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The study was terminated early due to challenges in recruitment. The decision to terminate the study was not related to any safety issues or concerns.
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This is an exploratory study with the following primary objectives: 1) to establish that PET/CT of the lung can reliably distinguish healthy, non-asthmatic participants from participants with severe asthma and an eosinophilic phenotype and 2) to examine the utility of PET/CT for demonstrating that reslizumab produces a reduction in lung inflammation in participants with severe asthma and an eosinophilic phenotype .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: PET/CT Scan | Experimental | Healthy participants will have 2 PET/CT scan in Part 1: within 7 days of eligibility being confirmed, and 7 days after the first PET/CT scan. Participants will receive Fluorodeoxyglucose F-18 (FDG) as part of the PET/CT procedures and will provide sputum/blood samples. |
|
| Part 2: Reslizumab | Experimental | Reslizumab 3.0 milligrams/kilogram (mg/kg) will be administered by intravenous (IV) infusion, over 20 to 50 minutes, at Baseline (Day 1) of Part 2. PET/CT scan will be done on Weeks 2, 4 and 6. Participants will receive FDG as part of the PET/CT procedures and will provide sputum/blood samples. |
|
| Part 2: Placebo | Placebo Comparator | Matching placebo will be administered by IV infusion at Baseline (Day 1) of Part 2. PET/CT scan will be done on Weeks 2, 4 and 6. Participants will receive FDG as part of the PET/CT procedures and will provide sputum/blood samples. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reslizumab | Drug | Reslizumab will be administered as per the dose and schedule specified in the arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Average Global Lung Glycolysis (GLG) at Baseline (Day 1) | GLG is the total FDG uptake in the whole lung. A region of interest (ROI) was drawn around lung boundary in each axial slice. Standardized uptake value (SUV) mean and area of each ROI was recorded. Using the formula: area*slice thickness the volume of each slice was calculated. Then the SUVmean of each slice was multiplied by the volume of the corresponding slice, which represented the total FDG uptake in one slice. This number for each slice was summed together to provide GLG of that lung. Average between GLG of right lung and GLG of left lung was reported. | Baseline (Day 1) of Part 1 |
| Part 1: Average Global Lung Glycolysis (GLG) at Day 8 | GLG is the total FDG uptake in the whole lung. ROI was drawn around lung boundary in each axial slice. SUV mean and area of each ROI was recorded. Using the formula: area*slice thickness the volume of each slice was calculated. Then the SUVmean of each slice was multiplied by the volume of the corresponding slice, which represented the total FDG uptake in one slice. This number for each slice was summed together to provide GLG of that lung. Average between GLG of right lung and GLG of left lung was reported. | Day 8 |
| Part 2: Change From Baseline to Week 4 in GLG | Baseline, Week 4 | |
| Part 2: Change From Baseline to Week 4 in Lung Parenchyma (LP) SUV Mean | Baseline, Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2: Change From Baseline to Week 4 in Blood Eosinophil Counts | Baseline, Week 4 | |
| Change From Baseline to Week 4 in Forced Expiratory Volume in 1 Second (FEV1) | Baseline, Week 4 | |
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Inclusion Criteria:
Male or female, 18 through 50 years of age.
Females that are either surgically sterile, are 2 years postmenopausal, or have a negative pregnancy test at screening.
Females of childbearing potential (not surgically sterile or 2 years postmenopausal), have to use a medically accepted method of contraception and have to agree to continue to use of this method for the duration of the study and for 5 months after study drug administration.
Participants with less that 10-pack year history of smoking.
Have a previous diagnosis of asthma.
Participants taking inhaled fluticasone at a dosage of at least 440 micrograms (mcg) daily, or equivalent.
The participant's baseline asthma therapy must be stable for 30 days prior to screening and judged by their treating physician to be able to continue without dosage changes throughout the study.
Participants with a blood eosinophil level of at least 400 cells/microliter (cells/μL) at screening. Participants with a blood eosinophil level below 400 cells/μL will be given 2 additional screening opportunities to determine blood eosinophil levels.
Exclusion Criteria:
Participants requiring treatment with oral, intramuscular, or IV corticosteroids within 6 weeks of the Part 1 baseline visit for an asthma exacerbation.
Participants with any other confounding underlying lung disorder including but not limited to: bronchiectasis, chronic obstructive pulmonary disorder, smoking greater than or equal to (≥)10 pack year history, pulmonary fibrosis, emphysema, cystic fibrosis, and lung cancer.
Participants diagnosed with diabetes mellitus.
Participants with pulmonary conditions and blood eosinophilia other than eosinophilic asthma.
Participants with clinically meaningful comorbidity that can interfere with the study schedule or procedures, or compromise the participant's safety.
Participants that are current smokers (that is, have smoked within the last 12 months prior to screening).
Participants using systemic immunosuppressive, immunomodulating, or other biologic agents (including, but not limited to, anti-IgE mAb, methotrexate, cyclosporin, interferon-α, or anti-tumor necrosis factor mAb) within 6 months prior to screening. Participants whose treatment with anti-IgE mAb therapy (omalizumab) is considered ineffective by their physician may be included as potential participants when:
Participants who have previously received an anti-hIL-5 mAb (for example, reslizumab, mepolizumab [Nucala]) or anti-IL-5 receptor mAb (eg, benralizumab). Participants whose treatment with mepolizumab or benralizumab is considered ineffective by their physician may be included as potential participants when:
Participants who had concurrent infection or disease that may preclude assessment of active asthma.
Participants with a history of concurrent immunodeficiency (human immunodeficiency virus or acquired immunodeficiency syndrome or congenital immunodeficiency).
Participants that had an active parasitic infection within 6 months prior to screening.
Participants with any disorder that may interfere with drug absorption, distribution, metabolism, or excretion (including gastrointestinal surgery).
Known hypersensitivity to study drug or to FDG/contrast agents
Treatment with metformin.
Compromised renal function.
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| Name | Affiliation | Role |
|---|---|---|
| Teva Medical Expert, MD | Teva Branded Pharmaceutical Products R&D, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 13808 | New Brunswick | New Jersey | 08901 | United States |
Participants with eosinophilic asthma were to be randomly assigned 1:1 in a double-blind fashion in Part 2 of the study to receive either placebo or reslizumab. Study was terminated prior to administration of reslizumab.
This study consisted of 2 parts: Part 1, a 21-day positron emission tomography (PET)/computed tomography (CT) screening period, and Part 2 (only participants with asthma), a 6-week double blind treatment/assessment period.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: PET/CT Scan | Healthy participants had 2 PET/CT scan in Part 1: within 7 days of eligibility being confirmed, and 7 days after the first PET/CT scan. Participants received Fluorodeoxyglucose F-18 (FDG) as part of the PET/CT procedures and provided sputum/blood samples. |
| FG001 | Part 2: Reslizumab | Reslizumab 3.0 milligrams/kilogram (mg/kg) was planned to be administered by intravenous (IV) infusion, over 20 to 50 minutes, at Baseline (Day 1) of Part 2. PET/CT scan was to be done on Weeks 2, 4 and 6. |
| FG002 | Part 2: Placebo | Matching placebo was planned to be administered by IV infusion at Baseline. (Day 1) of Part 2. PET/CT scan was to be done on Weeks 2, 4 and 6. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PET/CT Screening Period (21 Days) |
| |||||||||||||
| Double-Blind Treatment Period (6 Weeks) |
|
All recruited healthy participants.
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: PET/CT Scan | Healthy participants had 2 PET/CT scan in Part 1: within 7 days of eligibility being confirmed, and 7 days after the first PET/CT scan. Participants received FDG as part of the PET/CT procedures and provided sputum/blood samples. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Part 1: Average Global Lung Glycolysis (GLG) at Baseline (Day 1) | GLG is the total FDG uptake in the whole lung. A region of interest (ROI) was drawn around lung boundary in each axial slice. Standardized uptake value (SUV) mean and area of each ROI was recorded. Using the formula: area*slice thickness the volume of each slice was calculated. Then the SUVmean of each slice was multiplied by the volume of the corresponding slice, which represented the total FDG uptake in one slice. This number for each slice was summed together to provide GLG of that lung. Average between GLG of right lung and GLG of left lung was reported. | All recruited healthy participants. | Posted | Mean | Standard Deviation | cubic centimeters (cm^3) | Baseline (Day 1) of Part 1 |
|
AEs were collected in Part 1 (21 days).
All recruited healthy participants were analyzed.
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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 | Part 1: PET/CT Scan | Healthy participants had 2 PET/CT scan in Part 1: within 7 days of eligibility being confirmed, and 7 days after the first PET/CT scan. Participants received FDG as part of the PET/CT procedures and provided sputum/blood samples. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Right-hand injury | General disorders | Systematic Assessment |
The study was terminated early due to challenges in recruitment. The decision to terminate the study was not related to any safety issues or concerns.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products, R&D Inc. | 1-888-483-8279 | USMedInfo@tevapharm.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 24, 2016 | Jul 12, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 30, 2017 | Jul 12, 2019 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| ID | Term |
|---|---|
| C515492 | reslizumab |
| D019788 | Fluorodeoxyglucose F18 |
| ID | Term |
|---|---|
| D003847 | Deoxyglucose |
| D003837 | Deoxy Sugars |
| D002241 | Carbohydrates |
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| Fludeoxyglucose F 18 (FDG) | Drug | FDG will be administered by IV infusion prior to each PET/CT scan. |
|
| Placebo | Drug | Placebo matching to reslizumab will be administered as per the schedule specified in the arm. |
|
| Change From Baseline to Week 4 in Fractional Exhaled Nitric Oxide (FeNO) |
| Baseline, Week 4 |
| Change From Baseline to Week 4 in Asthma Quality of Life Questionnaire (AQLQ) Score | Baseline, Week 4 |
| Number of Participants With Adverse Events (AEs) | An AE was defined 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. SAEs included death, a life-threatening AE, 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 participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. | 21 days |
| NOT COMPLETED |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
|
|
| Primary | Part 1: Average Global Lung Glycolysis (GLG) at Day 8 | GLG is the total FDG uptake in the whole lung. ROI was drawn around lung boundary in each axial slice. SUV mean and area of each ROI was recorded. Using the formula: area*slice thickness the volume of each slice was calculated. Then the SUVmean of each slice was multiplied by the volume of the corresponding slice, which represented the total FDG uptake in one slice. This number for each slice was summed together to provide GLG of that lung. Average between GLG of right lung and GLG of left lung was reported. | All recruited healthy participants. | Posted | Mean | Standard Deviation | cm^3 | Day 8 |
|
|
|
| Primary | Part 2: Change From Baseline to Week 4 in GLG | Part 2 of the study was not conducted, hence this outcome measure was not analyzed. | Posted | Baseline, Week 4 |
|
|
| Primary | Part 2: Change From Baseline to Week 4 in Lung Parenchyma (LP) SUV Mean | Part 2 of the study was not conducted, hence this outcome measure was not analyzed. | Posted | Baseline, Week 4 |
|
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| Secondary | Part 2: Change From Baseline to Week 4 in Blood Eosinophil Counts | Part 2 of the study was not conducted, hence this outcome measure was not analyzed. | Posted | Baseline, Week 4 |
|
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| Secondary | Change From Baseline to Week 4 in Forced Expiratory Volume in 1 Second (FEV1) | Part 2 of the study was not conducted, hence this outcome measure was not analyzed. | Posted | Baseline, Week 4 |
|
|
| Secondary | Change From Baseline to Week 4 in Fractional Exhaled Nitric Oxide (FeNO) | Part 2 of the study was not conducted, hence this outcome measure was not analyzed. | Posted | Baseline, Week 4 |
|
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| Secondary | Change From Baseline to Week 4 in Asthma Quality of Life Questionnaire (AQLQ) Score | Part 2 of the study was not conducted, hence this outcome measure was not analyzed. | Posted | Baseline, Week 4 |
|
|
| Secondary | Number of Participants With Adverse Events (AEs) | An AE was defined 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. SAEs included death, a life-threatening AE, 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 participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. | All recruited healthy participants. | Posted | Count of Participants | Participants | 21 days |
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| 0 |
| 5 |
| 0 |
| 5 |
| 1 |
| 5 |
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.
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |