Dexpramipexole Dose-Ranging Biomarker Study in Subjects W... | NCT04046939 | Trialant
NCT04046939
Sponsor
Knopp Biosciences
Status
Completed
Last Update Posted
Apr 13, 2023Actual
Enrollment
534Actual
Phase
Phase 2
Conditions
Eosinophilic Asthma
Asthma
Interventions
Dexpramipexole
Placebo
Countries
United States
Protocol Section
Identification Module
NCT ID
NCT04046939
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
KNS-760704-AS201
Secondary IDs
Not provided
Brief Title
Dexpramipexole Dose-Ranging Biomarker Study in Subjects With Eosinophilic Asthma
Official Title
A Randomized, Double-Blind, Placebo-Controlled Dose-Ranging Biomarker Study of the Effects of Dexpramipexole on Eosinophils in Subjects With Eosinophilic Asthma
Acronym
EXHALE-1
Organization
Knopp BiosciencesINDUSTRY
Status Module
Record Verification Date
Apr 2023
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Aug 15, 2019Actual
Primary Completion Date
Dec 3, 2020Actual
Completion Date
Mar 2, 2021Actual
First Submitted Date
Jul 30, 2019
First Submission Date that Met QC Criteria
Aug 2, 2019
First Posted Date
Aug 6, 2019Actual
Results Waived
Not provided
Results First Submitted Date
Nov 23, 2021
Results First Submitted that Met QC Criteria
Nov 23, 2021
Results First Posted Date
Dec 22, 2021Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Apr 11, 2023
Last Update Posted Date
Apr 13, 2023Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Knopp BiosciencesINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This is a randomized, double-blind, placebo-controlled, parallel-group, dose-ranging, multi-center study to evaluate the clinical effects of oral administration of dexpramipexole for 12 weeks on peripheral blood eosinophil count in subjects with eosinophilic asthma.
Detailed Description
One hundred subjects will receive study drug or matching placebo over 12 weeks of consecutive dosing. Following a short Run-in Period, eligible subjects will enter the Primary Assessment Period and receive twice-daily dosing of study drug or placebo for 12 weeks. Following 12 weeks of treatment, subjects will enter a 12-week Eosinophil Recovery Period. The primary endpoint for the study is the change in blood absolute eosinophil count from Baseline to Week 12.
Conditions Module
Conditions
Eosinophilic Asthma
Asthma
Keywords
Eosinophilic Asthma
Asthma
dexpramipexole
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
534Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
placebo BID
Placebo Comparator
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Drug: Placebo
37.5 mg BID dexpramipexole
Active Comparator
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Drug: Dexpramipexole
75 mg BID dexpramipexole
Active Comparator
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Drug: Dexpramipexole
150 mg BID dexpramipexole
Active Comparator
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Drug: Dexpramipexole
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Dexpramipexole
Drug
dexpramipexole twice daily oral dosing for up to 12 weeks
150 mg BID dexpramipexole
37.5 mg BID dexpramipexole
75 mg BID dexpramipexole
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Change in Blood Absolute Eosinophil Count From Baseline to Week 12
The primary endpoint of this study was the change in AEC from Baseline to Week 12 on a ratio scale. The analysis used a mixed effects model repeated-measures (MMRM) with terms for log10 transformed baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and log10 transformed baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the log10 transformed post-baseline value minus the log10 transformed baseline value. The estimates of Geometric LS Means and their ratios were obtained by back transforming the corresponding estimates of LS means and their differences to the original scale.
Baseline, 12 Weeks
Secondary Outcomes
Measure
Description
Time Frame
Change in Pre-bronchodilator FEV1 (Liters) From Baseline to Week 12
FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation.
Baseline, 12 Weeks
Change in Asthma Control Questionnaire (ACQ-6) Score From Baseline to Week 12
Other Outcomes
Measure
Description
Time Frame
Change in Nasal Eosinophil Peroxidase (Presented as Ratio to Protein) From Baseline to Week 12
The EPX:protein ratio was used to normalize the EPX for the quantity of sample, yielding the values in ng EPX per mg protein. The ratio of nasal Eosinophil Peroxidase to Protein is a biomarker for airway eosinophils. A lower ratio to Baseline represents a lowering in airway eosinophilia, which is a marker of successful drug therapy.
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Male or female ≥18 and <75 years of age at the time of consent
Physician diagnosis of asthma for ≥12 months (relative to Baseline) based on Global Initiative for Asthma (GINA) 2018 Guidelines
Asthma requiring treatment with, at a minimum, low dose inhaled corticosteroids in combination with a long-acting β2 agonist, on a stable dose for at least 1 month before Screening
Bronchodilator reversibility, as evidenced by ≥12% and ≥200 mL improvement in FEV1 15 to 25 minutes following inhalation of albuterol at Screening
Pre-bronchodilator FEV1 ≥40% and <80% of predicted at Screening and Baseline
AEC ≥0.30 x10^9/L at the Screening visit
ACQ-7 ≥1.5 at Screening
Negative pregnancy test at Baseline
Adherence ≥85% with twice-daily placebo taken during the Run-in Period
Exclusion Criteria:
Treatment for an asthma exacerbation within 8 weeks prior to Baseline visit
Treatment with systemic corticosteroids in the 8 weeks prior to Screening
Treatment with monoclonal antibody therapy, within 5-half-lives prior to Baseline
Treatment with selected drugs known to have a substantial risk of neutropenia
Absolute neutrophil count <2.0x10^9/L at Screening, or any documented history of absolute neutrophil count <2.0x10^9/L.
Renal dysfunction, defined as an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m^2 at Screening
Clinically significant abnormal laboratory or ECG values
Other medically significant illness
Use of any smoke or inhaled nicotine delivery device within 1 year prior to Screening
Pregnant women or women breastfeeding
Currently taking pramipexole or other dopamine agonists
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
74 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Not provided
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Research Site
Los Angeles
California
90048
United States
Research Site
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
Plan to Share IPD
No
Description
Not provided
Types
Not provided
Time Frame
Not provided
Access Criteria
Not provided
URL
Not provided
Results Section
Participant Flow Module
Pre-assignment Details
Of the 534 participants enrolled, 144 subjects received placebo treatment during the Run-in Period. Of those, 103 completed the Run-in Period, were eligible for randomization, and entered the Primary Assessment Period.
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
FG001
37.5 mg BID Dexpramipexole
Periods
Title
Milestones
Reasons Not Completed
Screening Period
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
0
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Jul 16, 2019
Nov 23, 2021
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Four-arm parallel assignment
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Triple
Masking Description
Not provided
Who Masked
ParticipantCare ProviderInvestigator
KNS-760704
BIIB050
Placebo
Drug
placebo twice daily oral dosing for up to 12 weeks
placebo BID
PBO
ACQ-6 is simple questionnaire to measure the adequacy of asthma control and change in asthma control which occurs either spontaneously or as a result of treatment. The 6-point self-administered scale has items measuring asthma symptoms and rescue inhaler use. The ACQ score is the mean of the questions and therefore between 0 (totally controlled) and 6 (severely uncontrolled). The original protocol planned to analyze the ACQ-7 score. As a result of FEV1 testing restrictions imposed on the study during the COVID-19 pandemic, the analysis was prospectively modified to the ACQ-6 score prior to database lock. The ACQ-6 is a validated questionnaire and is identical to the ACQ-7, with the exception of FEV1 data that is also utilized in the ACQ-7 questionnaire total score calculation.
Baseline, 12 Weeks
Change in Post-bronchodilator FEV1 From Baseline to Week 12
Post-bronchodilator FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation, after treatment with inhaled albuterol.
Baseline, 12 Weeks
Change in Quality of Life, as Measured by the Asthma Quality of Life Questionnaire (AQLQ) From Baseline to Week 12
The AQLQ is a 32-item asthma specific questionnaire designed to measure functional impairments that are most important to patients with asthma. The 32 questions in the AQLQ are divided into four domains; activity limitations, symptoms, emotional function, and environmental stimuli. Individual questions are equally weighted. The overall AQLQ score is the mean of the responses to each of the 32 questions and ranges from 1 to 7. A score 7.0 indicates that the patient has no impairments due to asthma and score 1.0 indicates severe impairment.
Baseline, 12 Weeks
Number of Participants With Potentially Clinically Significant Hematology Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Hematology Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant Blood Chemistry Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Blood Chemistry Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant Urinalysis Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Urinalysis Results (glycosuria, ketonuria, or proteinuria) by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline urinalysis value in each treatment group. Patients are only counted once per criterion per laboratory test. The number of participants with potential clinical important urinalysis findings at any post-baseline visit were reported.
Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant Vital Signs Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Vital Signs Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
Immediately post-baseline up to Week 12
Number of Participants With Potentially Clinically Significant ECG Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant ECG Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
Immediately post-baseline up to Week 12
Baseline, Week 12
Change in Blood Absolute Blood Basophil Count From Baseline to Week 12
The analysis used a mixed effects model repeated-measures MMRM with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value. Basophils were enumerated as part of the WBC automated differential performed by the Central Laboratory.
Baseline, Week 12
Change in Fractional Exhaled Nitric Oxide (FeNO) From Baseline to Week 12
FeNO is non-invasive biomarker of airway inflammation in asthma participants.
