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AsthmaPhase 2NCT07589439

Dose-Ranging Study of LQ036 Single-Domain Antibody Nebulization Solution in Poorly Controlled Asthma

A Phase 2 study testing LQ036 in people with Asthma, run by Shanghai Novamab Biopharmaceuticals Co., Ltd. at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

What is the goal of this study? The goal of this clinical trial is to find out whether the study drug LQ036 (a nebulized solution taken by inhaling through a nebulizer) works to improve lung function and asthma control in people whose asthma is not well controlled. Read more about this study

Who is it for?
Ages 12 to 75 years
Conditions the study is for
Asthma
What is being tested?
LQ036
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
216 participants
Where
1 siteChina
Study dates
30 Sep 2025to Dec 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 75 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Outpatients, aged 12 to 75 years inclusive, male or female, with body mass index (BMI) between 18 and 30 kg/m² inclusive. For participants aged 12 to 17 years, body weight must be ≥30 kg.
  • Diagnosed with bronchial asthma according to the 2025 Global Initiative for Asthma (GINA) guidelines prior to screening, with a documented history of asthma for ≥12 months.
  • For at least 3 months prior to screening, the participant has used inhaled corticosteroids (ICS) combined with at least one controller medication, and has maintained a stable treatment regimen and dosage for at least 1 month prior to screening. Low, medium, and high maintenance doses of ICS are defined according to the 2025 GINA guidelines (if multiple nebulized or combined administration methods are used, doses are to be combined).
  • At screening, pre-bronchodilator FEV₁ is ≥40% and <80% of the predicted normal value. For participants on low-dose ICS, pre-bronchodilator FEV₁ is ≥40% and <85% of the predicted normal value.
  • At screening, Asthma Control Questionnaire-5 (ACQ-5) score ≥1.5.
  • At screening, a positive bronchodilator reversibility test (increase in FEV₁ of ≥12% and an absolute increase of ≥200 mL, 15-30 minutes after inhalation of 400 μg salbutamol). If the reversibility test does not reach the positive threshold, one additional test is permitted within 7 days (excluding the day of the initial test). Alternatively, documented evidence of a positive bronchodilator reversibility test within 2 years prior to screening is acceptable.
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  • At screening, blood eosinophil (EOS) count ≥150 cells/μL or fractional exhaled nitric oxide (FeNO) ≥25 ppb.
  • Experienced ≥1 severe exacerbation within the 12 months prior to screening (not required for participants on low-dose ICS).
  • Participants fully understand the purpose, nature, methods, and possible adverse reactions of the study, voluntarily agree to participate, and sign the informed consent form before any study procedures begin.
  • At randomization, pre-bronchodilator FEV₁ has increased by ≤20% from the screening value, and remains ≥40% and <80% of the predicted normal value (for participants on low-dose ICS, pre-bronchodilator FEV₁ is ≥40% and <85% of the predicted normal value).
  • At randomization, ACQ-5 score ≥1.5.
  • During the run-in period, participant compliance with run-in medication and background medication is ≥80% and ≤120%, compliance with daily diary completion is ≥80%, and there are complete data for at least 4 days within the 7 days prior to randomization.

Who cannot join

  • Life-threatening asthma, defined as an asthma episode requiring intubation within 1 year prior to screening or during the run-in period, and/or a history of hypercapnia, respiratory arrest, hypoxic seizures, asthma-related syncopal episodes, etc.
  • Experienced a severe asthma exacerbation within 1 month prior to screening.
  • History of allergy to biologics, or known hypersensitivity to any component of the investigational product.
  • Use of biologics (including but not limited to anti-IgE, anti-IL-5, anti-IL-5 receptor, anti-IL-4/13 receptor, anti-TSLP monoclonal antibodies, etc.) and/or systemic immunosuppressants (including but not limited to methotrexate, cyclosporine, mycophenolate mofetil, tacrolimus, penicillamine, sulfasalazine, hydroxychloroquine, azathioprine, cyclophosphamide) for inflammatory diseases within 8 weeks or 5 half-lives (whichever is longer) prior to screening.
  • Received intravenous immunoglobulin (IVIG) or allergen-specific immunotherapy (SIT) within 3 months prior to screening.
  • Received systemic corticosteroids (excluding topical, ophthalmic, or intranasal corticosteroids), antibiotics, antifungals, antivirals, antiparasitic drugs, non-selective beta-blockers, or herbal medicines with anti-asthmatic effects within 1 month prior to screening or during the run-in period.
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  • Received live or attenuated vaccine within 3 months prior to screening, or plan to receive live or attenuated vaccine during the study period.
  • Underwent bronchial thermoplasty within 12 months prior to screening.
  • Underwent major surgery within 8 weeks prior to screening, or plans to undergo surgery requiring general anesthesia or hospitalization for >1 day during the study period.
  • In the investigator's judgment, presence of respiratory diseases other than asthma, including but not limited to chronic obstructive pulmonary disease (COPD), asthma-COPD overlap syndrome (ACOS), or any other significant lung disease (e.g., active pneumonia, idiopathic pulmonary fibrosis, pneumothorax, atelectasis, pulmonary fibrosis, bronchopulmonary dysplasia, bronchiectasis, etc.), that may place the participant at undue risk or affect the evaluation of study results.
  • Based on imaging and investigator judgment, presence of active tuberculosis or non-tuberculous mycobacterial infection, untreated latent tuberculosis, or history of incompletely treated tuberculosis.
  • Active autoimmune disease or autoimmune disease requiring immunosuppressive therapy, such as rheumatoid arthritis, inflammatory bowel disease, primary biliary cirrhosis, systemic lupus erythematosus, multiple sclerosis, etc.
  • Blood EOS >1500 cells/μL at screening, or other systemic diseases that may cause elevated peripheral blood EOS count (e.g., hypereosinophilic syndrome, eosinophilic granulomatosis with polyangiitis, eosinophilic esophagitis, etc.), which in the investigator's judgment may affect the evaluation of the drug.
  • Known or suspected immunodeficiency, including history of invasive opportunistic infection (e.g., histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis) even if resolved; or presence of unusually frequent, recurrent, or prolonged infections suggestive of an immunocompromised state.
  • Known parasitic infection, or suspected or high-risk parasitic infection in the investigator's judgment.
  • Active infection (e.g., upper respiratory tract infection) within 1 month prior to screening or during the run-in period, or acute infection requiring systemic anti-infective therapy.
  • History of lymphoproliferative disease or malignancy (participants with basal cell carcinoma, localized squamous cell carcinoma of the skin, or cervical carcinoma in situ are eligible if they have completed curative treatment and have had no evidence of recurrence for at least 12 months prior to signing informed consent), or other medical history that in the investigator's judgment may affect the evaluation of the drug.
  • Presence of any other severe and/or uncontrolled disease or treatment that, in the investigator's judgment, may affect the evaluation of the drug, including but not limited to: severe neurological disease, severe mental disorder, uncontrolled diabetes mellitus, uncontrolled hypertension, major cardiovascular disease, corrected QT interval prolongation (male >450 ms, female >470 ms, Fridericia's formula), or persistent arrhythmia.
  • Current smoker or cessation of smoking for <6 months; or former smoker with a smoking history of ≥10 pack-years (pack-years = [cigarettes per day / 20] × years of smoking).
  • Positive serology for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, human immunodeficiency virus antibody, or Treponema pallidum antibody at screening (participants with positive HBsAg but HBV-DNA below the lower limit of detection, or positive HCV antibody but HCV-RNA below the lower limit of detection, are eligible).
  • Participants with severe liver or kidney dysfunction, such as aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >3 × upper limit of normal (ULN), or serum creatinine >1.5 × ULN.
  • Pregnant or breastfeeding women; women planning to become pregnant during the study or within 3 months after the end of the study; fertile women or men who, in the investigator's judgment, cannot use medically accepted reliable contraception from signing informed consent until 3 months after the last dose of study drug; positive pregnancy test result at screening or before randomization for fertile women.
  • Participation in another clinical study of a drug or device within 3 months prior to signing informed consent, with use of investigational drug/device; or still within the follow-up period of another clinical study or within 5 half-lives of the investigational drug (whichever is longer) at the time of signing informed consent.
  • History of blood donation or significant blood loss, blood transfusion, or use of blood products within 3 months prior to screening.
  • Known or suspected non-compliance, drug abuse, substance abuse, or alcohol abuse (daily pure alcohol intake >40 g for males, >20 g for females).
  • Any condition that, in the investigator's judgment, makes the participant unsuitable for participation in this clinical trial.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai

    Jieming Qu, Principal Investigator, +86-21-64370045 ext. 680801, Jmqu0906@163.com

    Wei Tang, Principal Investigator, +86-21-64370045 ext. 680801, Tw10986@rjh.com.cn

    Recruiting

Other trials in China

About this study

Official title: A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Multicenter Clinical Trial to Evaluate the Safety and Efficacy of LQ036 Single-Domain Antibody Nebulization Solution in Patients With Poorly Controlled Asthma

What is the goal of this study? The goal of this clinical trial is to find out whether the study drug LQ036 (a nebulized solution taken by inhaling through a nebulizer) works to improve lung function and asthma control in people whose asthma is not well controlled. The study will also learn about the safety of LQ036, how the body processes it, and whether the body develops an immune response to it.

What are the main questions?

Read more

The most important question is:

  • Does LQ036 improve lung function (measured by FEV₁ - the amount of air you can blow out in one second) more than a placebo at Week 12?

Other important questions include:

  • Does LQ036 improve lung function at other time points (weeks 1, 2, 4, 8, 16, 20, 24)?
  • Does LQ036 reduce asthma attacks (sudden worsening of asthma that needs extra treatment)?
  • Does LQ036 help people use less rescue medication (inhaler for quick relief) and have more days without asthma symptoms?
  • Does LQ036 improve scores on asthma control and quality of life questionnaires?
  • What medical problems do participants have when taking LQ036?
Read the detailed description

The study includes four periods: a screening period of up to 2 weeks to check eligibility, followed by a 2 week run in period during which all participants take a placebo once daily by nebulizer and record symptoms and rescue medication use. Participants are then randomly assigned to one of three groups for the 24 week treatment period: LQ036 12 mg, LQ036 24 mg, or placebo once daily. For the first 12 weeks, the LQ036 groups are compared with the placebo group; after 12 weeks, those originally on placebo are reassigned to either LQ036 12 mg or 24 mg for the remaining 12 weeks. Throughout the study period, all participants continue their usual asthma controller medicines. A 4 week safety follow up visit occurs after the 24 week treatment to monitor for side effects.

Conditions
Asthma
Being tested
Placebo, LQ036
Medical subject headings
Asthma

What participants receive

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

  • PlaceboBiological

    Placebo is a look-alike solution for nebulization that contains no active drug. Participants will self-administer the placebo once daily by inhaling the nebulized solution.

  • LQ036Biological

    LQ036 is a single-domain antibody formulated as a solution for nebulization. Participants will self-administer the assigned dose once daily by inhaling the nebulized solution.

Study groups in NCT07589439
Study groupRoleWhat they receive
LQ036 12 mgExperimentalLQ036 12 mg solution for nebulization, once daily for 24 weeks.
Receives: Biological: LQ036
LQ036 24 mgExperimentalLQ036 24 mg solution for nebulization, once daily for 24 weeks.
Receives: Biological: LQ036
Placebo then Re-randomized to LQ036Placebo comparatorPlacebo solution for nebulization once daily for 12 weeks, followed by re-randomization (1:1) to either LQ036 12 mg or LQ036 24 mg solution for nebulization once daily for an additional 12 weeks.
Receives: Biological: Placebo; Biological: LQ036

What is being measured

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

  1. Absolute Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12

    Measured: Baseline, Week 12

Secondary outcomes (20)
  1. Percent Change From Baseline in Pre-bronchodilator FEV1 at Week 12

    Measured: Baseline, Week 12

  2. Absolute and Percent Change From Baseline in Pre-bronchodilator FEV1 at Weeks 1, 2, 4, 8, 16, 20, 24

    Measured: Baseline, Weeks 1, 2, 4, 8, 16, 20, 24

  3. Absolute and Percent Change From Baseline in Morning and Evening Peak Expiratory Flow (PEF) at Weeks 1, 2, 4, 8, 12, 16, 20, 24

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

  4. Absolute and Percent Change From Baseline in Pre-bronchodilator FEV1% Predicted, Forced Vital Capacity (FVC), and Forced Expiratory Flow (FEF25%-75%) at Weeks 1, 2, 4, 8, 12, 16, 20, 24

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

  5. Absolute and Percent Change From Baseline in Post-bronchodilator FEV1 at Weeks 12 and 24

    Measured: Baseline, Weeks 12, 24

  6. Annualized Rate of Composite Exacerbation (CompEx) Events During the Treatment Period

    Measured: Baseline up to Week 24

  7. Time to First Composite Exacerbation (CompEx) Event

    Measured: Baseline up to Week 24

  8. Annualized Rate of Loss of Asthma Control (LOAC) Events During the Treatment Period

    Measured: Baseline up to Week 24

  9. Time to First Loss of Asthma Control (LOAC) Event

    Measured: Baseline up to Week 24

  10. Annualized Rate of Severe Exacerbation (SevEx) Events During the Treatment Period (in participants with history of severe exacerbation in past 12 months)

    Measured: Baseline up to Week 24

  11. Annualized Rate of Severe Exacerbation Events Resulting in Hospitalization or Emergency Room Visit During the Treatment Period (in participants with history of severe exacerbation in past 12 months)

    Measured: Baseline up to Week 24

  12. Time to First Severe Exacerbation (SevEx) Event (in participants with history of severe exacerbation in past 12 months)

    Measured: Baseline up to Week 28

  13. Time to First Severe Exacerbation Event Resulting in Hospitalization or Emergency Room Visit (in participants with history of severe exacerbation in past 12 months)

    Measured: Baseline up to Week 28

  14. Absolute Change From Baseline in Asthma Control Questionnaire-5 (ACQ-5) Score at Weeks 1, 2, 4, 8, 12, 16, 20, 24

    The ACQ-5 has 5 questions, reflecting the top-scoring five asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath and wheeze. Participants were asked to recall how their asthma had been during the previous week and to respond to each of the five symptom questions on a 7-point scale ranging from 0 (no impairment) to 6 (maximum impairment). ACQ-5 total score was mean of the scores of all 5 questions and, therefore, ranged from 0 (totally controlled) to 6 (severely uncontrolled). Higher score indicated lower asthma control.

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

  15. Absolute Change From Baseline in Nighttime Asthma Symptom Scores at Weeks 1, 2, 4, 8, 12, 16, 20, 24

    Nighttime asthma symptom score was determined using an AM (ante meridiem) symptom scoring system, which evaluated the participant's overall asthma symptoms experienced during the night. It ranged from 0 to 4 as follows:

    0 = No symptoms;

    1. = Symptoms caused one nocturnal awakening (or early awakening);
    2. = Symptoms caused two or more nocturnal awakenings (including early awakening);
    3. = Symptoms caused the participant to be awake for most of the night;
    4. = Symptoms were severe and the participant could not fall asleep at night. Higher scores indicate more severe asthma symptoms. A negative change from baseline represents improvement.

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

  16. Absolute Change From Baseline in Daytime Asthma Symptom Scores at Weeks 1, 2, 4, 8, 12, 16, 20, 24

    Daytime asthma symptom score was determined using a PM (post meridiem) symptom scoring system, which evaluated the participant's overall asthma symptoms experienced during the day. It ranged from 0 to 5 as follows:

    0 = No symptoms;

    1. = Only one short episode of symptoms;
    2. = Two or more short episodes of symptoms;
    3. = Symptoms present most of the time, but did not interfere with daily activities;
    4. = Symptoms present most of the time and interfered with daily activities;
    5. = Symptoms were severe, unable to work or perform daily activities as usual. Higher scores indicate more severe asthma symptoms. A negative change from baseline represents improvement.

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

  17. Absolute Change From Baseline in Average Daily Reliever Medication Use (puffs/day) at Weeks 1, 2, 4, 8, 12, 16, 20, 24

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

  18. Number of Reliever Medication-Free Days During the Treatment Period

    Measured: Baseline up to Week 24

  19. Absolute Change From Baseline in Asthma Quality of Life Questionnaire With Standardized Activities (AQLQ[S]) Global Score at Weeks 12 and 24

    The Asthma Quality of Life Questionnaire with Standardized Activities (AQLQ[S]) is a 32 item disease specific instrument measuring the functional impairments that are most important to adults with asthma. Each item is scored on a 7 point Likert scale where 1 = maximal impairment and 7 = no impairment. The global score is the mean of all 32 responses, ranging from 1 (severely impaired quality of life) to 7 (not impaired at all). Higher scores indicate better quality of life. A positive change from baseline indicates improvement.

    Measured: Baseline, Weeks 12, 24

  20. Absolute and Percent Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO) at Each Time Point

    Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24

Timeline

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

  1. First posted15 May 2026
  2. Study start30 Sep 2025
  3. Primary completionSep 2027 (estimated)
  4. Study completionDec 2027 (estimated)

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
Model description
Parallel assignment for 12 weeks (1:1:1), followed by re-randomization of placebo participants to LQ036 12 mg or 24 mg for weeks 13-24.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
216 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07589439
Sponsor's protocol ID
LQSW-LQ036-CN-IIb
Status last verified
Jun 2026
First submitted
22 Apr 2026
Last updated
25 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LQ036 in people with Asthma, run by Shanghai Novamab Biopharmaceuticals Co., Ltd. at 1 site in China.

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 12 inclusion and 26 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: looking for participants now, as of the sponsor's last update on 25 Jun 2026. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Meng Huang (86+02120985259, mhuang@novamab.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Absolute Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12 (time frame: Baseline, Week 12). 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 25 Jun 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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