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A Phase 2, Dose Ranging Study Assessing Rocatinlimab in Moderate-to-severe Asthma

Phase 2
Recruiting
Conditions
Asthma
Interventions
Drug: Placebo
Registration Number
NCT06376045
Lead Sponsor
Amgen
Brief Summary

The primary objective of this study is to describe the efficacy of rocatinlimab in reducing asthma exacerbations.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
428
Inclusion Criteria
  • Participants must be between the ages of 18 and 75.
  • Asthma diagnosed by a physician for ≥ 12 months prior to the screening visit.
  • Existing therapy with medium-dose to high doses of inhaled corticosteroids (ICS) (defined as > 250 µg fluticasone propionate or equivalent ICS) in combination with at least 1 additional controller medication (eg, LABA, leukotriene receptor antagonist [LTRA], LAMA, methylxanthine, oral corticosteroids up to a daily dose of 10 mg prednisone equivalent) for at least 90 days prior to the screening visit with a stable dose for at least 30 days prior to the screening visit.
  • Documented history of ≥ 1 asthma exacerbation in the past year, with at least 1 exacerbation during treatment with medium-dose to high doses of ICS (> 250 μg fluticasone propionate or equivalent ICS).
  • Morning pre-BD FEV1 ≥ 40% and ≤ 80% of predicted normal at the screening visit and day 1 pre-randomization visits.
  • ACQ-6 score ≥ 1.5 at the day 1 pre randomization visit.
Exclusion Criteria
  • Asthma exacerbation that results in emergency treatment or hospitalization, or treatment with systemic steroids at any time from 30 days prior to the day 1 pre randomization visit.
  • Any clinically important pulmonary disease other than asthma.
  • Current smoker, including active vaping of any products and/or marijuana, or former smoker with cessation within 6 months of screening, or history of > 10 pack-years.
  • Suspicion of, or confirmed, coronavirus disease 2019 (COVID-19) infection during the screening period including known history of COVID-19 infection within 4 weeks prior to Screening; mechanical ventilation or extracorporeal membrane oxygenation (ECMO) secondary to COVID-19 within 3 months prior to screening; participants with COVID-19 infection who have not yet sufficiently recovered to participate in the procedures of a clinical trial.
  • Active chronic or acute infection requiring treatment with systemic antibiotics, antiviral, antiparasitic, antiprotozoal, or antifungals which has not completely resolved, or for which therapy has not been completed, within 4 weeks before day 1 pre-randomization visit.
  • Positive or indeterminate QuantiFERON GOLD from central laboratory at screening.
  • Active malignancy; multiple myeloma; myeloproliferative or lymphoproliferative disorder; or a history of any of these conditions within 5 years prior to informed consent
  • History of major immunologic reaction to any other biologic product or any excipient of rocatinlimab.
  • Diagnosis of a helminth parasitic infection within 6 months prior to day 1 pre-randomization visit that had not been treated with or had failed to respond to standard of care therapy.
  • Evidence of human immunodeficiency virus (HIV) infection or positive for HIV antibodies at screening or current acquired, common variable or inherited, primary or secondary immunodeficiency.
  • Active and non-virally suppressed hepatitis B infection at initial screening,
  • Positive for hepatitis C virus (HCV) antibody at screening with confirmed positive HCV RNA.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment Arm B: Dose 1 RocatinlimabRocatinlimabParticipants will receive dose 1 rocatinlimab by SC injection during the blinded treatment period.
Treatment Arm A: PlaceboPlaceboParticipants will receive placebo by subcutaneous (SC) injection during the blinded treatment period.
Treatment Arm C: Dose 2 RocatinlimabRocatinlimabParticipants will receive dose 2 rocatinlimab by SC injection during the blinded treatment period.
Treatment Arm D: Dose 3 RocatinlimabRocatinlimabParticipants will receive dose 3 rocatinlimab by SC injection during the blinded treatment period.
Primary Outcome Measures
NameTimeMethod
Annualized Asthma Exacerbation Rate (AAER) During the Blinded Treatment PeriodUp to approximately two years
Secondary Outcome Measures
NameTimeMethod
Serum Rocatinlimab ConcentrationsUp to approximately two years
Annualized Rate of CompEx EventsUp to approximately two years
Annualized Rate of Composite Endpoint for Exacerbations (CompEx) Events During the Blinded Treatment PeriodUp to approximately two years
Change From Baseline in Pre-BD FEV1Up to approximately two years
Change From Baseline in Asthma Symptom Diary (ASD) ScoreUp to approximately two years
Number of Participant Achieving ACQ-6 Response at Week 48Up to approximately two years
Change From Baseline in Asthma Quality of Life Questionnaire with Standardized Activities (AQLQ (S)) Self-Administered ScoreUp to approximately two years
Number of Participants Achieving AQLQ (S) Response at Week 48Up to approximately two years
Time to First CompEx EventUp to approximately two years
Change From Baseline in Asthma Control Questionnaire 6 (ACQ-6) Score at Week 48Up to approximately two years
Number of Participants with a CompEx Event During the Double Blinded Treatment PeriodUp to approximately two years
Change From Baseline in Pre-bronchodilator (BD) Forced Expiratory Volume in 1 Second (FEV1)Up to approximately two years
Change From Baseline in ACQ-6Up to approximately two years
Annualized Rate of Asthma Exacerbation Leading to Hospitalization or Emergency Room Visits During the Blinded Treatment PeriodUp to approximately two years
Time to First Asthma Exacerbation EventUp to approximately two years
Trough Concentration (Ctrough) of RocatinlimabUp to approximately two years
Number of Participants with Serious Adverse EventsUp to approximately two years
Number of Participants with Anti-rocatinlimab Antibody FormationUp to approximately two years
Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO) LevelsUp to approximately two years
Number of Participants with Treatment-emergent Adverse EventsUp to approximately two years

Trial Locations

Locations (150)

Centro de Investigacion del Maule

🇨🇱

Talca, Chile

Erzsebet Gondozohaz

🇭🇺

Godollo, Hungary

Klimed Marek Klimkiewicz

🇵🇱

Bialystok, Poland

GynCentrum Sp zoo NZOZ Holsamed

🇵🇱

Katowice, Poland

Kern Research Inc

🇺🇸

Bakersfield, California, United States

Orso Health Inc

🇺🇸

La Jolla, California, United States

Imax Clinical Trials

🇺🇸

La Palma, California, United States

Antelope Valley Clinical Trials

🇺🇸

Lancaster, California, United States

Downtown Los Angeles Research Center, Inc

🇺🇸

Los Angeles, California, United States

NewportNativeMD, Inc

🇺🇸

Newport Beach, California, United States

University of California Irvine

🇺🇸

Orange, California, United States

Apex Clinical Research

🇺🇸

San Diego, California, United States

Allergy and Asthma Clinical Research

🇺🇸

Walnut Creek, California, United States

Allianz Research Institute Westminster

🇺🇸

Westminster, California, United States

St Francis Medical Institute

🇺🇸

Clearwater, Florida, United States

BioMed Research Institute

🇺🇸

Miami, Florida, United States

Bright Research Center LLC

🇺🇸

Miami, Florida, United States

Infinity Life Research Group

🇺🇸

Tamarac, Florida, United States

Clinical Research Trials of Florida Inc

🇺🇸

Tampa, Florida, United States

AllerVie Clinical Research- Columbus

🇺🇸

Columbus, Georgia, United States

Treasure Valley Medical Research

🇺🇸

Boise, Idaho, United States

Sneeze, Wheeze, and Itch Associates, LLC

🇺🇸

Normal, Illinois, United States

Family Allergy and Asthma Research Institute

🇺🇸

Louisville, Kentucky, United States

Chesapeake Clinical Research Inc

🇺🇸

White Marsh, Maryland, United States

Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

Respiratory Medicine Research Institute of Michigan, plc

🇺🇸

Ypsilanti, Michigan, United States

Midwest Chest Consultants, PC

🇺🇸

Saint Charles, Missouri, United States

Montana Medical Research

🇺🇸

Missoula, Montana, United States

Somnos Clinical Research

🇺🇸

Lincoln, Nebraska, United States

Hudson County Clinical Trials Research Center

🇺🇸

Union City, New Jersey, United States

Northwell Health

🇺🇸

New Hyde Park, New York, United States

Duke Asthma Research Center

🇺🇸

Durham, North Carolina, United States

Edelenyi Koch Robert Korhaz es Rendelointezet

🇭🇺

Edeleny, Hungary

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Bernstein Clinical Research Center LLC

🇺🇸

Cincinnati, Ohio, United States

OK Clinical Research

🇺🇸

Edmond, Oklahoma, United States

Cemer Centro Medico de Enfermedades Respiratorias

🇦🇷

Florida, Vicente Lopez, Argentina

Velocity Clinical Research Medford

🇺🇸

Medford, Oregon, United States

Clinical Research Associates of Central Pennsylvania

🇺🇸

DuBois, Pennsylvania, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

The Allergy Asthma and Sinus Center

🇺🇸

Knoxville, Tennessee, United States

Amarillo Medical Specialists

🇺🇸

Amarillo, Texas, United States

TTS Research

🇺🇸

Boerne, Texas, United States

TEN20 Clinical Research

🇺🇸

Carrollton, Texas, United States

Alina Clinical Trials, LLC

🇺🇸

Dallas, Texas, United States

Southwest Family Medicine Associates

🇺🇸

Dallas, Texas, United States

University of Texas Medical Branch

🇺🇸

Galveston, Texas, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Sante Clinical Research

