- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT05329194
Effektivitets- og sikkerhetsstudie av Tezepelumab hos voksne og ungdommer med alvorlig astma i USA (PASSAGE)
En multisenter, enarms, åpen etikett, etter-godkjenning, fase 4 effektivitet og sikkerhet studie av Tezepelumab hos voksne og ungdommer med alvorlig astma, inkludert flere understuderte populasjoner i USA (PASSAGE)
Studieoversikt
Detaljert beskrivelse
Studietype
Registrering (Faktiske)
Fase
- Fase 4
Kontakter og plasseringer
Studiesteder
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Alabama
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Mobile, Alabama, Forente stater, 36608
- Research Site
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Arizona
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Gilbert, Arizona, Forente stater, 85234
- Research Site
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California
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Long Beach, California, Forente stater, 90815
- Research Site
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Los Angeles, California, Forente stater, 90017
- Research Site
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Rancho Mirage, California, Forente stater, 92270
- Research Site
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Westminster, California, Forente stater, 92683
- Research Site
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Colorado
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Colorado Springs, Colorado, Forente stater, 80907
- Research Site
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Connecticut
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New Haven, Connecticut, Forente stater, 06510
- Research Site
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District of Columbia
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Washington D.C., District of Columbia, Forente stater, 20037
- Research Site
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Illinois
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Chicago, Illinois, Forente stater, 60611
- Research Site
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Kentucky
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Lexington, Kentucky, Forente stater, 40509
- Research Site
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Louisiana
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New Orleans, Louisiana, Forente stater, 70112
- Research Site
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Maryland
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Upper Marlboro, Maryland, Forente stater, 20772
- Research Site
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Michigan
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Ann Arbor, Michigan, Forente stater, 48109
- Research Site
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Ypsilanti, Michigan, Forente stater, 48197
- Research Site
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Minnesota
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Saint Paul, Minnesota, Forente stater, 55109
- Research Site
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Missouri
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St Louis, Missouri, Forente stater, 63110
- Research Site
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Nebraska
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Lincoln, Nebraska, Forente stater, 68505
- Research Site
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Omaha, Nebraska, Forente stater, 68114
- Research Site
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New York
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Hollis, New York, Forente stater, 11423
- Research Site
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Horseheads, New York, Forente stater, 14845
- Research Site
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Rochester, New York, Forente stater, 14642
- Research Site
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Valhalla, New York, Forente stater, 10595
- Research Site
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North Carolina
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Chapel Hill, North Carolina, Forente stater, 27514
- Research Site
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Wilmington, North Carolina, Forente stater, 28401
- Research Site
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Ohio
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Toledo, Ohio, Forente stater, 43617
- Research Site
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Oklahoma
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Oklahoma City, Oklahoma, Forente stater, 73120
- Research Site
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Pennsylvania
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Altoona, Pennsylvania, Forente stater, 16602
- Research Site
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Philadelphia, Pennsylvania, Forente stater, 19140
- Research Site
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Rhode Island
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Warwick, Rhode Island, Forente stater, 02886
- Research Site
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South Carolina
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Greenville, South Carolina, Forente stater, 29607
- Research Site
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Tennessee
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Hendersonville, Tennessee, Forente stater, 37075
- Research Site
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Texas
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Fort Worth, Texas, Forente stater, 76104
- Research Site
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McKinney, Texas, Forente stater, 75069
- Research Site
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San Antonio, Texas, Forente stater, 78229
- Research Site
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Virginia
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Charlottesville, Virginia, Forente stater, 22903
- Research Site
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Washington
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Vancouver, Washington, Forente stater, 98664
- Research Site
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Beskrivelse
Inklusjonskriterier:
- Mannlig eller kvinnelig deltaker må være 12 år eller eldre på tidspunktet for undertegning av skjemaet for informert samtykke eller samtykke.
- Dokumentert legediagnostisert astma i minst 12 måneder og bekreftet av etterforskeren å ikke skyldes alternative diagnoser.
- Dokumentert behandling med middels til høy dose ICS i henhold til Global Initiative for Asthma (GINA) retningslinjer (GINA 2021) i minst 12 måneder.
- Bruk av ytterligere astmavedlikeholdskontroller(er) i tillegg til ICS i minst 12 måneder. Den ekstra vedlikeholdskontrollmedisinen kan være inneholdt i et kombinasjonsprodukt (f.eks. ICS/langtidsvirkende β-agonist (LABA)).
- Dokumentert historie med minst 2 astmaeksaserbasjoner i løpet av de 12 månedene.
