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Efficacy and Safety Study of Benralizumab Added to High-dose Inhaled Corticosteroid Plus LABA in Patients With Uncontrolled Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Benralizumab
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Asthma,, Bronchial Diseases,, Respiratory Tract Diseases,, Lung Diseases,, Obstructive Lung Diseases

Eligibility Criteria

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

Inclusion Criteria:

  1. Written informed consent for study participation must be obtained prior to any study related procedures being performed (local regulations are to be followed in determining the assent/consent requirements for children and parent[s]/guardian[s]) and according to international guidelines and/or applicable European Union guidelines.
  2. Female and Male aged 12 to 75 years inclusively, at the time of visit 1. For those patients, who are 17 on the day of Visit 1 but will turn 18 after this day, will be considered an adolescent for the purposes of this trial.
  3. History of physician-diagnosed asthma requiring treatment with medium-to-high dose ICS (>250μg fluticasone dry powder formulation equivalents total daily dose) and a LABA, for at least 12 months prior to Visit 1
  4. Documented treatment with ICS and LABA for at least 3 months prior to Visit 1 with or without oral corticosteroids and additional asthma controllers.

    • For subjects 18 years of age and older, the ICS dose must be >500 mcg/day fluticasone propionate dry powder formulation or equivalent daily.
    • For subjects ages 12-17, the ICS dose must be ≥500 mcg /day fluticasone propionate dry powder formulation or equivalent daily.

Exclusion criteria:

  1. Clinically important pulmonary disease other than asthma (e.g. active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g. allergic bronchopulmonary aspergillosis/mycosis, Churg- Strauss syndrome, hypereosinophilic syndrome)
  2. Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:

    • Affect the safety of the patient throughout the study
    • Influence the findings of the studies or their interpretations
    • Impede the patient's ability to complete the entire duration of study
  3. Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run-in period
  4. Any clinically significant abnormal findings in physical examination, vital signs, haematology, clinical chemistry, or urinalysis during screening/run-in period, which in the opinion of the Investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patient's ability to complete entire duration of the study

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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Benralizumab 30 mg q.4 weeks

Benralizumab 30 mg q.8 weeks

Placebo

Arm Description

Benralizumab administered subcutaneously every 4 weeks

Benralizumab administered subcutaneously every 8 weeks

Placebo administered subcutaneously

Outcomes

Primary Outcome Measures

Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils >=300/uL
The annual exacerbation rate is based on unadjudicated annual exacerbation rate reported by the investigator in the eCRF

Secondary Outcome Measures

Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils < 300/uL
The annual exacerbation rate is based on unadjudicated annual exacerbation rate reported by the investigator in the eCRF
Annual Asthma Exacerbation Rate Resulting Emergency Room Visits and Hospitalizations
The annual exacerbation rate associated with an emergency room visit or a hospitalization (adjudicated)
Number of Patients With >=1 Asthma Exacerbations
Time to First Asthma Exacerbation
Mean Change From Baseline to Week 48 in Pre-bronchodilator FEV1 (L) Value for Baseline Eosinophils >=300/uL
Mean Change From Baseline to Week 48 in Pre-bronchodilator FEV1 (L) Value for Baseline Eosinophils <300/uL
Mean Change From Baseline to Week 48 in Asthma Symptom Score for Baseline Eosinophils >=300/uL
Asthma symptoms during night time and daytime are recorded by the patient in the asthma daily diary. Symptom score values are from 0 (No asthma symptom) to 3 (unable to sleep because of asthma, or unable to do normal activities due to asthma), and total asthma symptom score is the sum of the daytime and night time score (0 to 6). Lower score (0) is indicating better asthma symptom, while higher score (6) is indicating worse asthma symptom. Baseline is defined as the average of data collected from the evening of study day -10 to the morning of study day 1. Each time point is calculated as bi-weekly means based on daily diary data. If more than 50% of scores are missing in a 14 day period then this is considered as missing. Symptom score lower is better.
Mean Change From Baseline to Week 48 in Asthma Symptom Score for Baseline Eosinophils <300/uL
Asthma symptoms during night time and daytime are recorded by the patient in the asthma daily diary. Symptom score values are from 0 (No asthma symptom) to 3 (unable to sleep because of asthma, or unable to do normal activities due to asthma), and total asthma symptom score is the sum of the daytime and night time score (0 to 6). Lower score (0) is indicating better asthma symptom, while higher score (6) is indicating worse asthma symptom. Baseline is defined as the average of data collected from the evening of study day -10 to the morning of study day 1. Each time point is calculated as bi-weekly means based on daily diary data. If more than 50% of scores are missing in a 14 day period then this is considered as missing. Symptom score lower is better.
Change in Asthma Rescue Medication
Change from baseline to week 48 in number of rescue medication use (puffs/day)
Home Lung Function Assessment Based on Morning PEF
Change from baseline to week 48 in home lung function morning peak expiratory flow [PEF]
Home Lung Function Assessment Based on Evening PEF
Change from baseline to week 48 in home lung function evening peak expiratory flow [PEF]
Proportion of Night Awakening Due to Asthma
Change from baseline to Week 48 on proportion of night awakening due to asthma
Mean Change From Baseline to Week 48 in ACQ-6 for Baseline Eosinophils >=300/uL
ACQ-6 contains one bronchodilator question and 5 symptom questions. Questions are rated from 0 (totally controlled) to 6 (severely uncontrolled). Mean ACQ-6 score is the average of the responses. Mean scores of <=0.75 indicates well-controlled asthma, scores between 0.75 to <=1.5 indicate partly controlled asthma, and >1.5 indicates not well controlled asthma.
Mean Change From Baseline to Week 48 in ACQ-6 for Baseline Eosinophils <300/uL
ACQ-6 contains one bronchodilator question and 5 symptom questions. Questions are rated from 0 (totally controlled) to 6 (severely uncontrolled). Mean ACQ-6 score is the average of the responses. Mean scores of <=0.75 indicates well-controlled asthma, scores between 0.75 to <=1.5 indicate partly controlled asthma, and >1.5 indicates not well controlled asthma.
Pharmacokinetics of Benralizumab
Mean PK concentrations at each visit
Immunogenicity of Benralizumab
Anti-drug antibodies (ADA) responses at baseline and post baseline. Persistently positive is defined as positive at >=2 post baseline assessments (with >=16 weeks between the first and the last positive) or positive at last post baseline assessment. Transiently positive is defined as having at least one post baseline ADA positive assessment and not fulfilling the conditions of persistently positive.
Extend of Exposure
Extend of exposure is defined as duration of treatment in days
Mean Change From Baseline to Week 48 in AQLQ(S)+12
AQLQ(S)+12 overall score is defined as the average of all 32 questions in the AQLQ(S)+12 questionnaire. AQLQ(S)+12 is a 7-point scale questionnaire, ranging from 7 (no impairment) to 1 (severe impairment). Total or domain score change of >=0.5 are considered clinically meaningful.
Mean Change From Baseline to Week 48 in EQ-5D-5L VAS
EQ-5D-5L VAS is to rate current health status on a scale of 0-100, with 0 being the worst imaginable health state.
Mean Work Productivity Loss Due to Asthma
WPAI+CIQ (Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire) contains 10 questions. Work productivity loss is derived by sum of percentage of missed work due to asthma and product of percentage of actual working hours times degree of asthma affecting work productivity while working. Percentage of missed work due to asthma is calculated by number of hours missed work due to asthma divided by total number of hours missed work plus number of hours actually worked. The work productivity loss is only applicable to patients who employed, which is only subset of the study population.
Mean Productivity Loss Due to Asthma in Classroom
WPAI+CIQ (Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire) contains 10 questions. Classroom productivity loss is derived by sum of percentage of missed classes due to asthma and product of percentage of actual hours attending classes times degree of asthma affecting classroom productivity. Percentage of missed classes due to asthma is calculated by number of hours missed classes due to asthma divided by total number of hours missed classes plus number of hours actually attending classes. This is only applicable to patients who attending classes
Number of Participants That Utilized Health Care Resources
Patient and Clinician's Responder Assessment to Treatment
CGIC (Clinical global impression of change), and PGIC (Patient global impression of change) are overall evaluation of response to treatment, conducted separately by investigator and patient using 7-point rating scale, ranging from 1 (very much improved), to 7 (very much worse). This is additional measures collected after second Amendment, thus not all patients had data to be analyzed.

