A Study of Lebrikizumab in Patients With Severe Asthma Who Depend on Oral Corticosteroids (OCS)
Status: | Terminated |
---|---|
Conditions: | Asthma |
Therapuetic Areas: | Pulmonary / Respiratory Diseases |
Healthy: | No |
Age Range: | 12 - 75 |
Updated: | 1/14/2017 |
Start Date: | February 2014 |
End Date: | December 2016 |
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
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 into a long-term extension (LTE) which will last until 2018. Participants will
transition to 24 weeks of safety follow-up upon discontinuation of study drug.
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 into a long-term extension (LTE) which will last until 2018. Participants will
transition to 24 weeks of safety follow-up upon discontinuation of study drug.
Inclusion Criteria:
- Adults 12 to 75 years of age at the time of informed consent
- Severe asthma despite intensive follow-up by an asthma specialist for at least 6
months prior to Visit 1
- Baseline forced expiratory volume in 1 second (FEV1) at least 40% of predicted prior
to randomization
- Receiving high doses of inhaled glucocorticosteroids at a total daily dose of at
least 1500 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 at least 6 months prior to Visit 1
- Assessment to ensure diagnosis of refractory asthma and OCS dependence on minimal
effective or maximum tolerated dose with compliance
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 >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
We found this trial at
10
sites
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