AsthmaPhase 2NCT02918019
A Study to Assess the Efficacy and Safety of MSTT1041A in Participants With Uncontrolled Severe Asthma
A Phase 2 study testing MSTT1041A in people with Asthma, run by Hoffmann-La Roche at 138 sites in 15 countries.
Trial summary
This is a Phase IIb, randomized, placebo-controlled, double-blind, multicenter, multi-arm study which will evaluate efficacy, safety, and pharmacokinetic of MSTT1041A compared with placebo as add-on therapy in participants with severe, uncontrolled asthma who are receiving medium- or high-dose inhaled corticosteroid… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Asthma
- What is being tested?
- MSTT1041A
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 517 participants
- Where
- 138 sitesin 15 countries
- Study dates
- 20 Sep 2016to 26 Jul 2019
- Phase
- Phase 2
- 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
- Body mass index (BMI) of 18 to 38 kilogram/square meter (kg/m^2) and weight >= 40 kg at screening
- Documented physician-diagnosed asthma
- On high dose inhaled corticosteroid (ICS) therapy plus at least one additional allowed controller medication
- Forced expiratory volume in 1 second (FEV1) of 40% to 80% of predicted
- Evidence of uncontrolled asthma
- Use of contraceptive measures
Who cannot join
- Diagnosis of mimics of asthma
- Diagnosis of occupational asthma, aspirin-sensitive asthma, asthma chronic obstructive pulmonary disease overlap syndrome, or bronchiolitis, as determined by the investigator
- Pregnant or lactating, or intending to become pregnant during the study or within 20 weeks after the last dose of MSTT1041A
- Recent history of smoking
- History or evidence of substance abuse that would pose a risk to participants safety, interfere with the conduct of the study, have an impact on the study results
- Asthma exacerbation within 4 weeks prior to screening
Show all 10Show fewer
- Intubation for respiratory failure due to asthma within 12 months prior to screening
- Comorbid conditions that may interfere with evaluation of investigational medicinal product
- Known sensitivity to any of the active substances or their excipients to be administered during dosing
- Positive pregnancy test
Trial locations and contacts
138 sites in 15 countries.
138 sites in 15 countries
United States43 sites
Kern Allergy Med Clinic, Inc.
Bakersfield, California, 93301
Asthma, Allergy & Sinus Center
Baltimore, Maryland, 21236
Chesapeake Clinical Research Inc - CRN
Baltimore, Maryland, 21236
The Allergy and Asthma Center
Bellevue, Nebraska, 68123
Alabama Allergy & Asthma
Birmingham, Alabama, 35209
TTS Research
Boerne, Texas, 78006
Allergy & Respiratory Center
Canton, Ohio, 44718
IMMUNOe Research Centers
Centennial, Colorado, 80112
American Health Research Inc.
Charlotte, North Carolina, 28277
Asthma & Allergy; Associates, P.C.
Colorado Springs, Colorado, 80907
Elliot J. Ginchansky, MD, PA
Dallas, Texas, 75230
Genesis Clinical Research & Consulting, LLC
Fall River, Massachusetts, 02720
Pioneer Research Solutions
Houston, Texas, 077099
Clinical Research Solutions PC
Knoxville, Tennessee, 37920
Allergy & Asthma Care Center of Southern California
Long Beach, California, 90808
CA Allergy & Asthma Med Grp; Medical Group, Inc.
Los Angeles, California, 90025
Jonathan Corren MD, Inc.
Los Angeles, California, 90025
Office of Robert N Wolfe MD
Los Angeles, California, 90048
Metroplex Pulmonology & Sleep Center
McKinney, Texas, 75069
Allergy Associates of Utah
Murray, Utah, 84107
Meharry Medical College; Clinical Trials Office
Nashville, Tennessee, 37208
Yale University School Of Medicine
New Haven, Connecticut, 06519
Infinity Medical Research Inc
North Dartmouth, Massachusetts, 02747
Integrity People Services Research Company
Oklahoma City, Oklahoma, 73103
Emerald Coast Research Associates
Panama City, Florida, 32405
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Advances in Medicine
Rancho Mirage, California, 92270
Allergy & Asthma Consultants
Redwood City, California, 94063
Commonwealth Clinical Research Specialists
Richmond, Virginia, 23226
Allergy & Asthma Research Center
San Antonio, Texas, 78229
Washington Univ School of Med
Seattle, Washington, 98195
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
Midwest Clinical Research LLC
St Louis, Missouri, 63141
Atlanta Allergy & Asth Clin PC
Stockbridge, Georgia, 30281
Bensch Research Associates
Stockton, California, 95207
Montefiore Medical Center
The Bronx, New York, 10461
Del Sol Research Management
Tucson, Arizona, 85710
Vital Prospects Clin Res Pc
Tulsa, Oklahoma, 74136
Asthma & Allergy of Idaho
Twin Falls, Idaho, 83301
Allergy and Asthma Clinical Research, Inc.
Walnut Creek, California, 94598
Asthma & Allergy Physicians of Rhode Island Clinical Research Institute (AAPRI CRI)
Warwick, Rhode Island, 02865
Western States Clinical Research, Inc
Wheat Ridge, Colorado, 80033
Florida Premier Research Institute
Winter Park, Florida, 32789
Russia13 sites
City Hospital #5
Barnaul, 656045
Municipal Healthcare Institution City Clinical Hospital #3 named after M.A. Podgorbunskogo
Kemerovo, 650099
LLC - ABC Medicina
Moscow, Sankt-Peterburg, 117574
I.M. Sechenov Moscow State Medical University the Ministry of Health and Social Development of RF
Moscow, 115446
Novosibirsk Municipal Clinical Hospital For Emergency Medicine #2
Novosibirsk, 630008
City Clinical Hospital #2
Novosibirsk, 630051
Ryazan State Medical University Named after I.P.Pavlov
Ryazan, 390026
Clinic Reavita LLC
Saint Petersburg, 194295
SHI Ctr Occupational Pathology
Saint Petersburg, 195271
St. Petersburg State Medical University n.a. I.P. Pavlov
Saint Petersburg, 197089
City Hospital #40 of Resort Administrative District
Saint Petersburg, 197706
Siberian State Medical University
Tomsk, 634050
Clinical Emergency Hospital n.a.N.V. Soloviev
Yaroslavl, Moscow Oblast, 150003
Ukraine13 sites
Regional Municipal Institution Chernivtsi Regional Clinical Hospital
Chernivtsi, Chernihiv Governorate, 58005
Public Institution City Clinical Hospital # 6 of Dnipropetrovsk Regional Board
Dnipro, 49000
Ukrainian State Institute of Medical and Social Problems of Disability
Dnipropetrovsk, 49027
Regional Phthisiology and Pulmonology Center
Ivano-Frankivsk, 76018
SI Institute of Therapy n.a. L.T. Mala of National Academy of Medical Sciences of Ukraine
Kharkiv, 61039
Kyiv City Tuberculosis Hospital #1; Department of Differential Diagnosis of Lung Diseases
Kyiv, KIEV Governorate, 02091
SI National Institute of Phthisiology and Pulmonology n.a. F.G.Yanovskyi under NAMS of Ukraine
Kyiv, 03680
Municipal Institution of Kyiv Regional Council Kyiv Regional Clinical Hospital
Kyiv, 04107
Kyiv City Clinical Hospital #8
Kyiv, 04201
City Hospital #1
Mykolaiv, 54003
Municipal Institution Odesa Regional Clinical Hospital
Odesa, 65025
Small Business Private Enterprise Medical Centre Pulse
Vinnytsia, 21001
Municipal institution; City hospital #1; Department of Therapy
Zaporizhzhya, Kherson Governorate, 69104
Bulgaria12 sites
Military Medical Academy HBAT
Pleven, 5800
SHATPPD Dr. Dimitar Gramatikov, Ruse Ltd.
Rousse, 7002
Medical Centre Mladost Med 1 EOOD
Sofia, 1000
First MHAT; Clinic of Neurology
Sofia, 1142
Fifth MHAT - Sofia EAD
Sofia, 1233
National Multiprofile Hospital Tsar Boris III
Sofia, 1233
Specialised Hospital for Active Treatment of Pulmonary Deseases "Sv. Sofia", Third Clinic for Non-Sp
Sofia, 1431
Uni. Multiprofile Hosp. for Active Treatment-Aleksandrovska
Sofia, 1431
Medical Center N.I. Pirogov EOOD
Sofia, 1606
Alitera - Med - Medical Center EOOD
Sofia, 1618
Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
Stara Zagora, 6000
Medical Center Tara OOD
Veliko Tarnovo, 5000
Argentina10 sites
Fundacion Cidea
Buenos Aires, C1121ABE
INAER
Buenos Aires, C1425BEN
Fundacion Scherbovsky
Mendoza, M5500AYB
INSARES
Mendoza, Mendoza City, M5500CCG
Centro Respiratorio Quilmes
Quilmes, B1878FNR
Instituto Especialidades de la Salud Rosario
Rosario, S2000DBS
Instituto de Diagnóstico ABC; Servicio de Investigación de Patologías Alérgicas
Rosario, S2000JKE
Centro Modelo de Cardiologia
San Miguel de Tucumán, 4000
Investigaciones en Patologias Respiratorias
San Miguel de Tucumán, T4000IAR
CEMER Centro Medico de Enfermedades Respiratorias
Vicente López, B1602DQD
Poland10 sites
Centrum Medycyny Oddechowej Robert M. Mróz
Bialystok, 15-003
Centrum Medyczne ALL-MED
Krakow, 30-033
Malopolskie Centrum Alergologii
Krakow, 31-624
Niepubliczny Zaklad Opieki Zdrowotnej Centrum Medyczne ProMiMed sp z o.o. sp.k.
Krakow, 31-637
SPZOZ Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego Uniwersytetu Medycznego w Lodzi
Lodz, 90-153
Specjalistyczna Poradnia Pulmonologiczna
Ostrów Wielkopolski, 63-400
Przedsiebiorstwo Podmiotu Leczniczego Poradnie Specjalistyczne MAGMED
Radom, 26-600
ALERGO-MED Specjalistyczna Przychodnia Lekarska Sp. z o. o
Tarnów, 33-100
Ewa Pisarczyk-Bogacka Specjalistyczna Praktyka Lekarska
Wroclaw, 53-301
NZOZ Lekarze Specjaliści J. Małolepszy i Partnerzy
Wroclaw, 54-239
Peru6 sites
Clinica Internacional
Lima, Lima 1
Abk Reuma Srl- Medicentro
Lima, Lima 21
Clinica Ricardo Palma; THORAX
Lima, Lima 27
Instituto Peruano de Investigacion en Ciencias Medicas
Lima, Lima 32
Clinica San Borja
Lima, Lima 41
Hospital Santa Rosa Piura
Piura, 20001
Canada5 sites
Aggarwal and Associates
Brampton, Ontario, L6T 0G1
Cheema Research
Mississauga, Ontario, L5A 3V4
Inspiration Research
Toronto, Ontario, M5T 3A9
C.I.C. Mauricie
Trois-Rivières, Quebec, G8T 7A1
Anil Dhar Professional Medicine Corporation
Windsor, Ontario, N8X 5A6
Czechia5 sites
MediTrial s.r.o.
Jindřichův Hradec, 377 01
EUC Klinika Ostrava a.s.
Ostrava-Poruba, 708 00
Ordinace pro tuberkulozu a respiracni nemoci
Strakonice, 38601
KASMED s.r.o.
Tábor, 390 01
Alergologie Teplice, s.r.o.
Teplice, 415 01
Romania5 sites
Theramed SRL
Brasov, 16
Spitalul Clinic de Pneumoftiziologie Leon Daniello Cluj-Napoca, Sectia Clinica Pneumologie I
Cluj-Napoca, 400371
Spitalul Clinic de Boli Infectioase si Pneumoftiziologie Victor Babes Craiova
Craiova, 200515
Fundatia CardioPrevent
Timișoara, 300134
Dr. Victor Babes Pneumology and Infectious Diseases Clinical Hospital
Timișoara, 300310
South Africa5 sites
Tiervalei Trial Centre
Cape Town, 7530
University of Cape Town Lung Institute; Lung Clinical Research
Cape Town, 7700
St Augustines Hospital; Infectoilogy
Durban, 4001
Vawda Z.Fa Practice
Durban, 4091
Aliwal Shoal Medical Center
eMkhomazi, 4170
Germany4 sites
Pneumologisches Forschungsinstitut Hohegeest
Geesthacht, 21502
POIS Leipzig Gbr
Leipzig, 04357
Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Medizinische Klinik, Pneumologie
Mainz, 55131
Universitatsklinikum Munster
Münster, 48149
South Korea3 sites
Seoul National University Hospital
Seoul, 03080
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Belgium2 sites
Cliniques Universitaires St-Luc
Brussels, 1200
Private Practice Dr Jean Benoit Martinot
Erpent, 5101
New Zealand2 sites
Greenlane Clinical Centre
Auckland, 1051
Medical Research Institute of New Zealand
Wellington, 6021
About this study
Official title: A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Dose-Ranging Study to Assess the Efficacy and Safety of MSTT1041A in Patients With Uncontrolled Severe Asthma
This is a Phase IIb, randomized, placebo-controlled, double-blind, multicenter, multi-arm study which will evaluate efficacy, safety, and pharmacokinetic of MSTT1041A compared with placebo as add-on therapy in participants with severe, uncontrolled asthma who are receiving medium- or high-dose inhaled corticosteroid (ICS) therapy and at least one of the following additional controller medications: long-acting beta-agonists (LABA), leukotriene modifier (LTM), long-acting muscarinic antagonist (LAMA), or long-acting theophylline preparation. The total duration of this study for each participant is approximately 70 weeks including screening, run-in, treatment, and follow-up.
- Conditions
- Asthma
- Being tested
- MSTT1041A, Placebo
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MSTT1041ADrug
Also called RO7187807
MSTT1041A will be administered as subcutaneous injections.
PlaceboDrug
Placebo matched with MSTT1041A.
| Study group | Role | What they receive |
|---|---|---|
| MSTT1041A 210 mg | Experimental | Participants will receive MSTT1041A 210 milligrams (mg), subcutaneously every 4 weeks from randomization through Week 50. Receives: Drug: MSTT1041A |
| MSTT1041A 490 mg | Experimental | Participants will receive MSTT1041A 490 mg, subcutaneously every 4 weeks from randomization through Week 50. Receives: Drug: MSTT1041A |
| MSTT1041A 70 mg | Experimental | Participants will receive MSTT1041A 70 mg, subcutaneously every 4 weeks from randomization through Week 50. Receives: Drug: MSTT1041A |
| Placebo | Placebo comparator | Participants will receive placebo matched with MSTT1041A, subcutaneously every 4 weeks from randomization through Week 50. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Reduction in Rate of Asthma Exacerbations
Asthma exacerbation was defined as new or increased asthma symptoms (wheezing, coughing, dyspnea, chest tightness, and/or nighttime awakenings due to these symptoms) that result in one or both of the following: Hospitalization or emergency department visit with administration of systemic corticosteroid treatment; Treatment with systemic corticosteroids for at least 3 days, or a long-acting depot corticosteroid preparation with a therapeutic effectiveness of at least 3 days.
Adjusted rates for the overall mITT population (all participants that received at least one dose of study drug) were estimated using Poisson regression and adjusted for blood eosinophil level at the first visit, the number of asthma exacerbations requiring systemic corticosteroids in the 12 months prior to study entry, the total daily ICS dose at the first visit, and geographic region, with patient time at risk used as an offset term.
Measured: Baseline to Week 54
Secondary outcomes (10)
Absolute Change in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
FEV1 measures how much air a person can exhale during the first second of a forced breath.
Adjusted means are reported.
Measured: Baseline to Week 54
Time to First Asthma Exacerbation
Asthma exacerbation was defined as new or increased asthma symptoms (wheezing, coughing, dyspnea, chest tightness, and/or nighttime awakenings due to these symptoms) that result in one or both of the following: Hospitalization or emergency department visit with administration of systemic corticosteroid treatment; Treatment with systemic corticosteroids for at least 3 days, or a long-acting depot corticosteroid preparation with a therapeutic effectiveness of at least 3 days.
Measured: 52 Weeks
Achievement in Improvement in Standardized Asthma Quality-of-Life Questionnaire (AQLQ(S)) Score
The AQLQ measures the functional problems (physical, emotional, social, and occupational) most troublesome to adults (17-70 years) with asthma. There are 32 questions in 4 domains - symptoms, activity limitation, emotional function, and environmental stimuli - scored on a 7 point scale, with 7= no impairment and 1= severely impaired. For this study, improvement achievement was defined as an increase of at least 0.5 points from baseline to week 54.
Adjusted rates are reported.
Measured: Week 54
Absolute Change in Patient-Reported Use of Short-Acting Rescue Therapy
Adjusted mean values are all equal to zero.
Measured: Baseline to Week 54
Proportion of Weeks Without Patient-Reported Asthma-Related Nighttime Awakenings
The adjusted mean proportion of weeks without a nighttime awakening from baseline through week 54 are reported. The proportion of weeks is expressed as a percentage.
Measured: Baseline through Week 54
Absolute Change in Patient-Reported Daytime Asthma Symptom Severity as Measured by the Asthma Daily Symptom Diary (ADSD)
The ADSD is a 6-item daily measure of asthma symptom severity that assesses three core categories of asthma symptoms: breathing symptoms, chest symptoms, and cough. Symptoms are rated at their worst using an 11-point numeric rating scale ranging from 0 (no symptoms) to 10 (the worst symptoms imaginable).
Adjusted means are reported.
Measured: Baseline to Week 54
Percentage of Participants With Adverse Events
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
Measured: Baseline to Week 54
Percentage of Participants With Anti-Drug Antibodies (ADAs)
The prevalence of ADAs at baseline was defined as the proportion of the evaluable participant population in a study that is ADA positive at baseline.
Measured: Baseline
Serum Concentration of Astegolimab (MSTT1041A)
Measured: Weeks 26 and 54
Percentage of Participants With Treatment-Emergent ADAs
The incidence of ADAs at post-baseline timepoints was defined as the proportion of the study population found to have developed treatment-emergent ADAs.
Measured: From baseline to the first appearance of ADAs at any point post-baseline (up to Week 54)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2016 (estimated)
- Study start20 Sep 2016
- Primary completion5 Apr 2019
- Study completion26 Jul 2019
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 (2)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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 517 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
- NCT02918019
- Sponsor's protocol ID
- GB39242
- Other IDs
- 2016-001549-13, 2016
- Status last verified
- Nov 2022
- First submitted
- 27 Sep 2016
- Last updated
- 28 Dec 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Yin Z, Zhou Y, Turnquist HR, Liu Q. Neuro-epithelial-ILC2 crosstalk in barrier tissues. Trends Immunol. 2022 Nov;43(11):901-916. doi: 10.1016/j.it.2022.09.006. Epub 2022 Oct 14.
PubMed 36253275Kelsen SG, Agache IO, Soong W, Israel E, Chupp GL, Cheung DS, Theess W, Yang X, Staton TL, Choy DF, Fong A, Dash A, Dolton M, Pappu R, Brightling CE. Astegolimab (anti-ST2) efficacy and safety in adults with severe asthma: A randomized clinical trial. J Allergy Clin Immunol. 2021 Sep;148(3):790-798. doi: 10.1016/j.jaci.2021.03.044. Epub 2021 Apr 16.
PubMed 33872652
Study at a glance
From the registry record, last updated by the sponsor on 28 Dec 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Dose-Ranging Study to Assess the Efficacy and Safety of MSTT1041A in Patients With Uncontrolled Severe Asthma
- ClinicalTrials.gov ID
- NCT02918019
- Acronym / sponsor ID
- GB39242
- Conditions
- Asthma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 517 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 20 Sep 2016 (actual)
- Primary completion
- 5 Apr 2019 (actual)
- Study completion
- 26 Jul 2019 (actual)
- First posted
- 28 Sep 2016 (estimated)
- Results
- Posted 28 Dec 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase IIb, randomized, placebo-controlled, double-blind, multicenter, multi-arm study which will evaluate efficacy, safety, and pharmacokinetic of MSTT1041A compared with placebo as add-on therapy in participants with severe, uncontrolled asthma who are receiving medium- or high-dose inhaled corticosteroid (ICS) therapy and at least one of the following additional controller medications: long-acting beta-agonists (LABA), leukotriene modifier (LTM), long-acting muscarinic antagonist (LAMA), or long-acting theophylline preparation. The total duration of this study for each participant is approximately 70 weeks including screening, run-in, treatment, and follow-up.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| MSTT1041A 210 mg | Experimental | Drug: MSTT1041AParticipants will receive MSTT1041A 210 milligrams (mg), subcutaneously every 4 weeks from randomization through Week 50. |
| MSTT1041A 490 mg | Experimental | Drug: MSTT1041AParticipants will receive MSTT1041A 490 mg, subcutaneously every 4 weeks from randomization through Week 50. |
| MSTT1041A 70 mg | Experimental | Drug: MSTT1041AParticipants will receive MSTT1041A 70 mg, subcutaneously every 4 weeks from randomization through Week 50. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo matched with MSTT1041A, subcutaneously every 4 weeks from randomization through Week 50. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Body mass index (BMI) of 18 to 38 kilogram/square meter (kg/m^2) and weight >= 40 kg at screening
- Documented physician-diagnosed asthma
- On high dose inhaled corticosteroid (ICS) therapy plus at least one additional allowed controller medication
- Forced expiratory volume in 1 second (FEV1) of 40% to 80% of predicted
- Evidence of uncontrolled asthma
Key exclusion criteria (10 listed)
- Diagnosis of mimics of asthma
- Diagnosis of occupational asthma, aspirin-sensitive asthma, asthma chronic obstructive pulmonary disease overlap syndrome, or bronchiolitis, as determined by the investigator
- Pregnant or lactating, or intending to become pregnant during the study or within 20 weeks after the last dose of MSTT1041A
- Recent history of smoking
- History or evidence of substance abuse that would pose a risk to participants safety, interfere with the conduct of the study, have an impact on the study results
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 |
|---|---|---|
| MSTT1041AAlso: RO7187807MSTT1041A will be administered as subcutaneous injections. | Drug | MSTT1041A 210 mg, MSTT1041A 490 mg, MSTT1041A 70 mg |
| PlaceboPlacebo matched with MSTT1041A. | Drug | Placebo |
Primary outcome
Reduction in Rate of Asthma Exacerbations
Time frame: Baseline to Week 54
Asthma exacerbation was defined as new or increased asthma symptoms (wheezing, coughing, dyspnea, chest tightness, and/or nighttime awakenings due to these symptoms) that result in one or both of the following: Hospitalization or emergency department visit with administration of systemic corticosteroid treatment; Treatment with systemic corticosteroids for at least 3 days, or a long-acting depot corticosteroid preparation with a therapeutic effectiveness of at least 3 days. Adjusted rates for the overall mITT population (all participants that received at least one dose of study drug) were estimated using Poisson regression and adjusted for blood eosinophil level at the first visit, the number of asthma exacerbations requiring systemic corticosteroids in the 12 months prior to study entry, the total daily ICS dose at the first visit, and geographic region, with patient time at risk used as an offset term.
10 secondary outcomes
Absolute Change in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Baseline to Week 54
Time to First Asthma Exacerbation
Time frame: 52 Weeks
Achievement in Improvement in Standardized Asthma Quality-of-Life Questionnaire (AQLQ(S)) Score
Time frame: Week 54
Absolute Change in Patient-Reported Use of Short-Acting Rescue Therapy
Time frame: Baseline to Week 54
Proportion of Weeks Without Patient-Reported Asthma-Related Nighttime Awakenings
Time frame: Baseline through Week 54
Absolute Change in Patient-Reported Daytime Asthma Symptom Severity as Measured by the Asthma Daily Symptom Diary (ADSD)
Time frame: Baseline to Week 54
Percentage of Participants With Adverse Events
Time frame: Baseline to Week 54
Percentage of Participants With Anti-Drug Antibodies (ADAs)
Time frame: Baseline
Serum Concentration of Astegolimab (MSTT1041A)
Time frame: Weeks 26 and 54
Percentage of Participants With Treatment-Emergent ADAs
Time frame: From baseline to the first appearance of ADAs at any point post-baseline (up to Week 54)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Dec 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36253275Yin Z, Zhou Y, Turnquist HR, Liu Q. Neuro-epithelial-ILC2 crosstalk in barrier tissues. Trends Immunol. 2022 Nov;43(11):901-916. doi: 10.1016/j.it.2022.09.006. Epub 2022 Oct 14.
- Derived from this study: PubMed 33872652Kelsen SG, Agache IO, Soong W, Israel E, Chupp GL, Cheung DS, Theess W, Yang X, Staton TL, Choy DF, Fong A, Dash A, Dolton M, Pappu R, Brightling CE. Astegolimab (anti-ST2) efficacy and safety in adults with severe asthma: A randomized clinical trial. J Allergy Clin Immunol. 2021 Sep;148(3):790-798. doi: 10.1016/j.jaci.2021.03.044. Epub 2021 Apr 16.
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Asthma Control
Active, not recruitingPhase 2/3
Local Antibiotic Delivery for Community Acquired Pneumonia
Community Acquired Pneumonia (CAP)
RecruitingPhase 2
A Study to Learn About the Study Medicine Called PF-07275315 in People With Moderate-To-Severe Asthma
Asthma
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
138 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing MSTT1041A in people with Asthma, run by Hoffmann-La Roche at 138 sites in 15 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 6 inclusion and 10 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 28 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 138 sites in United States, Russia, Ukraine, Bulgaria, Argentina and 10 more countries. 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?
Yes. Results are posted in the registry (first posted 28 Dec 2022). 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?
Reduction in Rate of Asthma Exacerbations (time frame: Baseline to Week 54). 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 NCT02918019, which also lists 2 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 28 Dec 2022.