- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00768079
A Phase 2 Study to Evaluate the Safety and Efficacy of Intravenously Administered Benralizumab (MEDI-563).
2020년 10월 27일 업데이트: MedImmune LLC
A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of Intravenously Administered MEDI-563, A Humanized Anti-interleukin-5 Receptor Alpha Monoclonal Antibody, on Asthma Control Following Acute Exacerbations in Adults
The study will evaluate the effect of two intravenous dose regimens of benralizumab (MEDI-563) on the proportion of adult subjects with asthma exacerbations who required an urgent healthcare visit for treatment of an acute asthma exacerbation.
연구 개요
상세 설명
The study will evaluate the effect of two intravenous dose regimens of benralizumab (MEDI-563) (0.3 milligram per kilogram [mg/kg] of body weight and 1.0 mg/kg of body weight) on the proportion of adult subjects with asthma exacerbations (relapse and de novo) who required an urgent healthcare visit for treatment of an acute asthma exacerbation.
연구 유형
중재적
등록 (실제)
110
단계
- 2 단계
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Florida
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Tampa, Florida, 미국, 33613
- Research Site
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Massachusetts
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Springfield, Massachusetts, 미국, 01199
- Research Site
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Michigan
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Detroit, Michigan, 미국, 48202
- Research Site
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New York
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East Meadow, New York, 미국, 11554
- Research Site
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New Hyde Park, New York, 미국, 11040
- Research Site
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Stony Brook, New York, 미국, 11794-8350
- Research Site
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North Carolina
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Greenville, North Carolina, 미국, 27834
- Research Site
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Ohio
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Cleveland, Ohio, 미국, 44109
- Research Site
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Rhode Island
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Providence, Rhode Island, 미국, 2903
- Research Site
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Alberta
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Edmonton, Alberta, 캐나다, T6G 2R3
- Research Site
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Nova Scotia
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Halifax, Nova Scotia, 캐나다, B3H 3A7
- Research Site
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 (성인)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion Criteria:
- Male or female subjects aged 18 to 60 years at the time of the administration of investigational product
- Written informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization (applies to covered entities in the US only) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations
- Physician-diagnosed asthma with a duration of greater than or equal to (>=) 2 years by medical chart or subject report
- Had an asthma exacerbation requiring urgent care in the year prior to screening
- Meets National Heart, Lung, and Blood Institute (NHLBI) for persistent asthma in the 3 months prior to the current urgent healthcare visit
- Current asthma exacerbation that must have lasted >= 2 hours prior to arrival to the urgent healthcare setting
- Requires at least 2 treatments of inhaled bronchodilators for the current asthma exacerbation in the urgent healthcare setting or within the emergency medical system (EMS) for >= 1 hour
- Shows an FEV1 or PEF of not more than 70 percent (%) predicted after 1 hour of treatment of the current asthma exacerbation
- Women of child-bearing potential, unless surgically sterile (including tubal ligation) and/or at least 2 years post-menopausal, must have used 2 effective methods of avoiding pregnancy (including oral, transdermal, or implanted contraceptives, intrauterine device, female condom with spermicide, diaphragm with spermicide, cervical cap, abstinence, use of a condom with spermicide by the sexual partner, or sterile sexual partner) from screening through the end of the study (Day 84; Cessation of birth control after this point should be discussed with a responsible physician)
- Men, unless surgically sterile, must likewise practice 2 effective methods of birth control (condom with spermicide or abstinence) and must use such precautions from Day 0 through Day 84
- Otherwise healthy by medical history and physical examination
- A chest x-ray that is normal for an asthmatic population and excludes alternative diagnosis per the investigation
- Ability to complete the follow-up period until Day 168 as required by protocol
- The investigator has determined that the subject is clinically stable and the FEV1, is >= 30% predicted prior to receiving investigational product on Day 0.
Exclusion Criteria:
- Known history of allergy or reaction to any component of the investigational product formulation
- Acute illness other than asthma at the start of the study
- Fever more than (>) 38.6 degrees Celsius (C) (>101.5 degrees Fahrenheit [F])
- Current acute asthma attack is due to aspirin-induced asthma
- Current asthma episode is an anaphylactoid/anaphylactic reaction presenting with acute bronchospasm
- Evidence of clinically significant non-respiratory active infection, including ongoing chronic infection
- History or current prolonged diarrhea, abdominal pain, and/or blood and mucus in stools or have minor symptoms and have exposure to stream or lake water, been exposed to someone who has a parasitic infection (like a family member), or study subject has traveled outside the United States of America (USA) and/or Canada within the last year
- Use of immunosuppressive medication (except oral prednisone and inhaled and topical corticosteroids) within 30 days before randomization into the study
- Have received Xolair within 6 months before randomization into the study
- Receipt of immunoglobulin or blood products within 30 days before randomization into the study
- Receipt of any investigational drug therapy within 6 months before the first dose of investigational product in this study through Day 168
- History of primary immunodeficiency
- Previous medical history, or evidence, of an intercurrent illness that may compromise the safety of the subject in the study
- History of clinically significant abnormality on ECG in the opinion of the investigator
- Pregnancy (must have a negative serum pregnancy test prior to the first dose of investigational product)
- Breastfeeding or lactating woman
- History of treatment for alcohol or drug abuse within the past year
- Diagnosis of chronic obstructive pulmonary disease (COPD) by a healthcare professional
- Evidence of any clinically significant systemic disease on physical examination
- History of cancer except basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy >1 year prior to entry or other malignancies treated with apparent success with curative therapy >5 years prior to entry
- Known exposure to inhaled occupational agents or fumes with an established diagnosis of occupational asthma
- Any condition (that is, impending ventilatory failure or hemodynamic compromise) that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of study results
- Any employee of the clinical study site who is involved with the conduct of the study
- History of cigarette smoking >20 pack years
- Previously received benralizumab (MEDI-563)
- Asthma exacerbation due to acute inhalational exposure.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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위약 비교기: Placebo
A single dose of placebo matched to benralizumab (MEDI-563) intravenous infusion over at least 30 minutes on Day 0.
