Efficacy, Safety, and Tolerability of Dupilumab in Patients With Persistent Moderate to Severe Eosinophilic Asthma

NCT ID: NCT01312961

Last Updated: 2017-06-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2012-10-31

Brief Summary

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Primary Objective:

To investigate the effects of Dupilumab (SAR231893/REGN668) administered subcutaneously (SC) once weekly (qw) for 12 weeks as compared to placebo on reducing the incidence of asthma exacerbation in participants with persistent moderate to severe eosinophilic asthma.

Secondary Objectives:

* To assess the safety and tolerability of Dupilumab administered SC qw for 12 weeks in participants with persistent moderate to severe eosinophilic asthma.
* To assess Dupilumab serum concentrations following qw SC dosing for 12 weeks in participants with persistent moderate to severe eosinophilic asthma.

Detailed Description

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The total duration of the study period per participant was 20-22 weeks broken down as follows:

* Screening period: up to 14 days,
* Treatment period: 12 weeks,
* Follow-up period: 6-8 weeks.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Placebo (for Dupilumab)

Placebo (for Dupilumab) subcutaneous (SC) injection once weekly (qw) for 12 weeks added to background therapy of inhaled corticosteroids/long-acting beta2-adrenergic agonist (ICS/LABA) (Fluticasone/Salmeterol combination therapy at stable dose for 4 weeks followed by Fluticasone monotherapy, dose progressively decreased and discontinued at Week 9). Albuterol or Levalbuterol was given as rescue medication.

Group Type PLACEBO_COMPARATOR

Placebo (for Dupilumab)

Intervention Type DRUG

Solution for injection, one subcutaneous injection.

Fluticasone/Salmeterol combination therapy

Intervention Type DRUG

Oral inhalation twice daily.

Fluticasone monotherapy

Intervention Type DRUG

Oral inhalation twice daily.

Albuterol

Intervention Type DRUG

Oral inhalation as needed.

Levalbuterol

Intervention Type DRUG

Oral inhalation as needed.

Dupilumab 300 mg qw

Dupilumab 300 mg SC injection qw for 12 weeks added to background therapy of ICS/LABA (Fluticasone/Salmeterol combination therapy at stable dose for 4 weeks followed by Fluticasone monotherapy, dose progressively decreased and discontinued at Week 9). Albuterol or Levalbuterol was given as rescue medication.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Solution for injection, one subcutaneous injection.

Fluticasone/Salmeterol combination therapy

Intervention Type DRUG

Oral inhalation twice daily.

Fluticasone monotherapy

Intervention Type DRUG

Oral inhalation twice daily.

Albuterol

Intervention Type DRUG

Oral inhalation as needed.

Levalbuterol

Intervention Type DRUG

Oral inhalation as needed.

Interventions

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Dupilumab

Solution for injection, one subcutaneous injection.

Intervention Type DRUG

Placebo (for Dupilumab)

Solution for injection, one subcutaneous injection.

Intervention Type DRUG

Fluticasone/Salmeterol combination therapy

Oral inhalation twice daily.

Intervention Type DRUG

Fluticasone monotherapy

Oral inhalation twice daily.

Intervention Type DRUG

Albuterol

Oral inhalation as needed.

Intervention Type DRUG

Levalbuterol

Oral inhalation as needed.

Intervention Type DRUG

Other Intervention Names

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SAR231893 REGN668

Eligibility Criteria

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Inclusion Criteria

Medical diagnosis of persistent asthma for at least 12 months whose:

* airway inflammation likely to be eosinophilic,
* asthma partially controlled or uncontrolled on ICS plus LABA therapy.
* On a stable dose of either Fluticasone/Salmeterol, Budesonide/Formoterol, Mometasone/Formoterol combination therapy for at least 1 month prior to screening.
* Signed an Informed Consent Form and Health Insurance Portability and Accountability Act (HIPAA) Authorization Form.

Exclusion Criteria

* Less than 18 years or greater than 65 years of age.
* Clinically relevant abnormal laboratory values suggesting an unknown disease and requiring further evaluation.
* Chronic obstructive pulmonary disease and/or other lung diseases impairing Pulmonary Function Tests.
* Beta-adrenergic receptor blockers required for any reason.
* Current smoker or cessation of smoking within the 6 months prior to screening.
* Previous smoking with a smoking history \>10 cigarette pack/years.
* Participation in another study within 6 months prior to screening if the study medication was an antibody or within 30 days prior to screening for all other study medications.
* Known or suspected non-compliance, alcohol or drug abuse.
* Inability to follow the procedures of the study (e.g, due to language problems, psychological disorders).
* Concomitant severe diseases or diseases for which the use of ICS or LABA were contraindicated.
* Known allergy to doxycycline or related compounds.
* Pregnancy or intention to become pregnant during the course of the study, breast feeding, or unwillingness to use a highly effective method of contraception throughout the study in women of childbearing potential.
* Recent history of a parasitic infection or travel to a parasitic endemic area within 6 months prior to screening.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number 840047

Anaheim, California, United States

Site Status

Investigational Site Number 840046

Long Beach, California, United States

Site Status

Investigational Site Number 840032

Los Angeles, California, United States

Site Status

Investigational Site Number 840036

Los Angeles, California, United States

Site Status

Investigational Site Number 840005

Mission Viejo, California, United States

Site Status

Investigational Site Number 840007

Orange, California, United States

Site Status

Investigational Site Number 840048

Riverside, California, United States

Site Status

Investigational Site Number 840035

Rolling Hills Estates, California, United States

Site Status

Investigational Site Number 840041

San Francisco, California, United States

Site Status

Investigational Site Number 840042

San Francisco, California, United States

Site Status

Investigational Site Number 840039

San Jose, California, United States

Site Status

Investigational Site Number 840024

Santa Rosa, California, United States

Site Status

Investigational Site Number 840002

Stockton, California, United States

Site Status

Investigational Site Number 840031

Colorado Springs, Colorado, United States

Site Status

Investigational Site Number 840011

Denver, Colorado, United States

Site Status

Investigational Site Number 840017

Denver, Colorado, United States

Site Status

Investigational Site Number 840026

New Haven, Connecticut, United States

Site Status

Investigational Site Number 840044

Tallahassee, Florida, United States

Site Status

Investigational Site Number 840029

Tampa, Florida, United States

Site Status

Investigational Site Number 840028

Indianapolis, Indiana, United States

Site Status

Investigational Site Number 840038

Iowa City, Iowa, United States

Site Status

Investigational Site Number 840021

Overland Park, Kansas, United States

Site Status

Investigational Site Number 840053

Owensboro, Kentucky, United States

Site Status

Investigational Site Number 840014

Baltimore, Maryland, United States

Site Status

Investigational Site Number 840015

North Dartmouth, Massachusetts, United States

Site Status

Investigational Site Number 840003

Minneapolis, Minnesota, United States

Site Status

Investigational Site Number 840010

Minneapolis, Minnesota, United States

Site Status

Investigational Site Number 840006

St Louis, Missouri, United States

Site Status

Investigational Site Number 840013

St Louis, Missouri, United States

Site Status

Investigational Site Number 840022

Bozeman, Montana, United States

Site Status

Investigational Site Number 840025

Omaha, Nebraska, United States

Site Status

Investigational Site Number 840008

Papillion, Nebraska, United States

Site Status

Investigational Site Number 840018

Princeton, New Jersey, United States

Site Status

Investigational Site Number 840004

Winston-Salem, North Carolina, United States

Site Status

Investigational Site Number 840023

Sylvania, Ohio, United States

Site Status

Investigational Site Number 840045

Oklahoma City, Oklahoma, United States

Site Status

Investigational Site Number 840001

Lake Oswego, Oregon, United States

Site Status

Investigational Site Number 840012

Medford, Oregon, United States

Site Status

Investigational Site Number 840016

Portland, Oregon, United States

Site Status

Investigational Site Number 840040

Hershey, Pennsylvania, United States

Site Status

Investigational Site Number 840037

Pittsburgh, Pennsylvania, United States

Site Status

Investigational Site Number 840009

Upland, Pennsylvania, United States

Site Status

Investigational Site Number 840027

Charleston, South Carolina, United States

Site Status

Investigational Site Number 840030

El Paso, Texas, United States

Site Status

Investigational Site Number 840050

San Antonio, Texas, United States

Site Status

Investigational Site Number 840052

South Burlington, Vermont, United States

Site Status

Investigational Site Number 840049

Richmond, Virginia, United States

Site Status

Investigational Site Number 840020

Seattle, Washington, United States

Site Status

Investigational Site Number 840019

Tacoma, Washington, United States

Site Status

Investigational Site Number 840034

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Wenzel S, Ford L, Pearlman D, Spector S, Sher L, Skobieranda F, Wang L, Kirkesseli S, Rocklin R, Bock B, Hamilton J, Ming JE, Radin A, Stahl N, Yancopoulos GD, Graham N, Pirozzi G. Dupilumab in persistent asthma with elevated eosinophil levels. N Engl J Med. 2013 Jun 27;368(26):2455-66. doi: 10.1056/NEJMoa1304048. Epub 2013 May 21.

Reference Type RESULT
PMID: 23688323 (View on PubMed)

Other Identifiers

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U1111-1117-7826

Identifier Type: OTHER

Identifier Source: secondary_id

ACT11457

Identifier Type: -

Identifier Source: org_study_id

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