AsthmaPhase 3NCT02452190
Study of Reslizumab in Participants With Uncontrolled Asthma and Elevated Blood Eosinophils
A Phase 3 study testing Reslizumab in people with Asthma, run by Teva Branded Pharmaceutical Products R&D, Inc. at 226 sites in 21 countries.
Trial summary
The primary objective of this study is to determine the effect of reslizumab (110 mg) administered subcutaneously every 4 weeks on clinical asthma exacerbations in adults and adolescents with asthma and elevated blood eosinophils who are inadequately controlled on standard-of-care asthma therapy. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- Reslizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 468 participants
- Where
- 226 sitesin 21 countries
- Study dates
- 28 Sep 2015to 31 Jan 2018
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Written informed consent is obtained.
- The participant is male or female, 12 years of age and older, with a diagnosis of asthma.
- The participant has Forced Expiratory Volume in 1 Second (FEV1) reversibility according to standard American Thoracic Society (ATS) or European Respiratory Society (ERS) protocol.
- The participant has required an inhaled corticosteroid.
- The participant has required an additional asthma controller medication besides inhaled corticosteroids.
- The participant has a history of asthma exacerbation.
- The participant must be willing and able to comply with study restrictions, perform requisite procedures and remain at the clinic for the required duration during the study period, and be willing to return to the clinic for the follow-up evaluation as specified in this protocol.
- Additional criteria may apply, please contact the investigator for more information
Who cannot join
- The participant has any clinically significant, uncontrolled medical condition (treated or untreated) that would interfere with the study schedule or procedures, interpretation of efficacy results, or compromise the patient's safety.
- The participant has another confounding underlying lung disorder
- The participant has a known hypereosinophilic syndrome.
- The participant has a diagnosis of malignancy within 5 years of the screening visit, except for treated and cured non-melanoma skin cancers.
- The participant is a pregnant or lactating woman, or intends to become pregnant during the study. Any woman becoming pregnant during the study will be withdrawn from the study.
- The participant is a current smoker or has a smoking history.
Show all 13Show fewer
- The participated in a clinical trial within 30 days or 5 half-lives of the investigational drug before screening, whichever is longer.
- The participant was previously exposed to reslizumab.
- The participant has a history of an immunodeficiency disorder including human immunodeficiency virus (HIV).
- The participant has current or suspected drug and alcohol abuse.
- The participant has an active helminthic parasitic infection or was treated for one within 6 months of screening.
- The participant has a history of allergic reaction or hypersensitivity to any component of the study drug.
- Additional criteria may apply, please contact the investigator for more information
Trial locations and contacts
226 sites in 21 countries.
226 sites in 21 countries
United States69 sites
Teva Investigational Site 13207
Abingdon, Virginia, 24210
Teva Investigational Site 13765
Albany, Georgia, 31707
Teva Investigational Site 13185
Arlington, Texas, 76018
Teva Investigational Site 13196
Aventura, Florida, 33180
Teva Investigational Site 13215
Bakersfield, California, 93301
Teva Investigational Site 13769
Belleville, New Jersey, 07109
Teva Investigational Site 13242
Bethlehem, Pennsylvania, 18020
Teva Investigational Site 13226
Biloxi, Mississippi, 39531
Teva Investigational Site 13212
Birmingham, Alabama, 35209
Teva Investigational Site 13258
Boys Town, Nebraska, 68010
Teva Investigational Site 13249
Buford, Georgia, 30518
Teva Investigational Site 13181
Canoga Park, California, 91303
Teva Investigational Site 13230
Chicago, Illinois, 60612
Teva Investigational Site 13186
Cincinnati, Ohio, 45267
Teva Investigational Site 13253
Cleveland, Ohio, 44106
Teva Investigational Site 13199
Corsicana, Texas, 75110
Teva Investigational Site 13260
Dallas, Texas, 75225
Teva Investigational Site 13229
Denver, Colorado, 80206
Teva Investigational Site 13209
East Providence, Rhode Island, ?02914
Teva Investigational Site 13259
Edmond, Oklahoma, 73034
Teva Investigational Site 13183
Fairfax, Virginia, 22030
Teva Investigational Site 13257
Falls Church, Virginia, 22044
Teva Investigational Site 13241
Flagstaff, Arizona, 86001
Teva Investigational Site 13256
Fort Lauderdale, Florida, 33308
Teva Investigational Site 13254
Fresno, California, 93720
Teva Investigational Site 13194
Glendale, Arkansas, 85306
Teva Investigational Site 13216
Huntington Beach, California, 92647
Teva Investigational Site 13218
Jenkintown, Pennsylvania, 19046
Teva Investigational Site 13203
Kissimmee, Florida, 34741
Teva Investigational Site 13223
Knoxville, Tennessee, 37919
Teva Investigational Site 13191
Lafayette, Louisiana, 70503
Teva Investigational Site 13763
Lawrenceville, Georgia, 30045
Teva Investigational Site 13225
Lenexa, Kansas, 66215
Teva Investigational Site 13217
Lincoln, Rhode Island, 02865
Teva Investigational Site 13247
Long Beach, California, 90813
Teva Investigational Site 13195
Medford, Oregon, 97504
Teva Investigational Site 13197
Miami, Florida, 33125
Teva Investigational Site 13220
Miami, Florida, 33155
Teva Investigational Site 13243
Miami, Florida, 33176
Teva Investigational Site 13202
Michigan City, Indiana, 46360
Teva Investigational Site 13205
Napa, California, 94558
Teva Investigational Site 13188
New Hyde Park, New York, 11040
Teva Investigational Site 13233
New Port Richey, Florida, 34653
Teva Investigational Site 13232
New York, New York, 10016
Teva Investigational Site 13767
New York, New York, 11570
Teva Investigational Site 13211
Normal, Illinois, 61761
Teva Investigational Site 13200
North Dartmouth, Massachusetts, 02747
Teva Investigational Site 13210
Ocean City, New Jersey, 07712
Teva Investigational Site 13238
Oklahoma City, Oklahoma, 73112
Teva Investigational Site 13201
Orlando, Florida, 32811
Teva Investigational Site 13250
Orlando, Florida, 32819
Teva Investigational Site 13222
Owensboro, Kentucky, 42301
Teva Investigational Site 13246
Pembroke Pines, Florida, 33029
Teva Investigational Site 13189
Philadelphia, Pennsylvania, 19107
Teva Investigational Site 13190
Pittsburgh, Pennsylvania, 15241
Teva Investigational Site 13187
Provo, Utah, 84604
Teva Investigational Site 13239
Richmond, Virginia, 23233
Teva Investigational Site 13224
San Antonio, Texas, 78229
Teva Investigational Site 13764
San Jose, California, 95117
Teva Investigational Site 13235
Shiloh, Illinois, 62269
Teva Investigational Site 13227
Spokane, Washington, 99204
Teva Investigational Site 13204
St Louis, Missouri, 63143
Teva Investigational Site 13252
Stockton, California, 95207
Teva Investigational Site 13208
Tallahassee, Florida, 32308
Teva Investigational Site 13255
Tampa, Florida, 33607
Teva Investigational Site 13240
Toledo, Ohio, 43606
Teva Investigational Site 13184
Waco, Texas, 76712
Teva Investigational Site 13251
Walnut Creek, California, 94598
Teva Investigational Site 13766
Waterbury, Connecticut, 06708
Ukraine20 sites
Teva Investigational Site 58216
Chernivtsi, 58023
Teva Investigational Site 58219
Dnipropetrovsk, 49074
Teva Investigational Site 58225
Dnipropetrovsk, 49101
Teva Investigational Site 58222
Ivano-Frankivsk, 76018
Teva Investigational Site 58227
Kharkiv, 61002
Teva Investigational Site 58213
Kharkiv, 61007
Teva Investigational Site 58221
Kharkiv, 61035
Teva Investigational Site 58223
Kharkiv, 61039
Teva Investigational Site 58214
Kremenchuk, 39617
Teva Investigational Site 58228
Kryvyi Rih, 50082
Teva Investigational Site 58220
Kyiv, 03680
Teva Investigational Site 58230
Kyiv, 04050
Teva Investigational Site 58218
Kyiv, 04107
Teva Investigational Site 58226
Kyiv, 04201
Teva Investigational Site 58253
Kyiv, ?03680
Teva Investigational Site 58234
Sumy, 40022
Teva Investigational Site 58229
Vinnytsia, 21001
Teva Investigational Site 58233
Vinnytsia, 21001
Teva Investigational Site 58231
Zaporizhzhya, 69063
Teva Investigational Site 58224
Zhaporizhzhya, 69035
Japan18 sites
Teva Investigational Site 84039
Amagasaki, 660-8550
Teva Investigational Site 84053
Ginowan, 901-2214
Teva Investigational Site 84049
Hakodate, ?040-8611
Teva Investigational Site 84034
Hiroshima, 734-8530
Teva Investigational Site 84036
Kanazawa, 920-8530
Teva Investigational Site 84037
Kishiwada-shi, 596-8501
Teva Investigational Site 84048
Kobe, 651-0073
Teva Investigational Site 84044
Kobe, 651-2273
Teva Investigational Site 84047
Kodaira, 187-8510
Teva Investigational Site 84045
Kumamoto, 862-0965
Teva Investigational Site 84043
Mizunami-shi, 509-6134
Teva Investigational Site 84041
Sagamihara, 252-5188
Teva Investigational Site 84031
Tokyo, 103-0027
Teva Investigational Site 84032
Tokyo, 103-0027
Teva Investigational Site 84038
Toyama, 930-0194
Teva Investigational Site 84046
Toyama, 930-8550
Teva Investigational Site 84035
Toyoake-shi, 470-1192
Teva Investigational Site 84040
Yokohama, 231-8682
Germany16 sites
Teva Investigational Site 32559
Bad Wörishofen, 86825
Teva Investigational Site 32556
Berlin, 10717
Teva Investigational Site 32561
Berlin, 10969
Teva Investigational Site 32570
Berlin, 12159
Teva Investigational Site 32567
Berlin, 13507
Teva Investigational Site 32564
Berlin, 14059
Teva Investigational Site 32568
Frankfurt, 60389
Teva Investigational Site 32560
Frankfurt am Main, 60596
Teva Investigational Site 32562
Hamburg, 22299
Teva Investigational Site 32566
Hanover, 30173
Teva Investigational Site 32555
Koblenz, 56068
Teva Investigational Site 32563
Leipzig, 04357
Teva Investigational Site 32557
Leipzig, 4275
Teva Investigational Site 32565
Lübeck, 23552
Teva Investigational Site 32551
Mainz, 55131
Teva Investigational Site 32569
Witten, 58452
Hungary16 sites
Teva Investigational Site 51216
Balassagyarmat, 2660
Teva Investigational Site 51228
Budapest, H-1036
Teva Investigational Site 51221
Csorna, 9300
Teva Investigational Site 51220
Debrecen, 4032
Teva Investigational Site 51223
Debrecen, 4032
Teva Investigational Site 51255
Dombóvár, 7200
Teva Investigational Site 51218
Gödöllő, 2100
Teva Investigational Site 51222
Győr, 9023
Teva Investigational Site 51227
Hajdúnánás, 4080
Teva Investigational Site 51226
Kaposvár, 7400
Teva Investigational Site 51231
Kapuvár, 9330
Teva Investigational Site 51224
Százhalombatta, 2440
Teva Investigational Site 51219
Szeged, 6725
Teva Investigational Site 51225
Szigetvár, 7900
Teva Investigational Site 51217
Szombathely
Teva Investigational Site 51229
Veszprém, 8200
Argentina11 sites
Teva Investigational Site 20040
Buenos Aires, C1122AAK
Teva Investigational Site 20033
Buenos Aires, C1426ABP
Teva Investigational Site 20035
Buenos Aires
Teva Investigational Site 20041
Córdoba, X5003DCE
Teva Investigational Site 20053
Lanus, B1824 KAJ
Teva Investigational Site 20037
Mar del Plata, CP 7600
Teva Investigational Site 20036
Mendoza, 5500
Teva Investigational Site 20054
Rosario, 2000
Teva Investigational Site 20032
Rosario, S2000DBS
Teva Investigational Site 20046
San Miguel de Tucumán, T4000CHE
Teva Investigational Site 20045
San Rafael, 5600
Israel9 sites
Teva Investigational Site 80077
Ashkelon, 7830604
Teva Investigational Site 80076
Haifa, 3436212
Teva Investigational Site 80094
Jerusalem, 91031
Teva Investigational Site 80078
Jerusalem, 91120
Teva Investigational Site 80080
Kfar Saba, 44281
Teva Investigational Site 80073
Petah Tikva, 49100
Teva Investigational Site 80081
Petah Tikva, 49100
Teva Investigational Site 80079
Ramat Gan, 5262160
Teva Investigational Site 80075
Rehovot, 76100
Poland8 sites
Teva Investigational Site 53310
Bialystok, 15-044
Teva Investigational Site 53315
Bialystok, 15-276
Teva Investigational Site 53308
Gdansk, 80-952
Teva Investigational Site 53311
Krakow, 31-624
Teva Investigational Site 53314
Lodz, 90-153
Teva Investigational Site 53312
Lodz, 90-329
Teva Investigational Site 53313
Poznan, 60-214
Teva Investigational Site 53309
Tarnów, 33-100
Romania8 sites
Teva Investigational Site 52108
Brasov, 500051
Teva Investigational Site 52109
Brasov, 500086
Teva Investigational Site 52107
Bucharest, 11461
Teva Investigational Site 52105
Bucharest, 50159
Teva Investigational Site 52104
Cluj-Napoca, 400371
Teva Investigational Site 52111
Deva
Teva Investigational Site 52106
Târgu Mureş, 540136
Teva Investigational Site 52110
Timișoara, 300310
Russia8 sites
Teva Investigational Site 50350
Barnaul, 656024
Teva Investigational Site 50354
Kemerovo, 650099
Teva Investigational Site 50348
Moscow, 115478
Teva Investigational Site 50351
Moscow, 119991
Teva Investigational Site 50347
Novosibirsk, 630091
Teva Investigational Site 50355
Saint Petersburg, 194356
Teva Investigational Site 50352
Saint Petersburg, 197089
Teva Investigational Site 50349
Tomsk, 634063
South Africa7 sites
Teva Investigational Site 90027
Benoni, 1500
Teva Investigational Site 90028
Bloemfontein, 9301
Teva Investigational Site 90026
Cape Town, 7505
Teva Investigational Site 90031
Cape Town, 7570
Teva Investigational Site 90029
Cape Town, 7937
Teva Investigational Site 90032
Durban, 4091
Teva Investigational Site 90030
Durban, 4170
Mexico6 sites
Teva Investigational Site 21084
Guadalajara, 44100
Teva Investigational Site 21085
Guadalajara, 44130
Teva Investigational Site 21088
Guadalajara, 44160
Teva Investigational Site 21089
Guadalajara, 44220
Teva Investigational Site 21087
Monterrey, 64718
Teva Investigational Site 21086
Zapopan, 45070
Australia5 sites
Teva Investigational Site 78085
Bedford Park, 5042
Teva Investigational Site 78083
Nedlands, 6009
Teva Investigational Site 78088
Parkville, 3052
Teva Investigational Site 78087
Sherwood, 4075
Teva Investigational Site 78084
Woolloongabba
Turkey (Türkiye)5 sites
Teva Investigational Site 82042
Ankara, 06290
Teva Investigational Site 82041
Izmir, 35120
Teva Investigational Site 82040
Kocaeli, 41380
Teva Investigational Site 82039
Konya
Teva Investigational Site 82043
Mersin, 33169
Spain4 sites
Teva Investigational Site 31149
Barcelona, 08025
Teva Investigational Site 31147
Esplugues de Llobregat, 08950
Teva Investigational Site 31152
Girona, 17005
Teva Investigational Site 31154
Vitoria-Gasteiz, 01009
Belgium3 sites
Teva Investigational Site 37054
Brussels, 1200
Teva Investigational Site 37053
Erpent, 5101
Teva Investigational Site 37055
Ghent, 9000
Canada3 sites
Teva Investigational Site 11105
Etobicoke, Ontario, M9V 4B4
Teva Investigational Site 11106
Vancouver, British Columbia, V5Z 4E1
Teva Investigational Site 11109
Windsor, N8X 5A6
Czechia3 sites
Teva Investigational Site 54130
Jablonec nad Nisou, 46601
Teva Investigational Site 54128
Jindřichův Hradec, 377 01
Teva Investigational Site 54129
Tábor, 39001
South Korea3 sites
Teva Investigational Site 87015
Bucheon-si, 420-767
Teva Investigational Site 87016
Seoul, 152-703
Teva Investigational Site 87014
Seoul, 152703
France2 sites
Teva Investigational Site 35182
Strasbourg, 67091
Teva Investigational Site 35183
Toulouse, 31000
New Zealand2 sites
Teva Investigational Site 79047
Auckland, 1640
Teva Investigational Site 79046
Auckland
About this study
Official title: A 52-Week Double-Blind, Placebo-Controlled, Parallel-Group Efficacy and Safety Study of Reslizumab 110 mg Fixed, Subcutaneous Dosing in Patients With Uncontrolled Asthma and Elevated Blood Eosinophils
The primary objective of this study is to determine the effect of reslizumab (110 mg) administered subcutaneously every 4 weeks on clinical asthma exacerbations in adults and adolescents with asthma and elevated blood eosinophils who are inadequately controlled on standard-of-care asthma therapy.
- Conditions
- Asthma
- Being tested
- Reslizumab, Placebo
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ReslizumabDrug
Reslizumab will be administered subcutaneously in a dose of 110 mg every 4 weeks.
PlaceboDrug
Matching Placebo
| Study group | Role | What they receive |
|---|---|---|
| Reslizumab | Experimental | Reslizumab Receives: Drug: Reslizumab |
| Placebo | Placebo comparator | Matching Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Clinical Asthma Exacerbations (CAEs) During 52 Weeks of Treatment
A CAE was defined as a clinically-judged deterioration in asthma control, as determined by the investigator and as evidenced by new or worsening asthma signs or symptoms based on the participant's history, asthma control diary, physical examination, and/or ambulatory or clinic visit assessment of lung function and that resulted in a medical intervention, including at least 1 of the following: 1) use of systemic corticosteroids (oral or injection) or at least a doubling from a stable maintenance oral corticosteroid dose for at least 3 days; 2) asthma-specific hospital admission; 3) asthma-specific emergency department visit. Adjusted CAE rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors. Results are presented as adjusted means. For this analysis, the offset variable is calculated as the logarithm of treatment duration minus the summed duration of exacerbations during the treatment period.
Measured: Day 1 to Week 52
Secondary outcomes (9)
Change From Baseline to Week 52 in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
Change in pre-bronchodilator FEV1 from baseline to week 52 is presented. FEV1 is a standard measurement of air movement in the lungs of participants with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer.
Analysis of the change from baseline to each visit was performed using a mixed effect model for repeated measures (MMRM) including fixed effects for treatment, visit, treatment by visit interaction, age group, blood eosinophil counts at enrollment, and sex, height and baseline value as covariates, and participant as a random effect.
Measured: Baseline, Week 52
Change From Baseline to Week 52 in Asthma Quality of Life Questionnaire for Participants 12 Years and Older (AQLQ+12) Score
AQLQ is a 32-item instrument administered as a self-assessment. AQLQ+12 is a modified version of AQLQ developed to measure functional impairments of participants aged 12-70 years. It is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Participants were asked to recall their experiences during the last 2 weeks and respond to each question on a 7-point scale (1=severe impairment, 7=no impairment), where higher scores indicated "better quality of life." Overall AQLQ+12 score is the mean of all 32 responses. Analysis of the change from baseline to each visit was performed using a MMRM including fixed effects for treatment, visit, treatment by visit interaction, age group, blood eosinophil counts at enrollment, and sex, height and baseline value as covariates, and participant as a random effect.
Measured: Baseline, Week 52
Change From Baseline to Week 52 in 6-item Asthma Control Questionnaire (ACQ-6) Score
The ACQ-6 is a 6-item validated asthma assessment tool that has been widely used. Six questions are self-assessments (completed by the participant), 5 questions assessing asthma symptoms: night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing, and 1 question for short-acting bronchodilator use. Each item on the ACQ-6 has a possible score ranges from 0 to 6, and the total score is the mean of all responses. The total score ranging from 0-6 (0=totally controlled and 6=severely uncontrolled). A higher score indicated poorer asthma control. Analysis of the change from baseline to each visit was performed using a mixed effect model for repeated measures (MMRM) including fixed effects for treatment, visit, treatment by visit interaction, age group, blood eosinophil counts at enrollment, and sex, height and baseline value as covariates, and participant as a random effect.
Measured: Baseline, Week 52
Change From Baseline to Week 52 in Total Asthma Symptom Scores (Day and Night)
Asthma symptoms were recorded by participant each day and night in an asthma control diary. Night score was assessed on a 5-point scale where 0=no symptoms, slept through night, to 4=bad night, no sleep. Day score was assessed on a 6-point scale where 0=very well, no symptoms, to 5= asthma very severe, unable to carry out daily activities. Total asthma symptom score was calculated by taking the sum of the night and day asthma symptom scores recorded, ranging from 0 (no symptom) to 9 (severe symptom). A lower symptom score indicated a better outcome. Analysis of the change from baseline to each visit was performed using a MMRM including fixed effects for treatment, visit, treatment by visit interaction, age group, blood eosinophil counts at enrollment, and sex, height and baseline value as covariates, and participant as a random effect.
Measured: Baseline, Week 52
Percentage of Asthma Control Days
The percentage of asthma control days over 52 weeks of treatment is presented. An asthma control day was defined as a day on which the participant used less than or equal to 2 puffs of inhaled short-acting beta-agonist, had no nighttime awakenings, and experienced no asthma exacerbations. Analysis of the change from baseline to each visit was performed using a mixed effect MMRM including fixed effects for treatment, visit, treatment by visit interaction, age group, blood eosinophil counts at enrollment, and sex, height and baseline value as covariates, and participant as a random effect.
Measured: Day 1 to Week 52
Change From Baseline to Week 32 in St. George's Respiratory Questionnaire (SGRQ) Total Score
The SGRQ is a 17-item questionnaire with 50 weighted responses. It provides a total score and three component scores: Symptoms (distress caused by respiratory symptoms), Activity (physical activities that cause or are limited by breathlessness), and Impacts (social and psychological effects of the disease). The total score and each of the SGRQ subscores are scored from 0 to 100 where 0 indicates best and 100 indicates worst health. An increase in score indicates worsening health. Analysis of the change from baseline to each visit was performed using a mixed effect model for repeated measures (MMRM) including fixed effects for treatment, visit, treatment by visit interaction, age group, blood eosinophil counts at enrollment, and sex, height and baseline value as covariates, and participant as a random effect.
Measured: Baseline, Week 32
Kaplan-Meier (K-M) Estimate of Probability (Percent [%]) of Not Experiencing a CAE by Week 52
CAE was defined as a clinically judged deterioration in asthma control, as determined by the investigator and as evidenced by new or worsening asthma signs or symptoms based on the participant's history, asthma control diary, physical examination, and/or ambulatory or clinic visit assessment of lung function and that resulted in a medical intervention, including at least 1 of the following: 1) use of systemic corticosteroids (oral or injection) or at least a doubling from a stable maintenance oral corticosteroid dose for at least 3 days; 2) asthma-specific hospital admission; 3) asthma-specific emergency department visit.
The KM method was used to estimate and compare the distributions of time to first CAE between treatment groups. Participants without an event during the treatment period were censored at either the date of the end of treatment (Week 52) visit for participants who completed treatment or at the date of last dose (+4 weeks) for participants who discontinued early.
Measured: Day 1 to Week 52
Number of CAEs Requiring Hospitalization and/or Emergency Department Visits During 52 Weeks of Treatment
A CAE was defined as a clinically judged deterioration in asthma control, as determined by the investigator and as evidenced by new or worsening asthma signs or symptoms based on the participant's history, asthma control diary, physical examination, and/or ambulatory or clinic visit assessment of lung function and that resulted in a medical intervention, including at least 1 of the following: 1) use of systemic corticosteroids (oral or injection) or at least a doubling from a stable maintenance oral corticosteroid dose for at least 3 days; 2) asthma-specific hospital admission; 3) asthma-specific emergency department visit. The frequency of CAEs over 52-week treatment period is expressed as adjusted CAEs rate in 52 weeks. Adjusted CAE rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors (age group, blood eosinophil group) and number of prior exacerbations, and an offset variable.
Measured: Day 1 to Week 52
Number of Moderate Exacerbations During 52 Weeks of Treatment
A moderate exacerbation was defined as a clinically judged deterioration in asthma control as determined by investigator and as evidenced by new or worsening asthma signs or symptoms based on the participant's history, asthma control diary, physical examination, and/or ambulatory or clinic visit assessment of lung function and that resulted in a medical intervention requiring additional asthma controller medication that was not a systemic corticosteroid and did not result in an asthma-specific hospitalization or emergency department visit (that is, a medical intervention that did not otherwise meet the criteria for primary endpoint). Frequency of moderate exacerbations over 52-week treatment period is expressed as adjusted exacerbation rate in 52 weeks. Adjusted exacerbation rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors (age group, blood eosinophil group) and number of prior exacerbations, and an offset variable.
Measured: Day 1 to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2015 (estimated)
- Study start28 Sep 2015
- Primary completion4 Dec 2017
- Study completion31 Jan 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 468 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- PPD Development, LP
- Responsible party
- Sponsor
- Investigators
- Teva Medical Expert, MD, Study director, Teva Branded Pharmaceutical Products R&D, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02452190
- Sponsor's protocol ID
- C38072-AS-30025
- Other IDs
- 2015-000865-29, 2015
- Status last verified
- Nov 2021
- First submitted
- 13 May 2015
- Last updated
- 9 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Bernstein JA, Virchow JC, Murphy K, Maspero JF, Jacobs J, Adir Y, Humbert M, Castro M, Marsteller DA, McElhattan J, Hickey L, Garin M, Vanlandingham R, Brusselle G. Effect of fixed-dose subcutaneous reslizumab on asthma exacerbations in patients with severe uncontrolled asthma and corticosteroid sparing in patients with oral corticosteroid-dependent asthma: results from two phase 3, randomised, double-blind, placebo-controlled trials. Lancet Respir Med. 2020 May;8(5):461-474. doi: 10.1016/S2213-2600(19)30372-8. Epub 2020 Feb 14.
PubMed 32066536
Study at a glance
From the registry record, last updated by the sponsor on 9 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 52-Week Double-Blind, Placebo-Controlled, Parallel-Group Efficacy and Safety Study of Reslizumab 110 mg Fixed, Subcutaneous Dosing in Patients With Uncontrolled Asthma and Elevated Blood Eosinophils
- ClinicalTrials.gov ID
- NCT02452190
- Acronym / sponsor ID
- C38072-AS-30025
- Conditions
- Asthma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 468 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Collaborators
- PPD Development, LP
- Study start
- 28 Sep 2015 (actual)
- Primary completion
- 4 Dec 2017 (actual)
- Study completion
- 31 Jan 2018 (actual)
- First posted
- 22 May 2015 (estimated)
- Results
- Posted 6 Feb 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to determine the effect of reslizumab (110 mg) administered subcutaneously every 4 weeks on clinical asthma exacerbations in adults and adolescents with asthma and elevated blood eosinophils who are inadequately controlled on standard-of-care asthma therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Reslizumab | Experimental | Drug: ReslizumabReslizumab |
| Placebo | Placebo comparator | Drug: PlaceboMatching Placebo |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (8 listed)
- Written informed consent is obtained.
- The participant is male or female, 12 years of age and older, with a diagnosis of asthma.
- The participant has Forced Expiratory Volume in 1 Second (FEV1) reversibility according to standard American Thoracic Society (ATS) or European Respiratory Society (ERS) protocol.
- The participant has required an inhaled corticosteroid.
- The participant has required an additional asthma controller medication besides inhaled corticosteroids.
Key exclusion criteria (13 listed)
- The participant has any clinically significant, uncontrolled medical condition (treated or untreated) that would interfere with the study schedule or procedures, interpretation of efficacy results, or compromise the patient's safety.
- The participant has another confounding underlying lung disorder
- The participant has a known hypereosinophilic syndrome.
- The participant has a diagnosis of malignancy within 5 years of the screening visit, except for treated and cured non-melanoma skin cancers.
- The participant is a pregnant or lactating woman, or intends to become pregnant during the study. Any woman becoming pregnant during the study will be withdrawn from the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ReslizumabReslizumab will be administered subcutaneously in a dose of 110 mg every 4 weeks. | Drug | Reslizumab |
| PlaceboMatching Placebo | Drug | Placebo |
Primary outcome
Number of Clinical Asthma Exacerbations (CAEs) During 52 Weeks of Treatment
Time frame: Day 1 to Week 52
A CAE was defined as a clinically-judged deterioration in asthma control, as determined by the investigator and as evidenced by new or worsening asthma signs or symptoms based on the participant's history, asthma control diary, physical examination, and/or ambulatory or clinic visit assessment of lung function and that resulted in a medical intervention, including at least 1 of the following: 1) use of systemic corticosteroids (oral or injection) or at least a doubling from a stable maintenance oral corticosteroid dose for at least 3 days; 2) asthma-specific hospital admission; 3) asthma-specific emergency department visit. Adjusted CAE rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors. Results are presented as adjusted means. For this analysis, the offset variable is calculated as the logarithm of treatment duration minus the summed duration of exacerbations during the treatment period.
9 secondary outcomes
Change From Baseline to Week 52 in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Asthma Quality of Life Questionnaire for Participants 12 Years and Older (AQLQ+12) Score
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in 6-item Asthma Control Questionnaire (ACQ-6) Score
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Total Asthma Symptom Scores (Day and Night)
Time frame: Baseline, Week 52
Percentage of Asthma Control Days
Time frame: Day 1 to Week 52
Change From Baseline to Week 32 in St. George's Respiratory Questionnaire (SGRQ) Total Score
Time frame: Baseline, Week 32
Kaplan-Meier (K-M) Estimate of Probability (Percent [%]) of Not Experiencing a CAE by Week 52
Time frame: Day 1 to Week 52
Number of CAEs Requiring Hospitalization and/or Emergency Department Visits During 52 Weeks of Treatment
Time frame: Day 1 to Week 52
Number of Moderate Exacerbations During 52 Weeks of Treatment
Time frame: Day 1 to Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32066536Bernstein JA, Virchow JC, Murphy K, Maspero JF, Jacobs J, Adir Y, Humbert M, Castro M, Marsteller DA, McElhattan J, Hickey L, Garin M, Vanlandingham R, Brusselle G. Effect of fixed-dose subcutaneous reslizumab on asthma exacerbations in patients with severe uncontrolled asthma and corticosteroid sparing in patients with oral corticosteroid-dependent asthma: results from two phase 3, randomised, double-blind, placebo-controlled trials. Lancet Respir Med. 2020 May;8(5):461-474. doi: 10.1016/S2213-2600(19)30372-8. Epub 2020 Feb 14.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Teva Medical Expert, MD study director
Teva Branded Pharmaceutical Products R&D, Inc.
226 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Reslizumab in people with Asthma, run by Teva Branded Pharmaceutical Products R&D, Inc. at 226 sites in 21 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 8 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 9 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 226 sites in United States, Ukraine, Japan, Germany, Hungary and 16 more countries. 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. Some participants in this study may receive a placebo. 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 6 Feb 2019). 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?
Number of Clinical Asthma Exacerbations (CAEs) During 52 Weeks of Treatment (time frame: Day 1 to Week 52). 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 NCT02452190, 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 9 Nov 2021.