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A single dose of placebo matched to benralizumab (MEDI-563) intravenous infusion over at least 30 minutes on Day 0.
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실험적: Benralizumab 0.3 mg/kg
A single dose of benralizumab (MEDI-563) 0.3 milligram per kilogram (mg/kg) of body weight intravenous infusion over at least 30 minutes on Day 0.
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A single dose of benralizumab (MEDI-563) 0.3 or 1 mg/kg of body weight intravenous infusion over at least 30 minutes on Day 0.
다른 이름들:
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실험적: Benralizumab 1.0 mg/kg
A single dose of benralizumab (MEDI-563) 1.0 mg/kg of body weight intravenous infusion over at least 30 minutes on Day 0.
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A single dose of benralizumab (MEDI-563) 0.3 or 1 mg/kg of body weight intravenous infusion over at least 30 minutes on Day 0.
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Percentage of Participants With Asthma Exacerbations at Week 12
기간: Week 12
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Percentage of participants who required urgent healthcare visit for treatment of acute asthma exacerbation were reported.
As per protocol, asthma exacerbation (relapse/de novo) was defined as either 1) increase of asthma symptoms (cough, wheeze, chest tightness, and/or shortness of breath) that did not resolve within 2 hours after use of rescue albuterol or corticosteroids and required an unscheduled medical visit or 2) during scheduled study visit, participant had acute worsening of asthma symptoms and a reduction of greater than or equal to (>=) 20 percent (%) in Peak Expiratory Flow (PEF) or Forced Expiratory Volume in 1 Second (FEV1), which in the opinion of the investigator required treatment with systemic corticosteroids.
Asthma exacerbations were analyzed in a non-adjudicated manner (by investigator), which were then adjudicated in a blinded fashion by the sponsor medical monitor prior to database lock to determine whether the reported exacerbation met the protocol definition.
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Week 12
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
기간: Day 0 to Day 84
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An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug.
A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Treatment-emergent are events between administration of study drug and Day 84 that were absent before treatment or that worsened relative to pretreatment state.
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Day 0 to Day 84
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Percentage of Participants With Asthma Exacerbations at Week 4 and Week 24
기간: Weeks 4 and 24
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Percentage of participants who required an urgent healthcare visit for treatment of an acute asthma exacerbation were reported.
As per protocol, asthma exacerbation (relapse or de novo) was defined as either 1) an increase of asthma symptoms (cough, wheeze, chest tightness, and/or shortness of breath) that did not resolve within 2 hours after the use of rescue albuterol or corticosteroids and required an unscheduled medical visit or 2) during a scheduled study visit, the participant had acute worsening of asthma symptoms and a reduction of >=20% in PEF or FEV1, which in the opinion of the investigator required treatment with systemic corticosteroids.
Asthma exacerbations were analyzed in a non-adjudicated manner (by investigator), which were then adjudicated in a blinded fashion by the sponsor medical monitor prior to database lock to determine whether the reported exacerbation met the protocol definition.
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Weeks 4 and 24
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Asthma Control Questionnaire (ACQ) Scores
기간: Days 0, 7, 42, and 84
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Asthma Control Questionnaire (ACQ) is a participant-reported questionnaire to assess the asthma control with 6 items assessing night-time waking, symptoms on waking, activity limitation, shortness of breath, wheeze, and rescue short-acting beta agonist use.
Each item was rated on a 7-point Likert scale ranging from 0 (no impairment) to 6 (maximum impairment).
Overall ACQ score is the mean of the 6 item scores with a score range of 0 (well controlled) to 6 (extremely poor controlled).
Results were reported for overall ACQ score and 6 item scores.
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Days 0, 7, 42, and 84
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Forced Expiratory Volume in 1 Second (FEV1) Recorded at Study Sites
기간: Days 0, 7, 42, and 84
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The FEV1 is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.
Spirometry was performed with the participant in the sitting position at study sites by the investigator or qualified designee according to American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines.
Multiple forced expiratory efforts (at least 2 but no more than 5) were performed for each office spirometry session and the 2 best efforts that met ATS/ERS acceptability and reproducibility criteria were recorded.
The best efforts were based on the highest FEV1.
The maximum FEV1 of the 2 best efforts was used for the analysis.
