A Study to Evaluate the Safety of Xolair in Moderate to Severe Persistent Asthma Patients (ALTO)
Primary Purpose
Asthma
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Xolair (omalizumab)
Sponsored by

About this trial
This is an interventional treatment trial for Asthma focused on measuring ALTO
Eligibility Criteria
Inclusion Criteria:
- Documented physician diagnosis of moderate to severe, persistent asthma, defined in the National Heart, Lung, and Blood Institute (NHLBI) guidelines as FEV1 < 80% predicted for height, age, and sex or a history of FEV1 < 80%
- Between 6 and 75 years old at the time of screening (Visit 1 [Week -2])
- Current treatment with the following medications: Moderate doses of any inhaled steroid preparation on a daily basis for at least 30 days prior to screening; and/or oral steroids at a stable dose on a daily basis for at least 30 days prior to screening; and currently treated with at least one of the following drugs on a daily basis at a stable dose for at least 30 days prior to screening: long-acting β-adrenergic (salmeterol), leukotriene receptor antagonist (LTRA), xanthine derivatives, or sodium cromoglycate
- Signed informed consent (in the case of a minor, consent must have been given by the child's parent or legal guardian)
- Serum IgE level of ≥ 30 IU/mL and ≤ 1300 IU/mL and a body weight ≥ 20 kg and ≤ 150 kg and fell within the protocol-defined dosing table ranges
- For females of childbearing potential, in the opinion of the investigator, use of an effective method of contraception to prevent pregnancy and agreement to continue to practice an acceptable method of contraception for the duration of their participation in the study
- Willingness to participate fully for the duration of the study
Exclusion Criteria:
- Current active AEE defined as requiring initiation or increase in oral steroid dose or treatment with at least a doubling of inhaled steroid dose
- Thrombocytopenia as evidenced by platelets < 100,000/uL
- Pregnancy or lactation
- Previous randomization in this study
- Use of any experimental drug within 30 days prior to study screening
- Known hypersensitivity to any ingredients of Xolair, including excipients (sucrose, histidine, polysorbate 20)
- Diagnosis of aspirin or nonsteroidal anti-inflammatory drug-induced asthma
- Active lung disease other than asthma (e.g., chronic bronchitis, emphysema, cystic fibrosis, chronic obstructive pulmonary disease)
- History of smoking within 2 years of the study screening visit or history of smoking ≥ 10 pack years
- Significant systemic disease (e.g., infection, hematologic, renal, hepatic, coronary heart disease or other cardiovascular diseases, endocrinologic or gastrointestinal disease) within the previous 3 months
- History of neoplasia
- History of noncompliance to medical regimens
- Any systemic condition requiring regular administration of immunoglobulin
Sites / Locations
Outcomes
Primary Outcome Measures
Incidence of all serious adverse events.
Secondary Outcome Measures
Incidence of all adverse events during the treatment phase of the study
Incidence of protocol defined asthma exacerbation episodes (AEEs) during the treatment phase of the study
Nocturnal symptoms as measured by the modified Inner City Asthma Study Morbidity Assessment.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00401596
Brief Title
A Study to Evaluate the Safety of Xolair in Moderate to Severe Persistent Asthma Patients (ALTO)
Official Title
A Multicenter, Randomized, Controlled, Open-Label Study to Evaluate the Safety of Xolair in Moderate to Severe Persistent Asthma Subjects Already Treated With Other Therapies (ALTO)
Study Type
Interventional
2. Study Status
Record Verification Date
March 2014
Overall Recruitment Status
Completed
Study Start Date
July 2000 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
July 2002 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
4. Oversight
5. Study Description
Brief Summary
This was a multicenter, open label, randomized, controlled, safety trial in subjects aged 6-75 years with a diagnosis of moderate to severe, persistent asthma. A total of 1899 subjects were randomized (2:1) to either the active treatment group or the control group. Upon successful completion of the screening period (~2 weeks), each subject entered the 24 week study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
ALTO
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Enrollment
1899 (false)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
Xolair (omalizumab)
Primary Outcome Measure Information:
Title
Incidence of all serious adverse events.
Secondary Outcome Measure Information:
Title
Incidence of all adverse events during the treatment phase of the study
Title
Incidence of protocol defined asthma exacerbation episodes (AEEs) during the treatment phase of the study
Title
Nocturnal symptoms as measured by the modified Inner City Asthma Study Morbidity Assessment.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Documented physician diagnosis of moderate to severe, persistent asthma, defined in the National Heart, Lung, and Blood Institute (NHLBI) guidelines as FEV1 < 80% predicted for height, age, and sex or a history of FEV1 < 80%
Between 6 and 75 years old at the time of screening (Visit 1 [Week -2])
Current treatment with the following medications: Moderate doses of any inhaled steroid preparation on a daily basis for at least 30 days prior to screening; and/or oral steroids at a stable dose on a daily basis for at least 30 days prior to screening; and currently treated with at least one of the following drugs on a daily basis at a stable dose for at least 30 days prior to screening: long-acting β-adrenergic (salmeterol), leukotriene receptor antagonist (LTRA), xanthine derivatives, or sodium cromoglycate
Signed informed consent (in the case of a minor, consent must have been given by the child's parent or legal guardian)
Serum IgE level of ≥ 30 IU/mL and ≤ 1300 IU/mL and a body weight ≥ 20 kg and ≤ 150 kg and fell within the protocol-defined dosing table ranges
For females of childbearing potential, in the opinion of the investigator, use of an effective method of contraception to prevent pregnancy and agreement to continue to practice an acceptable method of contraception for the duration of their participation in the study
Willingness to participate fully for the duration of the study
Exclusion Criteria:
Current active AEE defined as requiring initiation or increase in oral steroid dose or treatment with at least a doubling of inhaled steroid dose
Thrombocytopenia as evidenced by platelets < 100,000/uL
Pregnancy or lactation
Previous randomization in this study
Use of any experimental drug within 30 days prior to study screening
Known hypersensitivity to any ingredients of Xolair, including excipients (sucrose, histidine, polysorbate 20)
Diagnosis of aspirin or nonsteroidal anti-inflammatory drug-induced asthma
Active lung disease other than asthma (e.g., chronic bronchitis, emphysema, cystic fibrosis, chronic obstructive pulmonary disease)
History of smoking within 2 years of the study screening visit or history of smoking ≥ 10 pack years
Significant systemic disease (e.g., infection, hematologic, renal, hepatic, coronary heart disease or other cardiovascular diseases, endocrinologic or gastrointestinal disease) within the previous 3 months
History of neoplasia
History of noncompliance to medical regimens
Any systemic condition requiring regular administration of immunoglobulin
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yamo Deniz, M.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Citations:
PubMed Identifier
31760132
Citation
Busse WW, Humbert M, Haselkorn T, Ortiz B, Trzaskoma BL, Stephenson P, Garcia Conde L, Kianifard F, Holgate ST. Effect of omalizumab on lung function and eosinophil levels in adolescents with moderate-to-severe allergic asthma. Ann Allergy Asthma Immunol. 2020 Feb;124(2):190-196. doi: 10.1016/j.anai.2019.11.016. Epub 2019 Nov 22.
Results Reference
derived
Learn more about this trial
A Study to Evaluate the Safety of Xolair in Moderate to Severe Persistent Asthma Patients (ALTO)
We'll reach out to this number within 24 hrs