A Phase II Study of 610 in Participants With Severe Eosinophilic Asthma
Primary Purpose
Asthma
Status
Not yet recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
610 100mg
610 300mg
placebo
Sponsored by
About this trial
This is an interventional treatment trial for Asthma focused on measuring Asthma, Eosinophilic asthma, Exacerbations, 610, Placebo
Eligibility Criteria
Inclusion Criteria:
- Able to understand and follow the protocol requirements, and give written informed consent prior to participation voluntarily in the study
- Female and male aged 18 to 75 years
- Diagnosed with asthma for ≥12 months that meet GINA
- Within 6 months before screening, treatment with medium to high dose inhaled corticosteroid(ICS,inhaled fluticasone at a dosage of at least 500 μg, or equivalent, daily. ICS can be included in In the ICS/LABA combination preparation)and at least one other additional controller medication, such as long-acting β₂ receptor agonist (LABA), leukotriene receptor antagonist (LTRA), theophylline, long-acting Anticholinergic drugs (LAMA), etc. Those medicine must be stable for ≥ 28 days prior to screening and baseline and must continue without dosage changes throughout the study
- Current treatment with maintenance oral corticosteroids (OCS), prednisone dosage must be ≤10 mg, or equivalent, daily, and stable for ≥ 28 days prior to screening and baseline and must continue without dosage changes throughout the study
- In the past 12 months prior to screening, two or more asthma exacerbations history, or at least one time emergency department (ED) visits and/or ICU and/or hospitalization
- Pre-bronchodilator FEV1 <80% predicted value
- Positive of bronchodilator test or positive of bronchial provocation test
- Asthma Control Questionnaire score ≥1.5
- Asthma-related blood eosinophils ≥ 300 cells/μL within 6 months before screening, or asthma-related blood eosinophils ≥ 150 cells/μL at screening
- Male and their partners or female must commit to correct use of one or more effective contraceptive measures of the duration of the trial and for 6 months after the last study drug administration. No fertility, sperm donation, or egg donation plans for at least 6 months after the last study drug administration
Exclusion Criteria:
- With clinically important lung diseases other than asthma that may affect safety or efficacy and evaluated by investigator. This includes lung infection, chronic obstructive pulmonary disease, bronchiectasis, hypersensitivity pneumonitis, pulmonary fibrosis, Allergic bronchopulmonary aspergillosis, etc.
- With other conditions that could lead to elevated eosinophils such as hypereosinophilic syndromes, eosinophilic granulomatosis with polyangiitis (EGPA), or eosinophilic esophagitis
- In past 12 months prior to screening,patients has done bronchial thermoplasty or radiotherapy or plan to do it during of the trial
- with severe cardiac disease or uncontrolled or severe cardiac arrhythmia
- poorly controlled systemic disease
- Active infection that requiring systemic treatment at screening
- Parasitic infection without adequate treatment within 6 months before screening
- Lymphoproliferative disease or any malignancy history within past 5 years prior to screening (Except for received treatment and no recurrence in the past 3 months include basal cell carcinoma, actinic keratosis, carcinoma in situ of cervix, or resected non-invasive malignant colonic polyps.)
- Liver function meets one of the following criteria at screening or before randomization: a) Serum aspartate aminotransferase (AST) or serum alanine aminotransferase (ALT) ≥ 2.0×ULN (upper limit of normal); b) Total bilirubin≥1.5×ULN
- At screening, HBsAg or HCV Ab or HIV Ab or TP Ab positive; HBsAg or HCV Ab positive need to be further tested of HBV DNA titer detection or HCV RNA detection (More than normal value range needs to be excluded)
- Subjects who have received any monoclonal antibody treatment within 3 months or 5 half-lives (whichever is longer) before screening, or with poor treatment effect of anti-IL-5/5R
- Vaccination history with live vaccines (including live attenuated vaccines) within 4 weeks before screening, or plan to receive during of the trial
- Participated in any interventional clinical trial and received intervention within 3 months before screening
- Allergy/intolerance to investigational medicinal product.
