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| ID | Type | Description | Link |
|---|---|---|---|
| 140910 | Other Identifier | FDA | |
| 2020-000789-40 | EudraCT Number |
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Study D9181C00001 is a Phase II, randomised, double-blind, placebo-controlled, parallel group, proof of concept study to evaluate the efficacy, safety, pharmacokinetics (PK) and immunogenicity of MEDI3506 in adult participants with uncontrolled moderate to severe asthma on standard of care (SOC). Up to approximately 80 sites globally will participate in this study.
Approximately 228 participants will be randomized to 3 treatment groups in a 1:1:1 ratio to receive MEDI3506 dose 1, MEDI3506 dose 2, or placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MEDI3506 Dose 1 | Experimental | Approximately 76 participants will be randomized to this arm to receive the higher dose of MEDI3506 |
|
| MEDI3506 Dose 2 | Experimental | Approximately 76 participants will be randomized to this arm to receive the lower dose of MEDI3506 |
|
| Placebo | Placebo Comparator | Approximately 76 participants will be randomized to this arm. Participants in this group will receive the placebo. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MEDI3506 | Biological | Participants will receive multiple doses of MEDI3506 at dose level 1 or dose level 2 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Week 16 in Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in the First Second (FEV1) as Measured in the Study Clinic | In-clinic spirometry measurements were taken prior to the administration of bronchodilators. Baseline was the last measurement prior to first injection of investigational product (IP). The least squares (LS) means, LS mean differences and 80% confidence intervals (CIs), and one-sided p-value results were based on a mixed model repeated measures (MMRM). The model included fixed effects for baseline, background medication, geographic region, baseline inhaled corticosteroids (ICS) total daily dose, visit, treatment, and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. | Baseline and week 16 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Weeks 8 and 16 in Post-bronchodilator (Post-BD) FEV1 as Measured in the Study Clinic | In-clinic spirometry measurements were taken following the use of bronchodilators. Bronchodilatation was induced using albuterol (90 µg metered dose), salbutamol (100 µg metered dose), or levalbuterol (45 µg metered dose), and measurements were taken after up to a maximum of 4 inhalations. Baseline was the last measurement prior to first injection of IP. The LS means, LS mean differences and 80% CIs, and one-sided p-value results were based on MMRM. The model included fixed effects for baseline, background medication, geographic region, baseline ICS total daily dose, visit, treatment, and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Week 16 in Pre-BD FEV1 as Measured in the Study Clinic: Analysis Per Number of Exacerbations in Last 12 Months | In-clinic spirometry measurements were taken prior to the administration of bronchodilators. Baseline was the last measurement prior to first injection of IP. The LS means, LS mean differences and 80% CIs, and one-sided p-value results were based on MMRM. The model included fixed effects for baseline, visit, treatment, and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. Analysis is presented by the number of asthma exacerbations experienced within the 12 months prior to baseline (1 or ≥ 2 exacerbations in the previous 12 months). |
INCLUSION CRITERIA
EXCLUSION CRITERIA
Known history of allergy or reaction to any component of the study intervention formulation, including hereditary fructose intolerance.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Bakersfield | California | 93301 | United States | ||
| Research Site |
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| Label | URL |
|---|---|
| d9181c00001-study-synopsis\_Redacted\_pdfA.pdf | View source |
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Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Adult participants with uncontrolled moderate to severe asthma were randomised in a 1:1:1 ratio to receive tozorakimab (MEDI3506) Dose A (lower dose), tozorakimab Dose B (higher dose), or placebo. Of the 478 participants screened, 250 were enrolled, and of these, 15 were excluded from analysis due to invalidity of data (see limitations and caveats for further details).
Participants were enrolled and randomised in 52 study centres in 7 countries including Argentina, Germany, Hungary, Poland, South Africa, the United Kingdom, and the United States from 17 September 2020. The last participant completed their last study visit on 06 February 2023.
