Efficacy and Safety Study of Benralizumab in Adults and Adolescents Inadequately Controlled on Inhaled Corticosteroid Plus Long-acting β2 Agonist

NCT ID: NCT01914757

Last Updated: 2017-01-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2508 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2016-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine whether Benralizumab reduces the exacerbation rate in patients with a history of asthma exacerbations and uncontrolled asthma receiving ICS-LABA with or without oral corticosteroids and additional asthma controllers.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Asthma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Benralizumab 30 mg q.4 weeks

Benralizumab administered subcutaneously every 4 weeks

Group Type EXPERIMENTAL

Benralizumab

Intervention Type BIOLOGICAL

Benralizumab subcutaneously on study week 0 until study week 52 inclusive.

Benralizumab 30 mg q.8 weeks

Benralizumab administered subcutaneously every 8 weeks

Group Type EXPERIMENTAL

Benralizumab

Intervention Type BIOLOGICAL

Benralizumab subcutaneously on study week 0 until study week 52 inclusive.

Placebo

Placebo administered subcutaneously

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo subcutaneously on study week 0 until study week 52 inclusive.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Benralizumab

Benralizumab subcutaneously on study week 0 until study week 52 inclusive.

Intervention Type BIOLOGICAL

Placebo

Placebo subcutaneously on study week 0 until study week 52 inclusive.

Intervention Type BIOLOGICAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Provision of informed consent prior to any study specific procedures
2. Female and male aged 12 to 75 years, inclusively, at the time of Visit 1
3. History of physician-diagnosed asthma requiring treatment with medium-to-high dose ICS (\>250µg fluticasone dry powder formulation equivalents total daily dose) and a LABA, for at least 12 months prior to Visit 1.
4. Documented treatment with ICS and LABA for at least 3 months prior to Visit 1 with or without oral corticosteroids and additional asthma controllers. The ICS and LABA can be parts of a combination product or given by separate inhalers. The ICS dose must be greater than or equal to 500 μg/day fluticasone propionate dry powder formulation or equivalent daily. For ICS/LABA combination preparations, the mid-strength approved maintenance dose in the local country will meet this ICS criterion.

Exclusion Criteria

1. Clinically important pulmonary disease other than asthma (e.g. active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g. allergic bronchopulmonary aspergillosis/mycosis, Churg- Strauss syndrome, hypereosinophilic syndrome)
2. Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:

* Affect the safety of the patient throughout the study
* Influence the findings of the studies or their interpretations
* Impede the patient's ability to complete the entire duration of study
3. Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run-in period
4. Any clinically significant abnormal findings in physical examination, vital signs, haematology, clinical chemistry, or urinalysis during screening/run-in period, which in the opinion of the Investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patient's ability to complete entire duration of the study
Minimum Eligible Age

12 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Mark Fitzgerald, MD, PhD, Professor of Medicine

Role: PRINCIPAL_INVESTIGATOR

The Lung Centre, Gordon and Leslie Diamond Health Care Centre, Vancouver Canada

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Research Site

Andalusia, Alabama, United States

Site Status

Research Site

Birmingham, Alabama, United States

Site Status

Research Site

Flagstaff, Arizona, United States

Site Status

Research Site

Glendale, Arizona, United States

Site Status

Research Site

Phoenix, Arizona, United States

Site Status

Research Site

Tucson, Arizona, United States

Site Status

Research Site

Alhambra, California, United States

Site Status

Research Site

Anaheim, California, United States

Site Status

Research Site

Beverly Hills, California, United States

Site Status

Research Site

Garden Grove, California, United States

Site Status

Research Site

Lakewood, California, United States

Site Status

Research Site

North Hollywood, California, United States

Site Status

Research Site

Northridge, California, United States

Site Status

Research Site

Palmdale, California, United States

Site Status

Research Site

Rancho Mirage, California, United States

Site Status

Research Site

Redondo Beach, California, United States

Site Status

Research Site

Rolling Hills Estate, California, United States

Site Status

Research Site

Sacramento, California, United States

Site Status

Research Site

Stockton, California, United States

Site Status

Research Site

Thousand Oaks, California, United States

Site Status

Research Site

Upland, California, United States

Site Status

Research Site

Ventura, California, United States

Site Status

Research Site

Walnut Creek, California, United States

Site Status

Research Site

Westminster, California, United States

Site Status

Research Site

Woodland, California, United States

Site Status

Research Site

Centennial, Colorado, United States

Site Status

Research Site

Colorado Springs, Colorado, United States

Site Status

Research Site

Wheat Ridge, Colorado, United States

Site Status

Research Site

Celebration, Florida, United States

Site Status

Research Site

Fort Lauderdale, Florida, United States

Site Status

Research Site

Hialeah, Florida, United States

Site Status

Research Site

Homestead, Florida, United States

Site Status

Research Site

Jacksonville, Florida, United States

Site Status

Research Site

Lehigh Acres, Florida, United States

Site Status

Research Site

Miami, Florida, United States

Site Status

Research Site

Ocala, Florida, United States

Site Status

Research Site

Orlando, Florida, United States

Site Status

Research Site

Ormond Beach, Florida, United States

Site Status

Research Site

Virginia Gardens, Florida, United States

Site Status

Research Site

Gainesville, Georgia, United States

Site Status

Research Site

Smyrna, Georgia, United States

Site Status

Research Site

Eagle, Idaho, United States

Site Status

Research Site

Shiloh, Illinois, United States

Site Status

Research Site

Lenexa, Kansas, United States

Site Status

Research Site

Fort Mitchell, Kentucky, United States

Site Status

Research Site

Covington, Louisiana, United States

Site Status

Research Site

Bangor, Maine, United States

Site Status

Research Site

Farmington Hills, Michigan, United States

Site Status

Research Site

Flint, Michigan, United States

Site Status

Research Site

Traverse City, Michigan, United States

Site Status

Research Site

Minneapolis, Minnesota, United States

Site Status

Research Site

St Louis, Missouri, United States

Site Status

Research Site

Las Vagas, Nevada, United States

Site Status

Research Site

Union, New Jersey, United States

Site Status

Research Site

The Bronx, New York, United States

Site Status

Research Site

Durham, North Carolina, United States

Site Status

Research Site

Wilmington, North Carolina, United States

Site Status

Research Site

Cincinnati, Ohio, United States

Site Status

Research Site

Columbus, Ohio, United States

Site Status

Research Site

Dayton, Ohio, United States

Site Status

Research Site

Middleburg Heights, Ohio, United States

Site Status

Research Site

Oklahoma City, Oklahoma, United States

Site Status

Research Site

Corvallis, Oregon, United States

Site Status

Research Site

Portland, Oregon, United States

Site Status

Research Site

Jefferson Hills, Pennsylvania, United States

Site Status

Research Site

Pittsburgh, Pennsylvania, United States

Site Status

Research Site

Old Point Station, South Carolina, United States

Site Status

Research Site

Rapid City, South Dakota, United States

Site Status

Research Site

Knoxville, Tennessee, United States

Site Status

Research Site

Arlington, Texas, United States

Site Status

Research Site

Austin, Texas, United States

Site Status

Research Site

Boerne, Texas, United States

Site Status

Research Site

Dallas, Texas, United States

Site Status

Research Site

Houston, Texas, United States

Site Status

Research Site

San Antonio, Texas, United States

Site Status

Research Site

Midvale, Utah, United States

Site Status

Research Site

Murray, Utah, United States

Site Status

Research Site

Fairfax, Virginia, United States

Site Status

Research Site

Falls Church, Virginia, United States

Site Status

Research Site

Madison, Wisconsin, United States

Site Status

Research Site

Milwaukee, Wisconsin, United States

Site Status

Research Site

Buenos Aires, , Argentina

Site Status

Research Site

Caba, , Argentina

Site Status

Research Site

Ciudad Autónoma de Bs. As., , Argentina

Site Status

Research Site

Ciudad de Buenos Aires, , Argentina

Site Status

Research Site

Concepción del Uruguay, , Argentina

Site Status

Research Site

Corrientes, , Argentina

Site Status

Research Site

Córdoba, , Argentina

Site Status

Research Site

Florida, , Argentina

Site Status

Research Site

Godoy Cruz, , Argentina

Site Status

Research Site

La Plata, , Argentina

Site Status

Research Site

Mar del Plata, , Argentina

Site Status

Research Site

Mendoza, , Argentina

Site Status

Research Site

Ranelagh, , Argentina

Site Status

Research Site

Rosario, , Argentina

Site Status

Research Site

San Miguel de Tucumán, , Argentina

Site Status

Research Site

Calgary, Alberta, Canada

Site Status

Research Site

Sherwood Park, Alberta, Canada

Site Status

Research Site

Vancouver, British Columbia, Canada

Site Status

Research Site

Moncton, New Brunswick, Canada

Site Status

Research Site

Burlington, Ontario, Canada

Site Status

Research Site

Hamilton, Ontario, Canada

Site Status

Research Site

Ottawa, Ontario, Canada

Site Status

Research Site

Toronto, Ontario, Canada

Site Status

Research Site

Montreal, Quebec, Canada

Site Status

Research Site

Québec, Quebec, Canada

Site Status

Research Site

Saint-Charles-Borromée, Quebec, Canada

Site Status

Research Site

Concepción, , Chile

Site Status

Research Site

Quillota, , Chile

Site Status

Research Site

Santiago, , Chile

Site Status

Research Site

Talcahuano, , Chile

Site Status

Research Site

Valparaíso, , Chile

Site Status

Research Site

Viña del Mar, , Chile

Site Status

Research Site

Aschaffenburg, , Germany

Site Status

Research Site

Bamberg, , Germany

Site Status

Research Site

Berlin, , Germany

Site Status

Research Site

Bonn, , Germany

Site Status

Research Site

Frankfurt, , Germany

Site Status

Research Site

Frankfurt am Main, , Germany

Site Status

Research Site

Geesthacht, , Germany

Site Status

Research Site

Gelsenkirchen, , Germany

Site Status

Research Site

Hamburg, , Germany

Site Status

Research Site

Hanover, , Germany

Site Status

Research Site

Herford, , Germany

Site Status

Research Site

Leipzig, , Germany

Site Status

Research Site

Mainz, , Germany

Site Status

Research Site

München, , Germany

Site Status

Research Site

Neu-Isenburg, , Germany

Site Status

Research Site

Rostock, , Germany

Site Status

Research Site

Rüdersdorf, , Germany

Site Status

Research Site

Witten, , Germany

Site Status

Research Site

Asahi-shi, , Japan

Site Status

Research Site

Chiyoda-ku, , Japan

Site Status

Research Site

Chūōku, , Japan

Site Status

Research Site

Fukuoka, , Japan

Site Status

Research Site

Himeji-shi, , Japan

Site Status

Research Site

Hiroshima, , Japan

Site Status

Research Site

Itabashi-ku, , Japan

Site Status

Research Site

Kagoshima, , Japan

Site Status

Research Site

Kishiwada-shi, , Japan

Site Status

Research Site

Kobe, , Japan

Site Status

Research Site

Kokubunji-shi, , Japan

Site Status

Research Site

Matsue, , Japan

Site Status

Research Site

Minatoku, , Japan

Site Status

Research Site

Mizunami-shi, , Japan

Site Status

Research Site

Niigata, , Japan

Site Status

Research Site

Obihiro-shi, , Japan

Site Status

Research Site

Ota-shi, , Japan

Site Status

Research Site

Ōita, , Japan

Site Status

Research Site

Sagamihara-shi, , Japan

Site Status

Research Site

Sakaide-shi, , Japan

Site Status

Research Site

Sakaishi, , Japan

Site Status

Research Site

Sapporo, , Japan

Site Status

Research Site

Sendai, , Japan

Site Status

Research Site

Setagaya-ku, , Japan

Site Status

Research Site

Shibuya-ku, , Japan

Site Status

Research Site

Shinagawa-ku, , Japan

Site Status

Research Site

Sumida-ku, , Japan

Site Status

Research Site

Takamatsu, , Japan

Site Status

Research Site

Toshima-ku, , Japan

Site Status

Research Site

Tsukubo-gun, , Japan

Site Status

Research Site

Yokohama, , Japan

Site Status

Research Site

Iloilo City, , Philippines

Site Status

Research Site

Lipa City, , Philippines

Site Status

Research Site

Quezon City, , Philippines

Site Status

Research Site

Aleksandrów Łódzki, , Poland

Site Status

Research Site

Bialystok, , Poland

Site Status

Research Site

Bielsko-Biala, , Poland

Site Status

Research Site

Bydgoszcz, , Poland

Site Status

Research Site

Bystra, , Poland

Site Status

Research Site

Gdansk, , Poland

Site Status

Research Site

Gorzów Wlkp, , Poland

Site Status

Research Site

Karczew, , Poland

Site Status

Research Site

Katowice, , Poland

Site Status

Research Site

Koszalin, , Poland

Site Status

Research Site

Krakow, , Poland

Site Status

Research Site

Lodz, , Poland

Site Status

Research Site

Lubin, , Poland

Site Status

Research Site

Lublin, , Poland

Site Status

Research Site

Ostrów Wielkopolski, , Poland

Site Status

Research Site

Poznan, , Poland

Site Status

Research Site

Ruda Śląska, , Poland

Site Status

Research Site

Rzeszów, , Poland

Site Status

Research Site

Skierniewice, , Poland

Site Status

Research Site

Szczecin, , Poland

Site Status

Research Site

Tarnów, , Poland

Site Status

Research Site

Torun, , Poland

Site Status

Research Site

Trzebnica, , Poland

Site Status

Research Site

Warsaw, , Poland

Site Status

Research Site

Wieluń, , Poland

Site Status

Research Site

Wroclaw, , Poland

Site Status

Research Site

Zabrze, , Poland

Site Status

Research Site

Żnin, , Poland

Site Status

Research Site

Łęczna, , Poland

Site Status

Research Site

Bragadiru, , Romania

Site Status

Research Site

Brasov, , Romania

Site Status

Research Site

Bucharest, , Romania

Site Status

Research Site

Constanța, , Romania

Site Status

Research Site

Deva, , Romania

Site Status

Research Site

Iași, , Romania

Site Status

Research Site

Timișoara, , Romania

Site Status

Research Site

Gothenburg, , Sweden

Site Status

Research Site

Luleå, , Sweden

Site Status

Research Site

Lund, , Sweden

Site Status

Research Site

Chernivtsi, , Ukraine

Site Status

Research Site

Dnipropetrovsk, , Ukraine

Site Status

Research Site

Ivano-Frankivsk, , Ukraine

Site Status

Research Site

Kharkiv, , Ukraine

Site Status

Research Site

Kyiv, , Ukraine

Site Status

Research Site

Lutsk, , Ukraine

Site Status

Research Site

Mykolayiv, , Ukraine

Site Status

Research Site

Uzhhorod, , Ukraine

Site Status

Research Site

Vinnytsia, , Ukraine

Site Status

Research Site

Zaporizhzhia, , Ukraine

Site Status

Research Site

Zaporizhzhya, , Ukraine

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Argentina Canada Chile Germany Japan Philippines Poland Romania Sweden Ukraine

References

Explore related publications, articles, or registry entries linked to this study.

Menzies-Gow A, Hoyte FL, Price DB, Cohen D, Barker P, Kreindler J, Jison M, Brooks CL, Papeleu P, Katial R. Clinical Remission in Severe Asthma: A Pooled Post Hoc Analysis of the Patient Journey with Benralizumab. Adv Ther. 2022 May;39(5):2065-2084. doi: 10.1007/s12325-022-02098-1. Epub 2022 Mar 14.

Reference Type DERIVED
PMID: 35287231 (View on PubMed)

Lugogo NL, Kreindler JL, Martin UJ, Cook B, Hirsch I, Trudo FJ. Blood eosinophil count group shifts and kinetics in severe eosinophilic asthma. Ann Allergy Asthma Immunol. 2020 Aug;125(2):171-176. doi: 10.1016/j.anai.2020.04.011. Epub 2020 Apr 22.

Reference Type DERIVED
PMID: 32334141 (View on PubMed)

Jackson DJ, Humbert M, Hirsch I, Newbold P, Garcia Gil E. Ability of Serum IgE Concentration to Predict Exacerbation Risk and Benralizumab Efficacy for Patients with Severe Eosinophilic Asthma. Adv Ther. 2020 Feb;37(2):718-729. doi: 10.1007/s12325-019-01191-2. Epub 2019 Dec 14.

Reference Type DERIVED
PMID: 31836949 (View on PubMed)

Chipps BE, Hirsch I, Trudo F, Alacqua M, Zangrilli JG. Benralizumab efficacy for patients with fixed airflow obstruction and severe, uncontrolled eosinophilic asthma. Ann Allergy Asthma Immunol. 2020 Jan;124(1):79-86. doi: 10.1016/j.anai.2019.10.006. Epub 2019 Oct 15.

Reference Type DERIVED
PMID: 31626906 (View on PubMed)

Chupp G, Lugogo NL, Kline JN, Ferguson GT, Hirsch I, Goldman M, Zangrilli JG, Trudo F. Rapid onset of effect of benralizumab on morning peak expiratory flow in severe, uncontrolled asthma. Ann Allergy Asthma Immunol. 2019 May;122(5):478-485. doi: 10.1016/j.anai.2019.02.016. Epub 2019 Feb 23.

Reference Type DERIVED
PMID: 30802500 (View on PubMed)

Bleecker ER, Wechsler ME, FitzGerald JM, Menzies-Gow A, Wu Y, Hirsch I, Goldman M, Newbold P, Zangrilli JG. Baseline patient factors impact on the clinical efficacy of benralizumab for severe asthma. Eur Respir J. 2018 Oct 18;52(4):1800936. doi: 10.1183/13993003.00936-2018. Print 2018 Oct.

Reference Type DERIVED
PMID: 30139780 (View on PubMed)

DuBuske L, Newbold P, Wu Y, Trudo F. Seasonal variability of exacerbations of severe, uncontrolled eosinophilic asthma and clinical benefits of benralizumab. Allergy Asthma Proc. 2018 Sep 4;39(5):345-349. doi: 10.2500/aap.2018.39.4162. Epub 2018 Aug 4.

Reference Type DERIVED
PMID: 30077185 (View on PubMed)

Chipps BE, Newbold P, Hirsch I, Trudo F, Goldman M. Benralizumab efficacy by atopy status and serum immunoglobulin E for patients with severe, uncontrolled asthma. Ann Allergy Asthma Immunol. 2018 May;120(5):504-511.e4. doi: 10.1016/j.anai.2018.01.030. Epub 2018 Feb 1.

Reference Type DERIVED
PMID: 29409951 (View on PubMed)

Ohta K, Adachi M, Tohda Y, Kamei T, Kato M, Mark Fitzgerald J, Takanuma M, Kakuno T, Imai N, Wu Y, Aurivillius M, Goldman M. Efficacy and safety of benralizumab in Japanese patients with severe, uncontrolled eosinophilic asthma. Allergol Int. 2018 Apr;67(2):266-272. doi: 10.1016/j.alit.2017.10.004. Epub 2017 Nov 8.

Reference Type DERIVED
PMID: 29128192 (View on PubMed)

FitzGerald JM, Bleecker ER, Nair P, Korn S, Ohta K, Lommatzsch M, Ferguson GT, Busse WW, Barker P, Sproule S, Gilmartin G, Werkstrom V, Aurivillius M, Goldman M; CALIMA study investigators. Benralizumab, an anti-interleukin-5 receptor alpha monoclonal antibody, as add-on treatment for patients with severe, uncontrolled, eosinophilic asthma (CALIMA): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet. 2016 Oct 29;388(10056):2128-2141. doi: 10.1016/S0140-6736(16)31322-8. Epub 2016 Sep 5.

Reference Type DERIVED
PMID: 27609406 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

D3250C00018

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.