Eosinophilic AsthmaPhase 3NCT01290887
Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Reslizumab (3.0 mg/kg) as Treatment for Patients (12 Through 75 Years of Age) With Eosinophilic Asthma
A Phase 3 study testing Reslizumab in people with Eosinophilic Asthma, run by Teva Branded Pharmaceutical Products R&D, Inc. at 219 sites in 31 countries.
Trial summary
The primary objective of the study is to evaluate the long-term safety of reslizumab at a dosage of 3.0 mg/kg every 4 weeks for approximately 24 months in pediatric and adult patients with eosinophilic asthma as assessed by adverse events, physical examination findings, vital sign measurements, and concomitant… Read more about this study
- Who is it for?
- Ages 12 to 75 years
- Conditions the study is for
- Eosinophilic Asthma
- What is being tested?
- Reslizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,052 participants
- Where
- 219 sitesin 31 countries
- Study dates
- Jun 2011to Jan 2015
- Phase
- Phase 3
- 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 12 to 75 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Written informed consent is obtained.
- Patient must have completed treatment in a previous Cephalon-sponsored double-blind asthma exacerbation study or received at least 2 doses of study drug treatment in a pulmonary function study.
- The patient must be willing and able to comply with study restrictions and to remain at the clinic for the required duration during the study period, and willing to return to the clinic for the follow-up evaluation as specified in this protocol.
- other criteria may apply; please contact the investigator for more information.
Who cannot join
- The patient has a clinically meaningful comorbidity that would interfere with the study schedule or procedures, or compromise the patient's safety.
- The patient has another confounding underlying lung disorder (eg, chronic obstructive pulmonary disease, pulmonary fibrosis, or lung cancer).
- The patient is a current smoker.
- The patient is expected to be poorly compliant with study drug administration, study procedures, or visits.
- The patient has any aggravating factors that are inadequately controlled (e.g., gastroesophageal reflux disease [GERD]).
- Female patients who are pregnant, or nursing, or, if of childbearing potential and not using a medically accepted, effective method of birth control (eg, spermicide, abstinence, intrauterine device [IUD], or steroidal contraceptive [oral, transdermal, implanted, and injected] in conjunction with a barrier method) are excluded from this study.
- The patient has a current infection or disease that may preclude assessment of asthma.
- other criteria may apply; please contact the investigator for more information.
Trial locations and contacts
219 sites in 31 countries.
219 sites in 31 countries
United States48 sites
Teva Investigational Site 66
Altoona, Pennsylvania
Teva Investigational Site 12
Anaheim, California
Teva Investigational Site 46
Bangor, Maine
Teva Investigational Site 63
Boerne, Texas
Teva Investigational Site 64
Boys Town, Nebraska
Teva Investigational Site 21
Charleston, South Carolina
Teva Investigational Site 20
Cincinnati, Ohio
Teva Investigational Site 31
Cincinnati, Ohio
Teva Investigational Site 53
Clearwater, Florida
Teva Investigational Site 2
Colorado Springs, Colorado
Teva Investigational Site 34
Colorado Springs, Colorado
Teva Investigational Site 44
Dallas, Texas
Teva Investigational Site 47
Denver, Colorado
Teva Investigational Site 69
El Paso, Texas
Teva Investigational Site 16
Fort Worth, Texas
Teva Investigational Site 11
Fountain Valley, California
Teva Investigational Site 41
Fresno, California
Teva Investigational Site 24
Largo, Florida
Teva Investigational Site 25
Lawrenceville, Georgia
Teva Investigational Site 49
Lexington, Kentucky
Teva Investigational Site 6
Lilburn, Georgia
Teva Investigational Site 73
Lincoln, Rhode Island
Teva Investigational Site 59
Long Beach, California
Teva Investigational Site 43
Los Angeles, California
Teva Investigational Site 33
Madison, Wisconsin
Teva Investigational Site 1
Medford, Oregon
Teva Investigational Site 27
Miami, Florida
Teva Investigational Site 55
Miami, Florida
Teva Investigational Site 5
Miami, Florida
Teva Investigational Site 32
Nashville, Tennessee
Teva Investigational Site 50
Oklahoma City, Oklahoma
Teva Investigational Site 8
Omaha, Nebraska
Teva Investigational Site 4
Orange, California
Teva Investigational Site 52
Orlando, Florida
Teva Investigational Site 9
Providence, Rhode Island
Teva Investigational Site 14
San Antonio, Texas
Teva Investigational Site 45
San Antonio, Texas
Teva Investigational Site 3
Savannah, Georgia
Teva Investigational Site 58
Scottsdale, Arizona
Teva Investigational Site 40
St Louis, Missouri
Teva Investigational Site 74
St Louis, Missouri
Teva Investigational Site 26
Summit, New Jersey
Teva Investigational Site 19
Tallahassee, Florida
Teva Investigational Site 17
Trinity, Florida
Teva Investigational Site 18
Valrico, Florida
Teva Investigational Site 15
Walnut Creek, California
Teva Investigational Site 28
Waterbury, Connecticut
Teva Investigational Site 30
Winston-Salem, North Carolina
Russia14 sites
Teva Investigational Site 545
Barnaul
Teva Investigational Site 549
Kemerovo
Teva Investigational Site 543
Moscow
Teva Investigational Site 544
Moscow
Teva Investigational Site 554
Moscow
Teva Investigational Site 558
Moscow
Teva Investigational Site 559
Moscow
Teva Investigational Site 555
Novosibirsk
Teva Investigational Site 557
Novosibirsk
Teva Investigational Site 540
Saint Petersburg
Teva Investigational Site 541
Saint Petersburg
Teva Investigational Site 542
Saint Petersburg
Teva Investigational Site 552
Tomsk
Teva Investigational Site 546
Yaroslavl
Ukraine12 sites
Teva Investigational Site 621
Dnipropetrovsk
Teva Investigational Site 629
Donetsk
Teva Investigational Site 630
Ivano-Frankivsk
Teva Investigational Site 620
Kharkiv
Teva Investigational Site 633
Kharkiv
Teva Investigational Site 622
Kyiv
Teva Investigational Site 623
Kyiv
Teva Investigational Site 624
Kyiv
Teva Investigational Site 625
Kyiv
Teva Investigational Site 626
Vinnytsia
Teva Investigational Site 631
Zaporizhzhya
Teva Investigational Site 632
Zaporizhzhya
Israel9 sites
Teva Investigational Site 423
Ashkelon
Teva Investigational Site 432
Haifa
Teva Investigational Site 425
Jerusalem
Teva Investigational Site 428
Jerusalem
Teva Investigational Site 426
Kfar Saba
Teva Investigational Site 422
Petah Tikva
Teva Investigational Site 433
Ramat Gan
Teva Investigational Site 421
Rehovot
Teva Investigational Site 420
Tel Aviv
South Africa9 sites
Teva Investigational Site 584
Cape Town
Teva Investigational Site 586
Cape Town
Teva Investigational Site 587
Centurion
Teva Investigational Site 582
Durban
Teva Investigational Site 585
Durban
Teva Investigational Site 580
Johannesburg
Teva Investigational Site 589
Johannesburg
Teva Investigational Site 583
Pretoria
Teva Investigational Site 588
Pretoria
Argentina8 sites
Teva Investigational Site 121
Ciudad Autonoma de Buenos Aire
Teva Investigational Site 126
Ciudad Autonoma de Buenos Aire
Teva Investigational Site 127
Ciudad Autonoma de Buenos Aire
Teva Investigational Site 128
Quilmes-Buenos Aires
Teva Investigational Site 125
Rosario
Teva Investigational Site 123
Rosario-Santa Fe
Teva Investigational Site 120
San Miguel de Tucuman - Tucuma
Teva Investigational Site 122
San Miguel de Tucuman - Tucuma
Germany8 sites
Teva Investigational Site 361
Berlin
Teva Investigational Site 366
Berlin
Teva Investigational Site 371
Bochum
Teva Investigational Site 369
Frankfurt
Teva Investigational Site 370
Hamburg
Teva Investigational Site 372
Koblenz
Teva Investigational Site 367
Leipzig
Teva Investigational Site 363
Mainz
Peru8 sites
Teva Investigational Site 223
Cercado de Lima, Lima
Teva Investigational Site 220
Lima
Teva Investigational Site 221
Lima
Teva Investigational Site 222
Lima
Teva Investigational Site 225
Lima
Teva Investigational Site 226
Lima
Teva Investigational Site 227
Lima
Teva Investigational Site 229
Lima
Poland8 sites
Teva Investigational Site 507
Bialystok
Teva Investigational Site 509
Bydgoszcz
Teva Investigational Site 513
Gdansk
Teva Investigational Site 512
Lodz
Teva Investigational Site 505
Lublin
Teva Investigational Site 500
Ostrów Wielkopolski
Teva Investigational Site 511
Poznan
Teva Investigational Site 504
Tarnów
Brazil7 sites
Teva Investigational Site 146
Belo Horizonte
Teva Investigational Site 150
Florianópolis
Teva Investigational Site 140
Porto Alegre
Teva Investigational Site 144
Porto Alegre
Teva Investigational Site 147
Porto Alegre - RS
Teva Investigational Site 143
Porto Alegre, RS
