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A Study of Lebrikizumab in Patients Whose Asthma is Uncontrolled With Inhaled Corticosteroids and A Second Controller Medication (LUTE)

Primary Purpose

Asthma

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
lebrikizumab
lebrikizumab
lebrikizumab
placebo
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Adult patients, 18 to 75 years of age at Visit 1
  • Asthma diagnosis for >/= 12 months prior to the start of screening (Visit 1)
  • Bronchodilator response during screening
  • Pre-bronchodilator FEV1 40%-80% of predicted during screening
  • On ICS (inhaled corticosteroids) 500-2000 mcg/day of fluticasone propionate DPI or equivalent for >/= 6 months prior to the start of screening (Visit 1) with no anticipated changes throughout the study
  • On an eligible second controller medication (LABA, LAMA, LTRA or theophylline within the prescribed dosing range)
  • Uncontrolled asthma as defined by protocol both during screening period and at time of randomization
  • Chest X-ray or computed tomography (CT) scan obtained within 12 months prior to screening or chest X-ray during screening period confirming the absence of other lung disease
  • Demonstrated adherence with controller medication during the screening period

Exclusion Criteria:

  • History of severe allergic or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
  • Use of zileuton or roflumilast within 6 months prior to screening
  • Maintenance oral corticosteroid therapy, defined as daily or alternate day oral corticosteroid maintenance therapy within the 3 months prior to Visit 1
  • Treatment with systemic (oral, intravenous or intramuscular) corticosteroids within the 4 weeks prior to Visit 1
  • Major episode of infection within 4 weeks prior to Visit 1 or treatment with oral antibiotics within 2 weeks prior to Visit 1
  • Active parasitic infection within the 6 months prior to Visit 1
  • Active tuberculosis requiring treatment within the 12 months prior to Visit 1
  • Known immunodeficiency, including, but not limited to, HIV infection
  • Evidence of acute or chronic hepatitis or known liver cirrhosis
  • History of cystic fibrosis, chronic obstructive pulmonary disease, and/or other clinically significant lung disease other than asthma
  • Known malignancy or current evaluation for a potential malignancy
  • Current smoker or former smoker with a history >10 pack years
  • History of alcohol, drug or chemical abuse
  • Initiation or change in allergen immunotherapy within 3 months prior to Visit 1
  • Use of biologic therapy including omalizumab during 6 months prior to Visit 1
  • Receipt of live/attenuated vaccine within 4 weeks prior to Visit 1
  • Pregnant or lactating women
  • Body mass index (BMI) > 38 kg/m2
  • Body weight < 40 kg

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

lebrikizumab - highest dose

lebrikizumab - lowest dose

lebrikizumab - middle dose

placebo

Arm Description

Outcomes

Primary Outcome Measures

Rate of asthma exacerbations during the 52-week placebo-controlled period

Secondary Outcome Measures

Change in lung function: pre-bronchodilator FEV1
Time to first asthma exacerbation
Change in fractional exhaled nitric oxide (FeNO)
Change in asthma-specific health-related quality of life, assessed by the Standardized Asthma Quality of Life Questionnaire (AQLQ[S])
Change in asthma rescue medication use
Rate of urgent asthma-related health care utilization during the 52-week placebo-controlled period

Full Information

First Posted
March 1, 2012
Last Updated
March 3, 2015
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01545440
Brief Title
A Study of Lebrikizumab in Patients Whose Asthma is Uncontrolled With Inhaled Corticosteroids and A Second Controller Medication (LUTE)
Official Title
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Safety and Efficacy of Lebrikizumab in Patients With Uncontrolled Asthma Who Are on Inhaled Corticosteroids and A Second Controller Medication
Study Type
Interventional

2. Study Status

Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
March 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
July 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

5. Study Description

Brief Summary
This randomized, multicenter, double-blind, placebo-controlled, parallel-group study will assess the efficacy and safety of lebrikizumab in patients with asthma whose disease remains uncontrolled despite daily therapy with an inhaled corticosteroid and a second controller medication. Patients will be randomized in a 1:1:1:1 ratio to receive double-blind treatment with subcutaneous lebrikizumab ("highest", "middle", "lowest" dose) or placebo every 4 weeks for 52 weeks, in addition to their standard-of-care therapy. This will be followed by a 52-week double-blind active treatment extension. The anticipated time on study treatment is up to 104 weeks. There will be a safety follow-up of 24 weeks after the last dose of study drug for all patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
258 (Actual)

8. Arms, Groups, and Interventions

Arm Title
lebrikizumab - highest dose
Arm Type
Experimental
Arm Title
lebrikizumab - lowest dose
Arm Type
Experimental
Arm Title
lebrikizumab - middle dose
Arm Type
Experimental
Arm Title
placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
lebrikizumab
Intervention Description
subcutaneous dose every 4 weeks
Intervention Type
Drug
Intervention Name(s)
lebrikizumab
Intervention Description
subcutaneous dose every 4 weeks
Intervention Type
Drug
Intervention Name(s)
lebrikizumab
Intervention Description
subcutaneous dose every 4 weeks
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
subcutaneous dose every 4 weeks
Primary Outcome Measure Information:
Title
Rate of asthma exacerbations during the 52-week placebo-controlled period
Time Frame
weeks 0-52
Secondary Outcome Measure Information:
Title
Change in lung function: pre-bronchodilator FEV1
Time Frame
from baseline to week 52
Title
Time to first asthma exacerbation
Time Frame
from baseline to week 52
Title
Change in fractional exhaled nitric oxide (FeNO)
Time Frame
from baseline to week 52
Title
Change in asthma-specific health-related quality of life, assessed by the Standardized Asthma Quality of Life Questionnaire (AQLQ[S])
Time Frame
from baseline to week 52
Title
Change in asthma rescue medication use
Time Frame
from baseline to week 52
Title
Rate of urgent asthma-related health care utilization during the 52-week placebo-controlled period
Time Frame
from baseline to week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult patients, 18 to 75 years of age at Visit 1 Asthma diagnosis for >/= 12 months prior to the start of screening (Visit 1) Bronchodilator response during screening Pre-bronchodilator FEV1 40%-80% of predicted during screening On ICS (inhaled corticosteroids) 500-2000 mcg/day of fluticasone propionate DPI or equivalent for >/= 6 months prior to the start of screening (Visit 1) with no anticipated changes throughout the study On an eligible second controller medication (LABA, LAMA, LTRA or theophylline within the prescribed dosing range) Uncontrolled asthma as defined by protocol both during screening period and at time of randomization Chest X-ray or computed tomography (CT) scan obtained within 12 months prior to screening or chest X-ray during screening period confirming the absence of other lung disease Demonstrated adherence with controller medication during the screening period Exclusion Criteria: History of severe allergic or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection Use of zileuton or roflumilast within 6 months prior to screening Maintenance oral corticosteroid therapy, defined as daily or alternate day oral corticosteroid maintenance therapy within the 3 months prior to Visit 1 Treatment with systemic (oral, intravenous or intramuscular) corticosteroids within the 4 weeks prior to Visit 1 Major episode of infection within 4 weeks prior to Visit 1 or treatment with oral antibiotics within 2 weeks prior to Visit 1 Active parasitic infection within the 6 months prior to Visit 1 Active tuberculosis requiring treatment within the 12 months prior to Visit 1 Known immunodeficiency, including, but not limited to, HIV infection Evidence of acute or chronic hepatitis or known liver cirrhosis History of cystic fibrosis, chronic obstructive pulmonary disease, and/or other clinically significant lung disease other than asthma Known malignancy or current evaluation for a potential malignancy Current smoker or former smoker with a history >10 pack years History of alcohol, drug or chemical abuse Initiation or change in allergen immunotherapy within 3 months prior to Visit 1 Use of biologic therapy including omalizumab during 6 months prior to Visit 1 Receipt of live/attenuated vaccine within 4 weeks prior to Visit 1 Pregnant or lactating women Body mass index (BMI) > 38 kg/m2 Body weight < 40 kg
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
City
Pell City
State/Province
Alabama
ZIP/Postal Code
35128
Country
United States
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85266
Country
United States
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
City
Bakersfield
State/Province
California
ZIP/Postal Code
93301
Country
United States
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
City
Mission Viejo
State/Province
California
ZIP/Postal Code
92691
Country
United States
City
Napa
State/Province
California
ZIP/Postal Code
94558
Country
United States
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
City
Rancho Mirage
State/Province
California
ZIP/Postal Code
92270
Country
United States
City
Sacramento
State/Province
California
ZIP/Postal Code
95819
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
City
Studio City
State/Province
California
ZIP/Postal Code
91607
Country
United States
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
City
Centennial
State/Province
Colorado
ZIP/Postal Code
80112
Country
United States
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80907
Country
United States
City
Denver
State/Province
Colorado
ZIP/Postal Code
80206
Country
United States
City
Wheat Ridge
State/Province
Colorado
ZIP/Postal Code
80033
Country
United States
City
Waterbury
State/Province
Connecticut
ZIP/Postal Code
06708
Country
United States
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32605
Country
United States
City
North Palm Beach
State/Province
Florida
ZIP/Postal Code
33408
Country
United States
City
Ocala
State/Province
Florida
ZIP/Postal Code
34471
Country
United States
City
Tallahassee
State/Province
Florida
ZIP/Postal Code
32308
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
City
Albany
State/Province
Georgia
ZIP/Postal Code
31707
Country
United States
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96814
Country
United States
City
River Forest
State/Province
Illinois
ZIP/Postal Code
60305
Country
United States
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66606
Country
United States
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
City
Bangor
State/Province
Maine
ZIP/Postal Code
04401
Country
United States
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
City
Bellevue
State/Province
Nebraska
ZIP/Postal Code
68123
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89106
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131
Country
United States
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
City
Rockville Centre
State/Province
New York
ZIP/Postal Code
11570
Country
United States
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45231
Country
United States
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97401-7721
Country
United States
City
Lake Oswego
State/Province
Oregon
ZIP/Postal Code
97035
Country
United States
City
Portland
State/Province
Oregon
ZIP/Postal Code
97202
Country
United States
City
Blue Bell
State/Province
Pennsylvania
ZIP/Postal Code
19422
Country
United States
City
Easton
State/Province
Pennsylvania
ZIP/Postal Code
18045
Country
United States
City
Harrisburg
State/Province
Pennsylvania
ZIP/Postal Code
17110
Country
United States
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19115
Country
United States
City
Upland
State/Province
Pennsylvania
ZIP/Postal Code
19013
Country
United States
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02865
Country
United States
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37909
Country
United States
City
Arlington
State/Province
Texas
ZIP/Postal Code
76018
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
City
El Paso
State/Province
Texas
ZIP/Postal Code
79925
Country
United States
City
Fort worth
State/Province
Texas
ZIP/Postal Code
76109
Country
United States
City
McKinney
State/Province
Texas
ZIP/Postal Code
75069
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78224
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78251
Country
United States
City
Henrico
State/Province
Virginia
ZIP/Postal Code
23233
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53792
Country
United States
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia

12. IPD Sharing Statement

Citations:
PubMed Identifier
33217063
Citation
Chen M, Shepard K 2nd, Yang M, Raut P, Pazwash H, Holweg CTJ, Choo E. Overlap of allergic, eosinophilic and type 2 inflammatory subtypes in moderate-to-severe asthma. Clin Exp Allergy. 2021 Apr;51(4):546-555. doi: 10.1111/cea.13790. Epub 2021 Jan 7.
Results Reference
derived
PubMed Identifier
26001563
Citation
Hanania NA, Noonan M, Corren J, Korenblat P, Zheng Y, Fischer SK, Cheu M, Putnam WS, Murray E, Scheerens H, Holweg CT, Maciuca R, Gray S, Doyle R, McClintock D, Olsson J, Matthews JG, Yen K. Lebrikizumab in moderate-to-severe asthma: pooled data from two randomised placebo-controlled studies. Thorax. 2015 Aug;70(8):748-56. doi: 10.1136/thoraxjnl-2014-206719. Epub 2015 May 22.
Results Reference
derived
Links:
URL
http://myasthmastudies.com
Description
study website

Learn more about this trial

A Study of Lebrikizumab in Patients Whose Asthma is Uncontrolled With Inhaled Corticosteroids and A Second Controller Medication (LUTE)

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