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AsthmaPhase 3PONENTENCT03557307

Study to Evaluate Efficacy and Safety of Benralizumab in Reducing Oral Corticosteroid Use in Adult Patients With Severe Asthma

A Phase 3 study testing Benralizumab in people with Asthma, run by AstraZeneca at 144 sites in 17 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

This is a study designed to evaluate efficacy and safety of Benralizumab in reducing the Oral Corticosteroid (OCS) use in adult patients with severe asthma who are receiving OCS with or without additional asthma controller medications. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Asthma
What is being tested?
Benralizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
598 participants
Where
144 sitesin 17 countries
Study dates
1 Aug 2018to 24 Mar 2022
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 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Peripheral blood eosinophil count of ≥150 cells/μL assessed by central lab at Visit 1 or ≥ 300 cells/μL in the past 12 months
  • History of physician diagnosed asthma requiring continuous treatment with high dose ICS (high-dose ICS is budesonide/formoterol HFA ≥640/18 per day or equivalent, fluticasone propionate DPI > 500/day or equivalent, or authorized generics for these products) plus LABA for at least 6 months prior to Visit 1. The ICS and LABA can be contained within a combination product or given by separate inhalers. The ICS can also be given via nebulized solution for inhalation.
  • Chronic oral corticosteroid therapy equivalent to a daily dose of at least 5 mg of prednisone, for at least 3 continuous months directly preceding Visit 1.
  • Patient should be on a stable OCS dose for at least 4 weeks prior to Visit 1.
  • Non-smokers, current smokers or former smokers with a smoking history of < or =20 pack-years at Visit 1

Who cannot join

  • Clinically important pulmonary disease other than asthma or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts
  • Known history of allergy or reaction to the study drug formulation
  • History of anaphylaxis to any biologic therapy
  • 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
  • Asthma exacerbation requiring use of systemic corticosteroids, or an increase in maintenance dose of OCS, or acute upper/lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to Visit 2 (first benralizumab dose)
  • A history of known immunodeficiency disorder including history of a positive human immunodeficiency virus (HIV) test
Show all 12Show fewer
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level ≥3 times the upper limit of normal (ULN) confirmed at Visit 1.
  • Receipt of immunoglobulin or blood products within 30 days prior to the date informed consent is obtained
  • Coincident primary adrenal failure (Addison's disease) or irreversible secondary hypoadrenalism due to another independent cause (e.g. pituitary tumour or its treatment)
  • Co-existent inflammatory conditions for which chronic OCS doses are part of their maintenance treatment such as Giant Cell Arteritis, Polymyalgia Rheumatica
  • Exclusion from genetic research may be for any of the exclusion criteria specified in the main study or allogeneic bone marrow transplant, Non-leukocyte depleted whole blood transfusion within 120 days of genetic sample collection
  • Current night-shift workers

Trial locations and contacts

144 sites in 17 countries.

144 sites in 17 countries

United States23 sites
  • Research Site

    Albany, Georgia, 31707

  • Research Site

    Ann Arbor, Michigan, 48109

  • Research Site

    Atlanta, Georgia, 30322

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Chapel Hill, North Carolina, 27599