- Current smokers with average monthly smoking of ≥10 cigarettes within 6 months before screening, or former smokers with a smoking history of ≥10 pack years (number of pack years = (number of cigarettes per day / 20) x number of years smoked)
- Plan to pregnant during of the trial or pregnant or breastfeeding
- Any other things that are not suitable for participating in this study
Sites / Locations
- Shanghai General Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
Treatment group A
Treatment group B
placebo Arm Type:no inter
Arm Description
610 100 mg administered subcutaneously every 4 weeks
610 300 mg administered subcutaneously every 4 weeks
placebo administered subcutaneously every 4 weeks
Outcomes
Primary Outcome Measures
Change from baseline in pre-bronchodilator forced expiratory volume in one second (FEV1) at week 16
FEV1 is defined as the volume of air expelled from the lungs in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry.
Secondary Outcome Measures
Changes from baseline in pre-bronchodilator forced expiratory volume in one second (FEV1) at weeks 4, 8, and 12
FEV1 is defined as the volume of air expelled from the lungs in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry.
Percentage change from baseline in pre-bronchodilator forced expiratory volume in one second (FEV1) at weeks 4, 8, 12, 16
Percentage of FEV1 will be measured using spirometry.
Number of asthma exacerbation through study week 16
Asthma exacerbation are defined as worsening of asthma which required use of systemic corticosteroids (≥3 days. For maintenance of systemic corticosteroids, at least double the existing maintenance dose for at least 3 days was required) and/or hospitalization and/or emergency department (ED) visits.
Time to first asthma exacerbation event
Asthma exacerbation are defined as worsening of asthma which required use of systemic corticosteroids (≥3 days. For maintenance of systemic corticosteroids, at least double the existing maintenance dose for at least 3 days was required) and/or hospitalization and/or emergency department (ED) visits.
Number of asthma exacerbations requiring hospitalization (including intubation and ICU admission) or emergency room visits (not conversion to hospitalization)
Asthma exacerbations that are associated with a hospitalization or an emergency room visit.
Number of asthma exacerbations requiring hospitalization (including intubation and ICU admission)
Asthma exacerbations that are associated with a hospitalization.
Puffs of rescue medication for asthma exacerbations
Albuterol or levalbuterol for an asthma exacerbation is considered rescue medication.
Change from baseline in Asthma Control Questionnaire score at week 4,8,12,16
The ACQ has 7 questions- the first 5 items assess the most common asthma symptoms plus 6. short-acting bronchodilator use and 7. FEV1 (pre-bronchodilator use, % and % predicted use). Patients are asked to recall how their asthma has been during the previous week and to respond to the symptom questions on a 7-point scale (0=no impairment, 6= maximum impairment).
Change From Baseline in the St. George's Respiratory Questionnaire Total Score at week 16
The St. George's Respiratory Questionnaire is an established instrument, comprising 50 questions, evaluating symptoms, activity, and impacts; to measure Quality of Life in participants with diseases of airway obstruction and to elicit the participant's opinion of his/her health.
Full Information
NCT ID
NCT05528679
First Posted
September 1, 2022
Last Updated
September 1, 2022
Sponsor
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT05528679
Brief Title
A Phase II Study of 610 in Participants With Severe Eosinophilic Asthma
Official Title
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II, Efficacy and Safety Study of Recombinant Anti-IL-5 Humanized Monoclonal Antibody Therapy in Adult Subjects With Severe Eosinophilic Asthma
Study Type
Interventional
2. Study Status
Record Verification Date
September 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 2022 (Anticipated)
Primary Completion Date
September 2023 (Anticipated)
Study Completion Date
September 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study will assess the efficacy and safety of 610 as an adjunctive therapy in adult subjects with severe eosinophilic asthma.
