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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01987492
Registration number
NCT01987492
Ethics application status
Date submitted
12/11/2013
Date registered
19/11/2013
Date last updated
22/05/2017
Titles & IDs
Public title
A Study of Lebrikizumab (RO5490255) in Participants With Severe Oral Corticosteroids (OCS) Dependent Asthma
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Scientific title
A Phase II, Randomized, Double-Blind, Placebo Controlled, Multicenter Trial to Assess the Oral Corticosteroid-Sparing Effect of Lebrikizumab in Patients With Severe Corticosteroid Dependent Asthma
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Secondary ID [1]
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2012-000190-24
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Secondary ID [2]
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WB28182
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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 - Placebo
Experimental: Lebrikizumab High Dose - Participants will receive lebrikizumab at high dose level as subcutaneous (SC) injection every 4 weeks during the 44-week DBPC period, followed by a 32-week ATE period, and during the LTE period.
Experimental: Lebrikizumab Low Dose - Participants will receive lebrikizumab at low dose level as SC injection every 4 weeks during the 44-week DBPC period, followed by a 32-week ATE period, and during the LTE period.
Placebo comparator: Placebo - Participants will receive placebo matching to lebrikizumab SC injection every 4 weeks during the 44-week DBPC period. Participants will then be randomized to receive either high- or low-dose lebrikizumab every 4 weeks during the 32-week ATE period and will continue same treatment in the LTE period.
Treatment: Drugs: Lebrikizumab
Lebrikizumab will be administered as SC injections every 4 weeks at dose and schedule described in arm description.
Treatment: Drugs: Placebo
Placebo matching to lebrikizumab will be administered as SC injections every 4 weeks as per schedule described in arm description.
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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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Relative Change From Baseline in Daily OCS Dose at Week 44
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 44
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Secondary outcome [1]
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Absolute Change From Baseline in Daily OCS Dose at Week 44
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 44
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Secondary outcome [2]
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Relative Change From Week 12 in Average OCS Dose at Week 44
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Assessment method [2]
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Timepoint [2]
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Week 12, Week 44
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Secondary outcome [3]
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Percentage of Participants Achieving at Least a 50 percent (%) Reduction in Their Daily OCS Dose at Week 44 Relative to Baseline
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Assessment method [3]
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Timepoint [3]
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Baseline, Week 44
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Secondary outcome [4]
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Percentage of Participants Discontinuing OCS Therapy or Having Achieved an Adrenal Maintenance Dose at Week 44
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Assessment method [4]
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Percentage of participants discontinuing OCS therapy or having achieved adrenal maintenance dose (cortisol level less than or equal to 100 nanomoles per liter) will be reported.
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Timepoint [4]
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Week 44
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Secondary outcome [5]
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Percentage of Participants With Asthma Exacerbations
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Assessment method [5]
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An asthma exacerbation is defined as new or increased asthma symptoms (including wheeze, cough, dyspnea, chest tightness, or nocturnal awakenings due to these symptoms) that lead to treatment with systemic corticosteroids greater than or equal to (\>/=) 30 milligrams (mg) or 0.5 mg per kilogram (kg) for \>/=3 consecutive days or to hospitalization.
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Timepoint [5]
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Baseline up to Week 44
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Secondary outcome [6]
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Percentage of Participants With Adverse Events
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Assessment method [6]
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Timepoint [6]
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Baseline up to 24 weeks after last dose administration (up to a minimum of approximately 2 years)
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Secondary outcome [7]
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Percentage of Participants With Anti-therapeutic Antibodies (ATAs) Against Lebrikizumab
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Assessment method [7]
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Timepoint [7]
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Predose (0 hours) at Weeks 0, 4, 12, 24, 36, 44, 52, 64, and 76, at early discontinuation (up to a minimum of approximately 2 years), and at 24 weeks after last dose administration (up to a minimum of approximately 2 years)
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Secondary outcome [8]
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Minimum Observed Serum Lebrikizumab Concentration (Cmin)
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Assessment method [8]
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Timepoint [8]
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Predose (0 hours) at Weeks 4, 12, 24, 36, and 44
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Eligibility
Key inclusion criteria
* Severe asthma despite intensive follow-up by an asthma specialist for >/=6 months prior to Visit 1
* Baseline forced expiratory volume in 1 second (FEV1) >/=40% of predicted prior to randomization
* Receiving high doses of inhaled glucocorticosteroids at a total daily dose of >/=1500 micrograms (mcg) beclomethasone dipropionate or equivalent and long-acting beta-adrenoceptor agonist (LABA), with or without an additional controller, for at least 3 months prior to Visit 1
* Chronic treatment with maintenance OCS for >/=6 months prior to Visit 1
* Assessment to ensure diagnosis of refractory asthma and OCS dependence on minimal effective or maximum tolerated dose prior to Visit 1 with compliance
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Minimum age
12
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 a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
* Asthma exacerbation within 28 days prior to Visit 1 or during screening (prior to Visit 3)
* For adults: Active tuberculosis requiring treatment within the 12 months prior to Visit 1
* For adolescents: History of active tuberculosis requiring treatment
* Evidence of acute or chronic hepatitis or known liver cirrhosis
* Known current malignancy or current evaluation for a potential malignancy
* History of interstitial lung disease, chronic obstructive pulmonary disease, or other clinically significant lung disease other than asthma
* Infection requiring hospital admission or requiring treatment with intravenous (IV) or intramuscular (IM) antibiotics within 4 weeks prior to Visit 1 or during screening
* Upper or lower respiratory tract infection within 4 weeks prior to Visit 1 or during screening
* Active parasitic infection or Listeria monocytogenes infection within 6 months prior to Visit 1 or during screening
* Current smoker or former smoker with a smoking history of more than 15 pack-years
* Current use of an immunomodulatory/ immunosuppressive therapy or past use within 3 months or 5 drug half-lives (whichever is longer) prior to Visit 1
* Use of a licensed or investigational monoclonal antibody other than anti-interleukin (IL)-13 or anti-IL-4/IL-13, including but not limited to, omalizumab, anti-IL-5, or anti-IL-17, within 6 months or 5 drug half-lives (whichever is longer) prior to Visit 1
* Receipt of a live attenuated vaccine within the 4 weeks prior to Visit 1 during screening or anticipation of receipt of a live attenuated vaccine throughout the study
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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
28/02/2014
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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
20/12/2016
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Sample size
Target
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Accrual to date
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Final
230
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Recruitment in Australia
Recruitment state(s)
QLD,VIC,WA
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Recruitment hospital [1]
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Princess Alexandra Hospital, Department of Respiratory and Sleep Medicine - Brisbane
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Recruitment hospital [2]
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Monash Medical Centre; Respiratory and Sleep Medicine - Clayton
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Recruitment hospital [3]
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Institute for Respiratory Health Inc - Nedlands
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Recruitment postcode(s) [1]
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4102 - Brisbane
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment outside Australia
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United States of America
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California
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Florida
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Georgia
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New York
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Oklahoma
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Texas
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Washington
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Bruxelles
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Genk
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Gent
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Ontario
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Brno
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Liberec 1
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Nový Jicín
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Nantes
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Amsterdam
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Manchester
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Plymouth
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Sheffield
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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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 evaluate the efficacy of lebrikizumab compared with placebo, as measured by the ability of participants to achieve lower daily doses of OCS, among those with severe corticosteroid-dependent asthma. Prednisone/prednisolone will be the OCS therapy prescribed. Participants will be randomized to receive lebrikizumab or matching placebo for 44 weeks in a double-blind, placebo-controlled (DBPC) period. Those who complete the 44-week period may continue into a 32-week active treatment extension (ATE) period, during which all participants will receive lebrikizumab treatment. Following completion of the ATE period, participants who have both tolerated and derived benefit from treatment with lebrikizumab may continue their lebrikizumab treatment into a long-term extension (LTE) period. Participants will transition to 24 weeks of safety follow-up upon discontinuation of study drug.
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Trial website
https://clinicaltrials.gov/study/NCT01987492
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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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Address
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Hoffmann-La Roche
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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/NCT01987492
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