  • Research Site

    DuBois, Pennsylvania, 15801

  • Research Site

    Flagstaff, Arizona, 86001

  • Research Site

    Georgetown, Kentucky, 40324

  • Research Site

    Greenville, North Carolina, 27834

  • Research Site

    Lakeside Park, Kentucky, 41017

  • Research Site

    Los Angeles, California, 90025

  • Research Site

    Minneapolis, Minnesota, 55402

  • Research Site

    New York, New York, 10016

  • Research Site

    Newark, Delaware, 19713

  • Research Site

    Normal, Illinois, 61761

  • Research Site

    North Charleston, South Carolina, 29406

  • Research Site

    Saint Paul, Minnesota, 55101

  • Research Site

    Savannah, Georgia, 31405

  • Research Site

    St Louis, Missouri, 63156

  • Research Site

    Tampa, Florida, 33607

  • Research Site

    Wilmington, North Carolina, 28401

  • Research Site

    Winston-Salem, North Carolina, 27104

  • Research Site

    Winter Park, Florida, 32789-4681

Other trials in United States

Poland13 sites
  • Research Site

    Bialystok, 15-044

  • Research Site

    Bialystok, 15-430

  • Research Site

    Gdansk, 80-214

  • Research Site

    Krakow, 31-011

  • Research Site

    Lubin, 59-300

  • Research Site

    Ostrowiec Świętokrzyski, 27-400

  • Research Site

    Poznan, 60-693

  • Research Site

    Poznan, 60-823

  • Research Site

    Rzeszów, 35-051

  • Research Site

    Sosnowiec, 41-200

  • Research Site

    Tarnów, 33-100

  • Research Site

    Wieluń, 98-300

  • Research Site

    Wroclaw, 50-449

Other trials in Poland

Argentina12 sites
  • Research Site

    Buenos Aires, C1121ABE

  • Research Site

    CABA, C1012AAR

  • Research Site

    Cap. Fed, 1280

  • Research Site

    Ciudad Autónoma de Bs. As., 1426

  • Research Site

    Ciudad Autónoma de Buenos Aire, C1440BRR

  • Research Site

    Mar del Plata, 7600

  • Research Site

    Mendoza, M5500GIP

  • Research Site

    Monte Grande, 1842

  • Research Site

    Ranelagh, 1886

  • Research Site

    Rosario, 2000

  • Research Site

    Rosario, S2000DEJ

  • Research Site

    San Juan Bautista, 1888

Other trials in Argentina

Germany12 sites
  • Research Site

    Bamberg, 96049

  • Research Site

    Berlin, 12203

  • Research Site

    Berlin, 13187

  • Research Site

    Cologne, 51069

  • Research Site

    Darmstadt, 64283

  • Research Site

    Frankfurt, 60596

  • Research Site

    Großhansdorf, 22927

  • Research Site

    Heidelberg, 69126

  • Research Site

    Leipzig, 04207

  • Research Site

    Lübeck, 23552

  • Research Site

    Magdeburg, 39120

  • Research Site

    München, 81675

Other trials in Germany

Brazil10 sites
  • Research Site

    Botucatu, 18618-970

  • Research Site

    Londrina, 86057-970

  • Research Site

    Maringá, 87015-000

  • Research Site

    Porto Alegre, 90610-000

  • Research Site

    Porto Alegre, 91350-200

  • Research Site

    Salvador, 40060-330

  • Research Site

    Santo André, 09060-650

  • Research Site

    Santo André, 09080-110

  • Research Site

    Sorocaba, 18040-425

  • Research Site

    Uberlândia, 38411-186

Other trials in Brazil

France9 sites
  • Research Site

    Angers, 49933

  • Research Site

    Besançon, 25030

  • Research Site

    Colmar, 68024

  • Research Site

    Marseille, 13300

  • Research Site

    Nice, 06001

  • Research Site

    Orléans, 45067

  • Research Site

    Reims, 51092

  • Research Site

    Suresnes, 92151

  • Research Site

    Tours, 37000

Other trials in France

Italy8 sites
  • Research Site

    Florence, 50134

  • Research Site

    Milan, 20162

  • Research Site

    Naples, 80131

  • Research Site

    Palermo, 90129

  • Research Site

    Pisa, 56100

  • Research Site

    Roma, 00185

  • Research Site

    Sassari, 07100

  • Research Site

    Tradate, 21049

Other trials in Italy

Russia8 sites
  • Research Site

    Izhevsk, 426061

  • Research Site

    Kirov, 610014

  • Research Site

    Moscow, 115478

  • Research Site

    Omsk, 644043

  • Research Site

    Omsk, 644112

  • Research Site

    Saint Petersburg, 194354

  • Research Site

    Saint Petersburg, 195257

  • Research Site

    Ulyanovsk, 432009

Other trials in Russia

Taiwan8 sites
  • Research Site

    Kaohsiung City, 80756

  • Research Site

    Kaohsiung Hsien, 83301

  • Research Site

    Taichung, 40447

  • Research Site

    Taichung, 40705

  • Research Site

    Taipei, 10449

  • Research Site

    Taipei, 110

  • Research Site

    Taipei, 235

  • Research Site

    Yunlin, 640

Other trials in Taiwan

Canada7 sites
  • Research Site

    Ajax, Ontario, L1S 2J5

  • Research Site

    Mississauga, Ontario, L5A 3V4

  • Research Site

    Ottawa, Ontario, K1H 1E4

  • Research Site

    Québec, Quebec, G1V 4W2

  • Research Site

    Toronto, Ontario, M4V 1R2

  • Research Site

    Vancouver, British Columbia, V6Z 1Y6

  • Research Site

    Vancouver, CA, V5Z 4E1

Other trials in Canada

Colombia7 sites
  • Research Site

    Barranquilla, 080020

  • Research Site

    Bogotá, 110221

  • Research Site

    Cali, 76001000

  • Research Site

    Cartagena, 130013

  • Research Site

    Floridablanca, 681004

  • Research Site

    Manizales, 17001

  • Research Site

    Medellín, 5001000

Other trials in Colombia

Mexico7 sites
  • Research Site

    Del. Cuauhtemoc, 06700

  • Research Site

    Durango, 43080

  • Research Site

    Guadalajara, 44100

  • Research Site

    Guadalajara, 44130

  • Research Site

    Mérida, 97070

  • Research Site

    Veracruz, 91910

  • Research Site

    Villahermosa, 86035

Other trials in Mexico

Spain7 sites
  • Research Site

    Cadiz, 11009

  • Research Site

    Marbella (Málaga), 29603

  • Research Site

    Mérida, 06800

  • Research Site

    Ourense, 32005

  • Research Site

    Sant Joan Despí (Barcelona), 08970

  • Research Site

    Santiago de Compostela-Coruña, 15706

  • Research Site

    Zaragoza, 50009

Other trials in Spain

United Kingdom5 sites
  • Research Site

    Bradford, BND9 6RJ

  • Research Site

    Cambridge, CB2 0QQ

  • Research Site

    London, SE1 9RT

  • Research Site

    London, SW3 6HP

  • Research Site

    Nottingham, NG5 1PB

Other trials in United Kingdom

Denmark4 sites
  • Research Site

    Aalborg, 9000

  • Research Site

    Herlev, 2730

  • Research Site

    Hvidovre, 2650

  • Research Site

    Vejle, 7100

Other trials in Denmark

Belgium3 sites
  • Research Site

    Brussels, 1200

  • Research Site

    Erpent, 5101

  • Research Site

    Ghent, 9000

Other trials in Belgium

Sweden1 site
  • Research Site

    Lund, 221 85

Other trials in Sweden

About this study

Official title: PONENTE: A Multicenter, Open-label, Phase 3b Efficacy and Safety Study of Benralizumab 30 mg Administered Subcutaneously to Reduce Oral Corticosteroid Use in Adult Patients With Severe Eosinophilic Asthma on High Dose Inhaled Corticosteroid Plus Long-acting β2 Agonist and Chronic Oral Corticosteroid Therapy

This is a study designed to evaluate efficacy and safety of Benralizumab in reducing the Oral Corticosteroid (OCS) use in adult patients with severe asthma who are receiving OCS with or without additional asthma controller medications.

Read the detailed description

This is an open-label, multicenter study designed to evaluate efficacy and safety of reducing daily oral corticosteroid (OCS) use after initiation of 30 mg dose of benralizumab administered subcutaneously (SC) in patients with severe eosinophilic asthma receiving high-dose inhaled corticosteroid (ICS)/long-acting β2 agonist (LABA) and OCS with or without additional asthma controller(s).

