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The primary objective of this study is to evaluate the safety and tolerability of escalating multiple subcutaneous (SC) doses of MEDI-563 in adult subjects with asthma.
This is a Phase 2a, randomized, double-blind, placebo-controlled, dose-escalation, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and immunogenicity of multiple subcutaneous doses (25, 100, or 200 milligram [mg]) of benralizumab (MEDI-563) in adult subjects with asthma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo matched to benralizumab (MEDI-563) injection subcutaneously on Day 0, 28, and 56. |
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| Benralizumab 25 mg | Experimental | Benralizumab (MEDI-563) injection 25 milligram (mg) subcutaneously on Day 0, 28, and 56. |
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| Benralizumab 100 mg | Experimental | Benralizumab (MEDI-563) injection 100 mg subcutaneously on Day 0, 28, and 56. |
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| Benralizumab 200 mg | Experimental | Benralizumab (MEDI-563) injection 200 mg subcutaneously on Day 0, 28, and 56. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Other | Placebo matched to benralizumab (MEDI-563) injection subcutaneously on Day 0, 28, and 56. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) | 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 were events between first dose of study drug and up to Day 161 that were absent before treatment or that worsened relative to pre-treatment state. | Day 0 to Day 161 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Reach Maximum Observed Serum Concentration (Tmax) for Benralizumab | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 | |
| Maximum Observed Serum Concentration (Cmax) for Benralizumab | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Gossage, M.D. | MedImmune LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Encinitas | California | United States | |||
| Research Site |
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| Label | URL |
|---|---|
| Attachments tab: MI-CP197 Redacted Protocol\_22\_Jul\_2015 | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo matched to benralizumab (MEDI-563) injection subcutaneously on Day 0, 28, and 56. |
| FG001 | Benralizumab 25 mg | Benralizumab (MEDI-563) injection 25 milligram (mg) subcutaneously on Day 0, 28, and 56. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Benralizumab 25 mg | Biological | Benralizumab (MEDI-563) injection 25 milligram (mg) subcutaneously on Day 0, 28, and 56. |
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| Benralizumab 100 mg | Biological | Benralizumab (MEDI-563) injection 100 mg subcutaneously on Day 0, 28, and 56. |
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| Benralizumab 200 mg | Biological | Benralizumab (MEDI-563) injection 200 mg subcutaneously on Day 0, 28, and 56. |
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| Area Under the Curve From Time 0 to Infinity (AUC [0-infinity]) for Benralizumab | Area under the serum concentration-time curve from time-zero extrapolated to infinity postdose. | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
| Terminal Phase Elimination Half-Life (t1/2) for Benralizumab | Terminal phase elimination half-life (t1/2) is the time measured for the serum concentration to decrease by one half. | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
| Number of Participants Exhibiting Anti-Drug Antibodies (ADAs) to Benralizumab at Any Visit | Day 0, 28, 56, 84, 112, and 161 |
| Los Angeles |
| California |
| United States |
| Research Site | Colorado Springs | Colorado | United States |
| Research Site | Wheaton | Maryland | United States |
| Allergy Associates Research Center | Portland | Oregon | 97213 | United States |
| Research Site | Upland | Pennsylvania | United States |
| FG002 | Benralizumab 100 mg | Benralizumab (MEDI-563) injection 100 mg subcutaneously on Day 0, 28, and 56. |
| FG003 | Benralizumab 200 mg | Benralizumab (MEDI-563) injection 200 mg subcutaneously on Day 0, 28, and 56. |
| COMPLETED |
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| NOT COMPLETED |
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Intent-to-treat (ITT) population included all participants randomized into the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo matched to benralizumab (MEDI-563) injection subcutaneously on Day 0, 28, and 56. |
| BG001 | Benralizumab 25 mg | Benralizumab (MEDI-563) injection 25 milligram (mg) subcutaneously on Day 0, 28, and 56. |
| BG002 | Benralizumab 100 mg | Benralizumab (MEDI-563) injection 100 mg subcutaneously on Day 0, 28, and 56. |
| BG003 | Benralizumab 200 mg | Benralizumab (MEDI-563) injection 200 mg subcutaneously on Day 0, 28, and 56. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) | 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 were events between first dose of study drug and up to Day 161 that were absent before treatment or that worsened relative to pre-treatment state. | Safety population included all participants who received at least 1 dose of the investigational product. | Posted | Number | participants | Day 0 to Day 161 |
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| Secondary | Time to Reach Maximum Observed Serum Concentration (Tmax) for Benralizumab | Safety population included all participants who received at least 1 dose of the investigational product. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. | Posted | Median | Full Range | days | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
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| Secondary | Maximum Observed Serum Concentration (Cmax) for Benralizumab | Safety population included all participants who received at least 1 dose of the investigational product. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. | Posted | Mean | Standard Deviation | microgram per milliliter (mcg/mL) | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
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| Secondary | Area Under the Curve From Time 0 to Infinity (AUC [0-infinity]) for Benralizumab | Area under the serum concentration-time curve from time-zero extrapolated to infinity postdose. | Safety population included all participants who received at least 1 dose of the investigational product. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. | Posted | Mean | Standard Deviation | microgram*day per milliliter | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
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| Secondary | Terminal Phase Elimination Half-Life (t1/2) for Benralizumab | Terminal phase elimination half-life (t1/2) is the time measured for the serum concentration to decrease by one half. | Safety population included all participants who received at least 1 dose of the investigational product. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. | Posted | Mean | Standard Deviation | days | Day 0, 1, 7, 28, 35, 56, 84, 112, and 161 |
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| Secondary | Number of Participants Exhibiting Anti-Drug Antibodies (ADAs) to Benralizumab at Any Visit | Safety population included all participants who received at least 1 dose of the investigational product. | Posted | Number | participants | Day 0, 28, 56, 84, 112, and 161 |
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Day 0 to Day 161
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Placebo matched to benralizumab (MEDI-563) injection subcutaneously on Day 0, 28, and 56. | 0 | 6 | 3 | 6 | ||
| EG001 | Benralizumab 25 mg | Benralizumab (MEDI-563) injection 25 milligram (mg) subcutaneously on Day 0, 28, and 56. | 0 | 7 | 4 | 7 | ||
| EG002 | Benralizumab 100 mg | Benralizumab (MEDI-563) injection 100 mg subcutaneously on Day 0, 28, and 56. | 0 | 6 | 4 | 6 | ||
| EG003 | Benralizumab 200 mg | Benralizumab (MEDI-563) injection 200 mg subcutaneously on Day 0, 28, and 56. | 0 | 6 | 4 | 6 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pyrexia | General disorders | MedDRA 12.1 | Systematic Assessment |
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| Bronchitis bacterial | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Gastrointestinal viral infection | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Oral candidiasis | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Oral herpes | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Postoperative wound infection | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Respiratory tract infection viral | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Sinobronchitis | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Viral infection | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| Muscle strain | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| Post-traumatic pain | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| Procedural pain | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| Blood creatine phosphokinase increased | Investigations | MedDRA 12.1 | Systematic Assessment |
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| Blood urea increased | Investigations | MedDRA 12.1 | Systematic Assessment |
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| Troponin i increased | Investigations | MedDRA 12.1 | Systematic Assessment |
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| White blood cell count decreased | Investigations | MedDRA 12.1 | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| Benign breast neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 12.1 | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| Sinus congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| Rash papular | Skin and subcutaneous tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 12.1 | Systematic Assessment |
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MedImmune has 60 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome. The PIs also agree for data to be presented first as a joint, multi-center publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Rene van der Merwe, MBChB/Senior Director, Clinical Development | MedImmune, LLC. | 301-398-0000 | vandermerwer@medimmune.com |
| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C571386 | benralizumab |
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| Male |
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| TESAEs |
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| Participants |
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