Teva Investigational Site 142
Santo André
Czechia7 sites
Teva Investigational Site 284
Břeclav
Teva Investigational Site 287
Brno
Teva Investigational Site 286
Liberec
Teva Investigational Site 280
Olomouc
Teva Investigational Site 281
Olomouc
Teva Investigational Site 285
Olomouc
Teva Investigational Site 283
Tábor
Hungary7 sites
Teva Investigational Site 401
Balassagyarmat
Teva Investigational Site 400
Miskolc
Teva Investigational Site 404
Mosonmagyaróvár
Teva Investigational Site 403
Sopron
Teva Investigational Site 407
Százhalombatta
Teva Investigational Site 402
Tatabánya
Teva Investigational Site 405
Törökbálint
Mexico7 sites
Teva Investigational Site 203
Distrito Federal
Teva Investigational Site 204
Guadalajara, JAL
Teva Investigational Site 200
Hermosillo, Sonora
Teva Investigational Site 205
Mexico City
Teva Investigational Site 207
Mexico City
Teva Investigational Site 209
Monterrey
Teva Investigational Site 202
Tijuana, B.C.
South Korea6 sites
Teva Investigational Site 682
Gwangju
Teva Investigational Site 680
Seoul
Teva Investigational Site 681
Seoul
Teva Investigational Site 683
Seoul
Teva Investigational Site 686
Seoul
Teva Investigational Site 685
Suwon
Belgium5 sites
Teva Investigational Site 261
Brussels
Teva Investigational Site 264
Brussels
Teva Investigational Site 260
Ghent
Teva Investigational Site 262
Jambes
Teva Investigational Site 263
Liège
Chile5 sites
Teva Investigational Site 160
Rancagua
Teva Investigational Site 164
Santiago
Teva Investigational Site 161
Temuco
Teva Investigational Site 162
Valdivia
Teva Investigational Site 166
Valparaíso
Malaysia5 sites
Teva Investigational Site 705
Batu Caves
Teva Investigational Site 701
George Town
Teva Investigational Site 700
Kuala Lumpur
Teva Investigational Site 702
Kuala Lumpur
Teva Investigational Site 704
Taiping
New Zealand5 sites
Teva Investigational Site 723
Auckland
Teva Investigational Site 724
Dunedin
Teva Investigational Site 727
Hamilton
Teva Investigational Site 720
Tauranga
Teva Investigational Site 721
Wellington
Philippines5 sites
Teva Investigational Site 742
Manila
Teva Investigational Site 740
Quezon City
Teva Investigational Site 741
Quezon City
Teva Investigational Site 743
Quezon City
Teva Investigational Site 745
Quezon City
Romania5 sites
Teva Investigational Site 523
Bucharest
Teva Investigational Site 524
Bucharest
Teva Investigational Site 520
Cluj-Napoca
Teva Investigational Site 521
Iași
Teva Investigational Site 522
Târgu Mureş
Sweden5 sites
Teva Investigational Site 602
Gothenburg
Teva Investigational Site 604
Gothenburg
Teva Investigational Site 603
Linköping
Teva Investigational Site 600
Lund
Teva Investigational Site 601
Malmö
Australia4 sites
Teva Investigational Site 641
East Bentleigh
Teva Investigational Site 642
Frankston
Teva Investigational Site 645
Liverpool
Teva Investigational Site 643
Nedlands
Canada4 sites
Teva Investigational Site 103
Calgary
Teva Investigational Site 101
Montreal
Teva Investigational Site 104
Newmarket
Teva Investigational Site 105
Windsor
Colombia4 sites
Teva Investigational Site 181
Bogotá
Teva Investigational Site 185
Bogotá
Teva Investigational Site 182
Cali
Teva Investigational Site 180
Floridablanca
Slovakia4 sites
Teva Investigational Site 563
Bradejov
Teva Investigational Site 561
Levice
Teva Investigational Site 560
Spišská Nová Ves
Teva Investigational Site 562
Topoľčany
Thailand3 sites
Teva Investigational Site 780
Bangkok
Teva Investigational Site 782
Bangkok
Teva Investigational Site 784
Nakhon Ratchasima
France2 sites
Teva Investigational Site 342
Marseille
Teva Investigational Site 341
Montpellier
Taiwan2 sites
Teva Investigational Site 761
Taipei
Teva Investigational Site 763
Taoyuan
About this study
Official title: An Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Reslizumab (3.0 mg/kg) as Treatment for Patients With Eosinophilic Asthma Who Completed a Prior Teva-Sponsored Study in Eosinophilic Asthma
The primary objective of the study is to evaluate the long-term safety of reslizumab at a dosage of 3.0 mg/kg every 4 weeks for approximately 24 months in pediatric and adult patients with eosinophilic asthma as assessed by adverse events, physical examination findings, vital sign measurements, and concomitant medication usage throughout the study (every 4 weeks), clinical laboratory test results, and measurement of antidrug antibodies.
