Clinical Trial Results:
A multi-center, proof-of-mechanism study of multiple, oral doses of fevipiprant (QAW039) in COPD patients with eosinophilia
Summary
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EudraCT number |
2018-004267-32 |
Trial protocol |
GB BE DE ES |
Global end of trial date |
16 Jan 2020
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Results information
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Results version number |
v1(current) |
This version publication date |
20 Jan 2021
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First version publication date |
20 Jan 2021
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
CQAW039E12201
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT03810183 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Novartis Pharma AG
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Sponsor organisation address |
CH-4002, Basel, Switzerland,
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Public contact |
Clinical Disclosure Office, Novartis Pharma AG, 41 613241111, Novartis.email@novartis.com
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Scientific contact |
Clinical Disclosure Office, Novartis Pharma AG, 41 613241111, Novartis.email@novartis.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
16 Jan 2020
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
16 Jan 2020
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The primary purpose of the proof-of-mechanism study was to determine whether fevipiprant (QAW039), when administered to chronic obstructive pulmonary disease (COPD) patients with eosinophilic airway inflammation on standard of care therapy, reduced the burden of sputum eosinophilia.
Data from other trials did not confirm efficacy of fevipiprant and did not warrant the continuation of treatment in this study. As a result, this study was terminated early.
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Protection of trial subjects |
The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
Regarding rescue medication, the site was permitted to provide short-acting beta2 agonist to each subject, in accordance with local SmPC, for use prior to spirometry, sputum induction and/or as rescue medication.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
21 May 2019
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 6
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Country: Number of subjects enrolled |
United Kingdom: 3
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Worldwide total number of subjects |
9
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EEA total number of subjects |
9
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
4
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From 65 to 84 years |
5
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85 years and over |
0
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Recruitment
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Recruitment details |
Participants took part in 4 investigative sites in 2 countries (Germany and United Kingdom). | |||||||||||||||
Pre-assignment
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Screening details |
Participants were randomized 3:2 to active (QAW039 450 mg orally daily) vs. placebo arms. Randomization was stratified by current smoking status (current vs. ex-smoker). | |||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||
Roles blinded |
Subject, Investigator, Carer | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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QAW039 450 mg | |||||||||||||||
Arm description |
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Fevipiprant
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Investigational medicinal product code |
QAW039
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
QAW039 (fevipiprant) 450 mg once daily for 6 weeks
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Arm title
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Placebo | |||||||||||||||
Arm description |
Placebo once daily for 6 weeks administered orally as a tablet. | |||||||||||||||
Arm type |
Placebo | |||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Placebo once daily for 6 weeks
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Baseline characteristics reporting groups
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Reporting group title |
QAW039 450 mg
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Reporting group description |
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Placebo once daily for 6 weeks administered orally as a tablet. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
QAW039 450 mg
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Reporting group description |
QAW039 (fevipiprant) 450 mg once daily for 6 weeks administered orally as a tablet. | ||
Reporting group title |
Placebo
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Reporting group description |
Placebo once daily for 6 weeks administered orally as a tablet. |
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End point title |
Change from baseline in sputum eosinophil percentage based on log-10 transformed scale at Week 6 [1] | ||||||||||||
End point description |
Sputum eosinophil percentage of the total cell count was obtained from induced sputum samples. Sputum was processed to include preparation of slides for differential cellular count.
As sputum eosinophil percentage has been found to follow a log-normal distribution, the analysis of this outcome measure was based on log10-transformed scale. The baseline measurement was defined as sputum eosinophil percentage prior to the first dosing (on log10-transformed scale).
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End point type |
Primary
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End point timeframe |
Baseline, Week 6
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Due to the limited sample size caused by early termination of the study, only descriptive statistics could be calculated. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Adverse events were collected from first dose of study treatment until last dose plus 30 days, up to a maximum of 72 days.
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Adverse event reporting additional description |
Any signs or symptoms that occurs during study treatment plus the 30 days post treatment.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
22.0
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Reporting groups
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Reporting group title |
QAW039 450mg
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Reporting group description |
QAW039 450mg | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Placebo | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Total
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Reporting group description |
Total | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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05 Apr 2019 |
The section for specific liver event and laboratory test trigger definitions and follow-up requirements was updated to reflect the change that ALT or AST ≥ 3 × ULN should be the trigger for discontinuation of study treatment (changed from ALT or AST ≥ 5 × ULN). Other liver events and triggers made redundant due to this change were deleted. |
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05 Nov 2019 |
Due to natural variation in blood eosinophils, inclusion criteria 7 (circulating eosinophils must be ≥ 300 cells/μL blood) was updated to add a three month window prior to the screening visit for the subject to meet the inclusion criteria.
To facilitate the collection of blood eosinophil data prior to full screening, an optional pre-screen visit/hematology collection was added to the study design, scheduled from 3 months to the day prior to the screening visit.
Exclusion criteria linked to safety was updated to require that they had to be met at both the screening and baseline visits, to align with the assessment schedule.
The addition of a hematology sample on Day 21 allowed the stopping criteria related to white blood cells levels to be checked during the treatment period and for full interpretation of the ILC (innate lymphoid cell) data.
Changes to the visit windows for each visit in the screening period were made to give greater flexibility to the site and subject for scheduling purposes, while maintaining the maximum screening window. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |