Efficacy and Safety of Omalizumab in Children (6 - < 12 Years) With Moderate-severe, Inadequately Controlled Allergic Asthma
- Registration Number
- NCT00079937
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
A substance called immunoglobulin E (IgE), which is naturally produced by our body, has a key role in generating asthma attacks. In patients with allergies, there is an exaggerated production of IgE in response to specific substances such as pollens. Omalizumab is a new drug that inactivates IgE. This study tested the safety and efficacy of omalizumab against asthma attacks in children with allergic asthma.
- Detailed Description
This study was designed to provide one year efficacy and safety data for subcutaneous (SC) omalizumab, compared to placebo in children (6 to \< 12 years) with moderate to severe persistent asthma who have inadequate asthma control despite treatment according to National Heart, Lung and Blood Institute (NHLBI) step 3 or 4 (at least medium dose inhaled corticosteroids with or without other controller asthma medications).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 628
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Omalizumab Omalizumab Participants received omalizumab administered by subcutaneous injection every 2 or 4 weeks for a duration of 52 weeks. The omalizumab dose was based on the patient's body weight and total serum IgE level at Screening. The first 24 weeks of the treatment period was a fixed steroid phase where the steroid dose was maintained constant; in the following 28 weeks the steroid dose was adjustable, depending on the patient's condition. Following the 52-week treatment period, patients were followed up for an additional 16 weeks. Placebo Placebo Placebo was administered by subcutaneous injection every 2 or 4 weeks depending on the dosing schedule in the protocol for a total of 52 weeks. The first 24 weeks of the treatment period was a fixed steroid phase where the steroid dose was maintained constant; in the following 28 weeks the steroid dose was adjustable, depending on the patient's condition. Following the 52-week treatment period, patients were followed up for an additional 16 weeks. Omalizumab Fluticasone Participants received omalizumab administered by subcutaneous injection every 2 or 4 weeks for a duration of 52 weeks. The omalizumab dose was based on the patient's body weight and total serum IgE level at Screening. The first 24 weeks of the treatment period was a fixed steroid phase where the steroid dose was maintained constant; in the following 28 weeks the steroid dose was adjustable, depending on the patient's condition. Following the 52-week treatment period, patients were followed up for an additional 16 weeks. Placebo Fluticasone Placebo was administered by subcutaneous injection every 2 or 4 weeks depending on the dosing schedule in the protocol for a total of 52 weeks. The first 24 weeks of the treatment period was a fixed steroid phase where the steroid dose was maintained constant; in the following 28 weeks the steroid dose was adjustable, depending on the patient's condition. Following the 52-week treatment period, patients were followed up for an additional 16 weeks.
- Primary Outcome Measures
Name Time Method Rate of Clinically Significant Asthma Exacerbations Per Patient in the 24-week Fixed-dose Steroid Treatment Period Baseline to end of the fixed-dose steroid treatment period (Week 24) A clinically significant asthma exacerbation was defined as a worsening of asthma symptoms, as judged clinically by the investigator, requiring doubling of the baseline inhaled corticosteroid dose and/or treatment with systemic rescue corticosteroids for at least 3 days. The exacerbations rate per patient was derived using Poisson model adjusted by time at risk and the following covariates: country, exacerbation history, and dose schedule. A patient's person-days at risk was taken as the total amount of time (in days) he/she spent in the 24-week fixed-dose steroid treatment period.
Percentage of Participants With at Least 1 Adverse Event Baseline to end of the study (Week 68) See Adverse Events module for details.
- Secondary Outcome Measures
Name Time Method Change in Mean Nocturnal Asthma Symptom Score From Baseline to the End (Last 4 Weeks) of the 24-week Fixed-dose Steroid Treatment Period Baseline to the end (last 4 weeks) of the 24-week fixed-dose steroid treatment period Nocturnal asthma symptom was measured daily on a scale of 0 to 4 in response to the question "How did you sleep last night?", with 0 as the best response and 4 as the worst response. The mean of the last 4 weeks of the 24-week fixed-dose steroid treatment period was calculated; for patients who discontinued prematurely, the mean of the last 28 days before discontinuation was calculated. A negative change in mean score indicated improvement.
Rate of Clinically Significant Asthma Exacerbations Per Patient in the 52-week Treatment Period Baseline to end of the treatment period (Week 52) A clinically significant asthma exacerbation was defined as a worsening of asthma symptoms, as judged clinically by the investigator, requiring doubling of the baseline inhaled corticosteroid dose and/or treatment with systemic rescue corticosteroids for at least 3 days. The exacerbations rate per patient was derived using Poisson model adjusted by time at risk and the following covariates: country, exacerbation history, and dose schedule. A patient's person-days at risk was taken as the total amount of time (in days) he/she spent in the 52-week treatment period.
Change in Mean Daily Number of Puffs of Asthma Rescue Medication From Baseline to the End (Last 4 Weeks) of the 24-week Fixed-dose Steroid Treatment Period Baseline to the end (last 4 weeks) of the 24-week fixed-dose steroid treatment period Patients were instructed to record the number of puffs of rescue medication they took twice daily in a diary. The mean daily number of puffs during the last 4 weeks of the 24-week fixed-dose steroid treatment period was calculated; for patients who discontinued prematurely, the mean of the last 28 days before discontinuation was calculated. A negative change in mean daily number of puffs indicated reduced use of rescue medication.
Change in Pediatric Asthma Quality of Life Questionnaire (Standardized) [PAQLQ(S)] Scores From Baseline to the End of the 24-week Fixed-dose Steroid Treatment Period (Week 24) Baseline to the end of the 24-week fixed-dose steroid treatment period (Week 24) PAQLQ measures functional problems that are most troublesome to children with asthma. PAQLQ has 23 questions in 3 domains (activity limitation=5, emotional function=8, symptoms=10). Patients responded to each question on a 7-point Likert scale. Overall PAQLQ score is mean of 23 questions; each domain score is mean of questions in that domain. Minimum possible value is 1 (maximum impairment); maximum possible value is 7 (no impairment). Positive change indicated improvement. The analysis included country, baseline PAQLQ value, and dosing schedule (2-weekly/4-weekly) as factors and covariates.
Trial Locations
- Locations (56)
Clinical Research Institute of Southern Oregon
🇺🇸Medford, Oregon, United States
Family Allergy and Asthma Center, PC
🇺🇸Atlanta, Georgia, United States
West Penn Allegheny General Health System
🇺🇸Pittsburgh, Pennsylvania, United States
Rush University Medical Center
🇺🇸Chicago, Illinois, United States
Georgia Pollens
🇺🇸Albany, Georgia, United States
University of Arkansas for Medical Sciences
🇺🇸Little Rock, Arkansas, United States
Allergy and Asthma Specialists Medical Group
🇺🇸Huntington Beach, California, United States
Dr. Joann Blessing-Moore
🇺🇸Palo Alto, California, United States
AAPRI Clinical Research Institute
🇺🇸Lincoln, Rhode Island, United States
Pediatric Pulmonary Association of North Texas
🇺🇸Dallas, Texas, United States
Miami Children's Hospital
🇺🇸Miami, Florida, United States
Baylor College of Medicine
🇺🇸Houston, Texas, United States
7707 Fannin/Ste. 195
🇺🇸Houston, Texas, United States
A.S.T.H.M.A., Inc.
🇺🇸Seattle, Washington, United States
Vanderbilt University
🇺🇸Nashville, Tennessee, United States
Sylvanna Research
🇺🇸San Antonio, Texas, United States
Allergy Associates Medical Group
🇺🇸San Diego, California, United States
Allergy and Asthma Medical Group & Research Center
🇺🇸San Diego, California, United States
Duke University Medical Center
🇺🇸Durham, North Carolina, United States
Bernstein Clinical Research Center
🇺🇸Cincinnati, Ohio, United States
Alabama Allergy and Asthma Center
🇺🇸Birmingham, Alabama, United States
Clinical Research Center
🇺🇸Little Rock, Arkansas, United States
Children's Hosptial of Orange County, Div Asthma, Allergy & Immunology
🇺🇸Orange, California, United States
Pediatric Care and Medical Group
🇺🇸Huntington Beach, California, United States
West Coast Clinical Trials
🇺🇸Long Beach, California, United States
Southern California Research Center
🇺🇸Mission Viejo, California, United States
Allergy and Asthma Associates of Santa Clara Valley RC
🇺🇸San Jose, California, United States
CA Allergy & Asthma Med Group
🇺🇸Palmdale, California, United States
Integrated Research Group
🇺🇸Riverside, California, United States
1304 15th St
🇺🇸Santa Monica, California, United States
National Jewish Medical and Research Center
🇺🇸Denver, Colorado, United States
Allergy & Asthma Med Group of Diablo Valley CR
🇺🇸Walnut Creek, California, United States
Bensch Research Associates
🇺🇸Stockton, California, United States
Aeroallergy Research Labs of Savannah, Inc
🇺🇸Savannah, Georgia, United States
Asthma & Allergy Center
🇺🇸Elliott City, Maryland, United States
Ocean Allergy & Respiratory Research Center
🇺🇸Brick, New Jersey, United States
St. Louis University School of Medicine
🇺🇸St. Louis, Missouri, United States
Northeast Med Research Associates
🇺🇸North Dartmouth, Massachusetts, United States
Midwest Allergy & Asthma Clinic
🇺🇸Omaha, Nebraska, United States
UMDNJ
🇺🇸Newark, New Jersey, United States
Allergy and Asthma Diagnostic Office
🇺🇸Liverpool, New York, United States
Womes And childrens Hospital of Buffalo
🇺🇸Buffalo, New York, United States
Asthma & Allergy Associates
🇺🇸Ithaca, New York, United States
Island Medical Research (Allergy and Asthma Center)
🇺🇸Rockville Center, New York, United States
501 Howard Av
🇺🇸Altoona, Pennsylvania, United States
Allergy & Asthma Center of North carolina
🇺🇸High Point, North Carolina, United States
Resp Dis of Children and Adolescents
🇺🇸Oklahoma City, Oklahoma, United States
Asthma and Allergy Associates
🇺🇸Upland, Pennsylvania, United States
Allergy Assoc., The ASthma, Allergy & Sinus Ctr
🇺🇸Knoxville, Tennessee, United States
Pediatric Allergy/Immunology Associates, PA
🇺🇸Dallas, Texas, United States
North Texas Institute for Clinical Trials
🇺🇸Ft. Worth, Texas, United States
Copperview Medical Center
🇺🇸South Jordan, Utah, United States
Virgina Commonwealth
🇺🇸Richmond, Virginia, United States
Childrens Hospital of the Kings Daughters
🇺🇸Norfolk, Virginia, United States
508 W 6th Av
🇺🇸Spokane, Washington, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States