Detailed Description
This is a multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of 610 in adults with severe eosinophilic asthma. Plan to recruit 120 subjects, and the subjects divided into 3 groups: 610 100mg group, 610 300mg group and placebo group. The study is divided into screening period of 4 weeks, treatment period of 16 weeks and follow-up period of 8 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma, Eosinophilic asthma, Exacerbations, 610, Placebo
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
120 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Treatment group A
Arm Type
Experimental
Arm Description
610 100 mg administered subcutaneously every 4 weeks
Arm Title
Treatment group B
Arm Type
Experimental
Arm Description
610 300 mg administered subcutaneously every 4 weeks
Arm Title
placebo Arm Type:no inter
Arm Type
Placebo Comparator
Arm Description
placebo administered subcutaneously every 4 weeks
Intervention Type
Drug
Intervention Name(s)
610 100mg
Intervention Description
100mg administered subcutaneously Q4W
Intervention Type
Drug
Intervention Name(s)
610 300mg
Intervention Description
300mg administered subcutaneously Q4W
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
administered subcutaneously Q4W
Primary Outcome Measure Information:
Title
Change from baseline in pre-bronchodilator forced expiratory volume in one second (FEV1) at week 16
Description
FEV1 is defined as the volume of air expelled from the lungs in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry.
Time Frame
Baseline (Day 1) and at week 16
Secondary Outcome Measure Information:
Title
Changes from baseline in pre-bronchodilator forced expiratory volume in one second (FEV1) at weeks 4, 8, and 12
Description
FEV1 is defined as the volume of air expelled from the lungs in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry.
Time Frame
Baseline (Day 1) and at week 4,8,12
Title
Percentage change from baseline in pre-bronchodilator forced expiratory volume in one second (FEV1) at weeks 4, 8, 12, 16
Description
Percentage of FEV1 will be measured using spirometry.
Time Frame
Baseline (Day 1) and at week 4,8,12
Title
Number of asthma exacerbation through study week 16
Description
Asthma exacerbation are defined as worsening of asthma which required use of systemic corticosteroids (≥3 days. For maintenance of systemic corticosteroids, at least double the existing maintenance dose for at least 3 days was required) and/or hospitalization and/or emergency department (ED) visits.
Time Frame
From baseline (Day 1) to week 16
Title
Time to first asthma exacerbation event
Description
Asthma exacerbation are defined as worsening of asthma which required use of systemic corticosteroids (≥3 days. For maintenance of systemic corticosteroids, at least double the existing maintenance dose for at least 3 days was required) and/or hospitalization and/or emergency department (ED) visits.
Time Frame
From baseline (Day 1) to week 16
Title
Number of asthma exacerbations requiring hospitalization (including intubation and ICU admission) or emergency room visits (not conversion to hospitalization)
Description
Asthma exacerbations that are associated with a hospitalization or an emergency room visit.
Time Frame
From baseline (Day 1) to week 16
Title
Number of asthma exacerbations requiring hospitalization (including intubation and ICU admission)
Description
Asthma exacerbations that are associated with a hospitalization.
Time Frame
From baseline (Day 1) to week 16
Title
Puffs of rescue medication for asthma exacerbations
Description
Albuterol or levalbuterol for an asthma exacerbation is considered rescue medication.
Time Frame
From baseline (Day 1) to week 16
Title
Change from baseline in Asthma Control Questionnaire score at week 4,8,12,16
Description
The ACQ has 7 questions- the first 5 items assess the most common asthma symptoms plus 6. short-acting bronchodilator use and 7. FEV1 (pre-bronchodilator use, % and % predicted use). Patients are asked to recall how their asthma has been during the previous week and to respond to the symptom questions on a 7-point scale (0=no impairment, 6= maximum impairment).
Time Frame
Baseline (Day 1) and at week 4,8,12,16
Title
Change From Baseline in the St. George's Respiratory Questionnaire Total Score at week 16
Description
The St. George's Respiratory Questionnaire is an established instrument, comprising 50 questions, evaluating symptoms, activity, and impacts; to measure Quality of Life in participants with diseases of airway obstruction and to elicit the participant's opinion of his/her health.
