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临床试验/EUCTR2019-001800-39-GR
EUCTR2019-001800-39-GR进行中(未招募)1 期

A Multicenter, Randomized, Double-blind, Chronic-dosing, Parallel-group,Placebo-controlled Phase 3 Study to Evaluate the Efficacy and Safety ofBenralizumab 100 mg in Patients with Moderate to Very Severe ChronicObstructive Pulmonary Disease (COPD) with a History of Frequent COPDExacerbations and Elevated Peripheral Blood Eosinophils (RESOLUTE) - RESOLUTE

AstraZeneca AB0 个研究点目标入组 868 人开始时间: 2020年8月3日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
868

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1 Provision of informed consent
  • 2 Age 40 to 85 years
  • 3 Male and/or female.
  • 4 Current or former smoker with a tobacco history of =10 pack-years.
  • 5 History of moderate to very severe COPD with a post-bronchodilator FEV1/FVC<0.70 and FEV1 =65% of predicted normal value.
  • 6 Documented history of 2 or more COPD exacerbations that required treatment with systemic corticosteroids and/or hospitalization within 52 weeks prior to enrollment.
  • (a) Exacerbations treated with antibiotics alone are excluded unless accompanied by treatment with systemic corticosteroids and/or hospitalization.
  • (b) Hospitalization is defined as an inpatient admission =24 hours
  • (c) Previous exacerbations should be confirmed to have occurred while on stable triple therapy for COPD.
  • 7 Documented use of triple (ICS/LABA/LAMA) background therapy for COPD throughout the year (52 weeks) prior to enrollment.
  • (a) ICS in a dose approved for COPD or equivalent to =250 mcg of fluticasone propionate daily
  • (b) Total cumulative duration of not being on triple background therapy must not exceed 2 months.
  • (c) Stable therapy/doses for the last 3 months prior to randomization.
  • 8 Blood eosinophil count =300/µL at screening and documented historical eosinophil count of =150/µL within 52 weeks of enrollment (or repeated testing during run-in).
  • 9 CAT total score =15 at Visit 1.
  • 10 Negative pregnancy test for females of childbearing potential (WOCBP) at Visit 1.
  • 11 Women of childbearing potential (WOCBP) must agree to use a highly effective method of birth control from enrollment throughout the study and within 12 weeks after last dose of IP.
  • Women not of childbearing potential are defined as women who are either permanently sterilized or postmenopausal (confirmed by FSH test for women <50 years).
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 434
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 434

排除标准

  • 1 Clinically important pulmonary disease other than COPD
  • 2 Current diagnosis of asthma, prior history of asthma or asthma-COPD overlap according to GINA/GOLD. Childhood history of asthma is allowed and defined as asthma diagnosed and resolved before theage of 18.
  • 3 Radiological findings of a respiratory disease other than COPD contributing to respiratory symptoms. Solitary pulmonary nodules without appropriate follow up or findings of acute infection.
  • 4 Another pulmonary or systemic disease associated with elevated peripheral eosinophil counts.
  • 5 Any unstable disorder that could affect patient safety, study findings or the patient’s ability to complete the study.
  • 6 Any clinically significant abnormal findings in physical examination, vital signs, ECG, laboratory tests could affect patient safety, study findings or the patient’s ability to complete the study.
  • 7 Cor pulmonale and/or right ventricular failure.
  • 8 Long-term treatment with oxygen >4.0 L/min and/or oxyhemoglobin saturation <89% while breathing supplemental oxygen.
  • 9 Use of any non-invasive positive pressure ventilation device (NIPPV). Note: use of CPAP for Sleep Apnea Syndrome is allowed.
  • 10 Known immunodeficiency disorder, including positive HIV-1/2 testing.
  • 11 Active liver disease. Chronic stable hepatitis B and C (including positive HBsAg or hepatitis C antibody testing), or other stable chronic liver disease are acceptable.
  • 12 ALT or AST =3 times the upper limit of normal, confirmed by repeated testing during the run-in period.
  • 13 Helminth parasitic infection within 24 weeks prior to enrollment, not treated or failed to respond to standard of care therapy.
  • 14 Alcohol or drug abuse within the past year, which may compromise the study data.
  • 15 Malignancy, current or within the past 5 years, except for adequately treated non invasive basal cell and squamous cell carcinoma of the skin and cervical carcinoma-in-situ treated with apparent success more than 1 year prior to Visit 1. Suspected malignancy or undefined neoplasms.
  • 16 Evidence of active tuberculosis, as judged by investigator. Patients with a recent (within 2 years) first-time or newly positive PPD or Quantiferon test need to complete an appropriate course of treatment before enrollment. Evaluation will be according to the local standard of care.
  • 17 Participation, or planned participation, in intensive COPD rehabilitation program (maintenance phase of a rehabilitation is allowed).
  • 18 History of surgical or endoscopic lung volume reduction within the 6 months prior to enrollment. History of partial or total lung resection (single lobe or segmentectomy is acceptable).
  • 19 Scheduled major surgical procedure during the study. Minor elective procedures are allowed.
  • 20 History of anaphylaxis to benralizumab or any other biologic therapy.
  • 21 Receipt of blood products or immunoglobulins within 30 days prior to randomization.
  • 22 Receipt of any marketed or investigational biologic product within 4 months or 5 half-lives prior to randomization, whichever is longer.
  • 23 Receipt of live attenuated vaccines 30 days prior to randomization.
  • 24 Chronic use of immunosuppressive medication or expected need for chronic use during the study.
  • 25 Chronic use

研究者

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