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AsthmaPhase 2NCT04946318

Study of Safety of CSJ117 in Participants With Moderate to Severe Uncontrolled Asthma

A Phase 2 study testing CSJ117 in people with Asthma, run by Novartis Pharmaceuticals at 58 sites in 14 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to provide safety and tolerability, pharmacokinetics and immunogenicity data for multiple CSJ117 doses inhaled once daily compared with placebo, in adult asthma participants treated with medium or high dose ICS plus LABA alone or with additional asthma controllers (additional controllers… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Asthma
What is being tested?
CSJ117
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
136 participants
Where
58 sitesin 14 countries
Study dates
8 Sep 2021to 8 Sep 2022
Phase
Phase 2
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • All participants must have been treated with a fixed dose combination of fluticasone propionate/salmeterol in one of two doses in stable dose alone or with additional controllers at label approved dosage (allowed only: LTRA, LAMA, Theophylline or its derivatives).
  • Participants completing the Treatment period and Follow-up period of study CSJ117A12201C and continuing with study CCSJ117A12201E1 must have completed the Treatment period of CSJ117A12201C (i.e. did not discontinue blinded study treatment prematurely) and Follow-up period of study CSJ117A12201C.

Who cannot join

  • Participants who were enrolled into prior study CSJ117A12201C and developed a significant and/or permanent health condition during the prior study.
  • Participants who experienced a serious and drug-related AE in the prior study CSJ117A12201C.
  • Participants receiving any prohibited medications.
  • Participants with a history or current diagnosis of ECG abnormalities.
  • Pregnant or nursing (lactating) women.

Trial locations and contacts

58 sites in 14 countries.

58 sites in 14 countries

Japan12 sites
  • Novartis Investigative Site

    Chuo Ku, Tokyo, 104-0031

  • Novartis Investigative Site

    Chuo-ku, Tokyo, 103-0003

  • Novartis Investigative Site

    Chuo-ku, Tokyo, 103-0028

  • Novartis Investigative Site

    Kodaira, Tokyo, 187-0024

  • Novartis Investigative Site

    Osaka, Osaka, 530 0001

  • Novartis Investigative Site

    Osaka, 531-0073

  • Novartis Investigative Site

    Osaka, 551-0032

  • Novartis Investigative Site

    Setagaya-ku, Tokyo, 158-0097

  • Novartis Investigative Site

    Setagaya-Ku, Tokyo, 157-0072

  • Novartis Investigative Site

    Toshima City, Tokyo, 170-0003

  • Novartis Investigative Site

    Toshima Ku, Tokyo, 170 0003

  • Novartis Investigative Site

    Yokohama, Kanagawa, 223-0059

Other trials in Japan

United States10 sites
  • Novartis Investigative Site

    Bakersfield, California, 93301

  • Novartis Investigative Site

    Boerne, Texas, 78006

  • Novartis Investigative Site

    Greenville, South Carolina, 29607

  • Novartis Investigative Site

    Huntington Beach, California, 92647

  • Novartis Investigative Site

    Los Angeles, California, 90017

  • Novartis Investigative Site

    Los Angeles, California, 90025

  • Novartis Investigative Site

    Marietta, Georgia, 30060

  • Novartis Investigative Site

    McKinney, Texas, 75069

  • Novartis Investigative Site

    Oklahoma City, Oklahoma, 73120

  • Novartis Investigative Site

    White Marsh, Maryland, 21162

Other trials in United States

Germany8 sites
  • Novartis Investigative Site

    Berlin, 10119

  • Novartis Investigative Site

    Berlin, 10717

  • Novartis Investigative Site

    Berlin, 10969

  • Novartis Investigative Site

    Berlin, 12159

  • Novartis Investigative Site

    Frankfurt, 60596

  • Novartis Investigative Site

    Leipzig, D-04299

  • Novartis Investigative Site

    Leipzig, D-04347

  • Novartis Investigative Site

    Witten, 58452

Other trials in Germany

Argentina6 sites
  • Novartis Investigative Site

    CABA, Buenos Aires, C1122AAK

  • Novartis Investigative Site

    Mendoza, 5500

  • Novartis Investigative Site

    Paraná, 3100

  • Novartis Investigative Site

    Ranelagh, Partido de Berazate, Buenos Aires, 1884

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000JKR

  • Novartis Investigative Site

    San Miguel de Tucumán, Tucumán Province, 4000

Other trials in Argentina

Canada3 sites
  • Novartis Investigative Site

    Burlington, Ontario, L7N 3V2

  • Novartis Investigative Site

    Etobicoke, Ontario, M9V 4B4

  • Novartis Investigative Site

    Montreal, Quebec, H2V 2K1

Other trials in Canada

Hungary3 sites
  • Novartis Investigative Site

    Balassagyarmat, 2660

  • Novartis Investigative Site

    Gödöllő, 2100

  • Novartis Investigative Site

    Komárom, 2900

Other trials in Hungary

Latvia3 sites
  • Novartis Investigative Site

    Daugavpils, LV-5417

  • Novartis Investigative Site

    Riga, LV, 1038

  • Novartis Investigative Site

    Riga, LV 1002

Other trials in Latvia

Poland3 sites
  • Novartis Investigative Site

    Krakow, 30033

  • Novartis Investigative Site

    Poznan, 60-693

  • Novartis Investigative Site

    Poznan, 60-823

Other trials in Poland

Bulgaria2 sites
  • Novartis Investigative Site

    Rousse, 7002

  • Novartis Investigative Site

    Stara Zagora, 6000

Other trials in Bulgaria

Czechia2 sites
  • Novartis Investigative Site

    Lovosice, 41002

  • Novartis Investigative Site

    Teplice, CZE, 415 01

Other trials in Czechia

Philippines2 sites
  • Novartis Investigative Site

    Iloilo City, 5000

  • Novartis Investigative Site

    Manila, 1003

Other trials in Philippines

Russia2 sites
  • Novartis Investigative Site

    Saint Petersburg, 194354

  • Novartis Investigative Site

    Saratov, 410012

Other trials in Russia

Belgium1 site
  • Novartis Investigative Site

    Erpent, 5100

Other trials in Belgium

Slovakia1 site
  • Novartis Investigative Site

    Levice, 93401

Other trials in Slovakia

About this study

Official title: A 24-week, Multicenter, Randomized, Double-blind, Parallel-arm, Placebo-controlled Extension Study to Assess the Safety of CSJ117, When Added to Existing Standard of Care Asthma Therapy in Patients ≥18 Years of Age

The purpose of this study is to provide safety and tolerability, pharmacokinetics and immunogenicity data for multiple CSJ117 doses inhaled once daily compared with placebo, in adult asthma participants treated with medium or high dose ICS plus LABA alone or with additional asthma controllers (additional controllers allowed: LTRA, LAMA, Theophylline and its derivatives), who have completed the prior phase llb study CCSJ117A12201C (NCT04410523).

Read the detailed description

This is a 12/24-week Phase llb, multicenter, multi-national, double-blind, randomized, parallel-arm, placebo-controlled extension study to evaluate the safety and tolerability, pharmacokinetics and immunogenicity of 5 dose levels of CSJ117 in adult asthma participants treated with medium or high dose ICS plus LABA alone or with additional asthma controllers (allowed: LTRA, LAMA, theophylline or its derivatives), who have completed the prior core phase llb study CCSJ117A12201C (NCT04410523). The study will include the following three parts:

A Screening period of up to 3 days to assess eligibility.

