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AsthmaNCT04808518

A Study to Compare Severe Asthma Patients Who Start Biologics and Who do Not Start (PROSPECT)

An observational study of Asthma, run by AstraZeneca at 28 sites in Japan.

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

Objectives in this study is to compare the change of lung function after 24 months from baseline between the two groups; one is the patient group who decided to start biologics treatment, and another is the patient group who decided to start non-biologics treatment. Read more about this study

Who is it for?
Any age
Conditions the study is for
Asthma
How many people
74 participants
Where
28 sitesJapan
Study dates
10 Dec 2019to 27 Nov 2023
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: Target patients in this study are the adult severe asthma patients whose asthma control status is uncontrolled based on the definition of ERS/ATS guideline. Also, the investigators judge the necessity of biologic treatment and explain the situation to these patient population.

Who may be able to join

  • Confirmed asthma diagnosis
  • Using high-dose ICSa and 2nd controllerb more than 3 months before registration
  • Uncontrolled asthma which constitutes one or more of 1) Poor symptom control: ACQ-5≧1.5 or ATC<20 2) Frequent exacerbations: at least 2 asthma exacerbations in the 12 months prior to the registration 3) Airflow obstruction: FEV1 before taking bronchodilator <80% predicted (FEV1/FVC less than the lower limit of normal) C
  • Investigators judges the necessity of biologic treatment for his/her asthma treatment and the patients are explained the situation by the investigators.
  • Patients deemed capable of visiting their study site next 24 months regularly
  • Patients from whom written consent to participate in this study has been obtained
  • Patients≧20 years old at obtaining consent

Who cannot join

  • Participated in other interventional studies such as clinical trials, etc within the last 8 weeks.
  • Are using biologics at registration
  • Diagnosed as COPD
  • Plan the BT therapy near future
  • Receipt of any marketed or investigational biologics within 5 months before the registration
  • Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the investigator and could:
Show all 9Show fewer
  • Affect the safety of the patient throughout the study
  • Influence the findings of the studies or their interpretations
  • Impede the patient's ability to complete the entire duration of study.

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

Japan28 sites
  • Research Site

    Aki-gun Fucyu

  • Research Site

    Asahikawa

  • Research Site

    Bunkyō City

  • Research Site

    Fukuoka

  • Research Site

    Hamamatsu

  • Research Site

    Hiroshima

  • Research Site

    Ikoma

  • Research Site

    Kobe

  • Research Site

    Kumagaya

  • Research Site

    Maebashi

  • Research Site

    Meguro City

  • Research Site

    Nagoya

  • Research Site

    Nangōku

  • Research Site

    Niigata

  • Research Site

    Okayama

  • Research Site

    Osaka

  • Research Site

    Ōtsu

  • Research Site

    Sagamihara

  • Research Site

    Sayama

  • Research Site

    Shinagawa City

  • Research Site

    Shinjuku

  • Research Site

    Shizuoka

  • Research Site

    tabashi City

  • Research Site

    Toyoake

  • Research Site

    Tsukubo-gun Hayashima

  • Research Site

    Yamagata

  • Research Site

    Yokohama

  • Research Site

    Yonago

Other trials in Japan

About this study

Official title: An Observational Primary Data Collection Study to Compare the Lung Function in the Adult Severe Asthma Patients Who Start Biologics Treatment and Who do Not Start, After Two-year Follow-up

Objectives in this study is to compare the change of lung function after 24 months from baseline between the two groups; one is the patient group who decided to start biologics treatment, and another is the patient group who decided to start non-biologics treatment. The target patients are the adult uncontrolled severe asthma patients.

Conditions
Asthma
Medical subject headings
Asthma

What participants receive

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

Study groups in NCT04808518
Study groupRoleWhat they receive
Bx reg groupNot described
non-Bx reg groupNot described

What is being measured

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

  1. Change from baseline in Post-bronchodilator Forced Expiratory Volume in 1 Second (Post-BD FEV1)

    Change from baseline in post-bronchodilator Forced Expiratory Volume in 1 Second (Post-BD FEV1) at 24 months

    Measured: 24 months from baseline

Secondary outcomes (10)
  1. Changes in Post-BD FEV1

    To describe the value of lung function decline in Bx reg and non-Bx reg by changes in Post-BD FEV1 from 6 months to 24 months, and from 12 months to 24 months

    Measured: Until 24 months from baseline

  2. Post-BD FEV1 by patient's background

    Change from baseline in post-bronchodilator FEV1 at 24 months by patient's background,

    To compare the differences of change from baseline in post-BD FEV1 at 24 months between Bx reg and non-Bx reg, by the following patients' sub-groups

    1. Number of exacerbations during the study period (0, 1-2, 3-4, >= 5)
    2. asthma control level (mean ACQ-5 score between 6 months and 24 months; <0.75, 0.75 - 1.5, >1.5)

    Measured: Until 24 months from baseline

  3. To compare the asthma control status between Bx reg and non-Bx reg

    To compare the asthma control status during the study period (24 months) between Bx reg and non-Bx reg -ACQ-5,Time to first asthma exacerbation and so on

    Measured: 24 months from baseline

  4. Daily Oral Corticosteroid use

    Change from baseline in daily Oral Corticosteroid dose, Time to withdraw regular Oral Corticosteroid use

    Measured: Until 24 months from baseline

  5. Baseline patient background and clinical presentations between Bx reg and non-Bx reg

    To describe the baseline patient background and clinical presentations between Bx reg and non-Bx reg

    Measured: Until 24 months from baseline

  6. MiniAQLQ score

    To compare the differences of change from baseline in MiniAQLQ score between both groups at 24 months

    Measured: Until 24 months from baseline

  7. ACQ-5 score

    To compare the differences of change from baseline in ACQ-5 score at 12 months and 24 months between both groups.

    To compare the asthma control status during the study period (24 months) between Bx reg and non-Bx reg by ACQ-5 score.

    Measured: 24 months from baseline

  8. Time to first asthma exacerbation

    To compare the asthma control status during the study period (24 months) between Bx reg and non-Bx reg by Time to first asthma exacerbation

    Measured: 24 months from baseline

  9. Annual rate of asthma exacerbations

    To compare the asthma control status during the study period (24 months) between Bx reg and non-Bx reg by Annual rate of asthma exacerbations

    Measured: 24 months from baseline

  10. Asthma-specific resource utilisation (Hospital visits, ER/urgent care visits, hospitalisations)

    To compare the asthma control status during the study period (24 months) between Bx reg and non-Bx reg by Asthma-specific resource utilisation (Hospital visits, ER/urgent care visits, hospitalisations)

    Measured: 24 months from baseline

Timeline

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

  1. First posted22 Mar 2021
  2. Study start10 Dec 2019
  3. Primary completion27 Nov 2023
  4. Study completion27 Nov 2023

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
Prospective
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04808518
Sponsor's protocol ID
D3250R00062
Status last verified
Jul 2024
First submitted
5 Mar 2021
Last updated
23 Jul 2024
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Asthma, run by AstraZeneca at 28 sites in Japan.

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 7 inclusion and 9 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 23 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Japan. 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?

Change from baseline in Post-bronchodilator Forced Expiratory Volume in 1 Second (Post-BD FEV1) (time frame: 24 months from baseline). 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 23 Jul 2024.

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