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AsthmaPhase 3NCT02322775

Study to Evaluate the Efficacy and Safety of Benralizumab in Adult Patients With Mild to Moderate Persistent Asthma

A Phase 3 study testing Benralizumab in people with Asthma, run by AstraZeneca at 57 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this trial is to confirm the safety and clinical benefit of benralizumab administration in asthma patients with mild to moderate persistent asthma in order to gain an understanding of the benefit/risk of benralizumab across the spectrum of asthma disease. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Asthma
What is being tested?
Benralizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
211 participants
Where
57 sitesin 6 countries
Study dates
2 Feb 2015to 7 Oct 2015
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent for study participation must be obtained prior to any study related procedures being performed and according to international guidelines and/or applicable European Union (EU) guidelines.
  • Female and male aged 18 to 75 years, inclusively, at the time of Visit 1.
  • Weight of ≥40 kg.
  • Evidence of asthma as documented by post-bronchodilator (post-BD) reversibility in FEV1 of ≥ 12% demonstrated at Visit 2.
  • Documented use of 1 of the following types of asthma therapy at time of informed consent: Low- to medium-dose ICS (ie, 100 to 500 μg fluticasone dry powder formulation equivalents total daily dose) with or without other controller medications, eg, an LTRA and/or theophylline or Low-dose ICS/LABA fixed combination therapy (eg, the lowest regular maintenance dose approved in the local country will meet this criterion)
  • Morning pre-bronchodilator (pre-BD) FEV1 of > 50% to ≤ 90% predicted at Visit 2.

Who cannot join

  • Clinically important pulmonary disease other than asthma (eg, active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (eg, allergic bronchopulmonary aspergillosis/mycosis, Churg-Strauss syndrome, hypereosinophilic syndrome).
  • Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:
  • Affect the safety of the patient throughout the study
  • nfluence the findings of the studies or their interpretations,- Impede the patient's ability to complete the entire duration of study.
  • Known history of allergy or reaction to the investigational product formulation.
  • History of anaphylaxis to any biologic therapy.- History of Guillain-Barré syndrome.
Show all 13Show fewer
  • A helminth parasitic infection diagnosed within 24 weeks prior to the date informed consent is obtained that has not been treated with, or has failed to respond to standard of care therapy.- 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, hematology, clinical chemistry, or urinalysis during screening 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 patient's ability to complete entire duration of the study.
  • Positive hepatitis B surface antigen, or hepatitis C virus antibody serology, or a positive medical history for hepatitis B or C. Patients with a history of hepatitis B vaccination without history of hepatitis B are allowed to enroll.
  • A history of known immunodeficiency disorder including a positive human immunodeficiency virus (HIV) test.
  • History of cancer:
  • Patients who have had basal cell carcinoma, localized squamous cell carcinoma of the skin or in situ carcinoma of the cervix are eligible provided that the patient is in remission and curative therapy was completed at least 12 months prior to the date informed consent was obtained.
  • Patients who have had other malignancies are eligible provided that the patient is in remission and curative therapy was completed at least 5 years prior to the date informed consent was obtained

Trial locations and contacts

57 sites in 6 countries.

57 sites in 6 countries

United States17 sites
  • Research Site

    Blue Island, Illinois, 60406

  • Research Site

    Charlotte, North Carolina, 28207

  • Research Site

    Cincinnati, Ohio, 45231

  • Research Site

    Clearwater, Florida, 33756

  • Research Site

    El Paso, Texas, 79903

  • Research Site

    Grove City, Ohio, 43123

  • Research Site

    Los Angeles, California, 90048

  • Research Site

    Medford, Oregon, 97504

  • Research Site

    Monroe, North Carolina, 28112

  • Research Site

    Oklahoma City, Oklahoma, 73103

  • Research Site

    Orlando, Florida, 32825

  • Research Site

    Raleigh, North Carolina, 27607

  • Research Site

    Rolling Hills Estates, California, 90274

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    Skillman, New Jersey, 08558

  • Research Site

    Spartanburg, South Carolina, 29303

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada10 sites
  • Research Site

