Severe AsthmaPhase 2NCT06196879
A Study to Investigate the Efficacy and Safety of Verekitug (UPB-101) in Adult Participants With Severe Asthma (VALIANT)
A Phase 2 study testing Verekitug (UPB-101) in people with Severe Asthma, run by Upstream Bio Inc. at 155 sites in 15 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of verekitug (UPB-101) in participants with severe asthma. The study will evaluate the incidence of asthma exacerbations, other pharmacodynamic (PD) parameters such as lung function and asthma control, and the safety and tolerability of verekitug… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Severe Asthma
- What is being tested?
- Verekitug (UPB-101)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 479 participants
- Where
- 155 sitesin 15 countries
- Study dates
- 27 Feb 2024to 19 Mar 2026
- 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 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed, dated, and received a copy of the Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved written informed consent form (ICF).
- Age 18 to 80 years of age (inclusive) at the time of consent.
- Physician-diagnosed asthma for at least 12 months prior to Visit 1.
- Participant has evidence of bronchodilator (BD) reversibility as documented by either historical reversibility (within 12 months prior to study entry) or reversibility during screening.
- Documented treatment with a total daily dose of either medium or high dose inhaled corticosteroids (ICS) for at least 3 months. Participants on medium dose ICS must also have been taking at least one additional maintenance asthma controller medication for at least 3 months.
- Documented history of asthma exacerbation(s) within 12 months of Visit 1.
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- Asthma Control Questionnaire-6 (ACQ-6) score greater than or equal to (>=) 1.5 at screening and randomization.
- Participant must have a pre-BD FEV1 value of >=30 percent (%) and <=80% predicted at Screening.
- Minimum compliance with daily diary and background asthma medication(s) as captured in the daily diary during the Run-in Period.
- Agrees to follow the required contraceptive techniques/methods.
- Female or male participant agrees not to donate eggs or sperm, respectively, for a period of 120 days after the last dose of the study drug intervention or at the Final Visit, whichever occurs last.
Who cannot join
- Inpatient hospitalization due to asthma at any time within 4 weeks prior to Visit 1 or during the Screening/Run-in Period.
- Previous exposure to verekitug (UPB-101) or known allergy/sensitivity to any of its excipients.
- Previous biologics, including those for asthma treatment, for which the appropriate washout period is not fulfilled prior to Visit 1. If the half-life is not known, a 24-week washout period prior to Visit 1 should be applied.
- Allergen immunotherapy (unless maintenance dose) within 12 weeks prior to Visit 1 or plans to begin therapy or change dosing during the study.
- For participants taking oral corticosteroids (OCS), the dose has not been stable for at least 2 weeks prior to Visit 1 and/or is >10 milligram (mg) daily, or >20 mg every other day.
- Evidence of active or suspected bacterial, viral, fungal, or parasitic infections within 2 weeks prior to Visit 1.
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- History compatible with or diagnosis of a parasitic infection and has not been treated or has not responded to standard of care therapy.
- Current tobacco smokers, nicotine vapers (including electronic cigarettes), snuff users or participants with a smoking history >=10 pack years. (Former nicotine smokers with a smoking history of <10 pack years, former nicotine vapers and former snuff users must have stopped for at least 6 months prior to Visit 1 to be eligible).
- Positive coronavirus disease 2019 (COVID-19) test with lower respiratory tract symptoms within 28 days before Visit 1.
- Pregnant or breastfeeding or planning to become pregnant or breastfeed during the study or unwilling to use adequate birth control, if of reproductive potential and sexually active.
Trial locations and contacts
155 sites in 15 countries.
155 sites in 15 countries
United States55 sites
Velocity Clinical Research - Anderson
Anderson, South Carolina, 29621
Kern Research, Inc.
Bakersfield, California, 93301
AllerVie Clinical Research
Birmingham, Alabama, 35209
Treasure Valley Medical Research
Boise, Idaho, 83706
WR-Notus Clinical Research, LLC
Charleston, South Carolina, 29414
WR-ClinSearch, LLC
Chattanooga, Tennessee, 37421
Portland Clinical Research
Clackamas, Oregon, 97015
Howard County Center for Lung and Sleep Medicine LLC
Columbia, Maryland, 21044
Advance Pharma Research
Cutler Bay, Florida, 33189
Horizon Clinical Research
Cypress, Texas, 77429
Alina Clinical Trials, LLC
Dallas, Texas, 75225
AARA Research Center
Dallas, Texas, 75231
National Jewish Health
Denver, Colorado, 80206
Unique Clinical Trials
Doral, Florida, 33172
OK Clinical Research, LLC
Edmond, Oklahoma, 73034
El Paso Pulmonary Association
El Paso, Texas, 79902
Exordia Medical Research Inc
Fall River, Massachusetts, 02723
Pulmonary Research Institute of Southeast Michigan
Farmington Hills, Michigan, 48336
AA Medical Research Center
Flint, Michigan, 48504
Greater Houston Memorial Pulmonary and Sleep
Houston, Texas, 77008
Advanced Respiratory and Sleep Medicine LLC
Huntersville, North Carolina, 28078
Sante Clinical Research
Kerrville, Texas, 78028
M3 Wake Research
Las Vegas, Nevada, 89106
Velocity Clinical Research - Lafayette LA
Los Angeles, California, 70508
University of Wisconsin--Madison
Madison, Wisconsin, 53792
Mayflower Clinical
Marble Falls, Texas, 02747
Metroplex Pulmonary and Sleep Center Drive
McKinney, Texas, 75069
Velocity Clinical Research - Medford
Medford, Oregon, 97504
Velocity Clinical Research - Meridian
Meridian, Idaho, 83642
Health and Life Research Institute, LLC
Miami, Florida, 33155
Phoenix Medical Research
Miami, Florida, 33165
Research Institute of South Florida
Miami, Florida, 33173
Nouvelle Clinical Research
Miami, Florida, 33189
Summit Research Group LLC
Munroe Falls, Ohio, 44262
Newport Native MD Inc
Newport Beach, California, 92663
California Medical Research Associates Inc.
Northridge, California, 91324
Anderson Allergy And Asthma, PA
Orlando, Florida, 32806
Edward Jenner Research Group, LLC
Plantation, Florida, 33317
Mayo Clinic
Rochester, Minnesota, 55905
Element Research Group
San Antonio, Texas, 78258
Velocity Clinical Research - Spartanburg
Spartanburg, South Carolina, 29303
Pivotal Research Solutions
Stonecrest, Georgia, 30038
RNA America Health Sciences
Sugar Hill, Georgia, 30518
R&B Medical Center
Tampa, Florida, 33614
Urban Health Plan INC
The Bronx, New York, 10459
Toledo Institute of Clinical Research Inc
Toledo, Ohio, 43617
DM Clinical Tomball
Tomball, Texas, 77375
Integrated Research of Inland Inc
Upland, California, 91786
Allergy & Asthma Clinical Research
Walnut Creek, California, 94598
Velocity Clinical Research
West Jordan, Utah, 84088
Allianz Research Institute
Westminster, California, 92683
Chesapeake Clinical Research Inc
White Marsh, Maryland, 21162
Clinical Site Partners dba Flourish research
Winter Park, Florida, 32789
Clinical Site Partners, LLC dba Flourish Research
Winter Park, Florida, 32789
Woodland Clinic Medical Group
Woodland, California, 95695
Argentina14 sites
CARE: Centro de Alergia y Enfermedades Respiratorias
Buenos Aires, C1414AIF
Fundacion Respirar - Centro Medico Dra. De Salvo
Buenos Aires, C1426ABP
Fundacion Cidea
Caba, C1121ABE
InAER
CABA, C1425BEN
Centro de Medicina Respiratoria
Concepción del Uruguay, Entre Ríos Province, E3260
Centro Dr. Lazaro Langer Privado Medicina del Aparato Respiratorio
Córdoba, X5003DCE
Fundacion Scherbovsky
Mendoza, Mendoza Province, 5500
INSARES
Mendoza, 5500
Centro Medico Dharma
Mendoza, M5500
Fundacion Estudios Clinicos (FECLIN)
Rosario, Santa Fe Province, 2000
Instituto Especialidades de la Salud Rosario
Rosario, Santa Fe Province, 2000
IERIM Instituto de Enfermedades Respiratorias e Investigacion Medica
San Juan Bautista, Buenos Aires, 1888
Office of Hector H. Altieri MD
San Miguel de Tucumán, Tucumán Province, 4000
Investigaciones En Patologias Respiratorias
San Miguel de Tucumán, Tucumán Province, CP T4000IAP
Poland12 sites
Centrum Medycyny Oddechowej, Mroz Spolka Jawna
Bialystok, Podlaskie Voivodeship, 15-044
Uniwersyteckie Centrum Kliniczne, Klinika Alergologii i Pneumonologii
Gdansk, Pomorskie Voivodeship, 80-214
Centrum Medyczne All-Med Spolka Komandytowa
Krakow, Malopolskie Voivodeship, 30-033
Nzoz Atopia
Krakow, Malopolskie Voivodeship, 31-159
Malopolskie Centrum Alergologii
Krakow, Malopolskie Voivodeship, 31-624
Ostrowieckie Centrum Medyczne spolka cywilna Anna Olech-Cudzik, Krzysztof Cudzik
Ostrowiec Świętokrzyski, Świętokrzyskie Voivodeship, 27-400
Prywatny Gabinet Lekarski Malgorzata Pawlukiewicz
Rzeszów, Podkarpackie Voivodeship, 35-051
EMED Centrum Uslug Medycznych
Rzeszów, Podkarpackie Voivodeship, 35-205
Alergo-Med Specjalistyczna Przychodnia Lekarska Sp Z O.O.
Tarnów, Malopolskie Voivodeship, 33-100
Centrum Badan Klinicznych
Wroclaw, Dolnoslaskie Voivodeship, 51-162
"ALL-MED" Specjalistyczna Opieka Medyczna. Medyczny Instytut Badawczy
Wroclaw, Dolnoslaskie Voivodeship, 53-201
Lekarze Specjalisci - J. Malolepszy I Partnerzy
Wroclaw, Dolnoslaskie Voivodeship, 54-239
Bulgaria10 sites
MHAT "Rahila Angelova" Pernik
Pernik, 2300
UMHAT Sveti Georgi
Plovdiv, 4001
Ambulatory For Specialized Outpatient Medical Care - Individual Practice - Dr. Nikolay Evgeniev Ruse Ltd
Rousse, 7000
Medical Center Excelsior
Sofia, 1407
Medical Center HERA EOOD
Sofia, 1510
DCC Convex
Sofia, 1680
Medconsult Pleven
Sofia, 1756
Medical center Pulmovizhyn
Sofia, 1756
Medical Center New Rehabilitation Center EOOD
Stara Zagora, 6001
MC Zdrave 1
Vratsa, 3320
South Korea10 sites
Soonchunhyang University Bucheon Hospital
Bucheon-si, 14584
Chungbuk National University Hospital
Cheongju-si, Chubgbuk, 28644
Yeungnam University Hospital
Daegu, 42415
Eunpyeong St. Marys Hospital
Seoul, Korea, 03312
The Catholic University of Korea, Seoul St. Marys Hospital
Seoul, Republic of Korea, 06591
Asan Medical Center
Seoul, 05505
Kyung Hee University Hospital
Seoul, 2447
Seoul National University Hospital
Seoul, 3080
Yonsei University Health System - Severance Hospital
Seoul, 3722
Samsung Medical Center
Seoul, 6351
Japan9 sites
Tokyo-Eki Center-building Clinic
Chuo-ku, Tokyo, 103-0027
Fukuwa Clinics
Chuo-ku, Tokyo, 104-0031
Osaka Habikino Medical Center
Habikino, Osaka, 583-8588
National Hospital Organization Ibarakihigashi National Hospital
Ibaraki, 319-1113
Kishiwada City Hospital
Kishiwada, Osaka, 596-8501
Osaka Metropolitan University Hospital
Osaka, 545-0051
KKR Sapporo Medical Center
Sapporo, Hokkaido, 062-0931
Oji General Hospital
Tomakomai, Hokkaido, 053-8506
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
United Kingdom9 sites
Ormeau Clinical Trials Ltd
Belfast, Northern Ireland, BT7 2EB
Heartlands Hospital, University Hospitals Birmingham NHS Trust
Birmingham, West Midlands, B9 5SS
Bradford Royal Infirmary
Bradford, West Yorkshire, BD9 6RJ
Duckworth Lane Clinical Research Facility
Bradford, West Yorkshire, BD9 6RJ
St Peter's Hospital
Chertsey, Surrey, KT16 0PZ
Hull University Teaching Hospitals NHS Trust
Cottingham, East Yorkshire, HU16 5JQ
Asthma/COPD Clinical Research Centre
Glasgow, Scotland, G12 0YN
Royal Liverpool University Hospital
Liverpool, Merseyside, L7 8XP
Churchill Hospital
Oxford, Oxfordshire, OX3 7LE
Germany8 sites
RCMS/Lungenpraxis Hohenzollerndamm
Berlin, 10717
Velocity Clinical Research Germany , Berlin
Berlin, 10787
Pneumologisches Studienzentrum
Berlin, 10961
ME Clinical Respiratory Research Hamburg GmbH
Hamburg, 22299
IKF Pneumologie Frankfurt, Clinical Research Center Respiratory Diseases
Hessen, 60596
KPPK Studienzentrum
Koblenz, Rhineland-Palatinate, 56068
POIS Sachsen GmbH
Leipzig, Saxony, 04347
IKF Pneumologie GmbH & Co. KG
Mainz, 55128
South Africa6 sites
University of Cape Town Lung Institute
Cape Town, Western Cape, 7700
St Augustine's Hospital/Dr. IA Abdullah
Durban, KwaZulu-Natal, 4001
Synapta Clinical Research Centre
Durban, 4001
Newtown Clinical Research Centre
Johannesburg, Gauteng, 2001
Emmed Research
Pretoria, Gauteng, 0002
FCRN Clinical Trial Centre
Vereeniging, Gauteng, 1935
Chile5 sites
Centro Médico BIOREUMA
Concepción, 4070280
CIMER
Providencia, 7500657
Fundacion Medica San Cristobal
Santiago, Santiago Metropolitan, 7630226
Icegclinic
Santiago, Santiago Metropolitan, 8241479
Sociedad medica Sy G Limitada
Santiago, 7501126
Canada4 sites
Dynamic Drug Advancement
Ajax, Ontario, L1S 2J5
Ottawa Allergy Research Corp
Ottawa, Ontario, K1H 1E4
Toronto Allergists
Toronto, Ontario, M5G1E2
Winchester Hospital
Winchester, Ontario, K0C 2K0
Czechia4 sites
Fakultni Nemocnice u Sv. Anny v Brne
Brno, Czech Republic, 602 00
Alergologie a imunologie Hofstetr Alois MUDr. s.r.o.
Jihlava, Czech Republic, 586 01
Plicni Stredisko Teplice S.R.O
Teplice, Czech Republic, 415 01
PNEUMOLOGIE VARNSDORF s.r.o.
Varnsdorf, Czech Republic, 407 47
Italy4 sites
Ospedale San Martino
Genova, 16132
UOSD Allergologia e Immunodeficienze dell'A.O.U. Federico II
Naples, 80131
SSD Asma Grave e Malattie Rare del Polmone, AOU San Luigi Gonzaga
Orbassano, Torino, 10043
Fondazione IRCCS Policlinico "San Matteo" - SC Pneumologia'
Pavia, 27100
Ukraine3 sites
Chernivtsi Regional Clinical Hospital
Chernivtsi, 58001
Municipal non-Profit Enterprise "lvano-Frankivsk Regional Phthisiology-Pulmonology Center of lvano-Frankivsk regional council
Ivano-Frankivsk, 76018
Medical Centre "Neuromed" of Limited Liability Company "Scan Light"
Vinnytsia, 21050
Spain2 sites
Giromed Institute
Girona, Barcelona, 08017
Hospital Gregorio Marañon
Madrid, 28007
About this study
Official title: A Phase 2, Randomized, Double-blind, Placebo-controlled, Multi-center, Dose-ranging Study to Evaluate the Efficacy and Safety of Verekitug (UPB-101) in Adult Participants With Severe Asthma (VALIANT)
The purpose of this study is to evaluate the efficacy and safety of verekitug (UPB-101) in participants with severe asthma. The study will evaluate the incidence of asthma exacerbations, other pharmacodynamic (PD) parameters such as lung function and asthma control, and the safety and tolerability of verekitug (UPB-101) compared to placebo.
Read the detailed description
This is a multicenter, randomized, placebo-controlled, parallel group study to assess the efficacy and safety of verekitug (UPB-101) administered subcutaneously (SC). A total of approximately 436 adult participants with severe asthma are planned for enrolment and will be randomized in a 1:1:1:1 ratio to receive verekitug (UPB-101) at doses of 100 mg every 12 weeks (Q12W), 400 mg every 24 weeks (Q24W), and 100 mg every 24 weeks (Q24W), or placebo administered SC. In order to maintain the blinding of different doses, all participants will receive 2 SC injections at each dosing visit. This study consists of a Screening/Run-In Period (approximately 4 weeks), Treatment Period (up to 60 weeks with a minimum of 24 weeks) and Follow-up Period (ending approximately 16 weeks after the last administration of study intervention).
- Conditions
- Severe Asthma
- Being tested
- Verekitug (UPB-101), Placebo
- Keywords
- VALIANT, Respiratory Tract Diseases, Bronchial Diseases, Asthma, Lung Diseases, Uncontrolled Asthma, Severe Asthma
- Medical subject headings
- Asthma, Respiratory Tract Diseases, Bronchial Diseases, Lung Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Verekitug (UPB-101)Drug
Verekitug (UPB-101) formulated solution
PlaceboDrug
Verekitug (UPB-101) matching placebo
| Study group | Role | What they receive |
|---|---|---|
| Verekitug (UPB-101): 100 mg Q12W / Placebo | Experimental | Participants will receive 0.5 milliliter (mL) of verekitug (UPB-101) formulated solution (containing 100 milligrams [mg] of verekitug [UPB-101]) and 2.0 mL of placebo subcutaneously in two separate injections every 12 weeks up to Week 48. Receives: Drug: Verekitug (UPB-101); Drug: Placebo |
| Verekitug (UPB-101): 400 mg Q24W / Placebo | Experimental | Participants will receive 2.0 mL of verekitug (UPB-101) formulated solution (containing 400 mg of verekitug [UPB-101]) and 0.5 mL of placebo subcutaneously in two separate injections every 24 weeks up to Week 48. Participants will also receive 2 mL and 0.5 mL of placebo subcutaneously in two separate injections at Weeks 12 and 36 visits. Receives: Drug: Verekitug (UPB-101); Drug: Placebo |
| Verekitug (UPB-101): 100 mg Q24W / Placebo | Experimental | Participants will receive 0.5 mL of verekitug (UPB-101) formulated solution (containing 100 mg of verekitug [UPB-101]) and 2.0 mL of placebo subcutaneously in two separate injections every 24 weeks up to Week 48. Participants will also receive 2 mL and 0.5 mL of placebo subcutaneously in two separate injections at Weeks 12 and 36 visits. Receives: Drug: Verekitug (UPB-101); Drug: Placebo |
| Placebo | Placebo comparator | Participants will receive 0.5 mL of matching placebo and 2.0 mL of matching placebo subcutaneously in two separate injections every 12 weeks up to Week 48. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annual Asthma Exacerbation Rate (AAER)
An asthma exacerbation is defined as a worsening of asthma that required treatment with systemic (oral or intravenous) corticosteroids for at least three consecutive days or a single depo-injectable dose of corticosteroids or an emergency room (ER) or urgent care visit that required systemic corticosteroids or an admission to an inpatient facility and/or evaluation and treatment in a healthcare facility for greater than or equal to 24 hours.
Measured: Baseline up to Week 60
Secondary outcomes (4)
Change from Baseline in Forced Expiratory Volume in 1 Second (FEV1) of Pre-bronchodilator (Pre-BD) to Week 60
Spirometry will be performed pre-bronchodilator (BD) to measure lung function. FEV1 is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.
Measured: Baseline to Week 60
Change from Baseline in Fractional exhaled nitric oxide (FeNO) to Week 60
Standardized single breath FeNO test is performed to evaluate airway inflammation.
Measured: Baseline to Week 60
Change from Baseline in Asthma Control Questionnaire-6 (ACQ-6) to Week 60
ACQ-6 is a participant-reported questionnaire to assess asthma control with 6 items assessing night-time waking, symptoms on waking, activity limitation, shortness of breath, wheeze, and rescue short-acting beta agonist use. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The ACQ-6 score is the mean of the responses.
