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A Study to Evaluate the Efficacy and Safety of Reslizumab (0.3 or 3.0 mg/kg) as Treatment for Patients (12-75 Years of Age) With Eosinophilic Asthma

Primary Purpose

Eosinophilic Asthma

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Reslizumab
Placebo
Sponsored by
Teva Branded Pharmaceutical Products R&D, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Eosinophilic Asthma

Eligibility Criteria

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

Inclusion Criteria:

  • The patient is male or female, 12 through 75 years of age, with a previous diagnosis of asthma. Patients 12 through 17 years of age are excluded from participating in Argentina.
  • The patient has an ACQ score of at least 1.5.
  • The patient has airway reversibility of at least 12% to beta-agonist administration at screening.
  • The patient is currently taking fluticasone at a dosage of at least 440 μg daily (or equivalent). Patients' baseline asthma therapy regimens (including but not limited to inhaled corticosteroids, leukotriene antagonists, 5-lipoxygenase inhibitors, cromolyn) must be stable for 30 days before screening, and continue without dosage changes throughout study.
  • The patient has a blood eosinophil count of at least 400/μL.
  • Female patients must be surgically sterile, 2 years postmenopausal, or must have a negative pregnancy test ßHCG at screening (serum) and baseline (urine).
  • Female patients of childbearing potential (not surgically sterile or 2 years postmenopausal), must use a medically accepted method of contraception and must agree to continue use of this method for the duration of the study and for 30 days after the end-of-treatment visit. Acceptable methods of contraception include barrier method with spermicide, abstinence, intrauterine device (IUD), or steroidal contraceptive (oral, transdermal, implanted, and injected).
  • Written informed consent is obtained. Patients 12 through 17 years old, where participating, need to provide assent in accordance with local standards.
  • Other inclusion criteria apply.

Exclusion Criteria:

  • The patient has a clinically meaningful comorbidity that would interfere with the study schedule or procedures, or compromise the patient's safety.
  • The patient has known hypereosinophilic syndrome (HES).
  • The patient has another confounding underlying lung disorder (eg, chronic obstructive pulmonary disease, pulmonary fibrosis, or lung cancer). The patient has other pulmonary conditions with symptoms of asthma and blood eosinophilia (eg, Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis).
  • The patient is a current smoker (ie, has smoked within the last 6 months prior to screening).
  • The patient has a history of use of systemic immunosuppressive or immunomodulating agents (anti-IgE mAb, methotrexate, cyclosporin, interferon-α, or anti-tumor necrosis factor mAb) within 6 months prior to study entry (screening).
  • The patient is currently using systemic corticosteroids (includes use of oral corticosteroids).
  • The patient has a current infection or disease that may preclude assessment of asthma.
  • The patient is expected to be poorly compliant with study drug administration, study procedures, or visits.
  • The patient has any aggravating factors that are inadequately controlled (eg, gastroesophageal reflux disease).
  • The patient has participated in any investigative drug or device study within 30 days prior to screening.
  • The patient has participated in any investigative biologics study within 90 days prior to screening.
  • The patient has previously received anti-hIL-5 monoclonal antibody (eg, mepolizumab).
  • Female patients who are pregnant, or nursing, or, if of childbearing potential and not using a medically accepted, effective method of birth control (e.g. spermicide, abstinence, IUD, or steroidal contraceptive [oral, transdermal, implanted, and injected]) are excluded from this study.
  • The patient has a current infection or disease that may preclude assessment of asthma.
  • The patient has a history of concurrent immunodeficiency (human immunodeficiency, acquired immunodeficiency syndrome, or congenital immunodeficiency). Patients in Argentina must have documented serology testing for HIV performed during screening.
  • Other exclusion criteria apply.

