Tezepelumab Home Use Study

NCT ID: NCT03968978

Last Updated: 2021-07-29

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

PHASE3

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-21

Study Completion Date

2020-06-05

Brief Summary

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This is a multicenter, randomized, open-label, parallel-group study designed to assess healthcare provider and subject/caregiver reported functionality and performance of a single-use accessorized pre-filled syringe (APFS) or autoinjector (AI) with a fixed 210 mg dose of tezepelumab administered subcutaneously in the clinic and in an at-home setting.

Detailed Description

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The study will consist of a screening/run-in period of up to 2 weeks and a treatment period of 24 weeks, followed by a post-treatment follow-up period of 12 weeks. During the treatment period, one dose of 210 mg tezepelumab will be administered via a single-use APFS or AI subcutaneously (SC) every 4 weeks (Q4W) starting at Visit 2 (Week 0) until Visit 7 (Week 20). Subjects will be administered tezepelumab at the site during Visits 2 (Week 0), 3 (Week 4), 4 (Week 8) and 7 (Week 20). At-home administration of tezepelumab will occur during Visit 5 (Week 12) and Visit 6 (Week 16). Each device will be assessed separately using descriptive presentations.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects will be randomized 1:1 to either an accessorized pre-filled syringe or an autoinjector. Both will be administered 210 mg tezepelumab subcutaneously.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Tezepelumab (AI)

Tezepelumab subcutaneous injection, administered by Autoinjector (AI) device.

Group Type EXPERIMENTAL

Tezepelumab (AI)

Intervention Type BIOLOGICAL

Tezepelumab subcutaneous injection, administered by Autoinjector (AI) device.

Tezepelumab (APFS)

Tezepelumab subcutaneous injection, administered by Accessorized pre-filled syringe (APFS).

Group Type EXPERIMENTAL

Tezepelumab (APFS)

Intervention Type BIOLOGICAL

Tezepelumab subcutaneous injection, administered by Accessorized pre-filled syringe (APFS).

Interventions

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Tezepelumab (APFS)

Tezepelumab subcutaneous injection, administered by Accessorized pre-filled syringe (APFS).

Intervention Type BIOLOGICAL

Tezepelumab (AI)

Tezepelumab subcutaneous injection, administered by Autoinjector (AI) device.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Male or female, age 12 to 80 years.
* Documented physician-diagnosed asthma for at least 12 months.
* Evidence of asthma as documented by post BD (albuterol/salbutamol) reversibility of FEV1 ≥ 12% AND ≥200 mL (15-60 min after administration of 4 puffs of albuterol/salbutamol), documented either: in the previous 12 months prior to V1, OR demonstrated at V1, V1A, or at V2.
* Documented history of current treatment with medium- or high-dose ICS for at least 6 months and at least one additional asthma controller medication according to standard practice of care. ICS dose must be greater than or equal to 500 μg/day fluticasone propionate dry powder formulation or equivalent daily.
* Morning pre-BD FEV1 of \>50% predicted normal at Visit 1, Visit 1A, or Visit 2.

Exclusion Criteria

* Clinically important pulmonary or systemic diseases other than asthma.
* History of cancer except basal cell carcinoma, squamous cell carcinoma, or in situ carcinoma of the cervix within 12 months prior to Visit 1.
* Acute upper or lower respiratory infection requiring antibiotics or antiviral medications finalized \<2 weeks before Visit 1 or during screening/run-in period.
* A helminth parasitic infection diagnosed within 6 months that is untreated or is unresponsive to the standard of care.
* Smoking history of ≥10 pack years, (includes vaping and e-cigarettes)
* History of chronic alcohol or drug abuse.
* Tuberculosis requiring treatment within 12 months prior to V1.
* History of HIV, Hepatitis B or Hepatitis C.
* Receipt of any marketed or investigational biologic agent within 4 months or 5 half-lives (whichever is longer) prior to visit 1 or receipt of any investigational non-biologic agent within 30 days or 5 half-lives.
* Bronchial thermoplasty in 24 months prior to V1.
* Anaphylaxis or documented immune complex disease (Type III hypersensitivity reactions) to any biologic therapy.
* Evidence of active liver disease (e.g. jaundice, AST, ALT or ALP \>2 times upper limit of normal), ongoing liver disease or inexplicably elevated liver chemistry values.
* Pregnant, breastfeeding or lactating women.
* Non-leukocyte depleted whole blood transfusion in 120 days prior to visit 1.
Minimum Eligible Age

12 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sady A Alpizar, MD

Role: PRINCIPAL_INVESTIGATOR

Clinical Research Trials of Florida, Inc.

Locations

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Research Site

Hoover, Alabama, United States

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Gilbert, Arizona, United States

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Northridge, California, United States

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Palm Desert, California, United States

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Westminster, California, United States

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Tampa, Florida, United States

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Savannah, Georgia, United States

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Omaha, Nebraska, United States

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Northfield, New Jersey, United States

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Cincinnati, Ohio, United States

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Edmond, Oklahoma, United States

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Medford, Oregon, United States

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Dallas, Texas, United States

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McKinney, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Calgary, Alberta, Canada

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Ajax, Ontario, Canada

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Burlington, Ontario, Canada

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Mississauga, Ontario, Canada

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Ottawa, Ontario, Canada

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Windsor, Ontario, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Québec, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Chūōku, , Japan

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Fukuoka, , Japan

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Bialystok, , Poland

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Krakow, , Poland

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Poznan, , Poland

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Poznan, , Poland

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Strzelce Opolskie, , Poland

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Tarnów, , Poland

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Wieluń, , Poland

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Wroclaw, , Poland

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Countries

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United States Canada Japan Poland

References

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Alpizar S, Megally A, Chen C, Raj A, Downie J, Colice G. Functionality and Performance of an Accessorized Pre-Filled Syringe and an Autoinjector for At-Home Administration of Tezepelumab in Patients with Severe, Uncontrolled Asthma. J Asthma Allergy. 2021 Apr 19;14:381-392. doi: 10.2147/JAA.S305114. eCollection 2021.

Reference Type DERIVED
PMID: 33907423 (View on PubMed)

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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D5180C00011

Identifier Type: -

Identifier Source: org_study_id

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