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AsthmaPhase 3MEMORYNCT02594332

Effects of Mepolizumab Compared to Placebo on Airway Physiology in Patients With Eosinophilic Asthma: MEMORY Study

A Phase 3 study testing Mepolizumab in people with Asthma, run by Johannes Gutenberg University Mainz at 1 site in Germany.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the MEMORY trial is to compare the effects of mepolizumab with Placebo on airway physiology in patients with eosinophilic asthma Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Asthma
What is being tested?
Mepolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
1 siteGermany
Study dates
17 Nov 2015to 22 May 2017
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must be able to give written informed consent prior to participation in the study, which will include the ability to comply with the requirements and restrictions listed in the consent form.
  • Male or female patients at least 18 years
  • Physician-diagnosis of asthma and evidence of asthma as documented by either reversibility of airflow obstruction (FEV1 ≥ 12% or 200 ml) demonstrated at visit 1 or visit 2 .
  • ICS dose must be ≥ 1000 μg/day BDP or equivalent daily with or without maintenance oral corticosteroids.
  • Treatment in the past 12 months with an additional controller medication for at least 3 successive months, e.g., long-acting beta-2-agonist (LABA), leukotriene receptor antagonist (LTRA), or theophylline.
  • Persistent airflow obstruction as indicated by a pre-bronchodilator FEV1 < 80% predicted recorded at Visit 1 or < 90% for patients on oral corticosteroids.
  • An elevated peripheral blood eosinophil level of ≥ 300/µL that is related to asthma or ≥ 150/µL in patients treated with oral corticosteroids as maintenance therapy demonstrated at visit 1 or in the previous 12 months
  • Confirmed history of two or more exacerbations requiring treatment with systemic corticosteroids (intramuscular, intravenous, or oral), in the 12 months prior to visit 1, despite the use of high-dose inhaled corticosteroids. For patients receiving maintenance corticosteroids, the corticosteroid treatment for the exacerbations must have been a two-fold increase or greater in the dose.

Who cannot join

  • Current smokers or former smokers with a smoking history of ≥ 10 pack years (number of pack years = (number of cigarettes per day / 20) x number of years smoked). Patients who have not smoked for ≥ 6 months before visit 1 and have < 10 pack years can be included into the study.
  • Presence of a clinically important lung condition other than asthma. This includes current infection, bronchiectasis, pulmonary fibrosis, bronchopulmonary aspergillosis, or diagnoses of emphysema or chronic bronchitis (chronic obstructive pulmonary disease other than asthma) or a history of lung cancer.
  • Patients who have received omalizumab [Xolair] within 130 days of Visit 1.
  • Patients who have received any biological to treat inflammatory disease within 5 half-lives of visit 1

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Pneumologie

    Mainz, 55131

Other trials in Germany

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Mono-center Study to Evaluate the Effects of Mepolizumab on Airway Physiology in Patients With Eosinophilic Asthma: the MEMORY Study

The purpose of the MEMORY trial is to compare the effects of mepolizumab with Placebo on airway physiology in patients with eosinophilic asthma

Read the detailed description

Asthma with eosinophilic inflammation in the airways and/or blood eosinophilia is associated with clinical severity including the risk of exacerbations and relevant comorbidities (e.g. nasal polyposis). Interleukin-5 (IL-5) is a cytokine essential for eosinophil trafficking and survival. Clinical trials of blocking IL-5 with anti-IL-5 antibodies (mepolizumab and reslizumab) in patients with uncontrolled eosinophilic asthma resulted in an improvement in exacerbation rate and oral corticosteroid use. In some studies with mepolizumab and reslizumab there was a beneficial effect on lung function (FEV1). In addition, many patients described a profound impact on asthma symptoms and quality of life in personal reports which is not uniformly reflected in clinical trials.

The MEMORY trial is the first to primarily evaluate the effect of mepolizumab treatment on pulmonary function in patients with severe eosinophilic asthma. Importantly, using spirometry and bodyplethysmography will allow to evaluate additional parameters beyond FEV1 that more closely mirror the pathophysiological changes and functional aspects of airflow limitation in asthma in real life, e.g. airway resistance, hyperinflation and diffusion capacity. The proposed trial will answer the important questions: if, and if so, which parameters of airway (patho-) physiology as assessed by bodyplethysmography best reflect clinical response to mepolizumab therapy in patients with severe eosinophilic asthma. In addition, the time course to clinical response will be assessed. Equally important, there is only a loose correlation between FEV1 and parameters of asthma control and asthma-related quality of life. This is why another new and important aspect of this trial is to carefully monitor asthma control and asthma quality in life in correlation with lung function changes beyond FEV1. Finally, it is tempting to speculate that the proposed trial will contribute to the question how to best define clinical response to mepolizumab.

Conditions
Asthma
Being tested
Mepolizumab, Placebo
Keywords
eosinophilic asthma, mepolizumab, treatment
Medical subject headings
Asthma, Pulmonary Eosinophilia

What participants receive

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

  • MepolizumabDrug

    100 mg SC every 4 weeks for 13 injections

  • PlaceboDrug

Study groups in NCT02594332
Study groupRoleWhat they receive
MepolizumabExperimental100 mg SC every 4 weeks for 13 injections
Receives: Drug: Mepolizumab
PlaceboExperimentalAmount of Placebo corresponding to mepolizumab dose SC every 4 weeks for 13 injections
Receives: Drug: Placebo

What is being measured

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

  1. mean change from baseline in pre- and post-bronchodilator FVC at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator forced vital capacity (FVC) at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

  2. mean change from baseline in pre- and post-bronchodilator FEV1 at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator forced expiratory volume in 1 second (FEV1) at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

  3. mean change from baseline in pre- and post-bronchodilator RV at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator residual volume (RV) at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

  4. mean change from baseline in pre- and post-bronchodilator TLC at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator total lung capacity (TLC) at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

  5. mean change from baseline in pre- and post-bronchodilator airway resistance at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator airway resistance at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

  6. mean change from baseline in pre- and post-bronchodilator IC at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator inspiratory capacity (IC) at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

  7. mean change from baseline in pre- and post-bronchodilator CO diffusion capacity at visit 10 (week 24) and at time of response

    The primary outcome is the mean change from baseline in pre- and post-bronchodilator CO diffusion capacity at visit 10 (week 24) and at time of response

    Measured: week 24 and time of response

Secondary outcomes (33)
  1. Mean change from baseline in pre- and post-bronchodilator forced vital capacity (FVC) over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  2. Mean change from baseline in pre- and post-bronchodilator forced expiratory volume in 1 second (FEV1) over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  3. Mean change from baseline in pre- and post-bronchodilator residual volume (RV) over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  4. Mean change from baseline in pre- and post-bronchodilator total lung capacity (TLC) over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  5. Mean change from baseline in pre- and post-bronchodilator airway resistance over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  6. Mean change from baseline in pre- and post-bronchodilator inspiratory capacity (IC) over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  7. Mean change from baseline in pre- and post-bronchodilator CO diffusion capacity over the 48-week treatment period at prespecified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 months

  8. Exercise tolerance in a subgroup of patients: Mean change from baseline in exercise endurance time

    Mean change from baseline in exercise endurance time during a sub-maximal constant-load cycle ergometry test after 1, 3, 6, 9 and 12 months of treatment.

    Measured: 1, 3, 6, 9 and 12 month

  9. Exercise tolerance in a subgroup of patients: Mean change from baseline in inspiratory capacity (IC)

    Mean change from baseline in inspiratory capacity (IC) at rest and at peak during sub-maximal constant-load cycle ergometry test after 1, 3, 6, 9 and 12 months of treatment.

    Measured: 1, 3, 6, 9 and 12 month

  10. Exercise tolerance in a subgroup of patients: Mean change from baseline in exertional dyspnea and leg discomfort (Borg CR10 Scale®)

    Mean change from baseline in exertional dyspnea and leg discomfort (Borg CR10 Scale®) during sub-maximal constant-load cycle ergometry test after 1, 3, 6, 9 and 12 months of treatment

    Measured: 1, 3, 6, 9 and 12 month

  11. Time to clinical response and time to change of baseline parameters of clinical Response: sence of smell

    Measured: 52 weeks

  12. Time to clinical response and time to change of baseline parameters of clinical Response: sense of taste

    Measured: 52 weeks

  13. Time to clinical response and time to change of baseline parameters of clinical Response: lung volume

    Measured: 52 weeks

  14. Time to clinical response and time to change of baseline parameters of clinical Response: CO Diffusion capacity

    Measured: 52 weeks

  15. Time to clinical response and time to change of baseline parameters of clinical Response: FEV1 reversibility

    Measured: 52 weeks

  16. Time to clinical response and time to change of baseline parameters of clinical Response: exhaled NO (eNO)

    Measured: 52 weeks

  17. Time to clinical response and time to change of baseline parameters of clinical Response: blood eosinophils

    Measured: 52 weeks

  18. Time to clinical response and time to change of baseline parameters of clinical Response: eosinophilic cationic Protein (ECP)

    Measured: 52 weeks

  19. Time to clinical response and time to change of baseline parameters of clinical Response: blood periostin

    Measured: 52 weeks

  20. Mean change from baseline in Asthma Control Questionnaire (ACQ)

    Measured: 52 weeks

  21. Mean change from baseline in Asthma Quality of Life Questionnaire (AQLQ)

    Measured: 52 weeks

  22. Mean change from baseline in St. George´s Respiratory Questionnaire (SQRG)

    Measured: 52 weeks

  23. Mean change from baseline in Dyspnoe Index (BDI/TDI)

    Measured: 52 weeks

  24. Mean change from baseline in fatique

    Measured: 52 weeks

  25. Mean change from baseline in number of days off school/work over the 48-week treatment period

    Measured: 48 weeks

  26. Time to first clinically significant exacerbation requiring oral or systemic corticosteroids, hospitalization, and/or emergency department (ED) visits

    Measured: 52 weeks

  27. Frequency of clinically significant exacerbations

    Measured: 52 weeks

  28. Time to first exacerbation requiring hospitalization or emergency department (ED) visit

    Measured: 52 weeks

  29. Frequency of exacerbations requiring hospitalization (including intubation and admittance to an intensive care unit (ICU)) or ED visits

    Measured: 52 weeks

  30. GETE rating by physician and patient at time of response and over the 52-week treatment period at pre-specified timepoints (1, 3, 6, 9 and 12 months)

    Measured: 1, 3, 6, 9 and 12 month

  31. Mean change in proportion of patients with nasal polyps, chronic sinusitis and loss of smell and taste

    Measured: 52 weeks

  32. Clinical response to mepolizumab in relation to asthma parameters which potentially predict clinical response

    Clinical response to mepolizumab in relation to asthma parameters which potentially predict clinical response (age at onset and duration of asthma, prior asthma medication, presence of nasal polyps, sense of smell and taste, allergic sensitization (skin prick test, total and specific IgE against aeroallergens and Staph. aureus enterotoxin), reversibility of airflow obstruction, eNO, blood eosinophils, eosinophilic cationic protein (ECP), blood periostin, ANA, ANCA, ECP.

    Measured: 52 weeks

  33. Routine safety assessment (AE and SAE reporting, withdrawals, pregnancy, hematological and clinical chemistry parameters, ECG and vital signs (pulse rate and systolic and diastolic blood pressure))

    Routine safety assessments are incorporated throughout and/or at the end of treatment period including AE and SAE reporting, withdrawals, pregnancy, hematological and clinical chemistry parameters, ECG and vital signs (pulse rate and systolic and diastolic blood pressure).

    Measured: 52 weeks

Timeline

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

  1. First posted3 Nov 2015 (estimated)
  2. Study start17 Nov 2015
  3. Primary completion22 May 2017
  4. Study completion22 May 2017

Why it stopped: recruitment problems

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02594332
Sponsor's protocol ID
2015-001
Other IDs
2015-001868-19, 2015
Acronym
MEMORY
Status last verified
Jul 2017
First submitted
31 Aug 2015
Last updated
13 Jul 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Mepolizumab in people with Asthma, run by Johannes Gutenberg University Mainz at 1 site in Germany.

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 4 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 13 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

The study was stopped early (reason given: recruitment problems). Results are not available in the source record.

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?

mean change from baseline in pre- and post-bronchodilator FVC at visit 10 (week 24) and at time of response (time frame: week 24 and time of response). The study lists 7 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 13 Jul 2017.

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