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Eosinophilic AsthmaPhase 2EXHALE-1NCT04046939

Dexpramipexole Dose-Ranging Biomarker Study in Subjects With Eosinophilic Asthma

A Phase 2 study testing Dexpramipexole in people with Eosinophilic Asthma and Asthma, run by Knopp Biosciences at 36 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, placebo-controlled, parallel-group, dose-ranging, multi-center study to evaluate the clinical effects of oral administration of dexpramipexole for 12 weeks on peripheral blood eosinophil count in subjects with eosinophilic asthma. Read more about this study

Who is it for?
Ages 18 to 74 years
Conditions the study is for
Eosinophilic Asthma, Asthma
What is being tested?
Dexpramipexole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
534 participants
Where
36 sitesUnited States
Study dates
15 Aug 2019to 2 Mar 2021
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 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥18 and <75 years of age at the time of consent
  • Physician diagnosis of asthma for ≥12 months (relative to Baseline) based on Global Initiative for Asthma (GINA) 2018 Guidelines
  • Asthma requiring treatment with, at a minimum, low dose inhaled corticosteroids in combination with a long-acting β2 agonist, on a stable dose for at least 1 month before Screening
  • Bronchodilator reversibility, as evidenced by ≥12% and ≥200 mL improvement in FEV1 15 to 25 minutes following inhalation of albuterol at Screening
  • Pre-bronchodilator FEV1 ≥40% and <80% of predicted at Screening and Baseline
  • AEC ≥0.30 x10^9/L at the Screening visit
Show all 9Show fewer
  • ACQ-7 ≥1.5 at Screening
  • Negative pregnancy test at Baseline
  • Adherence ≥85% with twice-daily placebo taken during the Run-in Period

Who cannot join

  • Treatment for an asthma exacerbation within 8 weeks prior to Baseline visit
  • Treatment with systemic corticosteroids in the 8 weeks prior to Screening
  • Treatment with monoclonal antibody therapy, within 5-half-lives prior to Baseline
  • Treatment with selected drugs known to have a substantial risk of neutropenia
  • Absolute neutrophil count <2.0x10^9/L at Screening, or any documented history of absolute neutrophil count <2.0x10^9/L.
  • Renal dysfunction, defined as an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m^2 at Screening
Show all 11Show fewer
  • Clinically significant abnormal laboratory or ECG values
  • Other medically significant illness
  • Use of any smoke or inhaled nicotine delivery device within 1 year prior to Screening
  • Pregnant women or women breastfeeding
  • Currently taking pramipexole or other dopamine agonists

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

United States36 sites
  • Research Site

    Allen, Texas, 75013

  • Research Site

    Anderson, South Carolina, 29621

  • Research Site

    Boerne, Texas, 78006

  • Research Site

    Boise, Idaho, 83706

  • Research Site

    Cincinnati, Ohio, 45231

  • Research Site

    Cincinnati, Ohio, 45242

  • Research Site

    Columbus, Ohio, 43235

  • Research Site

    Corning, New York, 14830

  • Research Site

    Dallas, Texas, 75240

  • Research Site

    Daytona Beach, Florida, 32117

  • Research Site

    Denver, Colorado, 80230

  • Research Site

    Dublin, Ohio, 43016

  • Research Site

    Edmond, Oklahoma, 73034

  • Research Site

    El Paso, Texas, 79902

  • Research Site

    Farmington Hills, Michigan, 48336

  • Research Site

    Las Vegas, Nevada, 89119

  • Research Site

    Lawrenceville, Georgia, 30046

  • Research Site

    Los Angeles, California, 90048

  • Research Site

    Medford, Oregon, 97504

  • Research Site

    Miami, Florida, 33186

  • Research Site

    Mission Viejo, California, 92691

  • Research Site

    New Brunswick, New Jersey, 08901

  • Research Site

    New Hyde Park, New York, 11042

  • Research Site

    North Charleston, South Carolina, 29406

  • Research Site

    Orlando, Florida, 32803

  • Research Site

    Pittsburgh, Pennsylvania, 15205

  • Research site

    Plymouth, Minnesota, 55441

  • Research Site

    Portland, Oregon, 97202

  • Research Site

    Raleigh, North Carolina, 27607

  • Research Site

    St Louis, Missouri, 63110

  • Research Site

    St Louis, Missouri, 63141

  • Research Site

    Tampa, Florida, 33612

  • Research Site

    Tampa, Florida, 33634

  • Research Site

    Westminster, California, 92683

  • Research Site

    Winder, Georgia, 30680

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Dose-Ranging Biomarker Study of the Effects of Dexpramipexole on Eosinophils in Subjects With Eosinophilic Asthma

This is a randomized, double-blind, placebo-controlled, parallel-group, dose-ranging, multi-center study to evaluate the clinical effects of oral administration of dexpramipexole for 12 weeks on peripheral blood eosinophil count in subjects with eosinophilic asthma.

Read the detailed description

One hundred subjects will receive study drug or matching placebo over 12 weeks of consecutive dosing. Following a short Run-in Period, eligible subjects will enter the Primary Assessment Period and receive twice-daily dosing of study drug or placebo for 12 weeks. Following 12 weeks of treatment, subjects will enter a 12-week Eosinophil Recovery Period. The primary endpoint for the study is the change in blood absolute eosinophil count from Baseline to Week 12.

Being tested
Dexpramipexole, Placebo
Keywords
Eosinophilic Asthma, Asthma, dexpramipexole
Medical subject headings
Pulmonary Eosinophilia, Asthma

What participants receive

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

  • DexpramipexoleDrug

    Also called KNS-760704, BIIB050

    dexpramipexole twice daily oral dosing for up to 12 weeks

  • PlaceboDrug

    Also called PBO

    placebo twice daily oral dosing for up to 12 weeks

Study groups in NCT04046939
Study groupRoleWhat they receive
placebo BIDPlacebo comparatorFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Receives: Drug: Placebo
37.5 mg BID dexpramipexoleActive comparatorFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Receives: Drug: Dexpramipexole
75 mg BID dexpramipexoleActive comparatorFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Receives: Drug: Dexpramipexole
150 mg BID dexpramipexoleActive comparatorFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Receives: Drug: Dexpramipexole

What is being measured

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

  1. Change in Blood Absolute Eosinophil Count From Baseline to Week 12

    The primary endpoint of this study was the change in AEC from Baseline to Week 12 on a ratio scale. The analysis used a mixed effects model repeated-measures (MMRM) with terms for log10 transformed baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and log10 transformed baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the log10 transformed post-baseline value minus the log10 transformed baseline value. The estimates of Geometric LS Means and their ratios were obtained by back transforming the corresponding estimates of LS means and their differences to the original scale.

    Measured: Baseline, 12 Weeks

Secondary outcomes (9)
  1. Change in Pre-bronchodilator FEV1 (Liters) From Baseline to Week 12

    FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation.

    Measured: Baseline, 12 Weeks

  2. Change in Asthma Control Questionnaire (ACQ-6) Score From Baseline to Week 12

    ACQ-6 is simple questionnaire to measure the adequacy of asthma control and change in asthma control which occurs either spontaneously or as a result of treatment. The 6-point self-administered scale has items measuring asthma symptoms and rescue inhaler use. The ACQ score is the mean of the questions and therefore between 0 (totally controlled) and 6 (severely uncontrolled). The original protocol planned to analyze the ACQ-7 score. As a result of FEV1 testing restrictions imposed on the study during the COVID-19 pandemic, the analysis was prospectively modified to the ACQ-6 score prior to database lock. The ACQ-6 is a validated questionnaire and is identical to the ACQ-7, with the exception of FEV1 data that is also utilized in the ACQ-7 questionnaire total score calculation.

    Measured: Baseline, 12 Weeks

  3. Change in Post-bronchodilator FEV1 From Baseline to Week 12

    Post-bronchodilator FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation, after treatment with inhaled albuterol.

    Measured: Baseline, 12 Weeks

  4. Change in Quality of Life, as Measured by the Asthma Quality of Life Questionnaire (AQLQ) From Baseline to Week 12

    The AQLQ is a 32-item asthma specific questionnaire designed to measure functional impairments that are most important to patients with asthma. The 32 questions in the AQLQ are divided into four domains; activity limitations, symptoms, emotional function, and environmental stimuli. Individual questions are equally weighted. The overall AQLQ score is the mean of the responses to each of the 32 questions and ranges from 1 to 7. A score 7.0 indicates that the patient has no impairments due to asthma and score 1.0 indicates severe impairment.

    Measured: Baseline, 12 Weeks

  5. Number of Participants With Potentially Clinically Significant Hematology Results by Treatment Group Post Randomization Through Week 12

    Number of Participants with Potentially Clinically Significant Hematology Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.

    Measured: Immediately post-baseline up to Week 12

  6. Number of Participants With Potentially Clinically Significant Blood Chemistry Results by Treatment Group Post Randomization Through Week 12

    Number of Participants with Potentially Clinically Significant Blood Chemistry Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.

    Measured: Immediately post-baseline up to Week 12

  7. Number of Participants With Potentially Clinically Significant Urinalysis Results by Treatment Group Post Randomization Through Week 12

    Number of Participants with Potentially Clinically Significant Urinalysis Results (glycosuria, ketonuria, or proteinuria) by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline urinalysis value in each treatment group. Patients are only counted once per criterion per laboratory test. The number of participants with potential clinical important urinalysis findings at any post-baseline visit were reported.

    Measured: Immediately post-baseline up to Week 12

  8. Number of Participants With Potentially Clinically Significant Vital Signs Results by Treatment Group Post Randomization Through Week 12

    Number of Participants with Potentially Clinically Significant Vital Signs Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.

    Measured: Immediately post-baseline up to Week 12

  9. Number of Participants With Potentially Clinically Significant ECG Results by Treatment Group Post Randomization Through Week 12

    Number of Participants with Potentially Clinically Significant ECG Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.

    Measured: Immediately post-baseline up to 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 posted6 Aug 2019
  2. Study start15 Aug 2019
  3. Primary completion3 Dec 2020
  4. Study completion2 Mar 2021

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
Model description
Four-arm parallel assignment
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
534 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04046939
Sponsor's protocol ID
KNS-760704-AS201
Acronym
EXHALE-1
Status last verified
Apr 2023
First submitted
30 Jul 2019
Last updated
13 Apr 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dexpramipexole in people with Eosinophilic Asthma and Asthma, run by Knopp Biosciences at 36 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 9 inclusion and 11 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 13 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 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 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 22 Dec 2021). 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 in Blood Absolute Eosinophil Count From Baseline to Week 12 (time frame: Baseline, 12 Weeks). 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 Apr 2023.

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