Evaluation of Dupilumab's Effects on Airway Inflammation in Patients With Asthma

NCT ID: NCT02573233

Last Updated: 2022-04-04

Study Results

Results available

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

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-27

Study Completion Date

2018-01-03

Brief Summary

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Primary Objective:

To evaluate the effect of dupilumab, compared to placebo, on airway inflammation in participants with persistent asthma.

Secondary Objective:

To assess the safety, tolerability, and immunogenicity of dupilumab compared to placebo.

Detailed Description

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The total study duration for each participant was between approximately 29 and maximum of 30 weeks, consisting of a screening period of 5 weeks and optional up to 7 additional days, a treatment period of 12 weeks, and a post-treatment period of 12 weeks.

Participants who completed the treatment period could be eligible to participate in an open-label extension study.

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

Study Groups

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Placebo

Placebo (for dupilumab), 2 subcutaneous injections on Day 1 (Week 1) as a loading dose followed by a single injection q2w from Week 2 to Week 14, added to stable inhaled corticosteroid/ long-acting beta-agonist (ICS/LABA) therapy. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

fluticasone propionate and salmeterol

Intervention Type DRUG

Pharmaceutical form:inhalation aerosol, inhalation powder Route of administration: inhaled

budesonide and formoterol

Intervention Type DRUG

Pharmaceutical form:inhalation aerosol Route of administration: inhaled

mometasone furoate and formoterol

Intervention Type DRUG

Pharmaceutical form:inhalation aerosol Route of administration: inhaled

Dupilumab

Dupilumab, 2 subcutaneous injections on Day 1 as a loading dose for a total of 600 mg, followed by a single 300 mg injection q2w from Week 2 to Week 14, added to stable ICS/LABA therapy. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.

Group Type EXPERIMENTAL

Dupilumab SAR231893/REGN668

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

fluticasone propionate and salmeterol

Intervention Type DRUG

Pharmaceutical form:inhalation aerosol, inhalation powder Route of administration: inhaled

budesonide and formoterol

Intervention Type DRUG

Pharmaceutical form:inhalation aerosol Route of administration: inhaled

mometasone furoate and formoterol

Intervention Type DRUG

Pharmaceutical form:inhalation aerosol Route of administration: inhaled

Interventions

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Placebo

Pharmaceutical form:solution Route of administration: subcutaneous

Intervention Type DRUG

Dupilumab SAR231893/REGN668

Pharmaceutical form:solution Route of administration: subcutaneous

Intervention Type DRUG

fluticasone propionate and salmeterol

Pharmaceutical form:inhalation aerosol, inhalation powder Route of administration: inhaled

Intervention Type DRUG

budesonide and formoterol

Pharmaceutical form:inhalation aerosol Route of administration: inhaled

Intervention Type DRUG

mometasone furoate and formoterol

Pharmaceutical form:inhalation aerosol Route of administration: inhaled

Intervention Type DRUG

Other Intervention Names

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Advair Symbicort Dulera

Eligibility Criteria

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Inclusion Criteria

* Male and female adults with a physician diagnosis of persistent asthma for ≥12 months.
* Existing treatment with medium to high dose inhaled corticosteroids in combination with a long-acting beta agonist for at least 3 months with a stable dose ≥1 month prior to Visit 1 (Screening Visit).
* Treatment with a third asthma controller for at least 3 months with a stable dose \>=1 month prior to Visit 1 was allowed.
* Pre-bronchodilator forced expiratory volume (FEV1) 55 to 85% of predicted normal.

Exclusion Criteria

* Participants \<18 years or \>65 years.
* Fractional exhaled nitric oxide (FeNO) \<26 parts per billion (ppb) at Visit 1 (Screening Visit).
* Chronic obstructive pulmonary disease or other lung diseases (eg, idiopathic pulmonary fibrosis, eosinophilic granulomatosis with polyangiitis \[Churg-Strauss Syndrome\]) which could impair lung function.
* A participant who experienced an asthma exacerbation that resulted in emergency treatment, hospitalization due to asthma, or treatment with systemic steroids at any time from 1 month prior to Visit 1.
* A participant who had experienced an upper or lower respiratory tract infection within the 4 weeks prior to Visit 1.
* Evidence of lung disease(s) other than asthma.
* Previous smoker (smoking history \>10 pack-years) or current smoker (within 6 months prior to Visit 1).
* Comorbid disease that might interfere with the evaluation of investigational medicinal product or conduct of study procedures (e.g., bronchoscopy).
* Anti-immunoglobulin E (IgE) therapy (omalizumab) or any other biologic therapy within 6 months of Visit 1.
* Exposure to another investigative study medication within a time period prior to Visit 1 that is less than 5 half-lives of the study medication.
* Treatment with systemic (oral or injectable) corticosteroids within 28 days of Visit 1.

The above information was 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 840402

Tucson, Arizona, United States

Site Status

Investigational Site Number 840403

Denver, Colorado, United States

Site Status

Investigational Site Number 840401

Boston, Massachusetts, United States

Site Status

Investigational Site Number 840002

St Louis, Missouri, United States

Site Status

Investigational Site Number 840404

Winston-Salem, North Carolina, United States

Site Status

Investigational Site Number 840028

Pittsburgh, Pennsylvania, United States

Site Status

Investigational Site Number 124012

Montreal, , Canada

Site Status

Investigational Site Number 124018

Sainte-Foy, , Canada

Site Status

Investigational Site Number 208002

Hvidovre, , Denmark

Site Status

Investigational Site Number 208001

København NV, , Denmark

Site Status

Investigational Site Number 276013

Frankfurt am Main, , Germany

Site Status

Investigational Site Number 276011

Großhansdorf, , Germany

Site Status

Investigational Site Number 276012

Hanover, , Germany

Site Status

Investigational Site Number 752001

Lund, , Sweden

Site Status

Investigational Site Number 826010

London, , United Kingdom

Site Status

Investigational Site Number 826009

Oxford, , United Kingdom

Site Status

Countries

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United States Canada Denmark Germany Sweden United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2015-001572-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1170-7168

Identifier Type: OTHER

Identifier Source: secondary_id

PDY14192

Identifier Type: -

Identifier Source: org_study_id

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