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AsthmaPhase 3ALIZENCT02814643

Study to Evaluate the Potential Effect of Benralizumab on the Humoral Immune Response to the Seasonal Influenza Vaccination in Adolescent and Young Adult Patients With Severe Asthma

A Phase 3 study testing Benralizumab and Seasonal influenza virus vaccine in people with Asthma, run by AstraZeneca at 24 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

This is a randomized, double-blind, parallel group, placebo-controlled study designed to investigate the potential effect of a fixed dose of benralizumab administered subcutaneously (SC) on antibody responses following seasonal influenza virus vaccination Read more about this study

Who is it for?
Ages 12 to 21 years
Conditions the study is for
Asthma
What is being tested?
Benralizumab and Seasonal influenza virus vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
103 participants
Where
24 sitesUnited States
Study dates
1 Jul 2016to 24 Jan 2017
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 21 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Female and male patients aged 12 to 21 years, inclusive, at the time of Visit 1
  • Weight of ≥40 kg
  • Documented history of current treatment with Inhaled corticosteroids (ICS) and long-acting β2 agonists (LABA)
  • Morning pre-bronchodilator forced expiratory volume in 1 second (FEV1) of >50% predicted at Visit 1 or Visit 2.
  • Airway reversibility (FEV1 >12% and 200 ml) demonstrated at Visit 1 or Visit 2 using the Maximum Post-bronchodilator Procedure OR
  • Airway reversibility documented in the previous 12 months prior to Visit 1
  • An exacerbation, 1 or more, that required oral corticosteroids in the previous year OR
  • Any condition assessed by patient recall over the previous 2-4 weeks

Who cannot join

  • Clinically important pulmonary disease other than asthma
  • Known history of allergy or reaction to the Investigational Product formulation or influenza vaccine
  • Receipt of an influenza vaccine within 90 days prior to randomization
  • Poorly controlled asthma during the screening period that requires treatment with oral corticosteroids or a hospitalization/emergency room visit for the treatment of asthma
  • Acute illness or evidence of significant active infection or known influenza infection during the current flu season

Trial locations and contacts

24 sites in 1 country.

24 sites in 1 country

United States24 sites
  • Research Site

    Arlington, Texas, 76018

  • Research Site

    Aurora, Colorado, 80012-4016

  • Research Site

    Aventura, Florida, 33180

  • Research Site

    Bellevue, Nebraska, 68123

  • Research Site

    Birmingham, Alabama, 35209

  • Research Site

    Clinton, Utah, 84015

  • Research Site

    Colorado Springs, Colorado, 80907

  • Research Site

    Denver, Colorado, 80230

  • Research Site

    Edmond, Oklahoma, 73034

  • Research Site

    El Paso, Texas, 79903

  • Research Site

    Huntington Beach, California, 92647

  • Research Site

    Medford, Oregon, 97504

  • Research Site

    Mesa, Arizona, 85206

  • Research Site

    Miami, Florida, 33135

  • Research Site

    Miami, Florida, 33173

  • Research Site

    Minneapolis, Minnesota, 55402

  • Research Site

    New Braunfels, Texas, 78130

  • Research Site

    Newport Beach, California, 92663

  • Research Site

    North Charleston, South Carolina, 29420

  • Research Site

    Northfield, New Jersey, 08225

  • Research Site

    Oklahoma City, Oklahoma, 73103

  • Research Site

    San Antonio, Texas, 78221

  • Research Site

    San Antonio, Texas, 78251

  • Research Site

    Waco, Texas, 76712

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase 3b Study to Evaluate the Potential Effect of Benralizumab on the Humoral Immune Response to the Seasonal Influenza Vaccination in Adolescent and Young Adult Patients With Severe Asthma.

This is a randomized, double-blind, parallel group, placebo-controlled study designed to investigate the potential effect of a fixed dose of benralizumab administered subcutaneously (SC) on antibody responses following seasonal influenza virus vaccination

Read the detailed description

This study is designed to investigate the potential effect of benralizumab on the antibody response to the seasonal influenza virus vaccine in patients 12-21 years of age with asthma. Benralizumab will be given subcutaneously (SC) at Weeks 0, 4, and 8 weeks, at which time benralizumab levels will reach steady state. Patients will then receive 1 dose of intramuscular (IM) seasonal influenza virus vaccine at Week 8 and samples drawn at Week 8 and Week 12 to measure the antibody response to the influenza virus

Conditions
Asthma
Being tested
Benralizumab, Benralizumab Placebo, Seasonal influenza virus vaccine
Keywords
Male and female adolescent patients, severe asthma
Medical subject headings
Asthma

What participants receive

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

  • BenralizumabDrug

    Benralizumab SC administered every 4 weeks for 3 doses (Weeks 0, 4, and 8).

  • Benralizumab PlaceboDrug

    Placebo administered every 4 weeks for 3 doses (Weeks 0, 4, and 8).

  • Seasonal influenza virus vaccineDrug

    Patients will receive 1 dose of seasonal influenza virus vaccine Intramuscular (IM) at Week 8.

Study groups in NCT02814643
Study groupRoleWhat they receive
BenralizumabExperimental1 mL fill volume administered every 4 weeks for 3 doses (Weeks 0, 4, and 8). Patients will receive 1 dose of seasonal influenza virus vaccine Intramuscular (IM) at Week 8.
Receives: Drug: Benralizumab; Drug: Seasonal influenza virus vaccine
PlaceboPlacebo comparator1 mL fill volume administered every 4 weeks for 3 doses (Weeks 0, 4, and 8). Patients will receive 1 dose of seasonal influenza virus vaccine Intramuscular (IM) at Week 8.
Receives: Drug: Benralizumab Placebo; Drug: Seasonal influenza virus vaccine

What is being measured

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

  1. Postdose Strain-specific Hemagglutination-inhibition (HAI) Antibody Geometric Mean Fold Rise From Week 8 to Week 12

    To compare the geometric mean fold rises in influenza strain-specific hemagglutination-inhibition responses from Week 8 to Week 12 between patients receiving benralizumab 30mg and patients receiving placebo. Geometric mean fold rise was defined as antilog(z) (mean [log(z) x]), where "x" is the postdose HAI antibody titer fold rise from Week 8 and "z" is the natural logarithm.

    Measured: 4 weeks

  2. Postdose Strain-specific Hemagglutination-inhibition Antibody Geometric Mean Titers Obtained at Week 12

    To compare the geometric mean titers of hemagglutination-inhibition antibody as a measure of influenza strain-specific response at Week 12 between patients receiving benralizumab 30mg and patients receiving placebo.

    Measured: 12 weeks

  3. Proportion of Patients Who Experienced a Strain-specific Postdose Antibody Response at Week 12 With Antibody Response Defined as a ≥4-fold Rise in Hemagglutination-inhibition Antibody Titer From Week 8 to Week 12

    To compare the proportions of patients experiencing influenza strain-specific responses as measured by ≥4-fold rises in hemagglutination-inhibition antibody titer from Week 8 to Week 12 between patients receiving benralizumab 30mg and patients receiving placebo.

    Measured: 4 weeks

  4. Proportion of Patients Who Achieved a Strain-specific Postdose Hemagglutination-inhibition Antibody Titer ≥40 at Week 12

    To compare the proportions of patients experiencing influenza strain-specific responses as measured by ≥40-fold rises in hemagglutination-inhibition antibody titer at Week 12 between patients receiving benralizumab 30mg and patients receiving placebo.

    Measured: 12 weeks

Secondary outcomes (5)
  1. Proportion of Patients Who Achieved a Strain-specific Postdose Hemagglutination Inhibition Antibody Titre ≥320 at Week 12

    To compare the proportions of patients experiencing influenza strain-specific responses as measured by ≥320-fold rises in hemagglutination-inhibition antibody titer at Week 12 between patients receiving benralizumab 30mg and patients receiving placebo.

    Measured: 12 weeks

  2. Postdose Strain-specific Microneutralization Antibody Geometric Mean Fold Rise From Week 8 to Week 12

    To compare the geometric mean fold rises in influenza strain-specific microneutralization antibody responses from Week 8 to Week 12 between patients receiving benralizumab 30mg and patients receiving placebo. Geometric mean fold rise was defined as antilog(z) (mean [log(z) x]), where "x" is the postdose microneutralization antibody titer fold rise from Week 8 and "z" is the natural logarithm.

    Measured: 4 weeks

  3. Postdose Strain-specific Serum Microneutralization Antibody Geometric Mean Titers Obtained at Week 12

    To compare the geometric mean titers of microneutralization antibody as a measure of influenza strain-specific response at Week 12 between patients receiving benralizumab 30mg and patients receiving placebo.

    Measured: 12 weeks

  4. Proportion of Patients Who Experience a Strain-specific Postdose Antibody Response at Week 12 With Antibody Response Defined as a ≥4-fold Rise in Microneutralization Antibody Titer From Week 8 to Week 12

    To compare the proportions of patients experiencing influenza strain-specific responses as measured by ≥4-fold rises in microneutralization antibody titer from Week 8 to Week 12 between patients receiving benralizumab 30mg and patients receiving placebo.

    Measured: 4 weeks

  5. Change From Baseline in Mean Asthma Control Questionnaire 6 (ACQ-6) Score at Week 12

    To compare the change from baseline at Week 12 in mean ACQ-6 score between patients receiving benralizumab 30mg and patients receiving placebo. The ACQ-6 assesses asthma symptoms (nighttime waking, symptoms on waking, activity limitation, shortness of breath, wheezing, and short-acting β2 agonist use). Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ-6 score is the mean of the responses to each question. Mean scores of ≤0.75 indicate well-controlled asthma, scores between 0.75 and ≤1.5 indicate partly controlled asthma, and a score >1.5 indicates not well controlled asthma

    Measured: 12 weeks

Timeline

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

  1. First posted28 Jun 2016 (estimated)
  2. Study start1 Jul 2016
  3. Primary completion24 Jan 2017
  4. Study completion24 Jan 2017

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
103 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02814643
Sponsor's protocol ID
D3250C00033
Acronym
ALIZE
Status last verified
Oct 2018
First submitted
15 Jun 2016
Last updated
24 Oct 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Benralizumab and Seasonal influenza virus vaccine in people with Asthma, run by AstraZeneca at 24 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 8 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 24 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Mar 2018). 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?

Postdose Strain-specific Hemagglutination-inhibition (HAI) Antibody Geometric Mean Fold Rise From Week 8 to Week 12 (time frame: 4 weeks). The study lists 4 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 24 Oct 2018.

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