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Days 0, 7, 42, and 84
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Forced Expiratory Volume in 1 Second (FEV1) Recorded at Home
기간: Day 1 to Day 84
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The FEV1 is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.
Home peak flow testing for FEV1 was performed every morning while sitting or standing prior to using any medication (if needed) for asthma.
Mean FEV1 values for each week were reported starting from Day 1 to Day 84.
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Day 1 to Day 84
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Peak Expiratory Flow (PEF) Recorded at Home
기간: Day 1 to Day 84
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The PEF is a participant's maximum speed of expiration, as measured with a peak flow meter.
Home peak flow testing for PEF was performed every morning while sitting or standing prior to using any medication (if needed) for asthma.
Mean PEF values for each week were reported starting from Day 1 to Day 84.
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Day 1 to Day 84
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Number of Puffs of Rescue Beta-2 Agonist Per Week
기간: Day 1 to Day 84
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Rescue beta-2 agonist use (total number of puffs for the prior day) was collected daily in the morning by the participants in the electronic daily diary provided to them.
Participants were instructed not to collect rescue beta-2 agonist used prior to exercise.
Average values for each week were reported starting from Day 1 to Day 84.
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Day 1 to Day 84
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Number of Participants With Physician Global Assessment (PGA) at Day 42 and Day 84
기간: Days 42 and 84
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Physician Global Assessment (PGA) consisted of a single physician-rated question assessing participant's status as 'excellent', 'good', 'moderate', 'poor', 'worsening' or 'not applicable (NA)'.
Number of participants were categorically summarized.
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Days 42 and 84
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Asthma Quality of Life Questionnaire (Standardized Version) (AQLQ[S]) Scores
기간: Days 0, 42, and 84
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Asthma Quality of Life Questionnaire (Standardized Version) (AQLQ[S]): a 32-item questionnaire that measures the functional impairments experienced by adult participants including 4 domains (symptoms, activity limitations, emotional function, and environmental stimuli).
Participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment).
The overall score was calculated as the mean response to all questions.
The 4 domain scores were the means of the responses to the questions in each of the domains.
Overall AQLQ score and 4 domain scores ranged from 7 (no impairment) to 1 (severe impairment).
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Days 0, 42, and 84
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Number of Healthcare Resources Utilized by Resource Type
기간: Day 0 to Day 168
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Healthcare resource use was summarized by resource type from information on asthma exacerbations, and asthma related medications.
Healthcare resource utilization assessed the total number of hospitalizations, urgent care, primary care clinic visits, asthma specialist clinic visits, telephone calls, and home management.
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Day 0 to Day 168
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Maximum Observed Serum Concentration (Cmax) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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The Cmax of benralizumab is reported.
Non-compartmental pharmacokinetic (PK) analysis was used for evaluation.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Area Under the Serum Concentration-Time Curve From Time 0 to Last Quantifiable Concentration (AUClast) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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AUClast = area under the concentration-time curve from time 0 to last measurable concentration.
Non-compartmental PK analysis was used for evaluation.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Area Under the Serum Concentration-Time Curve From Time 0 to Extrapolated Infinite Time (AUC [0 - Infinity]) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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AUC [0 - infinity] = Area under the serum concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - infinity).
It is obtained from AUC (0 - t) plus AUC (t - infinity).
Non-compartmental PK analysis was used for evaluation.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Systemic Clearance (CL) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Systemic clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
Non-compartmental PK analysis was used for evaluation.
Clearance was normalized to participant's body weight.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Terminal Phase Elimination Half-Life (t1/2) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Terminal phase elimination half-life is the time measured for the serum concentration to decrease by one half.
Non-compartmental PK analysis was used for evaluation.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Volume of Distribution of the Central Compartment (Vc) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.
Vc = volume of distribution of the central compartment, calculated as Dose/Cmax; where Cmax = maximum observed serum concentration.
Non-compartmental PK analysis was used for evaluation.
Results were normalized to participant's body weight.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Volume of Distribution at Steady State (Vss) for Benralizumab
기간: Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.
Vss = steady state volume of distribution, calculated as MRT*CL, where MRT is the Mean Residence Time and CL is systemic clearance; which is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
Non-compartmental PK analysis was used for evaluation.
Results were normalized to participant's body weight.
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Predose and 1 hour post-end of infusion on Day 0; Days 7, 42, and 84
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Number of Participants With Anti-Drug Antibodies to Benralizumab
기간: Day 0 and 84
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Number of participants with anti-drug antibodies to benralizumab is reported.
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Day 0 and 84
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
스폰서
수사관
- 연구 책임자: Joseph M. Parker, M.D., MedImmune LLC
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2009년 2월 2일
기본 완료 (실제)
2010년 12월 17일
연구 완료 (실제)
2011년 3월 10일
연구 등록 날짜
최초 제출
2008년 10월 3일
QC 기준을 충족하는 최초 제출
2008년 10월 3일
처음 게시됨 (추정)
2008년 10월 7일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2020년 11월 18일
QC 기준을 충족하는 마지막 업데이트 제출
2020년 10월 27일
마지막으로 확인됨
2020년 10월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .