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AsthmaPhase 3SOLANANCT02869438

A Study to Evaluate the Onset of Effect and Time Course of Change in Lung Function With Benralizumab in Severe, Uncontrolled Asthma Patients With Eosinophilic Inflammation

A Phase 3 study testing Benralizumab in people with Asthma, run by AstraZeneca at 54 sites in 6 countries.

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

The purpose of this study is to investigate the onset and maintenance of effect of benralizumab on lung function, blood eosinophils, asthma control metrics and quality of life during 12-week treatment in patients with uncontrolled, severe asthma with eosinophilic inflammation. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Asthma
What is being tested?
Benralizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
233 participants
Where
54 sitesin 6 countries
Study dates
9 Nov 2016to 1 Aug 2018
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent for study participation must be obtained prior to any study related procedures being performed and according to international guidelines and/or applicable European Union (EU) guidelines.
  • Female and male aged 18 to 75 years inclusively at the time of Visit 1
  • Documented current treatment with ICS and LABA for at least 30 days prior to Visit 1. The ICS and LABA can be parts of a combination product or given by separate inhalers. The ICS dose must be greater than or equal to 500 μg/day fluticasone propionate dry powder formulation or equivalent daily. Additional asthma controller medications, eg, oral corticosteroids, long-acting antimuscarinics (LAMAs), LTRAs, theophylline etc. are allowed if they have been used for at least 30 days prior to Visit 1
  • History of at least 2 asthma exacerbations that required treatment with systemic corticosteroids (intramuscular (IM), intravenous (IV), or oral) in the 12 months prior to Visit 1. For patients receiving corticosteroids as a maintenance therapy, the corticosteroid treatment for the exacerbation is defined as a temporary increase of their maintenance dose.
  • Pre-bronchodilator (pre-BD) FEV1 of < 80% predicted at Visit 2 or Visit 3
  • ACQ-6 score ≥1.5 at Visit 1
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  • Evidence of asthma as documented by airway reversibility (FEV1 ≥12% and 200 ml) demonstrated at Visit 1, Visit 2 or Visit 3. For patients entering the body plethysmography sub-study, reversibility must be demonstrated at Visit 1 or at Visit 2 only
  • Peripheral blood eosinophil count of ≥300 cells/μL assessed by central lab at Visit 1
  • Women of childbearing potential (WOCBP) must use an effective form of birth control confirmed by the Investigator. WOCBP must also have negative serum pregnancy test result on Visit 1.
  • Women not of childbearing potential are defined as women who are either permanently sterilized (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy), or who are postmenopausal. Women will be considered postmenopausal if they have been amenorrheic for 12 months prior to the planned date of randomization without an alternative medical cause. The following agespecific requirements apply:
  • Women <50 years old are considered postmenopausal if they have been amenorrheic for 12 months or more following cessation of exogenous hormonal treatment and follicle stimulating hormone (FSH) levels in the postmenopausal range.
  • Women ≥50 years old are considered postmenopausal if they have been amenorrheic for 12 months or more following cessation of all exogenous hormonal treatment.
  • All male patients who are sexually active must agree to use a double barrier method of contraception (condom with spermicide) from the first dose of IP until 16 weeks after their last dose
  • Weight of ≥40 kg
  • Additional inclusion criteria applicable for the Body Plethysmography substudy 1.Residual volume ≥125% of predicted at Visit 3.
  • At least 1 of the following within 7 days prior to randomization:
  • Daytime or nighttime asthma symptoms for 2 or more days;
  • Rescue SABA use for 2 or more days;
  • Nighttime awakenings due to asthma at least 1 night during the 7-day period
  • ACQ >0.75 at Visit 4 prior to randomization.
  • A negative urine pregnancy test in WOCBP prior to administration of IP

Who cannot join

  • Clinically important pulmonary disease other than asthma (eg, active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (eg, allergic bronchopulmonary aspergillosis/mycosis, Churg-Strauss syndrome, hypereosinophilic syndrome)
  • Life-threatening asthma defined as episodes requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma related syncopal episodes within the 12 months prior to Visit 1.
  • Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run-in period
  • An upper respiratory tract infection or an asthma exacerbation that required treatment with systemic corticosteroids or an increase in regular maintenance dose of OCS during the screening/run-in period prior to randomization Visit 4
  • Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:
  • Affect the safety of the patient throughout the study
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  • Influence the findings of the studies or their interpretations
  • Impede the patient's ability to complete the entire duration of study
  • Known history of allergy or reaction to any component of the investigational product formulation
  • History of anaphylaxis to any biologic therapy
  • History of Guillain-Barré syndrome
  • A helminth parasitic infection diagnosed within 24 weeks prior to the date informed consent is obtained that has not been treated with, or has failed to respond to standard of care therapy
  • Any clinically significant abnormal findings in physical examination, vital signs, hematology, clinical chemistry, or urinalysis during screening period, which in the opinion of the Investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patient's ability to complete entire duration of the study
  • Any clinically significant cardiac disease or any electrocardiogram (ECG) abnormality obtained during the screening/run-in period, which in the opinion of the Investigator may put the patient at risk or interfere with study assessments
  • History of alcohol or drug abuse within 12 months prior to the date informed consent is obtained
  • Positive hepatitis B surface antigen, or hepatitis C virus antibody serology, or a positive medical history for hepatitis B or C. Patients with a history of hepatitis B vaccination without history of hepatitis B are allowed to enroll
  • A history of known immunodeficiency disorder including a positive human immunodeficiency virus (HIV) test
  • Current smokers or former smokers with a smoking history of ≥10 pack years. A former smoker is defined as a patient who quit smoking at least 6 months prior to Visit 1
  • Current malignancy, or history of malignancy, except for:
  • Patients who have had basal cell carcinoma, localized squamous cell carcinoma of the skin or in situ carcinoma of the cervix are eligible provided that the patient is in remission and curative therapy was completed at least 12 months prior to the date informed consent was obtained.
  • Patients who have had other malignancies are eligible provided that the patient is in remission and curative therapy was completed at least 5 years prior to the date informed consent was obtained.
  • Use of immunosuppressive medication (including but not limited to: oral corticosteroids [for reasons other than asthma], methotrexate, troleandomycin, cyclosporine, azathioprine, intramuscular long-acting depot corticosteroids or any experimental anti-inflammatory therapy) within 3 months prior to the date informed consent
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level ≥1.5 times the upper limit of normal (ULN) confirmed during screening period
  • Receipt of immunoglobulin or blood products within 30 days prior to the date informed consent is obtained
  • Receipt of any marketed (eg, omalizumab, mepolizumab etc.) or investigational biologic within 4 months or 5 half-lives prior to the date informed consent is obtained, whichever is longer
  • Receipt of live attenuated vaccines 30 days prior to the date of randomization
  • Receipt of any investigational medication within 30 days or 5 half-lives prior to randomization, whichever is longer
  • Previously received benralizumab (MEDI-563)
  • Planned surgical procedures during the conduct of the study
  • Currently breastfeeding or lactating women
  • Previous randomization in the present study
  • Concurrent enrolment in another interventional or post-authorization safety study (PASS).
  • AstraZeneca staff involved in the planning and/or conduct of the study
  • Employees of the study center or any other individuals involved with the conduct of the study or immediate family members of such individuals
  • 1. Greater than/equal to 20% change in mean Pre BD FEV1 value at randomization Visit 4 from the mean pre BD FEV1 calculated from the pre BD FEV1 recorded at Visit 2 and Visit 3

Trial locations and contacts

54 sites in 6 countries.

54 sites in 6 countries

United States16 sites
  • Research Site

    Cincinnati, Ohio, 45231

  • Research Site

    Denver, Colorado, 80206

  • Research Site

    Fort Mitchell, Kentucky, 41017

  • Research Site

    Gilbert, Arizona, 85234

  • Research Site

    Lampasas, Texas, 76550

  • Research Site

    McKinney, Texas, 75069

  • Research Site

    Medford, Oregon, 97504

  • Research Site

    Miami, Florida, 33174

  • Research Site

    New Bern, North Carolina, 28562

  • Research Site

    Oklahoma City, Oklahoma, 73103

  • Research Site

    Philadelphia, Pennsylvania, 19140

  • Research Site

    Rochester, Minnesota, 55905

  • Research Site

    Scottsboro, Alabama, 35768

  • Research Site

    Tampa, Florida, 33607

  • Research Site

    Vero Beach, Florida, 32960

  • Research Site

    Winter Park, Florida, 32789

Other trials in United States

Germany12 sites
  • Research Site

    Bamberg, 96049

  • Research Site

    Darmstadt, 64283

  • Research Site

    Frankfurt, 60596

  • Research Site

    Frankfurt am Main, 60389

  • Research Site

    Frankfurt am Main, 60596

  • Research Site

    Hamburg, 20354

  • Research Site

    Hamburg, 22299

  • Research Site

    Hanover, 30167

  • Research Site

    Hanover, 30625

  • Research Site

    Hanover, D-30173

  • Research Site

    Mainz, 55131

  • Research Site

    München, 81377

Other trials in Germany

Hungary9 sites
  • Research Site

    Balassagyarmat, 2660

  • Research Site

    Edelény, 3780

  • Research Site

    Farkasgyepü, 8582

  • Research Site

    Gödöllő, 2100

  • Research Site

    Hajdúnánás, 4080

  • Research Site

    Komárom, 2900

  • Research Site

    Miskolc, 3529

  • Research Site

    Pécs, 7626

  • Research Site

    Pécs, 7635

Other trials in Hungary

South Korea9 sites
  • Research Site

    Cheongju-si, 28644

  • Research Site

    Daegu, 42415

  • Research Site

    Jeonju, 54907

  • Research Site

    Seoul, 03080

  • Research Site

    Seoul, 03312

  • Research Site

    Seoul, 03722

  • Research Site

    Seoul, 05505

  • Research Site

    Seoul, 06351

  • Research Site

    Seoul, 06591

Other trials in South Korea

Chile4 sites
  • Research Site

    Curicó, 3341643

  • Research Site

    Santiago, 404366

  • Research Site

    Santiago, 7500692

  • Research Site

    Santiago, 7750495

Other trials in Chile

Philippines4 sites
  • Research Site

    Iloilo City, 5000

  • Research Site

    Lipa City

  • Research Site

    Manila, 1000

  • Research Site

    Quezon City, 0870

Other trials in Philippines

About this study

Official title: A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase 3b Study to Evaluate the Onset of Effect and Time Course of Change in Lung Function With Benralizumab in Severe, Uncontrolled Asthma Patients With Eosinophilic Inflammation

The purpose of this study is to investigate the onset and maintenance of effect of benralizumab on lung function, blood eosinophils, asthma control metrics and quality of life during 12-week treatment in patients with uncontrolled, severe asthma with eosinophilic inflammation. A subset of patients will take part in body plethysmography substudy to further investigate the effect on lung function.

Conditions
Asthma
Being tested
Benralizumab, Placebo
Keywords
Asthma, Bronchial Diseases, Respiratory Tract Diseases, Lung Diseases, Obstructive Lung Diseases
Medical subject headings
Asthma, Bronchial Diseases, Respiratory Tract Diseases, Lung Diseases, Lung Diseases, Obstructive

What participants receive

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

  • BenralizumabDrug

    Benralizumab administered subcutaneously at Visit 1 (Day 0), Visit 8 (Day28 +/- 3 days) and Visit 9 (Day 56 +/- 3 days)

  • PlaceboOther

    Placebo administered subcutaneously at Visit 1 (Day 0), Visit 8 (Day28 +/- 3 days) and Visit 9 (Day 56 +/- 3 days)

Study groups in NCT02869438
Study groupRoleWhat they receive
Benralizumab armExperimentalBenralizumab administered subcutaneously
Receives: Drug: Benralizumab
Placebo armPlacebo comparatorPlacebo administered subcutaneously
Receives: Other: Placebo

What is being measured

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

  1. Change From Baseline (Visit 4) to Day 28 (Visit 8), Day 56 (Visit 9), and Day 84 (Visit 10) in Pre-BD FEV1

    The average over the mean differences between benralizumab and placebo for change from baseline in pre-BD FEV1 is used to determine if the study is positive and to determine maintenance of effect. The first post baseline time point where the p-value for the mean difference between benralizumab and placebo is less than or equal to 0.05 is used to determine time to onset of effect.

    Measured: From first IP dose to Day 84

  2. Change From Baseline (Visit 4) to End of Treatment Day 84 (Visit 10) in Residual Volume (RV)

    Body plethysmography was performed for sub-study patients. Lung volume subdivisions measures were performed by the investigator or qualified designee according to ATS/ERS guidelines.

    Measured: From first IP dose to Day 84

Secondary outcomes (13)
  1. Percent Change From Baseline to End of Treatment in Eosinophils Counts

    Percent change from baseline to Day 84

    Measured: From first IP dose to Day 84

  2. Change From Baseline (Visit 4) to Post Baseline Visits in Pre-BD FEV1

    Post baseline visits include Day 3, Day 7, Day 14, Day 28, Day 56, Day 84. [Note: Day 28, 56, 84 are presented in the Primary measure.]

