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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01545453
Registration number
NCT01545453
Ethics application status
Date submitted
1/03/2012
Date registered
6/03/2012
Date last updated
2/11/2016
Titles & IDs
Public title
A Study of Lebrikizumab in Patients With Uncontrolled Asthma Who Are on Inhaled Corticosteroids and A Second Controller Medication (VERSE)
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Scientific title
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Lebrikizumab in Patients With Uncontrolled Asthma Who Are on Inhaled Corticosteroids and A Second Controller Medication
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Secondary ID [1]
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2011-004205-24
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Secondary ID [2]
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GB27864
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Universal Trial Number (UTN)
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Trial acronym
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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 - lebrikizumab
Treatment: Drugs - lebrikizumab
Treatment: Drugs - lebrikizumab
Treatment: Drugs - placebo
Experimental: lebrikizumab - highest dose -
Experimental: lebrikizumab - lowest dose -
Experimental: lebrikizumab - middle dose -
Placebo comparator: placebo -
Treatment: Drugs: lebrikizumab
subcutaneous dose every 4 weeks
Treatment: Drugs: lebrikizumab
subcutaneous dose every 4 weeks
Treatment: Drugs: lebrikizumab
subcutaneous dose every 4 weeks
Treatment: Drugs: placebo
subcutaneous dose every 4 weeks
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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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Rate of asthma exacerbations during the 52-week placebo-controlled period
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Assessment method [1]
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Timepoint [1]
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weeks 0-52
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Secondary outcome [1]
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Change in lung function: pre-bronchodilator FEV1
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Assessment method [1]
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Timepoint [1]
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from baseline to week 52
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Secondary outcome [2]
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Time to first asthma exacerbation
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Assessment method [2]
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Timepoint [2]
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from baseline to week 52
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Secondary outcome [3]
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Change in fractional exhaled nitric oxide (FeNO)
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Assessment method [3]
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Timepoint [3]
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from baseline to week 52
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Secondary outcome [4]
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Change in asthma-specific health-related quality of life, assessed by the Standardized Asthma Quality of Life Questionnaire (AQLQ[S])
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Assessment method [4]
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Timepoint [4]
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from baseline to week 52
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Secondary outcome [5]
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Change in asthma rescue medication use
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Assessment method [5]
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Timepoint [5]
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from baseline to week 52
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Secondary outcome [6]
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Rate of urgent asthma-related health care utilization during the 52-week placebo-controlled period
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Assessment method [6]
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Timepoint [6]
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from baseline to week 52
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Eligibility
Key inclusion criteria
* Adult patients, 18 to 75 years of age at Visit 1
* Asthma diagnosis for >/= 12 months prior to the start of screening (Visit 1)
* Bronchodilator response during screening
* Pre-bronchodilator FEV1 40%-80% of predicted during screening
* On ICS (inhaled corticosteroids) 500-2000 mcg/day of fluticasone propionate DPI or equivalent for >/= 6 months prior to the start of screening (Visit 1) with no anticipated changes throughout the study
* On an eligible second controller medication (LABA, LAMA, LTRA or theophylline within the prescribed dosing range)
* Uncontrolled asthma as defined by protocol both during screening period and at time of randomization
* Chest X-ray or computed tomography (CT) scan obtained within 12 months prior to screening or chest X-ray during screening period confirming the absence of other lung disease
* Demonstrated adherence with controller medication during the screening period
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Minimum age
18
Years
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Maximum age
75
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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
* History of severe allergic or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
* Use of zileuton or roflumilast within 6 months prior to screening
* Maintenance oral corticosteroid therapy, defined as daily or alternate day oral corticosteroid maintenance therapy within the 3 months prior to Visit 1
* Treatment with systemic (oral, intravenous or intramuscular) corticosteroids within the 4 weeks prior to Visit 1
* Major episode of infection within 4 weeks prior to Visit 1 or treatment with oral antibiotics within 2 weeks prior to Visit 1
* Active parasitic infection within the 6 months prior to Visit 1
* Active tuberculosis requiring treatment within the 12 months prior to Visit 1
* Known immunodeficiency, including, but not limited to, HIV infection
* Evidence of acute or chronic hepatitis or known liver cirrhosis
* History of cystic fibrosis, chronic obstructive pulmonary disease, and/or other clinically significant lung disease other than asthma
* Known malignancy or current evaluation for a potential malignancy
* Current smoker or former smoker with a history >10 pack years
* History of alcohol, drug or chemical abuse
* Initiation or change in allergen immunotherapy within 3 months prior to Visit 1
* Use of biologic therapy including omalizumab during 6 months prior to Visit 1
* Receipt of live/attenuated vaccine within 4 weeks prior to Visit 1
* Pregnant or lactating women
* Body mass index (BMI) > 38 kg/m2
* Body weight < 40 kg
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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 analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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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
1/03/2012
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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
1/07/2013
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Sample size
Target
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Accrual to date
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Final
205
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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- Brisbane
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Recruitment postcode(s) [1]
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4075 - Brisbane
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Recruitment outside Australia
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United States of America
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Alabama
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California
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Wisconsin
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Genentech, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This randomized, multicenter, double-blind, placebo-controlled, parallel-group study will assess the efficacy and safety of lebrikizumab in patients with asthma whose disease remains uncontrolled despite daily therapy with an inhaled corticosteroid and a second controller medication. Patients will be randomized in a 1:1:1:1 ratio to receive double-blind treatment with subcutaneous lebrikizumab ("highest", "middle", "lowest" dose) or placebo every 4 weeks for 52 weeks, in addition to their standard-of-care therapy. This will be followed by a 52-week double-blind active treatment extension. The anticipated time on study treatment is up to 104 weeks. There will be a safety follow-up of 24 weeks after the last dose of study drug for all patients.
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Trial website
https://clinicaltrials.gov/study/NCT01545453
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Trial related presentations / publications
Chen M, Shepard K 2nd, Yang M, Raut P, Pazwash H, Holweg CTJ, Choo E. Overlap of allergic, eosinophilic and type 2 inflammatory subtypes in moderate-to-severe asthma. Clin Exp Allergy. 2021 Apr;51(4):546-555. doi: 10.1111/cea.13790. Epub 2021 Jan 7. Hanania NA, Noonan M, Corren J, Korenblat P, Zheng Y, Fischer SK, Cheu M, Putnam WS, Murray E, Scheerens H, Holweg CT, Maciuca R, Gray S, Doyle R, McClintock D, Olsson J, Matthews JG, Yen K. Lebrikizumab in moderate-to-severe asthma: pooled data from two randomised placebo-controlled studies. Thorax. 2015 Aug;70(8):748-56. doi: 10.1136/thoraxjnl-2014-206719. Epub 2015 May 22.
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Public notes
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Contacts
Principal investigator
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Address
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Genentech, Inc.
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Contact person for scientific queries
No information has been provided regarding IPD availability
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/NCT01545453
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