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Effectiveness and Safety of Omalizumab in Children With Allergic Asthma.

Completed
Conditions
Allergic Asthma
Interventions
Registration Number
NCT05424523
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

The study was the non-interventional, retrospective study aimed to assess the effectiveness and safety of omalizumab in children with allergic asthma in China, and described patient profiles and treatment patterns of omalizumab in real-world practice.

Detailed Description

This non-interventional, retrospective study aimed to assess the effectiveness and safety of omalizumab in children with allergic asthma in China, and described patient profiles and treatment patterns of omalizumab in real-world practice. This study was designed to use secondary data from medical charts of 25 hospitals. Medical records were reviewed to collect information such as demographics, clinical characteristics, treatment patterns, effectiveness, and AEs for retrospective analysis. Patients with allergic asthma aged 6 -\<12 years treated with omalizumab from July 6, 2018 to September 30, 2020 were identified for medical chart extraction.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Aged between 6 -<12 years
  • Diagnosed with allergic asthma and could be treated using omalizumab. Comorbidities included allergic rhinitis, atopic dermatitis, nasal polyp, chronic urticaria, and food allergy
  • Received omalizumab during the identification period
  • Had at least one documented follow-up data after omalizumab treatment
  • Provided informed consent if required by ethics committee (EC) of hospital
Exclusion Criteria
  • Current participation in a clinical trial of any investigational treatment

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
OmalizumabOmalizumabPatients with confirmed diagnosis of allergic asthma, who were prescribed omalizumab
Primary Outcome Measures
NameTimeMethod
Proportion of patients who responded to omalizumabAfter 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

The responders were defined as patients with:

1. Investigator's Global Evaluation of Treatment Effectiveness (GETE) are Excellent or Good; or

2. C-ACT2 improvement ≥3 points before and after omalizumab treatment

Secondary Outcome Measures
NameTimeMethod
Proportion of patients with positive investigator's Global Evaluation of Treatment Effectiveness (GETE)After 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Positive investigator's GETE is defined as restrospectively evaluated GETE are Excellent or Good.

Change from baseline in moderate-to-severe Asthma exacerbationBaseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Moderate-to-severe asthma exacerbation is defined as worsening of asthma symptoms requiring doubling of baseline ICS dose and/or treatment with rescue systemic corticosteroids for ≥ 3 days.

Average change from baseline in daily inhaled corticosteroids (ICS) doseBaseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

The dosage of inhaled corticosteroids (ICS) was reported to evaluate the effectiveness of omalizumab among children aged 6 -\<12 years with allergic asthma in China.

Change from baseline in Lung function using Forced Expiratory Volume in 1 Second (FEV1)Baseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Lung function was assessed using Forced Expiratory Volume in 1 Second (FEV1) to evaluate the effectiveness of omalizumab among children aged 6 -\<12 years with allergic asthma in China. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation.

Average change from baseline in daily oral corticosteroids (OCS) doseBaseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

The dosage of oral corticosteroids (OCS) was reported to evaluate the effectiveness of omalizumab among children aged 6 -\<12 years with allergic asthma in China.

Change from baseline in FEV1/FVCBaseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

The FEV1/FVC ratio indicates how much air you can forcefully exhale.

Change from baseline in Maximal mid-expiratory flow (MMEF)Baseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Maximal mid-expiratory flow (MMEF) is a spirometric parameter reflecting airflow of large and small airways.

Number of patients who discontinued omalizumabThroughout the study, approximately 2 years

To describe the treatment pattern of omalizumab among children with allergic asthma in China.

Number of adverse events and serious adverse eventsThroughout the study, approximately 2 years

To evaluate safety of omalizumab among children with allergic asthma in China.

Change from baseline in severe Asthma exacerbationBaseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Severe asthma exacerbation is defined as requiring ER admission

/hospitalization/ICU admission/mechanical ventilation with systemic corticosteroids for ≥ 3 days.

Percentage of patients that successfully stopped Oral CorticosteroidsAfter 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Percentage of patients that successfully stopped Oral Corticosteroids after 4 to 6 months of treatment were reported

Change from baseline in Peak Expiratory Flow (PEF)Baseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Peak Expiratory Flow (PEF) is an objective measure of how well the lungs are functioning and can measure airway narrowing.

Change from baseline in FEV1% predBaseline, after 4-6 months of treatment (Between July 6, 2018 to September 30, 2020)

Ratio of patient's actual results compared to predicted normal values, expressed as a percentage.

Percentage of patients using Omalizumab for more than 4, 16, 24 and 52 weeksWeek 4, 16, 24 and 52 (Between July 6, 2018 to September 30, 2020)

To describe the treatment pattern of omalizumab among children with allergic asthma in China.

Number of patients who received the recommended dosage instructions during the identification periodThroughout the study, approximately 2 years

To describe the treatment pattern of omalizumab among children with allergic asthma in China.

Median time to discontinuation of the treatmentThroughout the study, approximately 2 years

To describe the treatment pattern of Xolair among children with allergic asthma in China.

Trial Locations

Locations (1)

Novartis Investigative Site

🇺🇸

East Hanover, New Jersey, United States

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