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A Study to Evaluate the Safety of Tralokinumab in Adults and Adolescents With Uncontrolled Asthma

Primary Purpose

Inadequately Controlled Asthma

Status
Terminated
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
Tralokinumab open-label
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Inadequately Controlled Asthma focused on measuring open-label study, tralokinumab, subcutaneous, inadequately controlled asthma, asthma, medium to high-dose of inhaled corticosteroid, long-acting β2-agonist

Eligibility Criteria

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

Inclusion Criteria:

  1. Age 12 - 75 yrs
  2. Documented physician-diagnosed asthma
  3. Documented treatment with inhaled corticosteroid (ICS) at a total daily dose corresponding to ≥500 µg fluticasone propionate dry powder formulation equivalents and a long-acting beta-2 agonist (LABA)
  4. Pre-bronchodilator (BD) forced expiratory volume at one second (FEV1) value of ≥40% of their Predicted Normal Value (PNV)
  5. Asthma Control Questionnaire-6 (ACQ-6) score ≥1.5

Exclusion Criteria:

  1. Pulmonary disease other than asthma
  2. History of anaphylaxis following any biologic therapy
  3. Hepatitis B, C or HIV
  4. Pregnant of breastfeeding
  5. History or cancer
  6. Current tobacco smoking or a history or tobacco smoking for ≥10 pack-years
  7. Previous receipt of tralokinumab

Sites / Locations

  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Open-label study to evaluate safety

Arm Description

A fixed 300 mg dose every 2 weeks (Q2W) of tralokinumab administered subcutaneously in subjects with inadequately controlled asthma on medium to high-dose of inhaled corticosteroid plus long-acting β2-agonist.

Outcomes

Primary Outcome Measures

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was development of an undesirable medical condition or deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to product. An undesirable medical condition can be symptoms, signs or the abnormal results of an investigation. In clinical studies, an AE can include an undesirable medical condition occurring at any time, including run-in or washout periods, even if no study treatment has been administered. A SAE was an AE occurred during any study phase that fulfils one or more of the following criteria: death; immediately life-threatening, in-patient or prolongation of existing hospitalization; persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions; congenital abnormality or birth defect; important medical event that may jeopardise participant or may require medical intervention to prevent one of the outcomes listed above.
Number of Participants With Clinical Laboratory Abnormalities
Blood and urine samples for determination of clinical chemistry, haematology and urinalysis parameters were taken at the times. Changes in haematology and clinical chemistry variables between baseline and each subsequent scheduled assessment were evaluated. Baseline is defined as the last available value measured prior to the first dose of study treatment. The change from baseline is defined as the treatment period value minus the baseline period value. Absolute values were compared to the relevant reference range and classified as low (below range), normal (within range or on limits) or high (above range). The AstraZeneca extended reference ranges were used for laboratory variables (where they exist). All values (absolute and change) falling outside the reference ranges were flagged. Urinalysis data were categorised as negative (0), trace or positive (+) at each time point.
Number of Participants With Abnormal Physical Examinations
Physical examination included assessment of general appearance, skin, head and neck (including eyes, ears, nose, mouth and throat), lymph nodes, abdomen, musculoskeletal (including spine and extremities), cardiovascular, respiratory, and neurological systems. Criteria for abnormal physical findings were based on investigator's discretion.
Number of Participants With Vital Signs Abnormalities
Vital signs that were planned to be assessed included parameters such as pulse, systolic blood pressure, diastolic blood pressure, respiration rate and body temperature.
Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities
The ECG assessments were performed using an ECG device prior to blood drawing, spirometry, investigational product administration and bronchodilator administration. ECG data and evaluation was planned to be performed by the site Investigator.

Secondary Outcome Measures

Full Information

First Posted
September 13, 2016
Last Updated
July 26, 2019
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT02902809
Brief Title
A Study to Evaluate the Safety of Tralokinumab in Adults and Adolescents With Uncontrolled Asthma
Official Title
A 52-Week, Open-Label, Multicentre Study to Evaluate the Safety of Tralokinumab in Japanese Adults and Adolescents With Asthma Inadequately Controlled on Inhaled Corticosteroid Plus Long-Acting β2-Agonist
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated due to the discontinuation of the tralokinumab asthma program (as per the results of the Phase III study [D2210C00008])
Study Start Date
November 11, 2016 (Actual)
Primary Completion Date
January 19, 2018 (Actual)
Study Completion Date
January 19, 2018 (Actual)

3. Sponsor/Collaborators

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

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
A 52-Week, Open-Label, Multicentre Study to Evaluate the Safety of Tralokinumab in Japanese Adults and Adolescents with Asthma Inadequately Controlled on Inhaled Corticosteroid plus Long-Acting β2-Agonist
Detailed Description
This is a 52-week, open-label, multi-centre study designed to evaluate the safety of tralokinumab in a fixed 300 mg dose every 2 weeks, administered subcutaneously in adults and adolescents with indequately controlled asthma on medium to high dose inhaled corticosteroid plus long acting β-2 antagonist. Approximately 26 Japanese subjects will be recruited to receive 22 completed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inadequately Controlled Asthma
Keywords
open-label study, tralokinumab, subcutaneous, inadequately controlled asthma, asthma, medium to high-dose of inhaled corticosteroid, long-acting β2-agonist

