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| ID | Type | Description | Link |
|---|---|---|---|
| 2010-024006-35 | EudraCT Number |
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The primary objective of this study is to determine whether reslizumab is more effective than placebo in reducing the number of clinical asthma exacerbations (CAEs) in patients with eosinophilic asthma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. |
|
| Reslizumab 3.0 mg/kg | Experimental | Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reslizumab | Drug | Patients were administered intravenously over 15 to 30 minutes reslizumab at a dosage of 3.0 mg/kg at baseline and once every 4 weeks relative to baseline over 48 weeks for a total of 13 doses. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Clinical Asthma Exacerbations (CAEs) During 12 Months of Treatment | An exacerbation event was considered a CAE if the patient met either or both of the criteria listed below and this was corroborated with at least 1 other measurement to indicate the worsening of clinical signs and symptoms of asthma:
CAEs were adjudicated by committee to assure consistency. Adjusted CAE rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors. Results are offered as adjusted means. | Day 1 to Month 12 |
| Frequency of Each of the Two Criteria for Clinical Asthma Exacerbations (CAEs) | An exacerbation event was considered a CAE if the patient met either or both of the criteria listed below and this was corroborated with at least 1 other measurement to indicate the worsening of clinical signs and symptoms of asthma:
Adjusted CAE rate and confidence intervals for the two criteria were based on Negative Binomial regression model adjusted for stratification factors. Results are offered as adjusted means. | Day 1 to Month 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) At Week 16 | FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer. Positive change from baseline scores indicate improvement in asthma control. | Day 1 (baseline, pre-dose), Week 16 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Expert, MD | Teva Branded Pharmaceutical Products R&D, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 48 | Mobile | Alabama | United States | |||
| Teva Investigational Site 41 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31626990 | Derived | Nair P, Bardin P, Humbert M, Murphy KR, Hickey L, Garin M, Vanlandingham R, Chanez P. Efficacy of Intravenous Reslizumab in Oral Corticosteroid-Dependent Asthma. J Allergy Clin Immunol Pract. 2020 Feb;8(2):555-564. doi: 10.1016/j.jaip.2019.09.036. Epub 2019 Oct 15. | |
| 31262379 | Derived | Carr WW, McDonald M, Meizlik P. Effect of intravenously administered reslizumab on spirometric lung age in patients with moderate-to-severe eosinophilic asthma. Allergy Asthma Proc. 2019 Jul 1;40(4):240-249. doi: 10.2500/aap.2019.40.4225. |
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A total of 1111 patients were screened for this study. Of the 1111 patients screened, 464 patients at 82 centers in 15 countries were randomly assigned to double-blind treatment.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. |
| FG001 | Reslizumab 3.0 mg/kg | Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug | Matching placebo (acetate sucrose buffer), administered intravenously (iv) once every 4 weeks for a total of 13 doses. |
|
| Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 16 Weeks Using Mixed Model for Repeated Measures | FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer. During study (Weeks 4, 8, 12 and 16) average value used a mixed effect model for repeated measures (MMRM) with treatment group, visit, treatment and visit interaction, and stratification factors as fixed effects and participant as a random effect. Covariates for baseline values were also included in the model; for pulmonary function test analyses, covariates for height and sex were included as well. Positive change from baseline scores indicate improvement in asthma control. | Day 1 (baseline, pre-dose), Weeks 4, 8, 12 and 16 |
| Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) to Week 16 | The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. Five of the activity questions were "patient-specific," which means that each patient identified and scored 5 activities in which the patient was limited by asthma; these 5 activities were identified at the first visit and retained for all subsequent follow-up visits. Positive change from baseline scores indicate improvement in quality of life. | Day 1 (baseline, pre-dose), Week 16 |
| Change From Baseline in Asthma Control Questionnaire (ACQ) Over 16 Weeks Using Mixed Model for Repeated Measures | The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the total score is the mean of all responses (the total scale is therefore 0-6). A higher score is an indication of poorer asthma control. The during treatment (Weeks 4, 8, 12 and 16) average ACQ was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control. | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16 |
| Kaplan-Meier Estimates for Time to First Clinical Asthma Exacerbation (CAE) | An exacerbation event was considered a CAE if the patient met either or both of the criteria listed below and this was corroborated with at least 1 other measurement to indicate the worsening of clinical signs and symptoms of asthma:
CAEs were adjudicated by committee to assure consistency. The distributions were compared by a log rank test stratified by baseline usage of oral corticosteroid (yes or no) and geographical region (US or other). | Day 1 to Day 526 (longest treatment time plus 2 weeks) |
| Change From Baseline in Asthma Symptom Utility Index (ASUI) Over 16 Weeks Using Mixed Model for Repeated Measures | The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control; info obtained from questionnaire about asthma symptoms. The during treatment (Weeks 4, 8, 12 and 16) average ASUI was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Positive change from baseline values indicate improvement in asthma symptoms. Information was obtained from questionnaire about asthma symptoms. | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16 |
| Change From Baseline in Short-Acting Beta-Agonist (SABA) Use Over 16 Weeks Using Mixed Model for Repeated Measures | SABA are used for quick relief of asthma symptoms. To measure SABA use, at each clinical visit patients were asked to recall their usage of SABA therapy within the last 3 days of the scheduled visit. If usage was confirmed, the number of puffs used was recorded. For the purpose of summaries, an average daily usage was evaluated by dividing the total number of puffs recorded over 3 days by 3. The during treatment (Weeks 4, 8, 12 and 16) average SABA use was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control. | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16 |
| Change From Baseline in Blood Eosinophil Count Over 16 Weeks and 52 Weeks Using Mixed Model for Repeated Measures | The blood eosinophil counts were measured using a standard complete blood count (CBC) with differential blood test. Results of all differential blood tests conducted after randomization were blinded. The during treatment average eosinophil count was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. The 'over 16 weeks' value used data from Weeks 4, 8, 12 and 16. The 'over 52 weeks' value used all the during study time points listed in the Time Frame field. Negative change from baseline values correlate to reduced asthma severity. | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 or early withdrawal |
| Participants With Treatment-Emergent Adverse Events TEAE) | An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. | Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit. |
| Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values | Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology (except for eosinophil values), and urinalysis values. Significance criteria:
| Week 4 to Week 52 |
| Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values | Data represents participants with potentially clinically significant (PCS) vital sign values. Significance criteria
| Week 4 to Week 52 |
| Participants With a Positive Anti-Reslizumab Antibody Status During Study | Counts of participants with a positive anti-drug antibody (ADA) response during treatment is offered for the experimental treatment arm. Blood samples were collected for determination of ADAs before study drug infusion. | Baseline visit (prior to reslizumab exposure), Weeks 16, 32, 48 and 52 |
| Fresno |
| California |
| United States |
| Teva Investigational Site 59 | Long Beach | California | United States |
| Teva Investigational Site 47 | Denver | Colorado | United States |
| Teva Investigational Site 28 | Waterbury | Connecticut | United States |
| Teva Investigational Site 53 | Clearwater | Florida | United States |
| Teva Investigational Site 27 | Miami | Florida | United States |
| Teva Investigational Site 25 | Lawrenceville | Georgia | United States |
| Teva Investigational Site 57 | Metairie | Louisiana | United States |
| Teva Investigational Site 46 | Bangor | Maine | United States |
| Teva Investigational Site 40 | St Louis | Missouri | United States |
| Teva Investigational Site 67 | Fort Mill | South Carolina | United States |
| Teva Investigational Site 44 | Dallas | Texas | United States |
| Teva Investigational Site 69 | El Paso | Texas | United States |
| Teva Investigational Site 45 | San Antonio | Texas | United States |
| Teva Investigational Site 121 | Ciudad Autonoma de Buenos Aire | Argentina |
| Teva Investigational Site 126 | Ciudad Autonoma de Buenos Aire | Argentina |
| Teva Investigational Site 123 | Rosario-Santa Fe | Argentina |
| Teva Investigational Site 120 | San Miguel de Tucuman - Tucuma | Argentina |
| Teva Investigational Site 150 | Florianópolis | Brazil |
| Teva Investigational Site 140 | Porto Alegre | Brazil |
| Teva Investigational Site 144 | Porto Alegre | Brazil |
| Teva Investigational Site 145 | Porto Alegre | Brazil |
| Teva Investigational Site 143 | Porto Alegre, RS | Brazil |
| Teva Investigational Site 142 | Santo André | Brazil |
| Teva Investigational Site 104 | Newmarket | Canada |
| Teva Investigational Site 102 | Pointe-Claire | Canada |
| Teva Investigational Site 105 | Windsor | Canada |
| Teva Investigational Site 343 | Grenoble | France |
| Teva Investigational Site 342 | Marseille | France |
| Teva Investigational Site 341 | Montpellier | France |
| Teva Investigational Site 360 | Bad Wörishofen | Germany |
| Teva Investigational Site 361 | Berlin | Germany |
| Teva Investigational Site 362 | Berlin | Germany |
| Teva Investigational Site 366 | Berlin | Germany |
| Teva Investigational Site 371 | Bochum | Germany |
| Teva Investigational Site 365 | Dresden | Germany |
| Teva Investigational Site 369 | Frankfurt | Germany |
| Teva Investigational Site 370 | Hamburg | Germany |
| Teva Investigational Site 372 | Koblenz | Germany |
| Teva Investigational Site 367 | Leipzig | Germany |
| Teva Investigational Site 368 | Leipzig | Germany |
| Teva Investigational Site 363 | Mainz | Germany |
| Teva Investigational Site 364 | Mainz | Germany |
| Teva Investigational Site 381 | Alexandroupoli | Greece |
| Teva Investigational Site 380 | Athens | Greece |
| Teva Investigational Site 382 | Heraklion, Crete | Greece |
| Teva Investigational Site 203 | Distrito Federal | Mexico |
| Teva Investigational Site 204 | Guadalajara, JAL | Mexico |
| Teva Investigational Site 205 | Mexico City | Mexico |
| Teva Investigational Site 207 | Mexico City | Mexico |
| Teva Investigational Site 209 | Monterrey | Mexico |
| Teva Investigational Site 202 | Tijuana, B.C. | Mexico |
| Teva Investigational Site 223 | Cercado de Lima, Lima | Peru |
| Teva Investigational Site 220 | Lima | Peru |
| Teva Investigational Site 221 | Lima | Peru |
| Teva Investigational Site 222 | Lima | Peru |
| Teva Investigational Site 225 | Lima | Peru |
| Teva Investigational Site 226 | Lima | Peru |
| Teva Investigational Site 227 | Lima | Peru |
| Teva Investigational Site 229 | Lima | Peru |
| Teva Investigational Site 523 | Bucharest | Romania |
| Teva Investigational Site 524 | Bucharest | Romania |
| Teva Investigational Site 520 | Cluj-Napoca | Romania |
| Teva Investigational Site 521 | Iași | Romania |
| Teva Investigational Site 522 | Târgu Mureş | Romania |
| Teva Investigational Site 543 | Moscow | Russia |
| Teva Investigational Site 544 | Moscow | Russia |
| Teva Investigational Site 554 | Moscow | Russia |
| Teva Investigational Site 556 | Moscow | Russia |
| Teva Investigational Site 558 | Moscow | Russia |
| Teva Investigational Site 559 | Moscow | Russia |
| Teva Investigational Site 557 | Novosibirsk | Russia |
| Teva Investigational Site 540 | Saint Petersburg | Russia |
| Teva Investigational Site 541 | Saint Petersburg | Russia |
| Teva Investigational Site 563 | Bradejov | Slovakia |
| Teva Investigational Site 561 | Levice | Slovakia |
| Teva Investigational Site 560 | Spišská Nová Ves | Slovakia |
| Teva Investigational Site 562 | Topoľčany | Slovakia |
| Teva Investigational Site 682 | Gwangju | South Korea |
| Teva Investigational Site 680 | Seoul | South Korea |
| Teva Investigational Site 681 | Seoul | South Korea |
| Teva Investigational Site 683 | Seoul | South Korea |
| Teva Investigational Site 686 | Seoul | South Korea |
| Teva Investigational Site 685 | Suwon | South Korea |
| Teva Investigational Site 764 | Kaohsiung City | Taiwan |
| Teva Investigational Site 765 | Taichung | Taiwan |
| Teva Investigational Site 760 | Taipei | Taiwan |
| Teva Investigational Site 761 | Taipei | Taiwan |
| Teva Investigational Site 763 | Taoyuan | Taiwan |
| Teva Investigational Site 621 | Dnipropetrovsk | Ukraine |
| Teva Investigational Site 629 | Donetsk | Ukraine |
| Teva Investigational Site 635 | Donetsk | Ukraine |
| Teva Investigational Site 630 | Ivano-Frankivsk | Ukraine |
| Teva Investigational Site 620 | Kharkiv | Ukraine |
| Teva Investigational Site 633 | Kharkiv | Ukraine |
| Teva Investigational Site 622 | Kyiv | Ukraine |
| Teva Investigational Site 623 | Kyiv | Ukraine |
| Teva Investigational Site 624 | Kyiv | Ukraine |
| Teva Investigational Site 625 | Kyiv | Ukraine |
| Teva Investigational Site 628 | Ternopil | Ukraine |
| Teva Investigational Site 626 | Vinnytsia | Ukraine |
| Teva Investigational Site 631 | Zaporizhzhia | Ukraine |
| Teva Investigational Site 632 | Zaporizhzhia | Ukraine |
| 30964365 | Derived | Han S, Kim S, Kim H, Suh HS. Cost-utility analysis of reslizumab for patients with severe eosinophilic asthma inadequately controlled with high-dose inhaled corticosteroids and long-acting beta2-agonists in South Korea. Curr Med Res Opin. 2019 Sep;35(9):1597-1605. doi: 10.1080/03007995.2019.1605159. Epub 2019 May 16. |
| 30346831 | Derived | Bateman ED, Djukanovic R, Castro M, Canvin J, Germinaro M, Noble R, Garin M, Buhl R. Predicting Responders to Reslizumab after 16 Weeks of Treatment Using an Algorithm Derived from Clinical Studies of Patients with Severe Eosinophilic Asthma. Am J Respir Crit Care Med. 2019 Feb 15;199(4):489-495. doi: 10.1164/rccm.201708-1668OC. |
| 30193936 | Derived | Weinstein SF, Katial RK, Bardin P, Korn S, McDonald M, Garin M, Bateman ED, Hoyte FCL, Germinaro M. Effects of Reslizumab on Asthma Outcomes in a Subgroup of Eosinophilic Asthma Patients with Self-Reported Chronic Rhinosinusitis with Nasal Polyps. J Allergy Clin Immunol Pract. 2019 Feb;7(2):589-596.e3. doi: 10.1016/j.jaip.2018.08.021. Epub 2018 Sep 5. |
| 28159511 | Derived | Brusselle G, Germinaro M, Weiss S, Zangrilli J. Reslizumab in patients with inadequately controlled late-onset asthma and elevated blood eosinophils. Pulm Pharmacol Ther. 2017 Apr;43:39-45. doi: 10.1016/j.pupt.2017.01.011. Epub 2017 Jan 31. |
| 25736990 | Derived | Castro M, Zangrilli J, Wechsler ME, Bateman ED, Brusselle GG, Bardin P, Murphy K, Maspero JF, O'Brien C, Korn S. Reslizumab for inadequately controlled asthma with elevated blood eosinophil counts: results from two multicentre, parallel, double-blind, randomised, placebo-controlled, phase 3 trials. Lancet Respir Med. 2015 May;3(5):355-66. doi: 10.1016/S2213-2600(15)00042-9. Epub 2015 Feb 23. |
| Full Analysis Set |
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| Safety Analysis Set |
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| COMPLETED |
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| NOT COMPLETED |
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Randomized participants
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. |
| BG001 | Reslizumab 3.0 mg/kg | Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| 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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| Race | Number | participants |
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| Weight | Mean | Standard Deviation | kg |
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| Height | Mean | Standard Deviation | cm |
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| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
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| Oral Corticosteroid Use at Baseline | Participants who were taking oral corticosteroids at baseline as recorded by interactive response technology. This was a stratification factor. | Number | participants |
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| Participants in the United States | This was a stratification factor as reported by the interactive response technology (IRT). | Number | participants |
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| Asthma exacerbations in the previous 12 months | One Reslizumab participant reported no asthma exacerbations in the past 12 months. | Mean | Standard Deviation | exacerbations |
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| Forced Expiratory Volume in 1 Second (FEV1) | Mean | Standard Deviation | liters |
| |||||||||||||||
| Asthma Control Questionnaire (ACQ) | The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the overall score is the mean of all responses. A higher score is an indication of poorer asthma control. | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Asthma Quality of Life Questionnaire (AQLQ) | The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Asthma Symptom Utility Index (ASUI) | The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control. | Mean | Standard Deviation | units on a scale |
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| Blood Eosinophil Count | Mean | Standard Deviation | 10^9 blood eosinophil/L |
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| Number of Short-Acting Beta-Agonist Puffs (SABA) Daily | Based on patient-reported total number of SABA puffs over the past 3 days. N=201, 204, 405 | Mean | Standard Deviation | puffs/day |
|
| 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 | Frequency of Clinical Asthma Exacerbations (CAEs) During 12 Months of Treatment | An exacerbation event was considered a CAE if the patient met either or both of the criteria listed below and this was corroborated with at least 1 other measurement to indicate the worsening of clinical signs and symptoms of asthma:
CAEs were adjudicated by committee to assure consistency. Adjusted CAE rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors. Results are offered as adjusted means. | Randomized set includes all patients who were randomly assigned to a treatment group at enrollment, regardless of whether or not a patient took any study drug. | Posted | Mean | 95% Confidence Interval | CAEs in 52 weeks | Day 1 to Month 12 |
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| Secondary | Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) At Week 16 | FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer. Positive change from baseline scores indicate improvement in asthma control. | Randomized set includes all patients who were randomly assigned to a treatment group at enrollment, regardless of whether or not a patient took any study drug. Number analyzed reflects participants with both baseline and Week 16 assessments. | Posted | Least Squares Mean | Standard Error | liters | Day 1 (baseline, pre-dose), Week 16 |
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| Secondary | Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 16 Weeks Using Mixed Model for Repeated Measures | FEV1 is a standard measurement of air movement in the lungs of patients with asthma obtained from pulmonary function tests. It is the volume of air expired in the first second of a forced expiration using a spirometer. During study (Weeks 4, 8, 12 and 16) average value used a mixed effect model for repeated measures (MMRM) with treatment group, visit, treatment and visit interaction, and stratification factors as fixed effects and participant as a random effect. Covariates for baseline values were also included in the model; for pulmonary function test analyses, covariates for height and sex were included as well. Positive change from baseline scores indicate improvement in asthma control. | Randomized set includes all patients who were randomly assigned to a treatment group at enrollment, regardless of whether or not a patient took any study drug. Includes participants who contributed at least once to the analysis. | Posted | Least Squares Mean | Standard Error | liters | Day 1 (baseline, pre-dose), Weeks 4, 8, 12 and 16 |
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| Secondary | Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) to Week 16 | The AQLQ is a 32-item instrument administered as a self-assessment (Juniper et al 1992). The questionnaire is divided into 4 domains: activity limitation, symptoms, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the last 2 weeks and to respond to each question on a 7-point scale (1=severe impairment, 7=no impairment). The overall AQLQ score is the mean of all 32 responses. Five of the activity questions were "patient-specific," which means that each patient identified and scored 5 activities in which the patient was limited by asthma; these 5 activities were identified at the first visit and retained for all subsequent follow-up visits. Positive change from baseline scores indicate improvement in quality of life. | Randomized set of participants with assessments at each timepoint. | Posted | Least Squares Mean | Standard Error | units on a scale | Day 1 (baseline, pre-dose), Week 16 |
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| Secondary | Change From Baseline in Asthma Control Questionnaire (ACQ) Over 16 Weeks Using Mixed Model for Repeated Measures | The ACQ is a 7-item instrument that measures asthma control (Juniper et al 1999). Six questions are self-assessments; the seventh item, completed by a member of the study staff, is the result of the patient's FEV1 measurement. Each item has 7 possible answers on a scale of 0 to 6, and the total score is the mean of all responses (the total scale is therefore 0-6). A higher score is an indication of poorer asthma control. The during treatment (Weeks 4, 8, 12 and 16) average ACQ was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control. | Randomized set, including participants who contributed at least once to the analysis. | Posted | Least Squares Mean | Standard Error | units on a scale | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16 |
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| Secondary | Kaplan-Meier Estimates for Time to First Clinical Asthma Exacerbation (CAE) | An exacerbation event was considered a CAE if the patient met either or both of the criteria listed below and this was corroborated with at least 1 other measurement to indicate the worsening of clinical signs and symptoms of asthma:
CAEs were adjudicated by committee to assure consistency. The distributions were compared by a log rank test stratified by baseline usage of oral corticosteroid (yes or no) and geographical region (US or other). | Randomized set | Posted | Median | 95% Confidence Interval | weeks | Day 1 to Day 526 (longest treatment time plus 2 weeks) |
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| Secondary | Change From Baseline in Asthma Symptom Utility Index (ASUI) Over 16 Weeks Using Mixed Model for Repeated Measures | The ASUI is an 11-item instrument designed to assess the frequency and severity of asthma symptoms and side effects, weighted by patient preferences (Revicki et al 1998). ASUI is a utility score that ranges from 0 to 1, with higher values indicating better asthma control; info obtained from questionnaire about asthma symptoms. The during treatment (Weeks 4, 8, 12 and 16) average ASUI was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Positive change from baseline values indicate improvement in asthma symptoms. Information was obtained from questionnaire about asthma symptoms. | Randomized set, including participants who contributed at least once to the analysis. | Posted | Least Squares Mean | Standard Error | units on a scale | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16 |
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| Secondary | Change From Baseline in Short-Acting Beta-Agonist (SABA) Use Over 16 Weeks Using Mixed Model for Repeated Measures | SABA are used for quick relief of asthma symptoms. To measure SABA use, at each clinical visit patients were asked to recall their usage of SABA therapy within the last 3 days of the scheduled visit. If usage was confirmed, the number of puffs used was recorded. For the purpose of summaries, an average daily usage was evaluated by dividing the total number of puffs recorded over 3 days by 3. The during treatment (Weeks 4, 8, 12 and 16) average SABA use was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. Negative change from baseline scores indicate improvement in asthma control. | Randomized set including patients who contributed at least once to the analysis. | Posted | Least Squares Mean | Standard Error | SABA puffs per day | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16 |
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| Secondary | Change From Baseline in Blood Eosinophil Count Over 16 Weeks and 52 Weeks Using Mixed Model for Repeated Measures | The blood eosinophil counts were measured using a standard complete blood count (CBC) with differential blood test. Results of all differential blood tests conducted after randomization were blinded. The during treatment average eosinophil count was estimated using a mixed-effect model for repeated measures (MMRM) with fixed effects (treatment, stratification factors, sex, visit, interaction of treatment and visit), covariates (height, baseline value), and patient as the random effect for the repeated measurements. The 'over 16 weeks' value used data from Weeks 4, 8, 12 and 16. The 'over 52 weeks' value used all the during study time points listed in the Time Frame field. Negative change from baseline values correlate to reduced asthma severity. | Randomized set including patients who contributed at least once to the analysis. | Posted | Least Squares Mean | Standard Error | 10^9 blood eosinophil/L | Day 1 (baseline, pre-dose), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 or early withdrawal |
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| Secondary | Participants With Treatment-Emergent Adverse Events TEAE) | An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. | Safety analysis set | Posted | Number | participants | Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit. |
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| Primary | Frequency of Each of the Two Criteria for Clinical Asthma Exacerbations (CAEs) | An exacerbation event was considered a CAE if the patient met either or both of the criteria listed below and this was corroborated with at least 1 other measurement to indicate the worsening of clinical signs and symptoms of asthma:
Adjusted CAE rate and confidence intervals for the two criteria were based on Negative Binomial regression model adjusted for stratification factors. Results are offered as adjusted means. | Randomized set includes all patients who were randomly assigned to a treatment group at enrollment, regardless of whether or not a patient took any study drug. | Posted | Mean | 95% Confidence Interval | CAEs in 52 weeks | Day 1 to Month 12 |
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| Secondary | Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Abnormal Lab Values | Data represents participants with potentially clinically significant (PCS) abnormal serum chemistry, hematology (except for eosinophil values), and urinalysis values. Significance criteria:
| Safety analysis set, including participants who contributed to the analysis | Posted | Number | participants | Week 4 to Week 52 |
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| Secondary | Participants With Treatment-Emergent Potentially Clinically Significant (PCS) Vital Signs Values | Data represents participants with potentially clinically significant (PCS) vital sign values. Significance criteria
| Safety analysis set including participants who contributed data to the analysis | Posted | Number | participants | Week 4 to Week 52 |
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| Secondary | Participants With a Positive Anti-Reslizumab Antibody Status During Study | Counts of participants with a positive anti-drug antibody (ADA) response during treatment is offered for the experimental treatment arm. Blood samples were collected for determination of ADAs before study drug infusion. | Safety analysis set | Posted | Number | participants | Baseline visit (prior to reslizumab exposure), Weeks 16, 32, 48 and 52 |
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Day 1 (post-dose) to Week 65. The endpoint for adverse events was the last postbaseline observation, which included the 90 day follow-up visit.
Not provided
Not provided
| 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 administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. | 23 | 232 | 160 | 232 | ||
| EG001 | Reslizumab 3.0 mg/kg | Reslizumab 3.0 mg/kg administered intravenously once every 4 weeks ( +-7 days) for a total of 13 doses. | 18 | 232 | 123 | 232 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Extrasystoles | Cardiac disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Ventricular tachycardia | Cardiac disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Duodenal ulcer | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Inguinal hernia | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Anaphylactic reaction | Immune system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Bronchitis bacterial | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Erysipelas | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Liver abscess | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Localised infection | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Mycobacterium fortuitum infection | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Tracheobronchitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Brachial plexus injury | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Joint dislocation | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Laceration | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Meniscus lesion | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Post concussion syndrome | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Radius fracture | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Spinal column injury | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Tendon rupture | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Foot deformity | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Pituitary tumour benign | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.0) | Systematic Assessment |
| |
| Plasmacytoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.0) | Systematic Assessment |
| |
| Carotid artery stenosis | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Allergic sinusitis | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Asthmatic crisis | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Atelectasis | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Bronchial secretion retention | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Pleurisy | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Status asthmaticus | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
|
Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products, R&D Inc. | 215-591-3000 | ustevatrials@tevapharm.com |
| ID | Term |
|---|---|
| D011657 | Pulmonary Eosinophilia |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D017681 | Hypereosinophilic Syndrome |
| D004802 | Eosinophilia |
| D007960 | Leukocyte Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C515492 | reslizumab |
| D061067 | Antibodies, Monoclonal, Humanized |
| ID | Term |
|---|---|
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
Not provided
Not provided
| Male |
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| Black |
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| Asian |
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| American Indian or Alaskan Native |
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| Pacific Islander |
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| Other |
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| No |
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| No |
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