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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04007198
Registration number
NCT04007198
Ethics application status
Date submitted
27/06/2019
Date registered
5/07/2019
Titles & IDs
Public title
A Study of Itolizumab (EQ001) to Evaluate the Safety, Tolerability, PK, PD, and Clinical Activity in Uncontrolled Asthma
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Scientific title
A Phase 1b Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Clinical Activity of EQ001 in Subjects With Moderate-to-Severe Uncontrolled Asthma
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Secondary ID [1]
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EQ001-19-001
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Universal Trial Number (UTN)
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Trial acronym
EQUIP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Asthma
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Condition category
Condition code
Respiratory
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - EQ001
Treatment: Drugs - EQ001 Placebo
Experimental: EQ001 - EQ001 administered in a blinded dose escalating cohort fashion by subcutaneous injection every two weeks for a total of 5 doses.
Placebo comparator: EQ001 Placebo - Placebo administered in a blinded dose escalating cohort fashion by subcutaneous injection every two weeks for a total of 5 doses.
Treatment: Drugs: EQ001
Itolizumab \[Bmab 600\]
Treatment: Drugs: EQ001 Placebo
EQ001 Placebo
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of Treatment Emergent Adverse Events
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Assessment method [1]
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Number of participants with treatment-related adverse events as assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
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Timepoint [1]
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Study Day 85
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Secondary outcome [1]
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Time to maximum EQ001serum concentration, Tmax
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Assessment method [1]
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Time to maximum EQ001 serum concentration, Tmax
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Timepoint [1]
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Study Day 85
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Secondary outcome [2]
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Maximum EQ001 serum drug concentration, Cmax
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Assessment method [2]
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Maximum EQ001 serum drug concentration, Cmax
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Timepoint [2]
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Study Day 85
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Secondary outcome [3]
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Minimum EQ001 serum drug concentration, Cmin
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Assessment method [3]
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Minimum EQ001 serum drug concentration prior to next dose, Cmin
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Timepoint [3]
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Study Day 85
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Secondary outcome [4]
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Total EQ001 exposure across time, AUC (from zero to infinity)
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Assessment method [4]
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Total EQ001 exposure across time, AUC (from zero to infinity)
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Timepoint [4]
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Study Day 85
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Secondary outcome [5]
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Volume of distribution of EQ001, Vd
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Assessment method [5]
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Volume of distribution of EQ001, Vd
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Timepoint [5]
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Study Day 85
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Secondary outcome [6]
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Clearance, Cl
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Assessment method [6]
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Clearance, Cl
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Timepoint [6]
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Study Day 85
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Secondary outcome [7]
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Inflammatory Markers
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Assessment method [7]
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Including but not limited to: IL-1ß, IL-2, IL-6, IL-17, IL-21, IL-22, IL-23, IFN-?, and TGF-ß, C-reactive protein
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Timepoint [7]
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Study Day 85
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Secondary outcome [8]
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CD6 receptor expression
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Assessment method [8]
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the % levels of free versus EQ001-bound CD6 receptor on T cells
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Timepoint [8]
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Study Day 85
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Eligibility
Key inclusion criteria
1. Is male or female, age = 18 and = 75 years
2. Has a documented clinical diagnosis of moderate-to-severe uncontrolled asthma requiring moderate- or high-dose inhaled CS (ICS; = 250 mcg of fluticasone propionate twice daily or equipotent ICS daily dosage to a maximum of 2000 mcg/day of fluticasone propionate or equivalent) and one or more additional controller medications (inhaled LABA or anticholinergic or LTA) for = 3 months, with a stable dose =1 month prior to the initial Screening Visit
3. Has a prebronchodilator forced expiratory volume in 1 second (FEV1) = 40% and = 90% of predicted value during the Screening Period, despite use of a moderate- or high-dose ICS and one or more additional controller medications (inhaled LABA or anticholinergic or LTA)
4. Has a history of clinically diagnosed asthma, which could include a history of FEV1 reversibility and/or positive bronchial challenge test
5. Has a history of = 1 clinically significant asthma exacerbation prior to the initial Screening Visit, despite use of a moderate- or high dose ICS and one or more additional controller medications at the time the exacerbation(s) occurred
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Is a current or former smoker with a smoking history of =10 pack-years (number of pack-years = number of cigarettes per day/20 × number of years smoked; a former smoker is defined as a subject who stopped smoking = 6 months prior to the Screening Visit)
2. Has a body mass index > 36 kg/m2
3. Has a documented history or radiological evidence of a clinically important lung condition other than asthma (eg, a1 antitrypsin deficiency, bronchiectasis, cystic fibrosis, primary ciliary dyskinesia, pulmonary fibrosis, allergic bronchopulmonary mycosis, or lung cancer)
4. Has a respiratory tract infection (RTI) within 4 weeks before the initial Screening Visit, or during the Screening Period (these subjects may be re-screened following complete resolution of their RTI)
5. Has an asthma exacerbation within 4 weeks before the initial Screening Visit, or during the Screening Period (these subjects may be re-screened following complete resolution of their exacerbation)
6. Has a diagnosis of currently active malignancy; subjects with a medical history of basal cell carcinoma, localized squamous cell carcinoma of the skin, or in situ carcinoma of the uterine cervix are eligible; subjects with a medical history of other malignancies are eligible if the subject is in remission and curative therapy was completed = 2 years prior to the initial Screening Visit
7. Has a history or presence of clinically concerning cardiac arrythmias, atrial fibrillation, New York Heart Association Class III or IV heart failure, or prolonged QT or corrected QT interval > 500 milliseconds (ms) at the Screening Visit
8. Has any disorder (including, but not limited to, cardiovascular [CV], gastrointestinal [GI], hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment) that is not stable in the opinion of the investigator and/or could:
1. Affect the subject's safety
2. Influence the findings of the study or data interpretation
3. Impede the subject's ability to complete the study
9. Has undergone bronchial thermoplasty
10. Has a history of substance abuse (including alcohol) that may, in the investigator's judgment, increase the risk to the subject of participation in the study
11. Has used monoclonal antibody (mAb) therapy for the management of asthma or any other condition within 3 months prior to the initial Screening Visit (these subjects may be re-screened following the 3 month period)
12. Has required an oral corticosteroid burst within 1 month prior to the initial Screening Visit or during the Screening Period (these subjects may be re-screened following the 1 month period); maintenance oral corticosteroids = 10 mg/d prednisone or equivalent is permitted
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/06/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/10/2021
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Sample size
Target
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Flinders Medical Centre - Adelaide
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Recruitment hospital [2]
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Box Hill Hospital - Box Hill
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Recruitment hospital [3]
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Monash Medical Centre - Clayton
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Recruitment hospital [4]
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Paratus Clinical Research Central Coast - Kanwal
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Recruitment hospital [5]
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Respiratory Clinical Trials - Kent Town
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Recruitment hospital [6]
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TrialsWest - Murdoch
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Recruitment hospital [7]
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Melbourne Health - Parkville
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Recruitment hospital [8]
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Paratus Clinical Research Western Sydney - Sydney
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Recruitment hospital [9]
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The Queen Elizabeth Hospital - Woodville
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Box Hill
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Recruitment postcode(s) [3]
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- Clayton
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Recruitment postcode(s) [4]
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- Kanwal
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Recruitment postcode(s) [5]
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- Kent Town
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Recruitment postcode(s) [6]
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- Murdoch
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Recruitment postcode(s) [7]
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- Parkville
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Recruitment postcode(s) [8]
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- Sydney
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Recruitment postcode(s) [9]
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- Woodville
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Dunedin
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Country [3]
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New Zealand
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State/province [3]
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Greenlane
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Country [4]
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New Zealand
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State/province [4]
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Wellington
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Equillium
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Biocon Limited
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Equillium AUS Pty Ltd
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multi-center study to evaluate the safety, tolerability, PK, PD, and clinical activity of itolizumab (EQ001) in subjects with moderate-to-severe asthma.
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Trial website
https://clinicaltrials.gov/study/NCT04007198
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jo A Douglass, MD
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Address
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Melbourne Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04007198