E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
Asthma (an illness that causes breathing difficulty) that is not fully controlled, so that episodes of breathing difficulty are still occuring despite the use of other available treatments |
Asma (enfermedad causa dificultad respiratoria) no completamente controlado, por lo que esos episodios de dificultad respiratoria continuan ocurriendo pese utilizar otros tratamientos disponibles. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003553 |
E.1.2 | Term | Asthma |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to evaluate the effect of two dosing regimens of benralizumab on asthma exacerbations in adult patients with uncontrolled asthma |
Evaluar el efecto de dos pautas posológicas de benralizumab sobre las reagudizaciones del asma en pacientes adultos con asma no controlado |
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E.2.2 | Secondary objectives of the trial |
To assess the effect of two dosing regimens of benralizumab on: Pulmonary function Asthma symptoms and other asthma control metrics Emergency room visits and hospitalisations due to asthma Pharmacokinetics and immunogenicity Safety and tolerability |
Evaluar el efecto de dos pautas posológicas de benralizumab sobre: La unción pulmonar, Los síntomas de asma y otros indicadores de control y otros parámetros asociados a las reagudizaciones del asma, La calidad de vida relacionada con el asma y relacionada con la salud en general, Las visitas al servicio de urgencias y las hospitalizaciones debidas al asma, la utilización de recursos sanitarios y la pérdida de productividad debido al asma, Farmacocinética y la inmunogenicidad de dos pautas posológicas de benralizumab, Seguridad y tolerabilidad |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Provision of informed consent prior to any study specific procedures 2. Female and male aged 18 to 75 years inclusively 3. History of physician diagnosed asthma requiring treatment with medium to high dose inhaled corticosteroids (greater than 250 microgrammes fluticasone dry powder formulation equivalents total daily dose) and a LABA for at least 12 months prior to visit 1 4. Documented treatment with high dose inhaled corticosteroids (greater than 500 microgrammes fluticasone dry powder formulation equivalents total daily dose) and LABA for at least 3 months prior to visit 1 |
1.Otorgar el consentimiento informado con anterioridad a la realización de cualquiera de los procedimientos específicos del ensayo 2.Mujeres y varones de 18 a 75 años, inclusive 3.Antecedentes de asma diagnosticado por un médico que requiere tratamiento con una dosis de intermedia a alta de ICS y un LABA, durante al menos 12 meses antes de la visita 1 4.Tratamiento documentado con una dosis alta de ICS (dosis diaria total equivalente a >500 µg de la formulación de fluticasona en polvo seco) y un LABA, durante al menos 3 meses antes de la visita 1 |
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E.4 | Principal exclusion criteria |
1. Clinically important pulmonary disease other than asthma (e.g active lung infection, COPD, bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliarydyskinesia) or ever been diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g. allergic bronchopulmonary aspergillosis/mycosis, Churg-Strauss syndrome, hypereosinophilic syndrome) 2. Any disorder including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric or major physical impairement that is not stable in the opinion of the investigator and could affect the safety of the patient throughout the study, influence the findings of the study or their interpretations, or impede the patients ability to complete the entire duration of study. 3. Acute upper or lower respiratory infections requiring antibiotics or antiviral medication within 30 days prior to the date informed consent is obtained or during the screening/run in period. 4. Any clinically significant abnormal findings in physical examination, vital signs, haematology, clinical chemistry or urinalysis during screening/run in period, which in the opinion of the investigator, may put the patient at risk because of his/her participation in the study, or may influence the results of the study, or the patients ability to complete the entire duration of the study. |
1.Otra enfermedad pulmonar clínicamente importante aparte del asma (p. ej., neumonía activa, EPOC, bronquiectasias, fibrosis pulmonar, fibrosis quística, síndrome de hipoventilación por obesidad, cáncer de pulmón, deficiencia de alfa 1 antitripsina y discinesia ciliar primaria) o haber sido diagnosticado alguna vez de una enfermedad pulmonar o sistémica, aparte del asma, que se asocie a una cifra elevada de eosinófilos (p.ej:aspergilosis/micosis broncopulmonar alérgica, síndrome de Churg-Strauss y síndrome hipereosinofílico) 2.Cualquier trastorno, entre otros: cardiovascular, gastrointestinal, hepático, renal, neurológico, musculoesquelético, infeccioso, endocrino, metabólico, hematológico, psiquiátrico, o deterioro físico importante que no se encuentre estable en la opinión del investigador y que pudiera: Afectar a la seguridad del paciente durante el ensayo Influir en los resultados de los estudios o en su interpretación Impedir que el paciente pueda completar toda la duración del ensayo 3.Infecciones agudas de las vías respiratorias altas o bajas que haya precisado antibióticos o antivíricos en los 30 días anteriores a la fecha de obtención del consentimiento informado o durante el período de selección/preinclusión 4.Cualquier resultado anómalo clínicamente significativo en la exploración física, constantes vitales, hematología, bioquímica o análisis de orina durante el período de selección/preinclusión que, en la opinión del investigador, pudiera suponer un riesgo para el paciente debido a su participación en el ensayo o influir en los resultados del ensayo o en la capacidad del paciente para completar toda la duración del ensayo |
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E.5 End points |
E.5.1 | Primary end point(s) |
Annual asthma exacerbation rate |
Tasa anual de exarcebación del asma |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1. Pre-dose/pre-bronchodilator FEV1 and post-bronchodilator FEV1 at the study centre 2. Asthma symptom score (total, daytime and night time), rescue medication use, home lung function (morning and evening PEF), nights with awakening due to asthma, ACQ-6 3. Annual rate of exacerbations associated with an emergency room visit or hospitalisation 4. PK parameters and anti-drug antibodies 5. AE/SAE, laboratory variables, ECG, physical examination |
1. Antes de la dosis/ Antes de medir el Volumen espiratorio forzado en un segundo (FEV1) con el broncodilatador y después de medir el FEV1 con el broncodilatador en el centro 2. Medición de síntomas de asma (total, durante el día y la noche), el uso de medicación de rescate, la función pulmonar en casa (por la mañana y el FEM vespertino), noches con despertar debido al asma, ACQ-6 3.Tasa anual de exacerbaciones asociadas con una visita urgencias o a una hospitalización 4. Parámetros farmacocinéticos y los anticuerpos anti-fármaco 5. AA / AAG, variables de laboratorio, ECG, examen físico |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 105 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Brazil |
Bulgaria |
Czech Republic |
France |
Italy |
Korea, Republic of |
Mexico |
Peru |
Russian Federation |
South Africa |
Spain |
Turkey |
United States |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LPLV |
Última visita del último paciente |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |