Study to Evaluate the Efficacy and Safety of MEDI-563 in Adults With Uncontrolled Asthma
Asthma
About this trial
This is an interventional treatment trial for Asthma focused on measuring Asthma, Benralizumab, MEDI-563
Eligibility Criteria
Inclusion Criteria:
- Age 18 through 75 years at the time of screening
- Adequate contraception from screening through end of trial
- Weight of more than (>) 45 kilogram (kg) but less than or equal to (<=) 150 kg (>100 pound [lb] but <=330 lb)
- History of physician-diagnosed asthma for at least 12 months prior to screening
- Physician prescribed daily use of medium-dose or high-dose inhaled corticosteroid(s) (ICS) plus long-acting beta 2 agonist (LABA) for at least 12 months prior to screening
- Willingness to switch to an ICS/LABA combination product
- Dose of other asthma controller medications must be stable for at least 30 days prior to screening
- At least 2 documented asthma exacerbations in the 12 months prior to screening that required use of a systemic corticosteroid burst
- For subjects 65 years of age or older, a chest x-ray (CXR) or chest computed tomography (CT) that is normal for an asthmatic population
- Ability and willingness to complete the study to Week 66, and if needed to Week 92.
Exclusion Criteria:
- Known history of allergy or reaction to any component of the investigational product formulation
- History of anaphylaxis to any biologic therapy
- Unexplained diarrhea within 30 days prior to screening or diagnosis of helminth parasitic infestation within 6 months prior to screening
- Use of immunosuppressive medication within 3 months prior to screening. Chronic oral prednisone or equivalent up to 10 milligram (mg) daily or 20 mg every other day for asthma is allowed
- Oral corticosteroid burst or short-acting systemic corticosteroid within 30 days prior to screening or during the screening/run-in period
- Acute upper or lower respiratory infections requiring antibiotics or antiviral medications within 30 days prior to the screening or during the screening/run-in period
- Receipt of immunoglobulin or blood products within 30 days prior to screening
- Receipt of any marketed or investigational biologic within 4 months or 5 half-lives prior to screening, whichever is longer
- Receipt of any investigational nonbiologic within 30 days or 5 half-lives prior to screening, whichever is longer
- Previously received MEDI-563
- Any clinically relevant abnormal findings in physical examination
- Past history of clinically significant cardiac disease or any electrocardiogram (ECG) abnormality
- Breastfeeding or lactating women
- History of alcohol or drug abuse within 12 months prior to screening
- History of any known primary immunodeficiency disorder
- Positive medical history for hepatitis B or C. Subjects with a history of hepatitis B vaccination without history of hepatitis B are allowed to enrol
- A positive human immunodeficiency virus (HIV) test or subject taking antiretroviral medications
- History of cigarette smoking more than or equal to (>=) 10 pack-years or smoking within 12 months prior to screening.
- Known exposure to inhaled occupational agents or fumes with an established diagnosis of occupational asthma
- History of cancer, except for basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy >=12 months prior to screening or other malignancies treated with apparent success with curative therapy >=5 years prior to screening
- Stable dose of allergy vaccination regimen for less than 30 days prior to screening
- Subjects unable to demonstrate acceptable inhaler and peak flow meter techniques.
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Placebo Comparator
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Eosinophilic phenotype (EOS+) Placebo
EOS+ Benralizumab (2 mg)
EOS+ Benralizumab (20 mg)
EOS+ Benralizumab (100 mg)
Non-eosinophil phenotype (EOS-) Placebo
EOS- Benralizumab (100 mg)
EOS+ (defined as ELEN Index [proprietary mathematical algorithm to predict sputum eosinophil's greater than or equal to 2 percent] positive and/or FeNO [fraction of exhaled nitric oxide] greater than or equal to [>=] 50 parts per billion [ppb]) participants received matching placebo injections subcutaneous injection every 4 weeks for first 3 doses and then every 8 weeks for next 4 doses up to Week 40.
EOS+ participants received single benralizumab 2 milligram (mg) injection subcutaneously every 4 weeks for first 3 doses and then every 8 weeks for next 4 doses up to Week 40.
EOS+ participants received single benralizumab 20 mg injection subcutaneously every 4 weeks for first 3 doses and then every 8 weeks for next 4 doses up to Week 40.
EOS+ participants received benralizumab 50 mg as two injections subcutaneously every 4 weeks for first 3 doses and then every 8 weeks for next 4 doses up to Week 40.
EOS- (defined as ELEN Index negative and FeNO <50 ppb) participants received matching placebo subcutaneous every 4 weeks for first 3 doses and then every 8 weeks for next 4 doses up to Week 40.
EOS- participants received benralizumab 50 mg as two injections subcutaneously every 4 weeks for first 3 doses and then every 8 weeks for next 4 doses up to Week 40.