- Legens avgjørelse om at deltakeren er kvalifisert for behandling med tezepelumab i henhold til godkjent amerikansk produktvedlegg (USPI).
- Får for tiden omsorg fra spesialistleger (f.eks. lungeleger og/eller allergiker).
- Fullførte hele kurset med covid-19-vaksinasjon minst 28 dager før tezepelumab-administrasjon. Å ta en godkjent vaksinebooster er ikke et krav for å delta i denne studien.
- Utlevering av signert og datert skriftlig informert samtykkeskjema.
Ekskluderingskriterier:
- Enhver kontraindikasjon for tezepelumab i henhold til den amerikanske godkjente produktetiketten eller etter etterforskerens mening.
- Komorbid diagnose av alvorlig eller svært alvorlig kronisk obstruktiv lungesykdom (KOLS) i henhold til GOLDs retningslinjer (GOLD 2021).
- Tidligere biologisk bruk for behandling av astma innen 4 måneder eller 5 halveringstider (avhengig av hva som er lengst).
- Deltakelse i en intervensjonell klinisk studie for astma innen 12 måneder.
- Bedømmelse fra etterforskeren om at det er usannsynlig at deltakeren vil overholde studieprosedyrer, restriksjoner og krav.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Tezepelumab
Deltakerne vil motta 210 mg tezepelumab hver 4. uke (Q4W) fra uke 0 til uke 48.
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Deltakerne vil få subkutan injeksjon av tezepelumab.
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Annualized Asthma Exacerbation Rate (AAER)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Asthma exacerbations were defined by worsening of asthma symptoms that leads to temporary bolus/burst of systemic corticosteroids for at least 3 consecutive days, or an emergency department (ED) or urgent care visit due to asthma that required systemic corticosteroid (SCS), and/or inpatient hospitalization (≥24 hours) due to asthma. The AAER was based on exacerbations reported by the investigator over 52 weeks. The exacerbation rate was compared between the 12-month period before [baseline period (BP)] and the 12-month period after initiation of tezepelumab [up to study Week 52 (Visit 15) = study period (SP)]. |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Number of Participants With Asthma Exacerbations
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The number of participants with at least one asthma exacerbation in the 12-month period before (baseline period) and after initiation of tezepelumab (study period) (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants Who Completed the 52 -Week Study Period With Any Reduction in Total Number of Asthma Exacerbations
Tidsramme: From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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The number of participants who completed the 52 -week study period following tezepelumab initiation with at least 50% reduction, and 100% reduction in total number of asthma exacerbations were assessed.
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From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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Cumulative Asthma Exacerbation Days
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The cumulative asthma exacerbation days over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Time to First Asthma Exacerbation
Tidsramme: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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The time to first exacerbation after initiation of tezepelumab was assessed.
Data for median time to event have been presented for this endpoint.
The median is the descriptive statistics median calculated using a subset of Participants with an event.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Rate of Asthma Exacerbations Associated With Hospitalizations
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The rate of asthma exacerbations associated with hospitalization over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Emergency Department /Urgent Care (ED/UC) Visits
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The rate of asthma exacerbations associated with ED/UC visits over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The rate of asthma exacerbations associated with hospitalizations or ED/UC visits over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants With Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The number of participants with asthma exacerbations associated with hospitalizations or ED/UC visits in in the 12-month periods before (baseline period) and after initiation of tezepelumab (study period) (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Cumulative Asthma Exacerbation Days Associated With Hospitalizations or ED/UC Visits
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The cumulative asthma exacerbation days associated with hospitalizations or ED/UC over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) were assessed. Total days of exacerbations resulting in hospitalizations or ED/UC visits have been presented. |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in 1 Second (FEV1)
Tidsramme: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Lung function (FEV1) was measured pre-bronchodilator (pre-BD) by spirometry test.
FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Change From Baseline in Pre-bronchodilator FEV1
Tidsramme: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in pre-bronchodilator FEV1 was assessed after initiation of tezepelumab.
FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Number of Pre-BD FEV1 Responders
Tidsramme: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of pre-BD FEV1 responders was defined as participants who achieved either at least 5% or 100 mL improvement from baseline.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Asthma Control Questionnaire (ACQ-6)
Tidsramme: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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The Asthma Control Questionnaire-6 (ACQ-6) is a shortened version of the ACQ that assesses the adequacy of asthma control and change in asthma control which occurs spontaneously or as a result of treatment.
ACQ assesses symptoms and rescue bronchodilator use.
Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled), with higher scores indicating worse asthma control.
