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Efficacy and safety study of benralizumab added to medium dose inhaled corticosteroid plus LABA in patients with uncontrolled asthma

Conditions
Asthma
MedDRA version: 16.1Level: PTClassification code 10003553Term: AsthmaSystem Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders
Therapeutic area: Diseases [C] - Respiratory Tract Diseases [C08]
Registration Number
EUCTR2013-002352-32-PL
Lead Sponsor
AstraZeneca AB
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
846
Inclusion Criteria

Provision of informed consent prior to any study specific procedure
Female and male aged 18-75 years, inclusively
History of physician diagnosed asthma requiring medium dose ICS (greater than 250 microgrammes fluticasone dry powder formulation equivalents total daily dose and a LABA for at least 12 months prior to Visit 1
Documented treatment with medium dose ICS (greater than 250 microgrammes and less than or equal to 500 microgrammes fluticasone dry powder formulation equivalents total daily dose) and a LABA for at least 3 months prior to Visit 1

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 800
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 46

Exclusion Criteria

Clinically important pulmonary disease other than asthma (e.g. active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alphs 1 anti trypsin deficiency and primary ciliarydyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g allergic bronchopulmonary aspergillosis/mycosis, Churg-Strauss syndrome, hypereosinophillic syndrome).
Any disorder including, but not limited to cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric or major physical impairement that is not stable in the opinion of the investigator and could - affect the safety of the patient throughout the study-influence the findings of the studies or their interpretations-impede the patients ability to complete the entire duration of the study.
Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run in period.
Any clinically significant abnormal findings in physical examination, vital signs, haematology, clinical chemistry or urinalysis during screening/run in period, which in the opinion of the investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patients ability to complete the entire duration of the study

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the effect of benralizumab on asthma exacerbations in adult patients with uncontrolled asthma;Primary end point(s): Annual asthma exacerbation rate;Timepoint(s) of evaluation of this end point: week 48;Secondary Objective: To assess the effect of benralizumab on pulmonary function<br>To assess the effect of benralizumab on asthma symptoms and other asthma control metrics (as per the ePRO)<br>To assess the effect of benralizumab on emergency room visits and hospitalisations due to asthma<br>To evaluate the pharmacokinetics and immunogenicity of benralizumab<br>To assess the safety and tolerability of benralizumab
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Pre-dose/pre-bronchodilator FEV1 at the study centre<br>Asthma symptom score (total, daytime and night time), rescue medication use, home lung function (morning and evening PEF), nights with awakening due to asthma, ACQ-6<br>Annual rate of asthma exacerbations that are associated with an emergency room visit or a hospitalisation<br>PK parameters, anti drug antibodies<br>AE/SAE, Laboratory variables, ECG, physical examination;Timepoint(s) of evaluation of this end point: 48 weeks
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