AsthmaPhase 4NCT01922037
A Study in Participants With Asthma Initiating Treatment With Omalizumab (Xolair)
A Phase 4 study testing Omalizumab in people with Asthma, run by Hoffmann-La Roche at 145 sites in United States.
Trial summary
This multicenter, prospective study will evaluate the baseline participant characteristics (including biomarkers) associated with a variety of individual and composite clinical outcomes in participants with moderate to severe asthma initiating treatment with omalizumab. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- Omalizumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 806 participants
- Where
- 145 sitesUnited States
- Study dates
- 19 Jun 2013to 31 Mar 2016
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants identified by the investigator as a candidate for treatment for asthma with omalizumab
- Confirmation of access to omalizumab through insurance or other source of funding
Who cannot join
- Enrollment in any other concurrent clinical trial or observational study
- Participants for whom omalizumab treatment is contraindicated
- Participants who had a prior allergic reaction to omalizumab or its excipients
- Participants treated with omalizumab within the previous year
- Participants who received an experimental drug as part of another study within 3 months of enrollment
Trial locations and contacts
145 sites in 1 country.
145 sites in 1 country
United States145 sites
Pulmonary Research of Albingdon
Abingdon, Virginia, 24210
Georgia Pollens
Albany, Georgia, 31707
Central PA Asth & Allergy Care; Research Division
Altoona, Pennsylvania, 16601
Allergy Partners of Western NC
Asheville, North Carolina, 28801
Greater Austin Allergy Asthma and Immunology
Austin, Texas, 78746
Chesapeake Clinical Research Inc - CRN
Baltimore, Maryland, 21236
Dr. Paul Shapero
Bangor, Maine, 04401
Bellingham Asthma, Allergy & Immunology
Bellingham, Washington, 98225
Bend Memorial Clinic
Bend, Oregon, 97701
Stuart Epstein MD - PP
Beverly Hills, California, 90212
Alabama Allergy & Asthma
Birmingham, Alabama, 35209
Achieve Clinical Research, LLC
Birmingham, Alabama, 35216
Brigham and Women's Hospital
Boston, Massachusetts, 98410
Ocean Allergy & Resp Res Ctr
Brick, New Jersey, 08724
Center for Clinical Research.
Brockton, Massachusetts, 02301
SUNY Downstate Medical Center.
Brooklyn, New York, 11203
Boris Sagalovich MD - PC
Brooklyn, New York, 11229
IMMUNOe International Research Centers
Centennial, Colorado, 80112
Allergy & Asthma Centre of Dayton
Centerville, Ohio, 45458
Nat'l Aller Asth-Charleston
Charleston, South Carolina, 29406
Rush University Medical Center
Chicago, Illinois, 60612
Chest Medicine Consultants
Chicago, Illinois, 60657
St. Francis Sleep; Allergy & Lung Institute
Clearwater, Florida, 33765
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Asthma & Allergy Inst of MI
Clinton Township, Michigan, 48038
Brookstone Clinical Res Ctr
Columbus, Georgia, 31904
Island Medical Research Pc
Commack, New York, 11725
AAADRS; Clinical Research Center
Coral Gables, Florida, 33134
West Coast Clinical Trials Global, LLC
Costa Mesa, California, 92626
Allergy Asthma Care
Crown Point, Indiana, 46307
Elliot J. Ginchansky, MD, PA
Dallas, Texas, 75230
Allergy Asthma Research Assoc
Dallas, Texas, 75231
Peninsula Allergy Associates
Daly City, California, 94015
Danbury Hospital
Danbury, Connecticut, 06810
Adult Ped Aller Central Jersey
Edison, New Jersey, 08820
Glenn M. Silber, M.D., P.A
Ellicott City, Maryland, 21042
O & O Alpan, LLC
Fairfax, Virginia, 22030
Abraham Research PLLC
Florence, Kentucky, 41042
The Allergy and Asthma Center
Fort Wayne, Indiana, 46804
Allianz Medical and Research Center
Fountain Valley, California, 92708
William Ebbeling MD - PP
Fresno, California, 93720
Gettysburg Medical Clinic
Fresno, California, 93726
Allergy & Asthma Care Center
Gainesville, Georgia, 30501
Family Allergy & Asthma
Gaithersburg, Maryland, 20878
University of Texas Medical Branch;Division of APICS
Galveston, Texas, 77555
Allergy Arth Fam Treatment Ctr
Gardner, Massachusetts, 01440
Allergy Asthma & Immun Assoc
Garland, Texas, 75044
San Tan Allergy & Asthma
Gilbert, Arizona, 85234-2966
Allergy & Asthma Care LTD
Glen Carbon, Illinois, 62034
Dedicated Clinical Research
Goodyear, Arizona, 85395
Allergy & Asthma Inst Valley
Granada Hills, California, 91344
North Shore Medical Arts, LLP
Great Neck, New York, 11021
Allergy Asthma & Sinus Center
Greenfield, Wisconsin, 53228
ADAC Research PA
Greenville, South Carolina, 29607
Allergy and Asthmas; Specialists of Harrisburg
Harrisburg, Pennsylvania, 17110
Clinical Research Partners, LLC
Henrico, Virginia, 23233
Penn State Hershey Medical Group
Hershey, Pennsylvania, 17033
Center for Asthma and Allergy
Highland Park, New Jersey, 08904
Huntsville Lung Associates PC
Huntsville, Alabama, 35801
Clinical Research Center of Indiana
Indianapolis, Indiana, 46208
Jamaica Hospital Medical Center
Jamaica, New York, 11418
University of Kansas Med Ctr; Int med/Allgy/Immun/Rheum
Kansas City, Kansas, 66160-7350
East Tennessee Center for Clinical Research
Knoxville, Tennessee, 37909
Inst for Resp & Sleep Med PC
Langhorne, Pennsylvania, 19047
Impact Clinical Trials
Las Vegas, Nevada, 89106
Allergy Asthma & Immun Center
Leesburg, Florida, 34788
Allergy Asthma & Sinus Center
Leesburg, Virginia, 20176
Allergy & Asth Phys of Cent KY
Lexington, Kentucky, 40503
Little Rock Allergy & Asthma; Clinical Research Center
Little Rock, Arkansas, 72205
VA Loma Linda Healthcare System
Loma Linda, California, 92357
Allergy Asthma Care Ctr, Inc.
Los Angeles, California, 90064
Dean Clinic
Madison, Wisconsin, 53715
University of Wisconsin;Allergy & Asthma Clinical Research
Madison, Wisconsin, 53792
LeBonheur Children's Hospital
Memphis, Tennessee, 38103
Florida Ctr-Allergy & Asthma
Miami, Florida, 33173
FL Ctr Allergy & Asthma Res
Miami, Florida, 33176
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Winthrop Univ Hospital
Mineola, New York, 11501
Clinical Research Inst
Minneapolis, Minnesota, 55402
Southern California Research Center
Mission Viejo, California, 92691
Allergy Associates of Utah
Murray, Utah, 84107
North Bay Allergy & Asthma; Medical Assoc
Napa, California, 94558
Vanderbilt Medical University
Nashville, Tennessee, 37203
Laura and ISAAC Perlmutter Cancer Center at NYU Langone.
New York, New York, 10016
Parikh Institute for Research LLC
New York, New York
Albert P Hirdt DO - PP
Newburgh, New York, 12550
Children's Hospital of the King's Daughter
Norfolk, Virginia, 23510
Sneeze Wheeze and Itch Associates LLC
Normal, Illinois, 61761
Infinity Medical Research Inc
North Dartmouth, Massachusetts, 02747
Bridgerland Clinical Research
North Logan, Utah, 84341
Allergy & Asthma Care of FL; Clinical Research
Ocala, Florida, 34471
Atlantic Allergy Asthma Immunology Associates
Ocean City, New Jersey, 07712
Santiago Reyes MD-Private Prac
Oklahoma City, Oklahoma, 73112
Olean Medical Group
Olean, New York, 14760
Choc Psf, Amc
Orange, California, 92868
Clinical Trials of Orange County
Orange, California, 92868
Central Florida Pulmonary Grou
Orlando, Florida, 32803
Kansas City Allergy And Asthma Assoc.
Overland Park, Kansas, 66210
Allergy Asthma & Sinus Center
Palm Beach Gardens, Florida, 33410
California Allergy & Asthma Medical Group, Inc.
Palmdale, California, 93551
Joann Blessing-Moore MD - PP
Palo Alto, California, 94304
Allergy and Asthma Research of NJ, lnc
Philadelphia, Pennsylvania, 19115
Allergy Treatment Center of New Jersey
Piscataway, New Jersey, 08854
Allergy & Clinical Immun Assoc
Pittsburgh, Pennsylvania, 15241
South Hills Pulmonary Assoc
Pittsburgh, Pennsylvania, 15243
Gulf Coast Allergy Center, P.A.
Port Charlotte, Florida, 33952
Asthma Allergy Ctr of SW MI
Portage, Michigan, 49024
TPMG - Rancho Cordova
Rancho Cordova, California, 95762
Respiratory Specialists
Reading, Pennsylvania, 19610
Redding Allergy & Asthma Care
Redding, California, 96003
Allergy & Asthma Consultants
Redwood City, California, 94063
Mayo Clinic
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14618
Advanced Allergy & Asthma PLLC
Rockville Centre, New York, 11570
Capital Allergy Resp Dis Ctr
Sacramento, California, 95819
Central Coast Allergy and Asthma
Salinas, California, 93901
Live Oak Allergy & Asthma Clinic
San Antonio, Texas, 78233
Allergy & Asthma Res Ctr PA
San Antonio, Texas, 78251
Allergy Assoc Medical Group
San Diego, California, 92108
Kaiser Permanente - San Diego
San Diego, California, 92120
University of California at San Francisco
San Francisco, California, 94115
Asthma & Allergy Clinic
San Francisco, California, 94121
The Allergy and Asthma Clinic
San Mateo, California, 94401
Aeroallergy Research Labs
Savannah, Georgia, 31406
ASTHMA, Inc
Seattle, Washington, 98105
Upstate Pharma Research
Simpsonville, South Carolina, 29681
Pulmonary & Sleep Research
Spokane, Washington, 99204
McGovern & Baja Allergy Assoc
Springfield, Massachusetts, 01103
Washington Univ. School of Med
St Louis, Missouri, 63141
Sugar Land Allerg Asthma Immun
Sugar Land, Texas, 77479
Pulmonary and Allergy Associates
Summit, New Jersey, 07901
USF Asthma Allergy & Immun; Clinical Research
Tampa, Florida, 33613
Urban Health Plan, Inc.
The Bronx, New York, 10459
Montefiore Medical Center
The Bronx, New York, 10461
Alan Kaufman MD - PP
The Bronx, New York, 10465
Allergy Associates of Tucson
Tucson, Arizona, 85716
University of Arizona
Tucson, Arizona, 85724-5030
Vital Prospects Clin Res Pc
Tulsa, Oklahoma, 74136
Asthma & Allergy of Idaho
Twin Falls, Idaho, 83301
University of Texas Health Center at Tyler
Tyler, Texas, 75708
Northwest Asthma Allergy Center
Vancouver, Washington, 98664
Allergy Consultants, PA
Verona, New Jersey, 07044
Allergy & Asthma Medical Group; Clinical Research Division
Walnut Creek, California, 94598
Christopher C Randolph MD - PP
Waterbury, Connecticut, 06708
Waterbury Pulmonary Associates
Waterbury, Connecticut, 06708
About this study
Official title: A Prospective Observational Study to Evaluate Predictors of Clinical Effectiveness in Response to Omalizumab
This multicenter, prospective study will evaluate the baseline participant characteristics (including biomarkers) associated with a variety of individual and composite clinical outcomes in participants with moderate to severe asthma initiating treatment with omalizumab.
- Conditions
- Asthma
- Being tested
- Omalizumab
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OmalizumabDrug
Also called Xolair
Participants will receive omalizumab for up to 12 months per investigator standard of care and clinical practice.
| Study group | Role | What they receive |
|---|---|---|
| Participants With Allergic Asthma | Experimental | Participants with allergic asthma, who have decided to initiate treatment with omalizumab will be observed until a maximum follow-up of 12 months, death, withdrawal of consent, loss to follow-up, or study closure, whichever occurs first. Receives: Drug: Omalizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Total Number of Asthma Exacerbations During Months 1-12
An asthma exacerbation was defined as new or increased asthma symptoms which resulted in either hospitalization and/or treatment with systemic corticosteroids (or increase of stable maintenance dose) for >/= 3 days.
Measured: Months 1-12
Secondary outcomes (28)
Total Number of Asthma Exacerbations During Months 1-6
An asthma exacerbation was defined as new or increased asthma symptoms which resulted in either hospitalization and/or treatment with systemic corticosteroids (or increase of stable maintenance dose) for >/=3 days.
Measured: Months 1-6
Total Number of Asthma Exacerbations During Months 7-12
An asthma exacerbation was defined as new or increased asthma symptoms which resulted in either hospitalization and/or treatment with systemic corticosteroids (or increase of stable maintenance dose) for >/= 3 days.
Measured: Months 7-12
Total Number of Asthma-Related Hospital Admissions During Months 1-12
Measured: Months 1-12
Total Number of Asthma-Related Hospital Admissions During Months 1-6
Measured: Months 1-6
Total Number of Asthma-Related Hospital Admissions During Months 7-12
Measured: Months 7-12
Total Number of Asthma-Related ER Visits During Months 1-12
Measured: Months 1-12
Total Number of Asthma-Related Emergency Room (ER) Visits During Months 1-6
Measured: Months 1-6
Total Number of Asthma-Related ER Visits During Months 7-12
Measured: Months 7-12
Total Number of Asthma-Related Unscheduled Physician's Office Visits During Months 1-12
Measured: Months 1-12
Total Number of Asthma-Related Unscheduled Physician's Office Visits During Months 1-6
Measured: Months 1-6
Total Number of Asthma-Related Unscheduled Physician's Office Visits During Months 7-12
Measured: Months 7-12
Total Number of Asthma-Related Telephone Calls to Healthcare Providers During Months 1-12
Measured: Months 1-12
Total Number of Asthma-Related Telephone Calls to Healthcare Providers During Months 1-6
Measured: Months 1-6
Total Number of Asthma-Related Telephone Calls to Healthcare Providers During Months 7-12
Measured: Months 7-12
Percentage of Participants by Number of Asthma Exacerbations
Percentage of participants by number of asthma exacerbations (0, 1, 2, 3, >/=4) was reported. An asthma exacerbation was defined as new or increased asthma symptoms which resulted in either hospitalization and/or treatment with systemic corticosteroids (or increase of stable maintenance dose) for >/= 3 days.
Measured: Months 1-12
Percentage of Participants by Number of Asthma Exacerbations Requiring Treatment With Systemic Steroids
Percentage of participants by number of asthma exacerbations (0, 1, 2, 3, >/=4) requiring treatment with systemic steroids was reported. An asthma exacerbation was defined as new or increased asthma symptoms which resulted in either hospitalization and/or treatment with systemic corticosteroids (or increase of stable maintenance dose) for >/= 3 days.
Measured: Months 1-12
Change From Baseline in Raw Forced Expiratory Volume in One Second (FEV1)
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. Pre-bronchodilator FEV1 and post-bronchodilator FEV1 are reported for each timepoint. FEV1 was measured using spirometry.
Measured: Baseline, Month 6, end of study (EOS)/early termination (ET) (up to Month 12)
Change From Baseline in Raw Forced Vital Capacity (FVC)
FVC was defined as the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Pre-bronchodilator FVC and post-bronchodilator FVC are reported for each timepoint. FVC was measured using spirometry.
Measured: Baseline, Month 6, EOS/ET (up to Month 12)
Change From Baseline in Raw Forced Expiratory Flow at 25-75 Percent (%) of Pulmonary Volume (FEF25%-75%)
FEF25%-75% was defined as the flow (or speed) of air coming out of the lung during the middle portion of a forced expiration. Pre-bronchodilator FEF25%-75% and post-bronchodilator FEF25%-75% are reported for each timepoint. FEF25%-75% was measured using spirometry.
Measured: Baseline, Month 6, EOS/ET (up to Month 12)
Change From Baseline in Percentage Predicted FEV1 (ppFEV1)
FEV1 is the volume of air that can be forced out in one second after taking a deep breath, as measured using spirometry. Hankinson and Wang standards were used to calculate ppFEV1 (for age, gender, race, and height). The Hankinson standard was used for male participants 18 years and older and female participants 16 years and older. The Wang standard was used for male participants aged 12 to 17 years and for female participants aged 12 to 15 years. ppFEV1= 100 multiplied by (*) FEV1 (in liters [L]) divided by (/) predicted FEV1 (in L). Pre-bronchodilator ppFEV1 and post-bronchodilator ppFEV1 are reported for each timepoint.
Measured: Baseline, Month 6, EOS/ET (up to Month 12)
Percentage of Participants With Prior Asthma Medications by Category or Class of Medications
Prior asthma medications were defined as all medications used for asthma prior to the study (initiated within 90 days of baseline) and were assessed retrospectively at baseline. Participants received prior asthma medications of following categories or classes: short acting beta agonist (SABA), combination inhaled corticosteroids/long acting beta agonist (ICS/LABA), leukotriene receptor antagonist (LTRA), inhaled corticosteroids (ICS), oral/parenteral (systemic) corticosteroids, anticholinergic, long acting beta agonist (LABA), and other medication.
Measured: Baseline
Percentage of Participants With Concomitant and Ongoing Asthma Medications by Category or Class of Medications
Concomitant and ongoing asthma medications were defined as all medications used for asthma which began on or after the participant's study start, as well as those ongoing at the beginning of the study. Participants received following categories or classes of concomitant and ongoing asthma medications: SABA, combination ICS/LABA, LTRA, oral/parenteral (systemic) corticosteroids, ICS, anticholinergic, LABA, and other medication.
Measured: Baseline until EOS/ET (up to Month 12)
Change From Baseline in Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ +12) Overall Score
AQLQ +12 is a 32-item disease specific questionnaire designed to assess the participants' asthma-specific health-related quality of life (QOL). The questionnaire contains four domains: activity limitations (11 items), symptoms (12 items), emotional function (5 items), and environmental stimuli (4 items). All items are scored on a 7-point likert scale. All item scores are averaged to produce one overall QOL score. Overall score ranges from 1 (total impairment) to 7 (no impairment), with higher scores indicating better QOL. A positive change from baseline indicated improved QOL.
Measured: Baseline, Month 6, EOS/ET (up to Month 12)
Change From Baseline in Asthma Control Test (ACT) Overall Score
Multidimensional factors associated with asthma control from the participant's perspective were assessed using the ACT questionnaire. The ACT is a validated, five-item patient-reported outcome (PRO) questionnaire that measures the impact of asthma on home and work activities, shortness of breath, symptoms, rescue medication usage, and overall asthma control. All items are scored on a 5-point likert scale (1 to 5). All item scores are added together to calculate a total score. Total score ranges from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. A positive change from baseline indicated improvement.
Measured: Baseline, Months 3, 6, 9, 12
Change From Baseline in Work Productivity and Activity Impairment (WPAI) Asthma Questionnaire Score
WPAI-asthma is a self-administered instrument to measure asthma-specific performance impairment of work and regular daily activity within the last 7 days and yields 4 types of scores: work time missed (absenteeism), impairment while working (presenteeism or reduced on-the-job effectiveness), overall work impairment (WI) (work productivity loss or absenteeism plus presenteeism) and activity impairment (daily activity impairment). Total score and each score ranged from 0 (not affected/no impairment) to 100 (completely affected/impaired). Higher scores indicated greater impairment and less productivity. A negative change in score indicated improvement and a positive change indicated impairment.
Measured: Baseline, Month 6, EOS/ET (up to Month 12)
Percentage of Participants Who Showed an Improvement in Asthma Symptoms Due to the Medication, Assessed Using Global Evaluation of Treatment Effectiveness (GETE) by Inversigator
Response to treatment was assessed using the GETE. The GETE is a validated instrument that measures the overall impression of the effect of the study medication on typical asthma symptoms. The evaluation was performed using the 5-point scale. The GETE scale ranges were as follows: 1=excellent, 2=good, 3=moderate, 4=poor, 5= worsening. A good or excellent response on the 5 point scale indicated that a participant had responded to treatment. Percentage of participants who showed an improvement (GETE scale score of 1 or 2) in asthma symptoms, as assessed by investigator, is reported.
Measured: EOS/ET (up to Month 12)
Percentage of Participants Who Showed an Improvement in Asthma Symptoms Due to the Medication, Assessed Using GETE by Participant
Response to treatment was assessed using the GETE. The GETE is a validated instrument that measures the overall impression of the effect of the study medication on typical asthma symptoms. The evaluation was performed using the 5-point scale. The GETE scale ranges were as follows: 1=excellent, 2=good, 3=moderate, 4=poor, 5= worsening. A good or excellent response on the 5 point scale indicated that a participant had responded to treatment. Percentage of participants who showed an improvement (GETE scale score of 1 or 2) in asthma symptoms, as assessed by participant, is reported.
Measured: EOS/ET (up to Month 12)
Change From Baseline in Mini Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ) Overall Quality of Life Score
The MiniRQLQ is a shorter version of the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) instrument. The MiniRQLQ is a validated quality of life questionnaire to measure the functional impairments that are most troublesome to adult participants with either seasonal or perennial rhinoconjunctivitis of either allergic or non-allergic origin. The miniRQLQ contains 14 items; each item scored on a 7-point scale ranging from 0 [not impaired at all] to 6 [severely impaired]). The overall quality of life score is the average of the all item scores and ranges from 0 (not impaired at all) to 6 (severely impaired), with higher scores indicating more impairment. A negative change in score indicated improvement and a positive change indicated impairment.
Measured: Baseline, EOS/ET (up to Month 12)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Aug 2013 (estimated)
- Study start19 Jun 2013
- Primary completion31 Mar 2016
- Study completion31 Mar 2016
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.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 806 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01922037
- Sponsor's protocol ID
- ML28528
- Status last verified
- Nov 2017
- First submitted
- 12 Jul 2013
- Last updated
- 11 Dec 2017
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Fiocchi A, Chinthrajah RS, Ansotegui IJ, Sriaroon P, Mustafa SS, Raut P, Cameron B, Gupta S, Fleischer DM. Does Comorbid Food Allergy Affect Response to Omalizumab in Patients with Asthma? J Asthma Allergy. 2024 Sep 17;17:889-900. doi: 10.2147/JAA.S475517. eCollection 2024.
PubMed 39309477Chase NM, Littlejohn M, Holweg CTJ, Millette LA, Seetasith A, Steinke JW, Trzaskoma BL, Hanania NA, Casale TB. Effectiveness of omalizumab across different dosing regimens in patients with moderate-to-severe allergic asthma. Respir Med. 2024 Mar;223:107537. doi: 10.1016/j.rmed.2024.107537. Epub 2024 Jan 20.
PubMed 38253245DeLeon S, Barsanti F, Holweg CTJ, Yoo B, Creasy B, Wechsler ME. Omalizumab treatment reduces asthma exacerbations regardless of airway bronchodilator reversibility. J Allergy Clin Immunol Pract. 2022 Aug;10(8):2181-2183.e1. doi: 10.1016/j.jaip.2022.04.029. Epub 2022 May 6. No abstract available.
PubMed 35526776Soong W, Yoo B, Pazwash H, Holweg CTJ, Casale TB. Omalizumab response in patients with asthma by number and type of allergen. Ann Allergy Asthma Immunol. 2021 Aug;127(2):223-231. doi: 10.1016/j.anai.2021.04.002. Epub 2021 Apr 8.
PubMed 33838339Chen M, Choo E, Yoo B, Raut P, Haselkorn T, Pazwash H, Holweg CTJ, Hudes G. No difference in omalizumab efficacy in patients with asthma by number of asthma-related and allergic comorbidities. Ann Allergy Asthma Immunol. 2021 Jun;126(6):666-673. doi: 10.1016/j.anai.2021.01.015. Epub 2021 Jan 17.
PubMed 33465457Chen M, Shepard K 2nd, Yang M, Raut P, Pazwash H, Holweg CTJ, Choo E. Overlap of allergic, eosinophilic and type 2 inflammatory subtypes in moderate-to-severe asthma. Clin Exp Allergy. 2021 Apr;51(4):546-555. doi: 10.1111/cea.13790. Epub 2021 Jan 7.
PubMed 33217063Hanania NA, Djukanovic R, Heaney LG, Yang M, Yoo B, Iqbal A, Griffin NM, Chipps BE. Determinants of lung function improvement with omalizumab in adults with allergic asthma. J Allergy Clin Immunol Pract. 2020 Jun;8(6):2068-2070. doi: 10.1016/j.jaip.2020.01.019. Epub 2020 Jan 22. No abstract available.
PubMed 31981731Hanania NA, Chipps BE, Griffin NM, Yoo B, Iqbal A, Casale TB. Omalizumab effectiveness in asthma-COPD overlap: Post hoc analysis of PROSPERO. J Allergy Clin Immunol. 2019 Apr;143(4):1629-1633.e2. doi: 10.1016/j.jaci.2018.11.032. Epub 2018 Dec 18. No abstract available.
PubMed 30576755Luskin AT, Chipps BE, Casale TB, Griffin NM. Baseline asthma burden, comorbidities, and biomarkers in omalizumab-treated patients in PROSPERO. Ann Allergy Asthma Immunol. 2018 May;120(5):549-550. doi: 10.1016/j.anai.2018.01.034. Epub 2018 Feb 5. No abstract available.
PubMed 29421314Chipps BE, Zeiger RS, Luskin AT, Busse WW, Trzaskoma BL, Antonova EN, Pazwash H, Limb SL, Solari PG, Griffin NM, Casale TB. Baseline asthma burden, comorbidities, and biomarkers in omalizumab-treated patients in PROSPERO. Ann Allergy Asthma Immunol. 2017 Dec;119(6):524-532.e2. doi: 10.1016/j.anai.2017.09.056. Epub 2017 Oct 18.
PubMed 29054589
Study at a glance
From the registry record, last updated by the sponsor on 11 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Observational Study to Evaluate Predictors of Clinical Effectiveness in Response to Omalizumab
- ClinicalTrials.gov ID
- NCT01922037
- Acronym / sponsor ID
- ML28528
- Conditions
- Asthma
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 806 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 19 Jun 2013 (actual)
- Primary completion
- 31 Mar 2016 (actual)
- Study completion
- 31 Mar 2016 (actual)
- First posted
- 14 Aug 2013 (estimated)
- Results
- Posted 11 Dec 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This multicenter, prospective study will evaluate the baseline participant characteristics (including biomarkers) associated with a variety of individual and composite clinical outcomes in participants with moderate to severe asthma initiating treatment with omalizumab.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Participants With Allergic Asthma | Experimental | Drug: OmalizumabParticipants with allergic asthma, who have decided to initiate treatment with omalizumab will be observed until a maximum follow-up of 12 months, death, withdrawal of consent, loss to follow-up, or study closure, whichever occurs first. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Participants identified by the investigator as a candidate for treatment for asthma with omalizumab
- Confirmation of access to omalizumab through insurance or other source of funding
Key exclusion criteria (5 listed)
- Enrollment in any other concurrent clinical trial or observational study
- Participants for whom omalizumab treatment is contraindicated
- Participants who had a prior allergic reaction to omalizumab or its excipients
- Participants treated with omalizumab within the previous year
- Participants who received an experimental drug as part of another study within 3 months of enrollment
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: XolairParticipants will receive omalizumab for up to 12 months per investigator standard of care and clinical practice. | Drug | Participants With Allergic Asthma |
Primary outcome
Total Number of Asthma Exacerbations During Months 1-12
Time frame: Months 1-12
An asthma exacerbation was defined as new or increased asthma symptoms which resulted in either hospitalization and/or treatment with systemic corticosteroids (or increase of stable maintenance dose) for >/= 3 days.
28 secondary outcomes
Total Number of Asthma Exacerbations During Months 1-6
Time frame: Months 1-6
Total Number of Asthma Exacerbations During Months 7-12
Time frame: Months 7-12
Total Number of Asthma-Related Hospital Admissions During Months 1-12
Time frame: Months 1-12
Total Number of Asthma-Related Hospital Admissions During Months 1-6
Time frame: Months 1-6
Total Number of Asthma-Related Hospital Admissions During Months 7-12
Time frame: Months 7-12
Total Number of Asthma-Related ER Visits During Months 1-12
Time frame: Months 1-12
Total Number of Asthma-Related Emergency Room (ER) Visits During Months 1-6
Time frame: Months 1-6
Total Number of Asthma-Related ER Visits During Months 7-12
Time frame: Months 7-12
Total Number of Asthma-Related Unscheduled Physician's Office Visits During Months 1-12
Time frame: Months 1-12
Total Number of Asthma-Related Unscheduled Physician's Office Visits During Months 1-6
Time frame: Months 1-6
Total Number of Asthma-Related Unscheduled Physician's Office Visits During Months 7-12
Time frame: Months 7-12
Total Number of Asthma-Related Telephone Calls to Healthcare Providers During Months 1-12
Time frame: Months 1-12
Total Number of Asthma-Related Telephone Calls to Healthcare Providers During Months 1-6
Time frame: Months 1-6
Total Number of Asthma-Related Telephone Calls to Healthcare Providers During Months 7-12
Time frame: Months 7-12
Percentage of Participants by Number of Asthma Exacerbations
Time frame: Months 1-12
Percentage of Participants by Number of Asthma Exacerbations Requiring Treatment With Systemic Steroids
Time frame: Months 1-12
Change From Baseline in Raw Forced Expiratory Volume in One Second (FEV1)
Time frame: Baseline, Month 6, end of study (EOS)/early termination (ET) (up to Month 12)
Change From Baseline in Raw Forced Vital Capacity (FVC)
Time frame: Baseline, Month 6, EOS/ET (up to Month 12)
Change From Baseline in Raw Forced Expiratory Flow at 25-75 Percent (%) of Pulmonary Volume (FEF25%-75%)
Time frame: Baseline, Month 6, EOS/ET (up to Month 12)
Change From Baseline in Percentage Predicted FEV1 (ppFEV1)
Time frame: Baseline, Month 6, EOS/ET (up to Month 12)
Percentage of Participants With Prior Asthma Medications by Category or Class of Medications
Time frame: Baseline
Percentage of Participants With Concomitant and Ongoing Asthma Medications by Category or Class of Medications
Time frame: Baseline until EOS/ET (up to Month 12)
Change From Baseline in Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ +12) Overall Score
Time frame: Baseline, Month 6, EOS/ET (up to Month 12)
Change From Baseline in Asthma Control Test (ACT) Overall Score
Time frame: Baseline, Months 3, 6, 9, 12
Change From Baseline in Work Productivity and Activity Impairment (WPAI) Asthma Questionnaire Score
Time frame: Baseline, Month 6, EOS/ET (up to Month 12)
Percentage of Participants Who Showed an Improvement in Asthma Symptoms Due to the Medication, Assessed Using Global Evaluation of Treatment Effectiveness (GETE) by Inversigator
Time frame: EOS/ET (up to Month 12)
Percentage of Participants Who Showed an Improvement in Asthma Symptoms Due to the Medication, Assessed Using GETE by Participant
Time frame: EOS/ET (up to Month 12)
Change From Baseline in Mini Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ) Overall Quality of Life Score
Time frame: Baseline, EOS/ET (up to Month 12)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Dec 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39309477Fiocchi A, Chinthrajah RS, Ansotegui IJ, Sriaroon P, Mustafa SS, Raut P, Cameron B, Gupta S, Fleischer DM. Does Comorbid Food Allergy Affect Response to Omalizumab in Patients with Asthma? J Asthma Allergy. 2024 Sep 17;17:889-900. doi: 10.2147/JAA.S475517. eCollection 2024.
- Derived from this study: PubMed 38253245Chase NM, Littlejohn M, Holweg CTJ, Millette LA, Seetasith A, Steinke JW, Trzaskoma BL, Hanania NA, Casale TB. Effectiveness of omalizumab across different dosing regimens in patients with moderate-to-severe allergic asthma. Respir Med. 2024 Mar;223:107537. doi: 10.1016/j.rmed.2024.107537. Epub 2024 Jan 20.
- Derived from this study: PubMed 35526776DeLeon S, Barsanti F, Holweg CTJ, Yoo B, Creasy B, Wechsler ME. Omalizumab treatment reduces asthma exacerbations regardless of airway bronchodilator reversibility. J Allergy Clin Immunol Pract. 2022 Aug;10(8):2181-2183.e1. doi: 10.1016/j.jaip.2022.04.029. Epub 2022 May 6. No abstract available.
- Derived from this study: PubMed 33838339Soong W, Yoo B, Pazwash H, Holweg CTJ, Casale TB. Omalizumab response in patients with asthma by number and type of allergen. Ann Allergy Asthma Immunol. 2021 Aug;127(2):223-231. doi: 10.1016/j.anai.2021.04.002. Epub 2021 Apr 8.
- Derived from this study: PubMed 33465457Chen M, Choo E, Yoo B, Raut P, Haselkorn T, Pazwash H, Holweg CTJ, Hudes G. No difference in omalizumab efficacy in patients with asthma by number of asthma-related and allergic comorbidities. Ann Allergy Asthma Immunol. 2021 Jun;126(6):666-673. doi: 10.1016/j.anai.2021.01.015. Epub 2021 Jan 17.
- Derived from this study: PubMed 33217063Chen M, Shepard K 2nd, Yang M, Raut P, Pazwash H, Holweg CTJ, Choo E. Overlap of allergic, eosinophilic and type 2 inflammatory subtypes in moderate-to-severe asthma. Clin Exp Allergy. 2021 Apr;51(4):546-555. doi: 10.1111/cea.13790. Epub 2021 Jan 7.
- Derived from this study: PubMed 31981731Hanania NA, Djukanovic R, Heaney LG, Yang M, Yoo B, Iqbal A, Griffin NM, Chipps BE. Determinants of lung function improvement with omalizumab in adults with allergic asthma. J Allergy Clin Immunol Pract. 2020 Jun;8(6):2068-2070. doi: 10.1016/j.jaip.2020.01.019. Epub 2020 Jan 22. No abstract available.
- Derived from this study: PubMed 30576755Hanania NA, Chipps BE, Griffin NM, Yoo B, Iqbal A, Casale TB. Omalizumab effectiveness in asthma-COPD overlap: Post hoc analysis of PROSPERO. J Allergy Clin Immunol. 2019 Apr;143(4):1629-1633.e2. doi: 10.1016/j.jaci.2018.11.032. Epub 2018 Dec 18. No abstract available.
- Derived from this study: PubMed 29421314Luskin AT, Chipps BE, Casale TB, Griffin NM. Baseline asthma burden, comorbidities, and biomarkers in omalizumab-treated patients in PROSPERO. Ann Allergy Asthma Immunol. 2018 May;120(5):549-550. doi: 10.1016/j.anai.2018.01.034. Epub 2018 Feb 5. No abstract available.
- Derived from this study: PubMed 29054589Chipps BE, Zeiger RS, Luskin AT, Busse WW, Trzaskoma BL, Antonova EN, Pazwash H, Limb SL, Solari PG, Griffin NM, Casale TB. Baseline asthma burden, comorbidities, and biomarkers in omalizumab-treated patients in PROSPERO. Ann Allergy Asthma Immunol. 2017 Dec;119(6):524-532.e2. doi: 10.1016/j.anai.2017.09.056. Epub 2017 Oct 18.
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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
Hoffmann-La Roche
145 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 in people with Asthma, run by Hoffmann-La Roche at 145 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 2 inclusion and 5 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 11 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 145 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. 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 11 Dec 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?
Total Number of Asthma Exacerbations During Months 1-12 (time frame: Months 1-12). 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 NCT01922037, which also lists 10 linked publications.
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 11 Dec 2017.