Time Frame
Baseline (Day 1) and at week 16
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:
Able to understand and follow the protocol requirements, and give written informed consent prior to participation voluntarily in the study
Female and male aged 18 to 75 years
Diagnosed with asthma for ≥12 months that meet GINA
Within 6 months before screening, treatment with medium to high dose inhaled corticosteroid(ICS,inhaled fluticasone at a dosage of at least 500 μg, or equivalent, daily. ICS can be included in In the ICS/LABA combination preparation)and at least one other additional controller medication, such as long-acting β₂ receptor agonist (LABA), leukotriene receptor antagonist (LTRA), theophylline, long-acting Anticholinergic drugs (LAMA), etc. Those medicine must be stable for ≥ 28 days prior to screening and baseline and must continue without dosage changes throughout the study
Current treatment with maintenance oral corticosteroids (OCS), prednisone dosage must be ≤10 mg, or equivalent, daily, and stable for ≥ 28 days prior to screening and baseline and must continue without dosage changes throughout the study
In the past 12 months prior to screening, two or more asthma exacerbations history, or at least one time emergency department (ED) visits and/or ICU and/or hospitalization
Pre-bronchodilator FEV1 <80% predicted value
Positive of bronchodilator test or positive of bronchial provocation test
Asthma Control Questionnaire score ≥1.5
Asthma-related blood eosinophils ≥ 300 cells/μL within 6 months before screening, or asthma-related blood eosinophils ≥ 150 cells/μL at screening
Male and their partners or female must commit to correct use of one or more effective contraceptive measures of the duration of the trial and for 6 months after the last study drug administration. No fertility, sperm donation, or egg donation plans for at least 6 months after the last study drug administration
Exclusion Criteria:
With clinically important lung diseases other than asthma that may affect safety or efficacy and evaluated by investigator. This includes lung infection, chronic obstructive pulmonary disease, bronchiectasis, hypersensitivity pneumonitis, pulmonary fibrosis, Allergic bronchopulmonary aspergillosis, etc.
With other conditions that could lead to elevated eosinophils such as hypereosinophilic syndromes, eosinophilic granulomatosis with polyangiitis (EGPA), or eosinophilic esophagitis
In past 12 months prior to screening,patients has done bronchial thermoplasty or radiotherapy or plan to do it during of the trial
with severe cardiac disease or uncontrolled or severe cardiac arrhythmia
poorly controlled systemic disease
Active infection that requiring systemic treatment at screening
Parasitic infection without adequate treatment within 6 months before screening
Lymphoproliferative disease or any malignancy history within past 5 years prior to screening (Except for received treatment and no recurrence in the past 3 months include basal cell carcinoma, actinic keratosis, carcinoma in situ of cervix, or resected non-invasive malignant colonic polyps.)
Liver function meets one of the following criteria at screening or before randomization: a) Serum aspartate aminotransferase (AST) or serum alanine aminotransferase (ALT) ≥ 2.0×ULN (upper limit of normal); b) Total bilirubin≥1.5×ULN
At screening, HBsAg or HCV Ab or HIV Ab or TP Ab positive; HBsAg or HCV Ab positive need to be further tested of HBV DNA titer detection or HCV RNA detection (More than normal value range needs to be excluded)
Subjects who have received any monoclonal antibody treatment within 3 months or 5 half-lives (whichever is longer) before screening, or with poor treatment effect of anti-IL-5/5R
Vaccination history with live vaccines (including live attenuated vaccines) within 4 weeks before screening, or plan to receive during of the trial
Participated in any interventional clinical trial and received intervention within 3 months before screening
Allergy/intolerance to investigational medicinal product.
Current smokers with average monthly smoking of ≥10 cigarettes within 6 months before screening, or former smokers with a smoking history of ≥10 pack years (number of pack years = (number of cigarettes per day / 20) x number of years smoked)
Plan to pregnant during of the trial or pregnant or breastfeeding
Any other things that are not suitable for participating in this study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Qinghong Zhou, MD
Phone
18911301578
Email
zhouqinghong@3sbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Qinghong Zhou, MD
Organizational Affiliation
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Min Zhang, MD
Organizational Affiliation
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Xin Zhou, MD
Organizational Affiliation
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shanghai General Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Min Zhang, Doctor
Phone
13482345145
Email
13482345145@163.com
First Name & Middle Initial & Last Name & Degree
Xin Zhou, Bachelor
Phone
13701756821
Email
xzhou53@163.com
First Name & Middle Initial & Last Name & Degree
Min Zhang
First Name & Middle Initial & Last Name & Degree
Xin Zhou
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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A Phase II Study of 610 in Participants With Severe Eosinophilic Asthma
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