ADA- og ADA -titere til AZD0292
Tidsramme: På specificerede tidspunkter mellem uge 0 og sidste dosis +12 uger
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For at evaluere immunogeniciteten af IV -doser af AZD0292 hos deltagere med bronchiectasis og kronisk kolonisering med PSA
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På specificerede tidspunkter mellem uge 0 og sidste dosis +12 uger
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Forekomst af AES, SAES, AESIS og MAAES
Tidsramme: Forekomst af AE'er; Første dosis gennem 12 uger efter sidste studieinterventionsadministration. Forekomst af saes, enese og maaes; Gennem undersøgelsesafslutning (endelig dosis+24 uger)
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For at vurdere sikkerheden ved AZD0292 sammenlignet med placebo hos deltagere med bronchiectasis og kronisk kolonisering med PSA
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Forekomst af AE'er; Første dosis gennem 12 uger efter sidste studieinterventionsadministration. Forekomst af saes, enese og maaes; Gennem undersøgelsesafslutning (endelig dosis+24 uger)
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Change from baseline in QoL-B-RSS
Tidsramme: Over the observation period (Week 0 to Last Dose+4 weeks)
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To evaluate the effect of AZD0292 compared to placebo on quality of life, as assessed by QoL-B-RSS over the observation period
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Over the observation period (Week 0 to Last Dose+4 weeks)
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Change from baseline in SGRQ score
Tidsramme: Over the observation period (Week 0 to Last Dose+4 weeks)
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To evaluate the effect of AZD0292 compared to placebo on quality of life, as assessed by SGRQ over the observation period.
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Over the observation period (Week 0 to Last Dose+4 weeks)
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Time to first moderate or severe exacerbation
Tidsramme: Time Frame: Through study completion (Final Dose +24 weeks)
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To evaluate the effect of AZD0292 compared to placebo on time to first pulmonary exacerbation in participants with NCFBE and chronic colonization with PsA.
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Time Frame: Through study completion (Final Dose +24 weeks)
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Serum PK Concentrations
Tidsramme: At specified timepoints between Week 0 and Final Dose +12 weeks
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To evaluate the PK of IV doses of AZD0292 in participants with bronchiectasis and chronic colonization with PsA
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At specified timepoints between Week 0 and Final Dose +12 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
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
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- D7700C00010
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
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-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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Studerer et amerikansk FDA-reguleret enhedsprodukt
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