    Ajax, Ontario, L1Z 0M1

  • Research Site

    Burlington, Ontario, L7N 3V2

  • Research Site

    Hamilton, Ontario, L9C 2Y6

  • Research Site

    Ottawa, Ontario, K2H 8T5

  • Research Site

    Québec, Quebec, G1G 3Y8

  • Research Site

    Québec, Quebec, G1V 4G5

  • Research Site

    Saint-Charles-Borromée, Quebec, J6E 2B4

  • Research Site

    Toronto, Ontario, M9C 4Z5

  • Research Site

    Trois-Rivières, Quebec, G8T 7A1

  • Research Site

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

Poland9 sites
  • Research Site

    Katowice, 40-954

  • Research Site

    Mrągowo, 11-700

  • Research Site

    Ostrów Wielkopolski, 63-400

  • Research Site

    Pabianice, 95-200

  • Research Site

    Poznan, 60-693

  • Research Site

    Poznan, 60-823

  • Research Site

    Tarnów, 33-100

  • Research Site

    Wroclaw, 51-162

  • Research Site

    Wroclaw, 53-301

Other trials in Poland

Slovakia9 sites
  • Research Site

    Bratislava, 821 06

  • Research Site

    Bratislava, 851 01

  • Research Site

    Humenné, 066 01

  • Research Site

    Košice, 040 01

  • Research Site

    Levice, 934 01

  • Research Site

    Poprad, 058 01

  • Research Site

    Prešov, 081 81

  • Research Site

    Vráble, 952 01

  • Research Site

    Žilina, 010 01

Other trials in Slovakia

Germany6 sites
  • Research Site

    Bamberg, 96049

  • Research Site

    Berlin, 10787

  • Research Site

    Frankfurt, 60596

  • Research Site

    Frankfurt am Main, 60389

  • Research Site

    Hanover, 30173

  • Research Site

    Neu-Isenburg, 63263

Other trials in Germany

Hungary6 sites
  • Research Site

    Balassagyarmat, 2660

  • Research Site

    Komárom, 2900

  • Research Site

    Miskolc, 3529

  • Research Site

    Pécs, 7626

  • Research Site

    Pécs, 7635

  • Research Site

    Százhalombatta, 2440

Other trials in Hungary

About this study

Official title: A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Benralizumab in Adult Patients With Mild to Moderate Persistent Asthma.

The purpose of this trial is to confirm the safety and clinical benefit of benralizumab administration in asthma patients with mild to moderate persistent asthma in order to gain an understanding of the benefit/risk of benralizumab across the spectrum of asthma disease.

Conditions
Asthma
Being tested
Benralizumab, Placebo
Keywords
Asthma, Bronchial Diseases, Respiratory Tract Diseases, Lung Diseases, Obstructive Lung Diseases,
Medical subject headings
Asthma, Bronchial Diseases, Respiratory Tract Diseases, Lung Diseases, Lung Diseases, Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BenralizumabBiological

    Benralizumab administered subcutaneously every 4 weeks

  • PlaceboBiological

    Placebo administered subcutaneously every 4 weeks

Study groups in NCT02322775
Study groupRoleWhat they receive
Arm AExperimentalBenralizumab administered subcutaneously every 4 weeks
Receives: Biological: Benralizumab
Arm BExperimentalPlacebo administered subcutaneously every 4 weeks
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) (L) at Week 12

    The FEV1 (L) change from baseline are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect repeated measures (MMRM) analysis with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit (Week 4, Week 8, Week 12), region (Europe or North America) and treatment*visit interaction as fixed effects and baseline pre-bronchodilator FEV1 (L) as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 4, Week 8 and Week 12

Secondary outcomes (10)
  1. Change From Baseline in Morning Peak Expiratory Flow (PEF) (L/Min) at Home at Week 12

    The changes from baseline of weekly average of morning PEF (L/min) are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect model for repeated measures (MMRM) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit, region (Europe or North America) and treatment*visit interaction as fixed effects and baseline morning PEF (L/min) as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11 and Week 12

  2. Change From Baseline in Evening Peak Expiratory Flow (PEF) (L/Min) at Home at Week 12

    The changes from baseline of weekly average of evening PEF (L/min) are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect model for repeated measures (MMRM) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit, region (Europe or North America) and treatment*visit interaction as fixed effects and baseline evening PEF (L/min) as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11 and Week 12

  3. Change From Baseline in Total Asthma Symptom Score at Week 12

    Asthma symptoms were recorded by the patient each morning and evening in the asthma daily diary. Symptoms were recorded using a scale of 0-3, where 0 indicates no asthma symptoms. The daily asthma symptom total score was calculated by taking the sum of the daytime score recorded in the evening and the nighttime score recorded the following morning. The weekly total asthma score was averaged from the daily scores over a 7 day period, with score ranging from 0 to 6, where 0 indicates no asthma symptoms. The changes from baseline of weekly total asthma score are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect model repeated measures (MMRM) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit, region (Europe or North America) and treatment*visit interaction as fixed effects and baseline total asthma score as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11 and Week 12

  4. Change From Baseline in Total Asthma Rescue Medication Use (Puffs) at Week 12

    The number of rescue medication inhalations and nebulizer treatments taken were recorded by the patient in the asthma daily diary twice daily. The number of inhalations (puffs) per day was calculated as [number of night inhaler puffs] + 2 x [number of night nebulizer times] + number of day inhaler puffs + 2 x [number of day nebulizer times]. The changes from baseline in weekly total asthma rescue medication use (puffs) are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect model repeated measures (MMRM) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit, region (Europe or North America) and treatment*visit interaction as fixed effects and baseline total asthma rescue medication use (puffs) as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11 and Week 12

  5. Change From Baseline in Proportion of Nights With Nocturnal Awakenings at Week 12

    Nocturnal awakenings due to asthma symptoms and requiring rescue medication use was recorded by the patient in the asthma daily diary each morning. Proportion of nights with nocturnal awakenings was defined as the number of nights with awakenings due to asthma and requiring rescue medication divided by number of nights with data for awakening due to asthma. The outcome variable for proportion of nights with nocturnal awakenings was the change from baseline at Week 12 in weekly proportion of nights with nocturnal awakenings. The changes are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect model repeated measures (MMRM) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit, region (Europe or North America) and treatment*visit interaction as fixed effects and baseline proportion of nights with nocturnal awakenings as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11 and Week 12

  6. Change From Baseline in Mean ACQ-6 Score at Week 12

    The asthma control questionnaire, ACQ-6, consists of six questions; all assessed on a 7-point scale from 0 to 6, where 0 represents good control and 6 represents poor control. The overall score is the mean of the responses to each of the six questions. The changes from baseline of ACQ-6 score are compared between benralizumab 30 mg Q4W and placebo by using the mixed-effect repeated measures (MMRM) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL), protocol specified visit (Week 4, Week 8, Week 12), region (Europe or North America) and treatment*visit interaction as fixed effects and baseline ACQ-6 score as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline, Week 4, Week 8 and Week 12

  7. Asthma Exacerbations

    An asthma exacerbation was defined as a worsening of asthma that led to use of systemic corticosteroids for at least 3 days (a single depo-injectable dose of corticosteroids was considered equivalent to a 3-day course of systemic corticosteroids) or an emergency room or urgent care visit (defined as evaluation and treatment for <24 hours in an emergency department or urgent care center) due to asthma that required systemic corticosteroids (as per above) or an inpatient hospitalization (defined as admission to an inpatient facility and/or evaluation and treatment in a healthcare facility for ≥24 hours) due to asthma. Number of patients experiencing an event included in the definition of asthma exacerbation was presented.

    Measured: Up to Week 12

  8. Change From Baseline in AQLQ(S)+12 Total and Domain Scores at Week 12

    The asthma quality of life questionnaire for 12 years and older, AQLQ(S)+12, consists of 32 questions; all assessed on a 7-point scale from 7 to 1, where 7 represents no impairment and 1 represents severe impairment. The 4 individual domain scores (symptoms, activity limitations, emotional function, and environmental stimuli) are the means of the responses to the questions in each of the domains. The overall score is calculated as the mean response to all questions. The changes from baseline of AQLQ(S)+12 score are compared between benralizumab 30 mg Q4W and placebo by using the analyse of covariance (ANCOVA) with baseline blood eosinophil count (≥300 cells/μL or <300 cells/μL) and region (Europe or North America) as fixed effects and baseline AQLQ(S)+12 score as a covariate.

    Changes at Week 12 were calculated based on patients with both baseline and Week 12.

    Measured: Baseline and Week 12

  9. Serum Concentrations (ng/mL)

    Blood samples (processed to serum) for pharmacokinetic assessments were collected from all patients at baseline prior to first benralizumab administration at Day 1, at the Week 12 visit or the IP discontinuation visit, and at the Week 20 follow-up visit. Serum concentrations of benralizumab were determined using a validated electrochemiluminescent (ECL) immunoassay.

    Measured: Baseline, Week 12 and Week 20

  10. Peripheral Blood Eosinophil Levels

    Peripheral blood eosinophil levels assessments were collected from all patients at baseline prior to first benralizumab administration at Day 1, at the Week 12 visit or the IP discontinuation visit, and at the Week 20 follow-up visit.

    Changes at Week 12 (respectively at Week 20) were calculated based on patients with both baseline and Week 12 (respectively Week 20).

    Measured: Baseline, Week 12 and Week 20

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2014 (estimated)
  2. Study start2 Feb 2015
  3. Primary completion7 Oct 2015
  4. Study completion7 Oct 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
211 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02322775
Sponsor's protocol ID
D3250C00032
Other IDs
2014-004427-40, 2014
Status last verified
Aug 2017
First submitted
19 Dec 2014
Last updated
15 Aug 2017
Data monitoring committee
No

Publications

  • Ferguson GT, FitzGerald JM, Bleecker ER, Laviolette M, Bernstein D, LaForce C, Mansfield L, Barker P, Wu Y, Jison M, Goldman M; BISE Study Investigators. Benralizumab for patients with mild to moderate, persistent asthma (BISE): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Respir Med. 2017 Jul;5(7):568-576. doi: 10.1016/S2213-2600(17)30190-X. Epub 2017 May 22.

    PubMed 28545978

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Benralizumab in people with Asthma, run by AstraZeneca at 57 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 57 sites in United States, Canada, Poland, Slovakia, Germany and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 Feb 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) (L) at Week 12 (time frame: Baseline, Week 4, Week 8 and Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02322775, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Aug 2017.

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