The mean (average) ACQ-6 score is the mean of the responses.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Asthma Impairment and Risk Questionnaire (AIRQ)
Tidsramme: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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The Asthma Impairment and Risk Questionnaire (AIRQ) is a Patient Reported Outcome (PRO) tool intended to identify participants 12 years and older whose health may be at risk because of uncontrolled asthma.
It has 10 questions that ask about respiratory symptoms, activity limitation, sleep, rescue medication use, social activities, exercise, difficulty controlling asthma, and exacerbations.
All items have a yes/no response option and the tool is scored by summing the total number of 'yes' responses.
This sum score is used to assess level of asthma control, ranging from 0 to 10, with higher scores indicating worse asthma control, where: 0-1 is well controlled, 2-4 is not well controlled, and 5-10 is very poorly controlled.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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St. George's Respiratory Questionnaire (SGRQ)
Tidsramme: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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St. George's Respiratory Questionnaire (SGRQ) is a 50-item Patient Reported Outcome (PRO) instrument used to measure health status of participants with airway obstruction diseases.
Questionnaire has 2 parts: part 1 consists of 8 items pertaining to severity of respiratory symptoms in preceding 4 weeks; part 2 consists of 42 items related to daily activity and psychosocial impacts of individual's respiratory condition.
SGRQ yields a total score and 3 components scores (symptoms, activity, and impacts).
Total score indicates impact of disease on overall health status, and it is expressed as percentage of overall impairment, in which 100 represents worst possible health status and 0 indicates best possible health status.
Likewise, domain scores range from 0 to 100, with higher scores indicative of greater impairment.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Change From Baseline in ACQ-6 Score
Tidsramme: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in Asthma Control Questionnaire-6 (ACQ-6) score was assessed. The ACQ-6 is a shortened version of the ACQ that assesses the adequacy of asthma control and change in asthma control which occurs spontaneously or as a result of treatment. ACQ assesses symptoms and rescue bronchodilator use. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled), with higher scores indicating worse asthma control. |
Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change From Baseline in AIRQ Score
Tidsramme: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in Asthma Impairment and Risk Questionnaire (AIRQ) score was assessed.
AIRQ is a Patient Reported Outcome (PRO) tool intended to identify participants 12 years and older whose health may be at risk because of uncontrolled asthma.
It has 10 questions that ask about respiratory symptoms, activity limitation, sleep, rescue medication use, social activities, exercise, difficulty controlling asthma, and exacerbations.
All items have a yes/no response option and the tool is scored by summing the total number of 'yes' responses.
This sum score is used to assess level of asthma control, ranging from 0 to 10, with higher scores indicating worse asthma control, where: 0-1 is well controlled, 2-4 is not well controlled, and 5-10 is very poorly controlled.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change From Baseline in SGRQ Score
Tidsramme: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
|
Change from baseline in St. George's Respiratory Questionnaire (SGRQ) score was assessed.
SGRQ is a 50-item Patient Reported Outcome (PRO) instrument used to measure health status of participants with airway obstruction diseases.
Questionnaire has 2 parts: part 1 consists of 8 items pertaining to severity of respiratory symptoms in preceding 4 weeks; part 2 consists of 42 items related to daily activity and psychosocial impacts of individual's respiratory condition.
SGRQ yields a total score and 3 components scores (symptoms, activity, and impacts).
Total score indicates impact of disease on overall health status, and it is expressed as percentage of overall impairment, in which 100 represents worst possible health status and 0 indicates best possible health status.
Likewise, domain scores range from 0 to 100, with higher scores indicative of greater impairment.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Number of ACQ-6 Responders
Tidsramme: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of ACQ-6 responders were assessed.
Individual changes from baseline of ≥ 0.5 were considered to be clinically meaningful (minimum clinically important difference [MCID]).
ACQ-6 responders in this study were defined as participants who achieved ≥ 1 MCID.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of AIRQ Responders
Tidsramme: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of AIRQ responders were assessed.
Individual changes from baseline of ≥ 2 were considered to be clinically meaningful (MCID).
AIRQ responders in this study were defined as participants who achieved ≥ 1 MCID.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of SGRQ Responders
Tidsramme: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of SGRQ responders were assessed.
Individual changes from baseline of ≥ 4 were considered to be clinically meaningful (MCID).
