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AsthmaPhase 2NCT01312961

Efficacy, Safety, and Tolerability of Dupilumab in Patients With Persistent Moderate to Severe Eosinophilic Asthma

A Phase 2 study testing Dupilumab, Fluticasone/Salmeterol combination therapy and Fluticasone monotherapy in people with Asthma, run by Sanofi at 50 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Primary Objective: To investigate the effects of Dupilumab (SAR231893/REGN668) administered subcutaneously (SC) once weekly (qw) for 12 weeks as compared to placebo on reducing the incidence of asthma exacerbation in participants with persistent moderate to severe eosinophilic asthma. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Asthma
What is being tested?
Dupilumab, Fluticasone/Salmeterol combination therapy and Fluticasone monotherapy
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
104 participants
Where
50 sitesUnited States
Study dates
Mar 2011to Oct 2012
Phase
Phase 2
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Medical diagnosis of persistent asthma for at least 12 months whose:
  • airway inflammation likely to be eosinophilic,
  • asthma partially controlled or uncontrolled on ICS plus LABA therapy.
  • On a stable dose of either Fluticasone/Salmeterol, Budesonide/Formoterol, Mometasone/Formoterol combination therapy for at least 1 month prior to screening.
  • Signed an Informed Consent Form and Health Insurance Portability and Accountability Act (HIPAA) Authorization Form.

Who cannot join

  • Less than 18 years or greater than 65 years of age.
  • Clinically relevant abnormal laboratory values suggesting an unknown disease and requiring further evaluation.
  • Chronic obstructive pulmonary disease and/or other lung diseases impairing Pulmonary Function Tests.
  • Beta-adrenergic receptor blockers required for any reason.
  • Current smoker or cessation of smoking within the 6 months prior to screening.
  • Previous smoking with a smoking history >10 cigarette pack/years.
Show all 14Show fewer
  • Participation in another study within 6 months prior to screening if the study medication was an antibody or within 30 days prior to screening for all other study medications.
  • Known or suspected non-compliance, alcohol or drug abuse.
  • Inability to follow the procedures of the study (e.g, due to language problems, psychological disorders).
  • Concomitant severe diseases or diseases for which the use of ICS or LABA were contraindicated.
  • Known allergy to doxycycline or related compounds.
  • Pregnancy or intention to become pregnant during the course of the study, breast feeding, or unwillingness to use a highly effective method of contraception throughout the study in women of childbearing potential.
  • Recent history of a parasitic infection or travel to a parasitic endemic area within 6 months prior to screening.
  • The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Trial locations and contacts

50 sites in 1 country.