Full Information

First Posted
August 16, 2013
Last Updated
March 23, 2017
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT01928771
Brief Title
Efficacy and Safety Study of Benralizumab Added to High-dose Inhaled Corticosteroid Plus LABA in Patients With Uncontrolled Asthma
Official Title
A Multicentre, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase III Efficacy and Safety Study of Benralizumab (MEDI-563) Added to High-dose Inhaled Corticosteroid Plus Long-acting β2 Agonist in Patients With Uncontrolled Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
September 19, 2013 (undefined)
Primary Completion Date
April 5, 2016 (Actual)
Study Completion Date
April 5, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether Benralizumab reduces the number of asthma exacerbations in patients who remain uncontrolled on high doses of ICS-LABA.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma,, Bronchial Diseases,, Respiratory Tract Diseases,, Lung Diseases,, Obstructive Lung Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
2681 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Benralizumab 30 mg q.4 weeks
Arm Type
Experimental
Arm Description
Benralizumab administered subcutaneously every 4 weeks
Arm Title
Benralizumab 30 mg q.8 weeks
Arm Type
Experimental
Arm Description
Benralizumab administered subcutaneously every 8 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo administered subcutaneously
Intervention Type
Biological
Intervention Name(s)
Benralizumab
Intervention Description
Benralizumab subcutaneously on study week 0 until study week 44 inclusive.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo subcutaneously on study week 0 until study week 44 inclusive.
Primary Outcome Measure Information:
Title
Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils >=300/uL
Description
The annual exacerbation rate is based on unadjudicated annual exacerbation rate reported by the investigator in the eCRF
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Secondary Outcome Measure Information:
Title
Annual Asthma Exacerbation Rate in Adult and Adolescent Patients With Uncontrolled Asthma for Eosinophils < 300/uL
Description
The annual exacerbation rate is based on unadjudicated annual exacerbation rate reported by the investigator in the eCRF
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Annual Asthma Exacerbation Rate Resulting Emergency Room Visits and Hospitalizations
Description
The annual exacerbation rate associated with an emergency room visit or a hospitalization (adjudicated)
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Number of Patients With >=1 Asthma Exacerbations
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Time to First Asthma Exacerbation
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in Pre-bronchodilator FEV1 (L) Value for Baseline Eosinophils >=300/uL
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in Pre-bronchodilator FEV1 (L) Value for Baseline Eosinophils <300/uL
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in Asthma Symptom Score for Baseline Eosinophils >=300/uL
Description
Asthma symptoms during night time and daytime are recorded by the patient in the asthma daily diary. Symptom score values are from 0 (No asthma symptom) to 3 (unable to sleep because of asthma, or unable to do normal activities due to asthma), and total asthma symptom score is the sum of the daytime and night time score (0 to 6). Lower score (0) is indicating better asthma symptom, while higher score (6) is indicating worse asthma symptom. Baseline is defined as the average of data collected from the evening of study day -10 to the morning of study day 1. Each time point is calculated as bi-weekly means based on daily diary data. If more than 50% of scores are missing in a 14 day period then this is considered as missing. Symptom score lower is better.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in Asthma Symptom Score for Baseline Eosinophils <300/uL
Description
Asthma symptoms during night time and daytime are recorded by the patient in the asthma daily diary. Symptom score values are from 0 (No asthma symptom) to 3 (unable to sleep because of asthma, or unable to do normal activities due to asthma), and total asthma symptom score is the sum of the daytime and night time score (0 to 6). Lower score (0) is indicating better asthma symptom, while higher score (6) is indicating worse asthma symptom. Baseline is defined as the average of data collected from the evening of study day -10 to the morning of study day 1. Each time point is calculated as bi-weekly means based on daily diary data. If more than 50% of scores are missing in a 14 day period then this is considered as missing. Symptom score lower is better.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Change in Asthma Rescue Medication
Description
Change from baseline to week 48 in number of rescue medication use (puffs/day)
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Home Lung Function Assessment Based on Morning PEF
Description
Change from baseline to week 48 in home lung function morning peak expiratory flow [PEF]
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Home Lung Function Assessment Based on Evening PEF
Description
Change from baseline to week 48 in home lung function evening peak expiratory flow [PEF]
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Proportion of Night Awakening Due to Asthma
Description
Change from baseline to Week 48 on proportion of night awakening due to asthma
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in ACQ-6 for Baseline Eosinophils >=300/uL
Description
ACQ-6 contains one bronchodilator question and 5 symptom questions. Questions are rated from 0 (totally controlled) to 6 (severely uncontrolled). Mean ACQ-6 score is the average of the responses. Mean scores of <=0.75 indicates well-controlled asthma, scores between 0.75 to <=1.5 indicate partly controlled asthma, and >1.5 indicates not well controlled asthma.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in ACQ-6 for Baseline Eosinophils <300/uL
Description
