AsthmaPhase 3NCT03052517
Study of Safety of QAW039 in Patients With Asthma Inadequately Controlled on Standard-of-care Asthma Treatment
A Phase 3 study testing QAW039 150 mg and QAW039 450 mg in people with Asthma, run by Novartis Pharmaceuticals at 347 sites in 42 countries.
Trial summary
This study was a 2-treatment period, randomized, multicenter parallel-group study. The overall purpose of this study was to provide long- term safety data for fevipiprant (QAW039) (Dose 1 and Dose 2), compared with placebo, when added to the Global Initiative for Asthma (GINA) steps 3, 4, and 5 standard-of-care (SoC)… Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- QAW039 150 mg and QAW039 450 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,538 participants
- Where
- 347 sitesin 42 countries
- Study dates
- 21 Mar 2017to 16 Mar 2020
- 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
- Patients completing a prior Phase 3 study of QAW039:
- Informed consent and assent (if applicable).
- Completion of the Treatment Period (on blinded study drug) of a prior Phase 3 study of QAW039.
- Patient is able to safely continue into the study as judged by the investigator.
- Patients who have not previously participated in a study of QAW039:
- Written informed consent.
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- A diagnosis of asthma,uncontrolled on GINA 3/4/5 asthma medication.
- Evidence of airway reversibility or airway hyper- reactivity.
- FEV1 of ≤85% of the predicted normal value.
- An ACQ score ≥1.5 prior to entering the study.
Who cannot join
- Patients completing a prior phase 3 study of QAW039:
- Pregnant or nursing (lactating) women.
- Women of child-bearing potential unless they are using basic methods of contraception during dosing of study drug
- Patients who did not complete the Treatment Period on blinded study drug of the prior QAW039 study they participated in.
- Inability to comply with all study requirements.
- Patient who experienced a serious and drug-related AE in the prior QAW039 study they participated in.
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- Patients who have not previously participated in a study of QAW039:
- Use of other investigational drugs within 5 half-lives of study entry, or within 30 days, whichever is longer.
- Subjects who have participated in another trial of QAW039 (i.e.-the patient was randomized in another study).
- A QTcF (Fridericia) ≥450 msec (male) or ≥460 msec (female).
- History of malignancy with the exception of local basal cell carcinoma of the skin
- Pregnant or nursing (lactating) women.
- Serious co-morbidities.
- Patients on greater than 20 mg of simvastatin> 40 mg of atorvastatin, >40 mg of pravastatin, or >2 mg of pitavastatin. Statin doses less than or equal to these doses as well as other statins will be permitted during the study.
Trial locations and contacts
347 sites in 42 countries.
347 sites in 42 countries
United States46 sites
Novartis Investigative Site
Altoona, Pennsylvania, 16602
Novartis Investigative Site
Asheville, North Carolina, 28801
Novartis Investigative Site
Bangor, Maine, 04401
Novartis Investigative Site
Bellevue, Nebraska, 68123
Novartis Investigative Site
Bellingham, Washington, 98225
Novartis Investigative Site
Birmingham, Alabama, 35209
Novartis Investigative Site
Boerne, Texas, 78006
Novartis Investigative Site
Colorado Springs, Colorado, 80907
Novartis Investigative Site
Columbia, Maryland, 21044
Novartis Investigative Site
Columbus, Ohio, 43215
Novartis Investigative Site
Denver, Colorado, 80230
Novartis Investigative Site
East Providence, Rhode Island, 02941
Novartis Investigative Site
Edmond, Oklahoma, 73034
Novartis Investigative Site
Encinitas, California, 92024
Novartis Investigative Site
Fort Worth, Texas, 76244
Novartis Investigative Site
Gastonia, North Carolina, 28054
Novartis Investigative Site
La Vista, Nebraska, 68128
Novartis Investigative Site
Lafayette, Colorado, 80026
Novartis Investigative Site
Louisville, Kentucky, 40215
Novartis Investigative Site
Marietta, Georgia, 30060
Novartis Investigative Site
McKinney, Texas, 75069
Novartis Investigative Site
Medford, Oregon, 97504
Novartis Investigative Site
Miami, Florida, 33176
Novartis Investigative Site
Missoula, Montana, 59804
Novartis Investigative Site
Newport Beach, California, 92663
Novartis Investigative Site
Oklahoma City, Oklahoma, 73120
Novartis Investigative Site
Omaha, Nebraska, 68131
Novartis Investigative Site
Omaha, Nebraska, 68134
Novartis Investigative Site
Orange, California, 92868
Novartis Investigative Site
Overland Park, Kansas, 66210
Novartis Investigative Site
Pittsburgh, Pennsylvania, 15221
Novartis Investigative Site
Pittsburgh, Pennsylvania, 15241
Novartis Investigative Site
Plano, Texas, 75093
Novartis Investigative Site
Richmond, Virginia, 23225
Novartis Investigative Site
San Antonio, Texas, 78205
Novartis Investigative Site
San Diego, California, 92117
Novartis Investigative Site
Spokane, Washington, 99204
