AzTrials
AzTrials

Allergic Bronchopulmonary AspergillosisPhase 2NCT04442269

Investigating Treatment With Dupilumab in Patients With Allergic Bronchopulmonary Aspergillosis (ABPA) (LIBERTY ABPA AIRED)

A Phase 2 study testing dupilumab in people with Allergic Bronchopulmonary Aspergillosis, run by Regeneron Pharmaceuticals at 50 sites in 10 countries.

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

The primary objective of the study is to evaluate the efficacy of dupilumab on lung function in participants with Allergic Bronchopulmonary Aspergillosis (ABPA). The secondary objectives of the study are: To evaluate the effects of dupilumab on exacerbations in participants with ABPA To evaluate the effects of… Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Allergic Bronchopulmonary Aspergillosis
What is being tested?
dupilumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
62 participants
Where
50 sitesin 10 countries
Study dates
15 Sep 2020to 9 Feb 2024
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of both ABPA and asthma
  • On a maintenance therapy for their asthma with controller medication which must include inhaled corticosteroids (ICS) and may include 1 or more additional controller medications including a long-acting beta agonist (LABA), leukotriene receptor antagonist (LTRA), and/or long-acting muscarinic receptor antagonist (LAMA), etc for at least 12 weeks, with a stable dose and regimen with no change in the dose or frequency of administration for at least 4 weeks prior to the screening visit and between the screening and baseline/randomization visits
  • For participants on OCS (oral corticosteroid): must be on a chronic stable dose (no change in the dose) of OCS of up to 10 mg/day (for participants taking daily corticosteroids) or up to 30 mg every alternate day (for participants taking alternate day corticosteroids) (prednisone/prednisolone or the equivalent) for at least 4 weeks prior to the screening visit and between the screening and the baseline/randomization visit
  • Must have experienced ≥1 severe respiratory exacerbation requiring treatment with systemic corticosteroids or hospitalization or treatment in ED/urgent care within 12 months prior to the screening visit or must be receiving chronic stable low-dose OCS per above criteria

Who cannot join

  • Weight less than 30.0 kilograms
  • Current smoker or e-cigarette user, cessation of smoking or e-cigarette use within 6 months prior to randomization, or >=10 pack-years smoking history
  • Post-bronchodilator FEV1 <30% predicted normal at screening
  • Respiratory exacerbation requiring systemic corticosteroids within 4 weeks prior to screening and between screening and baseline visit (for patients on daily or alternate day OCS, exacerbation requiring at least double the maintenance dose of corticosteroids)
  • Upper or lower respiratory tract infection within the 4 weeks prior to screening (visit 1) or between the screening and randomization visits
  • Significant chronic pulmonary disease other than asthma complicated with ABPA (eg, physician-diagnosed bronchiectasis due to a condition other than ABPA; cystic fibrosis; sarcoidosis; interstitial lung disease not due to ABPA; chronic obstructive pulmonary disease [COPD] not due to ABPA; hypereosinophilic syndrome; etc), a diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts
  • Diagnosis or suspected diagnosis of eosinophilic granulomatosis with polyangiitis (EGPA) (also called Churg-Strauss Syndrome)
  • NOTE: Other protocol defined inclusion / exclusion criteria applies.

Trial locations and contacts

50 sites in 10 countries.

50 sites in 10 countries

United States13 sites
  • Regeneron Study Site

    Bakersfield, California, 93301

  • Regeneron Study Site

    Birmingham, Alabama, 35209

  • Regeneron Study Site

    Boise, Idaho, 83706

  • Regeneron Study Site

    Columbus, Ohio, 43235

  • Regeneron Study Site

    DuBois, Pennsylvania, 15801

  • Regeneron Study Site

    Iowa City, Iowa, 52242

  • Regeneron Study Site

    La Jolla, California, 92093

  • Regeneron Study Site

    Los Angeles, California, 90025

  • Regeneron Study Site

    New York, New York, 10032

  • Regeneron Study Site

    Philadelphia, Pennsylvania, 19140

  • Regeneron Study Site

    Riverside, California, 92506

  • Regeneron Study Site

    Scottsdale, Arizona, 85251

  • Regeneron Study Site

    The Bronx, New York, 10461

Other trials in United States

France7 sites
  • Regeneron Study Site

    Brest, 29609

  • Regeneron Study Site

    Lyon, 69004

  • Regeneron Study Site

    Marseille, 13015

  • Regeneron Study Site

    Montpellier, 34295

  • Regeneron Study Site

    Paris, 75018

  • Regeneron Study Site

    Rennes, 35033

  • Regeneron Study Site

    Tours, 37044

Other trials in France

Japan7 sites
  • Regeneron Study Site

    Fukuyama, 7200001

  • Regeneron Study Site

    Kanagawa, 259-1193

  • Regeneron Study Site

    Nagoya, 454-8509

  • Regeneron Study Site

    Naka-gun, 3191113

  • Regeneron Study Site

    Sakai, 591-8555

  • Regeneron Study Site

    Yanagawa, 8320059

  • Regeneron Study Site

    Yokohama, 231-8682

Other trials in Japan

United Kingdom6 sites
  • Regeneron Study Site

    Bradford, West Yorkshire, BD96RJ

  • Regeneron Study Site

    Leicester, England, LE39QP

  • Regeneron Study Site

    Liverpool, England, L7 8XP

  • Regeneron Study Site

    London, England, E1 2EF

  • Regeneron Study Site

    London, England, SW3 6NP

  • Regeneron Study Site

    Wythenshawe, England, M23 9LT

Other trials in United Kingdom

Netherlands5 sites
  • Regeneron Study Site

    Amsterdam, North Holland, 1105AZ

  • Regeneron Study Site

    Arnhem, 6815

  • Regeneron Study Site

    Breda, 4818 CK

  • Regeneron Study Site

    Eindhoven, 5623

  • Regeneron Study Site

    Zutphen, 7207

Other trials in Netherlands

Bulgaria4 sites
  • Regeneron Study Site

    Haskovo, 6305

  • Regeneron Study Site

    Razgrad, 7200

  • Regeneron Study Site

    Smolyan, 4700

  • Regeneron Study Site

    Sofia, 1142

Other trials in Bulgaria

Germany3 sites
  • Regeneron Study Site

    Berlin, 10717

  • Regeneron Study Site

    Frankfurt am Main, 60389

  • Regeneron Study Site

    Leipzig, Saxony, 4357

Other trials in Germany

Poland2 sites
  • Regeneron Study Site

    Bialystok, 15-044

  • Regeneron Study Site

    Gdansk, 80402

Other trials in Poland

Romania2 sites
  • Regeneron Study Site

    Brasov, 500051

  • Regeneron Study Site

    Oradea, Bihor County, 410169

Other trials in Romania

Hungary1 site
  • Regeneron Study Site

    Budapest, 1083

Other trials in Hungary

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Dupilumab in Patients With Allergic Bronchopulmonary Aspergillosis

The primary objective of the study is to evaluate the efficacy of dupilumab on lung function in participants with Allergic Bronchopulmonary Aspergillosis (ABPA).

The secondary objectives of the study are:

  • To evaluate the effects of dupilumab on exacerbations in participants with ABPA
  • To evaluate the effects of dupilumab on ABPA-related exacerbations
  • To evaluate the effects of dupilumab on hospitalization/emergency department (ED)/urgent care visits in participants with ABPA
  • To evaluate the effects of dupilumab on asthma control in participants with ABPA
  • To evaluate the effects of dupilumab on health-related quality of life (HRQoL) in participants with ABPA
  • To evaluate the effects of dupilumab on serum total immunoglobulin E (IgE) and Aspergillus-specific IgE concentrations
  • To evaluate the effects of dupilumab on Fractional exhaled Nitric Oxide (FeNO) levels
  • To evaluate safety and tolerability of dupilumab in participants with ABPA
  • To evaluate dupilumab concentrations in serum and the incidence of anti-dupilumab antibodies in participants with ABPA
Being tested
dupilumab, Placebo
Medical subject headings
Aspergillosis, Allergic Bronchopulmonary

What participants receive

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

  • dupilumabDrug

    Also called • DUPIXENT, • REGN668, • SAR231893

    Single-use prefilled glass syringe administered by subcutaneous (SC) injection.

  • PlaceboDrug

    Matching placebo

Study groups in NCT04442269
Study groupRoleWhat they receive
dupilumabExperimentalLoading subcutaneous (SC) dose on day 1, followed by SC dose, every two weeks (Q2W)
Receives: Drug: dupilumab
PlaceboExperimentalMatching dupilumab without active substance
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) Compared to Placebo

    Measured: At Week 24

Secondary outcomes (13)
  1. Annualized Rate of ABPA-related Exacerbations

    Defined as severe respiratory exacerbations that are associated with a doubling of serum total Immunoglobulin E (IgE) from the prior pre-exacerbation value.

