A Study of Lebrikizumab (RO5490255) in Participants With Severe Oral Corticosteroids (OCS) Dependent Asthma

NCT ID: NCT01987492

Last Updated: 2017-05-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2016-12-20

Brief Summary

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This randomized, multicenter, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy of lebrikizumab compared with placebo, as measured by the ability of participants to achieve lower daily doses of OCS, among those with severe corticosteroid-dependent asthma. Prednisone/prednisolone will be the OCS therapy prescribed. Participants will be randomized to receive lebrikizumab or matching placebo for 44 weeks in a double-blind, placebo-controlled (DBPC) period. Those who complete the 44-week period may continue into a 32-week active treatment extension (ATE) period, during which all participants will receive lebrikizumab treatment. Following completion of the ATE period, participants who have both tolerated and derived benefit from treatment with lebrikizumab may continue their lebrikizumab treatment into a long-term extension (LTE) period. Participants will transition to 24 weeks of safety follow-up upon discontinuation of study drug.

Detailed Description

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Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Lebrikizumab High Dose

Participants will receive lebrikizumab at high dose level as subcutaneous (SC) injection every 4 weeks during the 44-week DBPC period, followed by a 32-week ATE period, and during the LTE period.

Group Type EXPERIMENTAL

Lebrikizumab

Intervention Type DRUG

Lebrikizumab will be administered as SC injections every 4 weeks at dose and schedule described in arm description.

Lebrikizumab Low Dose

Participants will receive lebrikizumab at low dose level as SC injection every 4 weeks during the 44-week DBPC period, followed by a 32-week ATE period, and during the LTE period.

Group Type EXPERIMENTAL

Lebrikizumab

Intervention Type DRUG

Lebrikizumab will be administered as SC injections every 4 weeks at dose and schedule described in arm description.

Placebo

Participants will receive placebo matching to lebrikizumab SC injection every 4 weeks during the 44-week DBPC period. Participants will then be randomized to receive either high- or low-dose lebrikizumab every 4 weeks during the 32-week ATE period and will continue same treatment in the LTE period.

Group Type PLACEBO_COMPARATOR

Lebrikizumab

Intervention Type DRUG

Lebrikizumab will be administered as SC injections every 4 weeks at dose and schedule described in arm description.

Placebo

Intervention Type DRUG

Placebo matching to lebrikizumab will be administered as SC injections every 4 weeks as per schedule described in arm description.

Interventions

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Lebrikizumab

Lebrikizumab will be administered as SC injections every 4 weeks at dose and schedule described in arm description.

Intervention Type DRUG

Placebo

Placebo matching to lebrikizumab will be administered as SC injections every 4 weeks as per schedule described in arm description.

Intervention Type DRUG

Other Intervention Names

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RO5490255

Eligibility Criteria

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Inclusion Criteria

* Severe asthma despite intensive follow-up by an asthma specialist for \>/=6 months prior to Visit 1
* Baseline forced expiratory volume in 1 second (FEV1) \>/=40% of predicted prior to randomization
* Receiving high doses of inhaled glucocorticosteroids at a total daily dose of \>/=1500 micrograms (mcg) beclomethasone dipropionate or equivalent and long-acting beta-adrenoceptor agonist (LABA), with or without an additional controller, for at least 3 months prior to Visit 1
* Chronic treatment with maintenance OCS for \>/=6 months prior to Visit 1
* Assessment to ensure diagnosis of refractory asthma and OCS dependence on minimal effective or maximum tolerated dose prior to Visit 1 with compliance

Exclusion Criteria

* History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
* Asthma exacerbation within 28 days prior to Visit 1 or during screening (prior to Visit 3)
* For adults: Active tuberculosis requiring treatment within the 12 months prior to Visit 1
* For adolescents: History of active tuberculosis requiring treatment
* Evidence of acute or chronic hepatitis or known liver cirrhosis
* Known current malignancy or current evaluation for a potential malignancy
* History of interstitial lung disease, chronic obstructive pulmonary disease, or other clinically significant lung disease other than asthma
* Infection requiring hospital admission or requiring treatment with intravenous (IV) or intramuscular (IM) antibiotics within 4 weeks prior to Visit 1 or during screening
* Upper or lower respiratory tract infection within 4 weeks prior to Visit 1 or during screening
* Active parasitic infection or Listeria monocytogenes infection within 6 months prior to Visit 1 or during screening
* Current smoker or former smoker with a smoking history of more than 15 pack-years
* Current use of an immunomodulatory/ immunosuppressive therapy or past use within 3 months or 5 drug half-lives (whichever is longer) prior to Visit 1
* Use of a licensed or investigational monoclonal antibody other than anti-interleukin (IL)-13 or anti-IL-4/IL-13, including but not limited to, omalizumab, anti-IL-5, or anti-IL-17, within 6 months or 5 drug half-lives (whichever is longer) prior to Visit 1
* Receipt of a live attenuated vaccine within the 4 weeks prior to Visit 1 during screening or anticipation of receipt of a live attenuated vaccine throughout the study
Minimum Eligible Age

12 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Kern Allergy Med Clinic, Inc.

Bakersfield, California, United States

Site Status

Allergy & Asthma Care Center of Southern California

Long Beach, California, United States

Site Status

South Florida Research Center, Inc.

Miami, Florida, United States

Site Status

Georgia Pollens

Albany, Georgia, United States

Site Status

Mount Sinai Medical Center

New York, New York, United States

Site Status

Allergy & Immunology

Tulsa, Oklahoma, United States

Site Status

Pioneer Research Solutions

Houston, Texas, United States

Site Status

Metroplex Pulmonology & Sleep Center

McKinney, Texas, United States

Site Status

Pulmonary Consultants PLLC

Tacoma, Washington, United States

Site Status

Princess Alexandra Hospital, Department of Respiratory and Sleep Medicine

Brisbane, Queensland, Australia

Site Status

Monash Medical Centre; Respiratory and Sleep Medicine

Clayton, Victoria, Australia

Site Status

Institute for Respiratory Health Inc

Nedlands, Western Australia, Australia

Site Status

Clin Univ de Bxl Hôpital Erasme

Brussels, , Belgium

Site Status

Longartsenpraktijk

Genk, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

Inspiration Research Limited

Toronto, Ontario, Canada

Site Status

Hornmed

Brno, , Czechia

Site Status

Nemocnice Liberec; KNL a.s. - TRN

Liberec, , Czechia

Site Status

Nemocnice Nový Jičín

Nový Jičín, , Czechia

Site Status

Rokycanska nemocnice

Rokycany, , Czechia

Site Status

Gentofte Hospital, Klinik for Allergi

Hellerup, , Denmark

Site Status

CHU de Grenoble - Hôpital André Michallon

Grenoble, , France

Site Status

CH de Bicetre; Pneumologie

Le Kremlin-Bicêtre, , France

Site Status

Hôpital de La Croix Rousse

Lyon, , France

Site Status

Hôpital Arnaud de Villeneuve

Montpellier, , France

Site Status

CHU Nantes - Hôpital Laennec; Service de Pneumologie

Nantes, , France

Site Status

CHU de Nice

Nice, , France

Site Status

Hopital Bichat Claude Bernard ; Service de Pneumologie

Paris, , France

Site Status

CHU de Haut Leveque

Pessac, , France

Site Status

Nouvel Hôpital Civil; Pôle de Pathologie Thoracique

Strabourg, , France

Site Status

Instituto Jalisciense de Investigacion Clinica S.A. de C.V.

Guadalajara, , Mexico

Site Status

Centro Investigacion Medico Biologica y Terapia Avanzada

Guadalajara, , Mexico

Site Status

Centro Integral Médico SJR SC

Querétaro, , Mexico

Site Status

Academisch Medisch Centrum; Afdeling Longziekten, F5-258

Amsterdam, , Netherlands

Site Status

Spaarne Ziekenhuis Hoofddorp; Long Geneeskunde

Hoofddorp, , Netherlands

Site Status

Antonius Ziekenhuis; Dept of Lung Diseases

Nieuwegein, , Netherlands

Site Status

NZ Respiratory & Sleep Institute

Auckland, , New Zealand

Site Status

Dunedin Hospital

Dunedin, , New Zealand

Site Status

Clinical Trials Unit, Bay of Plenty District Health Board

Tauranga, , New Zealand

Site Status

Medical Research Inst. of New Zealand; Respiratory

Wellington, , New Zealand

Site Status

Specjalistyczny Osrodek Alergologiczno-Internistyczny ALL-MED

Krakow, , Poland

Site Status

Malopolskie Centrum Alergologii

Krakow, , Poland

Site Status

SPZOZ Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego Uniwersytetu Medycznego w Lodzi

Lodz, , Poland

Site Status

Specjalistyczna Poradnia Pulmonologiczna

Ostrów Wielkopolski, , Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej PROFILAKTYKA Wladyslaw Pierzchala

Ruda Śląska, , Poland

Site Status

Klinika Chorób Wewnetrznych i Alergologii MSW

Warsaw, , Poland

Site Status

EMC Instytut Medyczny SA; Przychodnia przy ulicy Łowieckiej

Wroclaw, , Poland

Site Status

San Juan Bautista School of Medicine-Clinical Research Unit

Caguas, , Puerto Rico

Site Status

Advanced Medical Concepts, PSC

Cidra, , Puerto Rico

Site Status

ZAPA JJ Sro

Levice, , Slovakia

Site Status

Plucna ambulancia

Spišská Nová Ves, , Slovakia

Site Status

University Clinic of Pulmonary and Allergic Diseases Golnik

Golnik, , Slovenia

Site Status

Complejo Hospitalario Universitario de Santiago; Servicio de Neumología

Santiago de Compostela, La Coruña, Spain

Site Status

Hospital de la Santa Creu; i Sant Pau

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Clinico Universitario de Salamanca; Servicio de Neumologia

Salamanca, , Spain

Site Status

Hospital Universitario Doctor Peset

Valencia, , Spain

Site Status

Belfast City Hospital; Respiratory Department

Belfast, , United Kingdom

Site Status

Heartlands Hospital; Respiratory Department

Birmingham, , United Kingdom

Site Status

Gartnavel General Hospital; Respiratory Department

Glasgow, , United Kingdom

Site Status

New Lister Buliding, Level 1; Clinical Research Facility

Glasgow, , United Kingdom

Site Status

Royal Hospital For Children

Glasgow, , United Kingdom

Site Status

Southampton General Hospital; Respiratory Department

Hampshire, , United Kingdom

Site Status

Leicester Royal Infirmary NHS Trust

Leicester, , United Kingdom

Site Status

Glenfield Hospital; Respiratory -Allergy Unit

Leicester, , United Kingdom

Site Status

St Bartholomew's Hospital (Barts); Respiratory Department

London, , United Kingdom

Site Status

Royal Brompton Hospital; Respiratory Department

London, , United Kingdom

Site Status

Wythenshawe Hospital; North West Lung Research Centre

Manchester, , United Kingdom

Site Status

Freeman Hospital; Respiratory Department

Newcastle upon Tyne, , United Kingdom

Site Status

Derriford Hospital; The Lind Research Department

Plymouth, , United Kingdom

Site Status

Sheffield Clinical Research Facility; National Institute for Health Research

Sheffield, , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada Czechia Denmark France Mexico Netherlands New Zealand Poland Puerto Rico Slovakia Slovenia Spain United Kingdom

Other Identifiers

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2012-000190-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

WB28182

Identifier Type: -

Identifier Source: org_study_id

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