Novartis Investigative Site
Stockton, California, 95207
Novartis Investigative Site
Tamarac, Florida, 33321
Novartis Investigative Site
The Bronx, New York, 10459
Novartis Investigative Site
Waldorf, Maryland, 20602
Novartis Investigative Site
Walnut Creek, California, 94598
Novartis Investigative Site
Westminster, California, 92683
Novartis Investigative Site
Winter Park, Florida, 32789
Novartis Investigative Site
Ypsilanti, Michigan, 48197
Novartis Investigative Site
Zachary, Louisiana, 70791
Japan46 sites
Novartis Investigative Site
Chikushino-shi, Fukuoka, 818-8502
Novartis Investigative Site
Chuo Ku, Tokyo, 104-0031
Novartis Investigative Site
Chuo Ku, Tokyo, 104-8560
Novartis Investigative Site
Chuo-ku, Tokyo, 103-0003
Novartis Investigative Site
Chuo-ku, Tokyo, 103-0028
Novartis Investigative Site
Fukuoka, Fukuoka, 811-1394
Novartis Investigative Site
Habikino, Osaka, 583 8588
Novartis Investigative Site
Hamamatsu, Shizuoka, 431-3192
Novartis Investigative Site
Himeji, Hyōgo, 672-8064
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Hiroshima, Hiroshima, 734-8530
Novartis Investigative Site
Iizuka, Fukuoka, 820-8505
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Kagoshima, Kagoshima-ken, 890 8520
Novartis Investigative Site
Kashihara, Nara, 634 8522
Novartis Investigative Site
Kasuga, Fukuoka, 816-0813
Novartis Investigative Site
Kishiwada, Osaka, 596-8501
Novartis Investigative Site
Kiyose, Tokyo, 204-8585
Novartis Investigative Site
Koga, Fukuoka, 811 3195
Novartis Investigative Site
Kōshi, Kumamoto, 861-1196
Novartis Investigative Site
Matsusaka, Mie-ken, 515-8544
Novartis Investigative Site
Matsuyama, Ehime, 790-0024
Novartis Investigative Site
Matsuyama, Ehime, 790-8524
Novartis Investigative Site
Mizunami, Gifu, 509 6134
Novartis Investigative Site
Nagoya, Aichi-ken, 466 8560
Novartis Investigative Site
Naka-gun, Ibaraki, 319-1113
Novartis Investigative Site
Ōta-ku, Tokyo, 145 0063
Novartis Investigative Site
Sagamihara, Kanagawa, 228-8522
Novartis Investigative Site
Sagamihara, Kanagawa, 229-1103
Novartis Investigative Site
Sakaidechō, Kagawa-ken, 762-8550
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Sapporo, Hokkaido, 062-0931
Novartis Investigative Site
Sapporo, Hokkaido, 064-0804
Novartis Investigative Site
Sendai, Miyagi, 980-0871
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Sendai, Miyagi, 984-8560
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Setagaya-ku, Tokyo, 157006
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Setagaya-Ku, Tokyo, 157-0072
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Shinagawa-ku, Tokyo, 142-8666
Novartis Investigative Site
Shinjuku Ku, Tokyo, 162 8655
Novartis Investigative Site
Shinjuku-ku, Tokyo, 169-0073
Novartis Investigative Site
tabashi City, Tokyo, 173-8610
Novartis Investigative Site
Takamatsu, Kagawa-ken, 761-8073
Novartis Investigative Site
Tokyo, Shibuya Ku, 150 0013
Novartis Investigative Site
Toshima Ku, Tokyo, 170 0003
Novartis Investigative Site
Tsu, Mie-ken, 514-0125
Novartis Investigative Site
Yanagawa, Fukuoka, 832-0059
Novartis Investigative Site
Yokohama, Kanagawa, 223-0059
Novartis Investigative Site
Yokohama, Kanagawa, 232 0024
Novartis Investigative Site
Yokohama, Kanagawa, 234-0054
Argentina23 sites
Novartis Investigative Site
Berazategui, Buenos Aires, 1888
Novartis Investigative Site
Buenos Aires, C1012AAR
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Buenos Aires, C1125ABE
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Buenos Aires, C1425FVH
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CABA, Buenos Aires, C1056ABJ
Novartis Investigative Site
CABA, Buenos Aires, C1122AAK
Novartis Investigative Site
CABA, Buenos Aires, C1425BEN
Novartis Investigative Site
CABA, Buenos Aires, C1426ABP
Novartis Investigative Site
Córdoba, X5003DCE
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Lanus, Buenos Aires, B8000XAV
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Mar del Plata, Buenos Aires, 7600
Novartis Investigative Site
Mendoza, 5500
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Mendoza, M5500CBA
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Ranelagh, Partido de Berazate, Buenos Aires, 1884
Novartis Investigative Site
Rosario, Santa Fe Province, S2000AII
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Rosario, Santa Fe Province, S2000BRH
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Rosario, Santa Fe Province, S2000JKR
Novartis Investigative Site
Salta, 4000
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San Miguel de Tucumán, Tucumán Province, 4000
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San Miguel de Tucumán, Tucumán Province, T4000IFL
Novartis Investigative Site
Santa Fe, Rosario, S2000DBS
Novartis Investigative Site
Santa Fe, S3000FIL
Novartis Investigative Site
Santa Rosa, La Pampa Province, 6300
Russia16 sites
Novartis Investigative Site
Barnaul, 656024
Novartis Investigative Site
Chelyabinsk, 454021
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Izhevsk, 426061
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Moscow, 115478
Novartis Investigative Site
Moscow, 125315
Novartis Investigative Site
Nizhny Novgorod, 603126
Novartis Investigative Site
Penza, 440067
Novartis Investigative Site
Perm, 614068
Novartis Investigative Site
Ryazan, 390039
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Saint Petersburg, 191186
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Saint Petersburg, 194354
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Sestroretsk, 197706
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Smolensk
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Stavropol, 355000
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Yaroslavl, 150054
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Yekaterinburg, 620109
Spain15 sites
Novartis Investigative Site
Barcelona, Catalonia, 08036
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Barcelona, Vic, 08500
Novartis Investigative Site
Barcelona, 08006
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Girona, 17005
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Guadalajara, 19002
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Jerez de la Frontera, Cadiz, 11407
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Laredo, Cantabria, 39770
Novartis Investigative Site
Lugo, Galicia, 27003
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Madrid, 28046
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Málaga, Andalusia, 29009
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Málaga, Andalusia, 29010
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Marbella, Andalusia, 29603
Novartis Investigative Site
Palma de Mallorca, Balearic Islands, 07010
Novartis Investigative Site
Santiago de Compostela, 15706
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Zaragoza, 50009
Hungary13 sites
Novartis Investigative Site
Budaörs, HUN, 2040
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Budapest, 1106
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Gödöllő, 2100
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Győr, HUN, 9024
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Hajdúnánás, HUN, 4080
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Komárom, 2900
Novartis Investigative Site
Makó, 6900
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Pécs, 7635
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Püspökladány, HUN, 4150
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Siófok, 8600
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Százhalombatta, HUN, 2440
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Szeged, 6722
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Törökbálint, 2045
China12 sites
Novartis Investigative Site
Beijing, 100050
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Changchun, Jilin, 130021
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Chengdu, Sichuan, 610041
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Chongqing, 400037
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Guangzhou, Guangdong, 510120
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Nanjing, Jiangsu, 210006
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Nanjing, Jiangsu, 210009
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Shanghai, 200433
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Shenyang, Liaoning, 110000
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Shenyang, Liaoning, 110003
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Shijiazhuang, Hebei, 050000
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Xian, Shanxi, 710061
Germany11 sites
Novartis Investigative Site
Aschaffenburg, 63739
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Berlin, 10717
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Berlin, 10969
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Berlin, 12159
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Berlin, 12203
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Cottbus, Saxony, 03050
Novartis Investigative Site
Frankfurt, 60389
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Frankfurt, 60596
Novartis Investigative Site
Landsberg, 86899
Novartis Investigative Site
Leipzig, 04357
Novartis Investigative Site
Witten, 58452
Romania11 sites
Novartis Investigative Site
Bragadiru, 077025
Novartis Investigative Site
Brasov, 500051
Novartis Investigative Site
Brasov, 500086
Novartis Investigative Site
Brasov, 500283
Novartis Investigative Site
Brasov, 500366
Novartis Investigative Site
Bucharest, District 3, 030303
Novartis Investigative Site
Cluj-Napoca, 400139
Novartis Investigative Site
Cluj-Napoca, 400371
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Constanța, ROM, 900412
Novartis Investigative Site
Deva, 330162
Novartis Investigative Site
Timișoara, Timiș County, 300310
Slovakia11 sites
Novartis Investigative Site
Bardejov, Slovak Republic, 085 01
Novartis Investigative Site
Bojnice, Slovak Republic, 972 01
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Kežmarok, 060 01
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Komárno, 945 01
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Košice, 040 01
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Levice, 934 01
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Levice, 93401
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Poprad, 058 01
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Prešov, 080 01
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Spišská Nová Ves, 052 01
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Žilina, 01207
Brazil9 sites
Novartis Investigative Site
Blumenau, Santa Catarina, 89030101
Novartis Investigative Site
Goiânia, Goiás, 74110-030
Novartis Investigative Site
Porto Alegre, Porto Alegre RS, 90610 000
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90020-090
Novartis Investigative Site
Rio de Janeiro, Rio de Janeiro, 21941-590
Novartis Investigative Site
São Bernardo do Campo, São Paulo, 09715 090
Novartis Investigative Site
São Paulo, São Paulo, 05403 000
Novartis Investigative Site
São Paulo, São Paulo, 05437 010
Novartis Investigative Site
Sorocaba, São Paulo
Canada9 sites
Novartis Investigative Site
Montreal, Quebec, H3G 1L5
Novartis Investigative Site
Montreal, Quebec, H3T 1E2
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Montreal, Quebec, H4J 1C5
Novartis Investigative Site
Québec, G1V 4W2
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Toronto, Ontario, M6H 3M2
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Toronto, Ontario, M9V 4B4
Novartis Investigative Site
Vancouver, British Columbia, V6Z 1Y6
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Vancouver
Novartis Investigative Site
Windsor, Ontario, N8X 5A6
Belgium8 sites
Novartis Investigative Site
Aalst, 9300
Novartis Investigative Site
Brussels, 1000
Novartis Investigative Site
Brussels, 1020
Novartis Investigative Site
Éghezée, 5310
Novartis Investigative Site
Erpent, 5100
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Herentals, 2200
Novartis Investigative Site
Kortrijk, 8500
Novartis Investigative Site
Liège, 4000
France8 sites
Novartis Investigative Site
Dijon, 21000
Novartis Investigative Site
Le Kremlin-Bicêtre, 94275
Novartis Investigative Site
Lyon, 69317
Novartis Investigative Site
Marseille, 13015
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Montpellier, Herault, 34059
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Nantes, 44093
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Paris, 75877
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Strasbourg, 67091
India8 sites
Novartis Investigative Site
Ahmedabad, Gujarat, 380 060
Novartis Investigative Site
Bikaner, Rajasthan, 334 001
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Coimbatore, Tamil Nadu, 641 045
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Dehradun, Uttarakhand, 248001
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Jaipur, Rajasthan, 302039
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Nagpur, Maharashtra, 440015
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Pune, Maharashtra, 411014
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Vadodara, Gujarat, 390022
Israel7 sites
Novartis Investigative Site
Ashkelon, 78278
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Haifa, 310 9601
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Haifa, 3436212
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Jerusalem, 91031
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Jerusalem, 91120
Novartis Investigative Site
Petah Tikva, 49100
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Rehovot, 76100
Czechia6 sites
Novartis Investigative Site
Brno, 615 00
Novartis Investigative Site
Jindřichův Hradec, Czech Republic, 377 01
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Karlovy Vary, 360 17
Novartis Investigative Site
Mladá Boleslav, 293 50
Novartis Investigative Site
Teplice, Czech Republic, 415 01
Novartis Investigative Site
Teplice, CZE, 415 01
Greece6 sites
Novartis Investigative Site
Athens, GR, 115 25
Novartis Investigative Site
Athens, GR, 115 27
Novartis Investigative Site
Athens, 115 21
Novartis Investigative Site
Athens, 115 27
Novartis Investigative Site
Athens, 175 62
Novartis Investigative Site
Thessaloniki, GR, 570 10
Lithuania6 sites
Novartis Investigative Site
Kaunas, LTU, LT 50161
Novartis Investigative Site
Kaunas, LT, LT-45130
Novartis Investigative Site
Kaunas, LT, LT-50128
Novartis Investigative Site
Klaipėda, LT-92231
Novartis Investigative Site
Vilnius, LTU, LT-10207
Novartis Investigative Site
Vilnius, LT-04129
Peru6 sites
Novartis Investigative Site
Cusco, 84
Novartis Investigative Site
Lima, 1
Novartis Investigative Site
Lima Cercado, Lima region, 01
Novartis Investigative Site
Piura, 2000
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San Isidro, Lima region, 27
Novartis Investigative Site
San Martín de Porres, Lima region, 31
Philippines6 sites
Novartis Investigative Site
Bulacan, 3020
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Iloilo City, 5000
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Lipa City, Batangas, 4217
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Manila, 1000
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Quezon City, Manila, 1100
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Quezon City, 1100
Poland6 sites
Novartis Investigative Site
Bialystok, 15-010
Novartis Investigative Site
Kielce, 25-371
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Poznan, 60-214
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Poznan, 60-693
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Poznan, 60-823
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Strzelce Opolskie, 47 100
Turkey (Türkiye)6 sites
Novartis Investigative Site
Adana, 01330
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Ankara, 06100
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Bursa, 16059
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Istanbul, TUR, 34098
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Mersin, 33343
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Yenisehir/Izmir, 35110
United Kingdom6 sites
Novartis Investigative Site
Bradford, West Yorkshire, BD9 6RJ
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Cambridge, Cambrigdeshire, CB2 0QQ
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Chertsey, Surrey, KT16 0PZ
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East Yorkshire, HU16 5JQ
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Leicester, LE3 9QP
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Plymouth, Devon, PL6 8DH
Guatemala5 sites
Novartis Investigative Site
Gautemala City, Gautemala, 01010
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Guatemala City, GTM, 01010
Novartis Investigative Site
Guatemala City, GTM, 01011
Novartis Investigative Site
Guatemala City, 01010
Novartis Investigative Site
Guatemala City, 01011
Serbia5 sites
Novartis Investigative Site
Belgrade, 11000
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Belgrade, 11070
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Kamenitz, 21204
Novartis Investigative Site
Kragujevac, 34000
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Niš, 18000
Bulgaria4 sites
Novartis Investigative Site
Pleven, 5800
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Rousse, 7002
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Sofia, 1000
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Stara Zagora, 6000
Australia3 sites
Novartis Investigative Site
Clayton, Victoria, 3168
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Footscray, Victoria, 3011
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Melbourne, Victoria, 3004
Austria3 sites
Novartis Investigative Site
Feldkirch, 6800
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Vienna, A 1090
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Vienna, A-1130
Colombia3 sites
Novartis Investigative Site
Bogotá, 110221
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Bucaramanga
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Ibague, Tolima Department, 730006
Lebanon3 sites
Novartis Investigative Site
Beirut, 166378
Novartis Investigative Site
El Achrafiyé, 166830
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El Chouf, LBN, 1503201002
Malaysia3 sites
Novartis Investigative Site
Kota Bharu, Kelantan, 15586
Novartis Investigative Site
Kuantan, Pahang, 25100
Novartis Investigative Site
Taiping, Perak, 34000
Mexico3 sites
Novartis Investigative Site
Guadalajara, Jalisco, 44130
Novartis Investigative Site
Guadalajara Jalisco, Jalisco, 44220
Novartis Investigative Site
Río de Janeiro, 06700
Estonia2 sites
Novartis Investigative Site
Tallinn, 13419
Novartis Investigative Site
Tartu, 51014
Latvia2 sites
Novartis Investigative Site
Daugavpils, LV-5401
Novartis Investigative Site
Riga, LV 1002
Netherlands2 sites
Novartis Investigative Site
Arnhem, 6815 AD
Novartis Investigative Site
Leeuwarden, 8934 AD
Singapore2 sites
Novartis Investigative Site
Singapore, 119228
Novartis Investigative Site
Singapore, 529889
Switzerland2 sites
Novartis Investigative Site
Liestal, 4410
Novartis Investigative Site
Lugano, 6900
About this study
Official title: A 2-treatment Period, Randomized, Placebo-controlled, Multicenter Parallel-group Study to Assess the Safety of QAW039 When Added to Existing Asthma Therapy in GINA Steps 3, 4 and 5 Patients With Uncontrolled Asthma.
This study was a 2-treatment period, randomized, multicenter parallel-group study. The overall purpose of this study was to provide long- term safety data for fevipiprant (QAW039) (Dose 1 and Dose 2), compared with placebo, when added to the Global Initiative for Asthma (GINA) steps 3, 4, and 5 standard-of-care (SoC) asthma therapy (GINA 2016), in patients with moderate-to- severe asthma.