Read the detailed description
Study patients deemed eligible based on activities from the preceding Teva sponsored double blind study of reslizumab in eosinophilic asthma. Specifically, as per inclusion criterion c, patients must have either completed treatment in a previous Teva-sponsored study or have received at least 2 doses of study drug treatment in a pulmonary function study.
Eligible patients could enroll in this study only after completion of the end of treatment visit in a Teva sponsored, randomized, placebo controlled, double blind study of reslizumab in eosinophilic asthma, which served as the screening/baseline visit for participation in this open label extension study. The use of systemic corticosteroids for asthma in any of the previous Teva sponsored double blind studies of reslizumab did not exclude patients from this study. The previous Teva studies were C38072/3081 (NCT01270464), C38072/3082 (NCT01287039), and C38072/3083 (NCT01285323).
- Conditions
- Eosinophilic Asthma
- Being tested
- Reslizumab
- Medical subject headings
- Pulmonary Eosinophilia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ReslizumabDrug
Also called Cinquil, humanized monoclonal antibody, CEP-38072
Reslizumab (3.0 mg/kg) administered intravenously by infusion every 28 days (±7 days), for approximately 24 months
| Study group | Role | What they receive |
|---|---|---|
| Reslizumab 3.0 mg/kg | Experimental | Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months. Receives: Drug: Reslizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participants With Treatment-Emergent Adverse Events
An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Measured: Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology, and urinalysis values on any of the during treatment lab analyses.
Significance criteria:
- Blood urea nitrogen: >=10.71 mmol/L
- Creatinine: >=177 μmol/L
- Uric acid: M>=625, F>=506 μmol/L
- Aspartate aminotransferase: >=3*upper limit of normal (ULN). Normal range is 10-43 U/L
- Alanine aminotransferase: >=3*ULN. Normal range is 10-40 U/L
- GGT = gamma-glutamyl transpeptidase: >= 3*upper limit of normal. Normal range is 5-49 U/L.
- Total bilirubin: >=34.2 μmol/L
- White blood cells- low: <=3.0*10^9/L
- White blood cells-high: >=20*10^9/L
- Hemoglobin: M<=115, F<=95 g/dL
- Hematocrit: M<0.37, F<0.32 L/L
- Platelets: >=700*10^9/L
- Absolute neutrophil count: <=1.0*10^9/L
- Eosinophils: >=10
- Urinalysis: ketones, blood, glucose, and total protein: >=2 unit increase from baseline
Measured: Weeks 4, 8, 24 and 48
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Data represents participants with PCS vital sign values during any of the during treatment visits or the follow-up visit.
Significance criteria
- Sitting heart rate-high: >100 and increase of >= 30 beats/min (all ages)
- Sitting heart rate-low: <50 and decrease of >=30 beats/min
- Sitting systolic blood pressure (BP)-high: >130 and increase of >=30 mmHg (ages 12-17)
- Systolic BP-low: <90 and decrease of >=30 mmHg (ages >=18)
- Systolic BP-high: >160 and increase of >=30 mmHg (ages >=18)
- Sitting diastolic BP-low: <55 and decrease of >=12 mmHg (ages 12-17)
- Diastolic BP-high: >85 and increase of >=12 mmHg (ages 12-17)
- Diastolic BP-low: <50 and decrease of >=12 mmHg (ages >=18)
- Diastolic BP-high: >100 and increase of >=12 mmHg (ages >=18)
- Respiration rate: >20 and increase of >=10 breaths/minute (ages 12-17)
- Respiration rate: >24 and increase of >=10 breaths/minute (ages >=18)
- Body temperature-low: <96.5° Fahrenheit (all ages)
- Body temp-high: >100.5° F (all ages)
Measured: Week 4 to Week 65
Secondary outcomes (9)
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
The percent predicted FEV1 is the ratio of the volume of air expired in the first second of a forced expiration to the patient's predicted FEV based on a similar population without asthma. Percent predicted lung function values were transcribed directly from the lung function report to the CRF, without any calculation by Teva.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
The FVC is the volume of air that can be forcibly blown out after full inspiration, measured in liters.
.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
The FEF 25%-75% is the force expiratory flow at 25% to 75% of the Forced Vital Capacity (FVC), measured in liters/second
.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
SABA are used for quick relief of asthma symptoms. To measure SABA use, at each clinical visit participants were asked to recall their usage of SABA therapy within the last 3 days of the scheduled visit. If usage was confirmed, the number of puffs used was recorded. For the purpose of summaries, an average daily usage was evaluated by dividing the total number of puffs recorded over 3 days by 3.
.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control.
.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the total score is the mean of all responses (the total scale is therefore 0-6). A higher score is an indication of poorer asthma control.
Measured: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. Five of the activity questions were "patient-specific," which means that each patient identified and scored 5 activities in which the patient was limited by asthma; these 5 activities were identified at the first visit and retained for all subsequent follow-up visits.
Measured: Weeks 24, 48, 72, 96, End of Study and Endpoint
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Blood samples were collected for the determination of anti-drug antibody (ADAs) before study drug infusion at baseline and every 24 weeks until end of treatment visit or early withdrawal. Serum samples were analyzed by Teva (Teva Biopharmaceuticals USA, Rockville, Maryland, USA) using a validated homogeneous solution based bridging enzyme linked immune sorbent assay (Mikulsis et al 2011, Qui et al 2010). The analysis of anti-reslizumab antibody in patient serum consists of 3 tiers of assays for screening, confirmation, and titer analysis. If a participant had a treatment-emergent ADA response (ie, ADA positive at any of the postdose time points but negative at the predose time point) or if there was a treatment-boosted ADA response (defined as a greater than 4-fold increase from a positive baseline ADA response (Shankar et at 2014), the participant was classified as overall ADA positive.
Predose samples for the reslizumab-experienced participants came from the previous studies.
Measured: Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Feb 2011 (estimated)
- Study startJun 2011
- Primary completionJan 2015
- Study completionJan 2015
Why it stopped: Business decision
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 Eosinophilic AsthmaStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,052 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Sponsor's Medical Expert, Senior Director - Worldwide Clinical Research, Study director, Cephalon
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01290887
- Sponsor's protocol ID
- C38072/3085
- Other IDs
- 2010-024540-15
- Status last verified
- Apr 2016
- First submitted
- 4 Feb 2011
- Last updated
- 6 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 6 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Reslizumab (3.0 mg/kg) as Treatment for Patients With Eosinophilic Asthma Who Completed a Prior Teva-Sponsored Study in Eosinophilic Asthma
- ClinicalTrials.gov ID
- NCT01290887
- Acronym / sponsor ID
- C38072/3085
- Conditions
- Eosinophilic Asthma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Business decision
- Enrolment
- 1,052 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Study start
- Jun 2011
- Primary completion
- Jan 2015 (actual)
- Study completion
- Jan 2015 (actual)
- First posted
- 7 Feb 2011 (estimated)
- Results
- Posted 6 Jun 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to evaluate the long-term safety of reslizumab at a dosage of 3.0 mg/kg every 4 weeks for approximately 24 months in pediatric and adult patients with eosinophilic asthma as assessed by adverse events, physical examination findings, vital sign measurements, and concomitant medication usage throughout the study (every 4 weeks), clinical laboratory test results, and measurement of antidrug antibodies.
Detailed description
Study patients deemed eligible based on activities from the preceding Teva sponsored double blind study of reslizumab in eosinophilic asthma. Specifically, as per inclusion criterion c, patients must have either completed treatment in a previous Teva-sponsored study or have received at least 2 doses of study drug treatment in a pulmonary function study.
Eligible patients could enroll in this study only after completion of the end of treatment visit in a Teva sponsored, randomized, placebo controlled, double blind study of reslizumab in eosinophilic asthma, which served as the screening/baseline visit for participation in this open label extension study. The use of systemic corticosteroids for asthma in any of the previous Teva sponsored double blind studies of reslizumab did not exclude patients from this study. The previous Teva studies were C38072/3081 (NCT01270464), C38072/3082 (NCT01287039), and C38072/3083 (NCT01285323).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Reslizumab 3.0 mg/kg | Experimental | Drug: ReslizumabReslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months. |
Who may qualify
- Ages
- 12 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Written informed consent is obtained.
- Patient must have completed treatment in a previous Cephalon-sponsored double-blind asthma exacerbation study or received at least 2 doses of study drug treatment in a pulmonary function study.
- The patient must be willing and able to comply with study restrictions and to remain at the clinic for the required duration during the study period, and willing to return to the clinic for the follow-up evaluation as specified in this protocol.
- other criteria may apply; please contact the investigator for more information.
Key exclusion criteria (8 listed)
- The patient has a clinically meaningful comorbidity that would interfere with the study schedule or procedures, or compromise the patient's safety.
- The patient has another confounding underlying lung disorder (eg, chronic obstructive pulmonary disease, pulmonary fibrosis, or lung cancer).
- The patient is a current smoker.
- The patient is expected to be poorly compliant with study drug administration, study procedures, or visits.
- The patient has any aggravating factors that are inadequately controlled (e.g., gastroesophageal reflux disease [GERD]).
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 |
|---|---|---|
| ReslizumabAlso: Cinquil, humanized monoclonal antibody, CEP-38072Reslizumab (3.0 mg/kg) administered intravenously by infusion every 28 days (±7 days), for approximately 24 months | Drug | Reslizumab 3.0 mg/kg |
Primary outcome
Participants With Treatment-Emergent Adverse Events
Time frame: Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Time frame: Weeks 4, 8, 24 and 48
Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology, and urinalysis values on any of the during treatment lab analyses. Significance criteria: * Blood urea nitrogen: >=10.71 mmol/L * Creatinine: >=177 μmol/L * Uric acid: M>=625, F>=506 μmol/L * Aspartate aminotransferase: >=3*upper limit of normal (ULN). Normal range is 10-43 U/L * Alanine aminotransferase: >=3*ULN. Normal range is 10-40 U/L * GGT = gamma-glutamyl transpeptidase: >= 3*upper limit of normal. Normal range is 5-49 U/L. * Total bilirubin: >=34.2 μmol/L * White blood cells- low: <=3.0*10^9/L * White blood cells-high: >=20*10^9/L * Hemoglobin: M<=115, F<=95 g/dL * Hematocrit: M<0.37, F<0.32 L/L * Platelets: >=700*10^9/L * Absolute neutrophil count: <=1.0*10^9/L * Eosinophils: >=10 * Urinalysis: ketones, blood, glucose, and total protein: >=2 unit increase from baseline
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Time frame: Week 4 to Week 65
Data represents participants with PCS vital sign values during any of the during treatment visits or the follow-up visit. Significance criteria * Sitting heart rate-high: >100 and increase of >= 30 beats/min (all ages) * Sitting heart rate-low: <50 and decrease of >=30 beats/min * Sitting systolic blood pressure (BP)-high: >130 and increase of >=30 mmHg (ages 12-17) * Systolic BP-low: <90 and decrease of >=30 mmHg (ages >=18) * Systolic BP-high: >160 and increase of >=30 mmHg (ages >=18) * Sitting diastolic BP-low: <55 and decrease of >=12 mmHg (ages 12-17) * Diastolic BP-high: >85 and increase of >=12 mmHg (ages 12-17) * Diastolic BP-low: <50 and decrease of >=12 mmHg (ages >=18) * Diastolic BP-high: >100 and increase of >=12 mmHg (ages >=18) * Respiration rate: >20 and increase of >=10 breaths/minute (ages 12-17) * Respiration rate: >24 and increase of >=10 breaths/minute (ages >=18) * Body temperature-low: <96.5° Fahrenheit (all ages) * Body temp-high: >100.5° F (all ages)
9 secondary outcomes
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Time frame: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpoint
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
Time frame: Weeks 24, 48, 72, 96, End of Study and Endpoint
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Time frame: Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jun 2016.
- 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.
Sponsor's Medical Expert, Senior Director - Worldwide Clinical Research study director
Cephalon
219 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Reslizumab in people with Eosinophilic Asthma, run by Teva Branded Pharmaceutical Products R&D, Inc. at 219 sites in 31 countries.
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 4 inclusion and 8 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: stopped early, as of the sponsor's last update on 6 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 219 sites in United States, Russia, Ukraine, Israel, South Africa and 26 more countries. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 6 Jun 2016). 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?
Participants With Treatment-Emergent Adverse Events (time frame: Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.). The study lists 3 primary outcomes in all. 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 6 Jun 2016.