Measured: Baseline to Week 60
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Measured: Up to Week 64
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jan 2024
- Study start27 Feb 2024
- Primary completion16 Dec 2025
- Study completion19 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Severe AsthmaStudies of the same condition, open and under way.
- 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
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 479 participants (actual)
Sponsor and investigators
- Lead sponsor
- Upstream Bio Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Justin Salciccioli, MD, Study director, Upstream Bio
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06196879
- Sponsor's protocol ID
- UPB-CP-04
- Other IDs
- 2023-507410-27-00, 2023
- Status last verified
- Apr 2026
- First submitted
- 24 Dec 2023
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Seluk L, Davis AE, Rhoads S, Wechsler ME. Novel asthma treatments: Advancing beyond approved novel step-up therapies for asthma. Ann Allergy Asthma Immunol. 2025 Jan;134(1):9-18. doi: 10.1016/j.anai.2024.09.016. Epub 2024 Oct 10.
PubMed 39393433
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-blind, Placebo-controlled, Multi-center, Dose-ranging Study to Evaluate the Efficacy and Safety of Verekitug (UPB-101) in Adult Participants With Severe Asthma (VALIANT)
- ClinicalTrials.gov ID
- NCT06196879
- Acronym / sponsor ID
- UPB-CP-04
- Conditions
- Severe Asthma
- Keywords
- VALIANT, Respiratory Tract Diseases, Bronchial Diseases, Asthma, Lung Diseases, Uncontrolled Asthma, Severe Asthma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 479 participants (actual)
- Lead sponsor
- Upstream Bio Inc.Industry (pharma, biotech, devices)
- Study start
- 27 Feb 2024 (actual)
- Primary completion
- 16 Dec 2025 (actual)
- Study completion
- 19 Mar 2026 (actual)
- First posted
- 9 Jan 2024 (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.
The purpose of this study is to evaluate the efficacy and safety of verekitug (UPB-101) in participants with severe asthma. The study will evaluate the incidence of asthma exacerbations, other pharmacodynamic (PD) parameters such as lung function and asthma control, and the safety and tolerability of verekitug (UPB-101) compared to placebo.
Detailed description
This is a multicenter, randomized, placebo-controlled, parallel group study to assess the efficacy and safety of verekitug (UPB-101) administered subcutaneously (SC). A total of approximately 436 adult participants with severe asthma are planned for enrolment and will be randomized in a 1:1:1:1 ratio to receive verekitug (UPB-101) at doses of 100 mg every 12 weeks (Q12W), 400 mg every 24 weeks (Q24W), and 100 mg every 24 weeks (Q24W), or placebo administered SC. In order to maintain the blinding of different doses, all participants will receive 2 SC injections at each dosing visit. This study consists of a Screening/Run-In Period (approximately 4 weeks), Treatment Period (up to 60 weeks with a minimum of 24 weeks) and Follow-up Period (ending approximately 16 weeks after the last administration of study intervention).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Verekitug (UPB-101): 100 mg Q12W / Placebo | Experimental | Drug: Verekitug (UPB-101), Drug: PlaceboParticipants will receive 0.5 milliliter (mL) of verekitug (UPB-101) formulated solution (containing 100 milligrams [mg] of verekitug [UPB-101]) and 2.0 mL of placebo subcutaneously in two separate injections every 12 weeks up to Week 48. |
| Verekitug (UPB-101): 400 mg Q24W / Placebo | Experimental | Drug: Verekitug (UPB-101), Drug: PlaceboParticipants will receive 2.0 mL of verekitug (UPB-101) formulated solution (containing 400 mg of verekitug [UPB-101]) and 0.5 mL of placebo subcutaneously in two separate injections every 24 weeks up to Week 48. Participants will also receive 2 mL and 0.5 mL of placebo subcutaneously in two separate injections at Weeks 12 and 36 visits. |
| Verekitug (UPB-101): 100 mg Q24W / Placebo | Experimental | Drug: Verekitug (UPB-101), Drug: PlaceboParticipants will receive 0.5 mL of verekitug (UPB-101) formulated solution (containing 100 mg of verekitug [UPB-101]) and 2.0 mL of placebo subcutaneously in two separate injections every 24 weeks up to Week 48. Participants will also receive 2 mL and 0.5 mL of placebo subcutaneously in two separate injections at Weeks 12 and 36 visits. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive 0.5 mL of matching placebo and 2.0 mL of matching placebo subcutaneously in two separate injections every 12 weeks up to Week 48. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Signed, dated, and received a copy of the Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved written informed consent form (ICF).
