Effects of Anti-IL5 Biological Treatments on Blood IgE Levels in Severe Asthmatic Patients

NCT ID: NCT04181190

Last Updated: 2020-11-04

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

Total Enrollment

130 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-10-11

Study Completion Date

2020-11-01

Brief Summary

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Real-life, observational, retrospective, multicenter study to evaluate the effects of anti-IL5 biological treatments on blood total IgE Levels in atopic patients with severe eosinophilic asthma.

Detailed Description

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Severe asthma, i.e. asthma that is not controlled despite maximal optimized therapy and/or that worsens when high dose treatment is decreased (GINA guidelines - available at https://ginasthma.or), is a major unmet medical need. Major advances in the management of severe asthma occurred in the past few years due to the new targeted biological therapies. Mepolizumab and Benralizumab are humanized monoclonal antibodies able to block interleukin (IL)-5 and the receptor for IL-5, respectively. These biological treatments block the eosinophilic driven inflammation. The effects of these treatments on an other key effector molecule of the T2-immune response, i.e. IgE, is virtually unknown.

To explore this issue, we set up a real life, observational, retrospective, multicenter study. The study will enroll patients with severe eosinophilic asthma already treated with Mepolizumab or Benralizumab. The following variable will be collected before the the biological treatment and at 4±2 months after the initiation of the pharmacological regimen:

* demographic data
* age of onset of asthma
* smoking habit
* concomitant pharmacological regimens
* number of asthma exacerbations since last visit
* concomitant diseases (particularly gastroesophageal reflux, nasal polyposis, atopic dermatitis, obesity, anxiety-depressive syndrome).
* White Blood Cell Count and Differential (and in particular the levels of total leucocytes, lymphocytes, eosinophils and basophils)
* Lung function tests (spirometry)

Conditions

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Asthma Asthma; Eosinophilic

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Mepolizumab group

atopic patients with severe eosinophilic asthma treated with anti-IL-5 monoclonal antibody (Mepolizumab)

Total IgE

Intervention Type DIAGNOSTIC_TEST

Levels of total IgE before biological treatments and at 4±2 months of treatments

Blood cell counts

Intervention Type DIAGNOSTIC_TEST

White Blood Cell Count and Differential (and in particular the levels of total leucocytes, lymphocytes, eosinophils and basophils)

Asthma control assessment

Intervention Type DIAGNOSTIC_TEST

Levels of asthma control assessed by asthma control questionnaire (ACT) before initiation of biological treatments and at 4± months of treatments

lung function tests

Intervention Type DIAGNOSTIC_TEST

Lung function tests performed before initiation of biological treatments and at 4± months of treatments

Benralizumab group

atopic patients with severe eosinophilic asthma treated with anti-IL5 receptor monoclonal antibody (Benralizumab)

Total IgE

Intervention Type DIAGNOSTIC_TEST

Levels of total IgE before biological treatments and at 4±2 months of treatments

Blood cell counts

Intervention Type DIAGNOSTIC_TEST

White Blood Cell Count and Differential (and in particular the levels of total leucocytes, lymphocytes, eosinophils and basophils)

Asthma control assessment

Intervention Type DIAGNOSTIC_TEST

Levels of asthma control assessed by asthma control questionnaire (ACT) before initiation of biological treatments and at 4± months of treatments

lung function tests

Intervention Type DIAGNOSTIC_TEST

Lung function tests performed before initiation of biological treatments and at 4± months of treatments

Interventions

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Total IgE

Levels of total IgE before biological treatments and at 4±2 months of treatments

Intervention Type DIAGNOSTIC_TEST

Blood cell counts

White Blood Cell Count and Differential (and in particular the levels of total leucocytes, lymphocytes, eosinophils and basophils)

Intervention Type DIAGNOSTIC_TEST

Asthma control assessment

Levels of asthma control assessed by asthma control questionnaire (ACT) before initiation of biological treatments and at 4± months of treatments

Intervention Type DIAGNOSTIC_TEST

lung function tests

Lung function tests performed before initiation of biological treatments and at 4± months of treatments

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* atopy
* severe eosinophilic asthma (according to GINA guideline - available at https://ginasthma.org)
* patients treated with monoclonal antibody anti IL-5 (Mepolizumab) or with IL-5 anti-receptor monoclonal antibody (Benralizumab).
* stable asthma (free from asthma exacerbation for at least 8 weeks)

Exclusion Criteria

* asthma exacerbation in last 8 weeks
* patients treated for COPD
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Università degli Studi di Ferrara

OTHER

Sponsor Role lead

Responsible Party

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Alberto Papi, MD

Head of Respiratory Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marco Contoli, Prof

Role: PRINCIPAL_INVESTIGATOR

Università di Ferrara - Azienda Ospedaliero Universitaria di Ferrara

Locations

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Azienda Ospedaliero Universitaria Ferrara

Ferrara, , Italy

Site Status

Professor of Respiratory Medicine Department of Medical and Surgical Sciences University of Foggia - Italy

Foggia, , Italy

Site Status

UOC Pneumologia Ospedale L.Sacco - Polo Univestiario ASST Fatebenefratelli - Milano

Milan, , Italy

Site Status

Malattie dell' Apparato Respiratorio Dipartimento di Scienza Mediche e Chirurgiche Materni-Infantili e dell'Adulto. Azienda Ospedaliero Universitaria di Modena

Modena, , Italy

Site Status

AOUP Giaccone Palermo, dipartimento PROMISE, Università di Palermo

Palermo, , Italy

Site Status

S.C di Pneumologia Ospedale S. Maria degli Angeli AAS5 Friuli Occidentale

Pordenone, , Italy

Site Status

Department of Medical Specialties, Pneumology Unit, Arcispedale Santa Maria Nuova, Azienda USL di Reggio Emilia-IRCCS

Reggio Emilia, , Italy

Site Status

UOC Pneumologia Azienda Ospedaliera Univeristaria Integrata - Verona

Verona, , Italy

Site Status

Countries

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Italy

Other Identifiers

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272/2019/Oss/AOUFe BIONIGE

Identifier Type: -

Identifier Source: org_study_id