- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT05329194
Исследование эффективности и безопасности тезепелумаба у взрослых и подростков с тяжелой астмой в США (PASSAGE)
Многоцентровое, одногрупповое, открытое, пострегистрационное исследование фазы 4 эффективности и безопасности тезепелумаба у взрослых и подростков с тяжелой астмой, включая несколько недостаточно изученных групп населения в США (PASSAGE)
Обзор исследования
Подробное описание
Тип исследования
Регистрация (Действительный)
Фаза
- Фаза 4
Контакты и местонахождение
Места учебы
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Alabama
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Mobile, Alabama, Соединенные Штаты, 36608
- Research Site
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Arizona
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Gilbert, Arizona, Соединенные Штаты, 85234
- Research Site
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California
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Long Beach, California, Соединенные Штаты, 90815
- Research Site
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Los Angeles, California, Соединенные Штаты, 90017
- Research Site
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Rancho Mirage, California, Соединенные Штаты, 92270
- Research Site
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Westminster, California, Соединенные Штаты, 92683
- Research Site
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Colorado
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Colorado Springs, Colorado, Соединенные Штаты, 80907
- Research Site
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Connecticut
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New Haven, Connecticut, Соединенные Штаты, 06510
- Research Site
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District of Columbia
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Washington D.C., District of Columbia, Соединенные Штаты, 20037
- Research Site
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Illinois
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Chicago, Illinois, Соединенные Штаты, 60611
- Research Site
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Kentucky
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Lexington, Kentucky, Соединенные Штаты, 40509
- Research Site
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Louisiana
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New Orleans, Louisiana, Соединенные Штаты, 70112
- Research Site
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Maryland
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Upper Marlboro, Maryland, Соединенные Штаты, 20772
- Research Site
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Michigan
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Ann Arbor, Michigan, Соединенные Штаты, 48109
- Research Site
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Ypsilanti, Michigan, Соединенные Штаты, 48197
- Research Site
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Minnesota
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Saint Paul, Minnesota, Соединенные Штаты, 55109
- Research Site
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Missouri
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St Louis, Missouri, Соединенные Штаты, 63110
- Research Site
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Nebraska
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Lincoln, Nebraska, Соединенные Штаты, 68505
- Research Site
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Omaha, Nebraska, Соединенные Штаты, 68114
- Research Site
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New York
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Hollis, New York, Соединенные Штаты, 11423
- Research Site
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Horseheads, New York, Соединенные Штаты, 14845
- Research Site
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Rochester, New York, Соединенные Штаты, 14642
- Research Site
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Valhalla, New York, Соединенные Штаты, 10595
- Research Site
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North Carolina
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Chapel Hill, North Carolina, Соединенные Штаты, 27514
- Research Site
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Wilmington, North Carolina, Соединенные Штаты, 28401
- Research Site
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Ohio
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Toledo, Ohio, Соединенные Штаты, 43617
- Research Site
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Oklahoma
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Oklahoma City, Oklahoma, Соединенные Штаты, 73120
- Research Site
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Pennsylvania
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Altoona, Pennsylvania, Соединенные Штаты, 16602
- Research Site
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Philadelphia, Pennsylvania, Соединенные Штаты, 19140
- Research Site
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Rhode Island
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Warwick, Rhode Island, Соединенные Штаты, 02886
- Research Site
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South Carolina
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Greenville, South Carolina, Соединенные Штаты, 29607
- Research Site
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Tennessee
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Hendersonville, Tennessee, Соединенные Штаты, 37075
- Research Site
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Texas
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Fort Worth, Texas, Соединенные Штаты, 76104
- Research Site
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McKinney, Texas, Соединенные Штаты, 75069
- Research Site
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San Antonio, Texas, Соединенные Штаты, 78229
- Research Site
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Virginia
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Charlottesville, Virginia, Соединенные Штаты, 22903
- Research Site
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Washington
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Vancouver, Washington, Соединенные Штаты, 98664
- Research Site
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Описание
Критерии включения:
- Участнику мужского или женского пола должно быть не менее 12 лет на момент подписания формы информированного согласия или согласия.
- Задокументированная астма, диагностированная врачом в течение не менее 12 месяцев и подтвержденная исследователем, не связанная с альтернативными диагнозами.
- Задокументированное лечение средними и высокими дозами ICS в соответствии с рекомендациями Глобальной инициативы по лечению астмы (GINA) (GINA 2021) в течение не менее 12 месяцев.
- Использование дополнительных препаратов для контроля астмы в дополнение к ИКС в течение как минимум 12 месяцев. Дополнительный препарат, контролирующий поддерживающую терапию, может содержаться в комбинированном препарате (например, ИКС/β-агонист длительного действия (ДДБА)).
- Задокументированная история не менее 2 обострений астмы в течение 12 месяцев.
- Решение врача о том, что участник имеет право на лечение тезепелумабом в соответствии с утвержденным вкладышем к продукту в США (USPI).
- В настоящее время получает помощь от врачей-специалистов (например, пульмонологов и/или аллергологов).
- Прошел полный курс вакцинации против COVID-19 не менее чем за 28 дней до введения тезепелумаба. Прием одобренной бустерной вакцины не является обязательным требованием для участия в этом исследовании.
- Предоставление подписанной и датированной письменной формы информированного согласия.
Критерий исключения:
- Любые противопоказания к тезепелумабу, указанные на этикетке одобренного в США продукта или по мнению исследователя.
- Коморбидный диагноз тяжелой или очень тяжелой хронической обструктивной болезни легких (ХОБЛ) в соответствии с рекомендациями GOLD (GOLD 2021).
- Предшествующее биологическое использование для лечения астмы в течение 4 месяцев или 5 периодов полувыведения (в зависимости от того, что дольше).
- Участие в интервенционном клиническом исследовании астмы в течение 12 месяцев.
- Суждение исследователя о том, что участник вряд ли будет соблюдать процедуры, ограничения и требования исследования.
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Н/Д
- Интервенционная модель: Одногрупповое задание
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
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Экспериментальный: Тезепелумаб
Участники будут получать 210 мг тезепелумаба каждые 4 недели (Q4W) с недели 0 до недели 48.
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Участники получат подкожную инъекцию тезепелумаба.
Другие имена:
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Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
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Annualized Asthma Exacerbation Rate (AAER)
Временное ограничение: 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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Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
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Number of Participants With Asthma Exacerbations
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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)
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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)
Временное ограничение: 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)
Временное ограничение: 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)
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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)
Временное ограничение: 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
Временное ограничение: 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)
Временное ограничение: 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)
Временное ограничение: 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)
Временное ограничение: 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)
Временное ограничение: 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).
|
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
|
Rate of Asthma Exacerbations Associated With Hospitalizations (Subgroups of Participants)
Временное ограничение: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
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).
|
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
|
Rate of Asthma Exacerbations Associated With Emergency Department/Urgent Care (ED/UC) Visits (Subgroups of Participants)
Временное ограничение: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
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).
|
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
|
Rate of Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits (Subgroups of Participants)
Временное ограничение: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
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).
|
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
|
Number and Type of Asthma-related HRU (Subgroups of Participants)
Временное ограничение: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
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)
|
|
Duration of Asthma-related Hospitalizations (Subgroups of Participants)
Временное ограничение: 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)
|
Другие показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Number of Participants With Serious Adverse Events (SAEs), Adverse Events That Lead to Tezepelumab Treatment Discontinuation (DAEs), and Adverse Events of Special Interest (AESIs)
Временное ограничение: 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
|
Соавторы и исследователи
Спонсор
Соавторы
Следователи
- Главный следователь: Njira Lugogo., MD., University of Michigan Health. Michigan, USA
Публикации и полезные ссылки
Общие публикации
- 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.
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Действительный)
Завершение исследования (Действительный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- D5180C00032
- 2026-000081-25 (Номер EudraCT)
Планирование данных отдельных участников (IPD)
Планируете делиться данными об отдельных участниках (IPD)?
Описание плана IPD
Квалифицированные исследователи могут запросить доступ к анонимным данным отдельных пациентов у группы компаний AstraZeneca, спонсирующих клинические испытания, через портал запросов. Все запросы будут оцениваться в соответствии с обязательством AZ по раскрытию информации:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Да, указывает, что AZ принимает запросы на IPD, но это не означает, что все запросы будут общими.
Сроки обмена IPD
Критерии совместного доступа к IPD
Совместное использование IPD Поддерживающий тип информации
- STUDY_PROTOCOL
- САП
Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
продукт, произведенный в США и экспортированный из США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .