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    Clinical Trial Results:
    A Phase 2b, Randomized, Double-blind Study to Evaluate the Efficacy of Tralokinumab in Adults with Uncontrolled, Severe Asthma

    Summary
    EudraCT number
    2011-001360-21
    Trial protocol
    GB   DE   CZ   ES   PL  
    Global end of trial date
    22 Feb 2014

    Results information
    Results version number
    v2(current)
    This version publication date
    22 Mar 2017
    First version publication date
    15 Apr 2016
    Other versions
    v1
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    CD-RI-CAT-354-1049
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01402986
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    MedImmune, LLC
    Sponsor organisation address
    Milstein Building, Granta Park,, Cambridge, United Kingdom, CB21 6GH
    Public contact
    Meena Jain, MB BChir, Director, Clinical Development,, MedImmune, LLC, JainM@medimmune.com
    Scientific contact
    Meena Jain, MB BChir, Director, Clinical Development,, MedImmune, LLC, JainM@medimmune.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    22 Feb 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    22 Feb 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study was to evaluate two subcutaneous (SC) treatment regimens of 300 milligram (mg) tralokinumab compared with placebo by assessing the effect on asthma exacerbation rate over 52 weeks in adults with uncontrolled, severe asthma requiring high-dose inhaled corticosteroids (ICS) and long-acting beta2-agonists (LABA), with or without additional asthma controller medications.
    Protection of trial subjects
    The conduct of this clinical study met all local legal and regulatory requirements. The study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki and the International Conference on Harmonization guideline E6: Good Clinical Practice. Participating participant signed informed consent form and could withdraw from the study at any time without any disadvantage and without having to provide a reason for this decision. Only investigators qualified by training and experience were selected as appropriate experts to investigate the study drug.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    12 Aug 2011
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    6 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 25
    Country: Number of subjects enrolled
    Canada: 10
    Country: Number of subjects enrolled
    France: 42
    Country: Number of subjects enrolled
    Spain: 11
    Country: Number of subjects enrolled
    United Kingdom: 3
    Country: Number of subjects enrolled
    Germany: 37
    Country: Number of subjects enrolled
    Poland: 23
    Country: Number of subjects enrolled
    Philippines: 60
    Country: Number of subjects enrolled
    Mexico: 30
    Country: Number of subjects enrolled
    Argentina: 40
    Country: Number of subjects enrolled
    Russian Federation: 33
    Country: Number of subjects enrolled
    Chile: 22
    Country: Number of subjects enrolled
    Czech Republic: 20
    Country: Number of subjects enrolled
    Korea, Democratic People's Republic of: 32
    Country: Number of subjects enrolled
    Japan: 64
    Worldwide total number of subjects
    452
    EEA total number of subjects
    136
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    397
    From 65 to 84 years
    55
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 689 participants were screened out of which 452 participants were randomized into this study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo, Q2W - Cohort 1
    Arm description
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo Q2W
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.

    Arm title
    Tralokinumab 300 mg, Q2W - Cohort 1
    Arm description
    Participants received tralokinumab 300 milligram (mg) subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Tralokinumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Participants received tralokinumab 300 milligram (mg) subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.

    Arm title
    Placebo, Q2/4W - Cohort 2
    Arm description
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo, Q2/4W
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.

    Arm title
    Tralokinumab 300 mg, Q2/4W - Cohort 2
    Arm description
    Participants received tralokinumab 300 mg subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.
    Arm type
    Experimental

    Investigational medicinal product name
    Tralokinumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Participants received tralokinumab 300 mg subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.

    Number of subjects in period 1
    Placebo, Q2W - Cohort 1 Tralokinumab 300 mg, Q2W - Cohort 1 Placebo, Q2/4W - Cohort 2 Tralokinumab 300 mg, Q2/4W - Cohort 2
    Started
    76
    150
    75
    151
    Completed
    67
    135
    67
    129
    Not completed
    9
    15
    8
    22
         Adverse event, serious fatal
    -
    -
    -
    2
         Consent withdrawn by subject
    7
    10
    7
    13
         Unspecified
    2
    5
    1
    6
         Lost to follow-up
    -
    -
    -
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo, Q2W - Cohort 1
    Reporting group description
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.

    Reporting group title
    Tralokinumab 300 mg, Q2W - Cohort 1
    Reporting group description
    Participants received tralokinumab 300 milligram (mg) subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.

    Reporting group title
    Placebo, Q2/4W - Cohort 2
    Reporting group description
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.

    Reporting group title
    Tralokinumab 300 mg, Q2/4W - Cohort 2
    Reporting group description
    Participants received tralokinumab 300 mg subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.

    Reporting group values
    Placebo, Q2W - Cohort 1 Tralokinumab 300 mg, Q2W - Cohort 1 Placebo, Q2/4W - Cohort 2 Tralokinumab 300 mg, Q2/4W - Cohort 2 Total
    Number of subjects
    76 150 75 151 452
    Age categorical
    Units: Subjects
    Age Continuous |
    Units: years
        arithmetic mean (standard deviation)
    48.8 ( 12.1 ) 49.7 ( 12.2 ) 51.7 ( 13.6 ) 50.5 ( 11.8 ) -
    Gender, Male/Female
    Units: participants
        Female
    51 100 46 100 297
        Male
    25 50 29 51 155

    End points

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    End points reporting groups
    Reporting group title
    Placebo, Q2W - Cohort 1
    Reporting group description
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.

    Reporting group title
    Tralokinumab 300 mg, Q2W - Cohort 1
    Reporting group description
    Participants received tralokinumab 300 milligram (mg) subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks.

    Reporting group title
    Placebo, Q2/4W - Cohort 2
    Reporting group description
    Participants received matching placebo subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.

    Reporting group title
    Tralokinumab 300 mg, Q2/4W - Cohort 2
    Reporting group description
    Participants received tralokinumab 300 mg subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for 38 weeks (Q2/4W) for a total of 16 doses.

    Subject analysis set title
    Placebo Total
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants who received matching placebo subcutaneous injection every 2 weeks (Q2W) for a total of 26 doses up to 50 weeks, and participants who received matching placebo subcutaneous injection every 2 weeks (Q2W) for 12 weeks followed by every 4 weeks (Q4W) for a total of 16 doses up to 38 weeks.

    Subject analysis set title
    Intent-to-treat (ITT) population
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    The ITT population included all participants who were randomized into the study.

    Primary: Annual Asthma Exacerbation Rate (AER)

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    End point title
    Annual Asthma Exacerbation Rate (AER) [1]
    End point description
    The annual asthma exacerbation rate (AER) in participants, was calculated as the total number of observed exacerbations in each group up to week 53, divided by total duration of person-year follow-up in each group. An asthma exacerbation defined as a progressive increase of asthma symptoms (cough, wheeze, chest tightness, and/or shortness of breath) that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids (tablets, suspension or injection) or increase of a stable systemic maintenance dose for a duration of at least 3 days as prescribed or administered by the investigator or healthcare provider; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 days. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The intent-to-treat (ITT) population included all participants who were randomized into the study.
    End point type
    Primary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: AER events/person-year
        number (confidence interval 95%)
    0.91 (0.76 to 1.08)
    0.97 (0.81 to 1.14)
    0.9 (0.75 to 1.08)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The 95 percent (%) confidence interval (CI) for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 versus [vs] more than [>] 2 but less than or equal to [=<] 6), atopic asthma status (atopic/non-atopic), chronic oral corticosteroid (OCS) use (presence vs absence) and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.709
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.94
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.67
         upper limit
    1.31
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs > 2 but =< 6), atopic asthma status (atopic/non-atopic), chronic OCS use (presence vs absence) and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.904
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.02
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.71
         upper limit
    1.46

    Secondary: Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 53

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    End point title
    Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 53 [2]
    End point description
    Pre- and post-bronchodilator FEV1 at clinic visits (morning) were measured. FEV1 was the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: liters
    arithmetic mean (standard error)
        Pre-bronchodilator: Baseline (n=147,146,146)
    1.922 ( 0.056 )
    1.934 ( 0.059 )
    1.926 ( 0.05 )
        Post-bronchodilator: Baseline (n=147,141,146)
    2.094 ( 0.061 )
    2.11 ( 0.061 )
    2.153 ( 0.053 )
        Pre-bronchodilator: Week 53 (n=125,130,122)
    0.128 ( 0.032 )
    0.032 ( 0.026 )
    0.018 ( 0.035 )
        Post-bronchodilator: Week 53 (n=125,126,120)
    0.085 ( 0.029 )
    -0.009 ( 0.025 )
    -0.058 ( 0.027 )
    No statistical analyses for this end point

    Secondary: Mean Change From Baseline in Forced Expiratory Volume in 6 Second (FEV6) at Week 53

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    End point title
    Mean Change From Baseline in Forced Expiratory Volume in 6 Second (FEV6) at Week 53 [3]
    End point description
    Pre- and post-bronchodilator FEV6 at clinic visits (morning) were measured. FEV6 was the maximal volume of air exhaled in the six second of a forced expiration from a position of full inspiration. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: liters
    arithmetic mean (standard error)
        Pre-bronchodilator: Baseline (n=147,146,146)
    2.809 ( 0.072 )
    2.827 ( 0.074 )
    2.83 ( 0.064 )
        Post-bronchodilator: Baseline (n=147,141,146)
    2.981 ( 0.075 )
    2.98 ( 0.076 )
    3.055 ( 0.067 )
        Pre-bronchodilator: Week 53 (n=125,130,122)
    0.117 ( 0.037 )
    0.003 ( 0.031 )
    0.007 ( 0.036 )
        Post-bronchodilator: Week 53 (n=125,126,120)
    0.06 ( 0.033 )
    -0.024 ( 0.029 )
    -0.057 ( 0.03 )
    No statistical analyses for this end point

    Secondary: Mean Change From Baseline in Forced Vital Capacity (FVC) at Week 53

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    End point title
    Mean Change From Baseline in Forced Vital Capacity (FVC) at Week 53 [4]
    End point description
    Pre- and post-bronchodilator FVC at clinic visits (morning) were measured. FVC was the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: liters
    arithmetic mean (standard error)
        Pre-bronchodilator: Baseline (n=147,146,146)
    2.955 ( 0.075 )
    2.993 ( 0.079 )
    3.003 ( 0.069 )
        Post-bronchodilator: Baseline (n=147,141,146)
    3.133 ( 0.078 )
    3.125 ( 0.08 )
    3.225 ( 0.072 )
        Pre-bronchodilator: Week 53 (n=125,130,122)
    0.11 ( 0.042 )
    -0.018 ( 0.032 )
    -0.001 ( 0.039 )
        Post-bronchodilator: Week 53 (n=125,126,120)
    0.045 ( 0.034 )
    -0.03 ( 0.031 )
    -0.071 ( 0.032 )
    No statistical analyses for this end point

    Secondary: Mean Change From Baseline in Ratio of Forced Expiratory Volume in 1 Second (FEV1)/Forced Vital Capacity (FVC) at Week 53

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    End point title
    Mean Change From Baseline in Ratio of Forced Expiratory Volume in 1 Second (FEV1)/Forced Vital Capacity (FVC) at Week 53 [5]
    End point description
    Pre- and post-bronchodilator FEV1 and FVC at clinic visits (morning) were measured. FEV1 was the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration. FVC was the volume of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Ratio of FEV1/FVC was analysed. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: percentage of ratio
    arithmetic mean (standard error)
        Pre-bronchodilator: Baseline (n=147,146,146)
    65.071 ( 1.013 )
    65.008 ( 1.009 )
    64.508 ( 0.986 )
        Post-bronchodilator: Baseline (n=147,141,146)
    66.831 ( 1.056 )
    67.883 ( 1.01 )
    67.152 ( 0.997 )
        Pre-bronchodilator: Week 53 (n=125,130,122)
    1.695 ( 0.517 )
    1.155 ( 0.527 )
    0.32 ( 0.685 )
        Post-bronchodilator: Week 53 (n=125,126,120)
    1.593 ( 0.563 )
    0.032 ( 0.484 )
    -0.512 ( 0.513 )
    No statistical analyses for this end point

    Secondary: Mean Change From Baseline in Inspiratory Capacity (IC) at Week 53

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    End point title
    Mean Change From Baseline in Inspiratory Capacity (IC) at Week 53 [6]
    End point description
    Pre- and post-bronchodilator IC at clinic visits (morning) were measured. IC was measured by spirometry. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: liters
    arithmetic mean (standard error)
        Pre-bronchodilator: Baseline (n=140,138,143)
    0.023 ( 0.001 )
    0.023 ( 0.001 )
    0.022 ( 0.001 )
        Post-bronchodilator: Baseline (n=140,133,135)
    0.024 ( 0.001 )
    0.024 ( 0.001 )
    0.024 ( 0.001 )
        Pre-bronchodilator: Week 53 (n=108,109,103)
    0 ( 0 )
    0.001 ( 0.001 )
    0.001 ( 0.001 )
        Post-bronchodilator: Week 53 (n=108,109,104)
    0.001 ( 0.001 )
    0 ( 0.001 )
    0 ( 0.001 )
    No statistical analyses for this end point

    Secondary: Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 53 at Home

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    End point title
    Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 53 at Home [7]
    End point description
    Pre- and post-bronchodilator FEV1 at home (morning and evening) were measured. FEV1 was the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Day 1 - Day 7 (Baseline) and Day 365 - Day 371 (Week 53)
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: liters
    arithmetic mean (standard error)
        Day 1-7: Morning (n=151,149,149)
    1.61 ( 0.05 )
    1.66 ( 0.05 )
    1.63 ( 0.05 )
        Change at Day 365-371: Morning (n=124,119,114)
    0.01 ( 0.04 )
    -0.07 ( 0.06 )
    -0.12 ( 0.06 )
        Day 1-7: Evening (n=149,147,148)
    1.68 ( 0.05 )
    1.65 ( 0.05 )
    1.61 ( 0.05 )
        Change at Day 365-371: Evening (n=120,116,112)
    -0.08 ( 0.05 )
    -0.12 ( 0.05 )
    -0.08 ( 0.05 )
    No statistical analyses for this end point

    Secondary: Mean Change From Baseline in Peak Expiratory Flow (PEF) at Week 53 at Home

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    End point title
    Mean Change From Baseline in Peak Expiratory Flow (PEF) at Week 53 at Home [8]
    End point description
    The PEF is a participant’s maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at home (morning and evening) while sitting or standing prior to using any medication (if needed) for asthma. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Day 1 - Day 7 (Baseline) and Day 365 - Day 371 (Week 53)
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: liters per minute
    arithmetic mean (standard error)
        Day 1-7: Morning (n=151,149,149)
    271 ( 9.7 )
    281.2 ( 9.9 )
    273.7 ( 8.7 )
        Change at Day 365-371: Morning (n=124,119,114)
    -8 ( 7.9 )
    -24 ( 9.6 )
    -23.1 ( 8.8 )
        Day 1-7: Evening (n=149,147,148)
    287.6 ( 9.9 )
    283.8 ( 10 )
    276 ( 8.9 )
        Change at Day 365-371: Evening (n=120,116,112)
    -27 ( 8.2 )
    -36.5 ( 8.8 )
    -16.4 ( 8.7 )
    No statistical analyses for this end point

    Secondary: Change from Baseline in Mean Asthma Control Questionnaire (6-items) (ACQ-6) Score at Week 53

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    End point title
    Change from Baseline in Mean Asthma Control Questionnaire (6-items) (ACQ-6) Score at Week 53 [9]
    End point description
    Asthma Control Questionnaire (ACQ) is a participant-reported questionnaire to assess the asthma control with 6 items assessing night-time waking, symptoms on waking, activity limitation, shortness of breath, wheeze, and rescue short-acting beta agonist use. Each item was rated on a 7-point Likert scale ranging from 0 (no impairment) to 6 (maximum impairment). Overall ACQ score was the mean of the 6 item scores with a score range of 0 (well controlled) to 6 (extremely poor controlled). Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Results were reported for overall ACQ score. Data was summarized together for placebo arm groups. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: units on a scale
    arithmetic mean (standard error)
        Baseline (n=149,147,148)
    2.59 ( 0.09 )
    2.54 ( 0.08 )
    2.52 ( 0.07 )
        Change at Week 53 (n=118,115,112)
    -1.02 ( 0.1 )
    -0.93 ( 0.11 )
    -0.82 ( 0.1 )
    No statistical analyses for this end point

    Secondary: Change from Baseline in Asthma Quality of Life Questionnaire Standardized Version (AQLQ[S]) Score at Week 53

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    End point title
    Change from Baseline in Asthma Quality of Life Questionnaire Standardized Version (AQLQ[S]) Score at Week 53 [10]
    End point description
    AQLQ: a 32-item questionnaire evaluating quality of life of participants with asthma including 4 domains (symptoms, activity limitations, emotional function, and environmental stimuli). Participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score was calculated as the mean response to all questions. The 4 domain scores were the means of the responses to the questions in each of the domains. Overall AQLQ score and 4 domain scores ranged from 7 (no impairment) to 1 (severe impairment). Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: units on a scale
    arithmetic mean (standard error)
        Baseline: Overall (n=147,142,141)
    3.98 ( 0.09 )
    4.08 ( 0.09 )
    4.05 ( 0.09 )
        Week 53: Overall (n=107,109,101)
    1.04 ( 0.1 )
    1 ( 0.12 )
    0.85 ( 0.1 )
        Baseline: Symptoms (n=147,142,141)
    4.03 ( 0.09 )
    4.13 ( 0.09 )
    4.1 ( 0.09 )
        Week 53: Symptoms (n=107,109,101)
    1.14 ( 0.12 )
    1.05 ( 0.13 )
    0.85 ( 0.11 )
        Baseline: Activity limitation (n=147,142,141)
    4.04 ( 0.09 )
    4.13 ( 0.09 )
    4.04 ( 0.08 )
        Week 53: Activity limitation (n=107,109,101)
    0.96 ( 0.1 )
    0.93 ( 0.12 )
    0.81 ( 0.1 )
        Baseline: Emotional Function (n=147,142,141)
    3.91 ( 0.12 )
    4.02 ( 0.11 )
    4.14 ( 0.12 )
        Week 53: Emotional Function (n=107,109,101)
    1.1 ( 0.12 )
    1.09 ( 0.15 )
    0.89 ( 0.12 )
        Baseline: Environmental stimuli (n=147,142,141)
    3.76 ( 0.12 )
    3.89 ( 0.12 )
    3.8 ( 0.11 )
        Week 53: Environmental stimuli (n=107,109,101)
    0.86 ( 0.14 )
    0.97 ( 0.14 )
    0.88 ( 0.13 )
    No statistical analyses for this end point

    Secondary: Number of Participants With European Quality of Life 5 Dimensions (EQ-5D) Scores at Week 53

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    End point title
    Number of Participants With European Quality of Life 5 Dimensions (EQ-5D) Scores at Week 53 [11]
    End point description
    The utility-based EQ-5D questionnaire comprises of two parts and provides a generic measure of health for clinical and economic appraisal. The health state valuation was the summary score of mobility, self-care, usual activities, pain/discomfort and anxiety/depression on a 3 category scale (no problem, moderate problem, severe problems). The minimum possible value is 5 (one point for each dimension) and the maximum possible values is 15 (3 points for each dimension). Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study.
    End point type
    Secondary
    End point timeframe
    Week 53
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: participants
        Mobility - No problem
    118
    106
    107
        Mobility - Moderate problem
    18
    23
    26
        Mobility - Severe Problem
    0
    1
    1
        Mobility - Missing
    14
    21
    17
        Self-care - No Problem
    127
    122
    122
        Self-care - Moderate Problem
    9
    7
    12
        Self-care - Severe Problem
    0
    1
    0
        Self-care - Missing
    14
    21
    17
        Usual activities - No Problem
    106
    100
    89
        Usual activities - Moderate Problem
    30
    30
    43
        Usual activities - Severe Problem
    0
    0
    2
        Usual activities - Missing
    14
    21
    17
        Pain/discomfort - No problem
    100
    77
    84
        Pain/discomfort - Moderate problem
    34
    51
    46
        Pain/discomfort - Severe problem
    2
    2
    4
        Pain/discomfort - Missing
    14
    21
    17
        Anxiety/depression - No problem
    101
    101
    102
        Anxiety/depression - Moderate problem
    34
    29
    29
        Anxiety/depression - Severe problem
    1
    0
    3
        Anxiety/depression - Missing
    14
    21
    17
    No statistical analyses for this end point

    Secondary: Change From Baseline in European Quality of Life 5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Week 53

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    End point title
    Change From Baseline in European Quality of Life 5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Week 53 [12]
    End point description
    The utility-based EQ-5D questionnaire comprises of two parts and provides a generic measure of health for clinical and economic appraisal. The EQ-5D VAS was measured from 0 (worst imaginable health state) to 100 (best imaginable health state). Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 53
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    136 [13]
    127 [14]
    130 [15]
    Units: units on a scale
        arithmetic mean (standard error)
    9.3 ( 1.9 )
    7.3 ( 1.8 )
    8.4 ( 1.6 )
    Notes
    [13] - ITT population with evaluable participants for this endpoint for the specified time-point.
    [14] - ITT population with evaluable participants for this endpoint for the specified time-point.
    [15] - ITT population with evaluable participants for this endpoint for the specified time-point.
    No statistical analyses for this end point

    Secondary: Change From Baseline in Assessing Symptoms of Moderate-to-severe Asthma (ASMA) at Week 53

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    End point title
    Change From Baseline in Assessing Symptoms of Moderate-to-severe Asthma (ASMA) at Week 53 [16]
    End point description
    There were 3 symptom questions in the ASMA diary: daytime frequency (question 1), daytime severity (question 2) and nighttime severity (question 6). All symptom questions were scored from 0 to 4 averaged, where a higher score indicated greater frequency or severity. Asthma symptom scores were averaged weekly for participants with at least 4 non-missing records each week. The baseline score was calculated from Day -7 to Day -1. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline (Day -7 – Day -1) and Week 53 (Day 365 – Day 371)
    Notes
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: units on a scale
    arithmetic mean (standard deviation)
        Day -7 - Day -1 (Baseline) (n=151,147,145)
    1.49 ( 0.77 )
    1.56 ( 0.69 )
    1.6 ( 0.71 )
        Change at Day 365 - Day 371 (n=113,108,108)
    -0.42 ( 0.73 )
    -0.49 ( 0.78 )
    -0.43 ( 0.75 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Rescue Medication use at Week 53

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    End point title
    Change From Baseline in Rescue Medication use at Week 53 [17]
    End point description
    Rescue medication use was collected from 3 questions: daytime use in response to symptoms (question 3), daytime prophylactic use (question 4) and nighttime use (question 7). Rescue medication use questions were first assessed using a dichotomous response option (YES/NO). If the participants reported YES, there was a subsequent question about the number of times rescue medication was used (questions 3a, 4a, and 7a). Daily average scores were summarized each week for all participants with at least 4 non-missing records each week. Days with no reported rescue medication use were represented as 0 and included in the calculation with participants who reported yes and completed questions 3a, 4a and 7a. The baseline scores were calculated from Day -7 to Day -1. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline (Day -7 – Day -1) and Week 53 (Day 365 – Day 371)
    Notes
    [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [18]
    151 [19]
    151 [20]
    Units: use per day
    arithmetic mean (standard deviation)
        Day -7 - Day -1 (Baseline) (n=151,147,145)
    2.77 ( 3.78 )
    2.38 ( 2.58 )
    2.56 ( 2.73 )
        Change at Day 365 - Day 371 (n=113,108,108)
    -0.77 ( 2.59 )
    -1.02 ( 2.3 )
    -0.86 ( 2.2 )
    Notes
    [18] - ITT population
    [19] - ITT population
    [20] - ITT population
    No statistical analyses for this end point

    Secondary: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (TESAEs)

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    End point title
    Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (TESAEs) [21]
    End point description
    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between administration of study drug and up to Week 75 that were absent before treatment or that worsened relative to pre-treatment state. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The safety population included all participants who received any investigational product and had safety data available for analysis.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 75
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: participants
        TEAEs
    134
    128
    129
        TESAEs
    18
    25
    21
    No statistical analyses for this end point

    Secondary: Observed Serum Tralokinumab Concentration at Week 53

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    End point title
    Observed Serum Tralokinumab Concentration at Week 53 [22]
    End point description
    Tralokinumab concentrations that were below limit of quantification (LOQ) of the pharmacokinetic (PK) assay (LOQ = 0.500 microgram per milliliter [mcg/mL]) were replaced by LOQ/2 = 0.250 mcg/mL; results were reported to 3 significant figures level of precision. Observed serum tralokinumab concentration at Week 53 was reported. The PK population included all participants who received at least one dose of tralokinumab and had at least one quantifiable PK observation. Here "N" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 53
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2
    Number of subjects analysed
    136
    128
    Units: microgram per milliliter
        arithmetic mean (standard deviation)
    71.3 ( 34.2 )
    25.8 ( 11.8 )
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Anti-Drug Antibodies (ADA) to Tralokinumab

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    End point title
    Percentage of Participants with Anti-Drug Antibodies (ADA) to Tralokinumab [23]
    End point description
    Immunogenicity assessment included determination of anti-drug (tralokinumab) antibodies in serum samples. ADA positive was defined as a titer greater than or equal to (>=13) at any point in the study. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The PK population included all participants who received at least one dose of tralokinumab and had at least one quantifiable PK observation. Here "N" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 75
    Notes
    [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: percentage of participants
    number (not applicable)
        Baseline (Week 1) (n=151,150,151)
    0.67
    1.3
    1.3
        Week 75 (n=151,150,150)
    0
    4
    3.3
    No statistical analyses for this end point

    Secondary: Severe Annual Asthma Exacerbation Rate (AER)

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    End point title
    Severe Annual Asthma Exacerbation Rate (AER) [24]
    End point description
    Severe annualized AER was assessed based on AER data up to Week 53. Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed or administered by the investigator; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. An asthma exacerbation event was considered resolved 7 days after the last dose of oral corticosteroids is administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [25]
    151 [26]
    151 [27]
    Units: AER events/person-year
        number (confidence interval 95%)
    0.11 (0.06 to 0.17)
    0.1 (0.05 to 0.17)
    0.17 (0.1 to 0.25)
    Notes
    [25] - ITT population
    [26] - ITT population
    [27] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs >2 but =<6), atopic asthma status (atopic/non-atopic), chronic OCS use (presence vs absence) and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.293
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.62
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.26
         upper limit
    1.51
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs >2 but =<6), atopic asthma status (atopic/non-atopic), chronic OCS use (presence vs absence) and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.27
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.62
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.27
         upper limit
    1.44

    Secondary: Time to First Exacerbation Through Week 53

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    End point title
    Time to First Exacerbation Through Week 53 [28]
    End point description
    Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. In the below table, '99999' indicates the median and lower and upper limits of the 95% Confidence Interval were incalculable due to an insufficient number of events. The ITT population included all participants who were randomized into the study.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: days
        median (confidence interval 95%)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    Statistical analysis title
    Statistical analysis 1
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.257
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.81
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.57
         upper limit
    1.16
    Statistical analysis title
    Statistical analysis 2
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.225
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    1.15

    Secondary: Time to First Severe Exacerbation Through Week 53

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    End point title
    Time to First Severe Exacerbation Through Week 53 [29]
    End point description
    Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. In the below table, '99999' indicates the median and lower and upper limits of the 95% Confidence Interval were incalculable due to an insufficient number of events. The ITT population included all participants who were randomized into the study.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: days
        median (confidence interval 95%)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    Statistical analysis title
    Statistical analysis 1
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.538
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.79
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.37
         upper limit
    1.68
    Statistical analysis title
    Statistical analysis 2
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.561
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.37
         upper limit
    1.71

    Secondary: Annual Asthma Exacerbation Rate (AER) by Baseline Serum Periostin

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    End point title
    Annual Asthma Exacerbation Rate (AER) by Baseline Serum Periostin [30]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. AER was evaluated by subgroup baseline serum periostin >= or <median, >= or < 25th percentile and >= or < 75th percentile. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [31]
    151 [32]
    151 [33]
    Units: AER events/person-year
    number (confidence interval 95%)
        >= median (n=67,81,79)
    0.85 (0.65 to 1.08)
    1.27 (1.03 to 1.55)
    1.13 (0.88 to 1.43)
        < median (n=84,69,71)
    0.98 (0.76 to 1.25)
    0.63 (0.45 to 0.85)
    0.73 (0.55 to 0.95)
        >= 25th Percentile (n=105,115,119)
    0.84 (0.67 to 1.03)
    1.05 (0.87 to 1.25)
    0.94 (0.75 to 1.15)
        < 25th Percentile (n=46,35,31)
    1.14 (0.81 to 1.56)
    0.65 (0.38 to 1.05)
    0.83 (0.58 to 1.16)
        >= 75th Percentile (n=32,43,39)
    0.91 (0.65 to 1.25)
    2.03 (1.6 to 2.55)
    1.13 (0.76 to 1.6)
        < 75th Percentile (n=119,107,111)
    0.91 (0.73 to 1.11)
    0.6 (0.46 to 0.77)
    0.85 (0.69 to 1.04)
    Notes
    [31] - ITT population
    [32] - ITT population
    [33] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.19
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.73
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.46
         upper limit
    1.17
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.856
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.95
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    1.61
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.602
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.13
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.71
         upper limit
    1.81
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.703
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.55
         upper limit
    1.5
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    Baseline serum periostin >= 25th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.455
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.86
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.58
         upper limit
    1.28
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    Baseline serum periostin >= 25th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.929
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.02
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.66
         upper limit
    1.57
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    Baseline serum periostin < 25th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.507
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.63
         upper limit
    2.51
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    Baseline serum periostin < 25th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.805
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.44
         upper limit
    1.89
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    Baseline serum periostin >= 75th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.716
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.88
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.44
         upper limit
    1.75
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    Baseline serum periostin >= 75th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.328
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.51
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.66
         upper limit
    3.43
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    Baseline serum periostin < 75th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.804
    Method
    Poission regression
    Parameter type
    Rate Ratio
    Point estimate
    0.95
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.64
         upper limit
    1.41
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    Baseline serum periostin < 75th Percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.088
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.47
         upper limit
    1.05

    Secondary: Annual Asthma Exacerbation Rate (AER) by T-helper-2 (Th2) Status

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    End point title
    Annual Asthma Exacerbation Rate (AER) by T-helper-2 (Th2) Status [34]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. AER was evaluated by subgroup Th2 status. Th2-high included those participants who had immunoglobulin E (IgE) >100 international unit per milliliter (IU/mL) and blood eosinophils >= 0.14 * 10 power 9 per Liter. Th2 low would include those participants who do not meet Th2 high status. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [35]
    151 [36]
    151 [37]
    Units: AER events/person-year
    number (confidence interval 95%)
        Th2 high (n=70,74,67)
    0.94 (0.73 to 1.2)
    1.09 (0.85 to 1.39)
    0.96 (0.74 to 1.23)
        Th2 Low (n=73,61,72)
    0.88 (0.66 to 1.16)
    0.85 (0.64 to 1.11)
    0.9 (0.69 to 1.16)
    Notes
    [35] - ITT population
    [36] - ITT population
    [37] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.365
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    1.29
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.922
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.97
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    1.68
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Th2 Low
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.685
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.67
         upper limit
    1.84
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Th2 Low
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.813
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.06
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.66
         upper limit
    1.7

    Secondary: Annual Asthma Exacerbation Rate (AER) by Baseline Peripheral Blood Eosinophil Count

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    End point title
    Annual Asthma Exacerbation Rate (AER) by Baseline Peripheral Blood Eosinophil Count [38]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. AER evaluated by subgroups baseline peripheral blood eosinophil counts. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [39]
    151 [40]
    151 [41]
    Units: AER events/person-year
    number (confidence interval 95%)
        >= 150 cells/mcgL (n=95,104,92)
    0.84 (0.66 to 1.04)
    0.96 (0.77 to 1.19)
    0.95 (0.76 to 1.18)
        < 150 cells/mcgL (n=48,38,52)
    1.09 (0.78 to 1.48)
    0.95 (0.69 to 1.27)
    0.9 (0.64 to 1.22)
        >= 300 cells/mcgL (n=54,60,50)
    1.01 (0.76 to 1.31)
    1.56 (1.23 to 1.97)
    1 (0.74 to 1.32)
        < 300 cells/mcgL (n=89,82,94)
    0.83 (0.64 to 1.06)
    0.63 (0.47 to 0.82)
    0.89 (0.7 to 1.12)
    Notes
    [39] - ITT population
    [40] - ITT population
    [41] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline eosinophil count >=150 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.335
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.82
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    1.22
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline eosinophil count >=150 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.586
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.88
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.54
         upper limit
    1.41
    Statistical analysis title
    Statistical Analysis 3
    Statistical analysis description
    Baseline eosinophil count <150 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.331
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.36
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.73
         upper limit
    2.52
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline eosinophil count <150 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.311
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.41
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.73
         upper limit
    2.71
    Statistical analysis title
    statistical analysis 5
    Statistical analysis description
    Baseline eosinophil count >=300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.414
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.81
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.48
         upper limit
    1.35
    Statistical analysis title
    statistical analysis 6
    Statistical analysis description
    Baseline eosinophil count >=300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.463
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.68
         upper limit
    2.36
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    Baseline eosinophil count <300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.793
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.06
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.67
         upper limit
    1.68
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    Baseline eosinophil count <300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.264
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.77
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.49
         upper limit
    1.22

    Secondary: Annual Asthma Exacerbation Rate (AER) by Baseline FEV1 Reversibility

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    End point title
    Annual Asthma Exacerbation Rate (AER) by Baseline FEV1 Reversibility [42]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. AER evaluated by subgroup baseline FEV1 reversibility >=12% and <12%. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [42] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [43]
    151 [44]
    151 [45]
    Units: AER events/person-year
    number (confidence interval 95%)
        Reversibility >=12% (n=57,43,49)
    0.68 (0.45 to 0.99)
    1.08 (0.8 to 1.42)
    0.88 (0.65 to 1.18)
        Reversibility <12% (n=91,101,97)
    0.99 (0.8 to 1.21)
    0.9 (0.71 to 1.12)
    0.93 (0.73 to 1.16)
    Notes
    [43] - ITT population
    [44] - ITT population
    [45] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline FEV1 reversibility >=12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.245
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.66
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.33
         upper limit
    1.32
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline FEV1 reversibility >=12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.438
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.76
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.37
         upper limit
    1.54
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline FEV1 reversibility <12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.947
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.66
         upper limit
    1.57
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline FEV1 reversibility <12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.916
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.97
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.59
         upper limit
    1.59

    Secondary: Annual Asthma Exacerbation Rate (AER) by Baseline FEV1% Predicted

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    End point title
    Annual Asthma Exacerbation Rate (AER) by Baseline FEV1% Predicted [46]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. AER was evaluated by subgroup baseline FEV1% predicaed. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [47]
    151 [48]
    151 [49]
    Units: AER events/person-year
    number (confidence interval 95%)
        FEV1% Predicted <=60% (n=49,45,56)
    0.95 (0.68 to 1.29)
    1.67 (1.34 to 2.07)
    1.05 (0.77 to 1.4)
        FEV1% Predicted <=80% (n=119,109,105)
    0.88 (0.71 to 1.08)
    1.13 (0.93 to 1.36)
    0.93 (0.76 to 1.13)
    Notes
    [47] - ITT population
    [48] - ITT population
    [49] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline FEV1% predicted <=60%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.723
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.52
         upper limit
    1.56
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline FEV1% predicted <=60%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.852
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.06
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.6
         upper limit
    1.86
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline FEV1% predicted <=80%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.409
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.86
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.6
         upper limit
    1.23
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline FEV1% predicted <=80%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.744
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.72
         upper limit
    1.58

    Secondary: Annual Asthma Exacerbation Rate (AER) by Asthma Exacerbations in the Past Year

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    End point title
    Annual Asthma Exacerbation Rate (AER) by Asthma Exacerbations in the Past Year [50]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. AER evaluated by subgroup as asthma exacerbations in the past year. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure at specified time points.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [50] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [51]
    151 [52]
    151 [53]
    Units: AER events/person-year
    number (confidence interval 95%)
        2 asthma exacerbations (n=97,96,95)
    0.61 (0.45 to 0.79)
    0.45 (0.32 to 0.61)
    0.62 (0.47 to 0.81)
        > 2 but < 6 asthma exacerbations (n=54,54,56)
    1.42 (1.12 to 1.78)
    1.88 (1.52 to 2.3)
    1.44 (1.12 to 1.82)
    Notes
    [51] - ITT population
    [52] - ITT population
    [53] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.802
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.94
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.58
         upper limit
    1.52
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.05
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.36
         upper limit
    1
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.792
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.93
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    1.56
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.231
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.39
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.81
         upper limit
    2.38

    Secondary: Severe Asthma Exacerbation Rate (AER) by Baseline Serum Periostin

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    End point title
    Severe Asthma Exacerbation Rate (AER) by Baseline Serum Periostin [54]
    End point description
    Severe AER was assessed based on AER data up to Week 53. Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. Severe AER evaluated by subgroup baseline serum periostin. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [54] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [55]
    151 [56]
    151 [57]
    Units: AER events/person-year
    number (confidence interval 95%)
        >= median (n=67,81,79)
    0.08 (0.03 to 0.17)
    0.12 (0.06 to 0.23)
    0.25 (0.14 to 0.4)
        < median (n=84,69,71)
    0.14 (0.06 to 0.26)
    0.08 (0.03 to 0.18)
    0.1 (0.04 to 0.2)
    Notes
    [55] - ITT population
    [56] - ITT population
    [57] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline Serum Periostin >=Median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.046
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.25
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.06
         upper limit
    0.98
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline Serum Periostin >=Median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.197
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.47
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.15
         upper limit
    1.48
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline Serum Periostin < Median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.708
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.18
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    2.79
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline Serum Periostin < Median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.594
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.31
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.48
         upper limit
    3.57

    Secondary: Severe Asthma Exacerbation Rate (AER) by Baseline FEV1 Reversibility

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    End point title
    Severe Asthma Exacerbation Rate (AER) by Baseline FEV1 Reversibility [58]
    End point description
    Severe AER was assessed based on AER data up to Week 53. Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS administered (10 days after an injectable corticosteroid). Courses of corticosteroids initiated after this time period were considered a separate new asthma exacerbation. Severe AER was evaluated by subgroup FEV1 reversibility. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [58] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [59]
    151 [60]
    151 [61]
    Units: AER events/person-year
    number (confidence interval 95%)
        Reversibility >=12% (n=57,43,49)
    0.13 (0.04 to 0.29)
    0.13 (0.05 to 0.28)
    0.11 (0.04 to 0.25)
        Reversibility <12% (n=91,101,97)
    0.1 (0.05 to 0.19)
    0.09 (0.04 to 0.18)
    0.2 (0.12 to 0.32)
    Notes
    [59] - ITT population
    [60] - ITT population
    [61] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline FEV1 reversibility >=12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.975
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.03
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.14
         upper limit
    7.67
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline FEV1 reversibility >=12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.473
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    1.66
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.41
         upper limit
    6.67
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline FEV1 reversibility <12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.099
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.49
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.21
         upper limit
    1.14
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline FEV1 reversibility <12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.148
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.42
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.13
         upper limit
    1.36

    Secondary: Severe Asthma Exacerbation Rate (AER) by T-helper-2 (Th2) Status

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    End point title
    Severe Asthma Exacerbation Rate (AER) by T-helper-2 (Th2) Status [62]
    End point description
    Severe AER was assessed based on AER data up to Week 53. An asthma exacerbation is a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 days. It was considered resolved 7 days after last dose of OCS (10 days after injectable corticosteroid). Corticosteroids initiated after this time period were considered separate new asthma exacerbation. Severe AER was evaluated by subgroup Th2 status. Th2-high include who had IgE >100 IU/mL and blood eosinophils >=0.14*10^9/L. Th2 low would include who do not meet Th2 high status. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [62] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [63]
    151 [64]
    151 [65]
    Units: AER events/person-year
    number (confidence interval 95%)
        Th2 high (n=70,74,67)
    0.12 (0.05 to 0.23)
    0.06 (0.02 to 0.16)
    0.12 (0.05 to 0.24)
        Th2 Low (n=73,61,72)
    0.05 (0.01 to 0.15)
    0.12 (0.05 to 0.24)
    0.21 (0.11 to 0.35)
    Notes
    [63] - ITT population
    [64] - ITT population
    [65] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.698
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.82
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.31
         upper limit
    2.19
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.299
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.55
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.18
         upper limit
    1.7
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Th2 Low
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.105
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.25
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.05
         upper limit
    1.34
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Th2 Low
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.576
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.2
         upper limit
    2.47

    Secondary: Severe Asthma Exacerbation Rate (AER) by Baseline Peripheral Blood Eosinophil Count

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    End point title
    Severe Asthma Exacerbation Rate (AER) by Baseline Peripheral Blood Eosinophil Count [66]
    End point description
    Severe AER was assessed based on AER data up to Week 53. Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. It was considered resolved 7 days after the last dose of OCS (10 days after an injectable corticosteroid). Corticosteroids initiated after this time period were considered a separate new asthma exacerbation. Severe AER was evaluated by subgroup baseline peripheral blood eosinophil count. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. Here "n" signifies evaluable participants for this measure.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [66] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150 [67]
    151 [68]
    151 [69]
    Units: AER events/person-year
    number (confidence interval 95%)
        >= 300 cells/mcgL (n=54,60,50)
    0.16 (0.07 to 0.31)
    0.15 (0.06 to 0.31)
    0.22 (0.11 to 0.4)
        < 300 cells/mcgL (n=89,82,94)
    0.08 (0.03 to 0.16)
    0.08 (0.03 to 0.17)
    0.13 (0.07 to 0.24)
    Notes
    [67] - ITT population
    [68] - ITT population
    [69] - ITT population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline eosinophil count >=300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.133
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.48
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.19
         upper limit
    1.25
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline eosinophil count >=300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.241
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.46
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.13
         upper limit
    1.67
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline eosinophil count <300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.51
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.59
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.12
         upper limit
    2.84
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline eosinophil count <300 cells/mcgL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.661
    Method
    Poisson regression
    Parameter type
    Rate Ratio
    Point estimate
    0.74
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.19
         upper limit
    2.85

    Secondary: Percent Change from Baseline in Prebronchodilator FEV1 at Week 53 in Subgroups

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    End point title
    Percent Change from Baseline in Prebronchodilator FEV1 at Week 53 in Subgroups [70]
    End point description
    Prebronchodilator FEV1 was evaluated by subgroups. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [70] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: Percent change
    arithmetic mean (standard error)
        Baseline SP >=median (n=54,71,65)
    10.48 ( 3.01 )
    4.36 ( 2.25 )
    4.17 ( 2.75 )
        Baseline SP <median (n=71,59,56)
    7.46 ( 3 )
    1.3 ( 2.12 )
    1.23 ( 2.82 )
        Baseline SP >=25th Percentile (n=88,102,100)
    10.4 ( 2.43 )
    2.31 ( 1.66 )
    4.1 ( 2.29 )
        Baseline SP <25th Percentile (n=37,28,21)
    4.4 ( 4.39 )
    5.99 ( 4.22 )
    -1.29 ( 3.92 )
        Baseline SP >=75th Percentile (n=25,40,32)
    11.05 ( 4.67 )
    2.97 ( 3.33 )
    2.32 ( 4.07 )
        Baseline SP <75th Percentile (n=100,90,89)
    8.25 ( 2.29 )
    2.94 ( 1.75 )
    2.55 ( 2.28 )
        Th2 high (n=63,62,57)
    11.62 ( 3.23 )
    4.52 ( 2.39 )
    2.1 ( 2.62 )
        Th2 low (n=57,55,55)
    3.87 ( 2.5 )
    0.13 ( 1.72 )
    1.9 ( 3.09 )
        Baseline PBEC >=150 cells/mcgL (n=81,89,75)
    10.97 ( 2.71 )
    4.67 ( 2.17 )
    1.98 ( 2.32 )
        Baseline PBEC <150 cells/mcgL (n=39,34,40)
    5.75 ( 3.75 )
    -0.4 ( 2 )
    2.05 ( 3.89 )
        Baseline PBEC >=300 cells/mcgL (n=45,51,39)
    14.04 ( 3.88 )
    4.65 ( 2.9 )
    0.59 ( 2.88 )
        Baseline PBEC <300 cells/mcgL (n=75,72,76)
    6.33 ( 2.57 )
    2.01 ( 1.89 )
    2.85 ( 2.71 )
        Baseline FEV1 reversibility >=12% (n=49,36,41)
    22.78 ( 5.2 )
    11.8 ( 3.48 )
    11.02 ( 3.85 )
        Baseline FEV1 reversibility <12% (n=76,92,80)
    3.98 ( 1.97 )
    -1.66 ( 1.28 )
    -2.99 ( 1.9 )
        2 asthma exacerbations (n=84,81,82)
    8.99 ( 2.41 )
    3.57 ( 2.04 )
    0.76 ( 2.16 )
        > 2 but < 6 asthma exacerbations (n=41,49,40)
    9.32 ( 4.05 )
    1.63 ( 2.17 )
    6.08 ( 4.12 )
        Chronic OCS use (n=20,21,16)
    6.96 ( 6.56 )
    -0.48 ( 5.31 )
    3.44 ( 5.82 )
        Without chronic OCS use (n=105,109,106)
    9.52 ( 2.22 )
    3.45 ( 1.59 )
    2.32 ( 2.1 )
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.057
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    6.79
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.21
         upper limit
    13.79
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.874
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.57
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.54
         upper limit
    7.68
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.028
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    7.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.8
         upper limit
    13.95
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.745
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    1.09
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.48
         upper limit
    7.66
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    Baseline serum periostin >= 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.011
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    7.12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.66
         upper limit
    12.58
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    Baseline serum periostin >= 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.863
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.48
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.93
         upper limit
    4.97
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    Baseline serum periostin < 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.221
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    6.24
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.8
         upper limit
    16.27
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    Baseline serum periostin < 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.108
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    8.58
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.91
         upper limit
    19.07
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    Baseline serum periostin >= 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.09
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    9.89
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.57
         upper limit
    21.35
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    Baseline serum periostin >= 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.908
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -11.19
         upper limit
    12.59
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    Baseline serum periostin < 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.013
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    6.52
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.41
         upper limit
    11.64
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    Baseline serum periostin < 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.635
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    1.23
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.84
         upper limit
    6.29
    Statistical analysis title
    Statistical analysis 13
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.014
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    8.89
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.84
         upper limit
    15.94
    Statistical analysis title
    Statistical analysis 14
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.28
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    3.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.19
         upper limit
    11.02
    Statistical analysis title
    Statistical analysis 15
    Statistical analysis description
    Th2 low
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.292
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    3.22
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.78
         upper limit
    9.22
    Statistical analysis title
    Statistical analysis 16
    Statistical analysis description
    Th2 low
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.691
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -1.18
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.99
         upper limit
    4.64
    Statistical analysis title
    Statistical analysis 17
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.004
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    8.83
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.85
         upper limit
    14.81
    Statistical analysis title
    Statistical analysis 18
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.177
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    4.25
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.92
         upper limit
    10.43
    Statistical analysis title
    Statistical analysis 19
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.159
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    6.05
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.39
         upper limit
    14.5
    Statistical analysis title
    Statistical analysis 20
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.857
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.72
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -8.63
         upper limit
    7.18
    Statistical analysis title
    Statistical analysis 21
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.002
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    13.75
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    5.28
         upper limit
    22.22
    Statistical analysis title
    Statistical analysis 22
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.243
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    5.23
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.56
         upper limit
    14.02
    Statistical analysis title
    Statistical analysis 23
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.144
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    4.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.5
         upper limit
    10.24
    Statistical analysis title
    Statistical analysis 24
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 300 cells/μ
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.804
    Method
    Baseline peripheral blood eosinophil cou
    Parameter type
    Difference of LS-mean
    Point estimate
    0.72
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.01
         upper limit
    6.46
    Statistical analysis title
    Statistical analysis 25
    Statistical analysis description
    Baseline FEV1 reversibility >= 12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.029
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    11.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.15
         upper limit
    21.23
    Statistical analysis title
    Statistical analysis 26
    Statistical analysis description
    Baseline FEV1 reversibility >= 12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.887
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.72
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.19
         upper limit
    10.62
    Statistical analysis title
    Statistical analysis 27
    Statistical analysis description
    Baseline FEV1 reversibility < 12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.002
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    7.67
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.76
         upper limit
    12.59
    Statistical analysis title
    Statistical analysis 28
    Statistical analysis description
    Baseline FEV1 reversibility < 12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.268
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    2.79
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.15
         upper limit
    7.74
    Statistical analysis title
    Statistical analysis 29
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.003
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    7.82
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.64
         upper limit
    13.01
    Statistical analysis title
    Statistical analysis 30
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.361
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    2.42
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.78
         upper limit
    7.62
    Statistical analysis title
    Statistical analysis 31
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.185
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    6.34
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.06
         upper limit
    15.75
    Statistical analysis title
    Statistical analysis 32
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.986
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.08
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.5
         upper limit
    9.34
    Statistical analysis title
    Statistical analysis 33
    Statistical analysis description
    Chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.912
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.87
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -14.7
         upper limit
    16.44
    Statistical analysis title
    Statistical analysis 34
    Statistical analysis description
    Chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.86
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -1.46
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -17.76
         upper limit
    14.84
    Statistical analysis title
    Statistical analysis 35
    Statistical analysis description
    Without chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.002
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    7.56
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.76
         upper limit
    12.36
    Statistical analysis title
    Statistical analysis 36
    Statistical analysis description
    Without chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.601
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    1.28
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.51
         upper limit
    6.06

    Secondary: Change from Baseline in Mean ACQ-6 Scores at Week 53 in Subgroups

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    End point title
    Change from Baseline in Mean ACQ-6 Scores at Week 53 in Subgroups [71]
    End point description
    Asthma Control Questionnaire (ACQ) is a participant-reported questionnaire to assess the asthma control with 6 items assessing night-time waking, symptoms on waking, activity limitation, shortness of breath, wheeze, and rescue short-acting beta agonist use. Each item was rated on a 7-point Likert scale ranging from 0 (no impairment) to 6 (maximum impairment). Overall ACQ score was the mean of the 6 item scores with a score range of 0 (well controlled) to 6 (extremely poor controlled). Data collected on Day 1 prior to dosing was considered as baseline. Results were reported for overall ACQ score. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [71] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: units on a scale
    arithmetic mean (standard error)
        Baseline SP >= Median (n= 51, 65, 60)
    -1.18 ( 0.13 )
    -0.85 ( 0.14 )
    -0.88 ( 0.15 )
        Baseline SP < Median (n= 67, 50, 52)
    -0.81 ( 0.15 )
    -1.03 ( 0.17 )
    -0.77 ( 0.14 )
        Baseline SP >= 25th Percentile (n= 82, 92, 91)
    -1.04 ( 0.11 )
    -0.93 ( 0.13 )
    -0.86 ( 0.12 )
        Baseline SP <25th Percentile (n= 36, 23, 21)
    -0.95 ( 0.24 )
    -0.92 ( 0.24 )
    -0.73 ( 0.19 )
        Baseline SP >=75th Percentile (n= 25, 34, 27)
    -1.25 ( 0.18 )
    -1.01 ( 0.23 )
    -0.75 ( 0.14 )
        Baseline SP <75th Percentile (n= 93, 81, 85)
    -0.92 ( 0.12 )
    -0.91 ( 0.13 )
    -0.84 ( 0.12 )
        Th2 High (n= 59, 56, 55)
    -1.1 ( 0.15 )
    -1.02 ( 0.15 )
    -0.95 ( 0.13 )
        Th2 Low (n= 55, 47, 50)
    -0.94 ( 0.14 )
    -0.87 ( 0.17 )
    -0.7 ( 0.16 )
        Baseline EC >= 150 Cells/UL (n= 77, 78, 70)
    -1.07 ( 0.13 )
    -0.94 ( 0.13 )
    -0.84 ( 0.13 )
        Baseline EC < 150 Cells/UL (n= 37, 31, 37)
    -0.92 ( 0.16 )
    -1.02 ( 0.21 )
    -0.81 ( 0.18 )
        Baseline EC >= 300 Cells/UL (n= 43, 44, 37)
    -1.24 ( 0.16 )
    -0.91 ( 0.17 )
    -0.77 ( 0.15 )
        Baseline EC < 300 Cells/UL (n= 71, 65, 70)
    -0.88 ( 0.12 )
    -1 ( 0.15 )
    -0.86 ( 0.14 )
        Baseline FEV1 Reversibility >=12% (n= 43, 33, 35)
    -0.9 ( 0.18 )
    -0.76 ( 0.2 )
    -0.47 ( 0.19 )
        Baseline FEV1 Reversibility <12% (n= 73, 78, 75)
    -1.12 ( 0.12 )
    -1.02 ( 0.13 )
    -1.03 ( 0.11 )
        2 Asthma Exacerbations (n= 79, 72, 75)
    -0.94 ( 0.13 )
    -0.95 ( 0.14 )
    -0.77 ( 0.13 )
        >2 Asthma Exacerbations (n= 39, 43, 37)
    -1.15 ( 0.15 )
    -0.9 ( 0.19 )
    -0.93 ( 0.17 )
        With Chronic OCS Use (n= 20, 17, 18)
    -0.89 ( 0.28 )
    -0.16 ( 0.23 )
    -0.39 ( 0.25 )
        Without Chronic OCS Use (n= 98, 98, 94)
    -1.04 ( 0.11 )
    -1.08 ( 0.12 )
    -0.91 ( 0.11 )
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.145
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.24
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.57
         upper limit
    0.08
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.759
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.05
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.28
         upper limit
    0.38
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.936
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.38
         upper limit
    0.35
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.127
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.28
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.64
         upper limit
    0.08
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    Baseline serum periostin>= 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.343
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.13
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.41
         upper limit
    0.14
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    Baseline serum periostin>= 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.928
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.29
         upper limit
    0.27
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    Baseline serum periostin < 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.374
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.23
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.74
         upper limit
    0.28
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    Baseline serum periostin < 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.259
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.29
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.81
         upper limit
    0.22
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    Baseline serum periostin >= 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.127
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.84
         upper limit
    0.11
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    Baseline serum periostin >= 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.775
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.56
         upper limit
    0.42
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    Baseline serum periostin < 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.512
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.38
         upper limit
    0.19
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    Baseline serum periostin < 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.404
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.4
         upper limit
    0.16
    Statistical analysis title
    Statistical analysis 13
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.181
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.24
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.59
         upper limit
    0.11
    Statistical analysis title
    Statistical analysis 14
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.161
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.25
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.6
         upper limit
    0.1
    Statistical analysis title
    Statistical analysis 15
    Statistical analysis description
    Th2 low
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.54
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.47
         upper limit
    0.25
    Statistical analysis title
    Statistical analysis 16
    Statistical analysis description
    Th2 low
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.674
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.42
         upper limit
    0.27
    Statistical analysis title
    Statistical analysis 17
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.154
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.22
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.52
         upper limit
    0.08
    Statistical analysis title
    Statistical analysis 18
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 150 cells/μ
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.271
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.17
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.48
         upper limit
    0.13
    Statistical analysis title
    Statistical analysis 19
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.725
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.08
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.51
         upper limit
    0.36
    Statistical analysis title
    Statistical analysis 20
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.559
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.53
         upper limit
    0.28
    Statistical analysis title
    Statistical analysis 21
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.019
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.47
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.87
         upper limit
    -0.08
    Statistical analysis title
    Statistical analysis 22
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.348
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.61
         upper limit
    0.21
    Statistical analysis title
    Statistical analysis 23
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.855
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.03
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.35
         upper limit
    0.29
    Statistical analysis title
    Statistical analysis 24
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.203
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.5
         upper limit
    0.11
    Statistical analysis title
    Statistical analysis 25
    Statistical analysis description
    Baseline FEV1 reversibility >= 12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.055
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.44
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.89
         upper limit
    0.01
    Statistical analysis title
    Statistical analysis 26
    Statistical analysis description
    Baseline FEV1 reversibility >= 12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.104
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.82
         upper limit
    0.08
    Statistical analysis title
    Statistical analysis 27
    Statistical analysis description
    Baseline FEV1 reversibility < 12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.652
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.37
         upper limit
    0.23
    Statistical analysis title
    Statistical analysis 28
    Statistical analysis description
    Baseline FEV1 reversibility < 12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.905
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.02
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.28
         upper limit
    0.32
    Statistical analysis title
    Statistical analysis 29
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.198
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.49
         upper limit
    0.1
    Statistical analysis title
    Statistical analysis 30
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.226
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.18
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.47
         upper limit
    0.11
    Statistical analysis title
    Statistical analysis 31
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.513
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.56
         upper limit
    0.28
    Statistical analysis title
    Statistical analysis 32
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.974
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.43
         upper limit
    0.42
    Statistical analysis title
    Statistical analysis 33
    Statistical analysis description
    Chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.226
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.97
         upper limit
    0.23
    Statistical analysis title
    Statistical analysis 34
    Statistical analysis description
    Chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.613
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.15
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.44
         upper limit
    0.75
    Statistical analysis title
    Statistical analysis 35
    Statistical analysis description
    Without chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.198
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.17
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.43
         upper limit
    0.09
    Statistical analysis title
    Statistical analysis 36
    Statistical analysis description
    Without chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.165
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.45
         upper limit
    0.08

    Secondary: Change from Baseline in Total AQLQ(S) Scores at Week 53 in Subgroups

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    End point title
    Change from Baseline in Total AQLQ(S) Scores at Week 53 in Subgroups [72]
    End point description
    AQLQ: a 32-item questionnaire evaluating quality of life of participants with asthma including 4 domains (symptoms, activity limitations, emotional function, and environmental stimuli). Participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score was calculated as the mean response to all questions. The 4 domain scores were the means of the responses to the questions in each of the domains. Overall AQLQ score and 4 domain scores ranged from 7 (no impairment) to 1 (severe impairment). Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [72] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: units on a scale
    arithmetic mean (standard error)
        Baseline SP >=Median (n= 46, 63, 56)
    1.1 ( 0.14 )
    0.95 ( 0.17 )
    0.89 ( 0.15 )
        Baseline SP <Median ( n= 61, 46, 45)
    0.95 ( 0.15 )
    1.07 ( 0.17 )
    0.82 ( 0.14 )
        Baseline SP >=25th Percentile (n= 73, 88, 82)
    1.08 ( 0.11 )
    0.98 ( 0.14 )
    0.87 ( 0.12 )
        Baseline SP <25th Percentile (n= 34, 21, 19)
    0.84 ( 0.24 )
    1.09 ( 0.24 )
    0.81 ( 0.19 )
        Baseline SP >=75th Percentile (n= 23, 33, 24)
    1.2 ( 0.19 )
    1.13 ( 0.28 )
    0.76 ( 0.17 )
        Baseline SP <75th Percentile (n= 84, 76, 77)
    0.97 ( 0.12 )
    0.96 ( 0.13 )
    0.87 ( 0.12 )
        Th2 high (n=54,52,50)
    1.12 ( 0.15 )
    1.12 ( 0.18 )
    0.88 ( 0.13 )
        Th2 low (n= 49, 45, 44 )
    0.88 ( 0.15 )
    0.94 ( 0.17 )
    0.79 ( 0.17 )
        Baseline EC >=150 Cells/UL (n=69, 72, 64)
    1.06 ( 0.13 )
    1.02 ( 0.15 )
    0.91 ( 0.11 )
        Baseline EC<150 Cells/UL (n= 34, 31, 32)
    0.93 ( 0.13 )
    1.05 ( 0.2 )
    0.68 ( 0.2 )
        Baseline EC >=300 Cells/UL (n= 39, 40, 35)
    0.98 ( 0.17 )
    0.82 ( 0.2 )
    0.81 ( 0.15 )
        Baseline EC <300 Cells/UL (N= 64, 63, 61)
    1.05 ( 0.13 )
    1.15 ( 0.15 )
    0.84 ( 0.14 )
        Baseline FEV1 Reversibility >=12% (n= 39, 29, 32)
    1.14 ( 0.16 )
    0.95 ( 0.22 )
    0.75 ( 0.17 )
        Baseline FEV1 Reversibility <12% (n= 66, 76, 67)
    1.04 ( 0.13 )
    1.04 ( 0.14 )
    0.94 ( 0.13 )
        2 Asthma Exacerbations (n=73, 68, 68)
    1.09 ( 0.14 )
    1.14 ( 0.15 )
    0.88 ( 0.13 )
        >2 Asthma Exacerbations (n= 34, 41, 33)
    0.96 ( 0.14 )
    0.73 ( 0.2 )
    0.78 ( 0.16 )
        With Chronic OCS Use (n= 17, 16, 16)
    0.87 ( 0.29 )
    0.26 ( 0.26 )
    0.53 ( 0.19 )
        Without Chronic OCS Use (n= 90, 93, 85)
    1.07 ( 0.11 )
    1.14 ( 0.13 )
    0.91 ( 0.11 )
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.211
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.23
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.13
         upper limit
    0.6
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Baseline serum periostin >= median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.397
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.21
         upper limit
    0.53
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.315
    Method
    Repeated Measure Model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.18
         upper limit
    0.56
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Baseline serum periostin < median
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.166
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.11
         upper limit
    0.63
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    Baseline serum periostin >= 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.262
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.17
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.13
         upper limit
    0.47
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    Baseline serum periostin >= 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.379
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.17
         upper limit
    0.44
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    Baseline serum periostin < 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.387
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.25
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.32
         upper limit
    0.81
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    Baseline serum periostin < 25th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.303
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.29
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.26
         upper limit
    0.84
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    Baseline serum periostin >=75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.127
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.84
         upper limit
    0.11
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    Baseline serum periostin >=75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.775
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.56
         upper limit
    0.42
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    Baseline serum periostin < 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.512
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.38
         upper limit
    0.19
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    Baseline serum periostin < 75th percentile
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.404
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.4
         upper limit
    0.16
    Statistical analysis title
    Statistical analysis 13
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.102
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.31
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.06
         upper limit
    0.69
    Statistical analysis title
    Statistical analysis 14
    Statistical analysis description
    Th2 high
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.116
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.08
         upper limit
    0.68
    Statistical analysis title
    Statistical analysis 15
    Statistical analysis description
    Th2 low
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.54
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.47
         upper limit
    0.25
    Statistical analysis title
    Statistical analysis 16
    Statistical analysis description
    Th2 low
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.674
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.42
         upper limit
    0.27
    Statistical analysis title
    Statistical analysis 17
    Statistical analysis description
    Baseline peripheral blood eosinophil count >=150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.295
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.17
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.15
         upper limit
    0.49
    Statistical analysis title
    Statistical analysis 18
    Statistical analysis description
    Baseline peripheral blood eosinophil count >=150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.342
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.17
         upper limit
    0.49
    Statistical analysis title
    Statistical analysis 19
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.406
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.18
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.24
         upper limit
    0.6
    Statistical analysis title
    Statistical analysis 20
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 150 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.069
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.38
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.03
         upper limit
    0.79
    Statistical analysis title
    Statistical analysis 21
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.371
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.23
         upper limit
    0.62
    Statistical analysis title
    Statistical analysis 22
    Statistical analysis description
    Baseline peripheral blood eosinophil count >= 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.766
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.37
         upper limit
    0.51
    Statistical analysis title
    Statistical analysis 23
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.147
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.24
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.09
         upper limit
    0.57
    Statistical analysis title
    Statistical analysis 24
    Statistical analysis description
    Baseline peripheral blood eosinophil count < 300 cells/μL
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.031
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.35
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.03
         upper limit
    0.68
    Statistical analysis title
    Statistical analysis 25
    Statistical analysis description
    Baseline FEV1 reversibility >= 12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.02
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.59
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.1
         upper limit
    1.09
    Statistical analysis title
    Statistical analysis 26
    Statistical analysis description
    Baseline FEV1 reversibility >= 12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.226
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.29
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.18
         upper limit
    0.77
    Statistical analysis title
    Statistical analysis 27
    Statistical analysis description
    Baseline FEV1 reversibility < 12%
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.964
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.31
         upper limit
    0.33
    Statistical analysis title
    Statistical analysis 28
    Statistical analysis description
    Baseline FEV1 reversibility < 12%
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.533
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.22
         upper limit
    0.42
    Statistical analysis title
    Statistical analysis 29
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.292
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.17
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.15
         upper limit
    0.5
    Statistical analysis title
    Statistical analysis 30
    Statistical analysis description
    2 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.097
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.27
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.05
         upper limit
    0.59
    Statistical analysis title
    Statistical analysis 31
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.26
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.24
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.18
         upper limit
    0.67
    Statistical analysis title
    Statistical analysis 32
    Statistical analysis description
    > 2 but < 6 asthma exacerbations in the past year
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.648
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.33
         upper limit
    0.53
    Statistical analysis title
    Statistical analysis 33
    Statistical analysis description
    Chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.398
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.28
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.37
         upper limit
    0.93
    Statistical analysis title
    Statistical analysis 34
    Statistical analysis description
    Chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.327
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    -0.32
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.95
         upper limit
    0.32
    Statistical analysis title
    Statistical analysis 35
    Statistical analysis description
    Without chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.105
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.23
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.05
         upper limit
    0.52
    Statistical analysis title
    Statistical analysis 36
    Statistical analysis description
    Without chronic OCS use
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.03
    Method
    Repeated measure model
    Parameter type
    Difference of LS-mean
    Point estimate
    0.31
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.03
         upper limit
    0.6

    Secondary: Annual Asthma Exacerbation Rate (AER) by Atopic Asthma Status

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    End point title
    Annual Asthma Exacerbation Rate (AER) by Atopic Asthma Status [73]
    End point description
    Annualized AER was assessed based on AER data up to Week 53. An asthma exacerbation defined as a progressive increase of asthma symptoms that does not resolve after the initiation of rescue medications and remains troublesome for the participant resulting in either 1) use of systemic corticosteroids or increase of a stable systemic maintenance dose for a duration of at least 3 consecutive days as prescribed; or 2) participant initiation of systemic corticosteroids for a duration of at least 3 consecutive days. AER was evaluated by subgroup Atopic and Non-atopic asthma status. Data were summarized together for ‘Placebo, Q2W’ and ‘Placebo, Q2/4W’ arms. The ITT population included all participants who were randomized into the study. Here "n" signifies participants who were evaluable for this measure for the specified time point for each arm, respectively.
    End point type
    Secondary
    End point timeframe
    Week 1 up to Week 53
    Notes
    [73] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was reporting data for total number of participants of both the placebo reporting group, hence not reporting statistics for all the arms in the baseline period.
    End point values
    Tralokinumab 300 mg, Q2W - Cohort 1 Tralokinumab 300 mg, Q2/4W - Cohort 2 Placebo Total
    Number of subjects analysed
    150
    151
    151
    Units: AER events/person-year
    number (confidence interval 95%)
        Atopic asthma (n=96,105,92)
    0.9 (0.73 to 1.11)
    0.85 (0.67 to 1.06)
    0.85 (0.67 to 1.06)
        Non-atopic asthma (n=51,42,55)
    0.82 (0.56 to 1.15)
    1.1 (0.82 to 1.44)
    1.05 (0.77 to 1.39)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs >2 but =<6), atopic asthma status, chronic OCS use and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other [74]
    P-value
    = 0.803
    Method
    Poisson regression
    Parameter type
    Rate Ratio (RR)
    Point estimate
    0.95
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.62
         upper limit
    1.44
    Notes
    [74] - Placebo Total, Tralokinumab 300 mg, Q2W - Cohort 1 - Atopic Asthma
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs >2 but =<6), atopic asthma status, chronic OCS use and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other [75]
    P-value
    = 0.457
    Method
    Poisson regression
    Parameter type
    Rate Ratio (RR)
    Point estimate
    0.83
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.52
         upper limit
    1.35
    Notes
    [75] - Placebo Total, Tralokinumab 300 mg, Q2/4W - Cohort 2 - Atopic Asthma
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs >2 but =<6), atopic asthma status, chronic OCS use and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2W - Cohort 1 v Placebo Total
    Number of subjects included in analysis
    301
    Analysis specification
    Pre-specified
    Analysis type
    other [76]
    P-value
    = 0.25
    Method
    Poisson regression
    Parameter type
    Rate Ratio (RR)
    Point estimate
    0.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.4
         upper limit
    1.27
    Notes
    [76] - Placebo Total, Tralokinumab 300 mg, Q2W - Cohort 1 - Non-atopic asthma
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The 95% CI for rate ratio were estimated from the Poisson regression with treatment group, age, gender, number of exacerbations in past year (2 vs >2 but =<6), atopic asthma status, chronic OCS use and geographical region as the covariates.
    Comparison groups
    Tralokinumab 300 mg, Q2/4W - Cohort 2 v Placebo Total
    Number of subjects included in analysis
    302
    Analysis specification
    Pre-specified
    Analysis type
    other [77]
    P-value
    = 0.794
    Method
    Poisson regression
    Parameter type
    Rate Ratio (RR)
    Point estimate
    1.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.66
         upper limit
    1.74
    Notes
    [77] - Placebo Total, Tralokinumab 300 mg, Q2/4W - Cohort 2 - Non-atopic asthma