50 sites in 1 country

United States50 sites
  • Investigational Site Number 840047

    Anaheim, California, 92804

  • Investigational Site Number 840014

    Baltimore, Maryland, 21287

  • Investigational Site Number 840022

    Bozeman, Montana, 59718

  • Investigational Site Number 840027

    Charleston, South Carolina, 29407

  • Investigational Site Number 840031

    Colorado Springs, Colorado, 80907

  • Investigational Site Number 840011

    Denver, Colorado, 80206

  • Investigational Site Number 840017

    Denver, Colorado, 80230

  • Investigational Site Number 840030

    El Paso, Texas, 79902

  • Investigational Site Number 840040

    Hershey, Pennsylvania, 17033

  • Investigational Site Number 840028

    Indianapolis, Indiana, 46208

  • Investigational Site Number 840038

    Iowa City, Iowa, 52240

  • Investigational Site Number 840001

    Lake Oswego, Oregon, 97035

  • Investigational Site Number 840046

    Long Beach, California, 90806

  • Investigational Site Number 840032

    Los Angeles, California, 90025

  • Investigational Site Number 840036

    Los Angeles, California, 90048

  • Investigational Site Number 840034

    Madison, Wisconsin, 53792

  • Investigational Site Number 840012

    Medford, Oregon, 97504

  • Investigational Site Number 840003

    Minneapolis, Minnesota, 55402

  • Investigational Site Number 840010

    Minneapolis, Minnesota, 55402

  • Investigational Site Number 840005

    Mission Viejo, California, 92691

  • Investigational Site Number 840026

    New Haven, Connecticut, 06510

  • Investigational Site Number 840015

    North Dartmouth, Massachusetts, 02747

  • Investigational Site Number 840045

    Oklahoma City, Oklahoma, 73120

  • Investigational Site Number 840025

    Omaha, Nebraska, 68131

  • Investigational Site Number 840007

    Orange, California, 92868

  • Investigational Site Number 840021

    Overland Park, Kansas, 66210

  • Investigational Site Number 840053

    Owensboro, Kentucky, 42303

  • Investigational Site Number 840008

    Papillion, Nebraska, 27103

  • Investigational Site Number 840037

    Pittsburgh, Pennsylvania, 15213

  • Investigational Site Number 840016

    Portland, Oregon, 97209

  • Investigational Site Number 840018

    Princeton, New Jersey, 08540

  • Investigational Site Number 840049

    Richmond, Virginia, 23229

  • Investigational Site Number 840048

    Riverside, California, 92506

  • Investigational Site Number 840035

    Rolling Hills Estates, California, 90274

  • Investigational Site Number 840050

    San Antonio, Texas, 78229

  • Investigational Site Number 840041

    San Francisco, California, 94143

  • Investigational Site Number 840042

    San Francisco, California, 94143

  • Investigational Site Number 840039

    San Jose, California, 95117

  • Investigational Site Number 840024

    Santa Rosa, California, 95405

  • Investigational Site Number 840020

    Seattle, Washington, 98105

  • Investigational Site Number 840052

    South Burlington, Vermont, 05403

  • Investigational Site Number 840006

    St Louis, Missouri, 63110

  • Investigational Site Number 840013

    St Louis, Missouri, 63141

  • Investigational Site Number 840002

    Stockton, California, 95207

  • Investigational Site Number 840023

    Sylvania, Ohio, 43560

  • Investigational Site Number 840019

    Tacoma, Washington, 98415-0299

  • Investigational Site Number 840044

    Tallahassee, Florida, 32308

  • Investigational Site Number 840029

    Tampa, Florida, 33612

  • Investigational Site Number 840009

    Upland, Pennsylvania, 19013

  • Investigational Site Number 840004

    Winston-Salem, North Carolina, 27157-1071

Other trials in United States

About this study

Official title: Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety, and Tolerability of SAR231893/REGN668 Administered Subcutaneously Once Weekly for 12 Weeks in Patients With Persistent Moderate to Severe Eosinophilic Asthma Who Are Partially Controlled/Uncontrolled by Inhaled Corticosteroid Plus Long-acting beta2 Agonist Therapy

Primary Objective:

To investigate the effects of Dupilumab (SAR231893/REGN668) administered subcutaneously (SC) once weekly (qw) for 12 weeks as compared to placebo on reducing the incidence of asthma exacerbation in participants with persistent moderate to severe eosinophilic asthma.

Secondary Objectives:

  • To assess the safety and tolerability of Dupilumab administered SC qw for 12 weeks in participants with persistent moderate to severe eosinophilic asthma.
  • To assess Dupilumab serum concentrations following qw SC dosing for 12 weeks in participants with persistent moderate to severe eosinophilic asthma.
Read the detailed description

The total duration of the study period per participant was 20-22 weeks broken down as follows:

  • Screening period: up to 14 days,
  • Treatment period: 12 weeks,
  • Follow-up period: 6-8 weeks.
Conditions
Asthma
Being tested
Dupilumab, Placebo (for Dupilumab), Fluticasone/Salmeterol combination therapy, Fluticasone monotherapy, Albuterol
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DupilumabDrug

    Also called SAR231893, REGN668

    Solution for injection, one subcutaneous injection.

  • Placebo (for Dupilumab)Drug

    Solution for injection, one subcutaneous injection.

  • Fluticasone/Salmeterol combination therapyDrug

    Oral inhalation twice daily.

  • Fluticasone monotherapyDrug

    Oral inhalation twice daily.

  • AlbuterolDrug

    Oral inhalation as needed.

  • LevalbuterolDrug

    Oral inhalation as needed.

Study groups in NCT01312961
Study groupRoleWhat they receive
Placebo (for Dupilumab)Placebo comparatorPlacebo (for Dupilumab) subcutaneous (SC) injection once weekly (qw) for 12 weeks added to background therapy of inhaled corticosteroids/long-acting beta2-adrenergic agonist (ICS/LABA) (Fluticasone/Salmeterol combination therapy at stable dose for 4 weeks followed by Fluticasone monotherapy, dose progressively decreased and discontinued at Week 9). Albuterol or Levalbuterol was given as rescue medication.
Receives: Drug: Placebo (for Dupilumab); Drug: Fluticasone/Salmeterol combination therapy; Drug: Fluticasone monotherapy; Drug: Albuterol; Drug: Levalbuterol
Dupilumab 300 mg qwExperimentalDupilumab 300 mg SC injection qw for 12 weeks added to background therapy of ICS/LABA (Fluticasone/Salmeterol combination therapy at stable dose for 4 weeks followed by Fluticasone monotherapy, dose progressively decreased and discontinued at Week 9). Albuterol or Levalbuterol was given as rescue medication.
Receives: Drug: Dupilumab; Drug: Fluticasone/Salmeterol combination therapy; Drug: Fluticasone monotherapy; Drug: Albuterol; Drug: Levalbuterol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Asthma Exacerbation

    An asthma exacerbation was defined as the occurrence of any of the following: ≥30% reduction from baseline in morning PEF on 2 consecutive days; or ≥6 additional reliever puffs of albuterol or levalbuterol in a 24-hour period (compared to baseline) on 2 consecutive days; or deterioration of asthma, as determined by the investigator, requiring systemic steroid treatment, or an increase in inhaled corticosteroid (ICS) of ≥4 times the last dose received prior to discontinuation from the study, or hospitalization. The occurrence of asthma exacerbations by individual criteria are reported.

    Measured: Baseline up to Week 12

Secondary outcomes (10)
  1. Time to First Asthma Exacerbation: Kaplan-Meier Estimates at Week 4, Week 8 and Week 12

    The time-to-asthma exacerbation was defined as the time from the date of randomization to the date of the first asthma exacerbation event; for participants without asthma exacerbation, it was censored at the end of treatment visit date. The median time to first asthma exacerbation was not estimated because the number of asthma exacerbations was too low in the Dupilumab arm. Therefore, alternative Kaplan-Meier statistics, the probability of asthma exacerbation at Week 4, 8 and 12, are presented as the descriptive measure statistics.

    Measured: Baseline up to Week 12

  2. Percentage of Participants With Composite Asthma Events

    Composite asthma event was defined as a 30% or greater reduction from baseline in morning PEF on 2 consecutive days together with 6 or more additional reliever puffs of albuterol or levalbuterol in a 24-hour period (compared to baseline) on 2 consecutive days.

    Measured: Baseline up to Week 12

  3. Change From Baseline in Forced Expiratory Flow in One Second (FEV1) to Week 12

    FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation.

    Measured: Baseline, Week 12

  4. Change From Baseline in Peak Expiratory Flow (PEF) to Week 12

    The PEF is a participant's maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at home (morning and evening) while sitting or standing prior to using any medication (if needed) for asthma.

    Measured: Baseline, Week 12

  5. Change From Baseline in Asthma Control Questionnaire (5-question Version [ACQ-5]) to Week 12

    ACQ-5 questionnaire is a validated questionnaire comprising of 5 questions for asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath, and wheeze. Participants were asked to rate their asthma symptoms during the previous week on a 7-point scale as 0=no impairment, 6=maximum impairment. ACQ-5 score is the mean of the 5 questions and range between 0 (disease totally controlled) and 6 (disease severely uncontrolled), a higher score indicated lower asthma control.

    Measured: Baseline, Week 12

  6. Change From Baseline in 22-item Sinonasal Outcome Test (SNOT-22) Score to Week 12

    The SNOT-22 is a validated measure of health related quality of life in sinonasal disease. It is a 22 item questionnaire with each item assigned a score ranging from 0-5. The total score may range from 0 (no disease) -110 (worst disease), lower scores represent better health related quality of life.

    Measured: Baseline, Week 12

  7. Change From Baseline in Morning Asthma Symptom Scores to Week 12

    AM (ante meridiem) symptom scoring system rates were participant's overall asthma symptoms experienced during the night. It ranges from 0 to 4 as: 0 = No asthma symptoms, slept through the night, 1= Slept well, but some complaints in the morning. No nighttime awakenings,2= Woke up once because of asthma (including early awakening),3= Woke up several times because of asthma (including early awakening), 4= Bad night, awake most of the night because of asthma.

    Measured: Baseline, Week 12

  8. Change From Baseline in Evening Asthma Symptom Scores to Week 12

    PM (post meridiem) symptom scoring system rates were participant's overall asthma symptoms experienced during the day. It ranges from 0 to 4 as: 0=very well, no asthma symptoms, 1=one episode of wheezing, cough, or breathlessness, 2=more than one episode of wheezing, cough, or breathlessness without interference of normal activities, 3=wheezing, cough, or breathlessness most of the day, which interfered to some extent with normal activities, 4=asthma very bad, unable to carry out daily activities as usual.

    Measured: Baseline, Week 12

  9. Change From Baseline in Number of Nocturnal Awakenings Per Day to Week 12

    Participants recorded every morning on awakening the number of asthma-related nocturnal awakenings requiring use of rescue medication that occurred during the previous night.

    Measured: Baseline, Week 12

  10. Change From Baseline in Number of Inhalations Per Day of Albuterol or Levalbuterol to Week 12

    Number of Albuterol or Levalbuterol inhalations were recorded daily by the participants in their electronic diary as Albuterol or Levalbuterol was to be used only as needed for symptoms, not on a regular basis or prophylactically.

    Measured: Baseline, Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2011 (estimated)
  2. Study startMar 2011
  3. Primary completionOct 2012
  4. Study completionOct 2012

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
104 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01312961
Sponsor's protocol ID
ACT11457
Other IDs
U1111-1117-7826
Status last verified
Jun 2017
First submitted
9 Mar 2011
Last updated
8 Jun 2017
Data monitoring committee
Yes

Publications

  • Wenzel S, Ford L, Pearlman D, Spector S, Sher L, Skobieranda F, Wang L, Kirkesseli S, Rocklin R, Bock B, Hamilton J, Ming JE, Radin A, Stahl N, Yancopoulos GD, Graham N, Pirozzi G. Dupilumab in persistent asthma with elevated eosinophil levels. N Engl J Med. 2013 Jun 27;368(26):2455-66. doi: 10.1056/NEJMoa1304048. Epub 2013 May 21.

    PubMed 23688323

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dupilumab, Fluticasone/Salmeterol combination therapy and Fluticasone monotherapy in people with Asthma, run by Sanofi at 50 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 5 inclusion and 14 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 8 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 8 Jun 2017). 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 With Asthma Exacerbation (time frame: Baseline up to Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01312961, which also lists 1 linked publication.

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 8 Jun 2017.

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