Sites / Locations

  • Teva Investigational Site 12
  • Teva Investigational Site 11
  • Teva Investigational Site 43
  • Teva Investigational Site 4
  • Teva Investigational Site 15
  • Teva Investigational Site 2
  • Teva Investigational Site 24
  • Teva Investigational Site 27
  • Teva Investigational Site 5
  • Teva Investigational Site 19
  • Teva Investigational Site 17
  • Teva Investigational Site 18
  • Teva Investigational Site 6
  • Teva Investigational Site 3
  • Teva Investigational Site 7
  • Teva Investigational Site 8
  • Teva Investigational Site 26
  • Teva Investigational Site 20
  • Teva Investigational Site 1
  • Teva Investigational Site 73
  • Teva Investigational Site 9
  • Teva Investigational Site 21
  • Teva Investigational Site 16
  • Teva Investigational Site 10
  • Teva Investigational Site 14
  • Teva Investigational Site 45
  • Teva Investigational Site 121
  • Teva Investigational Site 126
  • Teva Investigational Site 127
  • Teva Investigational Site 128
  • Teva Investigational Site 123
  • Teva Investigational Site 125
  • Teva Investigational Site 120
  • Teva Investigational Site 122
  • Teva Investigational Site 124
  • Teva Investigational Site 261
  • Teva Investigational Site 264
  • Teva Investigational Site 260
  • Teva Investigational Site 263
  • Teva Investigational Site 146
  • Teva Investigational Site 150
  • Teva Investigational Site 147
  • Teva Investigational Site 140
  • Teva Investigational Site 143
  • Teva Investigational Site 144
  • Teva Investigational Site 145
  • Teva Investigational Site 142
  • Teva Investigational Site 141
  • Teva Investigational Site 103
  • Teva Investigational Site 101
  • Teva Investigational Site 104
  • Teva Investigational Site 105
  • Teva Investigational Site 184
  • Teva Investigational Site 185
  • Teva Investigational Site 181
  • Teva Investigational Site 182
  • Teva Investigational Site 180
  • Teva Investigational Site 183
  • Teva Investigational Site 343
  • Teva Investigational Site 342
  • Teva Investigational Site 341
  • Teva Investigational Site 340
  • Teva Investigational Site 344
  • Teva Investigational Site 401
  • Teva Investigational Site 406
  • Teva Investigational Site 400
  • Teva Investigational Site 404
  • Teva Investigational Site 403
  • Teva Investigational Site 407
  • Teva Investigational Site 402
  • Teva Investigational Site 422
  • Teva Investigational Site 421
  • Teva Investigational Site 420
  • Teva Investigational Site 203
  • Teva Investigational Site 205
  • Teva Investigational Site 204
  • Teva Investigational Site 200
  • Teva Investigational Site 202
  • Teva Investigational Site 460
  • Teva Investigational Site 507
  • Teva Investigational Site 513
  • Teva Investigational Site 512
  • Teva Investigational Site 505
  • Teva Investigational Site 500
  • Teva Investigational Site 502
  • Teva Investigational Site 504
  • Teva Investigational Site 602
  • Teva Investigational Site 600
  • Teva Investigational Site 601

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Placebo

Reslizumab - 0.3 mg/kg

Reslizumab - 3.0 mg/kg

Arm Description

Placebo administered intravenously (iv) once every 4 weeks, for a total of 4 doses.

0.3 mg/kg, administered intravenously (iv) once every 4 weeks, for a total of 4 doses

3.0 mg/kg, administered intravenously (iv) once every 4 weeks, for a total of 4 doses.

Outcomes

Primary Outcome Measures

Change From Baseline In Forced Expiratory Volume In 1 Second (FEV1) Over 16 Weeks Using Mixed Model for Repeated Measures
FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer. The during treatment (weeks 4, 8, 12 and 16) average FEV1 was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Positive change from baseline scores indicate improvement in asthma control.

Secondary Outcome Measures

Change From Baseline in Forced Vital Capacity (FVC) Over 16 Weeks Using Mixed Model for Repeated Measures
The FVC is the volume of air that can be forcibly blown out after full inspiration, measured in liters. The during treatment (weeks 4, 8, 12 and 16) average FVC was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements.
Change From Baseline in Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) Over 16 Weeks Using Mixed Model for Repeated Measures
The FEF 25%-75% is the force expiratory flow at 25% to 75% of the Forced Vital Capacity (FVC). The during treatment (weeks 4, 8, 12 and 16) average FEF 25%-75% was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements.
Change From Baseline in % Predicted Expiratory Volume In 1 Second (FEV1) at Week 16 and at Endpoint
The percent predicted FEV1 is the ratio of the volume of air expired in the first second of a forced expiration to the patient's predicted FEV based on a similar population without asthma. Endpoint =week 16 or early withdrawal.
Change From Baseline in Asthma Control Questionnaire (ACQ) Over 16 Weeks Using Mixed Model for Repeated Measures
The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the total score is the mean of all responses (the total scale is therefore 0-6). A higher score is an indication of poorer asthma control. The during treatment (weeks 4, 8, 12 and 16) average ACQ was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control.
Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) at Week 16 or at Last Observed Value
The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. Five of the activity questions were "patient-specific," which means that each patient identified and scored 5 activities in which the patient was limited by asthma; these 5 activities were identified at the first visit and retained for all subsequent follow-up visits. Positive change from baseline scores indicate improvement in quality of life. The AQLQ score was only assessed once during the study at week 16 or at early withdrawal, i.e. last postbaseline assessment if within 3 to 5 weeks of the last dose of study drug.
Change From Baseline in Asthma Symptom Utility Index (ASUI) Over 16 Weeks Using Mixed Model for Repeated Measures
The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control. The during treatment (weeks 4, 8, 12 and 16) average ASUI was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Positive change from baseline values indicate improvement in asthma symptoms. Information was obtained from questionnaire about asthma symptoms.
Change From Baseline in Short-Acting Beta-Agonist (SABA) Use Over 16 Weeks Using Mixed Model for Repeated Measures
SABA are used for quick relief of asthma symptoms. To measure SABA use, at each clinical visit patients were asked to recall their usage of SABA therapy within the last 3 days of the scheduled visit. If usage was confirmed, the number of puffs used was recorded. For the purpose of summaries, an average daily usage was evaluated by dividing the total number of puffs recorded over 3 days by 3. The during treatment (weeks 4, 8, 12 and 16) average SABA use was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control.
Change From Baseline in Blood Eosinophil Count Over 16 Weeks Using Mixed Model for Repeated Measures
Blood eosinophil counts were measured using a standard complete blood count (CBC) with differential blood test at each scheduled visit, and from all patients experiencing a serious adverse event, an adverse event leading to withdrawal, or an exacerbation of asthma symptoms. The during treatment (weeks 4, 8, 12 and 16) average eosinophil counts were estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline values correlate to reduced asthma severity.
Participants With Adverse Events
An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. The last postbaseline value for approximately 10 patients in each treatment group is the 90-day follow-up visit post end-of-treatment (approx. Week 29).
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology (except for eosinophil values), and urinalysis values. Significance criteria: Blood urea nitrogen: >=10.71 mmol/L Creatinine: >=177 μmol/L Uric acid: M>=625, F>=506 μmol/L GGT = gamma-glutamyl transpeptidase: >= 3*upper limit of normal. Normal range is 5-49 U/L. Total bilirubin: >=34.2 μmol/L White blood cells: <=3.0 10^9/L Hemoglobin: M<=115, F<=95 g/dL Hematocrit: M<0.37, F<0.32 % Platelets: >=700 10^9/L Absolute neutrophil count: <=1.0 10^9/L Urinalysis: blood, glucose, ketones and total protein: >=2 unit increase from baseline The last postbaseline value for approximately 10 patients in each treatment group is the 90-day follow-up visit post end-of-treatment (approx. Week 29).
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Data represents participants with potentially clinically significant (PCS) vital sign values. Significance criteria Sitting pulse - high: >100 and increase of >= 30 beats/minute Sitting pulse - low: <50 and decrease of >=30 beats/minute Sitting diastolic blood pressure: >100 and increase of >=12 mmHg Respiration rate: >24 and increase of >=10 breaths/minute Body temperature: <96.5° Fahrenheit or <35.8° Celsius The last postbaseline value for approximately 10 patients in each treatment group is the 90-day follow-up visit post end-of-treatment (approx. Week 29).
Shifts From Baseline to Endpoint in Electrocardiogram Findings
Participant counts in each category of shift from baseline to endpoint of ECG finding. Findings summarized as normal or abnormal.
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Week 8, Week 16, Endpoint, and Overall
Counts of participants with a positive anti-drug antibody (ADA) response during treatment is offered for the two experimental treatment arms. Blood samples were collected for determination of ADAs before study drug infusion at baseline, visit 4 (week 8), and at visit 6 (week 16: EOT or early withdrawal) from patients in all 3 treatment groups (ie, placebo, 0.3 mg/kg reslizumab, and 3.0 mg/kg reslizumab); however, only the blood samples drawn from patients treated with either 0.3 mg/kg reslizumab or 3.0 mg/kg reslizumab were analyzed. Serum samples from patients who were treated with reslizumab were analyzed for ADA by Teva (Teva Biopharmaceuticals USA, Rockville, MD) using a validated homogeneous solution-based bridging enzyme-linked immunosorbent assay (ELISA). Endpoint =week 16 or early withdrawal.

Full Information

First Posted
December 29, 2010
Last Updated
April 28, 2016
Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01270464
Brief Title
A Study to Evaluate the Efficacy and Safety of Reslizumab (0.3 or 3.0 mg/kg) as Treatment for Patients (12-75 Years of Age) With Eosinophilic Asthma
Official Title
A 16-Week, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Reslizumab (0.3 or 3.0 mg/kg) as Treatment for Patients (12-75 Years of Age) With Eosinophilic Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this study is to determine whether reslizumab, at a dosage of 0.3 or 3.0 mg/kg administered once every 4 weeks for a total of 4 doses, is more effective than placebo in improving lung function in patients with eosinophilic asthma as assessed by the overall change from baseline in forced expiratory volume in 1 second (FEV1).

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo administered intravenously (iv) once every 4 weeks, for a total of 4 doses.
Arm Title
Reslizumab - 0.3 mg/kg
Arm Type
Experimental
Arm Description
0.3 mg/kg, administered intravenously (iv) once every 4 weeks, for a total of 4 doses
Arm Title
Reslizumab - 3.0 mg/kg
Arm Type
Experimental
Arm Description
3.0 mg/kg, administered intravenously (iv) once every 4 weeks, for a total of 4 doses.
Intervention Type
Drug
Intervention Name(s)
Reslizumab
Other Intervention Name(s)
Cinquil, humanized monoclonal antibody, CEP-38072
Intervention Description
3.0 mg/kg or 0.3 mg/kg doses administered intravenously (iv) by qualified site personnel once every 4 weeks, for a total of 4 doses.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo administered by iv infusion by qualified study personnel every 4 weeks for a total of 4 doses.
Primary Outcome Measure Information:
Title
Change From Baseline In Forced Expiratory Volume In 1 Second (FEV1) Over 16 Weeks Using Mixed Model for Repeated Measures
Description
FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer. The during treatment (weeks 4, 8, 12 and 16) average FEV1 was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Positive change from baseline scores indicate improvement in asthma control.
Time Frame
Day 0 (baseline, pre-dose), Weeks 4, 8, 12 and 16
Secondary Outcome Measure Information:
Title
Change From Baseline in Forced Vital Capacity (FVC) Over 16 Weeks Using Mixed Model for Repeated Measures
Description
The FVC is the volume of air that can be forcibly blown out after full inspiration, measured in liters. The during treatment (weeks 4, 8, 12 and 16) average FVC was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements.
Time Frame
Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16
Title
Change From Baseline in Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) Over 16 Weeks Using Mixed Model for Repeated Measures
Description
The FEF 25%-75% is the force expiratory flow at 25% to 75% of the Forced Vital Capacity (FVC). The during treatment (weeks 4, 8, 12 and 16) average FEF 25%-75% was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements.
Time Frame
Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16
Title
Change From Baseline in % Predicted Expiratory Volume In 1 Second (FEV1) at Week 16 and at Endpoint
Description
The percent predicted FEV1 is the ratio of the volume of air expired in the first second of a forced expiration to the patient's predicted FEV based on a similar population without asthma. Endpoint =week 16 or early withdrawal.
Time Frame
Day 1 (baseline, pre-dose), Week 16, endpoint
Title
Change From Baseline in Asthma Control Questionnaire (ACQ) Over 16 Weeks Using Mixed Model for Repeated Measures
Description
The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the total score is the mean of all responses (the total scale is therefore 0-6). A higher score is an indication of poorer asthma control. The during treatment (weeks 4, 8, 12 and 16) average ACQ was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control.
Time Frame
Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16
Title
Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) at Week 16 or at Last Observed Value
Description
The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. Five of the activity questions were "patient-specific," which means that each patient identified and scored 5 activities in which the patient was limited by asthma; these 5 activities were identified at the first visit and retained for all subsequent follow-up visits. Positive change from baseline scores indicate improvement in quality of life. The AQLQ score was only assessed once during the study at week 16 or at early withdrawal, i.e. last postbaseline assessment if within 3 to 5 weeks of the last dose of study drug.
Time Frame
Day 1 (baseline, pre-dose), Week 16 or last observed value
Title
Change From Baseline in Asthma Symptom Utility Index (ASUI) Over 16 Weeks Using Mixed Model for Repeated Measures