A Treatment period of 12 or 24 weeks. There are two scenarios on when a participant can enroll into the extension study depending on when the study site is activated for the extension study CCSJ117A12201E1:

  • A 24 week treatment period: Participants on each of the five treatment arms (CSJ117 0.5 to 8 mg) or placebo of the core study CCSJ117A12201C, who will enter the extension study after the last Treatment period visit (week 12) of the core study, will be randomized in a 1:1 ratio to continue on their previously assigned CSJ117 dose or placebo from CCSJ117A12201C for 24 weeks, or to first go through a 12-week "washout period" receiving placebo (for the blinding purpose) and then restart on their previously assigned CSJ117 dose or placebo from CCSJ117A12201C for 12 weeks.
  • A 12 week treatment period: Participants on each of the five treatment arms (CSJ117 0.5 to 8 mg) or placebo of the core study CCSJ117A12201C, who will enter the extension study after the last Follow-up visit (week 24) of the core study, will restart on their previously assigned CSJ117 dose or placebo from CCSJ117A12201C for 12 weeks.

A Follow-up period of 12 weeks, study drug free, following the last dose of study drug.

Conditions
Asthma
Being tested
CSJ117, Placebo
Keywords
CSJ, GINA 2019, Safety
Medical subject headings
Asthma

What participants receive

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

  • CSJ117Drug

    CSJ117 (0.5 mg, 1mg, 2mg, 4 mg and 8 mg) capsules for inhalation once daily delivered via Concept1 inhalation device for 12 or 24 weeks.

  • PlaceboDrug

    Placebo inhaled once daily for 12 or 24 weeks. Delivered via Concept1 device.

Study groups in NCT04946318
Study groupRoleWhat they receive
24-week PlaceboPlacebo comparatorParticipants who will enter the extension study after the last treatment visit (week 12) of the core study and will be treated with Placebo inhaled once daily for 24 weeks
Receives: Drug: CSJ117; Drug: Placebo
12-week wash out + 12-week PlaceboPlacebo comparatorParticipants who will enter the extension study after the last treatment visit (week 12) of the core study and will be treated with Placebo inhaled once daily for 12 weeks "washout period" and Placebo inhaled once daily for 12 weeks
Receives: Drug: CSJ117
12-week PlaceboPlacebo comparatorParticipants who will enter the extension study after the last follow-up visit (week 24) of the core study will be treated with Placebo inhaled once daily for 12 weeks
Receives: Drug: CSJ117
24-week CSJ117ExperimentalParticipants who will enter the extension study after the last treatment visit (week 12) of the core study and will be treated once daily for 24 weeks with the same dose of CSJ117 they received in the core study. CSJ117 (0.5 mg, 1 mg, 2 mg, 4 mg and 8 mg) inhaled once daily for 24 weeks.
Receives: Drug: CSJ117
12-week wash out + 12-week CSJ117ExperimentalParticipants who will enter the extension study after the last treatment visit (week 12) of the core study and will be treated with Placebo inhaled once daily for 12 weeks "washout period" and then they will be treated once daily for 12 weeks with the same dose of CSJ117 they received in the core study. CSJ117 (0.5 mg, 1 mg, 2 mg, 4 mg and 8 mg) inhaled once daily for 12 weeks.
Receives: Drug: CSJ117
12-week CSJ117ExperimentalParticipants who will enter the extension study after the last follow-up visit (week 24) of the core study will be treated with once daily for 12 weeks with the same dose of CSJ117 they received in the core study. CSJ117 (0.5 mg, 1 mg, 2 mg, 4 mg and 8 mg) inhaled once daily for 24 weeks.
Receives: Drug: CSJ117

What is being measured

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

  1. Number of treatment emergent adverse events (AEs) and serious adverse events (SAEs)

    Number of treatment emergent AEs, AEs leading to study treatment discontinuation, SAEs and SAEs leading to study treatment discontinuation.

    Treatment emergent AEs and SAEs will be counted from first day of treatment of the core study (CCSJ117A12201C) and until 30 days after last day of treatment in the extension study. For participants who will enter the extension study after the last follow-up visit (week 24) of the core study, AEs (if any) occurring from week 4 to week 12 of the drug free follow-up period will not be counted as treatment emergent AEs.

    Measured: From start of treatment in the core study and until 30 days after end of treatment in the extension study. Up to 40 weeks.

