Dexpramipexole Dose-Ranging Biomarker Study in Subjects With Eosinophilic Asthma

NCT ID: NCT04046939

Last Updated: 2023-04-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

534 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-15

Study Completion Date

2021-03-02

Brief Summary

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This is a randomized, double-blind, placebo-controlled, parallel-group, dose-ranging, multi-center study to evaluate the clinical effects of oral administration of dexpramipexole for 12 weeks on peripheral blood eosinophil count in subjects with eosinophilic asthma.

Detailed Description

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One hundred subjects will receive study drug or matching placebo over 12 weeks of consecutive dosing. Following a short Run-in Period, eligible subjects will enter the Primary Assessment Period and receive twice-daily dosing of study drug or placebo for 12 weeks. Following 12 weeks of treatment, subjects will enter a 12-week Eosinophil Recovery Period. The primary endpoint for the study is the change in blood absolute eosinophil count from Baseline to Week 12.

Conditions

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Eosinophilic Asthma Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Four-arm parallel assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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placebo BID

Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

placebo twice daily oral dosing for up to 12 weeks

37.5 mg BID dexpramipexole

Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.

Group Type ACTIVE_COMPARATOR

Dexpramipexole

Intervention Type DRUG

dexpramipexole twice daily oral dosing for up to 12 weeks

75 mg BID dexpramipexole

Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.

Group Type ACTIVE_COMPARATOR

Dexpramipexole

Intervention Type DRUG

dexpramipexole twice daily oral dosing for up to 12 weeks

150 mg BID dexpramipexole

Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.

Group Type ACTIVE_COMPARATOR

Dexpramipexole

Intervention Type DRUG

dexpramipexole twice daily oral dosing for up to 12 weeks

Interventions

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Dexpramipexole

dexpramipexole twice daily oral dosing for up to 12 weeks

Intervention Type DRUG

Placebo

placebo twice daily oral dosing for up to 12 weeks

Intervention Type DRUG

Other Intervention Names

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KNS-760704 BIIB050 PBO

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥18 and \<75 years of age at the time of consent
* Physician diagnosis of asthma for ≥12 months (relative to Baseline) based on Global Initiative for Asthma (GINA) 2018 Guidelines
* Asthma requiring treatment with, at a minimum, low dose inhaled corticosteroids in combination with a long-acting β2 agonist, on a stable dose for at least 1 month before Screening
* Bronchodilator reversibility, as evidenced by ≥12% and ≥200 mL improvement in FEV1 15 to 25 minutes following inhalation of albuterol at Screening
* Pre-bronchodilator FEV1 ≥40% and \<80% of predicted at Screening and Baseline
* AEC ≥0.30 x10\^9/L at the Screening visit
* ACQ-7 ≥1.5 at Screening
* Negative pregnancy test at Baseline
* Adherence ≥85% with twice-daily placebo taken during the Run-in Period

Exclusion Criteria

* Treatment for an asthma exacerbation within 8 weeks prior to Baseline visit
* Treatment with systemic corticosteroids in the 8 weeks prior to Screening
* Treatment with monoclonal antibody therapy, within 5-half-lives prior to Baseline
* Treatment with selected drugs known to have a substantial risk of neutropenia
* Absolute neutrophil count \<2.0x10\^9/L at Screening, or any documented history of absolute neutrophil count \<2.0x10\^9/L.
* Renal dysfunction, defined as an estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73m\^2 at Screening
* Clinically significant abnormal laboratory or ECG values
* Other medically significant illness
* Use of any smoke or inhaled nicotine delivery device within 1 year prior to Screening
* Pregnant women or women breastfeeding
* Currently taking pramipexole or other dopamine agonists
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Knopp Biosciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Los Angeles, California, United States

Site Status

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Mission Viejo, California, United States

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Westminster, California, United States

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Denver, Colorado, United States

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Daytona Beach, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Tampa, Florida, United States

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Tampa, Florida, United States

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Lawrenceville, Georgia, United States

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Winder, Georgia, United States

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Boise, Idaho, United States

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Farmington Hills, Michigan, United States

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Plymouth, Minnesota, United States

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St Louis, Missouri, United States

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St Louis, Missouri, United States

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Las Vegas, Nevada, United States

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New Brunswick, New Jersey, United States

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Corning, New York, United States

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New Hyde Park, New York, United States

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Raleigh, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Columbus, Ohio, United States

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Dublin, Ohio, United States

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Edmond, Oklahoma, United States

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Medford, Oregon, United States

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Portland, Oregon, United States

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Pittsburgh, Pennsylvania, United States

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Anderson, South Carolina, United States

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North Charleston, South Carolina, United States

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Allen, Texas, United States

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Boerne, Texas, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Countries

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United States

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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KNS-760704-AS201

Identifier Type: -

Identifier Source: org_study_id

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