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A Study to Evaluate the Efficacy and Safety Study of Povorcitinib in Participants With Inadequately Controlled Moderate to Severe Asthma

Phase 2
Recruiting
Conditions
Moderate to Severe Asthma
Interventions
Other: placebo
Drug: ICS-LABA
Registration Number
NCT05851443
Lead Sponsor
Incyte Corporation
Brief Summary

The study is being conducted to evaluate the effect of 3 dosing regimens of povorcitinib on pulmonary function

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Physician-diagnosed asthma requiring treatment with medium- to high-dose ICS-LABA for at least 12 months prior to screening.
  • Pre-BD FEV1 < 80% predicted according to central over read value at Visit 2.
  • Documented historical post-BD reversibility of FEV1 ≥ 12% and ≥ 200 mL in FEV1.
  • At least 2 documented asthma exacerbations (requiring treatment with systemic CS, hospitalization, or emergency department visit) within 12 months prior to screening but not within the past 4 weeks prior to screening
  • ACQ-6 ≥ 1.5 at screening.
Exclusion Criteria
  • Maintenance use of asthma controllers other than ICS-LABA.
  • Have undergone bronchial thermoplasty.
  • Current smokers or participants with a smoking history of ≥ 10 pack-years and participants using vaping products, including electronic cigarettes.
  • Women who are pregnant (or who are considering pregnancy) or breastfeeding.
  • Current conditions or history of other diseases, as follows:
  • Clinically important pulmonary disease other than asthma ,Thrombocytopenia, coagulopathy, or platelet dysfunction.
  • Venous and arterial thrombosis, deep vein thrombosis, pulmonary embolism, moderate to severe heart failure (NYHA Class III or IV), cerebrovascular accident, myocardial infarction, coronary stenting, or CABG surgery.
  • Diagnosis of other significant cardiovascular diseases, including but not limited to angina, peripheral arterial disease, or uncontrolled arrhythmias such as atrial fibrillation, supraventricular tachycardia, ventricular tachycardia, and forms of carditis.
  • Recipient of an organ transplant that requires continued immunosuppression.
  • Immunocompromised (eg, lymphoma, acquired immunodeficiency syndrome, Wiskott-Aldrich syndrome).
  • Any malignancies or history of malignancies.
  • Chronic or recurrent infectious disease.
  • Receipt of any biologic drugs used for asthma < 12 weeks or 5 half-lives (if known), whichever is longer, prior to screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ICS-LABA + povorcitinib Dose 1ICS-LABAParticipants will receive stable background therapy with ICS-LABA in combination with povorcitinib dose 1 once daily (QD) for 24 weeks during the placebo-controlled period, and Participants will continue to take the same dose of povorcitinib during the extension period of 28 weeks
ICS-LABA + povorcitinib Dose 2povorcitinibParticipants will receive stable background therapy with ICS-LABA in combination with povorcitinib dose 2 once daily (QD) for 24 weeks during the placebo-controlled period, and Participants will continue to take the same dose of povorcitinib during the extension period of 28 weeks
Inhaled Corticoseroid Long Acting Beta-Agonist(ICS-LABA) + placeboplaceboParticipants will receive stable background therapy with ICS-LABA in combination with placebo once daily (QD) for 24 weeks during the placebo-controlled period. Participants will be allocated to 1 of 3 doses of povorcitinib during the extension period of 28 weeks
Inhaled Corticoseroid Long Acting Beta-Agonist(ICS-LABA) + placeboICS-LABAParticipants will receive stable background therapy with ICS-LABA in combination with placebo once daily (QD) for 24 weeks during the placebo-controlled period. Participants will be allocated to 1 of 3 doses of povorcitinib during the extension period of 28 weeks
ICS-LABA + povorcitinib Dose 2ICS-LABAParticipants will receive stable background therapy with ICS-LABA in combination with povorcitinib dose 2 once daily (QD) for 24 weeks during the placebo-controlled period, and Participants will continue to take the same dose of povorcitinib during the extension period of 28 weeks
ICS-LABA + povorcitinib Dose 3povorcitinibParticipants will receive stable background therapy with ICS-LABA in combination with povorcitinib dose 3 once daily (QD) for 24 weeks during the placebo-controlled period, and Participants will continue to take the same dose of povorcitinib during the extension period of 28 weeks
ICS-LABA + povorcitinib Dose 1povorcitinibParticipants will receive stable background therapy with ICS-LABA in combination with povorcitinib dose 1 once daily (QD) for 24 weeks during the placebo-controlled period, and Participants will continue to take the same dose of povorcitinib during the extension period of 28 weeks
ICS-LABA + povorcitinib Dose 3ICS-LABAParticipants will receive stable background therapy with ICS-LABA in combination with povorcitinib dose 3 once daily (QD) for 24 weeks during the placebo-controlled period, and Participants will continue to take the same dose of povorcitinib during the extension period of 28 weeks
Primary Outcome Measures
NameTimeMethod
Absolute change in pre-bronchodilator forced expiratory volume in the first 1 second (pre-BD FEV1)Baseline ; Week 24

To assess the effect of povorcitinib on lung function (pre-BD FEV1) between baseline and week 24

Secondary Outcome Measures
NameTimeMethod
Percent change from baseline in pre-BD FEV1 at each visitUp to 14 months
Number of asthma exacerbations during the Placebo Controlled (PC) periodUp to 28 weeks

Defined as a worsening of asthma

Absolute change from baseline in pre-BD FEV1 at each visitUp to 14 months
Percent change from baseline in post-BD FEV1 at week 24Baseline; Week 24
Percent change from baseline in pre-BD FVC at each visitUp to 14 months
Absolute change from baseline in post-BD FEV1 at week 24Baseline; Week 24
Absolute change from baseline in pre-BD FVC at each visitUp to 14 months

Trial Locations

Locations (84)

INSARES

🇦🇷

Mendoza, Argentina

Allervie Clinical Research

🇺🇸

Birmingham, Alabama, United States

Kern Allergy Medical Clinic, Inc

🇺🇸

Bakersfield, California, United States

Integrated Research of Inland, Inc

🇺🇸

Upland, California, United States

Qway Research

🇺🇸

Hialeah, Florida, United States

Direct Helpers Research Center

🇺🇸

Hialeah, Florida, United States

Care Research Inc

🇺🇸

Miami, Florida, United States

Verus Clinical Research Corp

🇺🇸

Miami, Florida, United States

Dr. de Armas Research Center, Llc

🇺🇸

Miami, Florida, United States

Care Research Center, Inc

🇺🇸

Miami, Florida, United States

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INSARES
🇦🇷Mendoza, Argentina

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