SGRQ (total and component score) responders in this study were defined as participants who achieved ≥ 1 MCID.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of Participants Who Require Any Systemic Corticosteroid (SCS) Use
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants who require any SCS use in the 12-month periods before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Cumulative Annualized SCS Dose
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Cumulative annualized SCS dose in the 12-month periods before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed. Cumulative annualized SCS dose for each participant was calculated as followed: Cumulative annualized SCS dose = [sum of (cumulative SCS dose)/length of the planned treatment period]*365.25 |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants Who Require Longer-term (>30 Consecutive Days) SCS Use
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants who require longer-term (>30 consecutive days) SCS use in the 12-month periods before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number and Type of Asthma-related Healthcare Resource Utilization (HRU)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants with specific type of asthma-related HRU in the 12-month period before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Duration of Asthma-related Hospitalizations
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Duration of asthma-related hospitalization in the 12-month period before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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AAER for Asthma Exacerbations (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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AAER based on asthma exacerbations in the 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] was assessed in following subgroups of participants: Blood eosinophil count (BEC) ≥300 cells/microliter; BEC <300 cells/microliter; With clinically-relevant allergy to perennial aeroallergen; Without clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate chronic obstructive pulmonary disease (COPD); Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants With Asthma Exacerbations (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The number of participants with at least one asthma exacerbations in the 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants Who Completed the 52-week Study With Any Reduction in Total Number of Asthma Exacerbations (Subgroups of Participants)
Tidsramme: From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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The number of participants who completed the 52-week study period following tezepelumab initiation with at least 50% reduction, and 100% reduction in total number of asthma exacerbations were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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Cumulative Asthma Exacerbation Days (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The cumulative asthma exacerbation days over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Hospitalizations (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of asthma exacerbations associated with hospitalization over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] was assessed in the following subgroups of participants: BEC ≥300 cells/µL; BEC <300 cells/µL; With a clinically-relevant allergy to perennial aeroallergen; Without a clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Emergency Department/Urgent Care (ED/UC) Visits (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of asthma exacerbations associated with ED/UC visits over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] was assessed in following subgroups of participants: BEC ≥300 cells/µL; BEC <300 cells/µL; With a clinically-relevant allergy to perennial aeroallergen; Without a clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of asthma exacerbations associated with hospitalizations or ED/UC visits over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] was assessed in following subgroups of participants: BEC ≥300 cells/µL; BEC <300 cells/µL; With clinically-relevant allergy to perennial aeroallergen; Without clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number and Type of Asthma-related HRU (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants with specific type of asthma related HRU in the 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking). FEIA = Fluorescent enzyme immunoassay |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Duration of Asthma-related Hospitalizations (Subgroups of Participants)
Tidsramme: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
Duration of asthma-related hospitalization in 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] was assessed in following subgroups of participants: BEC≥300 cells/µL; BEC<300 cells/µL; With clinically-relevant allergy to perennial aeroallergen; Without clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
|
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Participants With Serious Adverse Events (SAEs), Adverse Events That Lead to Tezepelumab Treatment Discontinuation (DAEs), and Adverse Events of Special Interest (AESIs)
Tidsramme: Up to Week 52
|
The safety and tolerability of tezepelumab were assessed.
Data for adverse events on-treatment period have been presented.
|
Up to Week 52
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Njira Lugogo., MD., University of Michigan Health. Michigan, USA
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Lugogo NL, Akuthota P, Sumino K, Mathur SK, Burnette AF, Lindsley AW, Llanos JP, Marchese C, Ambrose CS, Emmanuel B. Effectiveness and Safety of Tezepelumab in a Diverse Population of US Patients with Severe Asthma: Initial Results of the PASSAGE Study. Adv Ther. 2025 Jul;42(7):3334-3353. doi: 10.1007/s12325-025-03231-6. Epub 2025 May 19.
- Lugogo NL, Akuthota P, Sumino K, Burnette AF, Mathur SK, Lindsley AW, Llanos JP, Marchese C, Ambrose CS, Emmanuel B. Tezepelumab in Real-World U.S. Patients with Severe Asthma Across Phenotypes and Underrepresented Populations: The Phase 4 PASSAGE Study. Am J Respir Crit Care Med. 2026 May 18:aamag225. doi: 10.1093/ajrccm/aamag225. Online ahead of print.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- D5180C00032
- 2026-000081-25 (EudraCT-nummer)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
Kvalifiserte forskere kan be om tilgang til anonymiserte individuelle data på pasientnivå fra AstraZeneca gruppe av selskaper sponset kliniske studier via forespørselsportalen. Alle forespørsler vil bli evaluert i henhold til AZ-avsløringsforpliktelsen:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Ja, indikerer at AZ aksepterer forespørsler om IPD, men dette betyr ikke at alle forespørsler vil bli delt.
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
produkt produsert i og eksportert fra USA
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .