Predictive Signature of Benralizumab Response

NCT ID: NCT04565483

Last Updated: 2024-04-26

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-11

Study Completion Date

2026-11-30

Brief Summary

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The objective of the study is to establish the predictive value of early blood gene expression signature of Benralizumab response associated with a significant reduction of the number of exacerbations in treated severe asthmatic patients.

This trial is a French, multicenter and no-randomized trial. Patients enrolled will be clinically followed for 16 months (the treatment period: 12 months and 1 month follow-up; 6 clinical visit on site and in phone call at 13 months)

Detailed Description

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Conditions

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Asthma; Eosinophilic Severe Asthma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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BENRALIZUMAB

Patients receive BENRALIZUMAB if they meet the criteria for inclusion and non-inclusion at the inclusion visit. Injections take place at the inclusion visit, at 1 month, 2 months, 4 months, 6 months, 8 months, 10 months and 12 months.

Group Type EXPERIMENTAL

Benralizumab Prefilled Syringe

Intervention Type DRUG

Patients receive BENRALIZUMAB if they meet the criteria for inclusion and non-inclusion at the inclusion visit. Injections take place at the inclusion visit, at 1 month, 2 months, 4 months, 6 months, 8 months, 10 months and 12 months.

Interventions

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Benralizumab Prefilled Syringe

Patients receive BENRALIZUMAB if they meet the criteria for inclusion and non-inclusion at the inclusion visit. Injections take place at the inclusion visit, at 1 month, 2 months, 4 months, 6 months, 8 months, 10 months and 12 months.

Intervention Type DRUG

Other Intervention Names

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Transcriptomic

Eligibility Criteria

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Inclusion Criteria

* Patients between 18 and 75 years old.
* Patients diagnosed with severe asthma (Chung and al, Eur Respir J 2014), i.e.:

* asthma requiring high doses of ICS (\>1000 microgram per day of Beclomethasone or equivalent) associated with LABA and/or systemic corticosteroids to be controlled over one year,
* and/or uncontrolled asthma despite the later medications,
* and/or a controlled asthma worsening after decreasing medications,
* Documented historical reversibility of FEV1 ≥12% and FEV1 gain ≥ 200 milliliter
* ACQ-7 score ≥ 1,5 at M0.
* ≥ 3 exacerbations in the 12 months prior to screening visit M-1.
* Eosinophil blood count ≥ 0,3 G/L at inclusion visit or in the 12 months prior to the inclusion visit. If eosinophil blood count is ≥ 0,15 G/L and \< 0,3 G/L, an eosinophilic phenotype defined by at least 1 of the following criteria will be required:

* Fractional Exhaled Nitric Oxide (FeNO) \> 25 ppm at inclusion visit or in the 12 months prior to the inclusion visit.
* Sputum eosinophils ≥ 3% at inclusion visit or in the 12 months prior to the inclusion visit.
* Patients who provide written informed consent prior to participation in the study

Exclusion Criteria

* Patients diagnosed with difficult-to-treat asthma and/or with uncontrolled asthma differential diagnosis according to the judgment of the investigator (e.g., vocal cord dysfunction, gastroesophageal reflux disease, granulomatous eosinophilic vasculitis, obstructive sleep apnea syndrome, hyperventilation syndrome, allergic broncho-pulmonary aspergillosis, Carrington disease, DIPNECH, asthma/COPD overlap syndrome).
* Non-adherent patients to inhaled treatment (ICS + LABA).
* Active smokers or former smokers exceeding 20 packs year.
* Exacerbation at inclusion visit M0.
* Active malignancy or malignancy in remission over less than 5 years.
* Active parasitic infection or parasitic infection in the past 24 weeks.
* Hypersensitivity to Benralizumab or to any of the excipients of Fasenra® (histidine, histidine hydrochloride monohydrate, trehalose dihydrate, polysorbate 20)
* Patients requiring other immunosuppressive and immunomodulator drugs
* Patients requiring other biotherapy than Benralizumab, with or without French's marketing authorisation in severe asthma
* Patients requiring other biotherapy than Benralizumab that affects the immune system
* SARS-COV2 infection
* Pregnancy, lactation, or patients with childbearing potential refusing efficient contraceptive method.
* Patients under psychiatric condition altering their comprehension and their ability to give informed consent.
* Patients already enrolled in a clinical interventional research.
* Patients not affiliated to a health insurance plan
* Patients under guardianship, curators or safeguard of justice
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Ministère de la Santé - France

UNKNOWN

Sponsor Role collaborator

Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre hospitalier Intercommunal Aix-en-Provence

Aix-en-Provence, , France

Site Status RECRUITING

CHU Angers

Angers, , France

Site Status RECRUITING

CHU Bordeaux

Bordeaux, , France

Site Status RECRUITING

CHRU Brest

Brest, , France

Site Status RECRUITING

CHU Dijon

Dijon, , France

Site Status RECRUITING

CHU Grenoble

Grenoble, , France

Site Status RECRUITING

Hôpital Bicêtre - AP-HP

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

CH Mans

Le Mans, , France

Site Status WITHDRAWN

CHU Lille

Lille, , France

Site Status WITHDRAWN

Hospices Civils de Lyon

Lyon, , France

Site Status RECRUITING

Assistance Publique des Hôpitaux de Marseille

Marseille, , France

Site Status NOT_YET_RECRUITING

CHU Montpellier

Montpellier, , France

Site Status WITHDRAWN

CHU Nantes

Nantes, , France

Site Status RECRUITING

CHR Orléans

Orléans, , France

Site Status RECRUITING

Hôpital Bichat - AP-HP

Paris, , France

Site Status RECRUITING

CHU Rouen

Rouen, , France

Site Status WITHDRAWN

CHU Strasbourg

Strasbourg, , France

Site Status RECRUITING

Hôpital FOCH

Suresnes, , France

Site Status RECRUITING

CHU Toulouse

Toulouse, , France

Site Status RECRUITING

Médipôle Hôpital Mutualiste de Villeurbanne

Villeurbanne, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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François-Xavier BLANC, MD-PHD

Role: CONTACT

+33240165545

Facility Contacts

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Youssef TRIGUI, MD-PHD

Role: primary

Hakima OUKSEL, MD

Role: primary

Pierre-Olivier GIRODET, MD-PHD

Role: primary

Raphael LE MAO, MD-PHD

Role: primary

Philippe BONNIAUD, MD-PHD

Role: primary

Christel SAINT-RAYMOND, MD-PHD

Role: primary

Marc HUMBERT, MD-PHD

Role: primary

Gilles DEVOUASSOUX, MD-PHD

Role: primary

Pascal CHANEZ, MD-PHD

Role: primary

François-Xavier BLANC, MD-PHD

Role: primary

+33240165545

Sylvie DRUELLE

Role: primary

Camille TAILLE, MD-PHD

Role: primary

Naji KHAYATH, MD

Role: primary

Colas TCHERAKIAN, MD-PHD

Role: primary

Laurent GUILLEMINAULT, PD-PHD

Role: primary

Jean-Marc DOT, MD-PHD

Role: primary

Other Identifiers

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RC19_0292

Identifier Type: -

Identifier Source: org_study_id

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