Description
The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control. The during treatment (weeks 4, 8, 12 and 16) average ASUI was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Positive change from baseline values indicate improvement in asthma symptoms. Information was obtained from questionnaire about asthma symptoms.
Time Frame
Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16
Title
Change From Baseline in Short-Acting Beta-Agonist (SABA) Use Over 16 Weeks Using Mixed Model for Repeated Measures
Description
SABA are used for quick relief of asthma symptoms. To measure SABA use, at each clinical visit patients were asked to recall their usage of SABA therapy within the last 3 days of the scheduled visit. If usage was confirmed, the number of puffs used was recorded. For the purpose of summaries, an average daily usage was evaluated by dividing the total number of puffs recorded over 3 days by 3. The during treatment (weeks 4, 8, 12 and 16) average SABA use was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control.
Time Frame
Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16
Title
Change From Baseline in Blood Eosinophil Count Over 16 Weeks Using Mixed Model for Repeated Measures
Description
Blood eosinophil counts were measured using a standard complete blood count (CBC) with differential blood test at each scheduled visit, and from all patients experiencing a serious adverse event, an adverse event leading to withdrawal, or an exacerbation of asthma symptoms. The during treatment (weeks 4, 8, 12 and 16) average eosinophil counts were estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline values correlate to reduced asthma severity.
Time Frame
Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16
Title
Participants With Adverse Events
Description
An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. The last postbaseline value for approximately 10 patients in each treatment group is the 90-day follow-up visit post end-of-treatment (approx. Week 29).
Time Frame
Day 1 (post-dose) to Week 29
Title
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Description
Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology (except for eosinophil values), and urinalysis values. Significance criteria: Blood urea nitrogen: >=10.71 mmol/L Creatinine: >=177 μmol/L Uric acid: M>=625, F>=506 μmol/L GGT = gamma-glutamyl transpeptidase: >= 3*upper limit of normal. Normal range is 5-49 U/L. Total bilirubin: >=34.2 μmol/L White blood cells: <=3.0 10^9/L Hemoglobin: M<=115, F<=95 g/dL Hematocrit: M<0.37, F<0.32 % Platelets: >=700 10^9/L Absolute neutrophil count: <=1.0 10^9/L Urinalysis: blood, glucose, ketones and total protein: >=2 unit increase from baseline The last postbaseline value for approximately 10 patients in each treatment group is the 90-day follow-up visit post end-of-treatment (approx. Week 29).
Time Frame
Day 2 to Week 29
Title
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Description
Data represents participants with potentially clinically significant (PCS) vital sign values. Significance criteria Sitting pulse - high: >100 and increase of >= 30 beats/minute Sitting pulse - low: <50 and decrease of >=30 beats/minute Sitting diastolic blood pressure: >100 and increase of >=12 mmHg Respiration rate: >24 and increase of >=10 breaths/minute Body temperature: <96.5° Fahrenheit or <35.8° Celsius The last postbaseline value for approximately 10 patients in each treatment group is the 90-day follow-up visit post end-of-treatment (approx. Week 29).
Time Frame
Day 2 to Week 29
Title
Shifts From Baseline to Endpoint in Electrocardiogram Findings
Description
Participant counts in each category of shift from baseline to endpoint of ECG finding. Findings summarized as normal or abnormal.
Time Frame
Weeks -4 to -2 (Screening Visit), Week 16
Title
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Week 8, Week 16, Endpoint, and Overall
Description
Counts of participants with a positive anti-drug antibody (ADA) response during treatment is offered for the two experimental treatment arms. Blood samples were collected for determination of ADAs before study drug infusion at baseline, visit 4 (week 8), and at visit 6 (week 16: EOT or early withdrawal) from patients in all 3 treatment groups (ie, placebo, 0.3 mg/kg reslizumab, and 3.0 mg/kg reslizumab); however, only the blood samples drawn from patients treated with either 0.3 mg/kg reslizumab or 3.0 mg/kg reslizumab were analyzed. Serum samples from patients who were treated with reslizumab were analyzed for ADA by Teva (Teva Biopharmaceuticals USA, Rockville, MD) using a validated homogeneous solution-based bridging enzyme-linked immunosorbent assay (ELISA). Endpoint =week 16 or early withdrawal.
Time Frame
Day 1 (pre-dose), week 8, 16 and endpoint

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: The patient is male or female, 12 through 75 years of age, with a previous diagnosis of asthma. Patients 12 through 17 years of age are excluded from participating in Argentina. The patient has an ACQ score of at least 1.5. The patient has airway reversibility of at least 12% to beta-agonist administration at screening. The patient is currently taking fluticasone at a dosage of at least 440 μg daily (or equivalent). Patients' baseline asthma therapy regimens (including but not limited to inhaled corticosteroids, leukotriene antagonists, 5-lipoxygenase inhibitors, cromolyn) must be stable for 30 days before screening, and continue without dosage changes throughout study. The patient has a blood eosinophil count of at least 400/μL. Female patients must be surgically sterile, 2 years postmenopausal, or must have a negative pregnancy test ßHCG at screening (serum) and baseline (urine). Female patients of childbearing potential (not surgically sterile or 2 years postmenopausal), must use a medically accepted method of contraception and must agree to continue use of this method for the duration of the study and for 30 days after the end-of-treatment visit. Acceptable methods of contraception include barrier method with spermicide, abstinence, intrauterine device (IUD), or steroidal contraceptive (oral, transdermal, implanted, and injected). Written informed consent is obtained. Patients 12 through 17 years old, where participating, need to provide assent in accordance with local standards. Other inclusion criteria apply. Exclusion Criteria: The patient has a clinically meaningful comorbidity that would interfere with the study schedule or procedures, or compromise the patient's safety. The patient has known hypereosinophilic syndrome (HES). The patient has another confounding underlying lung disorder (eg, chronic obstructive pulmonary disease, pulmonary fibrosis, or lung cancer). The patient has other pulmonary conditions with symptoms of asthma and blood eosinophilia (eg, Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis). The patient is a current smoker (ie, has smoked within the last 6 months prior to screening). The patient has a history of use of systemic immunosuppressive or immunomodulating agents (anti-IgE mAb, methotrexate, cyclosporin, interferon-α, or anti-tumor necrosis factor mAb) within 6 months prior to study entry (screening). The patient is currently using systemic corticosteroids (includes use of oral corticosteroids). The patient has a current infection or disease that may preclude assessment of asthma. The patient is expected to be poorly compliant with study drug administration, study procedures, or visits. The patient has any aggravating factors that are inadequately controlled (eg, gastroesophageal reflux disease). The patient has participated in any investigative drug or device study within 30 days prior to screening. The patient has participated in any investigative biologics study within 90 days prior to screening. The patient has previously received anti-hIL-5 monoclonal antibody (eg, mepolizumab). Female patients who are pregnant, or nursing, or, if of childbearing potential and not using a medically accepted, effective method of birth control (e.g. spermicide, abstinence, IUD, or steroidal contraceptive [oral, transdermal, implanted, and injected]) are excluded from this study. The patient has a current infection or disease that may preclude assessment of asthma. The patient has a history of concurrent immunodeficiency (human immunodeficiency, acquired immunodeficiency syndrome, or congenital immunodeficiency). Patients in Argentina must have documented serology testing for HIV performed during screening. Other exclusion criteria apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sponsor's Medical Expert, Senior Director - Worldwide Clinical Research, MD
Organizational Affiliation
Cephalon
Official's Role
Study Director
Facility Information:
Facility Name
Teva Investigational Site 12
City
Anaheim
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 11
City
Fountain Valley
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 43
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 4
City
Orange
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 15
City
Walnut Creek
State/Province
California
Country
United States
Facility Name
Teva Investigational Site 2
City
Colorado Springs
State/Province
Colorado
Country
United States
Facility Name
Teva Investigational Site 24
City
Largo
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 27
City
Miami
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 5
City
Miami
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 19
City
Tallahassee
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 17
City
Trinity
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 18
City
Valrico
State/Province
Florida
Country
United States
Facility Name
Teva Investigational Site 6
City
Lilburn
State/Province
Georgia
Country
United States
Facility Name
Teva Investigational Site 3
City
Savannah
State/Province
Georgia
Country
United States
Facility Name
Teva Investigational Site 7
City
Iowa City
State/Province
Iowa
Country
United States
Facility Name
Teva Investigational Site 8
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
Teva Investigational Site 26
City
Summit
State/Province
New Jersey
Country
United States
Facility Name
Teva Investigational Site 20
City
Cincinnati
State/Province
Ohio
Country
United States
Facility Name
Teva Investigational Site 1
City
Medford
State/Province
Oregon
Country
United States
Facility Name
Teva Investigational Site 73
City
Lincoln
State/Province
Rhode Island
Country
United States
Facility Name
Teva Investigational Site 9
City
Providence
State/Province
Rhode Island
Country
United States
Facility Name
Teva Investigational Site 21
City
Charleston
State/Province
South Carolina
Country
United States
Facility Name
Teva Investigational Site 16
City
Fort Worth
State/Province
Texas
Country
United States
Facility Name
Teva Investigational Site 10
City
Houston
State/Province
Texas
Country
United States
Facility Name
Teva Investigational Site 14
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Teva Investigational Site 45
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Teva Investigational Site 121
City
Ciudad Autonoma de Buenos Aire
Country
Argentina
Facility Name
Teva Investigational Site 126
City
Ciudad Autonoma de Buenos Aire
Country
Argentina
Facility Name
Teva Investigational Site 127
City
Ciudad Autonoma de Buenos Aire
Country
Argentina
Facility Name
Teva Investigational Site 128
City
Quilmes-Buenos Aires
Country
Argentina
Facility Name
Teva Investigational Site 123
City
Rosario-Santa Fe
Country
Argentina
Facility Name
Teva Investigational Site 125
City
Rosario
Country
Argentina
Facility Name
Teva Investigational Site 120
City
San Miguel de Tucuman - Tucuma
Country
Argentina
Facility Name
Teva Investigational Site 122
City
San Miguel de Tucuman - Tucuma
Country
Argentina
Facility Name
Teva Investigational Site 124
City
San Miguel de Tucuman - Tucuma
Country
Argentina
Facility Name
Teva Investigational Site 261
City
Bruxelles
Country
Belgium
Facility Name
Teva Investigational Site 264
City
Bruxelles
Country
Belgium
Facility Name
Teva Investigational Site 260
City
Gent
Country
Belgium
Facility Name
Teva Investigational Site 263
City
Liège
Country
Belgium
Facility Name
Teva Investigational Site 146
City
Belo Horizonte
Country
Brazil
Facility Name
Teva Investigational Site 150
City
Florianopolis
Country
Brazil
Facility Name
Teva Investigational Site 147
City
Porto Alegre - RS
Country
Brazil
Facility Name
Teva Investigational Site 140
City
Porto Alegre
Country
Brazil
Facility Name
Teva Investigational Site 143
City
Porto Alegre
Country
Brazil
Facility Name