ACQ-6 contains one bronchodilator question and 5 symptom questions. Questions are rated from 0 (totally controlled) to 6 (severely uncontrolled). Mean ACQ-6 score is the average of the responses. Mean scores of <=0.75 indicates well-controlled asthma, scores between 0.75 to <=1.5 indicate partly controlled asthma, and >1.5 indicates not well controlled asthma.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Pharmacokinetics of Benralizumab
Description
Mean PK concentrations at each visit
Time Frame
Baseline, week 4, week 4 day 6, week 8, week 16, week 24, week 32, week 40, week 48, week 56
Title
Immunogenicity of Benralizumab
Description
Anti-drug antibodies (ADA) responses at baseline and post baseline. Persistently positive is defined as positive at >=2 post baseline assessments (with >=16 weeks between the first and the last positive) or positive at last post baseline assessment. Transiently positive is defined as having at least one post baseline ADA positive assessment and not fulfilling the conditions of persistently positive.
Time Frame
Pre-treatment until end of follow-up
Title
Extend of Exposure
Description
Extend of exposure is defined as duration of treatment in days
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in AQLQ(S)+12
Description
AQLQ(S)+12 overall score is defined as the average of all 32 questions in the AQLQ(S)+12 questionnaire. AQLQ(S)+12 is a 7-point scale questionnaire, ranging from 7 (no impairment) to 1 (severe impairment). Total or domain score change of >=0.5 are considered clinically meaningful.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Change From Baseline to Week 48 in EQ-5D-5L VAS
Description
EQ-5D-5L VAS is to rate current health status on a scale of 0-100, with 0 being the worst imaginable health state.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Work Productivity Loss Due to Asthma
Description
WPAI+CIQ (Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire) contains 10 questions. Work productivity loss is derived by sum of percentage of missed work due to asthma and product of percentage of actual working hours times degree of asthma affecting work productivity while working. Percentage of missed work due to asthma is calculated by number of hours missed work due to asthma divided by total number of hours missed work plus number of hours actually worked. The work productivity loss is only applicable to patients who employed, which is only subset of the study population.
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Mean Productivity Loss Due to Asthma in Classroom
Description
WPAI+CIQ (Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire) contains 10 questions. Classroom productivity loss is derived by sum of percentage of missed classes due to asthma and product of percentage of actual hours attending classes times degree of asthma affecting classroom productivity. Percentage of missed classes due to asthma is calculated by number of hours missed classes due to asthma divided by total number of hours missed classes plus number of hours actually attending classes. This is only applicable to patients who attending classes
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Number of Participants That Utilized Health Care Resources
Time Frame
Immediately following the first administration of study drug through Study Week 48.
Title
Patient and Clinician's Responder Assessment to Treatment
Description
CGIC (Clinical global impression of change), and PGIC (Patient global impression of change) are overall evaluation of response to treatment, conducted separately by investigator and patient using 7-point rating scale, ranging from 1 (very much improved), to 7 (very much worse). This is additional measures collected after second Amendment, thus not all patients had data to be analyzed.
Time Frame
Immediately following the first administration of study drug through Study Week 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent for study participation must be obtained prior to any study related procedures being performed (local regulations are to be followed in determining the assent/consent requirements for children and parent[s]/guardian[s]) and according to international guidelines and/or applicable European Union guidelines. Female and Male aged 12 to 75 years inclusively, at the time of visit 1. For those patients, who are 17 on the day of Visit 1 but will turn 18 after this day, will be considered an adolescent for the purposes of this trial. History of physician-diagnosed asthma requiring treatment with medium-to-high dose ICS (>250μg fluticasone dry powder formulation equivalents total daily dose) and a LABA, for at least 12 months prior to Visit 1 Documented treatment with ICS and LABA for at least 3 months prior to Visit 1 with or without oral corticosteroids and additional asthma controllers. For subjects 18 years of age and older, the ICS dose must be >500 mcg/day fluticasone propionate dry powder formulation or equivalent daily. For subjects ages 12-17, the ICS dose must be ≥500 mcg /day fluticasone propionate dry powder formulation or equivalent daily. Exclusion criteria: Clinically important pulmonary disease other than asthma (e.g. active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g. allergic bronchopulmonary aspergillosis/mycosis, Churg- Strauss syndrome, hypereosinophilic syndrome) Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could: Affect the safety of the patient throughout the study Influence the findings of the studies or their interpretations Impede the patient's ability to complete the entire duration of study Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run-in period Any clinically significant abnormal findings in physical examination, vital signs, haematology, clinical chemistry, or urinalysis during screening/run-in period, which in the opinion of the Investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patient's ability to complete entire duration of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eugene R. Bleecker, MD, Professor of Medicine
Organizational Affiliation
Center for Genomics and Personalized Medicine Research, Medical Center Boulevard, Winston-Salem, North Carolina 27157
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Foley
State/Province
Alabama
Country
United States
Facility Name
Research Site
City
Huntsville
State/Province
Alabama
Country
United States
Facility Name
Research Site
City
Mobile
State/Province
Alabama
Country
United States
Facility Name
Research Site
City
Scottsboro
State/Province
Alabama
Country
United States
Facility Name
Research Site
City
Sheffield
State/Province
Alabama
Country
United States
Facility Name
Research Site
City
Phoenix
State/Province
Arizona
Country
United States
Facility Name
Research Site
City
Tucson
State/Province
Arizona
Country
United States
Facility Name
Research Site
City
Bakersfield
State/Province
California
Country
United States
Facility Name
Research Site
City
Beverly Hills
State/Province
California
Country
United States
Facility Name
Research Site
City
Costa Mesa
State/Province
California
Country
United States
Facility Name
Research Site
City
Huntington Beach
State/Province
California
Country
United States
Facility Name
Research Site
City
Huntington Park
State/Province
California
Country
United States
Facility Name
Research Site
City
Los Angles
State/Province
California
Country
United States
Facility Name
Research Site
City
Newport Beach
State/Province
California
Country
United States
Facility Name
Research Site
City
Orange
State/Province
California
Country
United States
Facility Name
Research Site
City
Riverside
State/Province
California
Country
United States
Facility Name
Research Site
City
San Jose
State/Province
California
Country
United States
Facility Name
Research Site
City
Santa Ana
State/Province
California
Country
United States
Facility Name
Research Site
City
Hartford
State/Province
Connecticut
Country
United States
Facility Name
Research Site
City
New Haven
State/Province
Connecticut
Country
United States
Facility Name
Research Site
City
Brandon
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Cutler Bay
State/Province
Florida
Country
United States
Facility Name
Research Site
City
DeLand
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Gainesville
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Hialeah
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Hollywood
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Homestead
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Jackonsville
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Lynn Haven
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Miami
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Orlando
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Pembroke Pines
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Port Charlotte
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Sebring
State/Province
Florida
Country
United States
Facility Name
Research Site
City
St Petersburg
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Tampa
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Vero Beach
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Winter Park
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Albany
State/Province
Georgia
Country
United States
Facility Name
Research Site
City
Gainesville
State/Province
Georgia
Country
United States
Facility Name
Research Site
City
Lawrenceville
State/Province
Georgia
Country
United States
Facility Name
Research Site
City
Gurnee
State/Province
Illinois
Country
United States
Facility Name
Research Site
City
Normal
State/Province
Illinois
Country
United States
Facility Name
Research Site
City
Iowa City
State/Province
Iowa
Country
United States
Facility Name
Research Site
City
Fort Mitchell
State/Province
Kentucky
Country
United States
Facility Name
Research Site
City
Hazard
State/Province
Kentucky
Country
United States
Facility Name
Research Site
City
Louisville
State/Province
Kentucky
Country
United States
Facility Name
Research Site
City
Opelousas
State/Province
Louisiana
Country
United States
Facility Name
Research Site
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Research Site
City
Gardner
State/Province
Massachusetts
Country
United States
Facility Name
Research Site
City
North Dartmouth
State/Province
Massachusetts
Country
United States
Facility Name
Research Site
City
Quincy
State/Province
Massachusetts
Country
United States
Facility Name
Research Site
City
Farmington Hills
State/Province
Michigan
Country
United States
Facility Name
Research Site
City
Rochester
State/Province
Minnesota
Country
United States
Facility Name
Research Site
City
St. Paul
State/Province
Minnesota
Country
United States
Facility Name
Research Site
City
Picayune
State/Province
Mississippi
Country
United States
Facility Name
Research Site
City
Billings
State/Province
Montana
Country
United States
Facility Name
Research Site
City
Bellevue
State/Province
Nebraska
Country
United States
Facility Name
Research Site
City
Las Vegas
State/Province
Nevada
Country
United States
Facility Name
Research Site
City
Sparks
State/Province
Nevada
Country
United States
Facility Name
Research Site
City
Marlton
State/Province
New Jersey
Country
United States
Facility Name
Research Site
City
Northfield
State/Province
New Jersey
Country
United States
Facility Name
Research Site
City
Union
State/Province
New Jersey
Country
United States
Facility Name
Research Site
City
Albuquerque
State/Province
New Mexico
Country
United States
Facility Name
Research Site
City
Bronx
State/Province
New York
Country
United States
Facility Name
Research Site
City
Hopewell Jct
State/Province
New York
Country
United States
Facility Name
Research Site
City
New York City
State/Province
New York
Country
United States
Facility Name
Research Site
City
New York
State/Province
New York
Country
United States
Facility Name
Research Site
City
Staten Island
State/Province
New York
Country
United States
Facility Name
Research Site
City
Huntersville
State/Province
North Carolina
Country
United States
Facility Name
Research Site
City
Shelby
State/Province
North Carolina
Country
United States
Facility Name
Research Site
City
Winston-Salem
State/Province
North Carolina
Country
United States
Facility Name
Research Site
City
Grand Forks
State/Province
North Dakota
Country
United States
Facility Name
Research Site
City
Oregon
State/Province
Ohio
Country
United States
Facility Name
Research Site
City
Toledo
State/Province
Ohio
Country
United States
Facility Name
Research Site
City
Wooster
State/Province
Ohio
Country
United States
Facility Name
Research Site
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
Research Site
City
Tulsa
State/Province
Oklahoma
Country
United States
Facility Name
Research Site
City
Erie
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Feasterville
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Phoenixville
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Warwick
State/Province
Rhode Island
Country
United States
Facility Name
Research Site
City
Charleston
State/Province
South Carolina
Country
United States
Facility Name
Research Site
City
Easley
State/Province
South Carolina
Country
United States
Facility Name
Research Site
City
Hodges
State/Province
South Carolina
Country
United States
Facility Name
Research Site
City
Mt Pleasant
State/Province
South Carolina
Country
United States
Facility Name
Research Site
City
Rock Hill
State/Province
South Carolina
Country
United States
Facility Name
Research Site
City
Chattanooga
State/Province
Tennessee
Country
United States
Facility Name
Research Site
City
Germantown
State/Province
Tennessee
Country
United States
Facility Name
Research Site
City
Allen
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Dallas
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Dickinson
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Duncanville
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Georgetown
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Houston
State/Province
Texas
Country
United States
Facility Name
Research Site
City
McAllen
State/Province
Texas
Country
United States
Facility Name
Research Site
City
McKinney
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Pharr
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Plano
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Sealy
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Splendora
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Orem
State/Province
Utah
Country
United States
Facility Name
Research Site
City
Provo
State/Province
Utah
Country
United States
Facility Name
Research Site
City
Salt Lake City
State/Province
Utah
Country
United States
Facility Name
Research Site
City
Abingdon
State/Province
Virginia
Country
United States
Facility Name
Research Site
City
Hopewell
State/Province
Virginia
Country
United States
Facility Name
Research Site
City
Morgantown
State/Province
West Virginia
Country
United States
Facility Name
Research Site
City
Greenfield
State/Province
Wisconsin
Country
United States
Facility Name
Research Site
City
Bedford Park
Country
Australia
Facility Name
Research Site
City
Box Hill
Country
Australia
Facility Name
Research Site
City
Clayton
Country
Australia
Facility Name
Research Site
City
Concord
Country
Australia
Facility Name
Research Site
City
Frankston
Country
Australia
Facility Name
Research Site
City
Nedlands
Country
Australia
Facility Name
Research Site
City
New Lambton Heights
Country
Australia
Facility Name
Research Site
City
Parkville
Country
Australia
Facility Name
Research Site
City
Prahran
Country
Australia
Facility Name
Research Site
City
Randwick
Country
Australia
Facility Name
Research Site
City
Woolloongabba
Country
Australia
Facility Name
Research Site
City
Porto Alegre
Country
Brazil
Facility Name
Research Site
City
Rio de Janeiro
Country
Brazil
Facility Name
Research Site
City
Santo André
Country
Brazil
Facility Name
Research Site
City
Sao Paulo
Country
Brazil
Facility Name
Research Site
City
Sorocaba
Country
Brazil
Facility Name
Research Site
City
São Paulo
Country
Brazil
Facility Name
Research Site
City
Dupnitsa
Country
Bulgaria
Facility Name
Research Site
City
Pernik
Country
Bulgaria
Facility Name
Research Site
City
Pleven
Country
Bulgaria
Facility Name
Research Site
City
Ruse
Country
Bulgaria
Facility Name
Research Site
City
Samokov
Country
Bulgaria
Facility Name
Research Site
City
Sliven
Country
Bulgaria
Facility Name
Research Site
City
Sofia
Country
Bulgaria
Facility Name
Research Site
City
Stara Zagora
Country
Bulgaria
Facility Name
Research Site
City
Varna
Country
Bulgaria
Facility Name
Research Site
City
Velingrad
Country
Bulgaria
Facility Name
Research Site
City
Yambol
Country
Bulgaria
Facility Name
Research Site
City
Brno
Country
Czech Republic
Facility Name
Research Site
City
Jindrichuv Hradec
Country
Czech Republic
Facility Name
Research Site
City
Karlovy Vary
Country
Czech Republic
Facility Name
Research Site
City
Ostrava
Country
Czech Republic
Facility Name
Research Site
City
Pardubice
Country
Czech Republic
Facility Name
Research Site
City
Plzen
Country
Czech Republic
Facility Name
Research Site
City
Praha
Country
Czech Republic
Facility Name
Research Site
City
Rokycany
Country
Czech Republic
Facility Name
Research Site
City
Strakonice
Country
Czech Republic
Facility Name
Research Site
City
Teplice
Country
Czech Republic
Facility Name
Research Site
City
Brest Cedex
Country
France
Facility Name
Research Site
City
Clermont Ferrand
Country
France
Facility Name
Research Site
City
Dijon Cedex
Country
France
Facility Name
Research Site
City
Le Kremlin Bicêtre
Country
France
Facility Name
Research Site
City
Le Mans Cedex
Country
France
Facility Name
Research Site
City
Lyon Cedex 4
Country
France
Facility Name
Research Site
City
Marseille
Country
France
Facility Name
Research Site
City
Montpellier
Country
France
Facility Name
Research Site
City
Paris
Country
France
Facility Name
Research Site
City
Pau Cedex
Country
France
Facility Name
Research Site
City
Pringy Cedex
Country
France
Facility Name
Research Site
City
Saint Pierre
Country
France
Facility Name
Research Site
City
Strasbourg Cedex
Country
France
Facility Name
Research Site
City
Toulouse
Country
France
Facility Name
Research Site
City
Bari
Country
Italy
Facility Name
Research Site
City
Bologna
Country
Italy
Facility Name
Research Site
City
Catania
Country
Italy
Facility Name
Research Site
City
Cona
Country
Italy
Facility Name
Research Site
City
Firenze
Country
Italy
Facility Name
Research Site
City
Foggia
Country
Italy
Facility Name
Research Site
City
Legnago
Country
Italy
Facility Name
Research Site
City
Milano
Country
Italy
Facility Name
Research Site
City
Napoli
Country
Italy
Facility Name
Research Site
City
Palermo
Country
Italy
Facility Name
Research Site
City
Pavia
Country
Italy
Facility Name
Research Site
City
Perugia
Country
Italy
Facility Name
Research Site
City
Pisa
Country
Italy
Facility Name
Research Site
City
Roma
Country
Italy
Facility Name
Research Site
City
San Pietro Vernotico
Country
Italy
Facility Name
Research Site
City
Torino
Country
Italy
Facility Name
Research Site
City
Verona
Country
Italy
Facility Name
Research Site
City
Anyang-si
Country
Korea, Republic of
Facility Name
Research Site
City
Bucheon-si
Country
Korea, Republic of
Facility Name
Research Site
City
Busan
Country
Korea, Republic of
Facility Name
Research Site
City
Cheongju-si
Country
Korea, Republic of
Facility Name
Research Site
City
Gwangju
Country
Korea, Republic of
Facility Name
Research Site
City
Incheon
Country
Korea, Republic of
Facility Name
Research Site
City
Jeju-si
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site
City
Suwon-si
Country
Korea, Republic of
Facility Name
Research Site
City
Guadalajara
Country
Mexico
Facility Name
Research Site
City
Monterrey
Country
Mexico
Facility Name
Research Site
City
Morelia
Country
Mexico
Facility Name
Research Site
City
Cusco
Country
Peru
Facility Name
Research Site
City
Lima
Country
Peru
Facility Name
Research Site
City
Surco
Country
Peru
Facility Name
Research Site
City
Białystok
Country
Poland
Facility Name
Research Site
City
Dobre Miasto
Country
Poland
Facility Name
Research Site
City
Gdańsk
Country
Poland
Facility Name
Research Site
City
Giżycko
Country
Poland
Facility Name
Research Site
City
Grodzisk Mazowiecki
Country
Poland
Facility Name
Research Site
City
Kościan
Country
Poland
Facility Name
Research Site
City
Legnica
Country
Poland
Facility Name
Research Site
City
Lublin
Country
Poland
Facility Name
Research Site
City
Poznań
Country
Poland
Facility Name
Research Site
City
Proszowice
Country
Poland
Facility Name
Research Site
City
Rzeszów
Country
Poland
Facility Name
Research Site
City
Sosnowiec
Country
Poland
Facility Name
Research Site
City
Wołomin
Country
Poland
Facility Name
Research Site
City
Wrocław
Country
Poland
Facility Name
Research Site
City
Zgierz
Country
Poland
Facility Name
Research Site
City
Łódź
Country
Poland
Facility Name
Research Site
City
Chelyabinsk
Country
Russian Federation
Facility Name
Research Site
City
Ekaterinburg
Country
Russian Federation
Facility Name
Research Site
City
Ivanovo
Country
Russian Federation
Facility Name
Research Site
City
Izhevsk
Country
Russian Federation
Facility Name
Research Site
City
Kazan
Country
Russian Federation
Facility Name
Research Site
City
Moscow
Country
Russian Federation
Facility Name
Research Site
City
Nizhny Novgorod
Country
Russian Federation
Facility Name
Research Site
City
Novosibirsk
Country
Russian Federation
Facility Name
Research Site
City
Pyatigorsk
Country
Russian Federation
Facility Name
Research Site
City
Rostov-on-Don
Country
Russian Federation
Facility Name
Research Site
City
Ryazan
Country
Russian Federation
Facility Name
Research Site
City
Saint - Petersburg
Country
Russian Federation
Facility Name
Research Site
City
Saint Petersburg
Country
Russian Federation
Facility Name
Research Site
City
Saint-Petersburg
Country
Russian Federation
Facility Name
Research Site
City
Saratov
Country
Russian Federation
Facility Name
Research Site
City
Smolensk
Country
Russian Federation
Facility Name
Research Site
City
St. Petersburg
Country
Russian Federation
Facility Name
Research Site
City
StPetersburg
Country
Russian Federation
Facility Name
Research Site
City
Tomsk
Country
Russian Federation
Facility Name
Research Site
City
Vladikavkaz
Country
Russian Federation
Facility Name
Research Site
City
Vladimir
Country
Russian Federation
Facility Name
Research Site
City
Volgograd
Country
Russian Federation
Facility Name
Research Site
City
Yaroslavl
Country
Russian Federation
Facility Name
Research Site
City
Yekaterinburg
Country
Russian Federation
Facility Name
Research Site
City
Benoni
Country
South Africa
Facility Name
Research Site
City
Cape Town
Country
South Africa
Facility Name
Research Site
City
Durban
Country
South Africa
Facility Name
Research Site
City
Mowbray
Country
South Africa
Facility Name
Research Site
City
Stanger
Country
South Africa
Facility Name
Research Site
City
Barcelona
Country
Spain
Facility Name
Research Site
City
Lugo
Country
Spain
Facility Name
Research Site
City
Madrid
Country
Spain
Facility Name
Research Site
City
Málaga
Country
Spain
Facility Name
Research Site
City
Oviedo
Country
Spain
Facility Name
Research Site
City
Palma de Mallorca
Country
Spain
Facility Name
Research Site
City
Sagunto(Valencia)
Country
Spain
Facility Name
Research Site
City
Salamanca
Country
Spain
Facility Name
Research Site
City
Valencia
Country
Spain
Facility Name
Research Site
City
Adana
Country
Turkey
Facility Name
Research Site
City
Ankara
Country
Turkey
Facility Name
Research Site
City
Antalya
Country
Turkey
Facility Name
Research Site
City
Bursa
Country
Turkey
Facility Name
Research Site
City
Istanbul
Country
Turkey
Facility Name
Research Site
City
Izmir
Country
Turkey
Facility Name
Research Site
City
Kocaeli
Country
Turkey
Facility Name
Research Site
City
Mersin
Country
Turkey
Facility Name
Research Site
City
Birmingham
Country
United Kingdom
Facility Name
Research Site
City
Bradford
Country
United Kingdom
Facility Name
Research Site
City
Cambridge
Country
United Kingdom
Facility Name
Research Site
City
Chertsey
Country
United Kingdom
Facility Name
Research Site
City
Chester
Country
United Kingdom
Facility Name
Research Site
City
Chippenham
Country
United Kingdom
Facility Name
Research Site
City
Cottingham
Country
United Kingdom
Facility Name
Research Site
City
Darlington
Country
United Kingdom
Facility Name
Research Site
City
Glasgow
Country
United Kingdom
Facility Name
Research Site
City
High Heaton/Newcastle upon Tyn
Country
United Kingdom
Facility Name
Research Site
City
Leeds
Country
United Kingdom
Facility Name
Research Site
City
Liverpool
Country
United Kingdom
Facility Name
Research Site
City
London
Country
United Kingdom
Facility Name
Research Site
City
Maidstone
Country
United Kingdom
Facility Name
Research Site
City
Manchester
Country
United Kingdom
Facility Name
Research Site
City
Nottingham
Country
United Kingdom
Facility Name
Research Site
City
Plymouth
Country
United Kingdom
Facility Name
Research Site
City
Portsmouth
Country
United Kingdom
Facility Name
Research Site
City
Soham
Country
United Kingdom
Facility Name
Research Site
City
Somerset
Country
United Kingdom
Facility Name
Research Site
City
Stevenage
Country
United Kingdom
Facility Name
Research Site
City
Stockton
Country
United Kingdom
Facility Name
Research Site
City
Hanoi
Country
Vietnam
Facility Name
Research Site
City
Ho Chi Minh
Country
Vietnam

12. IPD Sharing Statement

Citations:
PubMed Identifier
35287231
Citation
Menzies-Gow A, Hoyte FL, Price DB, Cohen D, Barker P, Kreindler J, Jison M, Brooks CL, Papeleu P, Katial R. Clinical Remission in Severe Asthma: A Pooled Post Hoc Analysis of the Patient Journey with Benralizumab. Adv Ther. 2022 May;39(5):2065-2084. doi: 10.1007/s12325-022-02098-1. Epub 2022 Mar 14.
Results Reference
derived
PubMed Identifier
32334141
Citation
Lugogo NL, Kreindler JL, Martin UJ, Cook B, Hirsch I, Trudo FJ. Blood eosinophil count group shifts and kinetics in severe eosinophilic asthma. Ann Allergy Asthma Immunol. 2020 Aug;125(2):171-176. doi: 10.1016/j.anai.2020.04.011. Epub 2020 Apr 22.
Results Reference
derived
PubMed Identifier
31836949
Citation
Jackson DJ, Humbert M, Hirsch I, Newbold P, Garcia Gil E. Ability of Serum IgE Concentration to Predict Exacerbation Risk and Benralizumab Efficacy for Patients with Severe Eosinophilic Asthma. Adv Ther. 2020 Feb;37(2):718-729. doi: 10.1007/s12325-019-01191-2. Epub 2019 Dec 14.
Results Reference
derived
PubMed Identifier
31626906
Citation
Chipps BE, Hirsch I, Trudo F, Alacqua M, Zangrilli JG. Benralizumab efficacy for patients with fixed airflow obstruction and severe, uncontrolled eosinophilic asthma. Ann Allergy Asthma Immunol. 2020 Jan;124(1):79-86. doi: 10.1016/j.anai.2019.10.006. Epub 2019 Oct 15.
Results Reference
derived
PubMed Identifier
30802500
Citation
Chupp G, Lugogo NL, Kline JN, Ferguson GT, Hirsch I, Goldman M, Zangrilli JG, Trudo F. Rapid onset of effect of benralizumab on morning peak expiratory flow in severe, uncontrolled asthma. Ann Allergy Asthma Immunol. 2019 May;122(5):478-485. doi: 10.1016/j.anai.2019.02.016. Epub 2019 Feb 23.
Results Reference
derived
PubMed Identifier
30139780
Citation
Bleecker ER, Wechsler ME, FitzGerald JM, Menzies-Gow A, Wu Y, Hirsch I, Goldman M, Newbold P, Zangrilli JG. Baseline patient factors impact on the clinical efficacy of benralizumab for severe asthma. Eur Respir J. 2018 Oct 18;52(4):1800936. doi: 10.1183/13993003.00936-2018. Print 2018 Oct.
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Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=1845&filename=D3250C00017_Revised_CSP_SIROCCO.pdf
Description
D3250C00017CSP3redacted

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Efficacy and Safety Study of Benralizumab Added to High-dose Inhaled Corticosteroid Plus LABA in Patients With Uncontrolled Asthma

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