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A Study of Lebrikizumab in Patients With Uncontrolled Asthma Who Are on Inhaled Corticosteroids and A Second Controller Medication (VERSE)

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
November 1, 2016
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01545453
Brief Title
A Study of Lebrikizumab in Patients With Uncontrolled Asthma Who Are on Inhaled Corticosteroids and A Second Controller Medication (VERSE)
Official Title
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety 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
November 2016
Overall Recruitment Status
Completed
Study Start Date
March 2012 (undefined)
Primary Completion Date
July 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
205 (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
Oxford
State/Province
Alabama
ZIP/Postal Code
36203-7190
Country
United States
City
Long Beach
State/Province
California
ZIP/Postal Code
90808
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
City
Redwood City
State/Province
California
ZIP/Postal Code
94063
Country
United States
City
San Mateo
State/Province
California
ZIP/Postal Code
94401
Country
United States
City
Stockton
State/Province
California
ZIP/Postal Code
95207
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
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
City
Panama City
State/Province
Florida
ZIP/Postal Code
32405
Country
United States
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
City
Woodstock
State/Province
Georgia
ZIP/Postal Code
30188
Country
United States
City
Twin Falls
State/Province
Idaho
ZIP/Postal Code
83301
Country
United States
City
Normal
State/Province
Illinois
ZIP/Postal Code
61761
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46208
Country
United States
City
Lafayette
State/Province
Indiana
ZIP/Postal Code
47904
Country
United States
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66210
Country
United States
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21236
Country
United States
City
Brockton
State/Province
Massachusetts
ZIP/Postal Code
02301
Country
United States
City
Bay City
State/Province
Michigan
ZIP/Postal Code
48706
Country
United States
City
Novi
State/Province
Michigan
ZIP/Postal Code
48375
Country
United States
City
Ypsilanti
State/Province
Michigan
ZIP/Postal Code
48197
Country
United States
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
City
Plymouth
State/Province
Minnesota
ZIP/Postal Code
55441
Country
United States
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
City
St Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
City
Missoula
State/Province
Montana
ZIP/Postal Code
59808
Country
United States
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
City
Brick
State/Province
New Jersey
ZIP/Postal Code
08724
Country
United States
City
Edison
State/Province
New Jersey
ZIP/Postal Code
08820
Country
United States
City
Ocean
State/Province
New Jersey
ZIP/Postal Code
07712
Country
United States
City
Teaneck
State/Province
New Jersey
ZIP/Postal Code
07666
Country
United States
City
Verona
State/Province
New Jersey
ZIP/Postal Code
07044
Country
United States
City
North Syracuse
State/Province
New York
ZIP/Postal Code
13212
Country
United States
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
City
Centerville
State/Province
Ohio
ZIP/Postal Code
45458
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43617
Country
United States
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120
Country
United States
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
City
Medford
State/Province
Oregon
ZIP/Postal Code
97504
Country
United States
City
Altoona
State/Province
Pennsylvania
ZIP/Postal Code
16601
Country
United States
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
City
Pittsburg
State/Province
Pennsylvania
ZIP/Postal Code
PA
Country
United States
City
Sellersville
State/Province
Pennsylvania
ZIP/Postal Code
18960
Country
United States
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29201
Country
United States
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29615
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78750
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
City
Boerne
State/Province
Texas
ZIP/Postal Code
78006
Country
United States
City
El Paso
State/Province
Texas
ZIP/Postal Code
79903
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
City
Murray
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22030
Country
United States
City
Spokane
State/Province
Washington
ZIP/Postal Code
99204
Country
United States
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53715
Country
United States
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4075
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 With Uncontrolled Asthma Who Are on Inhaled Corticosteroids and A Second Controller Medication (VERSE)

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