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AsthmaNCT05157087

XOLAIR (Omalizumab) Outcomes in Pediatric Allergic Asthma Patients in the United States

An observational study of Asthma, run by Novartis Pharmaceuticals at 1 site 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

A retrospective database pre-post cohort study, identifying asthmatic patients, aged 6- 11, with omalizumab use over 24 months Read more about this study

Who is it for?
Ages 6 to 11 years
Conditions the study is for
Asthma
What is being tested?
Omalizumab
How many people
16,246 participants
Where
1 siteUnited States
Study dates
1 Mar 2020to 1 Dec 2020
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 6 to 11 years
  • All sexes
  • No healthy volunteers
  • Child

Study population: asthmatic patients, aged 6-11, with omalizumab use

Who may be able to join

  • We used all eligible Marketscan beneficiaries with an asthma diagnosis and omalizumab use between 07/07/2016 - 12/31/2018 (index period). Continuous enrollment in the Marketscan database was required to ensure the availability of claims data to capture study outcomes and covariates.
  • Omalizumab cohort was defined as ≥1 prescription claims within the index period, with the date of first dispensing deemed the index date.
  • Asthma was defined by ≥1 diagnosis code in any available diagnosis field on or prior to index date.
  • ICD-9-CM: 493.xx OR ICD-10-CM: J45.x
  • 6-11 years of age at the time of index
  • ≥12-months pre-index and ≥12-months post-index continuous eligibility in medical and pharmacy benefits
  • Enrollment gap of ≤30 days will be considered continuous enrollment

Who cannot join

  • Patients were excluded from the study if they had one or more of the following:
  • Bronchial Thermoplasty at any time during data capture. Current Procedural Terminology (CPT): 31660, 31661
  • Prior asthma-indicated biologic use during the 12 months pre or post-index
  • Omalizumab:
  • NDC: 50242004062; 50242004201 or HCPCS: J2357; S0107; C9217
  • Mepolizumab:
Show all 13Show fewer
  • NDC: 00173088101, 00173088185 or HCPCS: J2182
  • Reslizumab:
  • NDC: 5931061031 or HCPCS: J2786
  • Benralizumab:
  • NDC: 0310173030 or HCPCS: C9466
  • Dupilumab:
  • NDC: 0024591400 or 0024591800

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis Investigational Site

    East Hanover, New Jersey, 07936-1080

Other trials in United States

About this study

A retrospective database pre-post cohort study, identifying asthmatic patients, aged 6- 11, with omalizumab use over 24 months

Read the detailed description

This was a retrospective database pre-post cohort study, identifying asthmatic patients with omalizumab use over 24 months. Omalizumab use was analyzed in two categories. First, initiators were defined as individuals with ≥ 1 omalizumab claims. "Responders" were defined as individuals with at least 4 omalizumab claims. Descriptive statistics are provided for both groups, but outcomes are reported only for responders.

For this study, any persons from the Marketscan database with an asthma diagnosis and >= 1 omalizumab prescription/administration during the index period were identified. From this patient population the inclusion and exclusion criteria were applied, resulting in the final study cohort. Each person was assigned an index date based on their initial use of omalizumab.

Study Period: 07/07/2015 - 12/31/2019 Index Period: 07/07/2016 - 12/31/2018 Index Date: The date of the first medical or pharmacy claim of omalizumab Baseline Period (pre-index): 12 months before index date Follow up Period (post-index): 12 months after index date

The MarketScan® Claims Database (including commercial and Medicaid claims) was used. The claims database included data from 07/08/2015 - 12/31/2019. The MarketScan® Databases capture personspecific clinical utilization, expenditures, and enrollment across inpatient, outpatient, prescription drug, and carve-out services from a selection of large employers, health plans, and government and public organizations. The current study used the Commercial, Medicare Supplemental and Multi-State Medicaid Databases.

Conditions
Asthma
Being tested
Omalizumab
Keywords
Asthma,, Omalizumab (Xolair),, Asthma Control,, Corticosteroids,, Pediatric,, Children,, Adolescents,, Healthcare Expenditures
Medical subject headings
Asthma

What participants receive

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

  • OmalizumabDrug

    Omalizumab use was analyzed in two categories. First, initiators were defined as individuals with ≥ 1 omalizumab prescription. "Responders" were defined as individuals with at least 4 administrations of omalizumab.

Study groups in NCT05157087
Study groupRoleWhat they receive
Commercial PopulationIndividuals with at least one omalizumab prescription in the Marketscan commercial claims during the identification period (07/07/2016 - 12/31/2018)
Receives: Drug: Omalizumab
Medicaid PopulationIndividuals with at least one omalizumab prescription in the Truven Medicaid claims during the identification period (07/07/2016 - 12/31/2018)
Receives: Drug: Omalizumab

What is being measured

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

  1. Proportion of patients with uncontrolled asthma (impairment + risk criteria) post omalizumab treatment initiation

    Uncontrolled asthma was based on either impairment or risk criteria in a 12- month consecutive period.

    • Impairment was identified as ≥6 Short-acting Beta Agonist (SABA) prescriptions dispensed in 12 months. Each prescription should reflect one month days supply.
    • Risk was defined as ≥1 unique exacerbation(s) in 12 months, including asthma-related ED visits or hospitalizations (emergency or hospital care with a diagnosis of asthma in the first position only [ICD-9 code 493.xx, ICD-10 code J45.xx]) or an OCS dispensing within 7 days AFTER an outpatient visit with an asthma diagnosis in ANY position.
    • The date of uncontrolled asthma assessment was defined as the earliest date between the sixth SABA prescription (impairment criteria) or the first exacerbation outcome during a consecutive 12-months (risk criteria).

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  2. Proportion of patients with excessive SABA use (≥6 SABA prescriptions dispensed in 12 months) (impairment criteria)

    Proportion of patients with uncontrolled asthma (impairment criteria) were reported. Impairment was identified as ≥6 SABA prescriptions dispensed in 12 months. Each prescription should reflect one month days supply.

    • The date of uncontrolled asthma assessment was defined as the earliest date between the sixth SABA prescription (impairment criteria).

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  3. Proportion of patients with exacerbations requiring IP visits (risk criteria)

    Proportion of patients with uncontrolled asthma (risk criteria) were reported. Risk was defined as ≥1 unique exacerbation(s) in 12 months, including asthma-related ED visits or hospitalizations (emergency or hospital care with a diagnosis of asthma in the first position only [ICD-9 code 493.xx, ICD-10 code J45.xx]) or an OCS dispensing within 7 days AFTER an outpatient visit with an asthma diagnosis in ANY position.

    • The date of uncontrolled asthma assessment was defined as the first exacerbation outcome during a consecutive 12-months (risk criteria).

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  4. Proportion of patients with exacerbations requiring ED visits (risk criteria)

    Proportion of patients with uncontrolled asthma (risk criteria) were reported. Risk was defined as ≥1 unique exacerbation(s) in 12 months, including asthma-related ED visits or hospitalizations (emergency or hospital care with a diagnosis of asthma in the first position only [ICD-9 code 493.xx, ICD-10 code J45.xx]) or an OCS dispensing within 7 days AFTER an outpatient visit with an asthma diagnosis in ANY position.

    • The date of uncontrolled asthma assessment was defined as the first exacerbation outcome during a consecutive 12-months (risk criteria).

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  5. Proportion of patients with exacerbations requiring Oral corticosteroids (OCS) prescriptions (risk criteria)

    Proportion of patients with uncontrolled asthma (risk criteria) were reported. Risk was defined as ≥1 unique exacerbation(s) in 12 months, including asthma-related ED visits or hospitalizations (emergency or hospital care with a diagnosis of asthma in the first position only [ICD-9 code 493.xx, ICD-10 code J45.xx]) or an OCS dispensing within 7 days AFTER an outpatient visit with an asthma diagnosis in ANY position.

    • The date of uncontrolled asthma assessment was defined as the first exacerbation outcome during a consecutive 12-months (risk criteria).

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  6. Mean daily dose of Inhaled Corticosteroids (ICS) use

    Mean daily dose of Inhaled Corticosteroids (ICS) use was reported during the follow-up

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  7. Mean cumulative dose of OCS use

    Mean cumulative dose of Oral corticosteroids were reported during follow-up

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  8. Mean number of prescriptions of OCS use

    Mean number of prescriptions of OCS use were reported during follow-up

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

  9. Mean days of supply of OCS use

    Mean days of supply of OC were reported during follow-up

    Measured: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)

Secondary outcomes (10)
  1. Proportion of uncontrolled asthma patients (total: risk and impairment criteria)

    Uncontrolled asthma was based on either impairment or risk criteria in a 12- month consecutive period.

    • Impairment was identified as ≥6 Short-acting Beta Agonist (SABA) prescriptions dispensed in 12 months. Each prescription should reflect one month days supply.
    • Risk was defined as ≥1 unique exacerbation(s) in 12 months, including asthma-related ED visits or hospitalizations (emergency or hospital care with a diagnosis of asthma in the first position only [ICD-9 code 493.xx, ICD-10 code J45.xx]) or an OCS dispensing within 7 days AFTER an outpatient visit with an asthma diagnosis in ANY position.
    • The date of uncontrolled asthma assessment was defined as the earliest date between the sixth SABA prescription (impairment criteria) or the first exacerbation outcome during a consecutive 12-months (risk criteria).

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  2. Proportion of uncontrolled asthma patients (per impairment criteria)

    Proportion of patients with uncontrolled asthma (impairment criteria) were reported. Impairment was identified as ≥6 SABA prescriptions dispensed in 12 months. Each prescription should reflect one month days supply.

    • The date of uncontrolled asthma assessment was defined as the earliest date between the sixth SABA prescription (impairment criteria).

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  3. Proportion of uncontrolled asthma patients (per risk criteria)

    Risk was defined as ≥1 unique exacerbation(s) in 12 months, including asthma-related ED visits or hospitalizations (emergency or hospital care with a diagnosis of asthma in the first position only [ICD-9 code 493.xx, ICD-10 code J45.xx]) or an OCS dispensing within 7 days AFTER an outpatient visit with an asthma diagnosis in ANY position.

    • The date of uncontrolled asthma assessment was defined as the first exacerbation outcome during a consecutive 12-months (risk criteria).

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  4. Mean difference in the total number of asthma-related prescriptions

    Mean difference in the total number of asthma-related prescriptions between baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  5. Mean difference in daily dose (of days supply) of ICS use

    Mean difference in daily dose (of days supply) between baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  6. Proportion of patients with a reduction in daily dose of ICS use

    Proportion of patients with a reduction in daily dose between the baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  7. Mean difference in daily dose of OCS use

    Mean difference in daily dose between baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  8. Mean difference in number of prescriptions of OCS use

    Mean difference in number of prescriptions between baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  9. Mean difference in days of supply of OCS use

    Mean difference in days of supply between baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

  10. Proportion of patients with a reduction in total prescriptions of OCS use

    Proportion of patients with a reduction in total prescriptions for OCS use between baseline and follow-up periods were reported

    Measured: through study completion, approximately 4 years (Study Period: 07/07/2015 - 12/31/2019)

Timeline

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

  1. First posted14 Dec 2021
  2. Study start1 Mar 2020
  3. Primary completion1 Dec 2020
  4. Study completion1 Dec 2020

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
Retrospective
Enrolment
16,246 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05157087
Sponsor's protocol ID
CIGE025AUS55
Status last verified
Dec 2021
First submitted
30 Nov 2021
Last updated
16 Dec 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Asthma, run by Novartis Pharmaceuticals at 1 site 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 7 inclusion and 13 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 16 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. 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?

Proportion of patients with uncontrolled asthma (impairment + risk criteria) post omalizumab treatment initiation (time frame: 12 months after index date (Index date defined as the date of the first medical or pharmacy claim of omalizumab between 07/07/2016 - 12/31/2018 index period)). The study lists 9 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 16 Dec 2021.

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