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
Open label
Allocation
N/A
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Open-label study to evaluate safety
Arm Type
Experimental
Arm Description
A fixed 300 mg dose every 2 weeks (Q2W) of tralokinumab administered subcutaneously in subjects with inadequately controlled asthma on medium to high-dose of inhaled corticosteroid plus long-acting β2-agonist.
Intervention Type
Biological
Intervention Name(s)
Tralokinumab open-label
Other Intervention Name(s)
Tralokinumab
Intervention Description
Subcutaneous injection; fixed dose; 300 mg
Primary Outcome Measure Information:
Title
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description
An AE was development of an undesirable medical condition or deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to product. An undesirable medical condition can be symptoms, signs or the abnormal results of an investigation. In clinical studies, an AE can include an undesirable medical condition occurring at any time, including run-in or washout periods, even if no study treatment has been administered. A SAE was an AE occurred during any study phase that fulfils one or more of the following criteria: death; immediately life-threatening, in-patient or prolongation of existing hospitalization; persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions; congenital abnormality or birth defect; important medical event that may jeopardise participant or may require medical intervention to prevent one of the outcomes listed above.
Time Frame
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).
Title
Number of Participants With Clinical Laboratory Abnormalities
Description
Blood and urine samples for determination of clinical chemistry, haematology and urinalysis parameters were taken at the times. Changes in haematology and clinical chemistry variables between baseline and each subsequent scheduled assessment were evaluated. Baseline is defined as the last available value measured prior to the first dose of study treatment. The change from baseline is defined as the treatment period value minus the baseline period value. Absolute values were compared to the relevant reference range and classified as low (below range), normal (within range or on limits) or high (above range). The AstraZeneca extended reference ranges were used for laboratory variables (where they exist). All values (absolute and change) falling outside the reference ranges were flagged. Urinalysis data were categorised as negative (0), trace or positive (+) at each time point.
Time Frame
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).
Title
Number of Participants With Abnormal Physical Examinations
Description
Physical examination included assessment of general appearance, skin, head and neck (including eyes, ears, nose, mouth and throat), lymph nodes, abdomen, musculoskeletal (including spine and extremities), cardiovascular, respiratory, and neurological systems. Criteria for abnormal physical findings were based on investigator's discretion.
Time Frame
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).
Title
Number of Participants With Vital Signs Abnormalities
Description
Vital signs that were planned to be assessed included parameters such as pulse, systolic blood pressure, diastolic blood pressure, respiration rate and body temperature.
Time Frame
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).
Title
Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities
Description
The ECG assessments were performed using an ECG device prior to blood drawing, spirometry, investigational product administration and bronchodilator administration. ECG data and evaluation was planned to be performed by the site Investigator.
Time Frame
At Day -14 and Week 52.

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: Age 12 - 75 yrs Documented physician-diagnosed asthma Documented treatment with inhaled corticosteroid (ICS) at a total daily dose corresponding to ≥500 µg fluticasone propionate dry powder formulation equivalents and a long-acting beta-2 agonist (LABA) Pre-bronchodilator (BD) forced expiratory volume at one second (FEV1) value of ≥40% of their Predicted Normal Value (PNV) Asthma Control Questionnaire-6 (ACQ-6) score ≥1.5 Exclusion Criteria: Pulmonary disease other than asthma History of anaphylaxis following any biologic therapy Hepatitis B, C or HIV Pregnant of breastfeeding History or cancer Current tobacco smoking or a history or tobacco smoking for ≥10 pack-years Previous receipt of tralokinumab
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Takeshi Kaneko, MD, PhD
Organizational Affiliation
Yokohama City University Graduate School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Chuo-ku
ZIP/Postal Code
103-0027
Country
Japan
Facility Name
Research Site
City
Itabashi-ku
ZIP/Postal Code
173-8610
Country
Japan
Facility Name
Research Site
City
Yokohama-shi
ZIP/Postal Code
236-0004
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
29536781
Citation
Panettieri RA Jr, Wang M, Braddock M, Bowen K, Colice G. Tralokinumab for the treatment of severe, uncontrolled asthma: the ATMOSPHERE clinical development program. Immunotherapy. 2018 Mar 1;10(6):473-490. doi: 10.2217/imt-2017-0191. Epub 2018 Mar 14.
Results Reference
derived
Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4175&filename=D2210C00029_Statistical%20Analysis%20Plan-ed-2_16Feb2018_redacted05Apr2019_Redacted_val.pdf
Description
Statistical Analysis Plan
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4175&filename=d2210c00029-csp-v2_15June2017_redacted05April2019_Redacted_val.pdf
Description
Clinical Study Protocol

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A Study to Evaluate the Safety of Tralokinumab in Adults and Adolescents With Uncontrolled Asthma

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