Conditions
Asthma
Being tested
Benralizumab
Keywords
Asthma, Severe Asthma, Oral Corticosteroids
Medical subject headings
Asthma

What participants receive

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

  • BenralizumabBiological

    Benralizumab subcutaneous injection

Study groups in NCT03557307
Study groupRoleWhat they receive
BenralizumabExperimentalBenralizumab subcutaneous injection
Receives: Biological: Benralizumab

What is being measured

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

  1. Patients Who Achieve 100% Reduction in Daily OCS Dose

    Patients who achieve 100% reduction in daily OCS dose that are sustained over at least 4 weeks without worsening of asthma

    Measured: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)

  2. Patients Who Achieve 100% Reduction or a Daily OCS Dose of <=5mg

    Patients who achieve 100% reduction or a daily OCS dose of <=5mg, if reason for no further OCS reduction is Adrenal Insufficiency, that are sustained over at least 4 weeks without worsening of asthma

    Measured: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)

Secondary outcomes (3)
  1. Patients Who Achieve a Daily OCS of ≤5mg

    Patients who achieve a daily OCS dose of ≤5 mg (regardless of reason for no further OCS reduction), that are sustained over at least 4 weeks without worsening of asthma

    Measured: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)

  2. Patients Who Achieve a ≥90%, ≥75%, and ≥50% Reduction in Daily OCS Dose

    Patients who achieve a ≥90%, ≥75%, and ≥50% reduction in daily OCS dose that are sustained over at least 4 weeks without worsening of asthma

    Measured: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)

  3. Change From Baseline in Average Daily OCS Dose (mg)

    Change from baseline in average daily OCS dose (mg) from start of OCS reduction to end of the OCS reduction phase

    Measured: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)

Timeline

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

  1. First posted15 Jun 2018
  2. Study start1 Aug 2018
  3. Primary completion16 Apr 2021
  4. Study completion24 Mar 2022

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
Non-randomised
Intervention model
Single group
Model description
Open label
Masking
None (open label)
Enrolment
598 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03557307
Sponsor's protocol ID
D3250C00065
Acronym
PONENTE
Status last verified
May 2023
First submitted
14 May 2018
Last updated
6 Jun 2023
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Publications

  • Menzies-Gow A, Gurnell M, Heaney LG, Corren J, Bel EH, Maspero J, Harrison T, Jackson DJ, Price D, Lugogo N, Kreindler J, Burden A, de Giorgio-Miller A, Faison S, Padilla K, Martin UJ, Garcia Gil E; PONENTE Study Group. Adrenal function recovery after durable oral corticosteroid sparing with benralizumab in the PONENTE study. Eur Respir J. 2022 Dec 22;60(6):2103226. doi: 10.1183/13993003.03226-2021. Print 2022 Dec.

    PubMed 35896216
  • Menzies-Gow A, Gurnell M, Heaney LG, Corren J, Bel EH, Maspero J, Harrison T, Jackson DJ, Price D, Lugogo N, Kreindler J, Burden A, de Giorgio-Miller A, Padilla K, Martin UJ, Garcia Gil E. Oral corticosteroid elimination via a personalised reduction algorithm in adults with severe, eosinophilic asthma treated with benralizumab (PONENTE): a multicentre, open-label, single-arm study. Lancet Respir Med. 2022 Jan;10(1):47-58. doi: 10.1016/S2213-2600(21)00352-0. Epub 2021 Oct 4.

    PubMed 34619104
  • Menzies-Gow A, Corren J, Bel EH, Maspero J, Heaney LG, Gurnell M, Wessman P, Martin UJ, Siddiqui S, Garcia Gil E. Corticosteroid tapering with benralizumab treatment for eosinophilic asthma: PONENTE Trial. ERJ Open Res. 2019 Sep 25;5(3):00009-2019. doi: 10.1183/23120541.00009-2019. eCollection 2019 Jul.

    PubMed 31579676

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Benralizumab in people with Asthma, run by AstraZeneca at 144 sites in 17 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 5 inclusion and 12 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 6 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 144 sites in United States, Poland, Argentina, Germany, Brazil and 12 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. 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 28 Jun 2022). 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?

Patients Who Achieve 100% Reduction in Daily OCS Dose (time frame: Baseline to end of OCS reduction phase, an average of approximately 200 days (The duration of the OCS reduction phase may vary based on asthma exacerbations, asthma worsening, HPA integrity , or other safety issues altering the OCS titration schedule.)). The study lists 2 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 NCT03557307, which also lists 3 linked publications.

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 6 Jun 2023.

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