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Study to Evaluate the Pharmacokinetics of Tezepelumab in Children With Asthma (TRAILHEAD)

Primary Purpose

Asthma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Tezepelumab
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Asthma focused on measuring Mild asthma, Moderate asthma, Severe asthma

Eligibility Criteria

5 Years - 11 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Written informed consent and written informed assent and any locally required authorisation obtained from the subject and legal representative prior to any study related procedure taking place.
  • Age 5 to 11 years (inclusive) at Visit 1 and Visit 2 (Day 1). Type of Subject and Disease Characteristics
  • Documented physician diagnosed asthma for at least 6 months prior to Visit 1.
  • Documented treatment with total daily dose of either low, medium, or high dose ICS for at least 6 months, as described in Step 2 to Step 4 of GINA guidelines (GINA 2020) with stable dose for at least 3 months prior to Visit 1.
  • Pre bronchodilator (BD) FEV1 of ≥ 50% of predicted normal value at Visit 1
  • Body weight ≥ 16 kg at Visit 1 and Visit 2 (Day 1).

Exclusion Criteria:

  • History of any clinically significant disease or disorder other than asthma which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.
  • History of a deterioration in asthma or asthma exacerbation that required a burst of systemic corticosteroids within 6 weeks of Visit 1, up to and including Visit 2 (Day 1).
  • History of hospitalisation (overnight admission) for asthma within 3 months of Visit 1, up to and including Visit 2 (Day 1).
  • History of a life threatening asthma exacerbation requiring intubation or mechanical ventilation.
  • History of systemic corticosteroid use for the maintenance treatment of asthma within 6 weeks of Visit 1, up to and including Visit 2 (Day 1) and discouraged until EOS.
  • History of cancer.
  • History of hypersensitivity or anaphylactic reaction to any biologic therapy.

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tezepelumab

Arm Description

Tezepelumab subcutaneous injection

Outcomes

Primary Outcome Measures

Maximum serum concentration (Cmax)
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time to reach Cmax (tmax)
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Area under the concentration-time curve (AUC)
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Terminal phase elimination half-life (t1/2)
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Apparent clearance (CL/F)
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Apparent steady-state volume of distribution (Vss/F)
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.

Secondary Outcome Measures

Total number of subjects in the study that tested positive for anti-drug antibodies (ADA) to Tezepelumab
To evaluate the immunogenicity of tezepelumab.

Full Information

First Posted
December 2, 2020
Last Updated
October 14, 2022
Sponsor
AstraZeneca
Collaborators
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT04673630
Brief Title
Study to Evaluate the Pharmacokinetics of Tezepelumab in Children With Asthma
Acronym
TRAILHEAD
Official Title
A Phase I, Open-label Study to Evaluate the Pharmacokinetics of Tezepelumab in Children ≥ 5 to 11 Years of Age With Mild, Moderate, or Severe Asthma (TRAILHEAD)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
February 23, 2021 (Actual)
Primary Completion Date
September 27, 2022 (Actual)
Study Completion Date
September 27, 2022 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the pharmacokinetic (PK) profile of a single subcutaneous (SC) dose of tezepelumab in children aged ≥ 5 to 11 years with asthma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Mild asthma, Moderate asthma, Severe asthma

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
No masking is used. All involved know the identity of the intervention assignment.
Allocation
Non-Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tezepelumab
Arm Type
Experimental
Arm Description
Tezepelumab subcutaneous injection
Intervention Type
Biological
Intervention Name(s)
Tezepelumab
Intervention Description
Single dose subcutaneous injection
Primary Outcome Measure Information:
Title
Maximum serum concentration (Cmax)
Description
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time Frame
Baseline Day 1 and on Days 3, 7, 11, 15, 29, 57 and 85
Title
Time to reach Cmax (tmax)
Description
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time Frame
Baseline Day 1 and on Days 3, 7, 11, 15, 29, 57 and 85
Title
Area under the concentration-time curve (AUC)
Description
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time Frame
Baseline Day 1 and on Days 3, 7, 11, 15, 29, 57 and 85
Title
Terminal phase elimination half-life (t1/2)
Description
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time Frame
Baseline Day 1 and on Days 3, 7, 11, 15, 29, 57 and 85
Title
Apparent clearance (CL/F)
Description
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time Frame
Baseline Day 1 and on Days 3, 7, 11, 15, 29, 57 and 85
Title
Apparent steady-state volume of distribution (Vss/F)
Description
To describe the pharmacokinetics (PK) of Tezepelumab administered subcutaneously (SC) in children ≥ 5 to 11 years of age with mild, moderate, or severe asthma.
Time Frame
Baseline Day 1 and on Days 3, 7, 11, 15, 29, 57 and 85
Secondary Outcome Measure Information:
Title
Total number of subjects in the study that tested positive for anti-drug antibodies (ADA) to Tezepelumab
Description
To evaluate the immunogenicity of tezepelumab.
Time Frame
Baseline Day 1 and on Days 29 and 85

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
11 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent and written informed assent and any locally required authorisation obtained from the subject and legal representative prior to any study related procedure taking place. Age 5 to 11 years (inclusive) at Visit 1 and Visit 2 (Day 1). Type of Subject and Disease Characteristics Documented physician diagnosed asthma for at least 6 months prior to Visit 1. Documented treatment with total daily dose of either low, medium, or high dose ICS for at least 6 months, as described in Step 2 to Step 4 of GINA guidelines (GINA 2020) with stable dose for at least 3 months prior to Visit 1. Pre bronchodilator (BD) FEV1 of ≥ 50% of predicted normal value at Visit 1 Body weight ≥ 16 kg at Visit 1 and Visit 2 (Day 1). Exclusion Criteria: History of any clinically significant disease or disorder other than asthma which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study. History of a deterioration in asthma or asthma exacerbation that required a burst of systemic corticosteroids within 6 weeks of Visit 1, up to and including Visit 2 (Day 1). History of hospitalisation (overnight admission) for asthma within 3 months of Visit 1, up to and including Visit 2 (Day 1). History of a life threatening asthma exacerbation requiring intubation or mechanical ventilation. History of systemic corticosteroid use for the maintenance treatment of asthma within 6 weeks of Visit 1, up to and including Visit 2 (Day 1) and discouraged until EOS. History of cancer. History of hypersensitivity or anaphylactic reaction to any biologic therapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jonathan Grigg, MD
Organizational Affiliation
Royal London Hospital, United Kingdom
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Budapest
ZIP/Postal Code
1094
Country
Hungary
Facility Name
Research Site
City
Cape Town
ZIP/Postal Code
7700
Country
South Africa
Facility Name
Research Site
City
Bristol
ZIP/Postal Code
BS2 8BJ
Country
United Kingdom
Facility Name
Research Site
City
Glasgow
ZIP/Postal Code
G51 4TF
Country
United Kingdom
Facility Name
Research Site
City
London
ZIP/Postal Code
E1 1BB
Country
United Kingdom
Facility Name
Research Site
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

Study to Evaluate the Pharmacokinetics of Tezepelumab in Children With Asthma

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