AzTrials
AzTrials

AsthmaBIONIGENCT04181190

Effects of Anti-IL5 Biological Treatments on Blood IgE Levels in Severe Asthmatic Patients

An observational study of Asthma and Asthma; Eosinophilic, run by Università degli Studi di Ferrara at 8 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Real-life, observational, retrospective, multicenter study to evaluate the effects of anti-IL5 biological treatments on blood total IgE Levels in atopic patients with severe eosinophilic asthma. Read more about this study

Who is it for?
Any age
Conditions the study is for
Asthma, Asthma; Eosinophilic
What is being tested?
Total IgE, Blood cell counts and lung function tests
How many people
130 participants
Where
8 sitesItaly
Study dates
11 Oct 2019to 1 Nov 2020
Phase
Observational
Are there results?
None posted in the registry

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: atopic patients with severe eosinophilic asthma treated with anti IL-5 (Mepolizumab) or anti IL5-receptor (Benralizumab) humanized monoclonal antibodies

Who may be able to join

  • atopy
  • severe eosinophilic asthma (according to GINA guideline - available at https://ginasthma.org)
  • patients treated with monoclonal antibody anti IL-5 (Mepolizumab) or with IL-5 anti-receptor monoclonal antibody (Benralizumab).
  • stable asthma (free from asthma exacerbation for at least 8 weeks)

Who cannot join

  • asthma exacerbation in last 8 weeks
  • patients treated for COPD

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Italy8 sites
  • Azienda Ospedaliero Universitaria Ferrara

    Ferrara, 44124

  • Professor of Respiratory Medicine Department of Medical and Surgical Sciences University of Foggia - Italy

    Foggia

  • UOC Pneumologia Ospedale L.Sacco - Polo Univestiario ASST Fatebenefratelli - Milano

    Milan

  • Malattie dell' Apparato Respiratorio Dipartimento di Scienza Mediche e Chirurgiche Materni-Infantili e dell'Adulto. Azienda Ospedaliero Universitaria di Modena

    Modena

  • AOUP Giaccone Palermo, dipartimento PROMISE, Università di Palermo

    Palermo

  • S.C di Pneumologia Ospedale S. Maria degli Angeli AAS5 Friuli Occidentale

    Pordenone

  • Department of Medical Specialties, Pneumology Unit, Arcispedale Santa Maria Nuova, Azienda USL di Reggio Emilia-IRCCS

    Reggio Emilia

  • UOC Pneumologia Azienda Ospedaliera Univeristaria Integrata - Verona

    Verona

Other trials in Italy

About this study

Official title: Effects of Anti-IL5 Biological Treatments of Total Blood IgE Levels in Severe Asthmatic Patients: Real-life Retrospective Multicenter Observational Study

Real-life, observational, retrospective, multicenter study to evaluate the effects of anti-IL5 biological treatments on blood total IgE Levels in atopic patients with severe eosinophilic asthma.

Read the detailed description

Severe asthma, i.e. asthma that is not controlled despite maximal optimized therapy and/or that worsens when high dose treatment is decreased (GINA guidelines - available at https://ginasthma.or), is a major unmet medical need. Major advances in the management of severe asthma occurred in the past few years due to the new targeted biological therapies. Mepolizumab and Benralizumab are humanized monoclonal antibodies able to block interleukin (IL)-5 and the receptor for IL-5, respectively. These biological treatments block the eosinophilic driven inflammation. The effects of these treatments on an other key effector molecule of the T2-immune response, i.e. IgE, is virtually unknown.

To explore this issue, we set up a real life, observational, retrospective, multicenter study. The study will enroll patients with severe eosinophilic asthma already treated with Mepolizumab or Benralizumab. The following variable will be collected before the the biological treatment and at 4±2 months after the initiation of the pharmacological regimen:

  • demographic data
  • age of onset of asthma
  • smoking habit
  • concomitant pharmacological regimens
  • number of asthma exacerbations since last visit
  • concomitant diseases (particularly gastroesophageal reflux, nasal polyposis, atopic dermatitis, obesity, anxiety-depressive syndrome).
  • White Blood Cell Count and Differential (and in particular the levels of total leucocytes, lymphocytes, eosinophils and basophils)
  • Lung function tests (spirometry)
Being tested
Total IgE, Blood cell counts, Asthma control assessment, lung function tests
Keywords
IgE, Eosinophils, Mepolizumab, Benralizumab, Severe Asthma
Medical subject headings
Asthma, Pulmonary Eosinophilia

What participants receive

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

  • Total IgEDiagnostic test

    Levels of total IgE before biological treatments and at 4±2 months of treatments

  • Blood cell countsDiagnostic test

    White Blood Cell Count and Differential (and in particular the levels of total leucocytes, lymphocytes, eosinophils and basophils)

  • Asthma control assessmentDiagnostic test

    Levels of asthma control assessed by asthma control questionnaire (ACT) before initiation of biological treatments and at 4± months of treatments

  • lung function testsDiagnostic test

    Lung function tests performed before initiation of biological treatments and at 4± months of treatments

Study groups in NCT04181190
Study groupRoleWhat they receive
Mepolizumab groupatopic patients with severe eosinophilic asthma treated with anti-IL-5 monoclonal antibody (Mepolizumab)
Receives: Diagnostic Test: Total IgE; Diagnostic Test: Blood cell counts; Diagnostic Test: Asthma control assessment; Diagnostic Test: lung function tests
Benralizumab groupatopic patients with severe eosinophilic asthma treated with anti-IL5 receptor monoclonal antibody (Benralizumab)
Receives: Diagnostic Test: Total IgE; Diagnostic Test: Blood cell counts; Diagnostic Test: Asthma control assessment; Diagnostic Test: lung function tests

What is being measured

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

  1. IgE levels in mepolizumab group

    To evaluate total IgE levels (kU/l) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months after initiation of anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

Secondary outcomes (38)
  1. Total leucocytes in mepolizumab group

    To evaluate total leucocytes (number of cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  2. Eosinophils (number) in mepolizumab group

    To evaluate the number of blood eosinophils (cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  3. Eosinophils (%) in mepolizumab group

    To evaluate the percentage of blood eosinophils (%) total blood white cells in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  4. Basophils (number) in mepolizumab group

    To evaluate the number of blood basophils (cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  5. Basophils (%) in mepolizumab group

    To evaluate the percentage of blood basophils (%) to totale white blood cells in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  6. lymphocytes (number) in mepolizumab group

    To evaluate the number of blood lymphocytes (cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  7. Lymphocytes (%) in mepolizumab group

    To evaluate the percentage of blood lymphocytes (%) to total white cells in atopic patients with severe eosinophilic asthma at 4 ± 2 months from the start of treatment with anti-IL5 monoclonal antibody Mepolizumab

    Measured: 4±2 months

  8. IgE levels in Benralizumab group

    To evaluate total IgE levels (kU/l) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  9. Total leucocytes in Benralizumab group

    To evaluate total leucocytes (number of cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab compared to the pretreatment value

    Measured: 4±2 months

  10. Eosinophils (number) in Benralizumab group

    To evaluate the number of blood eosinophils (cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  11. Eosinophils (%) in Benralizumab group

    To evaluate the percentage of blood eosinophils (%) total blood white cells in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  12. Basophils (number) in Benralizumab group

    To evaluate the number of blood basophils (cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  13. Basophils (%) in Benralizumab group

    To evaluate the percentage of blood basophils (%) to totale white blood cells in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  14. Lymphocytes (number) in Benralizumab group

    To evaluate the number of blood lymphocytes (cell/µl) in atopic patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  15. Lymphocites (%) in Benralizumab group

    To evaluate the percentage of blood lymphocytes (%) to total white cells in atopic patients with severe eosinophilic asthma at 4 ± 2 months from the start of treatment with Benralizumab

    Measured: 4±2 months

  16. respiratory function (FEV1 - liter) in Mepolizumab group

    To evaluate FEV1 (liter) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  17. respiratory function (FEV1 - %) in Mepolizumab group

    To evaluate FEV1 (% predicted) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  18. respiratory function (vital capacity - liter) in Mepolizumab group

    To evaluate vital capacity (VC - liter) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  19. respiratory function (vital capacity - %) in Mepolizumab group

    To evaluate VC (% predicted) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  20. respiratory function (forced vital capacity - liter) in Mepolizumab group

    To evaluate forced vital capacity (FVC - liter) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  21. respiratory function (forced vital capacity - % predicted) in Mepolizumab group

    To evaluate FVC (% predicted) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  22. respiratory function (FEV1/FVC ratio) in Mepolizumab group

    To evaluate FEV1/FVC ratio in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab compared to the pretreatment value.

    Measured: 4±2 months

  23. respiratory function (FEV1/VC ratio) in Mepolizumab group

    To evaluate FEV1/VC ratio in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  24. respiratory function (FEV1 - %) in Benralizumab group

    To evaluate FEV1 (% predicted) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  25. respiratory function (FEV1 - lier) in Benralizumab group

    To evaluate FEV1 (liter) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  26. respiratory function (FVC - liter) in Benralizumab group

    To evaluate FVC (liter) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  27. respiratory function (FVC - %) in Benralizumab group

    To evaluate FVC (% predicted) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  28. respiratory function (VC - liter) in Benralizumab group

    To evaluate VC (liter) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  29. respiratory function (VC - %) in Benralizumab group

    To evaluate VC (% predicted) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  30. respiratory function (FEV1/FVC ratio) in Benralizumab group

    To evaluate FEV1/VC ratio in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab compared to the pretreatment value.

    Measured: 4±2 months

  31. respiratory function (FEV1/VC ratio) in Benralizumab group

    To evaluate FEV1/FVC ratio in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  32. Fractional exhaled nitric oxigen (FeNO) in Mepozumab group

    To evaluate FeNO (ppb) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Mepolizumab

    Measured: 4±2 months

  33. Fractional exhaled nitric oxigen (FeNO) in Benralizumab group

    To evaluate FeNO (ppb) in patients with severe eosinophilic asthma at baseline and at 4 ± 2 months from the start of treatment with Benraluzumab

    Measured: 4±2 months

  34. Asthma control test in Mepolizumab group

    To evaluate asthma control test (ACT) in patients with severe eosinophilic asthma at baseline and at baseline and at 4 ± 2 months from the start of Mepolizumab

    Measured: 4±2 months

  35. Asthma control test in Benralizumab group

    To evaluate asthma control test (ACT) in patients with severe eosinophilic asthma at baseline and at baseline and at 4 ± 2 months from the start of Benralizumab

    Measured: 4±2 months

  36. correlation between eosinophils and total IgE

    To evaluate the correlations (Pearson correlation coefficient) between the change in total eosinophil counts and IgE levels in patients treated with Mepolizumab or Benralizumab.

    Measured: 4±2 months

  37. correlation between total IgE and lung function

    To evaluate the correlations (Pearson correlation coefficient) between the change in total IgE levels and in functional parameters (FEV1, FVC and VC) in patients treated with Mepolizumab or Benralizumab.

    Measured: 4±2 months

  38. correlation between total IgE and asthma control

    To evaluate the correlations (Pearson correlation coefficient) between the change in total IgE levels and the change of asthma control (measured by asthma control test - ACT) in patients treated with Mepolizumab or Benralizumab.

    Measured: 4±2 months

Timeline

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

  1. First posted29 Nov 2019
  2. Study start11 Oct 2019
  3. Primary completion1 Oct 2020
  4. Study completion1 Nov 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
130 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04181190
Sponsor's protocol ID
272/2019/Oss/AOUFe BIONIGE
Acronym
BIONIGE
Status last verified
Nov 2020
First submitted
15 Nov 2019
Last updated
4 Nov 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Asthma and Asthma; Eosinophilic, run by Università degli Studi di Ferrara at 8 sites in Italy.

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 4 inclusion and 2 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 4 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Italy. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

IgE levels in mepolizumab group (time frame: 4±2 months). 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 4 Nov 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in