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| ID | Title | Description |
|---|---|---|
| FG000 | Tozorakimab Dose A | Participants were randomised to receive tozorakimab Dose A by subcutaneous (SC) injection. |
| FG001 | Tozorakimab Dose B | Participants were randomised to receive tozorakimab Dose B by SC injection. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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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 | Mar 8, 2022 | Dec 12, 2023 |
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| Placebo | Drug | Participants will receive multiple doses of placebo |
|
| Baseline and weeks 8 and 16 |
| Serum Concentrations of Tozorakimab | Tozorakimab serum concentrations were measured using a validated assay method. | Pharmacokinetic (PK) samples were taken pre-dose (day 1) and at weeks 1, 4, 8, 12, 16, 20, and 24 |
| Number of Participants With Anti-drug Antibodies (ADAs) | ADA prevalence is the number of participants ADA positive (ADA+) at baseline and/or post-baseline. Treatment-emergent ADA+ (TE-ADA +) positive is defined as being either of treatment-induced ADA+ (ADA negative [ADA-] at baseline and at least one post-baseline ADA+) and treatment-boosted ADA+ (ADA+ at baseline and baseline titre is boosted by ≥ 4-fold increase at ≥ 1 post-baseline time point). Treatment-emergent ADA- (TE-ADA-) is defined as ADA+ but not fulfilling the definition of TE-ADA+. ADA persistently positive is defined as ADA- at baseline and ADA+ at ≥ 2 post-baseline assessment with ≥ 16 weeks between first and last positive assessments, or ADA+ at the last post-baseline assessment. ADA transiently positive is defined as ADA- at baseline, having at least one post-baseline ADA+ assessment and not fulfilling the conditions of ADA persistently positive. Baseline is defined as the last ADA assessment prior to first injection of IP. | Blood samples were taken pre-dose (day 1) and at weeks 1, 4, 8, 12, 16, and 24 |
| Change From Baseline to Week 16 in the Asthma Control Questionnaire-6 (ACQ-6) Score | In the ACQ-6, participants were asked to recall how their asthma has been during the previous week by responding to one BD-use question and 5 symptom questions. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between >0.75 and <1.5 indicate partly controlled asthma, and scores ≥1.5 indicate not well-controlled asthma. Results were based on an MMRM which included fixed effects for baseline, background medication, geographic region, baseline ICS total daily dose, visit, treatment and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. A negative change from baseline indicates an improvement in asthma control. | Baseline and week 16 |
| Number of Participants With a Decrease in ACQ-6 Score ≥ 0.5 From Baseline to Week 16 | In the ACQ-6, participants were asked to recall how their asthma has been during the previous week by responding to one BD-use question and 5 symptom questions. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between >0.75 and <1.5 indicate partly controlled asthma, and scores ≥1.5 indicate not well-controlled asthma. A decrease in ACQ-6 score baseline indicates an improvement in asthma control, and individual changes of at least 0.5 are considered clinically meaningful. | Baseline and week 16 |
| Number of Participants Achieving ACQ-6 Well Controlled Status at Week 16 | In the ACQ-6, participants were asked to recall how their asthma has been during the previous week by responding to one BD-use question and 5 symptom questions. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between >0.75 and <1.5 indicate partly controlled asthma, and scores ≥1.5 indicate not well-controlled asthma. | Baseline and week 16 |
| Change From Baseline to Week 16 in St George's Respiratory Questionnaire (SGRQ) Domain and Total Scores | The SGRQ is a 50-item patient-reported outcome instrument to measure the health status of participants with airway obstruction diseases, giving a total score and 3 domain scores (symptoms, activity, and impacts). The total score is expressed as a percentage of overall impairment, with 100 representing the worst possible health status and 0 the best possible health status. Each domain score ranges from 0 to 100, with higher scores indicating greater impairment. A negative change from baseline indicates an improvement in impairments. Results were based on an MMRM which included fixed effects for baseline, background medication, geographic region, baseline ICS total daily dose, visit, treatment and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. | Baseline and week 16 |
| Number of Participants With a Decrease in SGRQ Total Score of ≥ 4 Points From Baseline to Week 16 | The SGRQ is a 50-item patient-reported outcome instrument to measure the health status of participants with airway obstruction diseases, giving a total score and 3 domain scores (symptoms, activity, and impacts). The total score is expressed as a percentage of overall impairment, with 100 representing the worst possible health status and 0 the best possible health status. A decrease in the SGRQ total score indicates an improvement in overall impairment. | Baseline and week 16 |
| Number of Participants With at Least One Asthma CompEx Event From Baseline to Week 16 | Asthma CompEx is a combination of exacerbations of asthma and diary events (i.e., a combination of electronic diary [eDiary] variables). eDiary events are defined by criteria using morning/evening diary variables of PEF, symptoms, and use of rescue medication. A participant was considered to have a CompEx event if they had one or both of an asthma exacerbation or diary event. For participants who did not experience an on-treatment CompEx event, date of censoring was the minimum between the date of last dose + 28 days, and the last day of eDiary recording during the on-treatment period. | Baseline to week 16 |
| Asthma CompEx Annualised Event Rate | The annualised rate of asthma CompEx events was calculated as the total number of asthma CompEx events / (date of last dose of IP + 28 - date of first dose of IP - recovery time + 1) / 365.25. The rates, rate ratios, and one-sided p-values were estimated from a negative binomial regression, with the log(follow up time) included as an offset term. The dependent variable will be the number of CompEx events during the on-treatment period (i.e., from baseline to last dose date +28 days), and the model will include treatment group, background medication, geographic region and baseline ICS total daily dose as covariates. | Baseline to week 16 |
| Percent Change From Baseline to Week 16 in Concentration of Fractional Exhaled Nitric Oxide (FeNO) in Exhaled Breath | A standardised single-breath FeNO test was performed to evaluate airway inflammation. Results were based on MMRM on log-transformed change from baseline. Log-transformed change from baseline is calculated as the visit value in log minus the baseline value in log. The results from the model were then back transformed. The model included fixed effects for baseline (in log), background medication, geographic region, baseline ICS total daily dose, visit, treatment and the baseline by visit and treatment by visit interactions. Visits within subject were considered as repeated measurements. | Baseline and week 16 |
| Baseline and week 16 |
| Eosinophil Count | The eosinophil count at baseline and week 16 are presented. Baseline was defined as the last measurement prior to first injection of IP. | Baseline and Week 16 |
| Los Angeles |
| California |
| 90025 |
| United States |
| Research Site | Newport Beach | California | 92663 | United States |
| Research Site | Coral Gables | Florida | 33134 | United States |
| Research Site | Ames | Iowa | 50010-3014 | United States |
| Research Site | Missoula | Montana | 59808 | United States |
| Research Site | Toledo | Ohio | 43617 | United States |
| Research Site | Edmond | Oklahoma | 73034 | United States |
| Research Site | Boerne | Texas | 78006 | United States |
| Research Site | Buenos Aires | C1121 ABE | Argentina |
| Research Site | Buenos Aires | C1414AIF | Argentina |
| Research Site | CABA | C1425BEN | Argentina |
| Research Site | Córdoba | X5003DCE | Argentina |
| Research Site | Florida | B1602DQD | Argentina |
| Research Site | Godoy Cruz | 5501 | Argentina |
| Research Site | Lanús Este | B1824KAJ | Argentina |
| Research Site | Mar del Plata | 7600 | Argentina |
| Research Site | Mendoza | 5500 | Argentina |
| Research Site | Mendoza | M5500GHB | Argentina |
| Research Site | Quilmes | B1878FNR | Argentina |
| Research Site | San Juan Bautista | 1888 | Argentina |
| Research Site | San Miguel de Tucumán | 4000 | Argentina |
| Research Site | Berlin | 10717 | Germany |
| Research Site | Cottbus | 03050 | Germany |
| Research Site | Frankfurt | 60596 | Germany |
| Research Site | Frankfurt am Main | 60389 | Germany |
| Research Site | Koblenz | 56068 | Germany |
| Research Site | Landsberg | 86899 | Germany |
| Research Site | Leipzig | 04357 | Germany |
| Research Site | Lübeck | 23552 | Germany |
| Research Site | Magdeburg | 39120 | Germany |
| Research Site | Mainz | 55128 | Germany |
| Research Site | Peine | 31224 | Germany |
| Research Site | Schwerin | 19055 | Germany |
| Research Site | Balassagyarmat | 2660 | Hungary |
| Research Site | Budapest | 1033 | Hungary |
| Research Site | Gödöllő | 2100 | Hungary |
| Research Site | Százhalombatta | 2440 | Hungary |
| Research Site | Szeged | 6722 | Hungary |
| Research Site | Bialystok | 15-044 | Poland |
| Research Site | Bychawa | 23100 | Poland |
| Research Site | Bydgoszcz | 85-231 | Poland |
| Research Site | Katowice | 40-648 | Poland |
| Research Site | Krakow | 30-033 | Poland |
| Research Site | Lodz | 90-302 | Poland |
| Research Site | Lublin | 20-362 | Poland |
| Research Site | Poznan | 60-214 | Poland |
| Research Site | Tarnów | 33-100 | Poland |
| Research Site | Wroclaw | 53-301 | Poland |
| Research Site | Wroclaw | 54-239 | Poland |
| Research Site | Bellville | 7530 | South Africa |
| Research Site | Benoni | 1500 | South Africa |
| Research Site | Bloemfontein | 9301 | South Africa |
| Research Site | Cape Town | 7500 | South Africa |
| Research Site | Cape Town | 7572 | South Africa |
| Research Site | Cape Town | 7700 | South Africa |
| Research Site | Durban | 4001 | South Africa |
| Research Site | Durban | 4091 | South Africa |
| Research Site | Johannesburg | 2113 | South Africa |
| Research Site | Pretoria | 0002 | South Africa |
| Research Site | Welkom | 9460 | South Africa |
| Research Site | Bradford | BD9 6RJ | United Kingdom |
| Research Site | Cambridge | CB2 0QQ | United Kingdom |
| Research Site | High Wycombe | HP11 2QW | United Kingdom |
| Research Site | London | W1T 6AH | United Kingdom |
| FG002 | Placebo | Participants were randomised to receive placebo by SC injection. |
| Intent to Treat (ITT) Population |
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| As-treated Population |
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| Pharmacokinetic (PK) Population |
|
| COMPLETED |
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| NOT COMPLETED |
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|
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| ID | Title | Description |
|---|---|---|
| BG000 | Tozorakimab Dose A | Participants were randomised to receive tozorakimab Dose A by subcutaneous (SC) injection. |
| BG001 | Tozorakimab Dose B | Participants were randomised to receive tozorakimab Dose B by SC injection. |
| BG002 | Placebo | Participants were randomised to receive placebo by SC injection. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline to Week 16 in Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in the First Second (FEV1) as Measured in the Study Clinic | In-clinic spirometry measurements were taken prior to the administration of bronchodilators. Baseline was the last measurement prior to first injection of investigational product (IP). The least squares (LS) means, LS mean differences and 80% confidence intervals (CIs), and one-sided p-value results were based on a mixed model repeated measures (MMRM). The model included fixed effects for baseline, background medication, geographic region, baseline inhaled corticosteroids (ICS) total daily dose, visit, treatment, and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. | The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Least Squares Mean | Standard Error | litres | Baseline and week 16 |
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| Secondary | Change From Baseline to Weeks 8 and 16 in Post-bronchodilator (Post-BD) FEV1 as Measured in the Study Clinic | In-clinic spirometry measurements were taken following the use of bronchodilators. Bronchodilatation was induced using albuterol (90 µg metered dose), salbutamol (100 µg metered dose), or levalbuterol (45 µg metered dose), and measurements were taken after up to a maximum of 4 inhalations. Baseline was the last measurement prior to first injection of IP. The LS means, LS mean differences and 80% CIs, and one-sided p-value results were based on MMRM. The model included fixed effects for baseline, background medication, geographic region, baseline ICS total daily dose, visit, treatment, and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. | The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Least Squares Mean | Standard Error | litres | Baseline and weeks 8 and 16 |
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| Secondary | Serum Concentrations of Tozorakimab | Tozorakimab serum concentrations were measured using a validated assay method. | The PK population included participants who received at least one dose of tozorakimab and had at least one detectable serum concentration measurement post-first dose of study intervention. Participants with data available at each time point are presented. | Posted | Geometric Mean | Geometric Coefficient of Variation | µg/L | Pharmacokinetic (PK) samples were taken pre-dose (day 1) and at weeks 1, 4, 8, 12, 16, 20, and 24 |
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| Secondary | Number of Participants With Anti-drug Antibodies (ADAs) | ADA prevalence is the number of participants ADA positive (ADA+) at baseline and/or post-baseline. Treatment-emergent ADA+ (TE-ADA +) positive is defined as being either of treatment-induced ADA+ (ADA negative [ADA-] at baseline and at least one post-baseline ADA+) and treatment-boosted ADA+ (ADA+ at baseline and baseline titre is boosted by ≥ 4-fold increase at ≥ 1 post-baseline time point). Treatment-emergent ADA- (TE-ADA-) is defined as ADA+ but not fulfilling the definition of TE-ADA+. ADA persistently positive is defined as ADA- at baseline and ADA+ at ≥ 2 post-baseline assessment with ≥ 16 weeks between first and last positive assessments, or ADA+ at the last post-baseline assessment. ADA transiently positive is defined as ADA- at baseline, having at least one post-baseline ADA+ assessment and not fulfilling the conditions of ADA persistently positive. Baseline is defined as the last ADA assessment prior to first injection of IP. | The as-treated population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Count of Participants | Participants | Blood samples were taken pre-dose (day 1) and at weeks 1, 4, 8, 12, 16, and 24 |
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| Secondary | Change From Baseline to Week 16 in the Asthma Control Questionnaire-6 (ACQ-6) Score | In the ACQ-6, participants were asked to recall how their asthma has been during the previous week by responding to one BD-use question and 5 symptom questions. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between >0.75 and <1.5 indicate partly controlled asthma, and scores ≥1.5 indicate not well-controlled asthma. Results were based on an MMRM which included fixed effects for baseline, background medication, geographic region, baseline ICS total daily dose, visit, treatment and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. A negative change from baseline indicates an improvement in asthma control. | The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Least Squares Mean | Standard Error | score on a scale | Baseline and week 16 |
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| Secondary | Number of Participants With a Decrease in ACQ-6 Score ≥ 0.5 From Baseline to Week 16 | In the ACQ-6, participants were asked to recall how their asthma has been during the previous week by responding to one BD-use question and 5 symptom questions. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between >0.75 and <1.5 indicate partly controlled asthma, and scores ≥1.5 indicate not well-controlled asthma. A decrease in ACQ-6 score baseline indicates an improvement in asthma control, and individual changes of at least 0.5 are considered clinically meaningful. | The ITT population included participants who were randomised and received any study intervention. Participants with evaluable ACQ-6 scores were included in the analysis. | Posted | Count of Participants | Participants | Baseline and week 16 |
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| Secondary | Number of Participants Achieving ACQ-6 Well Controlled Status at Week 16 | In the ACQ-6, participants were asked to recall how their asthma has been during the previous week by responding to one BD-use question and 5 symptom questions. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between >0.75 and <1.5 indicate partly controlled asthma, and scores ≥1.5 indicate not well-controlled asthma. | The ITT population included participants who were randomised and received any study intervention. Participants with evaluable ACQ-6 scores were included in the analysis. | Posted | Count of Participants | Participants | Baseline and week 16 |
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| Secondary | Change From Baseline to Week 16 in St George's Respiratory Questionnaire (SGRQ) Domain and Total Scores | The SGRQ is a 50-item patient-reported outcome instrument to measure the health status of participants with airway obstruction diseases, giving a total score and 3 domain scores (symptoms, activity, and impacts). The total score is expressed as a percentage of overall impairment, with 100 representing the worst possible health status and 0 the best possible health status. Each domain score ranges from 0 to 100, with higher scores indicating greater impairment. A negative change from baseline indicates an improvement in impairments. Results were based on an MMRM which included fixed effects for baseline, background medication, geographic region, baseline ICS total daily dose, visit, treatment and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. | The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Least Squares Mean | Standard Error | score on a scale | Baseline and week 16 |
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| Secondary | Number of Participants With a Decrease in SGRQ Total Score of ≥ 4 Points From Baseline to Week 16 | The SGRQ is a 50-item patient-reported outcome instrument to measure the health status of participants with airway obstruction diseases, giving a total score and 3 domain scores (symptoms, activity, and impacts). The total score is expressed as a percentage of overall impairment, with 100 representing the worst possible health status and 0 the best possible health status. A decrease in the SGRQ total score indicates an improvement in overall impairment. | The ITT population included participants who were randomised and received any study intervention. Participants with evaluable SGRQ scores were included in the analysis. | Posted | Count of Participants | Participants | Baseline and week 16 |
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| Secondary | Number of Participants With at Least One Asthma CompEx Event From Baseline to Week 16 | Asthma CompEx is a combination of exacerbations of asthma and diary events (i.e., a combination of electronic diary [eDiary] variables). eDiary events are defined by criteria using morning/evening diary variables of PEF, symptoms, and use of rescue medication. A participant was considered to have a CompEx event if they had one or both of an asthma exacerbation or diary event. For participants who did not experience an on-treatment CompEx event, date of censoring was the minimum between the date of last dose + 28 days, and the last day of eDiary recording during the on-treatment period. | The ITT population included participant who were randomised and received any study intervention. | Posted | Count of Participants | Participants | Baseline to week 16 |
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| Secondary | Asthma CompEx Annualised Event Rate | The annualised rate of asthma CompEx events was calculated as the total number of asthma CompEx events / (date of last dose of IP + 28 - date of first dose of IP - recovery time + 1) / 365.25. The rates, rate ratios, and one-sided p-values were estimated from a negative binomial regression, with the log(follow up time) included as an offset term. The dependent variable will be the number of CompEx events during the on-treatment period (i.e., from baseline to last dose date +28 days), and the model will include treatment group, background medication, geographic region and baseline ICS total daily dose as covariates. | The ITT population included participants who were randomised and received any study intervention. | Posted | Number | 80% Confidence Interval | events per participant-treatment year | Baseline to week 16 |
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| Secondary | Percent Change From Baseline to Week 16 in Concentration of Fractional Exhaled Nitric Oxide (FeNO) in Exhaled Breath | A standardised single-breath FeNO test was performed to evaluate airway inflammation. Results were based on MMRM on log-transformed change from baseline. Log-transformed change from baseline is calculated as the visit value in log minus the baseline value in log. The results from the model were then back transformed. The model included fixed effects for baseline (in log), background medication, geographic region, baseline ICS total daily dose, visit, treatment and the baseline by visit and treatment by visit interactions. Visits within subject were considered as repeated measurements. | The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Geometric Least Squares Mean | 80% Confidence Interval | percent change | Baseline and week 16 |
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| Other Pre-specified | Change From Baseline to Week 16 in Pre-BD FEV1 as Measured in the Study Clinic: Analysis Per Number of Exacerbations in Last 12 Months | In-clinic spirometry measurements were taken prior to the administration of bronchodilators. Baseline was the last measurement prior to first injection of IP. The LS means, LS mean differences and 80% CIs, and one-sided p-value results were based on MMRM. The model included fixed effects for baseline, visit, treatment, and the baseline by visit and treatment by visit interactions. Visits within participant were considered as repeated measurements. Analysis is presented by the number of asthma exacerbations experienced within the 12 months prior to baseline (1 or ≥ 2 exacerbations in the previous 12 months). | Participants in the ITT population with 1 or ≥ 2 exacerbations in the previous 12 months are included in the analysis. The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Least Squares Mean | Standard Error | litres | Baseline and week 16 |
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| Other Pre-specified | Eosinophil Count | The eosinophil count at baseline and week 16 are presented. Baseline was defined as the last measurement prior to first injection of IP. | The ITT population included participants who were randomised and received any study intervention. Participants with data available are included. | Posted | Geometric Mean | Geometric Coefficient of Variation | 10^9 cells/L | Baseline and Week 16 |
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|
Day 1 to Week 24 (up to 24 weeks)
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tozorakimab Dose A | Participants were randomised to receive tozorakimab Dose A by subcutaneous (SC) injection. | 0 | 77 | 1 | 77 | 25 | 77 |
| EG001 | Tozorakimab Dose B | Participants were randomised to receive tozorakimab Dose B by SC injection. | 0 | 77 | 4 | 77 | 20 | 77 |
| EG002 | Placebo | Participants were randomised to receive placebo by SC injection. | 0 | 81 | 2 | 81 | 20 | 81 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis | Infections and infestations | MedDRA 25.1 | Systematic Assessment |
| |
| Clostridium difficile colitis | Infections and infestations | MedDRA 25.1 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 25.1 | Systematic Assessment |
| |
| Acid peptic disease | Gastrointestinal disorders | MedDRA 25.1 | Systematic Assessment |
| |
| Umbilical hernia | Gastrointestinal disorders | MedDRA 25.1 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 25.1 | Systematic Assessment |
| |
| Clavicle fracture | Injury, poisoning and procedural complications | MedDRA 25.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COVID-19 | Infections and infestations | MedDRA 25.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 25.1 | Systematic Assessment |
| |
| Injection site erythema | General disorders | MedDRA 25.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 25.1 | Systematic Assessment |
| |
| Injection site swelling | General disorders | MedDRA 25.1 | Systematic Assessment |
| |
| Injection site urticaria | General disorders | MedDRA 25.1 | Systematic Assessment |
|
15 participants enrolled at 1 study centre were excluded from the final analysis due to inability to confirm the validity of the data reported by the site. The exclusion of data from this site did not change the interpretation of the primary endpoint, or results in a significant change to the interpretation of any other endpoint.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Clinical Lead | AstraZeneca AB | 1-877-240-9479 | information.center@astrazeneca.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 10, 2023 | Dec 12, 2023 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D001249 | Asthma |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Black or African American |
|
| White |
|
| Other |
|
| 0.473 |
One-sided p-value |
| LS mean difference |
| 0.004 |
| 2-Sided |
| 80 |
| -0.071 |
| 0.079 |
Tozorakimab Dose B - Placebo |
| Superiority |
| Placebo |
Participants were randomised to receive placebo by SC injection. |
|
|
|
|
Participants were randomised to receive tozorakimab Dose B by SC injection.
| OG002 | Placebo | Participants were randomised to receive placebo by SC injection. |
|
|
| OG002 |
| Placebo |
Participants were randomised to receive placebo by SC injection. |
|
|
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| OG002 | Placebo | Participants were randomised to receive placebo by SC injection. |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
|
|
|
|
Participants were randomised to receive placebo by SC injection.
|
|
|
| Placebo |
Participants were randomised to receive placebo by SC injection. |
|
|
|
|
|