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A Study of Lebrikizumab in Adult Participants With Perennial Allergic Rhinitis (PREPARED-1)

Phase 3
Recruiting
Conditions
Perennial Allergic Rhinitis (PAR)
Interventions
Drug: Placebo
Drug: Standard therapy for INCS
Registration Number
NCT06339008
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to evaluate the efficacy and safety of lebrikizumab in adult participants with perennial allergic rhinitis. The study will last about 18 months

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
450
Inclusion Criteria
  • Physician-diagnosed PAR.
  • Has a positive skin prick test (SPT) with indoor allergens and/or positive antigen-specific serum immunoglobulin E (IgE) for indoor allergens ≥0.70 kU/L, utilizing a validated assay (central laboratory).
  • A dermatographic participant who has a known history of dermatographism or identified during the SPT may participate in this study with a positive serum IgE test.
  • Participants who have concomitant asthma must be stable in the 3 months prior to screening using permitted regular asthma treatment.
Exclusion Criteria
  • Have received a dose of lebrikizumab.

  • Is currently on allergen immunotherapy. However, individuals who discontinued subcutaneous or sublingual immunotherapy (SCIT/SLIT) for ≥3 years prior to randomization are eligible, if they were not on a maintenance allergen immunotherapy (AIT) regimen.

  • Have received treatment with any rescue medication during the screening and/or run-in period.

  • Have received treatment with any biologic or systemic immunosuppressants for inflammatory disease or autoimmune disease prior to the baseline visit:

    1. B cell-depleting biologics, including rituximab, within 6 months.
    2. other biologics within 5 half-lives (if known) or 8 weeks, whichever is longer.
    3. Systemic immunosuppressants within 4 weeks prior to baseline.
  • Have a history of seasonal worsening of AR and if the seasonal worsening is expected during the 4-week run-in period, the first 16 weeks after randomization, or during the last 4 weeks of the maintenance period.

  • Anticipates significant changes in their daily environmental exposure

  • Has a known history of recurrent acute or chronic sinusitis,

  • Female participant who is pregnant, breastfeeding or is planning to become pregnant or to breastfeed during the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Lebrikizumab Q2W/every 8 weeks (Q8W)LY3650150Lebrikizumab will be given as an SC injection. Participants will receive background therapy with INCS.
Lebrikizumab Q2W/every 8 weeks (Q8W)Standard therapy for INCSLebrikizumab will be given as an SC injection. Participants will receive background therapy with INCS.
Lebrikizumab every 2 weeks (Q2W)/ every 4 weeks (Q4W)Standard therapy for INCSLebrikizumab will be given as a subcutaneous (SC) injection. Participants will receive background therapy with intranasal corticosteroids (INCS).
Lebrikizumab every 2 weeks (Q2W)/ every 4 weeks (Q4W)LY3650150Lebrikizumab will be given as a subcutaneous (SC) injection. Participants will receive background therapy with intranasal corticosteroids (INCS).
Placebo Q2W/Q4WPlaceboPlacebo matching Lebrikizumab will be given as an SC injection. Participants will receive background therapy with INCS.
Placebo Q2W/Q4WStandard therapy for INCSPlacebo matching Lebrikizumab will be given as an SC injection. Participants will receive background therapy with INCS.
Primary Outcome Measures
NameTimeMethod
Mean Change From Baseline (CFBL) in Total Nasal Symptom Score (TNSS) at week 16Baseline, Week 16

Total nasal symptom score was a composite of 4 symptoms (rhinorrhea, nasal congestion, nasal itching and sneezing), each symptom was scored on a scale of 0 = none, 1 = mild, 2 = moderate, 3 = severe. The total score ranged from 0 to 12. The higher the score was, the more severe the symptoms were.

Secondary Outcome Measures
NameTimeMethod
Mean CFBL in RQLQ(S) at week 56Baseline, Week 56

The RQLQ includes 28 questions (completed between 10-15 min). Participants are asked to recall their experiences during the previous week and to respond to each question on a 7-point scale. The RQLQ score ranges from 0 to 6 (0 = no impairment, 6 = severe impairment)

Mean CFBL in TNSS at Week 4Baseline, Week 4

Total nasal symptom score was a composite of 4 symptoms (rhinorrhea, nasal congestion, nasal itching and sneezing), each symptom was scored on a scale of 0 = none, 1 = mild, 2 = moderate, 3 = severe. The total score ranged from 0 to 12. The higher the score was, the more severe the symptoms were.

Mean CFBL in TNSS at Week 56Baseline, Week 56

Total nasal symptom score was a composite of 4 symptoms (rhinorrhea, nasal congestion, nasal itching and sneezing), each symptom was scored on a scale of 0 = none, 1 = mild, 2 = moderate, 3 = severe. The total score ranged from 0 to 12. The higher the score was, the more severe the symptoms were.

Mean CFBL in Rhinoconjunctivitis Quality of Life Questionnaire Standardized Version [RQLQ(S)] at week 16Baseline, Week 16

The RQLQ includes 28 questions (completed between 10-15 min). Participants are asked to recall their experiences during the previous week and to respond to each question on a 7-point scale. The RQLQ score ranges from 0 to 6 (0 = no impairment, 6 = severe impairment).

Mean CFBL in Postnasal drip score at Week 16Baseline, Week 16

Postnasal drip is mucus drainage down the throat, as part of their Allergic Rhinitis (AR), will be rated by participants using a 4-point scale, where 0 corresponds to no symptoms and 3 corresponds to severe symptoms. Study participants are asked to record the severity of their postnasal drip, at its worst, for the previous 24 hours.

