AzTrials
AzTrials

Non-cystic Fibrosis BronchiectasisPhase 3MAHALENCT05006573

Efficacy and Safety of Benralizumab in Patients With Non-cystic Fibrosis Bronchiectasis

A Phase 3 study testing Benralizumab in people with Non-cystic Fibrosis Bronchiectasis, run by AstraZeneca at 48 sites in 16 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This is a multicentre, randomised, double-blind, parallel-group, placebo-controlled, phase III study originally designed to test the hypothesis that benralizumab will reduce exacerbation rates compared with placebo on top of standard-of-care therapy in adult patients with non-cystic fibrosis bronchiectasis with… Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Non-cystic Fibrosis Bronchiectasis
What is being tested?
Benralizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
48 sitesin 16 countries
Study dates
21 Jul 2021to 16 Apr 2024
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

  • Male or female, at least 18 years of age inclusive at the time of signing the ICF
  • Must have NCFB diagnosed by a physician and confirmed by CT (measured at screening; if a new CT is not possible, a CT performed within 12 months of the screening visit is acceptable).
  • Documented history of 2 or more bronchiectasis exacerbations within a year of the screening visit.
  • If receiving prophylactic systemic or inhaled antibiotics to prevent bronchiectasis exacerbations, the dose/regimen must be stable for at least 3 months prior to the screening visit and remain stable throughout the DB period of the study. If prophylactic macrolides have been recently discontinued, patients must have been off treatment for at least 3 months prior to randomisation. In all other cases of prophylactic antibiotic use, ≥ 4 weeks wash out period should be in place after the last dose of antibiotic and prior to randomisation
  • Must be on airway clearance therapy, physiotherapy, or mucus clearance therapy.The dose and regimen of these therapies and any drugs used to aid expectoration should be stable for at least 3 months prior to the screening visit and remain stable throughout the DB period of the study.
  • If receiving inhaled corticosteroid or bronchodilator therapy, the dose and regimen should be stable with no alteration to dose or formulation for at least 3 months prior to the screening visit and this should remain stable throughout the DB period of the study.
  • Women of childbearing potential (WOCBP) must have a negative serum and urine pregnancy test prior to randomization and agree to use a highly effective method of birth control from enrollment, throughout the study duration, and for 12 weeks after the last dose of IP.

Who cannot join

  • Pulmonary disease other than bronchiectasis. Patients with a history of NTM disease may be enrolled if they have completed treatment prior to the Screening visit, if at least 3 months have elapsed since the last day of antibiotic treatment for NTM at the Screening visit, and if they have had a negative sputum culture prior to the screening visit.
  • Another diagnosed or suspected pulmonary or systemic disease associated with elevated peripheral eosinophil counts
  • Respiratory infection or bronchiectasis exacerbation during the screening period.
  • Any other clinical condition that is not stable in the opinion of the Investigator and could:
  • Affect the safety of the patient during the study.
  • Influence the findings of the study or their interpretation.
Show all 30Show fewer
  • Impede the patient's ability to complete the entire duration of the study.
  • Radiological findings suggestive of a respiratory disease other than bronchiectasis, suggestive of acute infection, or of solitary pulmonary nodules without appropriate follow up and demonstration of stability as per standard of care. Pulmonary nodules > 6 mm in size should have at least 2 years of follow up with no change on CT imaging.
  • Current active liver disease
  • Current malignancy, or history of malignancy, except for:
  • Patients who have had basal cell carcinoma, localised squamous cell carcinoma of the skin, or in situ carcinoma of the cervix are eligible provided the patient is in remission and curative therapy was completed at least 12 months prior to Visit 1
  • Patients who have had other malignancies are eligible provided that the participant is in remission and curative therapy was completed at least 5 years prior to Visit 1.
  • History of known immunodeficiency disorder including a positive test for human immunodeficiency virus, HIV-1 or HIV-2.
  • History of alcohol or drug abuse within the past year
  • Current smokers with a tobacco history of ≥ 10 pack-years or ex-smoker with a tobacco history of ≥ 10 pack-years.
  • Patients receiving long-term oxygen treatment
  • Patients participating in, or scheduled for, an intensive (active) pulmonary rehabilitation programme. Patients who are in the maintenance phase of a rehabilitation programme are eligible.
  • Use of non-invasive positive-pressure ventilation for conditions other than obstructive sleep apnoea
  • Use of immunosuppressive medication within 3 months of the screening visit or expected need for chronic use (≥ 4 weeks) during study
  • Receipt of any marketed or investigational biologic products (monoclonal or polyclonal antibody) within one year of the screening visit
  • Receipt of any investigational non-biologic product within 30 days or 5 half-lives prior to randomisation
  • Receipt of immunoglobulin and blood products within 30 days of the date of the screening visit
  • Receipt of live attenuated vaccines within 30 days of the date of randomisation
  • Concurrent enrolment in another clinical drug interventional trial
  • History of anaphylaxis to any biologic therapy or vaccine
  • Known history of allergy or reaction to any component of the IP formulation.
  • Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site)
  • Judgement by the Investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions, and requirements
  • Previous randomisation in the present study
  • Currently pregnant (confirmed with positive pregnancy test) or breast-feeding.

Trial locations and contacts

48 sites in 16 countries.

48 sites in 16 countries

United States4 sites
  • Research Site

    Birmingham, Alabama, 35233

  • Research Site

    El Paso, Texas, 79902

  • Research Site

    Newport Beach, California, 92663

  • Research Site

    Northridge, California, 91324

Other trials in United States

China4 sites
  • Research Site

    Guangzhou, 510120

  • Research Site

    Guangzhou

  • Research Site

    Shanghai, 200032

  • Research Site

    Zhengzhou, 450000

Other trials in China

Denmark4 sites
  • Research Site

    Aalborg, 9000

  • Research Site

    Hellerup, 2900

  • Research Site

    Hvidovre, 2650

  • Research Site

    Vejle, 7100

Other trials in Denmark

Germany4 sites
  • Research Site

    Essen, 45239

  • Research Site

    Frankfurt, 60590

  • Research Site

    Gauting, 82131

  • Research Site

    München, D-80336

Other trials in Germany

Italy4 sites
  • Research Site

    Milan, 20122

  • Research Site

    Pisa, 56100

  • Research Site

    Roma, 00168

  • Research Site

    Rozzano, 20089

Other trials in Italy

South Korea4 sites
  • Research Site

    Jeonju, 54907

  • Research Site

    Seoul, 04763

  • Research Site

    Seoul, 05030

  • Research Site

    Seoul, 06591

Other trials in South Korea

Argentina3 sites
  • Research Site

    Florida, B1602DQD

  • Research Site

    San Fernando, B1646EBJ

  • Research Site

    San Miguel de Tucumán, 4000

Other trials in Argentina

Canada3 sites
  • Research Site

    Ajax, Ontario, L1S 2J5

  • Research Site

    Burlington, Ontario, L7N 3V2

  • Research Site

    Windsor, Ontario, N8X-5A6

Other trials in Canada

India3 sites
  • Research Site

    Coimbatore, 641028

  • Research Site

    Hyderabad, 500084

  • Research Site

    New Delhi, 100049

Other trials in India

Poland3 sites
  • Research Site

    Bydgoszcz, 85-079

  • Research Site

    Ostrowiec Świętokrzyski, 27-400

  • Research Site

    Wroclaw, 54-239

Other trials in Poland

Russia3 sites
  • Research Site

    Penza, 440067

  • Research Site

    Saratov, 410012

  • Research Site

    Ulyanovsk, 432009

Other trials in Russia

Vietnam3 sites
  • Research Site

    Hanoi, 100000

  • Research Site

    Ho Chi Minh City, 700000

  • Research Site

    Hochiminh, 70000

Other trials in Vietnam

Australia2 sites
  • Research Site

    Melbourne, 3004

  • Research Site

    South Brisbane, 4101

Other trials in Australia

Spain2 sites
  • Research Site

    Barcelona, 08003

  • Research Site

    Madrid, 28040

Other trials in Spain

Philippines1 site
  • Research Site

    Quezon City, 1100

Other trials in Philippines

United Kingdom1 site
  • Research Site

    Southampton, SO9 4XY

Other trials in United Kingdom

About this study

Official title: A Multicentre, Randomised, Double-blind, Parallel-group, Placebo-controlled, 52 Week, Phase III Study With an Open-label Extension to Evaluate the Efficacy and Safety of Benralizumab in Patients With Non-Cystic Fibrosis Bronchiectasis (MAHALE)

This is a multicentre, randomised, double-blind, parallel-group, placebo-controlled, phase III study originally designed to test the hypothesis that benralizumab will reduce exacerbation rates compared with placebo on top of standard-of-care therapy in adult patients with non-cystic fibrosis bronchiectasis with eosinophilic inflammation (NCFB+EI).

All patients who complete the double-blind treatment period (28 to 52 weeks depending on the timing of patient randomization and when the revised CSP version 3.0 becomes effective) on investigational product (IP) may be eligible to continue into an open-label extension (OLE) period during which all patients will receive benralizumab.

The revised OLE period is intended to allow patients approximately 32 weeks of treatment with open label benralizumab (24 weeks followed by a FU visit 8 weeks after the last dose of IP for a total of approximately 32 weeks).

Being tested
Benralizumab, Placebo to Benralizumab
Keywords
Benralizumab, Non-cystic Fibrosis Bronchiectasis, Eosinophlic Inflammation

What participants receive

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

  • BenralizumabBiological

    Benralizumab active solution in a single accessorized prefilled syringe (APFS) will be administered subcutaneously (SC), 1 mL fill volume

  • Placebo to BenralizumabBiological

    Matching placebo solution in a single accessorized prefilled syringe (APFS) will be administered subcutaneously (SC), 1 mL fill volume

Study groups in NCT05006573
Study groupRoleWhat they receive
BenralizumabExperimentalBenralizumab will be administered subcutaneously (SC) using an accessorized prefilled syringe (APFS)
Receives: Biological: Benralizumab
PlaceboPlacebo comparatorMatching placebo solution will be administered subcutaneously (SC) using an accessorized prefilled syringe (APFS)
Receives: Biological: Placebo to Benralizumab

What is being measured

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

  1. Annualized Bronchiectasis Exacerbations Rate in the Double-blind Period

    Annualized Non-Cystic Fibrosis Bronchiectasis (NCFB) exacerbations rate through end of double-blind treatment period.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

Secondary outcomes (12)
  1. Time to First Exacerbation in the Double-blind Treatment Period

    Time to first NCFB exacerbation in the double-blind treatment period

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  2. Change From Baseline in QoL-B-RSS Over the Double-blind Period

    Change from baseline in Quality of Life-Bronchiectasis-Respiratory Symptoms Scale over the double-blind treatment period. QoL-B-RSS scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  3. Change From Baseline in Pre-dose Pre-BD FEV1 Over the Double-blind Treatment Period

    Change from baseline in pre-dose pre-bronchodilator (BD) forced expiratory volume in one second (FEV1) over the double-blind treatment period

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  4. Change From Baseline in LCQ Total Score Over the Double-blind Period

    Change from baseline in Leicester Cough Questionnaire (LCQ) total score over the double-blind treatment period. LCQ total scores range from 3 to 21. Higher scores indicate better quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  5. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Physical Functioning Scale

    change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Physical Functioning Scale. QoL-B Physical Functioning Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  6. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Role Functioning Scale

    Change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Role Functioning Scale. QoL-B Role Functioning Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  7. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Emotional Functioning Scale

    Change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Emotional Functioning Scale. QoL-B Emotional Functioning Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  8. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Social Functioning Scale

    Change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Social Functioning Scale. QoL-B Social Functioning Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  9. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Vitality Scale

    Change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Vitality Scale. QoL-B Vitality Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  10. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Health Perceptions Scale

    Change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Health Perceptions Scale. QoL-B Health Perceptions Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  11. Change From Baseline in QoL-B Scales (Excluding QoL-B-RSS) Over the Double-blind Period: Treatment Burden Scale

    Change from baseline in Quality of Life-Bronchiectasis (QoL-B) scales (excluding QoL-B-RSS) over the double-blind treatment period: Treatment Burden Scale. QoL-B Treatment Burden Scale scores range from 0 to 100, with higher scores indicative of better health-related quality of life.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

  12. Change From Baseline in SGRQ Total Score Over the Double-blind Treatment Period

    Change from baseline in St. George's Respiratory Questionnaire (SGRQ) total score over the double-blind treatment period. SGRQ total scores range from 0 to 100. 100 represents the worst possible health status and 0 indicates the best possible health status.

    Measured: through Double-blind period, at least 28 weeks and up to 52 weeks

Timeline

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

  1. First posted16 Aug 2021
  2. Study start21 Jul 2021
  3. Primary completion16 Apr 2024
  4. Study completion16 Apr 2024

Why it stopped: Due to the decision to stop recruitment early, enrolment into the MAHALE trial was terminated in August 2022; 139 patients were screened and 100 randomised to IP.

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05006573
Sponsor's protocol ID
D325BC00001
Other IDs
2020-004068-24
Acronym
MAHALE
Status last verified
Jul 2025
First submitted
23 Jun 2021
Last updated
20 Jul 2025
Data monitoring committee
No
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Benralizumab in people with Non-cystic Fibrosis Bronchiectasis, run by AstraZeneca at 48 sites in 16 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 7 inclusion and 30 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 20 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United States, China, Denmark, Germany, Italy and 11 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 20 Jul 2025). 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?

Annualized Bronchiectasis Exacerbations Rate in the Double-blind Period (time frame: through Double-blind period, at least 28 weeks and up to 52 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Jul 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in