The purpose of this study was to provide long-term safety data for QAW039 150 mg once daily and 450 mg once daily, compared with placebo, when added to GINA steps 3, 4, and 5 standard-of-care asthma therapy (GINA 2020) in adult and adolescent (≥12 years) patients with moderate-to-severe asthma. The study included 2 cohorts of patients:
Read more
- Rollover patients who had completed any of the four Phase 3 pivotal efficacy studies with QAW039 (QAW039A2307, QAW039A2314, QAW039A2316, or QAW039A2317, hereafter referred to as Studies A2307, A2314, A2316, and A2317), thus providing data for a longer duration of exposure, and
- New patients who had not previously participated in a study of QAW039, permitting an increase in the number of patients with long-term exposure to QAW039.
By including these 2 categories of patients, the total number of patients treated with QAW039 as well as the duration of exposure to QAW039 treatment was substantially increased, supporting evaluation of the safety profile of QAW039.
Read the detailed description
The study comprised 2-treatment period. Treatment Period 1 was a 52-week, double-blind treatment period in which QAW039 450 mg or 150 mg or placebo was added to standard-of-care asthma therapy according to GINA guidelines. Treatment Period 2 was an optional 104-week, single-blind treatment period in which patients received QAW039 450 mg or 150 mg or placebo added to standard-of-care asthma therapy according to GINA guidelines.
- Conditions
- Asthma
- Being tested
- QAW039 150 mg, QAW039 450 mg, Placebo
- Keywords
- Asthma, QAW039, allergic asthma, allergy triggered asthma, reactive asthma, asthma attack, difficulty breathing
- Medical subject headings
- Asthma, Dyspnea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QAW039 150 mgDrug
One tablet of QAW039 150 mg once daily
QAW039 450 mgDrug
One tablet of QAW039 450 mg once daily
PlaceboDrug
One tablet of Placebo once daily
| Study group | Role | What they receive |
|---|---|---|
| QAW039 150mg | Experimental | QAW039 Dose 1 once daily Receives: Drug: QAW039 150 mg |
| QAW039 450 mg | Experimental | QAW039 Dose 2 once daily Receives: Drug: QAW039 450 mg |
| Placebo | Placebo comparator | Placebo once daily Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment Emergent Adverse Events (AEs) up to Week 52 - Cox Regression Model
Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs. For this Outcome Measure, AE up to week 52 are reported.
Measured: 52 weeks
Number of Participants With Treatment Emergent Adverse Events (AEs) up to Week 156 - Cox Regression Model
Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs
Measured: 156 weeks
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs) up to Week 52 - Cox Regression Model
Serious Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +30 days were classified as treatment emergent SAEs. For this Outcome Measure, AE up to week 52 are reported.
Measured: 52 weeks
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs) up to Week 156 - Cox Regression Model
Serious Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +30 days were classified as treatment emergent SAEs.
Measured: 156 weeks
Number of Participants With Treatment Emergent AEs Leading to Discontinuation From Study Treatment up to Week 52 - Cox Regression Model
Adverse events leading to study treatment discontinuation starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs leading to study treatment discontinuation. For this Outcome Measure, AE up to week 52 are reported.
Measured: 52 weeks
Number of Participants With Treatment Emergent AEs Leading to Discontinuation From Study Treatment up to Week 156 - Cox Regression Model
Adverse events leading to study treatment discontinuation starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs leading to study treatment discontinuation
Measured: 156 weeks
Secondary outcomes (6)
Number of Patients With at Least One Treatment Emergent AE by Primary System Organ Class up to Week 52 - Logistic Regression Model
The number of patients per patient year of follow-up having a treatment emergent adverse event, categorized by system organ class. Treatment emergent adverse events are defined as an AEs starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE)
Measured: 52 weeks
Number of Patients With at Least One Treatment Emergent AE by Primary System Organ Class up to Week 156 - Logistic Regression Model
The number of patients per patient year of follow-up having a treatment emergent adverse event, categorized by system organ class. Treatment emergent adverse events are defined as an AEs starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE)
Measured: 156 weeks
Number of Treatment Emergent Patient Deaths Due to an Asthma Exacerbation up to Week 52
The number of treatment emergent patient deaths due to an asthma exacerbation. Treatment emergent deaths are defined as deaths resulting from treatment emergent AEs.
Measured: 52 weeks
Number of Treatment Emergent Patient Deaths Due to an Asthma Exacerbation up to Week 156
The number of treatment emergent patient deaths due to an asthma exacerbation. Treatment emergent deaths are defined as deaths resulting from treatment emergent AEs.
Measured: 156 weeks
Rate of Treatment Emergent Severe Asthma Exacerbation Episodes Requiring Hospitalizations Per Person Year up to Week 52
Number of treatment emergent severe asthma exacerbation episodes requiring hospitalizations (any visit to the hospital requiring an overnight stay or an emergency room visit greater than 24 hours) per person year of follow-up. Treatment emergent severe asthma exacerbation episodes are defined as episodes occurring on or after the day of the first intake of study drug and until the day of last intake of study drug +7 days (30 days in the case of a serious AE).
Rate of exacerbations per person year = total number of exacerbations / total number of treatment years
Measured: 52 weeks
Rate of Treatment Emergent Severe Asthma Exacerbation Episodes Requiring Hospitalizations Per Person Year up to Week 156
Number of treatment emergent severe asthma exacerbation episodes requiring hospitalizations (any visit to the hospital requiring an overnight stay or an emergency room visit greater than 24 hours) per person year of follow-up. Treatment emergent severe asthma exacerbation episodes are defined as episodes occurring on or after the day of the first intake of study drug and until the day of last intake of study drug +7 days (30 days in the case of a serious AE).
Rate of exacerbations per person year = total number of exacerbations / total number of treatment years
Measured: 156 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2017
- Study start21 Mar 2017
- Primary completion19 Feb 2020
- Study completion16 Mar 2020
Why it stopped: Company Decision
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.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 2,538 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03052517
- Sponsor's protocol ID
- CQAW039A2315
- Other IDs
- 2016-001560-11, 2016
- Status last verified
- Sep 2020
- First submitted
- 23 Jan 2017
- Last updated
- 12 Oct 2020
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Maspero J, Agache IO, Kamei T, Yoshida M, Boone B, Felser JM, Kawakami F, Knorr B, Lawrence D, Lehmann T, Wang W, Pedinoff AJ. Long-term safety and exploratory efficacy of fevipiprant in patients with inadequately controlled asthma: the SPIRIT randomised clinical trial. Respir Res. 2021 Dec 11;22(1):311. doi: 10.1186/s12931-021-01904-8.
PubMed 34895218
Study at a glance
From the registry record, last updated by the sponsor on 12 Oct 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 2-treatment Period, Randomized, Placebo-controlled, Multicenter Parallel-group Study to Assess the Safety of QAW039 When Added to Existing Asthma Therapy in GINA Steps 3, 4 and 5 Patients With Uncontrolled Asthma.
- ClinicalTrials.gov ID
- NCT03052517
- Acronym / sponsor ID
- CQAW039A2315
- Conditions
- Asthma
- Keywords
- Asthma, QAW039, allergic asthma, allergy triggered asthma, reactive asthma, asthma attack, difficulty breathing
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Company Decision
- Enrolment
- 2,538 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 21 Mar 2017 (actual)
- Primary completion
- 19 Feb 2020 (actual)
- Study completion
- 16 Mar 2020 (actual)
- First posted
- 14 Feb 2017 (actual)
- Results
- Posted 12 Oct 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was a 2-treatment period, randomized, multicenter parallel-group study. The overall purpose of this study was to provide long- term safety data for fevipiprant (QAW039) (Dose 1 and Dose 2), compared with placebo, when added to the Global Initiative for Asthma (GINA) steps 3, 4, and 5 standard-of-care (SoC) asthma therapy (GINA 2016), in patients with moderate-to- severe asthma.
The purpose of this study was to provide long-term safety data for QAW039 150 mg once daily and 450 mg once daily, compared with placebo, when added to GINA steps 3, 4, and 5 standard-of-care asthma therapy (GINA 2020) in adult and adolescent (≥12 years) patients with moderate-to-severe asthma. The study included 2 cohorts of patients:
- Rollover patients who had completed any of the four Phase 3 pivotal efficacy studies with QAW039 (QAW039A2307, QAW039A2314, QAW039A2316, or QAW039A2317, hereafter referred to as Studies A2307, A2314, A2316, and A2317), thus providing data for a longer duration of exposure, and
- New patients who had not previously participated in a study of QAW039, permitting an increase in the number of patients with long-term exposure to QAW039.
By including these 2 categories of patients, the total number of patients treated with QAW039 as well as the duration of exposure to QAW039 treatment was substantially increased, supporting evaluation of the safety profile of QAW039.
Detailed description
The study comprised 2-treatment period. Treatment Period 1 was a 52-week, double-blind treatment period in which QAW039 450 mg or 150 mg or placebo was added to standard-of-care asthma therapy according to GINA guidelines. Treatment Period 2 was an optional 104-week, single-blind treatment period in which patients received QAW039 450 mg or 150 mg or placebo added to standard-of-care asthma therapy according to GINA guidelines.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| QAW039 150mg | Experimental | Drug: QAW039 150 mgQAW039 Dose 1 once daily |
| QAW039 450 mg | Experimental | Drug: QAW039 450 mgQAW039 Dose 2 once daily |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo once daily |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- Informed consent and assent (if applicable).
- Completion of the Treatment Period (on blinded study drug) of a prior Phase 3 study of QAW039.
- Patient is able to safely continue into the study as judged by the investigator.
- Written informed consent.
- A diagnosis of asthma,uncontrolled on GINA 3/4/5 asthma medication.
Key exclusion criteria (14 listed)
- Pregnant or nursing (lactating) women.
- Women of child-bearing potential unless they are using basic methods of contraception during dosing of study drug
- Patients who did not complete the Treatment Period on blinded study drug of the prior QAW039 study they participated in.
- Inability to comply with all study requirements.
- Patient who experienced a serious and drug-related AE in the prior QAW039 study they participated in.
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 |
|---|---|---|
| QAW039 150 mgOne tablet of QAW039 150 mg once daily | Drug | QAW039 150mg |
| QAW039 450 mgOne tablet of QAW039 450 mg once daily | Drug | QAW039 450 mg |
| PlaceboOne tablet of Placebo once daily | Drug | Placebo |
Primary outcome
Number of Participants With Treatment Emergent Adverse Events (AEs) up to Week 52 - Cox Regression Model
Time frame: 52 weeks
Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs. For this Outcome Measure, AE up to week 52 are reported.
Number of Participants With Treatment Emergent Adverse Events (AEs) up to Week 156 - Cox Regression Model
Time frame: 156 weeks
Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs) up to Week 52 - Cox Regression Model
Time frame: 52 weeks
Serious Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +30 days were classified as treatment emergent SAEs. For this Outcome Measure, AE up to week 52 are reported.
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs) up to Week 156 - Cox Regression Model
Time frame: 156 weeks
Serious Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +30 days were classified as treatment emergent SAEs.
Number of Participants With Treatment Emergent AEs Leading to Discontinuation From Study Treatment up to Week 52 - Cox Regression Model
Time frame: 52 weeks
Adverse events leading to study treatment discontinuation starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs leading to study treatment discontinuation. For this Outcome Measure, AE up to week 52 are reported.
Number of Participants With Treatment Emergent AEs Leading to Discontinuation From Study Treatment up to Week 156 - Cox Regression Model
Time frame: 156 weeks
Adverse events leading to study treatment discontinuation starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs leading to study treatment discontinuation
6 secondary outcomes
Number of Patients With at Least One Treatment Emergent AE by Primary System Organ Class up to Week 52 - Logistic Regression Model
Time frame: 52 weeks
Number of Patients With at Least One Treatment Emergent AE by Primary System Organ Class up to Week 156 - Logistic Regression Model
Time frame: 156 weeks
Number of Treatment Emergent Patient Deaths Due to an Asthma Exacerbation up to Week 52
Time frame: 52 weeks
Number of Treatment Emergent Patient Deaths Due to an Asthma Exacerbation up to Week 156
Time frame: 156 weeks
Rate of Treatment Emergent Severe Asthma Exacerbation Episodes Requiring Hospitalizations Per Person Year up to Week 52
Time frame: 52 weeks
Rate of Treatment Emergent Severe Asthma Exacerbation Episodes Requiring Hospitalizations Per Person Year up to Week 156
Time frame: 156 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Oct 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34895218Maspero J, Agache IO, Kamei T, Yoshida M, Boone B, Felser JM, Kawakami F, Knorr B, Lawrence D, Lehmann T, Wang W, Pedinoff AJ. Long-term safety and exploratory efficacy of fevipiprant in patients with inadequately controlled asthma: the SPIRIT randomised clinical trial. Respir Res. 2021 Dec 11;22(1):311. doi: 10.1186/s12931-021-01904-8.
- Individual participant dataSharing planned: Yes. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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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.
Novartis Pharmaceuticals Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
347 sites in 42 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing QAW039 150 mg and QAW039 450 mg in people with Asthma, run by Novartis Pharmaceuticals at 347 sites in 42 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 10 inclusion and 14 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: stopped early, as of the sponsor's last update on 12 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 347 sites in United States, Japan, Argentina, Russia, Spain and 37 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 12 Oct 2020). 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 Participants With Treatment Emergent Adverse Events (AEs) up to Week 52 - Cox Regression Model (time frame: 52 weeks). The study lists 6 primary outcomes in all. 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 NCT03052517, 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 12 Oct 2020.