    Adjusted Rate: Negative Binomial Regression Model Unadjusted Rate: (Number of events)/(number of participant years)

    Measured: Over the 24 to 52 Week Treatment Period

  2. Annualized Rate of Severe Respiratory Exacerbations

    Defined as new onset of symptoms or clinical worsening of respiratory symptoms requiring systemic corticosteroid treatment for ≥3 consecutive days; for participants who are on maintenance systemic corticosteroids, at least double the dose of maintenance systemic corticosteroids for ≥3 consecutive days (with or without antibiotic therapy if indicated)

    Adjusted Rate: Negative Binomial Regression Model Unadjusted Rate: (Number of events)/(number of participant years)

    Measured: Over the 24 to 52 Week Treatment Period

  3. Annualized Rate of Severe Respiratory Exacerbations Requiring Either Hospitalization or Observation for >24 Hours in an ED/Urgent Care Facility

    Annualized rate of severe respiratory exacerbations requiring either hospitalization or observation for >24 hours in an emergency department/urgent care facility (events per person-year)

    Adjusted Rate: Negative Binomial Regression Model Unadjusted Rate: (Number of events)/(number of participant years)

    Measured: Over the 24 to 52 Week Treatment Period

  4. Change From Baseline in Asthma Control Questionnaire (ACQ)-5 Score

    ACQ is completed by patient to measure both the adequacy of asthma control and change in asthma control, which occurs either spontaneously or as a result of treatment. The ACQ-5 score is the mean of the first 5 questions, between 0 (totally controlled) and 6 (severely uncontrolled). A higher score indicates lower asthma control. Participants with a score below 1.0 reflect adequately controlled asthma and participants with scores above 1.0 reflect inadequately controlled asthma. The optimal cut-point score of 1.50 should be used to be confident that a patient has inadequately controlled asthma.

    Measured: Over the 24 to 52 Week Treatment Period

  5. Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score

    SGRQ will be completed by the patient to measure and quantify health status in adult participants with chronic airflow limitation. Total score ranges from 0 to 100. Scores by dimension are calculated for three domains: Symptoms, Activity, and Impacts (Psychosocial). Lower score indicates better Quality of Life (QoL).

    Measured: Over the 24 to 52 Week Treatment Period

  6. Percentage of Participants Achieving a Reduction in the SGRQ Total Score of 4 Points or Greater From Baseline

    SGRQ will be completed by the patient to measure and quantify health status in adult participants with chronic airflow limitation. Total score ranges from 0 to 100. Scores by dimension are calculated for three domains: Symptoms, Activity, and Impacts (Psychosocial). Lower score indicates better Quality of Life (QoL).

    Measured: Up to 52 Weeks

  7. Percent Change From Baseline in Total IgE in Serum

    Measured: Over the 24 to 52 Week Treatment Period

  8. Percent Change From Baseline in A Fumigatus-specific IgE in Serum

    Measured: Over the 24 to 52 Week Treatment Period

  9. Absolute Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO)

    Measured: Over the 24 to 52 Week Treatment Period

  10. Percent Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO)

    Measured: Over the 24 to 52 Week Treatment Period

  11. Number of Participants With Treatment-emergent Adverse Events (TEAEs) From Baseline

    Measured: Through the end of the 52 Week Treatment Period

  12. Number of Participants With Treatment-emergent Anti-drug Antibody (ADA) Responses and Titer Over Time

    Measured: Up to 64 Weeks

  13. Concentrations of Functional Dupilumab in Serum by Treatment Regimen

    Measured: Up to 64 Weeks

Timeline

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

  1. First posted22 Jun 2020
  2. Study start15 Sep 2020
  3. Primary completion27 Jul 2023
  4. Study completion9 Feb 2024

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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04442269
Sponsor's protocol ID
R668-ABPA-1923
Other IDs
2019-002619-24, 2019
Status last verified
Apr 2025
First submitted
4 Jun 2020
Last updated
4 Apr 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Publications

  • Asano K, Okada N, Tanaka J, Tomomatsu K, Shiraishi Y, Oguma T. Advances in the Diagnosis and Management of Allergic Bronchopulmonary Aspergillosis/Mycosis. Allergy Asthma Immunol Res. 2026 Sep;18(5):626-639. doi: 10.4168/aair.2026.18.5.626.

    PubMed 42845221
  • Kao CC, Hanania NA, Parulekar AD. The impact of fungal allergic sensitization on asthma. Curr Opin Pulm Med. 2021 Jan;27(1):3-8. doi: 10.1097/MCP.0000000000000740.

    PubMed 33027187

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing dupilumab in people with Allergic Bronchopulmonary Aspergillosis, run by Regeneron Pharmaceuticals at 50 sites in 10 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 4 inclusion and 8 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 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in United States, France, Japan, United Kingdom, Netherlands and 5 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. 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 21 Aug 2024). 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 in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) Compared to Placebo (time frame: At Week 24). 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 NCT04442269, 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 4 Apr 2025.

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