🇺🇸

Kerrville, Texas, United States

Metroplex Pulmonary and Sleep Center

🇺🇸

McKinney, Texas, United States

Ace Proactive

🇺🇸

Plano, Texas, United States

South Texas Allergy and Asthma Medical Professionals

🇺🇸

San Antonio, Texas, United States

Bandera Family Health Care

🇺🇸

San Antonio, Texas, United States

Pioneer Research Solutions Inc

🇺🇸

Sugar Land, Texas, United States

Fundacion Respirar - Centro Medico Dra De Salvo

🇦🇷

Caba, Buenos Aires, Argentina

Centro de Osteopatias Medicas

🇦🇷

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Ierim Instituto de Enfermedades Respiratorias e Investigacion Clinica

🇦🇷

Florencio Varela, Buenos Aires, Argentina

Fundacion Enfisema para el Estudio y Tratamiento de las Enfermedades Cronicas del Aparato Respirador

🇦🇷

Mar Del Plata, Buenos Aires, Argentina

InAER - Investigaciones en Alergia y Enfermedades Respiratorias

🇦🇷

Caba, Distrito Federal, Argentina

Fundacion Grupo Colaborativo Rosario Investigacion y Prevencion medica

🇦🇷

Rosario, Santa Fe, Argentina

Centro Integral de Medicina Respiratoria

🇦🇷

San Miguel de Tucuman, Tucuman, Argentina

Instituto Medico Insares SA

🇦🇷

Mendoza, Argentina

Fundacion Scherbovsky

🇦🇷

Mendoza, Argentina

Westmead Hospital

🇦🇺

Westmead, New South Wales, Australia

The Alfred Hospital

🇦🇺

Melbourne, Victoria, Australia

Medical Center Pulmo - 2018 EOOD

🇧🇬

Haskovo, Bulgaria

Specialized Hospital for Active Treatment of Pneumo-phthisiatric Diseases Dr Dimitar Gramatikov

🇧🇬

Ruse, Bulgaria

Medical Center Excelsior OOD

🇧🇬

Sofia, Bulgaria

Diagnostic-Consultative Center Convex EOOD

🇧🇬

Sofia, Bulgaria

Medical Center New Rehabilitation Center EOOD

🇧🇬

Stara Zagora, Bulgaria

University of Calgary - Cumming School of Medicine

🇨🇦

Calgary, Alberta, Canada

Centre for Lung Health

🇨🇦

Vancouver, British Columbia, Canada

Dynamic Drug Advancement Limited

🇨🇦

Ajax, Ontario, Canada

Kanata Allergy Clinic

🇨🇦

Ottawa, Ontario, Canada

Centro de Investigacion Curico

🇨🇱

Curico, Chile

Centro De Investigaciones Medicas Respiratorias

🇨🇱

Santiago, Chile

Sociedad Medica SyG Limitada

🇨🇱

Santiago, Chile

Icegclinic

🇨🇱

Santiago, Chile

Hefei First Peoples Hospital

🇨🇳

Hefei, Anhui, China

The Third Affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

The Third Peoples Hospital of Huizhou

🇨🇳

Huizhou, Guangdong, China

Hainan General Hospital

🇨🇳

Haikou, Hainan, China

Changsha Central Hospital

🇨🇳

Changsha, Hunan, China

The Second Hospital University of South China

🇨🇳

Hengyang City, Hunan, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

Xuzhou Central Hospital

🇨🇳

Xuzhou, Jiangsu, China

The First Affiliated Hospital of Gannan Medical University

🇨🇳

Ganzhou, Jiangxi, China

Jiangxi Provincial Peoples Hospital

🇨🇳

Nanchang, Jiangxi, China

Pingxiang Peoples Hospital

🇨🇳

Pingxiang, Jiangxi, China

Heze Municipal Hospital

🇨🇳

Heze, Shandong, China

Huadong Hospital

🇨🇳

Shanghai, Shanghai, China

Shanghai Pulmonary Hospital

🇨🇳

Shanghai, Shanghai, China

First Hospital of Shanxi Medical University

🇨🇳

Taiyuan, Shanxi, China

Jinhua Municipal Central Hospital

🇨🇳

Jinhua, Zhejiang, China

Corporacion Hospitalaria Juan Ciudad, Mederi

🇨🇴

Bogota, Cundinamarca, Colombia

Solano y Terront Servicios Medicos SAS - Unidad Integral de Endocrinologia Uniendo

🇨🇴

Bogota, Cundinamarca, Colombia

Mediservis del Tolima IPS SAS

🇨🇴

Ibague, Tolima, Colombia

MUDr I Cierna Peterova sro

🇨🇿

Brandys nad Labem - Stara Boleslav, Czechia

Meditrial sro

🇨🇿

Jindrichuv Hradec, Czechia

MUDr Josef Veverka

🇨🇿

Rokycany, Czechia

Kasmed sro

🇨🇿

Tabor, Czechia

Hong Kong Center for Clinical Research

🇭🇰

Hong Kong, Hong Kong

Queen Mary Hospital, The University of Hong Kong

🇭🇰

Hong Kong, Hong Kong

Prince of Wales Hospital, Chinese University of Hong Kong

🇭🇰

Shatin, New Territories, Hong Kong

Puspokladanyi Egeszsegugyi Szolgaltato Nonprofit Kft

🇭🇺

Puspokladany, Hungary

Allergo-Fot Kft

🇭🇺

Szazhalombatta, Hungary

University of Fukui Hospital

🇯🇵

Yoshida-gun, Fukui, Japan

Medical corporation Syureikai Tohno Chuo Clinic

🇯🇵

Mizunami-shi, Gifu, Japan

Idaimae Minami Yojo Naika Clinic

🇯🇵

Sapporo-shi, Hokkaido, Japan

Sakaide City Hospital

🇯🇵

Sakaide-shi, Kagawa, Japan

Kamei Internal medicine and Respiratory Clinic

🇯🇵

Takamatsu-shi, Kagawa, Japan

Kagoshima University Hospital

🇯🇵

Kagoshima-shi, Kagoshima, Japan

Yokohama City Minato Red Cross Hospital

🇯🇵

Yokohama-shi, Kanagawa, Japan

Yokohama City University Hospital

🇯🇵

Yokohama-shi, Kanagawa, Japan

Kochi Medical School Hospital

🇯🇵

Nankoku-shi, Kochi, Japan

National Hospital Organization Osaka Toneyama Medical Center

🇯🇵

Toyonaka-shi, Osaka, Japan

Teikyo University Hospital

🇯🇵

Itabashi-ku, Tokyo, Japan

Tokyo Shinagawa Hospital Social Medical Corporation Association Tokyokyojuno-kai

🇯🇵

Shinagawa-ku, Tokyo, Japan

Yeungnam University Medical Center

🇰🇷

Daegu, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea Eunpyeong St Marys Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Konkuk University Medical Center

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea Seoul St Marys Hospital

🇰🇷

Seoul, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Icaro Investigaciones en Medicina

🇲🇽

Chihuahua, Mexico

Unidad de Investigacion cima

🇲🇽

Chihuahua, Mexico

Centrum Medycyny Oddechowej Mroz Spolka Jawna

🇵🇱

Bialystok, Poland

Centrum Medyczne All-Med Badania kliniczne

🇵🇱

Krakow, Poland

Diamond Clinic Spolka z Ograniczona Odpowiedzialnoscia Diamond Medical Center

🇵🇱

Krakow, Poland

Ostrowieckie Centrum Medyczne Spolka Cywilna Anna Olech-Cudzik Krzysztof Cudzik

🇵🇱

Ostrowiec Swietokrzyski, Poland

Ewa Springer Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej

🇵🇱

Poznan, Poland

Centrum Badan Klinicznych Piotr Napora lekarze spolka partnerska

🇵🇱

Wroclaw, Poland

Spitalul de Pneumoftiziologie Bacau

🇷🇴

Bacau, Romania

Spitalul de Pneumoftiziologie Leon Daniello

🇷🇴

Cluj-Napoca, Romania

Spitalul Clinic de Boli Infecțioase si Pneumoftiziologie Victor Babes Craiova

🇷🇴

Craiova, Romania

Medical Center

🇷🇴

Deva, Romania

Spitalul Judetean de Urgenta Sf Ioan cel Nou Suceava

🇷🇴

Suceava, Romania

Kaohsiung Medical University Chung-Ho Memorial Hospital

🇨🇳

Kaohsiung, Taiwan

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Veterans General Hospital - Taichung

🇨🇳

Taichung, Taiwan

Taipei Medical University Hospital

🇨🇳

Taipei, Taiwan

King Chulalongkorn Memorial Hospital

🇹🇭

Bangkok, Thailand

Siriraj Hospital

🇹🇭

Bangkok, Thailand

Songklanagarind Hospital

🇹🇭

Songkla, Thailand

Lakeside Healthcare

🇬🇧

Corby, United Kingdom

CPS Research

🇬🇧

Glasgow, United Kingdom

Glasgow Royal Infirmary

🇬🇧

Glasgow, United Kingdom

4 Medical Clinical Solutions

🇬🇧

Manchester, United Kingdom

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