- Age 18 to 80 years of age (inclusive) at the time of consent.
- Physician-diagnosed asthma for at least 12 months prior to Visit 1.
- Participant has evidence of bronchodilator (BD) reversibility as documented by either historical reversibility (within 12 months prior to study entry) or reversibility during screening.
- Documented treatment with a total daily dose of either medium or high dose inhaled corticosteroids (ICS) for at least 3 months. Participants on medium dose ICS must also have been taking at least one additional maintenance asthma controller medication for at least 3 months.
Key exclusion criteria (10 listed)
- Inpatient hospitalization due to asthma at any time within 4 weeks prior to Visit 1 or during the Screening/Run-in Period.
- Previous exposure to verekitug (UPB-101) or known allergy/sensitivity to any of its excipients.
- Previous biologics, including those for asthma treatment, for which the appropriate washout period is not fulfilled prior to Visit 1. If the half-life is not known, a 24-week washout period prior to Visit 1 should be applied.
- Allergen immunotherapy (unless maintenance dose) within 12 weeks prior to Visit 1 or plans to begin therapy or change dosing during the study.
- For participants taking oral corticosteroids (OCS), the dose has not been stable for at least 2 weeks prior to Visit 1 and/or is >10 milligram (mg) daily, or >20 mg every other day.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Verekitug (UPB-101)Verekitug (UPB-101) formulated solution | Drug | Verekitug (UPB-101): 100 mg Q12W / Placebo, Verekitug (UPB-101): 100 mg Q24W / Placebo, Verekitug (UPB-101): 400 mg Q24W / Placebo |
| PlaceboVerekitug (UPB-101) matching placebo | Drug | Placebo, Verekitug (UPB-101): 100 mg Q12W / Placebo, Verekitug (UPB-101): 100 mg Q24W / Placebo, Verekitug (UPB-101): 400 mg Q24W / Placebo |
Primary outcome
Annual Asthma Exacerbation Rate (AAER)
Time frame: Baseline up to Week 60
An asthma exacerbation is defined as a worsening of asthma that required treatment with systemic (oral or intravenous) corticosteroids for at least three consecutive days or a single depo-injectable dose of corticosteroids or an emergency room (ER) or urgent care visit that required systemic corticosteroids or an admission to an inpatient facility and/or evaluation and treatment in a healthcare facility for greater than or equal to 24 hours.
4 secondary outcomes
Change from Baseline in Forced Expiratory Volume in 1 Second (FEV1) of Pre-bronchodilator (Pre-BD) to Week 60
Time frame: Baseline to Week 60
Change from Baseline in Fractional exhaled nitric oxide (FeNO) to Week 60
Time frame: Baseline to Week 60
Change from Baseline in Asthma Control Questionnaire-6 (ACQ-6) to Week 60
Time frame: Baseline to Week 60
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Time frame: Up to Week 64
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 1 May 2026.
- Derived from this study: PubMed 39393433Seluk L, Davis AE, Rhoads S, Wechsler ME. Novel asthma treatments: Advancing beyond approved novel step-up therapies for asthma. Ann Allergy Asthma Immunol. 2025 Jan;134(1):9-18. doi: 10.1016/j.anai.2024.09.016. Epub 2024 Oct 10.
- Individual participant dataSharing planned: No
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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.
Justin Salciccioli, MD study director
Upstream Bio
155 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Verekitug (UPB-101) in people with Severe Asthma, run by Upstream Bio Inc. at 155 sites in 15 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 11 inclusion and 10 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 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 155 sites in United States, Argentina, Poland, Bulgaria, South Korea and 10 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 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?
Annual Asthma Exacerbation Rate (AAER) (time frame: Baseline up to Week 60). 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 NCT06196879, 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 1 May 2026.