Teva Investigational Site 144
City
Porto Alegre
Country
Brazil
Facility Name
Teva Investigational Site 145
City
Porto Alegre
Country
Brazil
Facility Name
Teva Investigational Site 142
City
Santo André, São Paulo
Country
Brazil
Facility Name
Teva Investigational Site 141
City
Sao Paulo
Country
Brazil
Facility Name
Teva Investigational Site 103
City
Calgary
Country
Canada
Facility Name
Teva Investigational Site 101
City
Montreal
Country
Canada
Facility Name
Teva Investigational Site 104
City
Newmarket
Country
Canada
Facility Name
Teva Investigational Site 105
City
Windsor
Country
Canada
Facility Name
Teva Investigational Site 184
City
Bogota
Country
Colombia
Facility Name
Teva Investigational Site 185
City
Bogota
Country
Colombia
Facility Name
Teva Investigational Site 181
City
Bogotá
Country
Colombia
Facility Name
Teva Investigational Site 182
City
Cali
Country
Colombia
Facility Name
Teva Investigational Site 180
City
Floridablanca
Country
Colombia
Facility Name
Teva Investigational Site 183
City
Medellin
Country
Colombia
Facility Name
Teva Investigational Site 343
City
Grenoble
Country
France
Facility Name
Teva Investigational Site 342
City
Marseille
Country
France
Facility Name
Teva Investigational Site 341
City
Montpellier
Country
France
Facility Name
Teva Investigational Site 340
City
Nantes
Country
France
Facility Name
Teva Investigational Site 344
City
Pessac
Country
France
Facility Name
Teva Investigational Site 401
City
Balassagyarmat
Country
Hungary
Facility Name
Teva Investigational Site 406
City
Edelény
Country
Hungary
Facility Name
Teva Investigational Site 400
City
Miskolc
Country
Hungary
Facility Name
Teva Investigational Site 404
City
Mosonmagyaróvár
Country
Hungary
Facility Name
Teva Investigational Site 403
City
Sopron
Country
Hungary
Facility Name
Teva Investigational Site 407
City
Százhalombatta
Country
Hungary
Facility Name
Teva Investigational Site 402
City
Tatabánya
Country
Hungary
Facility Name
Teva Investigational Site 422
City
Petach Tikva
Country
Israel
Facility Name
Teva Investigational Site 421
City
Rehovot
Country
Israel
Facility Name
Teva Investigational Site 420
City
Tel-Aviv
Country
Israel
Facility Name
Teva Investigational Site 203
City
Distrito Federal
Country
Mexico
Facility Name
Teva Investigational Site 205
City
Distrito Federal
Country
Mexico
Facility Name
Teva Investigational Site 204
City
Guadalajara, JAL
Country
Mexico
Facility Name
Teva Investigational Site 200
City
Hermosillo, Sonora
Country
Mexico
Facility Name
Teva Investigational Site 202
City
Tijuana, B.C.
Country
Mexico
Facility Name
Teva Investigational Site 460
City
Heerlen
Country
Netherlands
Facility Name
Teva Investigational Site 507
City
Bialystok
Country
Poland
Facility Name
Teva Investigational Site 513
City
Gdansk
Country
Poland
Facility Name
Teva Investigational Site 512
City
Lodz
Country
Poland
Facility Name
Teva Investigational Site 505
City
Lublin
Country
Poland
Facility Name
Teva Investigational Site 500
City
Ostrow Wielkopolski
Country
Poland
Facility Name
Teva Investigational Site 502
City
Sopot
Country
Poland
Facility Name
Teva Investigational Site 504
City
Tarnow
Country
Poland
Facility Name
Teva Investigational Site 602
City
Göteborg
Country
Sweden
Facility Name
Teva Investigational Site 600
City
Lund
Country
Sweden
Facility Name
Teva Investigational Site 601
City
Malmö
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
27056586
Citation
Bjermer L, Lemiere C, Maspero J, Weiss S, Zangrilli J, Germinaro M. Reslizumab for Inadequately Controlled Asthma With Elevated Blood Eosinophil Levels: A Randomized Phase 3 Study. Chest. 2016 Oct;150(4):789-798. doi: 10.1016/j.chest.2016.03.032. Epub 2016 Apr 4.
Results Reference
derived

Learn more about this trial

A Study to Evaluate the Efficacy and Safety of Reslizumab (0.3 or 3.0 mg/kg) as Treatment for Patients (12-75 Years of Age) With Eosinophilic Asthma

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