Allergic AsthmaPhase 4XPORTNCT01125748
A Study Evaluating the Persistency of Response With or Without Xolair (Omalizumab) After Long-term Therapy
A Phase 4 study testing Omalizumab and Asthma therapies in people with Allergic Asthma, run by Genentech, Inc. at 100 sites in United States.
Trial summary
This was a randomized, double-blind, placebo-controlled, 2-arm, 1-year study of participants who completed the EXCELS study (NCT00252135) and had received long-term treatment with Xolair. Read more about this study
- Who is it for?
- Ages 17 to 70 years
- Conditions the study is for
- Allergic Asthma
- What is being tested?
- Omalizumab and Asthma therapies
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 176 participants
- Where
- 100 sitesUnited States
- Study dates
- May 2010to Aug 2013
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 17 to 70 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Signed Informed Consent Form (ICF). In the case of a minor, consent must be given by the child's parent or legally authorized representative.
- Participants who have completed the EXCELS study prior to this study must have met all inclusion criteria for enrollment in the EXCELS study.
- History of positive skin test or in vitro reactivity to an aeroallergen.
- Continuous Xolair (omalizumab) exposure from the beginning of the EXCELS study to randomization into this study (if the participant participated in the EXCELS study), or within the previous 5 years prior to randomization into this study (if the participant did not participate in the EXCELS study). For the purposes of this study, continuous Xolair exposure is defined as having missed no more than 25% of scheduled Xolair doses. In addition, a maximum of 2 doses can be missed within the last 6 months before being randomized into this study. For participants who did not participate in the EXCELS study, missed-dose rates will be based on their injection records.
- Patients who participated in the EXCELS study must have completed the EXCELS study and not discontinued Xolair since the completion of the EXCELS study.
- Diagnosis of moderate to severe persistent allergic asthma while on Xolair as defined per physician's assessment.
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- Stable dosing of current asthma therapies, in addition to Xolair, over 2 months prior to enrollment.
- Serum IgE level ≥ 30 to ≤ 700 IU/mL before initiation of Xolair treatment (prior to the EXCELS study enrollment or earlier).
- Body weight ≥ 30 to ≤ 150 kg.
- Treatment with Xolair consistent with the US package insert (USPI) (based on the dosing table, recommended dose, administration, and dosing interval) prior to enrollment to this study.
- Participants who participated in the EXCELS study must be willing to allow their EXCELS study data to be used in this study as part of baseline demographic values (such as forced expiratory volume in 1 second [FEV1] and Asthma Control Test [ACT]), as documented in the ICF.
Who cannot join
- Participation in other therapy trials or planned participation during the following year from screening.
- Contraindication to Xolair therapy (eg, participants who experienced a severe hypersensitivity reaction to Xolair).
- Acute asthma exacerbation within the 2 months immediately prior to screening that required any of the following: Initiation of systemic corticosteroids, increased dosing of systemic corticosteroids relative to "stable" dose, doubling of inhaled corticosteroid (ICS) dosing, emergency room visit, and hospitalization.
- Any significant, or unstable, systemic disease (eg, infection, hematologic, renal, hepatic, cardiovascular diseases, or gastrointestinal diseases), or a recent hospitalization because of systemic disease within the previous 2 months.
- Diagnosis of active lung disease other than asthma.
- Having more than 10 pack-years smoking history.
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- Diagnosis of cystic fibrosis.
- Use of an experimental drug within 30 days prior to study screening.
- Unable or unwilling to comply with study procedures and visits (eg, spirometry, blood draws).
- Have elevated serum IgE levels for reasons other than allergy (eg, parasite infections, hyperimmunoglobulin E syndrome, Wiskott-Aldrich syndrome, or bronchopulmonary aspergillosis).
- Pregnancy, lactation, or any planned pregnancy in the following year.
Trial locations and contacts
100 sites in 1 country.
100 sites in 1 country
United States100 sites
Study site
Albany, Georgia, 31707
Study site
Albany, New York, 12205
Study site
Altoona, Pennsylvania, 16601
Study site
Asheville, North Carolina, 28801
Study site
Bakersfield, California, 93301
Study site
Baltimore, Maryland, 21236
Study site
Bay Pines, Florida, 33744
Study site
Beaver, Pennsylvania, 15009
Study site
Beavercreek, Ohio, 45434
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Bellevue, Nebraska, 68123
Study site
Boston, Massachusetts, 02114
Study site
Carlisle, Pennsylvania, 17013
Study site
Centennial, Colorado, 80112
Study site
Centerville, Ohio, 45458
Study site
Chicago, Illinois, 60612
Study site
Clearwater, Florida, 33765
Study site
Columbus, Georgia, 31904
Study site
Cranford, New Jersey, 07016
Study site
Dallas, Texas, 75230
Study site
Dallas, Texas, 75231
Study site
Edison, New Jersey, 08820
Study site
El Paso, Texas, 79925
Study site
Ellicott City, Maryland, 21042
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Fargo, North Dakota, 58103
Study site
Fargo, North Dakota, 58104
Study site
Fort Wayne, Indiana, 46804
Study site
Fort Wayne, Indiana, 46815
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Fresno, California, 93720
Study site
Fresno, California, 93726
Study site
Gainesville, Georgia, 30501
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Gaithersburg, Maryland, 20878
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Gardner, Massachusetts, 01440
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Garland, Texas, 75044
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Glen Carbon, Illinois, 62034
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Granada Hills, California, 91344
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Greenville, South Carolina, 29607
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Harrisburg, Pennsylvania, 17110
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Heath, Texas, 75032
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High Point, North Carolina, 27262
Study site
Hillsborough, New Jersey, 08844
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Huntsville, Alabama, 35801
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Knoxville, Tennessee, 37909
Study site
Lexington, Kentucky, 40513
Study site
Liberty, Missouri, 64068
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Lincoln, Rhode Island, 02865
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Little Rock, Arkansas, 72205
Study site
Los Angeles, California, 90025
Study site
Los Angeles, California, 90064
Study site
Loxahatchee Groves, Florida, 33470
Study site
Madison, Wisconsin, 53715
Study site
Mandeville, Louisiana, 70471
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Metairie, Louisiana, 70002
Study site
Middletown, New York, 10940
Study site
Mineola, New York, 11501
Study site
Mount Vernon, New York, 10552
Study site
Napa, California, 94558
Study site
New Paltz, New York, 12561
Study site
New York, New York, 10022
Study site
Newburgh, New York, 12550
Study site
North Dartmouth, Massachusetts, 02747
Study site
Ocala, Florida, 34471
Study site
Oklahoma City, Oklahoma, 73112
Study site
Olean, New York, 14760
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Omaha, Nebraska, 68130
Study site
Overland Park, Kansas, 66210
Study site
Park Ridge, Illinois, 60068
Study site
Pensacola, Florida, 32503
Study site
Pittsburgh, Pennsylvania, 15213
Study site
Pittsburgh, Pennsylvania, 15221
Study site
Redwood City, California, 94063
Study site
Richmond, Virginia, 23298
Study site
Rockville Centre, New York, 11570
Study site
Round Rock, Texas, 78681
Study site
Sacramento, California, 95819
Study site
San Antonio, Texas, 78233
Study site
San Antonio, Texas, 78251
Study site
San Francisco, California, 94104
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San Mateo, California, 94401
Study site
Sasint Louis, Missouri, 63104
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Spokane, Washington, 99204
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Springfield, Missouri, 65807
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St Louis, Missouri, 63110
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St Louis, Missouri, 63141
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Staten Island, New York, 10304
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Studio City, California, 91607
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Tacoma, Washington, 98405
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Tampa, Florida, 33613
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Taunton, Massachusetts, 02780
Study site
The Bronx, New York, 10423
Study site
The Bronx, New York, 10461
Study site
The Bronx, New York, 10465
Study site
Thornton, Colorado, 80233
Study site
Topeka, Kansas, 66606
Study site
Tulsa, Oklahoma, 74133
Study site
Upland, Pennsylvania, 19013
Study site
Verona, New Jersey, 07044
Study site
Walnut Creek, California, 94598
Study site
Waterbury, Connecticut, 06708
Study site
West Palm Beach, Florida, 33401
Study site
Wheeling, West Virginia, 26003
About this study
Official title: A Phase IV, Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Persistency of Response With or Without Xolair After Long-term Therapy (XPORT)
This was a randomized, double-blind, placebo-controlled, 2-arm, 1-year study of participants who completed the EXCELS study (NCT00252135) and had received long-term treatment with Xolair. In addition, participants who did not participate in the EXCELS study but received long-term (~5 years) treatment with Xolair were allowed to enter the study.
Read the detailed description
The treatment designation for participants who reached the primary efficacy endpoint (1 protocol-defined severe asthma exacerbation) was unblinded to allow appropriate clinical intervention. Participants who had their treatment designation unblinded remained in the study for ongoing evaluation of safety and were allowed to continue on study drug known to be Xolair (or to start study drug known to be Xolair if they were in the placebo group).
- Conditions
- Allergic Asthma
- Being tested
- Omalizumab, Placebo, Asthma therapies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OmalizumabDrug
Also called Xolair
Omalizumab was supplied as a sterile, white, preservative-free, lyophilized powder in single-use vials that was reconstituted with sterile water for injection.
PlaceboDrug
Placebo contained the same ingredients as the omalizumab formulation, excluding omalizumab.
Asthma therapiesDrug
Participants could receive 1 or more of the following medications as concomitant asthma therapy: Inhaled corticosteroids; long acting beta-agonists; zafirlukast or other leukotriene receptor antagonist; zileuton or other 5-lipoxygenase enzyme inhibitors; oral, inhaled, and/or nasal anticholinergic therapy; mast-cell stabilizers; theophyllines; chronic oral corticosteroids, defined as a minimum dose of oral prednisone of 2 to 40 mg/day or 5 to 80 mg every other day.
| Study group | Role | What they receive |
|---|---|---|
| Omalizumab | Experimental | Participants received omalizumab subcutaneously at the same dose and dosing interval as administered prior to enrollment in this study. The dose of omalizumab was either a minimum of 0.008 mg/kg/IgE (IU/mL) every 2 weeks or a minimum of 0.016 mg/kg/IgE (IU/mL) every 4 weeks for 48 weeks. Receives: Drug: Omalizumab; Drug: Asthma therapies |
| Placebo | Placebo comparator | Participants received placebo subcutaneously at the same dosing interval as omalizumab was administered prior to enrollment in this study. Receives: Drug: Placebo; Drug: Asthma therapies |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Not Experiencing a Protocol-defined Severe Exacerbation During the Study
A protocol-defined severe exacerbation was a clinically significant worsening of asthma which, in the clinical judgment of the investigator, required at least 1 of the following: (1) Initiation of systemic corticosteroid treatment (tablets, suspension, or injection) or an increase in the level of systemic corticosteroid treatment from a stable maintenance dose for at least 3 days (For patients taking chronic oral corticosteroids, a protocol-defined severe exacerbation was any clinically significant worsening of asthma requiring ≥ 3 days of treatment with at least a 20 mg increase in the average daily dose of oral prednisone or a comparable dose of systemic corticosteroids) or (2) a hospitalization or emergency room visit because of asthma requiring systemic corticosteroids.
Measured: Baseline to the end of the study (up to 52 weeks)
Secondary outcomes (1)
Time to the First Protocol-defined Severe Exacerbation
A protocol-defined severe exacerbation was a clinically significant worsening of asthma which, in the clinical judgment of the investigator, required at least 1 of the following: (1) Initiation of systemic corticosteroid treatment (tablets, suspension, or injection) or an increase in the level of systemic corticosteroid treatment from a stable maintenance dose for at least 3 days (For patients taking chronic oral corticosteroids, a protocol-defined severe exacerbation was any clinically significant worsening of asthma requiring ≥ 3 days of treatment with at least a 20 mg increase in the average daily dose of oral prednisone or a comparable dose of systemic corticosteroids) or (2) a hospitalization or emergency room visit because of asthma requiring systemic corticosteroids.
Measured: Baseline to the end of the study (up to 52 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 May 2010 (estimated)
- Study startMay 2010
- Primary completionAug 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Allergic AsthmaStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 176 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Genentech, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01125748
- Sponsor's protocol ID
- Q4777n
- Other IDs
- ML01347
- Acronym
- XPORT
- Status last verified
- Oct 2014
- First submitted
- 14 May 2010
- Last updated
- 15 Oct 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IV, Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Persistency of Response With or Without Xolair After Long-term Therapy (XPORT)
- ClinicalTrials.gov ID
- NCT01125748
- Acronym / sponsor ID
- XPORT / Q4777n
- Conditions
- Allergic Asthma
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 176 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- May 2010
- Primary completion
- Aug 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 18 May 2010 (estimated)
- Results
- Posted 15 Oct 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a randomized, double-blind, placebo-controlled, 2-arm, 1-year study of participants who completed the EXCELS study (NCT00252135) and had received long-term treatment with Xolair. In addition, participants who did not participate in the EXCELS study but received long-term (~5 years) treatment with Xolair were allowed to enter the study.
Detailed description
The treatment designation for participants who reached the primary efficacy endpoint (1 protocol-defined severe asthma exacerbation) was unblinded to allow appropriate clinical intervention. Participants who had their treatment designation unblinded remained in the study for ongoing evaluation of safety and were allowed to continue on study drug known to be Xolair (or to start study drug known to be Xolair if they were in the placebo group).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Omalizumab | Experimental | Drug: Omalizumab, Drug: Asthma therapiesParticipants received omalizumab subcutaneously at the same dose and dosing interval as administered prior to enrollment in this study. The dose of omalizumab was either a minimum of 0.008 mg/kg/IgE (IU/mL) every 2 weeks or a minimum of 0.016 mg/kg/IgE (IU/mL) every 4 weeks for 48 weeks. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Asthma therapiesParticipants received placebo subcutaneously at the same dosing interval as omalizumab was administered prior to enrollment in this study. |
Who may qualify
- Ages
- 17 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (11 listed)
- Signed Informed Consent Form (ICF). In the case of a minor, consent must be given by the child's parent or legally authorized representative.
- Participants who have completed the EXCELS study prior to this study must have met all inclusion criteria for enrollment in the EXCELS study.
- History of positive skin test or in vitro reactivity to an aeroallergen.
- Continuous Xolair (omalizumab) exposure from the beginning of the EXCELS study to randomization into this study (if the participant participated in the EXCELS study), or within the previous 5 years prior to randomization into this study (if the participant did not participate in the EXCELS study). For the purposes of this study, continuous Xolair exposure is defined as having missed no more than 25% of scheduled Xolair doses. In addition, a maximum of 2 doses can be missed within the last 6 months before being randomized into this study. For participants who did not participate in the EXCELS study, missed-dose rates will be based on their injection records.
- Patients who participated in the EXCELS study must have completed the EXCELS study and not discontinued Xolair since the completion of the EXCELS study.
Key exclusion criteria (11 listed)
- Participation in other therapy trials or planned participation during the following year from screening.
- Contraindication to Xolair therapy (eg, participants who experienced a severe hypersensitivity reaction to Xolair).
- Acute asthma exacerbation within the 2 months immediately prior to screening that required any of the following: Initiation of systemic corticosteroids, increased dosing of systemic corticosteroids relative to "stable" dose, doubling of inhaled corticosteroid (ICS) dosing, emergency room visit, and hospitalization.
- Any significant, or unstable, systemic disease (eg, infection, hematologic, renal, hepatic, cardiovascular diseases, or gastrointestinal diseases), or a recent hospitalization because of systemic disease within the previous 2 months.
- Diagnosis of active lung disease other than asthma.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OmalizumabAlso: XolairOmalizumab was supplied as a sterile, white, preservative-free, lyophilized powder in single-use vials that was reconstituted with sterile water for injection. | Drug | Omalizumab |
| PlaceboPlacebo contained the same ingredients as the omalizumab formulation, excluding omalizumab. | Drug | Placebo |
| Asthma therapiesParticipants could receive 1 or more of the following medications as concomitant asthma therapy: Inhaled corticosteroids; long acting beta-agonists; zafirlukast or other leukotriene receptor antagonist; zileuton or other 5-lipoxygenase enzyme inhibitors; oral, inhaled, and/or nasal anticholinergic therapy; mast-cell stabilizers; theophyllines; chronic oral corticosteroids, defined as a minimum dose of oral prednisone of 2 to 40 mg/day or 5 to 80 mg every other day. | Drug | Omalizumab, Placebo |
Primary outcome
Percentage of Participants Not Experiencing a Protocol-defined Severe Exacerbation During the Study
Time frame: Baseline to the end of the study (up to 52 weeks)
A protocol-defined severe exacerbation was a clinically significant worsening of asthma which, in the clinical judgment of the investigator, required at least 1 of the following: (1) Initiation of systemic corticosteroid treatment (tablets, suspension, or injection) or an increase in the level of systemic corticosteroid treatment from a stable maintenance dose for at least 3 days (For patients taking chronic oral corticosteroids, a protocol-defined severe exacerbation was any clinically significant worsening of asthma requiring ≥ 3 days of treatment with at least a 20 mg increase in the average daily dose of oral prednisone or a comparable dose of systemic corticosteroids) or (2) a hospitalization or emergency room visit because of asthma requiring systemic corticosteroids.
1 secondary outcome
Time to the First Protocol-defined Severe Exacerbation
Time frame: Baseline to the end of the study (up to 52 weeks)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Genentech, Inc.
100 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Omalizumab and Asthma therapies in people with Allergic Asthma, run by Genentech, Inc. at 100 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 100 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Oct 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Not Experiencing a Protocol-defined Severe Exacerbation During the Study (time frame: Baseline to the end of the study (up to 52 weeks)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2014.