    Measured: From first IP dose to Day 84

  3. Change From Baseline to Post Baseline for Pre-BD FVC

    Post baseline visits include Day 3, Day 7, Day 14, Day 28, Day 56, and Day 84.

    Measured: From first IP dose to Day 84

  4. Percentage of Pre-BD FEV1 Responder

    Pre-BD FEV1 responder is defined as change from baseline in FEV1 >=100 ml

    Measured: From first IP dose to Day 84

  5. Change From Baseline in ACQ-6

    ACQ-6 contains one bronchodilator question and 5 symptom questions. Questions are rated from 0 (totally controlled) to 6 (severely uncontrolled). Mean ACQ-6 score is the average of the responses. Mean scores of <=0.75 indicates well-controlled asthma, scores between 0.75 to <=1.5 indicate partly controlled asthma, and >1.5 indicates not well controlled asthma.

    Measured: From first IP dose to Day 84

  6. Change From Baseline in St. George's Respiratory Questionnaire (SGRQ)

    The SGRQ is designed to measure health impairment in patients with asthma and COPD. It contains two parts: Part 1 (Questions 1 to 8) covers the patients' recollection of their symptoms over a preceding 4 weeks; Part 2, 42 items, relates to the daily activity and psychosocial impacts of the individual's respiratory condition. Total score is presented as a percentage of overall impairment, in which 100 represents the worst possible health status, while 0 indicates the best.

    Measured: From first IP dose to Day 84

  7. Change From Baseline to End of Treatment in FeNO

    Airway inflammation was evaluated via fractional exhaled nitric oxide (FeNO) measurement.

    Measured: From first IP dose to Day 84

  8. Change From Baseline to End of Treatment in Total Lung Capacity (TLC) for Sub-study Patients

    Lung volume subdivisions include total lung capacity (TLC), residual volume (RV), vital capacity (VC), functional residual capacity (FRC), and inspiratory capacity (IC), as well as airway resistance (Raw and SGaw) measurements.

    Measured: From first IP dose to Day 84

  9. Change From Baseline to End of Treatment in Ratio of Residual Volume (RV) and Total Lung Capacity (TLC) for Sub-study Patients

    Lung volume subdivisions include total lung capacity (TLC), residual volume (RV), vital capacity (VC), functional residual capacity (FRC), and inspiratory capacity (IC), as well as airway resistance (Raw and SGaw) measurements.

    Measured: From first IP dose to Day 84

  10. Change From Baseline to End of Treatment in Inspiratory Capacity (IC) for Sub-study Patients

    Lung volume subdivisions include total lung capacity (TLC), residual volume (RV), vital capacity (VC), functional residual capacity (FRC), and inspiratory capacity (IC), as well as airway resistance (Raw and SGaw) measurements.

    Measured: From first IP dose to Day 84

  11. Change From Baseline to End of Treatment in Functional Residual Capacity (FRC) for Sub-study Patients

    Lung volume subdivisions include total lung capacity (TLC), residual volume (RV), vital capacity (VC), functional residual capacity (FRC), and inspiratory capacity (IC), as well as airway resistance (Raw and SGaw) measurements.

    Measured: From first IP dose to Day 84

  12. Change From Baseline to End of Treatment in Vital Capacity (VC) for Sub-study Patients

    Lung volume subdivisions include total lung capacity (TLC), residual volume (RV), vital capacity (VC), functional residual capacity (FRC), and inspiratory capacity (IC), as well as airway resistance (Raw and SGaw) measurements.

    Measured: From first IP dose to Day 84

  13. Duration of IP Administration

    Duration of IP administration is last IP dose date - first IP dose +1.

    Measured: From first IP to last IP

Timeline

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

  1. First posted17 Aug 2016 (estimated)
  2. Study start9 Nov 2016
  3. Primary completion1 Aug 2018
  4. Study completion1 Aug 2018

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
233 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02869438
Sponsor's protocol ID
D3250C00038
Other IDs
2016-002094-36, U1111-1185-6625, 2016
Acronym
SOLANA
Status last verified
Oct 2019
First submitted
16 Aug 2016
Last updated
29 Oct 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Benralizumab in people with Asthma, run by AstraZeneca at 54 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 21 inclusion and 35 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 29 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Germany, Hungary, South Korea, Chile 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 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 7 Oct 2019). 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?

Change From Baseline (Visit 4) to Day 28 (Visit 8), Day 56 (Visit 9), and Day 84 (Visit 10) in Pre-BD FEV1 (time frame: From first IP dose to Day 84). The study lists 2 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 29 Oct 2019.

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