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Moderate to Severe AsthmaPhase 3VECTORNCT05062759

Study to Assess the Effect of Tezepelumab on the Immune Response to Influenza Vaccination in Participants With Asthma

A Phase 3 study testing Tezepelumab in people with Moderate to Severe Asthma, run by AstraZeneca at 15 sites in United States.

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

This is a Phase 3b, multicenter, randomized, double-blind, parallel group, placebo-controlled study designed to investigate the potential effect of tezepelumab (210 mg subcutaneous [SC] every 4 weeks [Q4W]) on antibody responses following seasonal quadrivalent influenza virus vaccination in the fall/winter 2021-2022… Read more about this study

Who is it for?
Ages 12 to 21 years
Conditions the study is for
Moderate to Severe Asthma
What is being tested?
Tezepelumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
15 sitesUnited States
Study dates
23 Aug 2021to 18 Jul 2022
Phase
Phase 3
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 to 21 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Documented physician-diagnosed asthma for at least 12 months prior to Visit 1.
  • Morning pre-bronchodilator FEV1 (Forced expiratory volume) of > 50% predicted normal value at Visit 1 or Visit 2.
  • Body weight ≥ 40 kg.
  • For women of childbearing potential, a negative urine pregnancy test is required prior to administration of study intervention at Visit 3.
  • Must have 'not well-controlled' asthma.

Who cannot join

  • Clinically important pulmonary disease other than asthma.
  • Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment.
  • Life-threatening asthma
  • History of cancer.
  • Allergy to eggs, if egg based influenza vaccine will be administered.
  • History of anaphylaxis to any biologic therapy.
Show all 9Show fewer
  • Current smokers or participants with smoking history ≥ 10 pack-years and participants using vaping products, including electronic cigarettes. Former smokers with a smoking history of < 10 pack-years and users of vaping or e-cigarette products must have stopped for at least 6 months prior to Visit 1 to be eligible.
  • History of alcohol or drug abuse within 12 months prior to the date of informed consent.
  • Major surgery within 8 weeks prior to Visit 1 or planned surgical procedures during the conduct of the study.

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

United States15 sites
  • Research Site

    Bakersfield, California, 93301

  • Research Site

    Columbia, Missouri, 65203

  • Research Site

    Dallas, Texas, 75225

  • Research Site

    Dayton, Ohio, 45406

  • Research Site

    Edmond, Oklahoma, 73034

  • Research Site

    Huntington Beach, California, 92647

  • Research Site

    Miami, Florida, 33133

  • Research Site

    Milwaukee, Wisconsin, 53228

  • Research Site

    Northfield, New Jersey, 08225

  • Research Site

    Oklahoma City, Oklahoma, 73120

  • Research Site

    Salt Lake City, Utah, 84107

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    Toledo, Ohio, 43617

  • Research Site

    Tyler, Texas, 75708

  • Research Site

    Waco, Texas, 76712

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase 3b Study to Evaluate the Potential Effect of Tezepelumab on the Humoral Immune Response to Seasonal Quadrivalent Influenza Vaccination in Adolescent and Young Adult Participants With Moderate to Severe Asthma (VECTOR)

This is a Phase 3b, multicenter, randomized, double-blind, parallel group, placebo-controlled study designed to investigate the potential effect of tezepelumab (210 mg subcutaneous [SC] every 4 weeks [Q4W]) on antibody responses following seasonal quadrivalent influenza virus vaccination in the fall/winter 2021-2022 in the USA.

Read the detailed description

Participants with moderate to severe asthma will enter the screening period of a minimum of 2 weeks to allow adequate time for all of the eligibility criteria to be evaluated. They will be randomized 1:1 to receive tezepelumab 210 mg or placebo SC Q4W, administered at Weeks 0, 4, 8 and 12. Randomization will be monitored to ensure at least 50% of the randomized participants are between the ages of 12 to 17 years.

Participants will receive a single dose of inactivated quadrivalent seasonal influenza vaccine intramuscularly at Week 12, prior to the fourth dose of study intervention.

Serum samples for evaluation of antibody response will be drawn at Week 12 (pre-vaccination) and at Week 16 (4 weeks post-vaccination) when humoral response to the vaccination is expected to be fully developed.

The End of Treatment (EOT) Visit will be conducted at Week 16 and a final Follow-up Visit and the End of Study Visit will be conducted at Week 28.

Being tested
Tezepelumab, Placebo
Keywords
Tezepelumab, Humoral Immune Response, Quadrivalent Influenza Vaccination, Antibody response, Subcutaneous

What participants receive

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

  • TezepelumabDrug

    210 mg SC injection Q4W.

  • PlaceboDrug

    SC injection Q4W.

Study groups in NCT05062759
Study groupRoleWhat they receive
TezepelumabExperimentalParticipants will be randomized to receive tezepelumab 210 mg administered at Weeks 0, 4, 8 and 12. Participants will also receive a single dose of inactivated quadrivalent seasonal influenza vaccine intramuscularly at Week 12, prior to the fourth dose of study intervention.
Receives: Drug: Tezepelumab
Placebo to TezepelumabPlacebo comparatorParticipants will be randomized to receive placebo SC Q4W, administered at Weeks 0, 4, 8 and 12. Participants will also receive a single dose of inactivated quadrivalent seasonal influenza vaccine intramuscularly at Week 12, prior to the fourth dose of study intervention.
Receives: Drug: Placebo

What is being measured

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

  1. Post-vaccination Strain-specific Hemagglutination Inhibition (HAI) Antibody Geometric Mean Fold Rises (GMFRs)

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    HAI assay was not performed for H3N2 strain due to the known low haemagglutination effect.

    Measured: From Week 12 to Week 16

  2. Post-vaccination Strain-specific Microneutralization (MN) Antibody GMFRs

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    Measured: From Week 12 to Week 16

  3. Post-vaccination Strain-specific Serum HAI Antibody Geometric Mean Titers (GMTs)

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    HAI assay was not performed for H3N2 strain due to the known low haemagglutination effect.

    Measured: Week 16

  4. Post-vaccination Strain-specific Serum MN Antibody GMTs

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    Measured: Week 16

  5. Percentage of Patients With Post-vaccination Strain-specific Antibody Response at Week 16 With Antibody Response Defined as a ≥ 4-fold Rise in HAI Antibody Titer

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    HAI assay was not performed for H3N2 strain due to the known low haemagglutination effect.

    Measured: Week 16

  6. Percentage of Patients With Post-vaccination Strain-specific Antibody Response at Week 16 With Antibody Response Defined as a ≥ 4-fold Rise in MN Antibody Titer

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    Vaccine immunogenicity analysis set consisted of all randomised patients who received the influenza vaccine plus at least 1 dose of tezepelumab or placebo, had pre and post vaccination HAI or MN antibody measurements, had no influenza infection prior to Visit 7 (Week 16), and had no protocol deviation, judged to have the potential to interfere with the generation or interpretation of an antibody response.

    Measured: Week 16

  7. Percentage of Patients With Post-vaccination Strain-specific HAI Antibody Titer ≥ 40

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    HAI assay was not performed for H3N2 strain due to the known low haemagglutination effect.

    Measured: Week 16

  8. Percentage of Patients With Post-vaccination Strain-specific MN Antibody Titer ≥ 40

    Effect of tezepelumab on the humoral immune response following seasonal influenza virus vaccination in adolescent and young adult participants with moderate to severe asthma was assessed.

    Measured: Week 16

Secondary outcomes (2)
  1. Serum Tezepelumab Concentrations

    Tezepelumab serum concentrations were summarized using descriptive statistics at each visit.

    Measured: Week 0, Week 12, Week 16 and Week 28

  2. Immunogenicity

    Immunogenicity assessments were performed. ADA prevalence was defined as patients who are ADA positive at any time including baseline. Persistently positive was defined as having at least two post-baseline ADA positive measurements (with ≥16 weeks between first and last positive) or an ADA positive result at the last available post-baseline assessment. Transiently positive was defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. Treatment boosted ADA was defined as baseline positive ADA titre that was boosted to a 4-fold or higher-level following treatment. Treatment emergent ADA (ADA incidence) was defined as the sum of treatment induced ADA and treatment boosted ADA.

    Measured: From Baseline to Week 28

Timeline

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

  1. First posted30 Sep 2021
  2. Study start23 Aug 2021
  3. Primary completion21 Mar 2022
  4. Study completion18 Jul 2022

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05062759
Sponsor's protocol ID
D5180C00031
Acronym
VECTOR
Status last verified
Jun 2023
First submitted
23 Aug 2021
Last updated
22 Jun 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com /ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Publications

  • Cole J, Capala-Szczurko I, Roseti S, Chen C, Caveney S, Aksyuk AA, Streicher K, Ponnarambil S, Colice G. Effect of Tezepelumab on the Humoral Immune Response to Seasonal Quadrivalent Influenza Vaccination in Patients with Moderate to Severe Asthma: The Phase 3b VECTOR Study. Pulm Ther. 2024 Mar;10(1):53-67. doi: 10.1007/s41030-023-00245-9. Epub 2023 Dec 8.

    PubMed 38064153

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tezepelumab in people with Moderate to Severe Asthma, run by AstraZeneca at 15 sites in United States.

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 5 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 22 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 Apr 2023). 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?

Post-vaccination Strain-specific Hemagglutination Inhibition (HAI) Antibody Geometric Mean Fold Rises (GMFRs) (time frame: From Week 12 to Week 16). The study lists 8 primary outcomes in all. 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 NCT05062759, which also lists 1 linked publication.

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 22 Jun 2023.

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