  2. Number of treatment emergent participant deaths and participant hospitalizations

    Number of treatment emergent participant deaths and participant hospitalizations (any visit to the hospital requiring an overnight stay or an emergency room visit greater than 24 hours).

    Treatment emergent participant deaths and participant hospitalizations will be counted from first day of treatment of the core study (CCSJ117A12201C) and until 30 days after last day of treatment in the extension study. For participants who will enter the extension study after the last follow-up visit (week 24) of the core study, participant deaths and hospitalizations (if any) occurring from week 4 to week 12 of the drug free follow-up period will not be counted as treatment emergent participant deaths and hospitalizations.

    Measured: From start of treatment in the core study and until 30 days after end of treatment in the extension study. Up to 40 weeks.

Secondary outcomes (5)
  1. Trough plasma concentration (Ctrough) at Steady State

    Ctrough measured during the treatment period and the follow up period.

    Measured: Participants entering directly after completion of study treatment of core study: Weeks 2, 4, 8, 12, 14, 16, 20, 24, 26, 28 and 36; Participants entering directly after completion of the core study Follow-up period: Weeks 2, 4, 8, 12, 14, 16 and 24.

  2. Terminal Elimination half-life (T1/2) at Steady State

    Terminal Elimination half-life (T1/2) measured during the treatment period and the follow up period.

    Measured: Participants entering directly after completion of study treatment of core study: Weeks 2, 4, 8, 12, 14, 16, 20, 24, 26, 28 and 36; Participants entering directly after completion of the core study Follow-up period: Weeks 2, 4, 8, 12, 14, 16 and 24.

  3. Change from baseline in Anti-drug immune response

    The change from baseline in Anti-Drug Antibodies (ADA) titers during the treatment period and the follow up period.

    Measured: Participants entering directly after completion of study treatment of core study: Weeks 2, 4, 8, 12, 14, 16, 20, 24, 26, 28 and 36; Participants entering directly after completion of the core study Follow-up period: Weeks 2, 4, 8, 12, 14, 16 and 24.

  4. Change from baseline in Fractional exhaled Nitric Oxide (FeNO) levels

    The change from baseline (same as in the core study CSJ117A12201C) in the observed values in FeNO (including all scheduled post-baseline visits with FeNO data).

    Measured: Participants entering directly after completion of study treatment of core study: Weeks 2, 4, 8, 12, 14, 16, 20, 24, 26, 28 and 36; Participants entering directly after completion of the core study Follow-up period: Weeks 2, 4, 8, 12, 14, 16 and 24.

  5. CSJ117 serum concentration

    Measurement of the total CSJ117 serum concentration during the treatment period and the follow up period.

    Measured: Participants entering directly after completion of study treatment of core study: Weeks 2, 4, 8, 12, 14, 16, 20, 24, 26, 28 and 36; Participants entering directly after completion of the core study Follow-up period: Weeks 2, 4, 8, 12, 14, 16 and 24.

Timeline

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

  1. First posted30 Jun 2021
  2. Study start8 Sep 2021
  3. Primary completion8 Sep 2022
  4. Study completion8 Sep 2022

Why it stopped: Sponsor Decision

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
136 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04946318
Sponsor's protocol ID
CCSJ117A12201E1
Other IDs
2020-002341-42
Status last verified
Oct 2022
First submitted
23 Jun 2021
Last updated
10 Oct 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CSJ117 in people with Asthma, run by Novartis Pharmaceuticals at 58 sites in 14 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 2 inclusion and 5 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: stopped early, as of the sponsor's last update on 10 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in Japan, United States, Germany, Argentina, Canada and 9 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. 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?

The study was stopped early (reason given: Sponsor Decision). Results are not available in the source record.

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?

Number of treatment emergent adverse events (AEs) and serious adverse events (SAEs) (time frame: From start of treatment in the core study and until 30 days after end of treatment in the extension study. Up to 40 weeks.). The study lists 2 primary outcomes in all. 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 10 Oct 2022.

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