Trial Locations

Locations (64)

Clinical trial Pharmacy

🇰🇷

Seoul, Korea, Republic of

Polimedica PTG Kielce

🇵🇱

Kielce, Poland

Centrum Medyczne Promed ul. Olszańska 5G

🇵🇱

Krakow, Poland

gab. 114, ul. inż. pilota Wigury

🇵🇱

Lodz, Poland

Department of Nasal Allergy

🇨🇳

Beijing, China

GCP Pharmacy

🇨🇳

Guangzhou City, China

ETG Lublin

🇵🇱

Lublin, Poland

Outpatient building

🇨🇳

Wuhan City, China

Allergy and Asthma Specialists Medical Group

🇺🇸

Huntington Beach, California, United States

310 Clinical Research

🇺🇸

Inglewood, California, United States

Allergy & Asthma Associates of Southern California dba. Southern California Research

🇺🇸

Laguna Niguel, California, United States

Allergy and Asthma

🇺🇸

San Diego, California, United States

Asthma and Allergy Associates, PC

🇺🇸

Colorado Springs, Colorado, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Asthma Allergy Center of Chicago

🇺🇸

Chicago, Illinois, United States

Respiratory Medicine Research Institute of Michigan, PLC

🇺🇸

Ypsilanti, Michigan, United States

Clinical Research Institute

🇺🇸

Minneapolis, Minnesota, United States

Allergy, Asthma & Sinus Center

🇺🇸

Greenfield, Wisconsin, United States

Hôpital Erasme, Service Pharmacie

🇧🇪

Brussels, Belgium

Zhejiang People's Hospital

🇨🇳

Hangzhou City, China

Outpatient Department, Union Hospital

🇨🇳

Wuhan, China

Charité - Universitätsmedizin Berlin Klinik für Dermatologie

🇩🇪

Berlin, Germany

Praxis für HNO und Allergologie

🇩🇪

Dresden, Germany

Kyunghee University Hospital at Gangdong

🇰🇷

Seoul, Seoul, Korea, Korea, Republic of

Gangnam Severance Hospital 211

🇰🇷

Seoul, Korea, Republic of

Bluegrass Allergy Research

🇺🇸

Lexington, Kentucky, United States

University of Missouri Hospital

🇺🇸

Columbia, Missouri, United States

Allergy and Asthma Consultants

🇺🇸

Saint Louis, Missouri, United States

Asthma and Allergy Center

🇺🇸

Bellevue, Nebraska, United States

Circuit Clinical/Mercer Allergy and Pulmonary Associates

🇺🇸

Hamilton, New Jersey, United States

Circuit Clinical

🇺🇸

Secaucus, New Jersey, United States

Dr. Patrick Perin

🇺🇸

Teaneck, New Jersey, United States

Smith Allergy and Asthma

🇺🇸

Horseheads, New York, United States

Allergy Partners

🇺🇸

Asheville, North Carolina, United States

Bernstein Clinical Research Center, LLC

🇺🇸

Cincinnati, Ohio, United States

Northwest Research Center

🇺🇸

Portland, Oregon, United States

Allergy and Clinical Immunology Associates

🇺🇸

Pittsburgh, Pennsylvania, United States

AARA Research Center

🇺🇸

Dallas, Texas, United States

Kerrville Allergy and Asthma Associates

🇺🇸

Kerrville, Texas, United States

UZ Gent

🇧🇪

Gent, Oost-Vlaanderen, Belgium

Pneumocare

🇧🇪

Erpent, Belgium

UZ Leuven, Pharmacy

🇧🇪

Leuven, Belgium

Hôpital de la Citadelle

🇧🇪

Liège, Belgium

Renmin Hospital of Wuhan University

🇨🇳

Wu Han, Hubei, China

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

The First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

Internal Medicine Building

🇨🇳

Beijing, China

Shengjing Hospital

🇨🇳

Nanhu District, China

Tongji Hospital

🇨🇳

Shanghai, China

Yangzhou University

🇨🇳

Yangzhou City, China

Universitätsklinikum Carl Gustav Carus an der TU

🇩🇪

Dresden, Germany

IKF Pneumologie

🇩🇪

Frankfurt am Main, Germany

Siteworks - Zentrum für klinische Studien Heidelberg

🇩🇪

Heidelberg, Germany

Zentrum für Rhinologie und Allergologie

🇩🇪

Weisbaden, Germany

SMG-SNU Boramae Medical Center

🇰🇷

Seoul, Korea, Republic of

Centrum Alergologii Teresa Hofman Sp z.o.o.

🇵🇱

Pila, Poland

ClinMedica Research

🇵🇱

Skierniewice, Poland

Universitätsklinik Marburg,Hals-, Nasen- und Ohrenklinik, Sektion Rhinologie und Allergologie

🇩🇪

Marburg, Germany

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Gyeonggi-do, Korea, Republic of

B1F, Pharmacy department, Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

ETG Warszawa

🇵🇱

Warszawa, Mazowieckie, Poland

EMED Centrum Usług Medycznych

🇵🇱

Rzeszow, Poland

Alergo-Med Specjalistyczna Przychodnia Lekarska Sp Z O.O.

🇵🇱

Tarnow, Poland

ALL-MED - Specjalistyczna Opieka Medyczna

🇵🇱

Wroclaw, Poland

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