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.
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
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.
- Conditions
- Eosinophilic Asthma, Asthma
- 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 group | Role | What they receive |
|---|---|---|
| placebo BID | Placebo comparator | Following 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 dexpramipexole | Active comparator | Following 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 dexpramipexole | Active comparator | Following 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 dexpramipexole | Active comparator | Following 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.
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)
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
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
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
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
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
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
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
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
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.
- First posted6 Aug 2019
- Study start15 Aug 2019
- Primary completion3 Dec 2020
- Study completion2 Mar 2021
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.
- Other trials for Eosinophilic AsthmaStudies of the same condition, open and under way.
- 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
- Model description
- Four-arm parallel assignment
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 534 participants (actual)
Sponsor and investigators
- Lead sponsor
- Knopp Biosciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Dose-Ranging Biomarker Study of the Effects of Dexpramipexole on Eosinophils in Subjects With Eosinophilic Asthma
- ClinicalTrials.gov ID
- NCT04046939
- Acronym / sponsor ID
- EXHALE-1 / KNS-760704-AS201
- Conditions
- Eosinophilic Asthma, Asthma
- Keywords
- Eosinophilic Asthma, Asthma, dexpramipexole
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 534 participants (actual)
- Lead sponsor
- Knopp BiosciencesIndustry (pharma, biotech, devices)
- Study start
- 15 Aug 2019 (actual)
- Primary completion
- 3 Dec 2020 (actual)
- Study completion
- 2 Mar 2021 (actual)
- First posted
- 6 Aug 2019 (actual)
- Results
- Posted 22 Dec 2021
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 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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 4
- Model description
- Four-arm parallel assignment
| Arm | Type | Receives |
|---|---|---|
| placebo BID | Placebo comparator | Drug: PlaceboFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks. |
| 37.5 mg BID dexpramipexole | Active comparator | Drug: DexpramipexoleFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks. |
| 75 mg BID dexpramipexole | Active comparator | Drug: DexpramipexoleFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks. |
| 150 mg BID dexpramipexole | Active comparator | Drug: DexpramipexoleFollowing a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks. |
Who may qualify
- Ages
- 18 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- 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
Key exclusion criteria (11 listed)
- 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.
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 |
|---|---|---|
| DexpramipexoleAlso: KNS-760704, BIIB050dexpramipexole twice daily oral dosing for up to 12 weeks | Drug | 150 mg BID dexpramipexole, 37.5 mg BID dexpramipexole, 75 mg BID dexpramipexole |
| PlaceboAlso: PBOplacebo twice daily oral dosing for up to 12 weeks | Drug | placebo BID |
Primary outcome
Change in Blood Absolute Eosinophil Count From Baseline to Week 12
Time frame: Baseline, 12 Weeks
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.
9 secondary outcomes
Change in Pre-bronchodilator FEV1 (Liters) From Baseline to Week 12
Time frame: Baseline, 12 Weeks
Change in Asthma Control Questionnaire (ACQ-6) Score From Baseline to Week 12
Time frame: Baseline, 12 Weeks
Change in Post-bronchodilator FEV1 From Baseline to Week 12
Time frame: Baseline, 12 Weeks
Change in Quality of Life, as Measured by the Asthma Quality of Life Questionnaire (AQLQ) From Baseline to Week 12
Time frame: Baseline, 12 Weeks
Number of Participants With Potentially Clinically Significant Hematology Results by Treatment Group Post Randomization Through Week 12
Time frame: Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant Blood Chemistry Results by Treatment Group Post Randomization Through Week 12
Time frame: Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant Urinalysis Results by Treatment Group Post Randomization Through Week 12
Time frame: Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant Vital Signs Results by Treatment Group Post Randomization Through Week 12
Time frame: Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant ECG Results by Treatment Group Post Randomization Through Week 12
Time frame: Immediately post-baseline up to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
36 sites in 1 country: see every site and its status.
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.