Benralizumab Airway Remodeling Study in Severe Eosinophilic Asthmatics

NCT ID: NCT03953300

Last Updated: 2025-12-22

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

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

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-08

Study Completion Date

2026-09-09

Brief Summary

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

The purpose of the study is to evaluate effect of benralizumab on structural and lung function changes in severe eosinophilic asthmatics.

Changes will be assessed over 48 week treatment period in patients with persistent symptoms despite standard therapy of inhaled corticosteroids (ICS) plus long acting B2-agonist (LABA) with or without additional controller medication.

Patients who complete treatment will enter 4 weeks follow-up period.

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

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Asthma Eosinophilic Asthma Lung Diseases Inhaled Corticosteroids ICS LABA benralizumab Fasenra mechanism of action remodeling

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

Administrated subcutaneously (SC) every 4 weeks for the first 3 doses, then every 8 weeks

Group Type EXPERIMENTAL

Benralizumab

Intervention Type BIOLOGICAL

Benralizumab: 30 mg/mL solution for injection in accessorized prefilled syringe (APFS) will be administered subcutaneously (SC) every 4 weeks for the first 3 doses - Weeks 0, 4 and 8, and then every 8 weeks - Weeks 16, 24, 32, 40.

Placebo

Administrated subcutaneously every 4 weeks for the first 3 doses, then every 8 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Matching placebo will be administered subcutaneously with accessorized prefilled syringe (APFS) every 4 weeks for the first 3 doses - Weeks 0, 4 and 8, and then every 8 weeks - Weeks 16, 24, 32, 40.

Interventions

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

Benralizumab

Benralizumab: 30 mg/mL solution for injection in accessorized prefilled syringe (APFS) will be administered subcutaneously (SC) every 4 weeks for the first 3 doses - Weeks 0, 4 and 8, and then every 8 weeks - Weeks 16, 24, 32, 40.

Intervention Type BIOLOGICAL

Placebo

Matching placebo will be administered subcutaneously with accessorized prefilled syringe (APFS) every 4 weeks for the first 3 doses - Weeks 0, 4 and 8, and then every 8 weeks - Weeks 16, 24, 32, 40.

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. Male or female aged 18 through 70 years.
2. Physician-diagnosed asthma requiring continuous treatment with medium- or high-dose ICS plus LABA with or without additional controller medication for at least 12 months prior to Visit 1, and current treatment with high-dose ICS plus LABA for at least 3 months prior to Visit 1 with or without additional asthma maintenance medication.
3. Morning pre-BD FEV1 ≥50 to \<80% of predicted normal value (PNV) and ≥1 liter (L) or morning pre-BD FEV1 ≥ 50 to \< 90% of PNV, if historical pre-BD FEV1 value (within 12 months prior to screening visit) was \< 80% of PNV.
4. A blood eosinophil count meeting any of 3 criteria: ≥300 cells/µL during screening or ≥ 220 to \< 300 cells/μL during screening and documented eosinophil count of ≥ 300 cells/μL in the past 12 months, or ≥150 to \<300 cells/µL during screening plus one of the following: presence of nasal polyps or pre-BD FVC \<65% predicted at Visit 2
5. Negative pregnancy test.
6. Asthma control questionnaire (ACQ-6) \>1.5.
7. Fewer than 12 exacerbations within the 6 months prior to Visit 3.

Exclusion Criteria

1. Any disease or concomitant medication which could affect study results or safety of study participants, including:

* current smokers
* history of cancer
* life-threatening asthma
* clinically important pulmonary disease other than asthma
2. Use of chronic immunosuppressive medication or receipt of immunoglobulin (or blood products) within 30 days prior to the date informed consent is obtained.
3. Previously received:

* benralizumab
* live attenuated vaccines 30 days prior to the date of randomization.
* bronchial thermoplasty in the last 24 months prior to Visit 1
* any investigational non-biologic within 30 days (or 5 half-lives) prior to the date informed consent is obtained, whichever is longer.
* any marketed or investigational biologic for the treatment of asthma within 4 months (or 5 half-lives) prior to the date informed consent is obtained, whichever is longer.
4. Currently pregnant, breastfeeding or lactating women.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 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.

Mario Castro, MD

Role: PRINCIPAL_INVESTIGATOR

University of Kansas School of Medicine 3901 Rainbow Blvd. Kansas City, KS 66160, USA

Locations

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

Research Site

Birmingham, Alabama, United States

Site Status

Research Site

Los Angeles, California, United States

Site Status

Research Site

Jacksonville, Florida, United States

Site Status

Research Site

Miami, Florida, United States

Site Status

Research Site

Snellville, Georgia, United States

Site Status

Research Site

Indianapolis, Indiana, United States

Site Status

Research Site

Iowa City, Iowa, United States

Site Status

Research Site

Kansas City, Kansas, United States

Site Status

Research Site

Ann Arbor, Michigan, United States

Site Status

Research Site

Bloomfield Hills, Michigan, United States

Site Status

Research Site

Rochester, Minnesota, United States

Site Status

Research Site

St Louis, Missouri, United States

Site Status

Research Site

Maspeth, New York, United States

Site Status

Research Site

New Bern, North Carolina, United States

Site Status

Research Site

Winston-Salem, North Carolina, United States

Site Status

Research Site

Pittsburgh, Pennsylvania, United States

Site Status

Research Site

Galveston, Texas, United States

Site Status

Research Site

Lewisville, Texas, United States

Site Status

Research Site

Mansfield, Texas, United States

Site Status

Research Site

Calgary, Alberta, Canada

Site Status

Research Site

Aalborg, , Denmark

Site Status

Research Site

Aarhus N, , Denmark

Site Status

Research Site

Copenhagen, , Denmark

Site Status

Research Site

Hvidovre, , Denmark

Site Status

Research Site

Næstved, , Denmark

Site Status

Research Site

Odense C, , Denmark

Site Status

Research Site

Vejle, , Denmark

Site Status

Research Site

Gothenburg, , Sweden

Site Status

Research Site

Lund, , Sweden

Site Status

Research Site

Cambridge, , United Kingdom

Site Status

Research Site

Headington, , United Kingdom

Site Status

Research Site

Leicester, , United Kingdom

Site Status

Research Site

Liverpool, , United Kingdom

Site Status

Research Site

London, , United Kingdom

Site Status

Research Site

Wythenshawe, , United Kingdom

Site Status

Countries

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

United States Canada Denmark Sweden United Kingdom

Other Identifiers

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

2018-003391-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D3250C00059

Identifier Type: -

Identifier Source: org_study_id