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- Klinische proef NCT07774403
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
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
Contacten en locaties
Studiecontact
- Naam: AstraZeneca Clinical Study Information Center
- Telefoonnummer: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Studie Locaties
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Anyang, China, 455099
- Werving
- Research Site
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Beijing, China, 100020
- Werving
- Research Site
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Beijing, China, 100034
- Werving
- Research Site
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Beijing, China, 100730
- Nog niet aan het werven
- Research Site
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Changsha, China, 410005
- Nog niet aan het werven
- Research Site
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Chengdu, China, 610014
- Werving
- Research Site
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Chengdu, China, 611130
- Werving
- Research Site
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Chengdu, China, 610078
- Werving
- Research Site
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Chizhou, China, 247099
- Werving
- Research Site
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Haikou, China, 570311
- Werving
- Research Site
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Hefei, China, 230061
- Werving
- Research Site
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Hohhot, China, 010010
- Nog niet aan het werven
- Research Site
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Hohhot, China, 010050
- Werving
- Research Site
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Jinan, China, 250013
- Werving
- Research Site
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Jinhua, China, 321000
- Werving
- Research Site
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Jining, China, 272006
- Nog niet aan het werven
- Research Site
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Kunming, China, 650032
- Werving
- Research Site
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Langfang, China, 065000
- Werving
- Research Site
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Linhai, China, 317000
- Werving
- Research Site
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Liuzhou, China, 545006
- Werving
- Research Site
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Nanchang, China, 330006
- Werving
- Research Site
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Nanchang, China, 330000
- Werving
- Research Site
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Nanning, China, 530021
- Werving
- Research Site
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Shanghai, China, 200032
- Werving
- Research Site
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Shanghai, China, 201199
- Werving
- Research Site
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Shanghai, China, 200065
- Werving
- Research Site
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Shanghai, China, 200080
- Nog niet aan het werven
- Research Site
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Shanghai, China, 200240
- Werving
- Research Site
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Shenyang, China, 110004
- Nog niet aan het werven
- Research Site
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Taicang, China, 215400
- Werving
- Research Site
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Taizhou, China, 318000
- Werving
- Research Site
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Wenzhou, China, 325000
- Werving
- Research Site
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Xinxiang, China, 453100
- Werving
- Research Site
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Xuzhou, China, 221000
- Werving
- Research Site
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Zaozhuang, China, 277102
- Werving
- Research Site
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Zhangzhou, China, 363099
- Werving
- Research Site
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Zhengzhou, China, 450000
- Nog niet aan het werven
- Research Site
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Zhengzhou, China, 450006
- Werving
- Research Site
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Zhuzhou, China, 412007
- Werving
- Research Site
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Zibo, China, 255036
- Werving
- Research Site
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verdrievoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Placebo-vergelijker: Placebo
Placebo beheerd vanaf dag 1, daaropvolgende administraties per beoordelingenschema.
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Placebo beheerd vanaf dag 1 via IV -infusie, daaropvolgende administraties per evaluatieschema.
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Experimenteel: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Annualized rate of exacerbations over a variable follow-up time
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Jaarlijkse snelheid van ernstige exacerbaties over een variabele follow-up tijd
Tijdsspanne: Min 28 weken, max 52 weken
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Om het effect van AZD0292 te evalueren in vergelijking met placebo op ernstige exacerbaties bij deelnemers met NCFBE en chronische kolonisatie met PSA
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Min 28 weken, max 52 weken
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Incidentie van ADA- en ADA -titers aan AZD0292
Tijdsspanne: Bij gespecificeerde tijdstippen tussen week 0 en de laatste dosis +12 weken
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Om de immunogeniteit van IV -doses AZD0292 te evalueren bij deelnemers met bronchiectasis en chronische kolonisatie met PSA
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Bij gespecificeerde tijdstippen tussen week 0 en de laatste dosis +12 weken
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Incidentie van AES, SAES, Aeses en MAAES
Tijdsspanne: Optreden van AE's; Eerste dosis tot en met 12 weken na laatste toediening van de studie -interventies. Optreden van SAE's, aesis en MAAE's; Door voltooiing van de studie (laatste dosis+24 weken)
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Om de veiligheid van AZD0292 te beoordelen in vergelijking met placebo bij deelnemers met bronchiectasis en chronische kolonisatie met PSA
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Optreden van AE's; Eerste dosis tot en met 12 weken na laatste toediening van de studie -interventies. Optreden van SAE's, aesis en MAAE's; Door voltooiing van de studie (laatste dosis+24 weken)
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Change from baseline in QoL-B-RSS
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- D7700C00010
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
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-tijdsbestek voor delen
IPD-toegangscriteria voor delen
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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