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 |
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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 | 16.1 |
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 |
Evaluate the long-term safety and tolerability of dupilumab in patients with asthma who participated in previous dupilumab asthma study ie DRI12544 |
Evaluar la seguridad y tolerabilidad a largo plazo de dupilumab, en pacientes con asma que participaron en el estudio clínico previo de dupilumab en asma (esto es, DRI12544). |
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E.2.2 | Secondary objectives of the trial |
- Evaluate the efficacy of dupilumab in patients with asthma who participated in a previous dupilumab asthma clinical study. - Evaluate dupilumab in patients with asthma who participated in previous dupilumab asthma clinical study, with regards to: * Systemic exposure * Anti-drug antibodies * Biomarkers |
Evaluar la eficacia de dupilumab en pacientes con asma que participaron en el estudio clínico previo de dupilumab en asma. Evaluar dupilumab en pacientes con asma que participaron en el estudio clínico previo de dupilumab en asma, en referencia a lo siguiente: ? Exposición sistémica ? Anticuerpos anti-fármaco ? Biomarcadores |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Eligible patients who have completed a previous dupilumab asthma study (ie, DRI12544) |
Podrán ser incluidos en el estudio LTS12551, los pacientes aptos que hayan completado un estudio previo de dupilumab en asma (es decir, DRI12544) |
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E.4 | Principal exclusion criteria |
- Patients who did not complete the previous dupilumab asthma study (entire study duration) - Patients who have experienced hypersensitivity reactions to dupilumab - Patients diagnosed with active parasitic infection; suspected or at high risk of parasitic infection, unless clinical and/or laboratoryassessments before randomization have ruled out an activeinfection - Medical history of human immunodeficiency virus (HIV) infection - Known or suspected medical history of immunosuppression, including history of invasive opportunistic infections (eg, tuberculosis, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis) despite infection resolution; or unusually frequent, recurrent or prolonged infections, as per investigator judgment - Evidence of acute or chronic infection requiring treatment with antibacterials, antivirals, antifungals, antiparasitics or antiprotozoals within 4 weeks before Visit 1; significant viral infections within 4 weeks before Visit 1 that may not have received antiviral treatment (eg, influenza receiving only symptomatic treatment) - Patients with any event or laboratory abnormality that, as per investigator judgment, would adversely affect participation of the patient in this study. - Patients who have traveled to parasitic endemic area within 6 months prior to screening. |
? Pacientes que no hayan completado el estudio previo de dupilumab en asma (la duración total del estudio). ? Pacientes que han experimentado reacciones de hipersensibilidad a dupilumab. ? Diagnóstico de infección parasitaria activa; riesgo alto o sospecha de infección parasitaria, salvo que las evaluaciones clínicas y/o analíticas antes de la aleatorización hayan descartado una infección activa. ? Antecedentes médicos de infección por el virus de la inmunodeficiencia humana (VIH). ? Antecedentes médicos conocidos o sospecha de inmunosupresión, incluidos antecedentes de infecciones oportunistas invasivas (p. ej., tuberculosis, histoplasmosis, listeriosis, coccidioidomicosis, neumocistosis, aspergilosis), a pesar de la resolución de la infección; o infecciones recurrentes o prolongadas, inusualmente frecuentes, a criterio del investigador. ? Evidencia de infección aguda o crónica, que requiera un tratamiento con antibióticos, antivirales, antifúngicos, antiparasitarios o antiprotozoarios en un plazo de 4 semanas antes de la Visita 1; infecciones virales significativas en las 4 semanas antes de la Visita 1, que pudieron no haber recibido un tratamiento antiviral (p. ej., una gripe que tuvo solamente un tratamiento sintomático). ? Pacientes con cualquier acontecimiento o anomalía analítica que, a criterio del investigador, pudiera afectar negativamente a la participación del paciente en el estudio. ? Pacientes que hayan viajado a una zona de parasitosis endémica en los 6 meses previos a la selección. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Number of participants with adverse events |
Incidencia de acontecimientos adversos |
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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) Vital signs, Clinical laboratory tests, Electrocardiogram, Physical examination - clinically significant changes from baseline 2) Forced expiratory volume in one second - clinically significant changes from baseline 3) Asthma control questionnaire - clinically significant changes from baseline 4) Asthma symptom scores - clinically significant changes from baseline 5) Systemic exposure - changes from baseline 6) Anti-drug antibodies - changes from baseline 7) Biomarkers - changes from baseline |
1) Constantes vitales, Exploración física, Electrocardiograma (ECG), Pruebas clínicas de laboratorio - cambios clínicamente significativos desde la basal 2) Volumen espiratorio forzado en un segundo (FEV1) - cambios clínicamente significativos desde la basal 3) Cuestionario de control del asma (ACQ-5) - cambios clínicamente significativos desde la basal 4) Puntuaciones de los síntomas del asma - cambios clínicamente significativos desde la basal 5) Exposición sistémica - cambios desde la basal 6) anticuerpos anti-fármacos - cambios desde la basal 7) Biomarcadores - cambios desde la basal |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1 to 6) Week 112 7) Week 96 |
1 a 6) Semana 112 7) Semana 96 |
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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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | Yes |
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) | Yes |
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 | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 1 |
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 | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 36 |
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 |
Japan |
New Zealand |
Argentina |
Australia |
Chile |
Korea, Republic of |
Mexico |
Russian Federation |
South Africa |
Turkey |
Ukraine |
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E.8.7 | Trial has a data monitoring committee | Yes |
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
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LVLS |
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 | 1 |
E.8.9.1 | In the Member State concerned days | 27 |
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 | 1 |
E.8.9.2 | In all countries concerned by the trial days | 27 |