Baseline, Week 12
Mission Viejo
California
92691
United States
Research Site
Westminster
California
92683
United States
Research Site
Denver
Colorado
80230
United States
Research Site
Daytona Beach
Florida
32117
United States
Research Site
Miami
Florida
33186
United States
Research Site
Orlando
Florida
32803
United States
Research Site
Tampa
Florida
33612
United States
Research Site
Tampa
Florida
33634
United States
Research Site
Lawrenceville
Georgia
30046
United States
Research Site
Winder
Georgia
30680
United States
Research Site
Boise
Idaho
83706
United States
Research Site
Farmington Hills
Michigan
48336
United States
Research site
Plymouth
Minnesota
55441
United States
Research Site
St Louis
Missouri
63110
United States
Research Site
St Louis
Missouri
63141
United States
Research Site
Las Vegas
Nevada
89119
United States
Research Site
New Brunswick
New Jersey
08901
United States
Research Site
Corning
New York
14830
United States
Research Site
New Hyde Park
New York
11042
United States
Research Site
Raleigh
North Carolina
27607
United States
Research Site
Winston-Salem
North Carolina
27103
United States
Research Site
Cincinnati
Ohio
45231
United States
Research Site
Cincinnati
Ohio
45242
United States
Research Site
Columbus
Ohio
43235
United States
Research Site
Dublin
Ohio
43016
United States
Research Site
Edmond
Oklahoma
73034
United States
Research Site
Medford
Oregon
97504
United States
Research Site
Portland
Oregon
97202
United States
Research Site
Pittsburgh
Pennsylvania
15205
United States
Research Site
Anderson
South Carolina
29621
United States
Research Site
North Charleston
South Carolina
29406
United States
Research Site
Allen
Texas
75013
United States
Research Site
Boerne
Texas
78006
United States
Research Site
Dallas
Texas
75240
United States
Research Site
El Paso
Texas
79902
United States
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
FG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
FG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
FG000534 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
Received Placebo During Run-In Period
FG000144 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
COMPLETED
FG000103 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
NOT COMPLETED
FG000431 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
Primary Assessment Period
Type
Comment
Milestone Data
STARTED
FG00027 subjects
FG00122 subjects
FG00226 subjects
FG00328 subjects
COMPLETED
FG00025 subjects
FG00122 subjects
FG00224 subjects
FG00328 subjects
NOT COMPLETED
FG0002 subjects
FG0010 subjects
FG0022 subjects
FG0030 subjects
Type
Comment
Reasons
Adverse Event
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG003
Eosinophil Recovery Period
Type
Comment
Milestone Data
STARTED
FG00025 subjects
FG00122 subjects
FG00224 subjects
FG00328 subjects
COMPLETED
FG00024 subjects
FG00122 subjects
FG00224 subjects
FG00327 subjects
NOT COMPLETED
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG003
Safety population: all subjects who were randomized and received at least 1 dose of study drug (placebo, dexpramipexole) during the Primary Assessment Period.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
BG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
BG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
BG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
BG004
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00027
BG00122
BG00226
BG00328
BG004103
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00045.8± 12.89
BG00146.6± 13.41
BG00244.5± 15.46
BG003
Age, Customized
Count of Participants
Participants
Title
Denominators
Categories
<50 years
Title
Measurements
BG00015
BG00114
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00017
BG00111
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0002
BG0013
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Body mass index
Body mass index (kg/m^2) = body weight (kg) / height (m^2)
Mean
Standard Deviation
kg/m^2
Title
Denominators
Categories
Title
Measurements
BG00034.31± 12.749
BG00131.73± 7.379
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
Change in Blood Absolute Eosinophil Count From Baseline to Week 12
The primary endpoint of this study was the change in AEC from Baseline to Week 12 on a ratio scale. The analysis used a mixed effects model repeated-measures (MMRM) with terms for log10 transformed baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and log10 transformed baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the log10 transformed post-baseline value minus the log10 transformed baseline value. The estimates of Geometric LS Means and their ratios were obtained by back transforming the corresponding estimates of LS means and their differences to the original scale.
The efficacy population will be a modified intent-to-treat sample and consist of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization AEC evaluation.
Posted
Geometric Least Squares Mean
Standard Error
ratio to baseline
Baseline, 12 Weeks
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00025
OG00122
OG00224
OG003
Title
Denominators
Categories
Title
Measurements
OG0000.8980± 1.26
OG0010.4031± 1.28
OG0020.3056± 1.27
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
The 150 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
<.0001
A closed hierarchical procedure testing dexpramipexole against placebo at Week 12 was used. (1) 150 mg BID for AEC (2) 75 mg BID for AEC (3) pooled 75 mg and 150 mg BID group for pre-bronchodilator FEV1; and (4) 37.5 mg BID for AEC.
Ratio to PBO of the ratios to baseline
0.2283
2-Sided
95
0.121
0.431
0.2283 represents the ratio of the 150 mg BID week 12 ratio to baseline (0.2051), compared to the PBO week 12 ratio to baseline (0.8980). This ratio of 0.2283 is equivalent to a -77.17% change compared to placebo at week 12.
Secondary
Change in Pre-bronchodilator FEV1 (Liters) From Baseline to Week 12
FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation.
The efficacy population will be a modified intent-to-treat sample and consist of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization FEV1 evaluation. Spirometry restrictions were put in place during the COVID-19 pandemic. Subjects who did not complete the Week 8 and Week 12 post dose assessments due to these restrictions were excluded from this analysis.
Posted
Least Squares Mean
Standard Error
liters
Baseline, 12 Weeks
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Secondary
Change in Asthma Control Questionnaire (ACQ-6) Score From Baseline to Week 12
ACQ-6 is simple questionnaire to measure the adequacy of asthma control and change in asthma control which occurs either spontaneously or as a result of treatment. The 6-point self-administered scale has items measuring asthma symptoms and rescue inhaler use. The ACQ score is the mean of the questions and therefore between 0 (totally controlled) and 6 (severely uncontrolled). The original protocol planned to analyze the ACQ-7 score. As a result of FEV1 testing restrictions imposed on the study during the COVID-19 pandemic, the analysis was prospectively modified to the ACQ-6 score prior to database lock. The ACQ-6 is a validated questionnaire and is identical to the ACQ-7, with the exception of FEV1 data that is also utilized in the ACQ-7 questionnaire total score calculation.
The efficacy population was a modified intent-to-treat sample and consist of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization evaluation.
Posted
Least Squares Mean
Standard Error
scores on a scale
Baseline, 12 Weeks
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Secondary
Change in Post-bronchodilator FEV1 From Baseline to Week 12
Post-bronchodilator FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation, after treatment with inhaled albuterol.
The efficacy population was a modified intent-to-treat sample and consist of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization evaluation.
Posted
Least Squares Mean
Standard Error
liters
Baseline, 12 Weeks
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Secondary
Change in Quality of Life, as Measured by the Asthma Quality of Life Questionnaire (AQLQ) From Baseline to Week 12
The AQLQ is a 32-item asthma specific questionnaire designed to measure functional impairments that are most important to patients with asthma. The 32 questions in the AQLQ are divided into four domains; activity limitations, symptoms, emotional function, and environmental stimuli. Individual questions are equally weighted. The overall AQLQ score is the mean of the responses to each of the 32 questions and ranges from 1 to 7. A score 7.0 indicates that the patient has no impairments due to asthma and score 1.0 indicates severe impairment.
The efficacy population was a modified intent-to-treat sample and consist of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization evaluation.
Posted
Least Squares Mean
Standard Error
scores on a scale
Baseline, 12 Weeks
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Secondary
Number of Participants With Potentially Clinically Significant Hematology Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Hematology Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
The safety population includes all subjects who were randomized and received at least one dose of study drug during the primary treatment period.
Posted
Count of Participants
Participants
Immediately post-baseline up to Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Secondary
Number of Participants With Potentially Clinically Significant Blood Chemistry Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Blood Chemistry Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
The safety population includes all subjects who were randomized and received at least one dose of study drug during the primary treatment period.
Posted
Count of Participants
Participants
Immediately post-baseline up to Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Secondary
Number of Participants With Potentially Clinically Significant Urinalysis Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Urinalysis Results (glycosuria, ketonuria, or proteinuria) by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline urinalysis value in each treatment group. Patients are only counted once per criterion per laboratory test. The number of participants with potential clinical important urinalysis findings at any post-baseline visit were reported.
The safety population includes all subjects who were randomized and received at least one dose of study drug during the primary treatment period.
Posted
Count of Participants
Participants
Immediately post-baseline up to Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Secondary
Number of Participants With Potentially Clinically Significant Vital Signs Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant Vital Signs Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
The safety population includes all subjects who were randomized and received at least one dose of study drug during the primary treatment period.
Posted
Count of Participants
Participants
Immediately post-baseline up to Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Secondary
Number of Participants With Potentially Clinically Significant ECG Results by Treatment Group Post Randomization Through Week 12
Number of Participants with Potentially Clinically Significant ECG Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
The safety population includes all subjects who were randomized and received at least one dose of study drug during the primary treatment period.
Posted
Count of Participants
Participants
Immediately post-baseline up to Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Other Pre-specified
Change in Nasal Eosinophil Peroxidase (Presented as Ratio to Protein) From Baseline to Week 12
The EPX:protein ratio was used to normalize the EPX for the quantity of sample, yielding the values in ng EPX per mg protein. The ratio of nasal Eosinophil Peroxidase to Protein is a biomarker for airway eosinophils. A lower ratio to Baseline represents a lowering in airway eosinophilia, which is a marker of successful drug therapy.
The efficacy population was a modified intent-to-treat sample and consists of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who had both Baseline (non-zero) and Week 12 values.
Posted
Median
Inter-Quartile Range
ratio to baseline
Baseline, Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Other Pre-specified
Change in Blood Absolute Blood Basophil Count From Baseline to Week 12
The analysis used a mixed effects model repeated-measures MMRM with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value. Basophils were enumerated as part of the WBC automated differential performed by the Central Laboratory.
The efficacy population was a modified intent-to-treat sample and consists of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization evaluation.
Posted
Least Squares Mean
Standard Error
cells (10*9/L)
Baseline, Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
Other Pre-specified
Change in Fractional Exhaled Nitric Oxide (FeNO) From Baseline to Week 12
FeNO is non-invasive biomarker of airway inflammation in asthma participants.
The efficacy population was a modified intent-to-treat sample and consists of all subjects in the safety population (all subjects who were randomized and received at least one dose of randomized study drug) and who have at least one post-randomization evaluation.
Posted
Least Squares Mean
Standard Error
parts per billion
Baseline, Week 12
ID
Title
Description
OG000
Placebo BID
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet placebo twice daily for 12 weeks.
Placebo: placebo twice daily oral dosing for up to 12 weeks
OG001
37.5 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Time Frame
Placebo Run-in Period = from enrollment to Randomization (2-4 weeks); Primary Assessment Period = from Randomization through the Week 12 visit, plus 30 days following the last dose; Eosinophil Recovery Period = all visits occurring from 30 days following the last dose through the end of study (Week 24 post-Randomization)
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Screening Period
All subjects who signed informed consent and entered the Primary Assessment Period
0
103
0
103
6
103
EG001
Primary Assessment Period: Placebo BID
Following the 2-4 week placebo Run-in Period, randomized subjects continued to receive 1 tablet placebo twice daily for 12 weeks during the Primary Assessment Period.
Placebo: 1 placebo tablet twice daily
0
27
0
27
9
27
EG002
Primary Assessment Period: 37.5 mg BID
Following the 2-4 week placebo Run-in Period, randomized subjects received 1 tablet dexpramipexole 37.5 mg twice daily for 12 weeks during the Primary Assessment Period.
Following the 2-4 week placebo Run-in Period, randomized subjects received 1 tablet dexpramipexole 75 mg twice daily for 12 weeks during the Primary Assessment Period.
Following the 2-4 week placebo Run-in Period, randomized subjects received 1 tablet dexpramipexole 150 mg twice daily for 12 weeks during the Primary Assessment Period.
Eosinophil Recovery Period: Assigned to Placebo BID During Primary Assessment Period
Following the Primary Assessment Period, subjects were followed within their randomized treatment group
0
25
0
25
2
25
EG006
Eosinophil Recovery Period: Assigned to 37.5 mg BID During Primary Assessment Period
Following the Primary Assessment Period, subjects were followed within their randomized treatment group
0
22
0
22
3
22
EG007
Eosinophil Recovery Period: Assigned to 75 mg BID During Primary Assessment Period
Following the Primary Assessment Period, subjects were followed within their randomized treatment group
0
24
0
24
5
24
EG008
Eosinophil Recovery Period: Assigned to 150 mg BID During Primary Assessment Period
Following the Primary Assessment Period, subjects were followed within their randomized treatment group
0
28
0
28
10
28
Serious Adverse Events
Not provided
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Monocytopenia
Blood and lymphatic system disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG0030 affected26 at risk
EG0041 affected28 at risk
EG0050 affected25 at risk
EG0060 affected22 at risk
EG0070 affected24 at risk
EG0080 affected28 at risk
Neutropenia
Blood and lymphatic system disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Sinus Bradycardia
Congenital, familial and genetic disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Ear pain
Ear and labyrinth disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Abdominal discomfort
Gastrointestinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Aphthous ulcer
Gastrointestinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Dry mouth
Gastrointestinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Chest discomfort
General disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Fatigue
General disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Peripheral swelling
General disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Anaphylactic reaction
Immune system disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Acute sinusitis
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Bronchitis
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Corona virus infection
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Ear infection fungal
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Influenza
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0023 affected22 at risk
EG003
Otitis externa
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Sinusitis
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Urethritis
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Viral upper respiratory tract infection
Infections and infestations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Contusion
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Foreign body in ear
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Scratch
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Skin laceration
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Sunburn
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Tooth fracture
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Coronavirus test positive
Investigations
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Fluid retention
Metabolism and nutrition disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Intervertebral disc protrusion
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Muscle twitching
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Musculoskeletal pain
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Headache
Nervous system disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Migraine
Nervous system disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Depression
Psychiatric disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Asthma
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0012 affected27 at risk
EG0022 affected22 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Nasal congestion
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Oropharyngeal pain
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Rhinitis allergic
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Sinus congestion
Respiratory, thoracic and mediastinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Dermatitis contact
Skin and subcutaneous tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Pruritus
Skin and subcutaneous tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Hypertension
Vascular disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Eye contusion
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Soft tissue injury
Injury, poisoning and procedural complications
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Diabetes mellitus
Metabolism and nutrition disorders
MedDRA Version 22.0
Systematic Assessment
EG0001 affected103 at risk
EG0010 affected27 at risk
EG0021 affected22 at risk
EG003
Hypomagnesaemia
Metabolism and nutrition disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0010 affected27 at risk
EG0020 affected22 at risk
EG003
Tension headache
Nervous system disorders
MedDRA Version 22.0
Systematic Assessment
EG0000 affected103 at risk
EG0011 affected27 at risk
EG0020 affected22 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The terms and conditions of Knopp's agreements with its investigators may vary. However, Knopp does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial, and are subject to a minimum 60 day review period by Knopp.
Point of Contact
Title
Organization
Phone
Extension
Email
Vice President, Clinical and Translational Medicine
The 75 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.0014
A closed hierarchical procedure testing dexpramipexole against placebo at Week 12 was used. (1) 150 mg BID for AEC (2) 75 mg BID for AEC (3) pooled 75 mg and 150 mg BID group for pre-bronchodilator FEV1; and (4) 37.5 mg BID for AEC.
Ratio to PBO of the ratios to baseline
0.3403
2-Sided
95
0.177
0.653
0.3403 represents the ratio of the 75 mg BID week 12 ratio to baseline (0.3056), compared to the PBO week 12 ratio to baseline (0.8980). This ratio of 0.3403 is equivalent to a -65.97% change compared to placebo at week 12.
Superiority
OG000
OG001
The 37.5 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.0190
A closed hierarchical statistical testing was used. The previous endpoint in the hierarchy was not statistically significant. Therefore, this endpoint was not formally tested and is not considered statistically significant, despite a p-value <0.05.
Ratio to PBO of the ratios to baseline
0.4489
2-Sided
95
0.231
0.874
0.4489 represents the ratio of the 37.5 mg BID week 12 ratio to baseline (0.4031) compared to the PBO week 12 ratio to baseline (0.8980). This ratio of 0.4489 is equivalent to a -55.11% change compared to placebo at week 12.
Superiority
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG004
Combined 150 mg BID and 75 mg BID Arms
Following a 2-4 week placebo run-in, randomized subjects in this combined treatment group received 1 tablet of either 150 mg dexpramipexole twice daily for 12 weeks or 75 mg dexpramipexole trice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00017
OG00118
OG00221
OG00324
OG00445
Title
Denominators
Categories
Title
Measurements
OG0000.0700± 0.08329
OG0010.208± 0.08387
OG0020.0557± 0.07848
OG0030.247± 0.07769
OG0040.151± 0.05746
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG004
The combined 75 mg and 150 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.4154
A closed hierarchical procedure testing dexpramipexole against placebo at Week 12 was used. (1) 150 mg BID for AEC (2) 75 mg BID for AEC (3) pooled 75 mg and 150 mg BID group for pre-bronchodilator FEV1; and (4) 37.5 mg BID for AEC.
Mean Difference (Final Values)
0.0814
2-Sided
95
-0.116
0.279
Estimate is the difference of the pooled 75 mg and 150 mg BID group from placebo in change in pre-bronchodilator FEV1 in liters from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement in lung function.
Superiority
OG000
OG003
The 150 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.1174
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
0.177
2-Sided
95
-0.0456
0.400
Estimate is the difference of the 150 mg BID group from the placebo group in the change in pre-bronchodilator FEV1 in liters from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement in lung function.
Superiority
OG000
OG002
The 75 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.8998
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
-0.0143
2-Sided
95
-0.240
0.211
Estimate is the difference of the 75 mg BID group from the placebo group in the change in pre-bronchodilator FEV1 in liters from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement in lung function.
Superiority
OG000
OG001
The 37.5 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.2425
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
0.138
2-Sided
95
-0.0950
0.370
Estimate is the difference of the 37.5 mg BID group from the placebo group in the change in pre-bronchodilator FEV1 in liters from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement in lung function.
Superiority
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 37.5 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00025
OG00122
OG00224
OG00328
Title
Denominators
Categories
Title
Measurements
OG000-0.391± 0.1866
OG001-0.419± 0.1974
OG002-0.437± 0.1924
OG003-0.655± 0.1803
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
The 150 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.3059
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
-0.264
2-Sided
95
-0.772
0.245
Estimate is the difference of the 150 mg BID dexpramipexole group compared to the placebo group in change in ACQ-6 score from Baseline to Week 12 (end of primary treatment period). A negative value indicates improvement of asthma symptoms.
Superiority
OG000
OG002
The 75 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.8642
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
-0.0457
2-Sided
95
-0.575
0.484
Estimate is the difference of the 75 mg BID dexpramipexole group compared to the placebo group in change in ACQ-6 score from Baseline to Week 12 (end of primary treatment period). A negative value indicates improvement of asthma symptoms.
Superiority
OG000
OG001
The 37.5 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM).
Mixed Models Analysis
0.9182
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
-0.0276
2-Sided
95
-0.560
0.505
Estimate is the difference of the 37.5 mg BID dexpramipexole group compared to the placebo group in change in ACQ-6 score from Baseline to Week 12 (end of primary treatment period). A negative value indicates improvement of asthma symptoms.
Superiority
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00020
OG00118
OG00222
OG00323
Title
Denominators
Categories
Title
Measurements
OG000-0.00546± 0.07208
OG0010.0932± 0.07455
OG002-0.000717± 0.06977
OG0030.176± 0.07182
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
An ANCOVA analysis was performed comparing the 150 mg BID dexpramipexole group to placebo.
ANCOVA
0.0716
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
0.181
2-Sided
95
-0.0163
0.378
Estimate the difference of the 150 mg BID Dexpramipexole group from placebo in change in post-bronchodilator FEV1 from Baseline to Week 12 (end of primary treatment period) in liters. A positive value indicates improvement in lung function.
Superiority
OG000
OG002
An ANCOVA analysis was performed comparing the 75 mg BID dexpramipexole group to placebo.
ANCOVA
0.9619
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
0.00474
2-Sided
95
-0.192
0.202
Estimate the difference of the 75 mg BID Dexpramipexole group from placebo in change in post-bronchodilator FEV1 from Baseline to Week 12 (end of primary treatment period) in liters. A positive value indicates improvement in lung function.
Superiority
OG000
OG001
An ANCOVA analysis was performed comparing the 37.5 mg BID dexpramipexole group to placebo.
ANCOVA
0.3368
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Median Difference (Final Values)
0.0987
2-Sided
95
-0.105
0.302
Estimate the difference of the 37.5 mg BID Dexpramipexole group from placebo in change in post-bronchodilator FEV1 from Baseline to Week 12 (end of primary treatment period) in liters. A positive value indicates improvement in lung function.
Superiority
OG002
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00026
OG00122
OG00225
OG00328
Title
Denominators
Categories
Title
Measurements
OG0000.376± 0.1999
OG0010.531± 0.2112
OG0020.312± 0.2055
OG0030.584± 0.1979
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
An ANCOVA analysis was performed comparing the 150 mg BID dexpramipexole group to placebo.
ANCOVA
0.4512
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
0.208
2-Sided
95
-0.338
0.755
Estimate the difference in the 150 mg BID dexpramipexole group from the placebo group in the change in AQLQ score from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement of asthma symptoms.
Superiority
OG000
OG002
An ANCOVA analysis was performed comparing the 75 mg BID dexpramipexole group to placebo.
ANCOVA
0.8214
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
-0.0642
2-Sided
95
-0.627
0.499
Estimate the difference in the 75 mg BID dexpramipexole group from the placebo group in the change in AQLQ score from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement of asthma symptoms.
Superiority
OG000
OG001
An ANCOVA analysis was performed comparing the 37.5 mg BID dexpramipexole group to placebo.
ANCOVA
0.5894
For secondary endpoints which were not key secondary endpoints, no adjustment for multiple testing was used and p <0.05 was used for statistical significance.
Mean Difference (Final Values)
0.154
2-Sided
95
-0.411
0.720
Estimate the difference in the 37.5 mg BID dexpramipexole group from the placebo group in the change in AQLQ score from Baseline to Week 12 (end of primary treatment period). A positive value indicates improvement of asthma symptoms.
Superiority
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00027
OG00122
OG00226
OG00328
Title
Denominators
Categories
Eosinophils >1.6 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Title
Measurements
OG0000
OG0010
OG0020
OG003
Basophils >1.6 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Erythrocytes ≤3.5 x 10^12/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Erythrocytes ≥6.4 x 10^12/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Hematocrit ≤32% - Females
ParticipantsOG00017
ParticipantsOG00111
ParticipantsOG00214
ParticipantsOG00312
Hematocrit ≥54% - Females
ParticipantsOG00017
ParticipantsOG00111
ParticipantsOG00214
ParticipantsOG00312
Hematocrit ≤37% - Males
ParticipantsOG00010
ParticipantsOG00111
ParticipantsOG00212
ParticipantsOG00316
Hematocrit ≥60% - Males
ParticipantsOG00010
ParticipantsOG00111
ParticipantsOG00212
ParticipantsOG00316
Hemoglobin ≤9.5 g/dL - Females
ParticipantsOG00017
ParticipantsOG00111
ParticipantsOG00214
ParticipantsOG00312
Hemoglobin ≥17.5 g/dL - Females
ParticipantsOG00017
ParticipantsOG00111
ParticipantsOG00214
ParticipantsOG00312
Hemoglobin ≤11.5 g/dL - Males
ParticipantsOG00010
ParticipantsOG00111
ParticipantsOG00212
ParticipantsOG00316
Hemoglobin ≥19.0 g/dL - Males
ParticipantsOG00010
ParticipantsOG00111
ParticipantsOG00212
ParticipantsOG00316
Leukocytes <3.0 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Leukocytes ≥16 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Lymphocytes <0.8 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Lymphocytes >12 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Monocytes >2.5 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Neutrophils <1.5 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Neutrophils ≥13.5 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Platelets ≤75 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Platelets ≥700 x 10^9/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00027
OG00122
OG00226
OG00328
Title
Denominators
Categories
ALT ≥ 3 x ULN
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Title
Measurements
OG0000
OG0010
OG0021
OG003
Albumin ≤ 2.5 g/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Alkaline Phosphatase ≥ 1.5 x ULN
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
AST ≥ 3 x ULN
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Bicarbonate ≤ 16 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Bicarbonate ≥ 35 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Bilirubin > 2 X ULN and (ALT or AST ≥ 3 X ULN)
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Bilirubin ≥ 1.5 x ULN
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Calcium ≤ 8 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Calcium ≥ 12 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Chloride ≤ 90 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Chloride ≥ 118 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Creatinine ≥ 2 mg/dL - Females
ParticipantsOG00017
ParticipantsOG00111
ParticipantsOG00214
ParticipantsOG00312
Creatinine ≥ 2 mg/dL - Males
ParticipantsOG00010
ParticipantsOG00111
ParticipantsOG00212
ParticipantsOG00316
Glucose ≤ 39.6 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Glucose ≥ 175 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Magnesium ≤ 1.2 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Magnesium ≥ 2.9 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Phosphate ≤ 1.86 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Phosphate ≥ 5.27 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Potassium ≤ 3 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Potassium ≥ 6 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Protein [Serum] ≤ 4.5 g/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Protein [Serum] ≥ 10 g/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Sodium ≤ 126 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Sodium ≥ 156 mEq/L
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Urate ≥ 8.5 mg/dL - Females
ParticipantsOG00017
ParticipantsOG00111
ParticipantsOG00214
ParticipantsOG00312
Urate ≥ 10.5 mg/dL - Males
ParticipantsOG00010
ParticipantsOG00111
ParticipantsOG00212
ParticipantsOG00316
Urea Nitrogen ≥ 30 mg/dL
ParticipantsOG00027
ParticipantsOG00122
ParticipantsOG00226
ParticipantsOG00328
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00027
OG00122
OG00226
OG00328
Title
Denominators
Categories
glycosuria (glucose in urine ++++)
Title
Measurements
OG0001
OG0012
OG0021
OG0030
ketonuria (ketones in urine ≥ ++++)
Title
Measurements
OG0000
OG0010
OG0020
OG003
proteinuria (protein in urine ≥ ++)
Title
Measurements
OG0001
OG0010
OG0020
OG003
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00027
OG00122
OG00226
OG00328
Title
Denominators
Categories
Systolic blood pressure: >180 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG0030
Systolic blood pressure: Increase >40 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG003
Systolic blood pressure: <90 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG003
Systolic blood pressure: Decrease >30 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG003
Diastolic blood pressure: >105 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG003
Diastolic blood pressure: Increase >30 mmHg
Title
Measurements
OG0000
OG0011
OG0020
OG003
Diastolic blood pressure: <50 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG003
Diastolic blood pressure: Decrease >20 mmHg
Title
Measurements
OG0000
OG0010
OG0020
OG003
Pulse: >120 bpm
Title
Measurements
OG0000
OG0010
OG0020
OG003
Pulse: Increase >30 bpm
Title
Measurements
OG0000
OG0010
OG0020
OG003
Pulse: <50 bpm
Title
Measurements
OG0000
OG0011
OG0020
OG003
Pulse: Decrease >20 bpm
Title
Measurements
OG0000
OG0010
OG0021
OG003
Temperature: >38.5°C and an increase ≥1°C
Title
Measurements
OG0000
OG0010
OG0020
OG003
Body weight: Increase ≥7% from Baseline
Title
Measurements
OG0000
OG0010
OG0021
OG003
Body weight: Decrease ≥7% from Baseline
Title
Measurements
OG0000
OG0010
OG0020
OG003
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00027
OG00122
OG00226
OG00328
Title
Denominators
Categories
Heart Rate >120 bpm
Title
Measurements
OG0000
OG0010
OG0020
OG0030
Heart Rate Increase from Baseline >30 bpm
Title
Measurements
OG0000
OG0010
OG0020
OG003
QT Interval: >450 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QT Interval: >480 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QT Interval: >500 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QT Interval: Increase from Baseline >30 ms
Title
Measurements
OG0007
OG0013
OG0022
OG003
QT Interval: Increase from Baseline >60 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QTcF Interval: >450 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QTcF Interval: >480 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QTcF Interval: >500 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
QTcF Interval: Increase from Baseline >30 ms
Title
Measurements
OG0001
OG0010
OG0020
OG003
QTcF Interval: Increase from Baseline >60 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
Change from Baseline in PR >25% and PR value >220 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
Change from Baseline in QRS >25% and QRS value >110 ms
Title
Measurements
OG0000
OG0010
OG0020
OG003
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00015
OG00116
OG00219
OG00319
Title
Denominators
Categories
Title
Measurements
OG0000.833(0.258 to 2.99)
OG0010.645(0.275 to 1.18)
OG0020.174(0 to 0.708)
OG0030.110(0 to 0.943)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
The 150 mg BID dexpramipexole group was compared to placebo at Week 12 using a Wilcoxon rank sum test.
Wilcoxon (Mann-Whitney)
0.0196
No adjustment for multiple testing of exploratory endpoints was used.
Superiority
OG000
OG002
The 75mg BID dexpramipexole group was compared to placebo at Week 12 using a Wilcoxon rank sum test.
Wilcoxon (Mann-Whitney)
0.0207
No adjustment for multiple testing of exploratory endpoints was used.
Superiority
OG000
OG001
The 37.5 mg BID dexpramipexole group was compared to placebo at Week 12 using a Wilcoxon rank sum test.
Wilcoxon (Mann-Whitney)
0.5399
No adjustment for multiple testing of exploratory endpoints was used.
Superiority
75 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 75 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00025
OG00122
OG00224
OG00328
Title
Denominators
Categories
Title
Measurements
OG000-0.00439± 0.006323
OG001-0.00655± 0.006674
OG002-0.0250± 0.006487
OG003-0.0277± 0.006082
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
The 150 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM) with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value.
Mixed Models Analysis
0.0084
No adjustment for multiple testing of exploratory endpoints was used.
Mean Difference (Final Values)
-0.0233
2-Sided
95
-0.0405
-0.00613
Estimate is the difference of the 150 mg BID group from the placebo group in the change absolute basophil count (automated differential) from Baseline to Week 12 (end of primary treatment period). A negative value represents fewer basophils.
Superiority
OG000
OG002
The 75 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM) with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value.
Mixed Models Analysis
0.0237
No adjustment for multiple testing of exploratory endpoints was used.
Mean Difference (Final Values)
-0.0206
2-Sided
95
-0.0384
-0.00281
Estimate is the difference of the 75 mg BID group from the placebo group in the change absolute basophil count (automated differential) from Baseline to Week 12 (end of primary treatment period). A negative value represents fewer basophils.
Superiority
OG000
OG001
The 37.5 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM) with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value.
Mixed Models Analysis
0.8140
No adjustment for multiple testing of exploratory endpoints was used.
Mean Difference (Final Values)
-0.00215
2-Sided
95
-0.0203
0.0160
Estimate is the difference of the 37.5 mg BID group from the placebo group in the change absolute basophil count (automated differential) from Baseline to Week 12 (end of primary treatment period). A negative value represents fewer basophils.
Superiority
OG003
150 mg BID Dexpramipexole
Following a 2-4 week placebo run-in, randomized subjects received 1 tablet of 150 mg dexpramipexole twice daily for 12 weeks.
Dexpramipexole: dexpramipexole twice daily oral dosing for up to 12 weeks
Units
Counts
Participants
OG00017
OG00117
OG00220
OG00323
Title
Denominators
Categories
Title
Measurements
OG0003.38± 4.6447
OG001-6.79± 4.7849
OG002-3.14± 4.3651
OG003-4.86± 4.2175
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
The 150 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM) with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value.
Mixed Models Analysis
0.1886
No adjustment for multiple testing of exploratory endpoints was used.
Mean Difference (Final Values)
-8.24
2-Sided
95
-20.6
4.13
Estimate is the difference of the 150 mg BID group from the placebo group in the change in FeNO from Baseline to Week 12 in liters. In eosinophilic asthma, a lower FeNO indicates less eosinophilic inflammation of the airway than a higher value.
Superiority
OG000
OG002
The 75mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM) with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value.
Mixed Models Analysis
0.3061
No adjustment for multiple testing of exploratory endpoints was used.
Mean Difference (Final Values)
-6.53
2-Sided
95
-19.1
6.08
Estimate is the difference of the 75 mg BID group from the placebo group in the change in FeNO from Baseline to Week 12 in liters. In eosinophilic asthma, a lower FeNO indicates less eosinophilic inflammation of the airway than a higher value.
Superiority
OG000
OG001
The 37.5 mg BID dexpramipexole group was compared to placebo using a mixed effects model repeated-measures (MMRM) with terms for baseline, GINA treatment step, treatment, visit, treatment by visit interaction, and baseline by visit interaction as fixed effects, and subject as a random effect. An unstructured covariance matrix was used. The response variable was the post-baseline value minus the baseline value.
Mixed Models Analysis
0.1294
No adjustment for multiple testing of exploratory endpoints was used.
Mean Difference (Final Values)
-10.2
2-Sided
95
-23.4
3.04
Estimate is the difference of the 37.5 mg BID group from the placebo group in the change in FeNO from Baseline to Week 12 in liters. In eosinophilic asthma, a lower FeNO indicates less eosinophilic inflammation of the airway than a higher value.