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.
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:
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- 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
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 group | Role | What they receive |
|---|---|---|
| Bx reg group | Not described | |
| non-Bx reg group | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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
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
- Number of exacerbations during the study period (0, 1-2, 3-4, >= 5)
- 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
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
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
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
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
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
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
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
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.
- First posted22 Mar 2021
- Study start10 Dec 2019
- Primary completion27 Nov 2023
- Study completion27 Nov 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 74 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT04808518
- Acronym / sponsor ID
- D3250R00062
- Conditions
- Asthma
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 74 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 10 Dec 2019 (actual)
- Primary completion
- 27 Nov 2023 (actual)
- Study completion
- 27 Nov 2023 (actual)
- First posted
- 22 Mar 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bx reg group | – | – |
| non-Bx reg group | – | – |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- 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.
Key inclusion criteria (7 listed)
- 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
Key exclusion criteria (9 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Change from baseline in Post-bronchodilator Forced Expiratory Volume in 1 Second (Post-BD FEV1)
Time frame: 24 months from baseline
Change from baseline in post-bronchodilator Forced Expiratory Volume in 1 Second (Post-BD FEV1) at 24 months
10 secondary outcomes
Changes in Post-BD FEV1
Time frame: Until 24 months from baseline
Post-BD FEV1 by patient's background
Time frame: Until 24 months from baseline
To compare the asthma control status between Bx reg and non-Bx reg
Time frame: 24 months from baseline
Daily Oral Corticosteroid use
Time frame: Until 24 months from baseline
Baseline patient background and clinical presentations between Bx reg and non-Bx reg
Time frame: Until 24 months from baseline
MiniAQLQ score
Time frame: Until 24 months from baseline
ACQ-5 score
Time frame: 24 months from baseline
Time to first asthma exacerbation
Time frame: 24 months from baseline
Annual rate of asthma exacerbations
Time frame: 24 months from baseline
Asthma-specific resource utilisation (Hospital visits, ER/urgent care visits, hospitalisations)
Time frame: 24 months from baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2024.
- CSR SynopsisLink provided by the sponsor.
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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.
28 sites in 1 country: see every site and its status.
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.