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AsthmaPhase 2NCT02099656

A Study Evaluating the Effects of Lebrikizumab on Airway Eosinophilic Inflammation in Participants With Uncontrolled Asthma

A Phase 2 study testing Lebrikizumab and Inhaled corticposteroids (ICS) in people with Asthma, run by Hoffmann-La Roche at 28 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

This Phase II, randomized, double-blind, placebo-controlled, multicenter study will evaluate the effects of lebrikizumab on airway eosinophilic inflammation in participants with uncontrolled asthma who are using inhaled corticosteroid (ICS) treatment and a second controller medication. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Asthma
What is being tested?
Lebrikizumab and Inhaled corticposteroids (ICS)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
28 sitesin 6 countries
Study dates
6 Nov 2014to 13 Oct 2016
Phase
Phase 2
Are there results?
None posted in the registry

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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Asthma diagnosis for greater than or equal to (>/=) 12 months prior to Visit 1
  • Bronchodilator response demonstrated within the 12 months before Visit 1 or at Visit 1, 2, or 3 of screening
  • Pre-bronchodilator FEV1 of 40 percent (%) - 80% predicted at both Visits 2 and 3
  • On ICS therapy at a total daily dose of 500-2000 mcg of fluticasone propionate dry powder inhaler (DPI) or equivalent for >/= 6 months prior to Visit 1, with no changes within 4 weeks prior to Visit 1, and no anticipated changes throughout the study
  • On an eligible second controller medication (long-acting Beta-agonist [LABA), leukotriene receptor antagonist [LTRA], long-acting muscarinic antagonists [LAMAs] or theophylline) for 6 months prior to Visit 1, with no changes within 4 weeks prior to Visit 1, and no anticipated changes throughout the study
  • Uncontrolled asthma at Visit 1 and/or 2 and at Visit 3
  • Chest X-ray or computed tomography (CT) scan within 12 months prior to Visit 1 or chest X-ray during the screening period (prior to Visit 3) that confirms the absence of other clinically significant lung disease
  • Demonstrated adherence with controller medication during the screening period

Who cannot join

  • Maintenance oral corticosteroid therapy, defined as daily alternate-day oral corticosteroid maintenance therapy within 3 months prior to Visit 1
  • Treatment with systemic corticosteroids within 4 weeks prior to Visit 1 or during the screening period for any reason, including an acute exacerbation event
  • Any infection requiring hospital, intravenous (IV) or intramuscular (IM) antibiotic treatment or any respiratory infection within 4 weeks prior to Visit 1 or during screening. Any infection requiring oral antibiotic treatment with 2 weeks prior to Visit 1 or during screening, or any parasitic infection within 6 months prior to Visit 1 or during screening
  • Active tuberculosis requiring treatment within 12 months prior to Visit 1
  • Known immunodeficiency, including, but not limited to, human immunodeficiency virus (HIV) infection
  • History of interstitial lung disease, chronic obstructive pulmonary disease (COPD), or other clinically significant lung disease other than asthma
Show all 19Show fewer
  • Known current malignancy or current evaluation for a potential malignancy
  • Unable to safely undergo elective flexible fiberoptic bronchoscopy
  • Clinically significant medical disease that is uncontrolled despite treatment, that is likely, in the opinion of the investigator, to impact the participant's ability to participate in the study, or to impact the study assessments
  • History of alcohol or drug abuse that would impair or risk the participant's full participation in the study, in the opinion of the investigator
  • Current smoker or history of smoking (greater than [>] 10 pack-years), or unwillingness to abstain from smoking for the duration of the study
  • Past and/or current use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
  • Use of a licensed or investigational monoclonal antibody other than anti-IL-13, or anti IL-4/IL-13, including, but not limited to, omalizumab, anti-IL-5, or anti-IL-17, within 6 months or 5 drug half-lives prior to Visit 1 (whichever is longer) or during screening
  • Use of a systemic immunomodulatory or immunosuppressive therapy within 3 months or 5 drug half-lives prior to Visit 1 (whichever is longer) or during screening
  • Use of other investigational therapy within 4 weeks or 5 drug half-lives prior to Visit 1 (whichever is longer) or during screening
  • Initiation of or increase in allergen immunotherapy within 3 months prior to Visit 1 or during screening
  • Body mass index >38 kilograms per square meter (kg/m^2)
  • Body weight <40 kilograms (kg)
  • History of bronchial thermoplasty

Trial locations and contacts

28 sites in 6 countries.

28 sites in 6 countries

United States16 sites
  • Brigham and Women's Hospital; Pulmonary Division

    Boston, Massachusetts, 02115

  • Northwestern University

    Chicago, Illinois, 60611

  • University of Miami School of Medicine - Sylvester at Deerfield

    Deerfield Beach, Florida, Suite 200

  • Duke University Medical Center

    Durham, North Carolina, 27705

  • UTMB Pathology Clinical Services

    Galveston, Texas, 77555-0743

  • Baylor College of Medicine

    Houston, Texas, 77030

  • University of Iowa Hospitals & Clinics; Internal Medicine

    Iowa City, Iowa, 52242

  • LAC-USC Medical Center

    Los Angeles, California, 90033

  • Yale School of Medicine

    New Haven, Connecticut, 06510

  • Pen Memory Center

    Philadelphia, Pennsylvania, 19104

  • Temple University Hospital ; Lung Center

    Philadelphia, Pennsylvania, 19140

  • University of Pittsburgh Medical Center Health System

    Pittsburgh, Pennsylvania, 15213

  • University of California Davis Health System; Division of Pulmonary and Critical Care Medicine

    Sacramento, California, 95817

  • Washington University; Pediatrics

    St Louis, Missouri, 63110

  • University of Arizona

    Tucson, Arizona, 85724-5030

  • Wake Forest University Baptist Medical Center; Gastroenterology & Digestive Health

    Winston-Salem, North Carolina, 27157-1045

Other trials in United States

Canada4 sites
  • University of Calgary

    Calgary, Alberta, T2N 2T9

  • University of Alberta Hospital-SCC/WCM

    Edmonton, Alberta, T6G 2S2

  • McMaster University Health Sciences Center

    Hamilton, Ontario, L8N 3Z5

  • VGH Research Pavilion

    Vancouver, British Columbia, V5Z 1L8

Other trials in Canada

United Kingdom4 sites
  • Queen's University Belfast; NICRN Respiratory Research Office

    Belfast, BT9 7AB

  • Glenfield Hospital

    Leicester, LE3 9QP

  • St Mary's Hospital

    London, W2 1NY

  • The Medicines Evaluation Unit

    Manchester, M23 9QZ

Other trials in United Kingdom

France2 sites
  • Hôpital Arnaud de Villeneuve

    Montpellier, 34295

  • Groupe Hospitalier Sud - Hôpital Haut Lévêque

    Pessac, 33600

Other trials in France

Ireland1 site
  • Connolly Hospital

    Dublin, 15

Other trials in Ireland

Sweden1 site
  • Skånes Universitetssjukhus, Lund

    Lund, 221 85

Other trials in Sweden

About this study

Official title: A Phase II, Randomized, Double-Blind, Placebo-Controlled Bronchoscopy Study to Evaluate the Effects of Lebrikizumab on Airway Eosinophilic Inflammation in Patients With Uncontrolled Asthma on Inhaled Corticosteroids and a Second Controller Medication

This Phase II, randomized, double-blind, placebo-controlled, multicenter study will evaluate the effects of lebrikizumab on airway eosinophilic inflammation in participants with uncontrolled asthma who are using inhaled corticosteroid (ICS) treatment and a second controller medication. Enrolled participants will undergo a 3-week screening period during which assessments, including a bronchoscopy procedure, will be made. Participants will subsequently be randomized to receive lebrikizumab or placebo by subcutaneous (SC) injection on Day 1, Day 8, Week 4, and Week 8. Participants will continue their standard of care therapy throughout the study. End of treatment assessments will be taken at Week 12. Total study period, including screening and follow-up, is expected to last 23 weeks.

Conditions
Asthma
Being tested
Lebrikizumab, Placebo, Inhaled corticposteroids (ICS), Second Asthma Controller Medication
Medical subject headings
Asthma

What participants receive

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

  • LebrikizumabDrug

    Also called RO5490255

    Lebrikizumab will be administered by SC injection on Day 1, Day 8, Week 4, and Week 8.

  • PlaceboDrug

    Lebrikizumab matching placebo will be administered by SC injection on Day 1, Day 8, Week 4, and Week 8.

  • Inhaled corticposteroids (ICS)Drug

    Participants will continue their ICS controller therapy, as they are receiving prior to screening, throughout the study. Protocol does not specify any particular ICS.

  • Second Asthma Controller MedicationDrug

    Participants will continue their asthma controller therapy, as they are receiving prior to screening, throughout the study.

Study groups in NCT02099656
Study groupRoleWhat they receive
LebrikizumabExperimentalParticipants with uncontrolled asthma on ICS therapy (not specified in the protocol) and a second controller medication, will receive SC injection of lebrikizumab on Days 1 and 8, and on Weeks 4 and 8.
Receives: Drug: Lebrikizumab; Drug: Inhaled corticposteroids (ICS); Drug: Second Asthma Controller Medication
PlaceboPlacebo comparatorParticipants with uncontrolled asthma on ICS therapy (not specified in the protocol) and a second controller medication, will receive SC injection of lebrikizumab matching placebo on Days 1 and 8, and on Weeks 4 and 8.
Receives: Drug: Placebo; Drug: Inhaled corticposteroids (ICS); Drug: Second Asthma Controller Medication

What is being measured

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

  1. Relative Change From Baseline in the Number of Airway Submucosal Eosinophils per Surface Area of Basal Lamina (Cells per Square Millimeter [Cells/mm^2])

    Measured: From Baseline to Week 12

Secondary outcomes (22)
  1. Absolute Change From Baseline in Number of Airway Submucosal Eosinophils per Surface Area of Basal Lamina (Cells/mm^2)

    Measured: From Baseline to Week 12

  2. Relative Change From Baseline in the Number of Airway Epithelial Eosinophils per Surface Area of Basal Lamina (Cells/mm^2)

    Measured: From Baseline to Week 12

  3. Absolute Change From Baseline in Number of Airway Epithelial Eosinophils per Surface Area of Basal Lamina (Cells/mm^2)

    Measured: From Baseline to Week 12

  4. Relative Change From Baseline in Number of Airway Submucosal Eosinophils per Volume of Submucosa (Cells per Cubic Millimeter [Cells/mm^3])

    Measured: From Baseline to Week 12

  5. Absolute Change From Baseline in Number of Airway Submucosal Eosinophils per Volume of Submucosa (Cells/mm^3)

    Measured: From Baseline to Week 12

  6. Relative Change From Baseline in Number of Airway Epithelial Eosinophils per Volume of Epithelium (Cells/mm^3)

    Measured: From Baseline to Week 12

  7. Absolute Change From Baseline in Number of Airway Epithelial Eosinophils per Volume of Epithelium (Cells/mm^3)

    Measured: Form Baseline to Week 12

  8. Change From Baseline in Blood Eosinophil Count

    Measured: From Baseline to Week 12

  9. Change From Baseline in Immunoglobulin E (IgE) Levels

    Measured: From Baseline to Week 12

  10. Change From Baseline in Serum Periostin Levels

    Measured: From Baseline to Week 12

  11. Change From Baseline in Chemokine Ligand (CCL)-13 Levels

    Measured: From Baseline to Week 12

  12. Change From Baseline in CCL-17 Levels

    Measured: From Baseline to Week 12

  13. Change From Baseline in Lung Epithelial Cell Chloride Channel Accessory 1 (CLCA1) Gene Expression

    Measured: From Baseline to Week 12

  14. Change From Baseline in Lung Epithelial Cell SerpinB2 Gene Expression at Week 12

    Measured: From Baseline to Week 12

  15. Change From Baseline in Lung Epithelial Cell CCL-26 Gene Expression

    Measured: From Baseline to Week 12

  16. Change From Baseline in Lung Epithelial Cell Nitric Oxide Synthase 2 (NOS2) Gene Expression

    Measured: From Baseline to Week 12

  17. Change From Baseline in Lung Epithelial Cell Periostin (POSTN) Gene Expression

    Measured: From Baseline to Week 12

  18. Relative Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO)

    Measured: From Baseline to Week 12

  19. Relative Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

    Measured: From Baseline to Week 12

  20. Percentage of Participants With Treatment-Emergent Adverse Events

    Measured: From Baseline to Week 20

  21. Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Lebrikizumab

    Measured: Baseline up to Week 20 (assessed at Baseline, Weeks 8 and 20/dosing termination or early termination)

  22. Serum Lebrikizumab Concentration at Week 12

    Measured: Predose (Hour 0) at 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 posted31 Mar 2014 (estimated)
  2. Study start6 Nov 2014
  3. Primary completion13 Oct 2016
  4. Study completion13 Oct 2016

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
Double blind
Who is masked
Participant, Investigator
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02099656
Sponsor's protocol ID
GB29260
Other IDs
2014-000275-14, 2014
Status last verified
Sep 2017
First submitted
26 Mar 2014
Last updated
6 Sep 2017
Results posted
No

Publications

  • Austin CD, Gonzalez Edick M, Ferrando RE, Solon M, Baca M, Mesh K, Bradding P, Gauvreau GM, Sumino K, FitzGerald JM, Israel E, Bjermer L, Bourdin A, Arron JR, Choy DF, Olsson JK, Abreu F, Howard M, Wong K, Cai F, Peng K, Putnam WS, Holweg CTJ, Matthews JG, Kraft M, Woodruff PG; CLAVIER Investigators. A randomized, placebo-controlled trial evaluating effects of lebrikizumab on airway eosinophilic inflammation and remodelling in uncontrolled asthma (CLAVIER). Clin Exp Allergy. 2020 Dec;50(12):1342-1351. doi: 10.1111/cea.13731. Epub 2020 Oct 4.

    PubMed 32909660

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lebrikizumab and Inhaled corticposteroids (ICS) in people with Asthma, run by Hoffmann-La Roche at 28 sites in 6 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 8 inclusion and 19 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 6 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, Canada, United Kingdom, France, Ireland and 1 more country. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Relative Change From Baseline in the Number of Airway Submucosal Eosinophils per Surface Area of Basal Lamina (Cells per Square Millimeter [Cells/mm^2]) (time frame: From Baseline 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 NCT02099656, 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 6 Sep 2017.

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