Trial Outcomes & Findings for Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Reslizumab (3.0 mg/kg) as Treatment for Patients (12 Through 75 Years of Age) With Eosinophilic Asthma (NCT NCT01290887)
NCT ID: NCT01290887
Last Updated: 2016-06-06
Results Overview
An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
TERMINATED
PHASE3
1052 participants
Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
2016-06-06
Participant Flow
A total of 1052 patients with eosinophilic asthma at 201 centers in 30 countries were enrolled in this study.
Four hundred-eighty (46%) patients received reslizumab for the first time in Study 3085, having previously received placebo in Studies 3081, 3082, or 3083.
Participant milestones
| Measure |
Previous Placebo-Treated Subpopulation
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
|---|---|---|
|
Overall Study
STARTED
|
481
|
571
|
|
Overall Study
Safety Analysis Set
|
480
|
571
|
|
Overall Study
COMPLETED
|
15
|
35
|
|
Overall Study
NOT COMPLETED
|
466
|
536
|
Reasons for withdrawal
| Measure |
Previous Placebo-Treated Subpopulation
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
|---|---|---|
|
Overall Study
Adverse Event
|
6
|
11
|
|
Overall Study
Lack of Efficacy
|
4
|
5
|
|
Overall Study
Withdrawal by Subject
|
26
|
32
|
|
Overall Study
Protocol Violation
|
2
|
1
|
|
Overall Study
Lost to Follow-up
|
4
|
4
|
|
Overall Study
Non-compliance to study procedures
|
0
|
1
|
|
Overall Study
Non-compliance to study medications
|
1
|
0
|
|
Overall Study
Sponsor closure of study
|
420
|
476
|
|
Overall Study
Other
|
3
|
6
|
Baseline Characteristics
Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Reslizumab (3.0 mg/kg) as Treatment for Patients (12 Through 75 Years of Age) With Eosinophilic Asthma
Baseline characteristics by cohort
| Measure |
Previous Placebo-Treated Subpopulation
n=481 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Total
n=1052 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Forced Expiratory Volume in 1 Second (FEV1)
|
2.096 liters
STANDARD_DEVIATION 0.7856 • n=93 Participants
|
2.285 liters
STANDARD_DEVIATION 0.8222 • n=4 Participants
|
2.199 liters
STANDARD_DEVIATION 0.8108 • n=27 Participants
|
|
% Predicted Expiratory Volume In 1 Second
|
70.739 percentage of predicted FEV1
STANDARD_DEVIATION 19.7560 • n=93 Participants
|
75.116 percentage of predicted FEV1
STANDARD_DEVIATION 19.9404 • n=4 Participants
|
73.115 percentage of predicted FEV1
STANDARD_DEVIATION 19.9664 • n=27 Participants
|
|
Forced Vital Capacity (FVC)
|
3.163 liters
STANDARD_DEVIATION 1.0357 • n=93 Participants
|
3.366 liters
STANDARD_DEVIATION 1.0779 • n=4 Participants
|
3.273 liters
STANDARD_DEVIATION 1.0632 • n=27 Participants
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%)
|
1.467 liters/second
STANDARD_DEVIATION 0.8890 • n=93 Participants
|
1.634 liters/second
STANDARD_DEVIATION 0.9045 • n=4 Participants
|
1.558 liters/second
STANDARD_DEVIATION 0.9009 • n=27 Participants
|
|
Age, Continuous
|
47.4 years
STANDARD_DEVIATION 14.53 • n=93 Participants
|
47.1 years
STANDARD_DEVIATION 13.58 • n=4 Participants
|
47.2 years
STANDARD_DEVIATION 14.02 • n=27 Participants
|
|
Sex: Female, Male
Female
|
314 Participants
n=93 Participants
|
332 Participants
n=4 Participants
|
646 Participants
n=27 Participants
|
|
Sex: Female, Male
Male
|
167 Participants
n=93 Participants
|
239 Participants
n=4 Participants
|
406 Participants
n=27 Participants
|
|
Race/Ethnicity, Customized
White
|
371 participants
n=93 Participants
|
437 participants
n=4 Participants
|
808 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Black
|
22 participants
n=93 Participants
|
22 participants
n=4 Participants
|
44 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Asian
|
39 participants
n=93 Participants
|
48 participants
n=4 Participants
|
87 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
American Indian or Alaskan Native
|
4 participants
n=93 Participants
|
6 participants
n=4 Participants
|
10 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Pacific Islander
|
1 participants
n=93 Participants
|
1 participants
n=4 Participants
|
2 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Other
|
44 participants
n=93 Participants
|
57 participants
n=4 Participants
|
101 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Hispanic or Latino
|
83 participants
n=93 Participants
|
118 participants
n=4 Participants
|
201 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Non-Hispanic or Latino
|
187 participants
n=93 Participants
|
178 participants
n=4 Participants
|
365 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Non-Hispanic and non-Latino
|
208 participants
n=93 Participants
|
272 participants
n=4 Participants
|
480 participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Unknown
|
3 participants
n=93 Participants
|
3 participants
n=4 Participants
|
6 participants
n=27 Participants
|
|
Weight
|
75.4 kg
STANDARD_DEVIATION 16.67 • n=93 Participants
|
76.5 kg
STANDARD_DEVIATION 17.85 • n=4 Participants
|
76.0 kg
STANDARD_DEVIATION 17.32 • n=27 Participants
|
|
Height
|
165.3 cm
STANDARD_DEVIATION 10.03 • n=93 Participants
|
166.0 cm
STANDARD_DEVIATION 9.96 • n=4 Participants
|
165.7 cm
STANDARD_DEVIATION 9.99 • n=27 Participants
|
|
Body Mass Index
|
27.6 kg/m^2
STANDARD_DEVIATION 5.42 • n=93 Participants
|
27.7 kg/m^2
STANDARD_DEVIATION 6.04 • n=4 Participants
|
27.7 kg/m^2
STANDARD_DEVIATION 5.77 • n=27 Participants
|
|
Asthma Control Questionnaire (ACQ)
|
1.832 units on a scale
STANDARD_DEVIATION 1.0912 • n=93 Participants
|
1.450 units on a scale
STANDARD_DEVIATION 0.9870 • n=4 Participants
|
1.624 units on a scale
STANDARD_DEVIATION 1.0527 • n=27 Participants
|
|
Asthma Quality of Life Questionnaire (AQLQ)
|
5.170 units on a scale
STANDARD_DEVIATION 1.2160 • n=93 Participants
|
5.496 units on a scale
STANDARD_DEVIATION 1.1431 • n=4 Participants
|
5.347 units on a scale
STANDARD_DEVIATION 1.1875 • n=27 Participants
|
|
Asthma Symptom Utility Index (ASUI)
|
0.803 units on a scale
STANDARD_DEVIATION 0.1910 • n=93 Participants
|
0.861 units on a scale
STANDARD_DEVIATION 0.1479 • n=4 Participants
|
0.832 units on a scale
STANDARD_DEVIATION 0.1728 • n=27 Participants
|
|
Blood Eosinophil Count
|
0.528 10^9 blood eosinophil/L
STANDARD_DEVIATION 0.3792 • n=93 Participants
|
0.078 10^9 blood eosinophil/L
STANDARD_DEVIATION 0.1480 • n=4 Participants
|
0.284 10^9 blood eosinophil/L
STANDARD_DEVIATION 0.3577 • n=27 Participants
|
|
Used Beta Agonist in Past 3 Days
Yes
|
300 participants
n=93 Participants
|
297 participants
n=4 Participants
|
597 participants
n=27 Participants
|
|
Used Beta Agonist in Past 3 Days
No
|
180 participants
n=93 Participants
|
274 participants
n=4 Participants
|
454 participants
n=27 Participants
|
|
Daily average number of puffs in past 3 days
|
2.130 puffs/day
STANDARD_DEVIATION 2.4996 • n=93 Participants
|
1.568 puffs/day
STANDARD_DEVIATION 2.3982 • n=4 Participants
|
1.827 puffs/day
STANDARD_DEVIATION 2.4604 • n=27 Participants
|
PRIMARY outcome
Timeframe: Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.Population: Safety analysis set
An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Participants With Treatment-Emergent Adverse Events
At least 1 AE
|
359 participants
|
385 participants
|
744 participants
|
|
Participants With Treatment-Emergent Adverse Events
Severe AE
|
31 participants
|
47 participants
|
78 participants
|
|
Participants With Treatment-Emergent Adverse Events
Treatment-related AE
|
49 participants
|
41 participants
|
90 participants
|
|
Participants With Treatment-Emergent Adverse Events
AE causing patient discontinuation
|
6 participants
|
12 participants
|
18 participants
|
|
Participants With Treatment-Emergent Adverse Events
Serious AE
|
33 participants
|
45 participants
|
78 participants
|
|
Participants With Treatment-Emergent Adverse Events
Death
|
1 participants
|
2 participants
|
3 participants
|
|
Participants With Treatment-Emergent Adverse Events
AE up to follow-up period
|
344 participants
|
367 participants
|
711 participants
|
|
Participants With Treatment-Emergent Adverse Events
AE during follow-up period
|
78 participants
|
82 participants
|
160 participants
|
PRIMARY outcome
Timeframe: Weeks 4, 8, 24 and 48Population: Safety analysis set, including participants who contributed to the analysis
Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology, and urinalysis values on any of the during treatment lab analyses. Significance criteria: * Blood urea nitrogen: \>=10.71 mmol/L * Creatinine: \>=177 μmol/L * Uric acid: M\>=625, F\>=506 μmol/L * Aspartate aminotransferase: \>=3\*upper limit of normal (ULN). Normal range is 10-43 U/L * Alanine aminotransferase: \>=3\*ULN. Normal range is 10-40 U/L * GGT = gamma-glutamyl transpeptidase: \>= 3\*upper limit of normal. Normal range is 5-49 U/L. * Total bilirubin: \>=34.2 μmol/L * White blood cells- low: \<=3.0\*10\^9/L * White blood cells-high: \>=20\*10\^9/L * Hemoglobin: M\<=115, F\<=95 g/dL * Hematocrit: M\<0.37, F\<0.32 L/L * Platelets: \>=700\*10\^9/L * Absolute neutrophil count: \<=1.0\*10\^9/L * Eosinophils: \>=10 * Urinalysis: ketones, blood, glucose, and total protein: \>=2 unit increase from baseline
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=477 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=567 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1044 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Blood urea nitrogen
|
13 participants
|
10 participants
|
23 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Creatinine
|
3 participants
|
2 participants
|
5 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Uric acid
|
8 participants
|
5 participants
|
13 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Aspartate aminotransferase
|
6 participants
|
5 participants
|
11 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Alanine aminotransferase
|
7 participants
|
7 participants
|
14 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
GGT
|
24 participants
|
15 participants
|
39 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Total bilirubin
|
3 participants
|
3 participants
|
6 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
White blood cells- low
|
10 participants
|
8 participants
|
18 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
White blood cells- high
|
2 participants
|
1 participants
|
3 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Hemoglobin
|
10 participants
|
9 participants
|
19 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Hematocrit
|
13 participants
|
13 participants
|
26 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Platelets
|
1 participants
|
1 participants
|
2 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Absolute neutrophil count
|
7 participants
|
7 participants
|
14 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Eosinophils
|
24 participants
|
27 participants
|
51 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Ketones in urine
|
15 participants
|
9 participants
|
24 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Blood (hemaglobin) in urine
|
52 participants
|
55 participants
|
107 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Glucose in urine
|
22 participants
|
32 participants
|
54 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values
Total protein in urine
|
71 participants
|
85 participants
|
156 participants
|
PRIMARY outcome
Timeframe: Week 4 to Week 65Population: Safety analysis set, including participants who contributed to the analysis
Data represents participants with PCS vital sign values during any of the during treatment visits or the follow-up visit. Significance criteria * Sitting heart rate-high: \>100 and increase of \>= 30 beats/min (all ages) * Sitting heart rate-low: \<50 and decrease of \>=30 beats/min * Sitting systolic blood pressure (BP)-high: \>130 and increase of \>=30 mmHg (ages 12-17) * Systolic BP-low: \<90 and decrease of \>=30 mmHg (ages \>=18) * Systolic BP-high: \>160 and increase of \>=30 mmHg (ages \>=18) * Sitting diastolic BP-low: \<55 and decrease of \>=12 mmHg (ages 12-17) * Diastolic BP-high: \>85 and increase of \>=12 mmHg (ages 12-17) * Diastolic BP-low: \<50 and decrease of \>=12 mmHg (ages \>=18) * Diastolic BP-high: \>100 and increase of \>=12 mmHg (ages \>=18) * Respiration rate: \>20 and increase of \>=10 breaths/minute (ages 12-17) * Respiration rate: \>24 and increase of \>=10 breaths/minute (ages \>=18) * Body temperature-low: \<96.5° Fahrenheit (all ages) * Body temp-high: \>100.5° F (all ages)
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=478 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=569 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1047 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Heart rate - high (ages 12-17)
|
1 participants
|
2 participants
|
3 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Heart rate - low (ages >=18)
|
2 participants
|
1 participants
|
3 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Heart rate - high (ages >=18)
|
8 participants
|
8 participants
|
16 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Systolic BP - high (ages 12-17)
|
0 participants
|
1 participants
|
1 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Systolic BP - low (ages >=18)
|
1 participants
|
0 participants
|
1 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Systolic BP - high (ages >=18)
|
8 participants
|
8 participants
|
16 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Diastolic BP - low (ages 12-17)
|
1 participants
|
1 participants
|
2 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Diastolic BP - high (ages 12-17)
|
2 participants
|
1 participants
|
3 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Diastolic BP - low (ages >=18)
|
2 participants
|
4 participants
|
6 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Diastolic - high (ages >=18)
|
13 participants
|
12 participants
|
25 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Respiration rate - high (ages 12-17)
|
0 participants
|
1 participants
|
1 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Respiration rate - high (ages >=18)
|
6 participants
|
2 participants
|
8 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Body temperature - low (ages 12-17)
|
3 participants
|
3 participants
|
6 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Body temperature - high (ages 12-17)
|
0 participants
|
1 participants
|
1 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Body temperature - low (ages >=18)
|
102 participants
|
121 participants
|
223 participants
|
|
Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values
Body temperature - high (ages >=18)
|
3 participants
|
1 participants
|
4 participants
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer.
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=478, 569, 1047)
|
2.174 liters
Standard Deviation 0.7798
|
2.273 liters
Standard Deviation 0.8127
|
2.228 liters
Standard Deviation 0.7989
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=457, 552, 1009)
|
2.155 liters
Standard Deviation 0.7636
|
2.277 liters
Standard Deviation 0.7999
|
2.222 liters
Standard Deviation 0.7857
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=437, 518, 955)
|
2.162 liters
Standard Deviation 0.7966
|
2.270 liters
Standard Deviation 0.8179
|
2.220 liters
Standard Deviation 0.8096
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=426, 499, 925)
|
2.171 liters
Standard Deviation 0.7690
|
2.267 liters
Standard Deviation 0.8114
|
2.223 liters
Standard Deviation 0.7932
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=418, 488, 906)
|
2.169 liters
Standard Deviation 0.7761
|
2.267 liters
Standard Deviation 0.8101
|
2.222 liters
Standard Deviation 0.7957
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=386, 458, 844)
|
2.188 liters
Standard Deviation 0.7966
|
2.289 liters
Standard Deviation 0.8032
|
2.243 liters
Standard Deviation 0.8013
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=291, 354, 645)
|
2.234 liters
Standard Deviation 0.8240
|
2.278 liters
Standard Deviation 0.8133
|
2.258 liters
Standard Deviation 0.8178
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=198, 250, 448)
|
2.167 liters
Standard Deviation 0.7905
|
2.336 liters
Standard Deviation 0.8189
|
2.261 liters
Standard Deviation 0.8099
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=101, 143, 244)
|
2.234 liters
Standard Deviation 0.9214
|
2.360 liters
Standard Deviation 0.8292
|
2.308 liters
Standard Deviation 0.8689
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=56, 105, 161)
|
2.424 liters
Standard Deviation 0.9093
|
2.367 liters
Standard Deviation 0.8150
|
2.387 liters
Standard Deviation 0.8466
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=45, 88, 133)
|
2.496 liters
Standard Deviation 0.8496
|
2.384 liters
Standard Deviation 0.8411
|
2.422 liters
Standard Deviation 0.8425
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
2.748 liters
Standard Deviation 0.8963
|
2.383 liters
Standard Deviation 0.7737
|
2.505 liters
Standard Deviation 0.8283
|
|
Forced Expiratory Volume In 1 Second (FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=28, 54, 82)
|
2.505 liters
Standard Deviation 0.9386
|
2.237 liters
Standard Deviation 0.8736
|
2.329 liters
Standard Deviation 0.8997
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
The percent predicted FEV1 is the ratio of the volume of air expired in the first second of a forced expiration to the patient's predicted FEV based on a similar population without asthma. Percent predicted lung function values were transcribed directly from the lung function report to the CRF, without any calculation by Teva.
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=457, 552, 1009)
|
73.295 percentage of predicted FEV1
Standard Deviation 19.7933
|
74.808 percentage of predicted FEV1
Standard Deviation 19.1560
|
74.123 percentage of predicted FEV1
Standard Deviation 19.4521
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=437, 518, 955)
|
73.056 percentage of predicted FEV1
Standard Deviation 19.9848
|
74.765 percentage of predicted FEV1
Standard Deviation 20.3570
|
73.983 percentage of predicted FEV1
Standard Deviation 20.1949
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=426, 499, 925)
|
73.797 percentage of predicted FEV1
Standard Deviation 19.2586
|
74.690 percentage of predicted FEV1
Standard Deviation 19.8973
|
74.279 percentage of predicted FEV1
Standard Deviation 19.6002
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=418, 488, 906)
|
73.797 percentage of predicted FEV1
Standard Deviation 19.5962
|
74.668 percentage of predicted FEV1
Standard Deviation 20.2025
|
74.266 percentage of predicted FEV1
Standard Deviation 19.9188
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=386, 458, 844)
|
74.284 percentage of predicted FEV1
Standard Deviation 19.5601
|
75.208 percentage of predicted FEV1
Standard Deviation 19.9621
|
74.785 percentage of predicted FEV1
Standard Deviation 19.7729
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=291, 354, 645)
|
74.805 percentage of predicted FEV1
Standard Deviation 20.5634
|
75.487 percentage of predicted FEV1
Standard Deviation 20.4589
|
75.179 percentage of predicted FEV1
Standard Deviation 20.4930
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=198, 250, 448)
|
73.654 percentage of predicted FEV1
Standard Deviation 19.9535
|
76.627 percentage of predicted FEV1
Standard Deviation 19.8890
|
75.313 percentage of predicted FEV1
Standard Deviation 19.9500
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=101, 143, 244)
|
74.511 percentage of predicted FEV1
Standard Deviation 22.5211
|
76.613 percentage of predicted FEV1
Standard Deviation 20.2416
|
75.743 percentage of predicted FEV1
Standard Deviation 21.1950
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=56, 105, 161)
|
76.856 percentage of predicted FEV1
Standard Deviation 20.1821
|
76.812 percentage of predicted FEV1
Standard Deviation 17.1937
|
76.827 percentage of predicted FEV1
Standard Deviation 18.2256
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=45, 88, 133)
|
79.017 percentage of predicted FEV1
Standard Deviation 18.5149
|
77.945 percentage of predicted FEV1
Standard Deviation 18.4383
|
78.308 percentage of predicted FEV1
Standard Deviation 18.4011
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
83.245 percentage of predicted FEV1
Standard Deviation 14.9074
|
76.746 percentage of predicted FEV1
Standard Deviation 16.2345
|
78.912 percentage of predicted FEV1
Standard Deviation 15.9949
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=28, 54, 82)
|
79.672 percentage of predicted FEV1
Standard Deviation 18.6997
|
70.633 percentage of predicted FEV1
Standard Deviation 20.2554
|
73.719 percentage of predicted FEV1
Standard Deviation 20.0902
|
|
Percent Predicted Forced Expiratory Volume In 1 Second (% Predicted FEV1) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=478, 569, 1047)
|
74.195 percentage of predicted FEV1
Standard Deviation 19.8134
|
75.107 percentage of predicted FEV1
Standard Deviation 19.8530
|
74.690 percentage of predicted FEV1
Standard Deviation 19.8307
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
The FVC is the volume of air that can be forcibly blown out after full inspiration, measured in liters. .
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=457, 552, 1009)
|
3.222 liters
Standard Deviation 0.9929
|
3.372 liters
Standard Deviation 1.0619
|
3.304 liters
Standard Deviation 1.0334
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=437, 518, 955)
|
3.226 liters
Standard Deviation 1.0228
|
3.358 liters
Standard Deviation 1.0836
|
3.297 liters
Standard Deviation 1.0577
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=426, 499, 925)
|
3.238 liters
Standard Deviation 0.9788
|
3.339 liters
Standard Deviation 1.0584
|
3.292 liters
Standard Deviation 1.0232
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=418, 488, 906)
|
3.238 liters
Standard Deviation 0.9949
|
3.349 liters
Standard Deviation 1.0835
|
3.298 liters
Standard Deviation 1.0444
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=386, 458, 844)
|
3.233 liters
Standard Deviation 1.0095
|
3.369 liters
Standard Deviation 1.0709
|
3.307 liters
Standard Deviation 1.0449
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=291, 353, 644)
|
3.324 liters
Standard Deviation 1.0571
|
3.346 liters
Standard Deviation 1.0416
|
3.336 liters
Standard Deviation 1.0479
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=198, 250, 448)
|
3.229 liters
Standard Deviation 1.0334
|
3.414 liters
Standard Deviation 1.0348
|
3.332 liters
Standard Deviation 1.0371
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=101, 143, 244)
|
3.323 liters
Standard Deviation 1.1874
|
3.422 liters
Standard Deviation 1.0428
|
3.381 liters
Standard Deviation 1.1037
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=56, 105, 161)
|
3.500 liters
Standard Deviation 1.1839
|
3.398 liters
Standard Deviation 1.0795
|
3.434 liters
Standard Deviation 1.1143
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=45, 88, 133)
|
3.606 liters
Standard Deviation 1.1403
|
3.406 liters
Standard Deviation 1.1535
|
3.474 liters
Standard Deviation 1.1487
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
3.849 liters
Standard Deviation 1.2342
|
3.381 liters
Standard Deviation 1.1145
|
3.537 liters
Standard Deviation 1.1680
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=28, 54, 82)
|
3.524 liters
Standard Deviation 1.1842
|
3.321 liters
Standard Deviation 1.2443
|
3.390 liters
Standard Deviation 1.2206
|
|
Forced Vital Capacity (FVC) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=478, 569, 1047)
|
3.250 liters
Standard Deviation 1.0194
|
3.355 liters
Standard Deviation 1.0675
|
3.307 liters
Standard Deviation 1.0466
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
The FEF 25%-75% is the force expiratory flow at 25% to 75% of the Forced Vital Capacity (FVC), measured in liters/second .
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=446, 545, 991)
|
1.558 liters/second
Standard Deviation 0.9363
|
1.614 liters/second
Standard Deviation 0.9055
|
1.589 liters/second
Standard Deviation 0.9195
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=429, 513, 942)
|
1.546 liters/second
Standard Deviation 0.9279
|
1.618 liters/second
Standard Deviation 0.9255
|
1.585 liters/second
Standard Deviation 0.9268
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=418, 494, 912)
|
1.587 liters/second
Standard Deviation 0.9833
|
1.624 liters/second
Standard Deviation 0.9367
|
1.607 liters/second
Standard Deviation 0.9580
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=408, 483, 891)
|
1.561 liters/second
Standard Deviation 0.9427
|
1.620 liters/second
Standard Deviation 0.9068
|
1.593 liters/second
Standard Deviation 0.9234
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=377, 453, 830)
|
1.619 liters/second
Standard Deviation 0.9967
|
1.637 liters/second
Standard Deviation 0.9227
|
1.629 liters/second
Standard Deviation 0.9565
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=285, 349, 634)
|
1.642 liters/second
Standard Deviation 1.1087
|
1.650 liters/second
Standard Deviation 0.9193
|
1.646 liters/second
Standard Deviation 1.0080
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=191, 249, 440)
|
1.628 liters/second
Standard Deviation 1.0408
|
1.691 liters/second
Standard Deviation 0.9450
|
1.664 liters/second
Standard Deviation 0.9871
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=99, 143, 242)
|
1.605 liters/second
Standard Deviation 1.0869
|
1.791 liters/second
Standard Deviation 1.1508
|
1.715 liters/second
Standard Deviation 1.1265
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=56, 105, 161)
|
1.810 liters/second
Standard Deviation 1.0239
|
1.766 liters/second
Standard Deviation 1.0341
|
1.781 liters/second
Standard Deviation 1.0276
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=45, 88, 133)
|
1.848 liters/second
Standard Deviation 0.9047
|
1.892 liters/second
Standard Deviation 1.1499
|
1.877 liters/second
Standard Deviation 1.0700
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
2.120 liters/second
Standard Deviation 1.0597
|
1.942 liters/second
Standard Deviation 1.0453
|
2.001 liters/second
Standard Deviation 1.0457
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=28, 54, 82)
|
1.939 liters/second
Standard Deviation 1.1105
|
1.639 liters/second
Standard Deviation 0.9079
|
1.741 liters/second
Standard Deviation 0.9854
|
|
Forced Expiratory Flow at 25% to 75% Forced Vital Capacity (FEF 25%-75%) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=468, 563, 1031)
|
1.546 liters/second
Standard Deviation 0.9041
|
1.629 liters/second
Standard Deviation 0.9300
|
1.592 liters/second
Standard Deviation 0.9188
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
SABA are used for quick relief of asthma symptoms. To measure SABA use, at each clinical visit participants were asked to recall their usage of SABA therapy within the last 3 days of the scheduled visit. If usage was confirmed, the number of puffs used was recorded. For the purpose of summaries, an average daily usage was evaluated by dividing the total number of puffs recorded over 3 days by 3. .
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=276, 323, 599)
|
2.5 # puffs/day
Standard Deviation 2.42
|
2.4 # puffs/day
Standard Deviation 2.45
|
2.5 # puffs/day
Standard Deviation 2.43
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=258, 302, 560)
|
2.4 # puffs/day
Standard Deviation 2.28
|
2.4 # puffs/day
Standard Deviation 2.62
|
2.4 # puffs/day
Standard Deviation 2.46
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=251, 278, 529)
|
2.6 # puffs/day
Standard Deviation 2.07
|
2.4 # puffs/day
Standard Deviation 2.50
|
2.5 # puffs/day
Standard Deviation 2.30
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=244, 261, 505)
|
2.5 # puffs/day
Standard Deviation 2.30
|
2.2 # puffs/day
Standard Deviation 2.29
|
2.4 # puffs/day
Standard Deviation 2.30
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=211, 243, 454)
|
2.6 # puffs/day
Standard Deviation 2.55
|
2.3 # puffs/day
Standard Deviation 2.46
|
2.4 # puffs/day
Standard Deviation 2.51
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=160, 174, 334)
|
2.4 # puffs/day
Standard Deviation 2.27
|
2.3 # puffs/day
Standard Deviation 2.64
|
2.3 # puffs/day
Standard Deviation 2.47
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=111, 121, 232)
|
2.2 # puffs/day
Standard Deviation 2.28
|
2.4 # puffs/day
Standard Deviation 2.54
|
2.3 # puffs/day
Standard Deviation 2.42
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=50, 64, 114)
|
2.1 # puffs/day
Standard Deviation 2.19
|
2.5 # puffs/day
Standard Deviation 3.30
|
2.3 # puffs/day
Standard Deviation 2.86
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=29, 47, 76)
|
2.1 # puffs/day
Standard Deviation 2.19
|
1.8 # puffs/day
Standard Deviation 1.88
|
1.9 # puffs/day
Standard Deviation 1.99
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=19, 35, 54)
|
2.0 # puffs/day
Standard Deviation 1.57
|
2.4 # puffs/day
Standard Deviation 2.38
|
2.2 # puffs/day
Standard Deviation 2.12
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=14, 26, 40)
|
1.8 # puffs/day
Standard Deviation 1.41
|
1.7 # puffs/day
Standard Deviation 1.57
|
1.8 # puffs/day
Standard Deviation 1.50
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=16, 23, 39)
|
2.1 # puffs/day
Standard Deviation 1.76
|
2.7 # puffs/day
Standard Deviation 1.99
|
2.4 # puffs/day
Standard Deviation 1.90
|
|
Average Daily Use of Short-Acting Beta-Agonist (SABA)Therapy at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=390, 453, 843)
|
2.2 # puffs/day
Standard Deviation 2.20
|
2.2 # puffs/day
Standard Deviation 4.09
|
2.2 # puffs/day
Standard Deviation 3.35
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control. .
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=456, 552, 1008)
|
0.831 units on a scale
Standard Deviation 0.1829
|
0.844 units on a scale
Standard Deviation 0.1631
|
0.838 units on a scale
Standard Deviation 0.1724
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=436, 514, 950)
|
0.843 units on a scale
Standard Deviation 0.1663
|
0.851 units on a scale
Standard Deviation 0.1596
|
0.847 units on a scale
Standard Deviation 0.1626
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=426, 500, 926)
|
0.839 units on a scale
Standard Deviation 0.1752
|
0.854 units on a scale
Standard Deviation 0.1578
|
0.847 units on a scale
Standard Deviation 0.1661
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=416, 486, 902)
|
0.845 units on a scale
Standard Deviation 0.1690
|
0.856 units on a scale
Standard Deviation 0.1659
|
0.851 units on a scale
Standard Deviation 0.1673
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=386, 458, 844)
|
0.844 units on a scale
Standard Deviation 0.1720
|
0.859 units on a scale
Standard Deviation 0.1602
|
0.852 units on a scale
Standard Deviation 0.1658
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=291, 354, 645)
|
0.844 units on a scale
Standard Deviation 0.1821
|
0.867 units on a scale
Standard Deviation 0.1536
|
0.857 units on a scale
Standard Deviation 0.1673
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=198, 251, 449)
|
0.851 units on a scale
Standard Deviation 0.1699
|
0.856 units on a scale
Standard Deviation 0.1705
|
0.854 units on a scale
Standard Deviation 0.1701
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=100, 146, 246)
|
0.869 units on a scale
Standard Deviation 0.1573
|
0.865 units on a scale
Standard Deviation 0.1513
|
0.866 units on a scale
Standard Deviation 0.1534
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=56, 105, 161)
|
0.876 units on a scale
Standard Deviation 0.1346
|
0.858 units on a scale
Standard Deviation 0.1509
|
0.865 units on a scale
Standard Deviation 0.1453
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=45, 87, 132)
|
0.884 units on a scale
Standard Deviation 0.1460
|
0.868 units on a scale
Standard Deviation 0.1541
|
0.873 units on a scale
Standard Deviation 0.1510
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
0.822 units on a scale
Standard Deviation 0.2036
|
0.836 units on a scale
Standard Deviation 0.1729
|
0.832 units on a scale
Standard Deviation 0.1823
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=28, 55, 83)
|
0.877 units on a scale
Standard Deviation 0.0979
|
0.840 units on a scale
Standard Deviation 0.2053
|
0.853 units on a scale
Standard Deviation 0.1767
|
|
Asthma Symptom Utility Index (ASUI) Score at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=478, 569, 1047)
|
0.843 units on a scale
Standard Deviation 0.1679
|
0.850 units on a scale
Standard Deviation 0.1661
|
0.847 units on a scale
Standard Deviation 0.1669
|
SECONDARY outcome
Timeframe: Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, end of study and endpointPopulation: Safety analysis set of participants with assessments at stated timeframes
The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the total score is the mean of all responses (the total scale is therefore 0-6). A higher score is an indication of poorer asthma control.
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 4 (n=456, 552, 1008)
|
1.546 units on a scale
Standard Deviation 1.0154
|
1.429 units on a scale
Standard Deviation 0.9573
|
1.482 units on a scale
Standard Deviation 0.9852
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 8 (n=437, 517, 954)
|
1.446 units on a scale
Standard Deviation 0.9805
|
1.392 units on a scale
Standard Deviation 0.9729
|
1.417 units on a scale
Standard Deviation 0.9762
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 12 (n=426, 500, 926)
|
1.459 units on a scale
Standard Deviation 1.0004
|
1.360 units on a scale
Standard Deviation 0.9320
|
1.405 units on a scale
Standard Deviation 0.9648
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 16 (n=416, 487, 903)
|
1.444 units on a scale
Standard Deviation 1.0016
|
1.305 units on a scale
Standard Deviation 0.9299
|
1.369 units on a scale
Standard Deviation 0.9655
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 24 (n=386, 458, 844)
|
1.436 units on a scale
Standard Deviation 1.0135
|
1.299 units on a scale
Standard Deviation 0.9497
|
1.362 units on a scale
Standard Deviation 0.9812
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 36 (n=291, 353, 644)
|
1.425 units on a scale
Standard Deviation 1.0189
|
1.282 units on a scale
Standard Deviation 0.9331
|
1.347 units on a scale
Standard Deviation 0.9746
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 48 (n=198, 250, 448)
|
1.408 units on a scale
Standard Deviation 0.9699
|
1.297 units on a scale
Standard Deviation 0.9810
|
1.346 units on a scale
Standard Deviation 0.9766
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 60 (n=100, 143, 243)
|
1.284 units on a scale
Standard Deviation 0.9739
|
1.297 units on a scale
Standard Deviation 0.9432
|
1.292 units on a scale
Standard Deviation 0.9540
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 72 (n=56, 105, 161)
|
1.283 units on a scale
Standard Deviation 0.9176
|
1.231 units on a scale
Standard Deviation 0.8295
|
1.249 units on a scale
Standard Deviation 0.8587
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 84 (n=45, 87, 132)
|
1.143 units on a scale
Standard Deviation 0.9020
|
1.209 units on a scale
Standard Deviation 0.9186
|
1.186 units on a scale
Standard Deviation 0.9100
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
1.323 units on a scale
Standard Deviation 0.9862
|
1.391 units on a scale
Standard Deviation 0.9559
|
1.369 units on a scale
Standard Deviation 0.9594
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
End of study (n=28, 54, 82)
|
1.061 units on a scale
Standard Deviation 0.7653
|
1.437 units on a scale
Standard Deviation 0.9750
|
1.308 units on a scale
Standard Deviation 0.9216
|
|
Asthma Control Questionnaire (ACQ) at Weeks 4, 8, 12, 16, 24, 36, 48, 60, 72, 84, 96, End of Study and Endpoint
Endpoint (n=478, 569, 1047)
|
1.450 units on a scale
Standard Deviation 0.9901
|
1.389 units on a scale
Standard Deviation 0.9637
|
1.417 units on a scale
Standard Deviation 0.9759
|
SECONDARY outcome
Timeframe: Weeks 24, 48, 72, 96, End of Study and EndpointPopulation: Safety analysis set of participants with assessments at stated timeframes
The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. Five of the activity questions were "patient-specific," which means that each patient identified and scored 5 activities in which the patient was limited by asthma; these 5 activities were identified at the first visit and retained for all subsequent follow-up visits.
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
n=1051 Participants
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
Endpoint (n=472, 558, 1030)
|
5.535 units on a scale
Standard Deviation 1.1690
|
5.631 units on a scale
Standard Deviation 1.1334
|
5.587 units on a scale
Standard Deviation 1.1503
|
|
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
Week 24 (n=382, 452, 834)
|
5.551 units on a scale
Standard Deviation 1.1558
|
5.691 units on a scale
Standard Deviation 1.0651
|
5.627 units on a scale
Standard Deviation 1.1091
|
|
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
Week 48 (n=193, 249, 442)
|
5.602 units on a scale
Standard Deviation 1.1180
|
5.725 units on a scale
Standard Deviation 1.0818
|
5.672 units on a scale
Standard Deviation 1.0982
|
|
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
Week 72 (n=56, 106, 162)
|
5.808 units on a scale
Standard Deviation 1.0002
|
5.809 units on a scale
Standard Deviation 1.0235
|
5.809 units on a scale
Standard Deviation 1.0124
|
|
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
Week 96 (n=23, 46, 69)
|
5.585 units on a scale
Standard Deviation 1.1422
|
5.809 units on a scale
Standard Deviation 1.1340
|
5.734 units on a scale
Standard Deviation 1.1333
|
|
Asthma Quality of Life Questionnaire (AQLQ) Total Score at Weeks 24, 48, 72, 96, End of Study and Endpoint
End of study (n=28, 55, 83)
|
5.956 units on a scale
Standard Deviation 0.9431
|
5.765 units on a scale
Standard Deviation 1.2361
|
5.829 units on a scale
Standard Deviation 1.1434
|
SECONDARY outcome
Timeframe: Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and OverallPopulation: Safety analysis set of participants with assessments at stated timeframes
Blood samples were collected for the determination of anti-drug antibody (ADAs) before study drug infusion at baseline and every 24 weeks until end of treatment visit or early withdrawal. Serum samples were analyzed by Teva (Teva Biopharmaceuticals USA, Rockville, Maryland, USA) using a validated homogeneous solution based bridging enzyme linked immune sorbent assay (Mikulsis et al 2011, Qui et al 2010). The analysis of anti-reslizumab antibody in patient serum consists of 3 tiers of assays for screening, confirmation, and titer analysis. If a participant had a treatment-emergent ADA response (ie, ADA positive at any of the postdose time points but negative at the predose time point) or if there was a treatment-boosted ADA response (defined as a greater than 4-fold increase from a positive baseline ADA response (Shankar et at 2014), the participant was classified as overall ADA positive. Predose samples for the reslizumab-experienced participants came from the previous studies.
Outcome measures
| Measure |
Previous Placebo-Treated Subpopulation
n=480 Participants
The subpopulation of particpants who were treated with placebo in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Previous Reslizumab-Treated Subpopulation
n=571 Participants
The subpopulation of particpants who were treated with reslizumab at a variety of dosages in the previous double-blind studies. These participants were treated with resllizumab 3.0 mg/kg intravenously once every 4 weeks ( +-7 days) for up to 24 months in this study.
|
Reslizumab 3.0 mg/kg
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|---|---|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Overall (n=466, 548)
|
24 participants
|
25 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Baseline (n=442, 541)
|
16 participants
|
24 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Week 24 (n=382, 445)
|
12 participants
|
13 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Week 48 (n=187, 247)
|
9 participants
|
7 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Week 72 (n=56, 104)
|
4 participants
|
4 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Week 96 (n=24, 48)
|
3 participants
|
1 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
End of study (n=142, 52)
|
4 participants
|
1 participants
|
—
|
|
Participants With a Positive Anti-Reslizumab Antibody Status at Baseline, Weeks 24, 48, 72, 96, End of Study, Endpoint and Overall
Endpoint (n=466, 545)
|
12 participants
|
17 participants
|
—
|
Adverse Events
Reslizumab 3.0 mg/kg
Serious adverse events
| Measure |
Reslizumab 3.0 mg/kg
n=1051 participants at risk
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|
|
Cardiac disorders
Acute myocardial infarction
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Cardiac arrest
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Cardiac failure
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Cardio-respiratory arrest
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Coronary artery occlusion
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Coronary artery stenosis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Myocardial infarction
|
0.19%
2/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Tachycardia
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Cardiac disorders
Ventricular extrasystoles
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Eye disorders
Amaurosis fugax
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Gastrointestinal disorders
Megacolon
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Gastrointestinal disorders
Pancreatitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Gastrointestinal disorders
Pneumoperitoneum
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Gastrointestinal disorders
Small intestinal obstruction
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Gastrointestinal disorders
Umbilical hernia
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
General disorders
Adverse drug reaction
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
General disorders
Chest pain
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
General disorders
Hernia
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
General disorders
Suprapubic pain
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Hepatobiliary disorders
Cholangitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Hepatobiliary disorders
Cholecystitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Hepatobiliary disorders
Cholelithiasis
|
0.19%
2/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Appendicitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Bronchitis pneumococcal
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Cellulitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Diverticulitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Infectious pleural effusion
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Infective exacerbation of bronchiectasis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Lower respiratory tract infection
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Mastoiditis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Otitis media acute
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Peritonitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Pneumonia
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Sinusitis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Upper respiratory tract infection
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Urinary tract infection
|
0.19%
2/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Wound infection
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Contusion
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Hand fracture
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Hip fracture
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Lower limb fracture
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Skull fractured base
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Spinal compression fracture
|
0.10%
1/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Injury, poisoning and procedural complications
Tibia fracture
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Investigations
Liver function test abnormal
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Metabolism and nutrition disorders
Diabetes mellitus
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Metabolism and nutrition disorders
Gout
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Musculoskeletal and connective tissue disorders
Osteonecrosis
|
0.10%
1/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Anal cancer
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Borderline ovarian tumour
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
|
0.29%
3/1051 • Number of events 3 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
|
0.19%
2/1051 • Number of events 3 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma in situ
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lung
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian epithelial cancer
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Nervous system disorders
Carpal tunnel syndrome
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Nervous system disorders
Nervous system disorder
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Nervous system disorders
Transient ischaemic attack
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Psychiatric disorders
Aggression
|
0.10%
1/1051 • Number of events 4 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Psychiatric disorders
Suicide attempt
|
0.19%
2/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Renal and urinary disorders
Stress urinary incontinence
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Renal and urinary disorders
Urethral stenosis
|
0.10%
1/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Reproductive system and breast disorders
Endometrial hyperplasia
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Asthma
|
1.7%
18/1051 • Number of events 24 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Asthmatic crisis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Haemoptysis
|
0.10%
1/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Haemothorax
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Nasal polyps
|
0.19%
2/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Nasal septum deviation
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Pleural effusion
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Skin and subcutaneous tissue disorders
Actinic keratosis
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Skin and subcutaneous tissue disorders
Dermatitis atopic
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Skin and subcutaneous tissue disorders
Drug eruption
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Vascular disorders
Hypovolaemic shock
|
0.19%
2/1051 • Number of events 2 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Vascular disorders
Shock haemorrhagic
|
0.10%
1/1051 • Number of events 1 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
Other adverse events
| Measure |
Reslizumab 3.0 mg/kg
n=1051 participants at risk
Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for up to 24 months.
|
|---|---|
|
Infections and infestations
Bronchitis
|
5.9%
62/1051 • Number of events 77 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Nasopharyngitis
|
14.3%
150/1051 • Number of events 226 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Sinusitis
|
7.3%
77/1051 • Number of events 114 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Infections and infestations
Upper respiratory tract infection
|
10.2%
107/1051 • Number of events 141 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Nervous system disorders
Headache
|
6.9%
73/1051 • Number of events 106 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
|
Respiratory, thoracic and mediastinal disorders
Asthma
|
28.6%
301/1051 • Number of events 563 • Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
|
Additional Information
Director, Clinical Research
Teva Branded Pharmaceutical Products, R&D Inc.
Results disclosure agreements
- Principal investigator is a sponsor employee Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
- Publication restrictions are in place
Restriction type: OTHER